RU2402310C1 - Method of treatment gouty arthritis - Google Patents

Abstract

FIELD: medicine. ^ SUBSTANCE: invention refers to medicine, namely to restorative medicine. Therapeutic exercises are made. A patient's lower extremity with the involved joint is placed in therapeutic loops of a loop complex so that ankle, knee and hip joints are arranged between the therapeutic loops of the loop complex. A diagonal exercise is made with foot rotation 3-4 times. An exercise is made including circus movement in the involved joint 3-4 times with the exercise being alternated during 20 min for the course of 1 month. ^ EFFECT: invention allows increasing joint movement amplitude, relieving pain syndrome and normalising physical activity of the muscles. ^ 1 ex

Description

The invention relates to medicine, namely to restorative medicine.

One of the common diseases of our time, in which there is still no unified therapeutic recommendations, is called gout - a disease associated with a violation of the normal metabolism of protein bodies, manifested by a delay in the blood of uric acid with its deposition in various joints, with the deposition of uric acid salts in cartilage, mucous membranes bags and leather. Most often, gout affects middle-aged and elderly people.

Acute gouty arthritis develops several years after the onset of asymptomatic hyperuricemia. The clinic of such arthritis is quite bright - sudden growing pains, redness and swelling of the affected joint, immobility. In approximately 80% of patients, only one joint is affected during the first attack, most often the metatarsophalangeal or knee. During subsequent attacks with chronic process, a polyarticular lesion with tofus in the area of affected joints is observed (Nasonova V.A., Barskova V.G. Gout at the end of the 20th century / Consilium medicum. - 2002. - Volume 4. No. 8. - C .400). Joint disfigurement is observed, depending on the dropsy of the joints, inflammatory swelling of the periarticular tissues, and reflex contractures. Patients, especially during periods of exacerbation of articular phenomena, hardly make movements, and in some cases ankyloses reach such an extent that movements in the lower extremities become impossible. In this regard, many doctors recognize the critical therapeutic value of exercise in the treatment of these patients.

Known methods for the treatment of restorative medicine of gouty arthritis:

- a method of treatment using acupressure, consisting of alternating exposure to reflex points V ₂₃ , V ₅₄ , F ₈ , VB ₄₁ , F ₃ , RP ₂ (Fokin V.N. Healing massage. - M .: FAIR-PRESS, 1998 . - S.155);

- a method of treatment using a complex of physical exercises, consisting of a combination of active and passive movements in the affected joint, general developmental and breathing exercises (Epifanov V. A. Therapeutic physical education. - M .: GEOTAR-Media, 2006. - P.266);

- a method of treatment using therapeutic massage, including stroking, surface grinding, light vibration, initially performed near the affected joint, then the joint itself is massaged, after which passive and active movements are performed in it (Epifanov V.A. Physiotherapy physical therapy. - M .: GEOTAR-Media, 2006. - S.269-270);

- a method of treating arthrosis of the joints with the help of suspension and block therapy, including suspensions for damaged joints with alternating active movements in the joint and subsequent rest (Barbakadze A.A., Stroganova O.V., Barbakadze L.A. Technique of suspension and block therapy - UGUL in a universal office // LFK and massage. - 2004. - No. 4 (13). - P.38);

- a treatment method for restoring voluntary movements in the loop complex using the methods of "neuromotor re-education", position treatment, physical exercises for limbs placed in therapeutic loops (Epifanov V.A. Rehabilitation of stroke patients. - M .: MEDpress-inform, 2006. - S.220-221).

There is a method of treating gouty arthritis using articular gymnastics, which consistently includes exercises for the joints of the lower extremities, each movement is performed strenuously with a maximum amplitude and ends in a jerk (Sarkizov-Serazini I.M. Physiotherapy exercises. - M .: OGIZ Physical education and Tourism, 1935. - S.143-145). This method is selected for the prototype.

The disadvantages of this method are increased pain, high trauma due to active exercises at an intense pace (each exercise ends in a jerk, injuring the ligaments of the joint and adjacent muscles), overload on the changed (e) joint (s), which causes further progression of the disease.

The objective of the invention is to reduce the invasiveness of treatment and reduce pain by improving the function of movement of the lower limb.

The technical result consists in increasing the amplitude of movement of the joint, normalizing the physiological work of the muscles of the lower limb, and reducing pain.

This is achieved due to the fact that the lower limb of the patient with the affected joint is placed in the therapeutic loops of the loop complex in such a way that the ankle, knee and hip joints of the limb are located between the therapeutic loops of the loop complex, after which they perform diagonal exercises with rotation of the foot 3-4 times and then carry out the exercise - a circular motion in the affected joint 3-4 times, while the exercise is alternated for 20 minutes, a course of 1 month.

Placing the lower limb in the therapeutic loops of the loop complex on both sides of the ankle, knee and hip joints allows you to do the exercise in a lighter state, preventing muscle tension, helping to relax spasmodic muscles, significantly reducing pain during movement, removing the supporting load on the joint, preventing the progression of the disease, small in amplitude of movement diagonally with rotation allows you to restore physiological movement, physiological muscle function, ma maximum DUTY movement in the joint increases its amplitude, preventing joint contracture, exercise data striping allows you to remove the feeling of stiffness faster muscle spasm and contribute to an increase in joint range of motion. Both legs are placed in therapeutic loops and the lumbar spine is also fixed with a therapeutic loop to maintain a horizontal position of the body during exercise. A course of treatment of 1 month allows you to normalize muscle tone and increase the amplitude of motion in the affected joint, significantly reduce pain during movement.

The method is as follows.

The lower limb of the patient with the affected joint is placed in the therapeutic loops of the loop complex so that the ankle, knee and hip joints are located between the therapeutic loops of the loop complex, after which they perform the exercise diagonally with rotation of the wrist or foot 3-4 times, then perform the exercise - circular movement in the affected joint 3-4 times, alternating exercises for 20 minutes, a course of 1 month.

Clinical example.

Patient K. And / b No. 11376. Diagnosis: Gout. Gouty arthritis of the right knee joint. Complaints of pain at rest and during movement in the knee joint.

The patient was treated according to the proposed method: the lumbar spine and lower extremities were placed in the therapeutic loops of the loop complex so that the ankles, knees and hips were between the loops, after which the patient first performed the diagonal exercise with rotation of the foot 4 times, then the exercise in in the form of circular motion in the knee joint 4 times, alternating exercises for 20 minutes, the treatment course was 1 month, after which the range of motion in the right knee joint increased significantly and pain during movement has passed.

Claims (1)

A method of treating gouty arthritis by conducting therapeutic exercises, characterized in that the lower limb of a patient with an affected joint is placed in the therapeutic loops of the loop complex so that the ankle, knee and hip joints of the limb are located between the therapeutic loops of the loop complex, after which the diagonal exercise is performed with rotation of the foot 3-4 times, and then carry out the exercise - a circular motion in the affected joint 3-4 times, while the exercise is alternated for 20 in, in the course of 1 month.