[New approaches to the use of physical factors in the practice of the medical rehabilitation of osteoarthritis patients]. / Novye podkhody k primeneniiu fizicheskikh faktorov v praktike meditsinskoi reabilitatsii bol'nykh osteoartritom.

The authors propose new approaches to medical rehabilitation of osteoarthrosis patients, i.e. cryotherapy, its combinations with other therapeutic physical factors. A trial performed in 328 patients with osteoarthrosis has shown effectiveness of the proposed treatment. Relevant indications and contraindications have been determined.

[A systems evaluation of the results of the rehabilitation of osteoarthrosis patients]. / Sistemnaia otsenka rezul'tatov reabilitatsii bol'nykh osteoartrozom.

Rehabilitation results were evaluated in 85 osteoarthrosis (OA) patients. Systemic analysis methods were used: factor (method of the leading components), cluster and determination. This approach allowed to reveal new relationships between clinical symptoms of OA, their changes in response to rehabilitation. The comparative analysis of various rehabilitation complexes specified some advantages and drawbacks of these complexes which remained unclear in clinical examination or after standard statistical processing. The above complex of methods of systemic analysis proved to be an effective tool in understanding mechanisms of action of different rehabilitation complexes in OA patients.

[The comparative efficacy of methods for the cryo-electropulse therapy of osteoarthrosis patients]. / Sravnitel'naia éffektivnost' metodov krioélektroimpul'snoi terapii bol'nykh osteoartrozom.

Comparative trials of two methods of cryoelectroimpulse therapy in combination with kinesitherapy and massage performed in 132 patients with osteoarthritis (OA) demonstrated that both methods relieve pain syndrome, improve peripheral circulation, condition of the neuromuscular system. Overall course effectiveness of parallel use of cryotherapy and transcutaneous electroneurostimulation (cryo-TCENS) combined with exercise and massage was found less than that of cryotherapy and sinusoidal modulated currents (cryoamplipulsetherapy). However, the effect of a single cryo-TCENS procedure was rather high. This may be explained by a labile technique which allows impact on the most painful (trigger) zones in OA patients. Thus, cryo-TCENS should be applied in short courses (maximum 6 procedures) or in single impacts in severe OA pain while cryoamplipulstherapy is more effective in courses consisting of 10-12 procedures.

[The effect of cryo- and cryoelectrotherapy on neuromuscular function in coxarthrosis patients]. / Vliianie krio- i krioélektroterapii na sostoianie nervno-myshechnogo apparata bol'nykh koksartrozom.

Cryotherapy (CT) and cryoelectrotherapy (CET) in combination with therapeutic exercise were assessed for neuromuscular effects in patients with coxarthritis and necrosis of caput femoris. The above complex is found effective in reducing the rigidity of the muscles and joints, in attenuation of functional contractures. It increases muscle strength nearby the affected joints. The best results were achieved with CET. Single CT and CET procedures increase the amplitude of muscular bioelectrical activity at maximal muscular tension, the highest effect being observed at the sites of the direct exposure. Marked analgetic activity of the physical factors was confirmed by electroneuromyographic findings.

[The effect of cryo- and cryoelectrotherapy on regional hemodynamics in coxarthrosis patients]. / Vliianie krio- i krioélektroterapii na regional'nuiu gemodinamiku u bol'nykh koksartrozom.

Physiotherapy (cryo-, cryoelectrotherapy or sinusoidal modulated currents) and therapeutic exercise were included in the course of rehabilitation given to 110 coxitis patients. Less pronounced reduction in microcirculation in the cooled tissue was registered in the exposure to a single cryoelectrotherapy procedure than to a single cryotherapy one, activation of the blood flow that followed was more intensive. Positive trends in the local and peripheral circulation were more evident after cryo- or cryoelectrotherapy.

[Cryoelectrotherapy in the treatment of osteoarthrosis patients]. / Krioélektroterapiia v lechenii bol'nykh osteoartrozom.

Coxarthritis and gonarthritis patients (n = 105) were divided into 3 groups. Group I patients received cryotherapy (CT), group II subjects were exposed to sinusoidal modulated currents (SMC), group III patients underwent multimodality treatment (cryoelectrotherapy). The most pronounced response for CT was achieved in gonarthritis with reactive synovitis. Overall effectiveness was the highest in cryoelectrotherapy. This may be due to potentiating effect of the cold and low-frequency currents combination.