Physical factors in traumatic arthropathy in children

Abstract

The relevance and the urgent character of the problem of traumatic arthropathy of the knee joint in children is due to the high frequency of injuries of this localization, comprising from 5 to 25% of all injuries of the musculoskeletal system.

Nowadays, physical factors are commonly used at different stages of medical rehabilitation of children with traumatic injuries of the knee joint. At the same time, scientifically substantiated recommendations for medical rehabilitation of children with nonspecific posttraumatic knee pain syndrome are insufficient.

Studies conducted have ascertained the effectiveness of local air cryotherapy, which is characterized by an explicit anti-edema, analgesic effect. An early regression of pain has been registered, the elimination of microcirculatory disorders in the area of damage as a result of the course effects of pulsed low-frequency magnetic therapy at various stages of medical rehabilitation. The beneficial effect of a pulsed low-frequency electrostatic field on the indicators of orthopedic status, the state of microcirculation, thermography in the area of damage has been established in children with traumatic arthropathy of the knee joint.

The possibility of using polychromatic polarized light in traumatic arthropathy of the knee joint in children, characterized by pain reduction due to muscle relaxation, activation of microcirculation in the injury area, restoration of the volume of movements, has been proved.

Keywords

children / trauma / knee joint / traumatic arthrоpathia / cryotherapy / pulsed low-frequency magnetotherapy / pulsed low-frequency electrostatic field / non-selective chromotherapy

References

[1] Alekseeva EI, Bzarova TM. Joint damage in childhood. Lechashchii vrach. 2010;(6):46–51. (In Russ).

[2] Алексеева Е.И., Бзарова Т.М. Поражение суставов в детском возрасте // Лечащий врач. 2010. № 6. С. 46–51.

[3] Tsurikova NA. Differential diagnosis and treatment of oligoarthritis in children [dissertation abstract]. Moscow; 2017. 47 p. (In Russ).

[4] Цурикова Н.А. Дифференциальная диагностика и лечение олигоартритов у детей: Автореф. дис. … канд. мед. наук. Москва, 2017. 47 с.

[5] Naveed A, Heinz P. Joint pain in children. Paediatrics Child Health. 2014;2(24):45–50. doi: 10.1016/j.paed.2013.08.001

[6] Naveed A., Heinz P. Joint pain in children // Paediatrics Child Health. 2014. Vol. 2, N 24. Р. 45–50.doi: 10.1016/j.paed.2013.08.001

[7] Bird HA. Joint hypermobility in children. Rheumatology. 2005;44(6):703–704. doi: 10.1093/rheumatology/keh639

[8] Bird H.A. Joint hypermobility in children // Rheumatology. 2005. Vol. 44, N 6. Р. 703–704. doi: 10.1093/rheumatology/keh639

[9] Nazarova TI, Petruk NI. Anatomical and physiological features, examination methodology, semiotics of bone and muscle system lesions in children. Characteristics, research methods, semiotics of the lesion. Educational and methodological guide to the study of the course "Children's diseases". Moscow: Peoples' Friendship University of Russia; 2012. 52 p. (In Russ).

[10] Назарова Т.И., Петрук Н.И. Анатомо-физиологические особенности, методика обследования, семиотика поражения костной и мышечной систем у детей. Характеристика, методы исследования, семиотика поражения. Учебно-методическое пособие к изучению курса «Детские болезни». Москва: РУДН, 2012. 52 с.

[11] Solovyova KS, Zaletina AV. Traumatism of the children's population of St. Petersburg. Orthopedics, traumatology and reconstructive surgery of childhood. 2017;5(3):43–48. (In Russ).

[12] Соловьева К.С., Залетина А.В. Травматизм детского населения Санкт-Петербурга // Ортопедия, травматология и восстановительная хирургия детского возраста. 2017. Т. 5, № 3. С. 43–48.

[13] Avramenko VV, Kuznetsov IA. Arthroscopy with internal injuries of the knee joint in children and adolescents. Traumatology and orthopedics of Russia. 2011;(4):131–139. (In Russ).

[14] Авраменко В.В., Кузнецов И.А. Артроскопия при внутренних повреждениях коленного сустава у детей и подростков // Травматология и ортопедия России. 2011. № 4. С. 131–139.

[15] Merkulov VN, Eremushkin MA, Yeltsin AG, Dovluru RK. Rehabilitation of children and adolescents with injuries of the anterior cruciate ligament of the knee joint. Bulletin of Restorative Medicine. 2015;(3):7–12. (In Russ).

[16] Меркулов В.Н., Еремушкин М.А., Ельцин А.Г., Довлуру Р.К. Реабилитация детей и подростков с повреждениями передней крестообразной связки коленного сустава // Вестник восстановительной медицины. 2015. № 3. С. 7–12.

[17] Merkulov VN, Karam EA, Sokolov OG, Yeltsin AG. Arthroscopic diagnosis and treatment of knee cartilage injuries in children. Bulletin of Traumatology and Orthopedics named after N.N. Pirogov. 2003;(2):74–79. (In Russ).

[18] Меркулов В.Н., Карам Е.А., Соколов О.Г., Ельцин А.Г. Артроскопическая диагностика и лечение повреждений хряща коленного сустава у детей // Вестник травматологии и ортопедии им. Н.Н. Пирогова. 2003. № 2. С. 74–79.

[19] Vybornov DYu, Petrov MA, Isaev IN. Arthroscopy for injuries and diseases of the knee joint in children. Pediatric Surgery. 2012;(5):29–34. (In Russ).

[20] Выборнов Д.Ю., Петров М.А., Исаев И.Н. Артроскопия при травме и заболеваниях коленного сустава у детей // Детская хирургия. 2012. № 5. С. 29–34.

[21] Physiotherapy in pediatrics. Textbook. Ed. by M.A. Khan. Moscow; 2014. 194 p. (In Russ).

[22] Физиотерапия в педиатрии. Учебное пособие / под ред. М.А. Хан. Москва, 2014. 194 с.

[23] Physical and rehabilitation medicine. National Leadership. Ed. by G.N. Ponomarenko. Moscow: GEOTAR-Media; 2016. 685 p. (In Russ).

[24] Физическая и реабилитационная медицина. Национальное руководство / под ред. Г.Н. Пономаренко. Москва: ГЭОТАР-Медиа, 2016. 685 с.

[25] Vakhova EL, Khan MA, Krestyanin IV. Sanatorium-resort treatment of children with the consequences of injuries of the musculoskeletal system. Kurortnye vedomosti. 2018;(1):24–25. (In Russ).

[26] Вахова Е.Л., Хан М.А., Крестьяшин И.В. Санаторно-курортное лечение детей с последствиями травм костно-мышечной системы // Курортные ведомости. 2018. № 1. С. 24–25.

[27] Khan MA, Konova OM, Vybornov DYu. Air local cryotherapy for traumatic injuries in children. A manual for doctors. Moscow; 2003. 9 p. (In Russ).

[28] Хан М.А., Конова О.М., Выборнов Д.Ю. Воздушная локальная криотерапия при травматических повреждениях у детей. Пособие для врачей. Москва, 2003. 9 с.

[29] Burkin IA, Konova OM, Simonova OI. Polarized light in the restorative treatment of children with traumatic injuries. Polyclinic. 2016;(1):47–50. (In Russ).

[30] Буркин И.А., Конова О.М., Симонова О.И. Поляризованный свет в восстановительном лечении детей с травматическими повреждениями // Поликлиника. 2016. № 1. С. 47–50.

RIGHTS & PERMISSIONS

Vakhova E.L., Khan M.A., Korchazhkina N.B., Pochkin E.О., Isaev I.N., Ivanova I.I.