USE OF PHYSIOTHERAPEUTIC METHODS AT DIFFERENT STAGES OF REHABILITATION OF THE CHILDREN SUFFERING FROM ATOPIC DERMATITIS

Abstract

Atopic dermatitis remains a serious medical and social problem, especially in adolescents. The further development of rehabilitative and physiotherapeutic modalities and their extensive introduction into the clinical practice during the periods of remission make it possible to reduce to a minimum the duration of the oral and topical therapy and thereby to decrease the risk of adverse side effects, improve the quality of life of the patients suffering from atopic dermatitis, and prolong the inter-recurrence periods. The present study included 44 children at the age 15-18 years suffering from atopic dermatitis of mean duration 14.1 ± 1.5 years. They remained under the observation for 48 weeks. The frequency of exacerbations in most of these children (81.8%) was estimated at 4.7 ± 0.8 times a year, with the majority of acute episodes falling on the cold seasons. In 84.1% of the children, the loading coefficient for concomitant somatic diseases was 2.9. All the children received the comprehensive pharmacotherapy and physiotherapeutic treatment in the period of the last exacerbation including transcerebral pulsed electrical therapy, magnetic laser therapy and/or their combination. The study has demonstrated that the use of methods mentioned above during the period of remission in children with atopic dermatitis increased the adaptive potential of the organism, strengthened the general health status of the patients, contributed to the reduction in the frequency and severity of exacerbations of the pathological processes affecting the skin.

Keywords

atopic dermatitis / children / rehabilitation / quality of life

References

[1] Круглова Л.С., Котенко К.В., Корчажкина Н.Б., Турбовская С.Н. Физиотерапия в дерматологии. М.: ГЭОТАР; 2016.

[2] Поздеев О.П. Оценка влияния атопического дерматита на качество жизни пациента. Практическая медицина. 2013; (1-4): 112-3.

[3] Eichenfield L.F., Tom W.L., Chamlin S.L., Feldman S.R., Hanifin J.M., Simpson E.L. et al. Guidelines of care for the management of atopic dermatitis: Part 1: Diagnosis and assessment of atopic dermatitis. J. Am. Acad. Dermatol. 2014; 70 (2): 338-51.

[4] Thangamani Ramalingam A. Depression, anxiety, stress and self-esteem among physiotherapy students and the relationship to academic performance - a cross sectional study. Multidiscip. Edu. Global Quest. 2013; 2 (3).

[5] Жукова О.В., Маляренко Е.Н., Круглова Л.С., Понич Е.С. К вопросу целесообразности применения физиотерапевтических методов для профилактики обострений атопического дерматита. Вестник РУДН. Серия Медицина. 2013; (3): 11-6.

[6] Алипов Н.В. Фототерапия при атопическом дерматите: современные возможности применения. Саратовский научно-медицинский журнал. 2014; (3): 518-21.

[7] Lio P.A. Non-pharmacologic therapies for atopic dermatitis. Curr. Allergy Asthma Rep. 2013; 13 (5): 528-38

[8] Круглова Л.С. Магнитолазерная терапия в комплексном лечении больных атопическим дерматитом. Вопр. курортол. 2008; (1): 44-6.

[9] Silverberg N.B. A practical overview of pediatric atopic dermatitis, part 2: triggers and grading. Cutis. 2016; 97 (5): 326-9.

[10] Круглова Л.С., Абесадзе Г.А., Стрелкович Т.И. Влияние узкополосной средневолновой фототерапии на клинические симптомы у больных пруриго. Вестник новых медицинских технологий. 2013; (1): 209.

[11] Syed S., Weibel L., Kennedy H., Harper J.I. A pilot study showing pulsed-dye laser treatment improves localized areas of chronic atopic dermatitis. Clin. Exp. Dermatol. 2008; 33 (3): 243-8

[12] Гильмутдинова Л.Т., Киселёва А.В., Исеева Д.Р., Гильмутдинов Б.Р. Сочетанное применение сульфидных ванн и магнитолазерной терапии у больных с дерматозами. Медицинский вестник Башкортостана. 2013; (6): 132-4

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