Tiškienė, Živilė - Magistro baigiamojo darbo autorius
Kriščiūnas , Aleksandras - Magistro baigiamojo darbo vertinimo komisijos pirmininkas
Gorinienė, Galinda - Magistro baigiamojo darbo vertinimo komisijos narys
Dudonienė, Vilma - Magistro baigiamojo darbo vertinimo komisijos narys
Krutulytė, Gražina - Magistro baigiamojo darbo vertinimo komisijos narys
Juodžbalienė, Vilma - Magistro baigiamojo darbo vertinimo komisijos narys
Vaitauskienė, Vida - Magistro baigiamojo darbo vertinimo posėdžio sekretorius
Bacevičienė, Rasa - Magistro baigiamojo darbo vadovas
Sipavičienė, Saulė - Magistro baigiamojo darbo recenzentas
Lietuvos kūno kultūros akademija - Mokslinį laipsnį teikianti institucija
Osteoarthritis is one the most common illnesses amongst elderly people. An ingravescent illness maims patients, exacerbating quality of their lives and therefore this is one of the causes of their physical disability. Treatment of this illness requires a special attention of the health service system and funds. Since pervasion of the illness is directly related with age, there are some predictions that with an increasing number of the elderly people, morbidity of osteoarthritis will increase also; medical costs will be increasing respectively. This illness, together with the other methods, is being cured by the physiotherapy. If the patients suffer of the kneel joints osteoarthritis, patients training and application of the physiotherapy decreases intensity of the pain and improves functional capabilities. (Dieppe et al, 2001).
Methods of the research and organization. Volunteers, having knee joint osteoarthritis, attended this research process. They received an ambulatory treatment complex. Exploratory group was divided into two parts: under 60 years (n =12) and over 60 years (n =18). Both groups received the same type of the program – 5 physiotherapy procedures up to 30 minutes. Due to the little number of the procedures and facultative attendance of the patients, there were made recommendations to perform physiotherapy procedures at home.
There were evaluated the following facets – pain intensity according to the VAS scale, functional state according to the modified Keitel index, knee joint flexion amplitude, calf muscles – extensors strength according to the 5 points Lovett scale. All researches were made during the first procedure and repeated during the last one.
Research goals: to evaluate the change of patients pain intensity throughout the therapy course, functional state, joints mobility and muscles strength after the physiotherapy procedures. The comparison between the results of the both groups was done also.
Research results. After an application of the physiotherapy procedures, joint pain surely decreased (p<0,05) in both groups. Rates of modified Keitel index after the physiotherapy procedures changed insignificantly in both groups (p>0,05). Left knee joint amplitude surely increased in both groups (p<0,05) and right knee joint amplitude significantly improved amongst patients group under 60 years. Second group (over 60 years) patients both legs calfs muscles – extensors strength surely increased after the physiotherapy procedures (p<0,05).
There was diagnosed a strong correlation between exploratory pain rates before and after physiotherapy procedures (p<0,01), medium inverse relation between patients age and pain intensity change (p<0,01). While evaluating the correlation between of the functional rates of the patients before the physiotherapy procedures and after them, there was established a very strong correlation (p<0,05). Estimated medium inverse correlation between patients age and functional state change is (p<0,05). There was fixed a strong correlation between knee joint amplitude results before and after physiotherapy procedures (I and II group) (p<0,05), strong correlation between calf muscles – extensors strength results before the physiotherapy procedures and after them (p<0, 05). Therefore having pain level declining, all functional rates have improved during this process.
Raktažodžiai: physiotherapy, knee osteoarthrosis, rehabilitation