PHYSICAL THERAPY PROGRAM IN THE TREATMENT OF OSTEOARTHROSIS IN PATIENTS WITH OBESITY

Osteoarthrosis is a family of pathological processes with multifactorial etiopathogenesis, including genetic, molecular and environmental factors, in particular, biomechanical stress. Obesity is one of the significant risk factors for osteoarthritis, increasing the risk of its development. The purpose of the research is to study the features of compiling an algorithm of physiotherapeutic interventions for patients suffering from knee osteoarthritis and obesity. The research was conducted during 2019-2020 on the basis of the sports & fitness center «Dog & Grand CrossFit», Kiev, and in department of radio-induced general and endocrinological pathology of the Scientific Center of Radiation Medicine of the National Academy of Medical Sciences of Ukraine. 68 women with a personal history of: obesity 1-2 degree and arthrosis of the knee joints of the 1st stage were examined. During the study two groups were formed: control (CG, n=33) and the main group (MG, n=35). After сonducting the program of physiotherapeutic interventions in patients with MG and CG, the average statistical indicators of the available range of movements during flexion of the affected limb in the knee joint improved significantly and amounted: MG 121,8±4,70 and CG 110,4±4,30. The difference between the indices in the post-rehabilitation period between the patients of MG and CG is statistically significant. Changes in BMI made it possible to note the clinical effect of weight loss in the main group, in contrast to the dynamics of BMI of KG, which was to a lesser extent. During repeated survey the dynamics of a decrease in the level of pain in MG was more than in CG( MG - 0,64±0,15 points, CG - 2,7±0,5 points). Prevention of obesity by means of individual physiotherapy programs, including lifestyle changes, dietary counseling and kinesiotherapy, is the first step in treating patients with obesity and osteoarthritis of the knee.