Features of rehabilitation of patients with rheumatoid arthritis after arthroplasty (review)

Abstract

Rheumatoid arthritis is a social problem due to high disability, reaching 90% among the population. A detailed disclosure of the social significance of nosology shows that in the first 5 years of the disease, about half of the patients get a disability, in the first 10 years 2/3 of the patients. The destruction of large joints is the result of a long course of the disease. Many studies say that after 10 years from the onset of the disease, a third of patients need arthroplasty of the large joints of the lower extremities. Polyarthritic joint damage leads to the difficulty of carrying out restorative treatment. The article the main methods of rehabilitation of patients after arthroplasty of the joints of the lower extremities, assessed the effectiveness of each method in the treatment of patients with osteoarthritis of large joints, and proposed their own version of therapeutic physical activity in water. The advantage of this method is to reduce pressure on other joints and to concentrate force on the operated limb. In addition, some authors talk about the analgesic effect of thermotherapy, ultrasound therapy and balneotherapy. Thus, the postoperative treatment of patients with rheumatoid arthritis is an important part of the overall treatment and enhances the effectiveness of surgical correction. The most important and accessible physiotherapy procedures are kinesiotherapy and aqua gymnastics. According to the results of the article, other methods only complement the main therapeutic effect.