Evaluarea manifestărilor clinice la pacienţii cu gonartroză secundară şi influenţa lor asupra calităţii vieţii

Abstract

Background: Secondary gonarthrosis continues to be an urgent problem for the adult and elderly population adversely affecting the functional, social, economic status, and in particular the quality of life. As part of rheumatologic disorders of the motor system, it usually occurs in one of two clinical situations: young men after injury and meniscectomy and obese postmenopausal women. Material and mehtods: The study has involved 60 patients with a diagnosis of secondary gonartroz. Treatment of patients was individualized and comprehensive, in basic principles of medical rehabilitation. The clinical diagnosis of each patient was confirmed by goneometric test, definition of muscle strength was confirmed by a scale from 0 to 5 points. Degree of influence on the quality of life of gonarthrosis was performed by WOMAC scale. It must be mentioned that paraclinical examination included an X-ray of the knee in two projections describing morphological and structural changes at the stage of disease. Assessment of pain was carried out by a visual analogic scale (VAS) from 1 to 10 points. Results: After the treatment almost all patients reported a decrease in pain and 46% (28) of the patients reported disappearance of pain, in 36% (22) cases the pain was minimal and only 18% (10) of the patients reported an average degree of pain. Determination of the quality of life produced by WOMAC scale and the results of the questionnaire in 26% of cases the quality of life improved after treatment. Conclusions: Integrated and individualized treatment of secondary gonarthrosis, based on the physical and functional methods in a specialized department of medical rehabilitation is effective in reducing pain and recovering of motor skills and walking, and also improves the quality of life for patients.