Medical and Social Expert Evaluation and RehabilitationMedical and Social Expert Evaluation and RehabilitationМедико-социальная экспертиза и реабилитация1560-95372412-2092Eco-Vector62498810.17816/MSER624988Original study articlesОригинальные исследованияResearch ArticleRehabilitation of the disabled with osteoarthritis in a multidisciplinary rehabilitation centerРеабилитация инвалидов с остеоартрозами в многопрофильном реабилитационном центреhttps://orcid.org/0000-0001-6131-48454793-5490SyrnikovaBela A.СырниковаБэла Алихановна
Russian Federation

MD, Dr. Sci. (Med.), professor

д-р мед. наук, профессор

syrnikovaba@social.mos.ruhttps://orcid.org/0000-0001-9788-24574813-4184StorozhenkoDmitry V.СтороженкоДмитрий Валерьевич
Russian Federation

MD, Cand. Sci. (Med.)

канд. мед. наук

dm_dok@rambler.ruhttps://orcid.org/0000-0003-0104-90799405-9215StorozhenkoElena E.СтороженкоЕлена Евгеньевна
Russian Federation
ms.elenastor@mail.ruhttps://orcid.org/0009-0005-6593-45039964-2801TemirovRustam A.ТемировРустам Артурович
Russian Federation
Rustam-temirov@ya.ruScientific and Practical Center of RehabilitationНаучно-практический реабилитационный центр05032024201220232642152222512202319022024Copyright ©; 2023, Eco-VectorCopyright ©; 2023, Эко-Вектор2023Eco-VectorЭко-Векторhttps://eco-vector.com/for_authors.php#07https://rjmseer.com/1560-9537/article/view/624988

BACKGROUND: Current demographic trends indicate an increase in the proportion of elderly and senile people in the general population structure. Osteoarthritis is one of the most important causes of pain and limited mobility in old age. The most effective methods of treating osteoarthritis are physical therapy and teaching.

AIM: To analyze the possibilities of inpatient rehabilitation departments of a multidisciplinary institution of social protection of the population in the rehabilitation of people with osteoarthritis.

MATERIALS AND METHODS: The study is continuous, single-stage, single-center, retrospective. 6578 persons with disabilities who received inpatient rehabilitation from 2021 to 2023 were examined. Demographic indicators and nosological structure have been studied. A group of disabled people with osteoarthritis has been identified and studied in depth. The composition and scope of measures for the medical rehabilitation of people with ostearthritis have been studied.

RESULTS: It was found that people with disabilities with osteoarthritis constitute the largest group among all people who received inpatient rehabilitation (37.9%). The vast majority of people with osteoarthritis with disabilities were female (88.8%). The basis of the inpatient rehabilitation program for patients with osteoarthritis was based on methods with proven effectiveness.

CONCLUSION: Rehabilitation social protection institutions make a significant contribution to meeting the needs of people with disabilities, as one of the most socially vulnerable categories of the population, in rehabilitation assistance.

Обоснование. Актуальные демографические тенденции свидетельствуют о повышении доли лиц пожилого и старческого возраста в общей структуре населения. Одной из важнейших причин боли и ограничения подвижности в пожилом возрасте является остеоартроз. Наиболее эффективные методы лечения остеоартроза — лечебная физкультура и обучение.

Цель. Проанализировать возможности стационарных реабилитационных отделений многопрофильного учреждения социальной защиты населения в проведении реабилитации инвалидов с остеоартрозами.

Материалы и методы. Проведено сплошное одномоментное одноцентровое ретроспективное исследование. Обследованы 6578 лиц с инвалидностью, получавших стационарную реабилитацию с 2021 по 2023 год. Изучены демографические показатели и нозологическая структура. Выявлена и углублённо исследована группа инвалидов с остеоартрозами. Изучены состав и объём мероприятий по медицинской реабилитации инвалидов с остеоартрозами.

Результаты. Установлено, что инвалиды с остеоартрозами составляют наиболее многочисленную группу среди всех лиц, получавших стационарную реабилитацию (37,9%). Подавляющее большинство инвалидов с остеоартрозами составляли лица женского пола (88,8%). В основе программы стационарной реабилитации пациентов с остеоартрозами лежали методы, имеющие доказанную эффективность.

Заключение. Учреждения социальной защиты реабилитационного профиля вносят существенный вклад в обеспечение потребностей инвалидов как одной из наиболее социально уязвимых категорий населения в реабилитационной помощи.

complex rehabilitationdisabled personrehabilitation centerosteoarthritisкомплексная реабилитацияинвалидреабилитационный центростеоартрозThe demographic forecast of Rosstat. Life expectancy at birth [Internet] [cited 2023 December 29]. Available from: https://rosstat.gov.ru/folder/12781 (In Russ).Демографический прогноз Росстата. Ожидаемая продолжительность жизни при рождении [Internet]. Режим доступа: https://rosstat.gov.ru/folder/12781 Дата обращения: 29.12.2023.World Health Organization (2017). Rehabilitation in health systems. In: World Health Organization [Internet]. Available from: https://apps.who.int/iris/handle/10665/254506World Health Organization (2017). Rehabilitation in health systems. В: World Health Organization [Internet]. Режим доступа: https://apps.who.int/iris/handle/10665/254506OARSI Osteoarthritis Research Society International Osteoarthritis: a serious disease [Internet] [cited 2023 January 30]. Available from: https://www.oarsi.org/education/oarsi-resources/oarsi-white-paper-oa-serious-diseaseOARSI Osteoarthritis Research Society International Osteoarthritis: a serious disease [Internet]. Режим доступа: https://www.oarsi.org/education/oarsi-resources/oarsi-white-paper-oa-serious-disease Дата обращения: 30.01.2024.Ackerman IN, Buchbinder R, March L. Global Burden of Disease Study 2019: an opportunity to understand the growing prevalence and impact of hip, knee, hand and other osteoarthritis in Australia. Intern Med J. 2023;53(10):1875–1882. doi: 10.1111/imj.15933Ackerman I.N., Buchbinder R., March L. Global Burden of Disease Study 2019: an opportunity to understand the growing prevalence and impact of hip, knee, hand and other osteoarthritis in Australia // Intern Med J. 2023. Vol. 53, N 10. Р. 1875–1882. doi: 10.1111/imj.15933Allen KD, Thoma LM, Golightly YM. Epidemiology of osteoarthritis. Osteoarthritis Cartilage. 2022;30(2):184–195. doi: 10.1016/j.joca.2021.04.020Allen K.D., Thoma L.M., Golightly Y.M. Epidemiology of osteoarthritis // Osteoarthritis Cartilage. 2022. Vol. 30, N 2. Р. 184–195. doi: 10.1016/j.joca.2021.04.020Blanco FJ, Silva-Díaz M, Quevedo Vila V, et al.; EPISER2016 Project Working Group. Prevalence of symptomatic osteoarthritis in Spain: EPISER2016 study. Reumatol Clin (Engl Ed). 2021;17(8):461–470. doi: 10.1016/j.reumae.2020.01.005Blanco F.J., Silva-Díaz M., Quevedo Vila V., et al.; EPISER2016 Project Working Group. Prevalence of symptomatic osteoarthritis in Spain: EPISER2016 study // Reumatol Clin (Engl Ed). 2021. Vol. 17, N 8. Р. 461–470. doi: 10.1016/j.reumae.2020.01.005Buck AN, Vincent HK, Newman CB, et al. Evidence-Based Dietary Practices to Improve Osteoarthritis Symptoms: An Umbrella Review. Nutrients. 2023;15(13):3050. doi: 10.3390/nu15133050Buck A.N., Vincent H.K., Newman C.B., et al. Evidence-Based Dietary Practices to Improve Osteoarthritis Symptoms: An Umbrella Review // Nutrients. 2023. Vol. 15, N 13. Р. 3050. doi: 10.3390/nu15133050Gimigliano F, Negrini S. The World Health Organization “Rehabilitation 2030: a call for action”. Eur J Phys Rehabil Med. 2017;53(2):155–168. doi: 10.23736/S1973-9087.17.04746-3Gimigliano F., Negrini S. The World Health Organization “Rehabilitation 2030: a call for action” // Eur J Phys Rehabil Med. 2017. Vol. 53, N 2. Р. 155–168. doi: 10.23736/S1973-9087.17.04746-3Tong L, Yu H, Huang X, et al. Current understanding of osteoarthritis pathogenesis and relevant new approaches. Bone Res. 2022;10(1):60. doi: 10.1038/s41413-022-00226-9Tong L., Yu H., Huang X., et al. Current understanding of osteoarthritis pathogenesis and relevant new approaches // Bone Res. 2022. Vol. 10, N 1. Р. 60. doi: 10.1038/s41413-022-00226-9Lippi L, Ferrillo M, Turco A, et al. Multidisciplinary Rehabilitation after Hyaluronic Acid Injections for Elderly with Knee, Hip, Shoulder, and Temporomandibular Joint Osteoarthritis. Medicina (Kaunas). 2023;59(11):2047. doi: 10.3390/medicina59112047Lippi L., Ferrillo M., Turco A., et al. Multidisciplinary Rehabilitation after Hyaluronic Acid Injections for Elderly with Knee, Hip, Shoulder, and Temporomandibular Joint Osteoarthritis // Medicina (Kaunas). 2023. Vol. 59, N 11. Р. 2047. doi: 10.3390/medicina59112047Floramo JS, Molchanov V, Liu H, et al. An Integrated View of Stressors as Causative Agents in OA Pathogenesis. Biomolecules. 2023;13(5):721. doi: 10.3390/biom13050721Floramo J.S., Molchanov V., Liu H., et al. An Integrated View of Stressors as Causative Agents in OA Pathogenesis // Biomolecules. 2023. Vol. 13, N 5. Р. 721. doi: 10.3390/biom13050721Diamond LE, Grant T, Uhlrich SD. Osteoarthritis year in review 2023: Biomechanics. Osteoarthritis Cartilage. 2024;32(2):138–147. doi: 10.1016/j.joca.2023.11.015Diamond L.E., Grant T., Uhlrich S.D. Osteoarthritis year in review 2023: Biomechanics // Osteoarthritis Cartilage. 2024. Vol. 32, N 2. Р. 138–147. doi: 10.1016/j.joca.2023.11.015Bell EC, O'Halloran P, Wallis JA, et al. Using SUpported Motivational InTerviewing (SUMIT) to increase physical activity for people with knee osteoarthritis: a pilot, feasibility randomised controlled trial. BMJ Open. 2023;13(11):e075014. doi: 10.1136/bmjopen-2023-075014Bell E.C., O'Halloran P., Wallis J.A., et al. Using SUpported Motivational InTerviewing (SUMIT) to increase physical activity for people with knee osteoarthritis: a pilot, feasibility randomised controlled trial // BMJ Open. 2023. Vol. 13, N 11. Р. e075014. doi: 10.1136/bmjopen-2023-075014Whittaker JL, Truong LK, Dhiman K, Beck C. Osteoarthritis year in review 2020: rehabilitation and outcomes. Osteoarthritis Cartilage. 2021;29(2):190–207. doi: 10.1016/j.joca.2020.10.005Whittaker J.L., Truong L.K., Dhiman K., Beck C. Osteoarthritis year in review 2020: rehabilitation and outcomes // Osteoarthritis Cartilage. 2021. Vol. 29, N 2. Р. 190–207. doi: 10.1016/j.joca.2020.10.005Macri EM, Selles RW, Stefanik JJ, Reijman M. OARSI year in review 2023: Rehabilitation and outcomes. Osteoarthritis Cartilage. 2023;31(12):1534–1547. doi: 10.1016/j.joca.2023.08.011Macri E.M., Selles R.W., Stefanik J.J., Reijman M. OARSI year in review 2023: Rehabilitation and outcomes // Osteoarthritis Cartilage. 2023. Vol. 31, N 12. Р. 1534–1547. doi: 10.1016/j.joca.2023.08.011Bennell KL, Hunt MA, Wrigley TV, Lim BW, Hinman RS. Muscle and exercise in the prevention and management of knee osteoarthritis: an internal medicine specialist's guide. Med Clin North Am. 2009;93(1):161–77, xii. doi: 10.1016/j.mcna.2008.08.006Bennell K.L., Hunt M.A., Wrigley T.V., Lim B.W., Hinman R.S. Muscle and exercise in the prevention and management of knee osteoarthritis: an internal medicine specialist's guide // Med Clin North Am. 2009. Vol. 93, N 1. Р. 161–77, xii. doi: 10.1016/j.mcna.2008.08.006Rocha TC, Ramos PDS, Dias AG, Martins EA. The Effects of Physical Exercise on Pain Management in Patients with Knee Osteoarthritis: A Systematic Review with Metanalysis. Rev Bras Ortop (Sao Paulo). 2020;55(5):509–517. doi: 10.1055/s-0039-1696681Rocha T.C., Ramos P.D.S., Dias A.G., Martins E.A. The Effects of Physical Exercise on Pain Management in Patients with Knee Osteoarthritis: A Systematic Review with Metanalysis // Rev Bras Ortop (Sao Paulo). 2020. Vol. 55, N 5. Р. 509–517. doi: 10.1055/s-0039-1696681Holden MA, Metcalf B, Lawford BJ, et al. Recommendations for the delivery of therapeutic exercise for people with knee and/or hip osteoarthritis. An international consensus study from the OARSI Rehabilitation Discussion Group. Osteoarthritis Cartilage. 2023;31(3):386–96. doi: 10.1016/j.joca.2022.10.009Holden M.A., Metcalf B., Lawford B.J., et al. Recommendations for the delivery of therapeutic exercise for people with knee and/or hip osteoarthritis. An international consensus study from the OARSI Rehabilitation Discussion Group // Osteoarthritis Cartilage. 2023. Vol. 31, N 3. Р. 386–396. doi: 10.1016/j.joca.2022.10.009Hunter DJ, Bierma-Zeinstra S. Osteoarthritis. Lancet. 2019;393(10182):1745–1759. doi: 10.1016/S0140-6736(19)30417-9Hunter D.J., Bierma-Zeinstra S. Osteoarthritis // Lancet. 2019. Vol. 393, N 10182. Р. 1745–1759. doi: 10.1016/S0140-6736(19)30417-9Kolasinski SL, Neogi T, Hochberg MC, et al. American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care Res (Hoboken). 2020;72(2):149–162. doi: 10.1002/acr.24131Kolasinski S.L., Neogi T., Hochberg M.C., et al. American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee // Arthritis Care Res (Hoboken). 2020. Vol. 72, N 2. Р. 149–162. doi: 10.1002/acr.24131Bannuru RR, Osani MC, Vaysbrot EE, et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage. 2019;27(11):1578–1589. doi: 10.1016/j.joca.2019.06.011Bannuru R.R., Osani M.C., Vaysbrot E.E., et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis // Osteoarthritis Cartilage. 2019. Vol. 27, N 11. Р. 1578–1589. doi: 10.1016/j.joca.2019.06.011Holden MA, Nicolson PJA, Thomas MJ, et al. Osteoarthritis year in review 2022: rehabilitation. Osteoarthritis Cartilage. 2023;31(2):177–186. doi: 10.1016/j.joca.2022.10.004Holden M.A., Nicolson P.J.A., Thomas M.J., et al. Osteoarthritis year in review 2022: rehabilitation // Osteoarthritis Cartilage. 2023. Vol. 31, N 2. Р. 177–186. doi: 10.1016/j.joca.2022.10.004