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Manual medical technologies in complex treatment and rehabilitation of patients with primary osteoarthritis (literature review)
https://doi.org/10.32885/2220-0975-2024-4-102-115
Abstract
The review discusses the pathogenetic mechanisms of primary osteoarthritis (OA) formation. The recommendations of the Association of Rheumatologists of Russia on the main principles of rehabilitation for OA are presented, including drug and non-drug methods of pain syndrome correction, improvement of motor activity and quality of life of patients. Particular attention is paid to the mechanisms of osteopathic correction for OA, which are aimed at restoring the impaired biomechanics of the patient’s body, eliminating persistent muscle hypertonicity, peripheral sensitization, and aimed at regulating antinociceptive mechanisms. An important advantage of manual treatment is the possibility of its use before, during or after other types of treatment and the ability to enhance their therapeutic potential.
About the Authors
A. D. Mokhov
I. I. Mechnikov North-West State Medical University
Russian Federation
Russian Federation
Aleksey D. Mokhov , osteopathic doctor, Assistant at the Department of Osteopathy with a Course in Functional and Integrative Medicine
I. B. Belyaeva
I. I. Mechnikov North-West State Medical University
Russian Federation
Russian Federation
Irina B. Belyaeva , Dr. Sci. (Med.), Associate Professor, Professor of the Department of Therapy, Rheumatology, Examination of Temporary Disability and Quality of Medical Care named after E. E. Eichwald
41 ul. Kirochnaya, Saint-Petersburg, 191015
D. E. Mokhov
I. I. Mechnikov North-West State Medical University; Saint-Petersburg State University
Russian Federation
Russian Federation
Dmitriy E. Mokhov , Dr. Sci. (Med.),; Director of the Institute of Osteopathy and Integrative Medicine (Saint-Petersburg); Director of the Scientific, Practical and Educational Center «Osteopathy» of the Medical Institute
41 ul. Kirochnaya, Saint-Petersburg, 191015
bld. 7/9 Universitetskaya nab., Saint-Petersburg, 199034
Scopus Author ID: 55135855300
T. A. Gavrilova
Samara State Medical University
Russian Federation
Russian Federation
Tatyana A. Gavrilova , Cand. Sci (Med.), Associate Professor of the Department of Public Health and Health, Institute of Professional Education
89 ul. Chapaevskaya, Samara, 443099
References
1. Alekseeva L. I., Taskina E. A., Kashevarova N. G. Osteoarthritis: epidemiology, classifi cation, risk and progression factors, clinical features, diagnostics, treatment. Modern Rheum. 2019; 13 (2): 9–21. https://doi.org/10.14412/1996-70122019-2-9-21 (in russ.)].
2. Galushko E. A., Bolshakova T. V., Vinogradova I. B. et al. Structure of rheumatic diseases among adult population of Russia according to data of an epidemiological study (preliminary results). Rheum. Sci. Pract. 2009; 47 (1): 11–17. https://doi.org/10.14412/1995-4484-2009-136 (in russ.)].
3. Vina E. R., Kwoh C. K. Epidemiology of osteoarthritis: literature update. Curr. Opin Rheum. 2018; 30 (2): 160–167. https://doi.org/10.1097/bor.0000000000000479
4. World Health Organization Newsroom. Fact sheets. Detail Osteoarthritis, 2023. Accessed August 10, 2024. Available at https://www.who.int/ru/news-room/fact-sheets/detail/osteoarthritis
5. Kashevarova N. G., Alekseeva L. I. Leading factors in the progression of osteoarthritis of the knee joints. The effect of symptomatic slow-release drugs on the course of the disease (5-year prospective study). Pharmateka. 2017; 340 (7): 40–45 (in russ.)].
6. Akkoc N., Khan M. A. Epidemiology of ankylosing spondylitis and related spondyloarthropathies. Ankylosing spondylitis and the spondyloarthropathies. Maryland Heights: Mosby: 2006; 117–131. https://doi.org/10.1016/b978-0-32303104-2.50014-4
7. Belyaeva I. B., Mazurov V. I., Itskovich I. E., Burulev A. L. New strategies for medical rehabilitation of patients with knee osteoarthritis based on the principles of immunological tolerance. Effect. Pharmacother. 2024; 20 (10): 18–24 (in russ.)].
8. Kolasinski S. L., Neogi T., Hochberg M. C., Oatis C., Guyatt G., Block J., et al. 2019 American College of Rheumatology/Ar-thritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthr. and Rheum. 2020; 72 (2): 220–233. https://pubmed.ncbi.nlm.nih.gov/31908163/
9. Strebkova E. A., Alekseeva L. I. Osteoarthritis and the metabolic syndrome. Farmateka. 2015; 17: 15–19 (in russ.)].
10. Brown G. A. AAOS clinical practice guideline: Treatment of osteoarthritis of the knee: Evidence-based guideline (2nd ed.). J. Amer. Acad. Orthopaed. Surg. 2013; 21 (9): 577–579. https://doi.org/10.5435/00124635-201309020-00009
11. Khazzam M. S., Pearl M. L. AAOS Clinical Practice Guideline. J. Amer. Acad. Orthopaed. Surg. 2020; 28 (19): 790–794. https://doi.org/10.5435/jaaos-d-20-00405
12. ЛLila A. M., Alekseeva L. M., Telyshev K. A. Modern approaches to osteoarthritis phenotyping. Modern Rheum. 2019; 13 (2): 4–8. https://doi.org/10.14412/1996-7012-2019-2-4-8 (in russ.)].
13. Kosinskaya N. S., Rokhlin D. G. Working classifi cation and general characteristics of lesions of the osteoarticular apparatus. L.: Medicine; 1961; 169 p. (in russ.)].
14. Kellgren J. H., Jeffrey M., Ball J. Atlas of standard radiographs (vol. 2). Oxford: Blackwell Scientifi c; 1963.
15. Ahlb ck S. Osteoarthrosis of the knee. A radiographic investigation. Stockholm: Acta Diagn; 1968; Suppl. 277: 7–72.
16. Wallace I. J., Worthington S., Felson D. T., Jurmain R. D., Wren K. T., Maijanen H. Knee osteoarthritis has doubled in prevalence since the mid-20th century. Proc. nat. Acad. Sci. 2017; 114 (35): 9332–9336. https://doi.org/10.1073/ pnas.1703856114
17. Belyaeva I. B., Lila A. M., Mazurov V. I. Algorithm for pharmacological treatment of knee osteoarthritis (ESCEO-2016 recommendations). Effect. Pharmacother. Rheumatology. Traumatology. Orthopedics. 2018; 2 (27): 36–41 (in russ.)].
18. Belyaeva I. B., Mazurov V. I., Raimuev K. V. Current ESCEO recommendations for the treatment of osteoarthritis of the knee. Effect. Pharmacother. 2018; 4: 36–41 (in russ.)].
19. L. I. Alekseeva, Lila A. M., Taskina E. A., Mazurov V. I., Martynov A. I., Barantsevich E. R. Clinical guidelines (project) for the diagnostics and treatment of primary osteoarthritis for primary care specialists (general practitioners, therapists). Therapy. 2023; 1: 7–22. https://dx.doi.org/10.18565/therapy.2023.1.7-22 (in russ.)].
20. Alekseeva L. I., Lila A. M., Taksina E. A. Clinical guidelines for the diagnosis and treatment of primary osteoarthritis. Project. Russian Scientifi c Medical Society of Therapists, Association of Rheumatologists of Russia, 2022. Accessed August 12, 2024. https://www.rnmot.ru/public/uploads/RNMOT/clinical/2022/Рекомендации%20РНМОТ%20ОА_30082022.pdf (in russ.)].
21. Bennell K. L., Hunter D. J., Hinman R. S. Management of osteoarthritis of the knee. Brit. med. J. 2012; 345: e4934. https://doi.org/10.1136/bmj.e4934
22. Lila A. M., Alekseeva L. I., Taskina E. A., Kashevarova N. G. Osteoarthritis as an interdisciplinary problem: treatment algorithm for therapists and general practitioners. Modern Rheum. 2021; 15 (5): 68–75. https://doi.org/10.14412/19967012-2021-5-68-75 (in russ.)].
23. Pradelli L., Sinigaglia T., Migliore A. Non-Surgical treatment of knee osteoarthritis: Multidisciplinary Italian Consensus on Best Practice. Ther. Clin. Risk Manag. 2021; 17: 507–530. https://doi.org/10.2147/TCRM.S288196
24. Mazurov V. I., Belyaeva I. B., Trofi mov E. A., Itskovich I. E., Burulev A. L. Comparative effi cacy of a combination of undenatured type II collagen, Boswellic acids, methylsulfonylmethane, vitamins C and D and a combination of chondroitin 3 sulfate and glucosamine hydrochloride in the treatment of primary osteoarthritis of the knee joint. Ther. Arch. 2023; 95 (12): 1141–1150. https://doi.org/10.26442/00403660.2023.12.202540 (in russ.)].
25. Lila A. M., Alekseeva L. I., Belyaeva I. B., Vinogradova I. B., Demidova N. A., Kalyuzhin O. V., Nesterovich I. I., Sorotskaya V. N., Shirokova L. Y., Yakupova S. P. Resolution of the Council of Experts «Results of a multicenter, randomized, double-blind, placebo-controlled study of Artneo in patients with stage II–III primary knee osteoarthritis». Modern Rheum. 2023; 17 (6): 136–142. https://doi.org/10.14412/1996-7012-2023-6-136-142 (in russ.)].
26. Mazurov V. I., Alekseeva L. I., Belyaeva I. B., Belenkiy I. G., Burulev A. L., Gaydukova I. Z., Zonova E. V., Kalyuzhin O. V., Nesmeyanova O. B., Otteva E. N., Trofimov E. A. Effi cacy, safety and prospects of using a combination of native type II collagen, methylsulfonylmethane, boswellic acids, vitamin C and vitamin D in knee osteoarthritis: a resolution of the Expert panel. 3 Ther. Arch. 2024; 96 (1): 68–74. https://doi.org/10.26442/00403660.2024.01.202590 (in russ.)].
27. Lila A. M., Alekseeva L. I. Modern approaches to the management of patients with osteoarthritis in real clinical practice. Clin. Med. 2023; 101 (2–3): 141–146. https://doi.org/10.30629/0023-2149-2023-101-2-3-141-146 (in russ.)].
28. Brantingham J. W., Globe G., Pollard H., Hicks M., Korporaal C., Hoskins W. Manipulative therapy for lower extremity conditions: expansion of literature review. J. Manipulat. Physiol. Ther. 2009; 32 (1): 53–71. https://doi.org/10.1016/ j.jmpt.2008.09.013. PMID: 19121464.
29. Perlman A. I., Sabina A., Williams A. L., Njike V. Y., Katz D. L. Massage therapy for osteoarthritis of the knee: a randomized controlled trial. Arch. intern. Med. 2006; 166: 2533–2538. https://doi.org/10.1001/archinte.166.22.2533
30. Goh S. L., Persson M. S. M., Bhattacharya A., Hall M., Doherty M., Zhang W. Relative effi cacy of different types of exercise for treatment of knee and hip osteoarthritis: protocol for network meta-analysis of randomised controlled trials. System. Rev. 2016; 5 (1). https://doi.org/10.1186/s13643-016-0321-6
31. Zhang W., Nuki G., Moskowitz R. W., et al. OARSI recommendations for the management of hip and knee osteoarthritis: part III: Changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthr. Cartilage. 2010; 18 (4): 476–499. https://doi.org/10.1016/j.joca.2010.01.013
32. Robbins L., Kulesa M. G. The state of the science in the prevention and management of osteoarthritis. Amer. J. Nurs. 2012; 112 (3): S3–11. https://doi.org/10.1097/01.naj.0000412644.95302.81
33. Xu Q., Chen B., Wang Y. et al. The effectiveness of manual therapy for relieving pain, stiffness, and dysfunction in knee osteoarthritis: A systematic review and meta-analysis. Pain Physic. 2017; 20 (4): 229–243. https://doi.org/10.1016/j.joca.2015.02.715
34. Anwer S., Alghadir A., Zafar H., Brismee J. M. Effects of orthopaedic manual therapy in knee osteoarthritis: a systematic review and meta-analysis. Physiotherapy. 2018; 104 (3): 264–276. https://doi.org/10.1016/j.physio.2018.05.003
35. Tse V. C. et al. Effects of a therapeutic tai chi program versus an attention control for knee osteoarthritis: a randomized controlled trial. Amer. J. Phys. Med. Rehab. 2013; 92 (4): 306–316. https://doi.org/10.1097/PHM.0b013e318272b74f
36. 6. Wang X., Hou M., Chen S., Yu J., Qi D., Zhang Y., Chen B., Xiong F., Fu S., Li Z., Yang F., Chang A., Liu A., Xie X. Effects of tai chi on postural control during dual-task stair negotiation in knee osteoarthritis: a randomised controlled trial protocol. Brit. med. J. Open. 2020; 10 (1): e033230. https://doi.org/10.1136/bmjopen-2019-033230
37. Ali S. S., Ahmed S. I., Khan M., Soomro R. R. Comparing the effects of manual therapy versus electrophysical agents in the management of knee osteoarthritis. Pak. J. Pharm. Sci. 2014; 27 (4 Suppl): 1103–1106.
38. 8. Solidolov R. O. Infl uence of manual correction methods on the functional state of the knee joint in gonarthrosis. Actual Probl. human. natur. Sci. 2017; 5 (1): 23–25 (in russ.)].
39. Mokhov D. E., Tregubova E. S., Potekhina Yu. P. Osteopathy and its restorative potential. St. Petersburg: Nevskiy rakurs; 2020; 200 p. (in russ.)].
40. Mokhov D. E., Aptekar I. A., Belash V. O., Litvinov I. A., Mogelnitsky A. S., Potekhina Yu.P., Tarasov N. A., Tarasova V. V., Tregubova E. S., Ustinov A.V Basics of osteopathy: Textbook / Ed. D. E. Mokhov. M.: GEOTAR-Media; 2020; 400 p. https://doi.org/10.33029/9704-5292-9-OST-2020-1-400 (in russ.)].
41. Mokhov D. E., Belash V. O., Aptekar I. A., Nenashkina E. N., Potekhina Yu. P., Tregubova E. S., Belyaev A. F. Somatic dysfunction: Clinical guidelines 2023. Russ. Osteopath. J. 2023; 2: 8–90. https://doi.org/10.32885/2220-0975-2023-28–90 (in russ.)].
42. Mokhov D. E., Potekhina Yu. P., Gurichev A. A. Modern approaches to osteopathic diagnostics, its theoretical and practical foundations. Russ. Osteopath. J. 2022; 3: 8–32. https://doi.org/10.32885/2220-0975-2022-3-8-32 (in russ.)].
43. Potekhina Yu. P., Tregubova E. S., Mokhov D. E. Effects of osteopathic correction and possibilities of their study. Russ. Osteopath. J. 2022; (4): 8–29. https://doi.org/10.32885/2220-0975-2022-4-8-29 (in russ.)].
44. Potekhina Yu. P., Mokhov D. E., Tregubova E. S. Etiology and pathogenesis of somatic dysfunctions. Clin. Pathophysiol. 2017; 23 (4): 16–26 (in russ.)].
45. 5.Rilskiy A. V., Mokhov D. E. Osteopathic treatment of patients with dorsopathy in the acute period. Russ. Osteopath. J. 2012; 3–4: 45–52. https://doi.org/10.32885/2220-0975-2022-4-8-29 (in russ.)].
46. 6. Alekseev V. N., Naumenko E. Yu. The infl uence of osteopathic correction on the restoration of the functions of the ankle joint with partial damage of its ligaments. Russ. Osteopath. J. 2019; 1–2: 28–33. https://doi.org/10.32885/22200975-2019-1-2-28-33 (in russ.)].
47. Timanin E. M., Sidneva N. S., Zakharova A. A. The infl uence of osteopathic correction on the viscoelastic characteristics of the lower leg muscles. Russ. Osteopath. J. 2019; 1–2: 93–98. https://doi.org/10.32885/2220-0975-2019-1-2-93-98 (in russ.)].
48. 8. Szlezak A. M., Georgilopoulos P., Bullock-Saxton J. E., Steele M. C. The immediate effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics: a randomised controlled study. J. Manual Ther. 2011; 16 (6): 609–613. https://doi.org/10.1016/j.math.2011.06.004
49. Samukawa M., Hattori M., Sugama N., Takeda N. The effects of dynamic stretching on plantar fl exor muscle tendon tissue properties. J. Manual. Ther. 2011; 16 (6): 618–622. https://doi.org/10.1016/j.math.2011.07.003
50. Ruffini N., D’Alessandro G., Mariani N., Pollastrelli A., Cardinali L., Cerritelli F. Variations of high frequency parameter of heart rate variability following osteopathic manipulative treatment in healthy subjects compared to control group and sham therapy: randomized controlled trial. Front. Neurosci. 2015; 9: 260–265. https://doi.org/10.3389/fnins.2015.00272
51. Kaljurand M. T., Loginova E. V., Potekhina Yu. P. Dynamics of the functional state of the body in children with mental retardation under the infl uence of osteopathic treatment (according to spectral indices of heart rate variability). Russ. Osteopath. J. 2016; 3–4: 69–76. https://doi.org/10.32885/2220-0975-2016-3-4-69-76 (in russ.)].
52. Giles P. D., Hensel K. L., Pacchia C. F., Smith M. L. Suboccipital decompression enhances heart rate variability indices of cardiac control in healthy subjects. J. Altern. Compl. Med. 2013; 19: 92–96. https://doi.org/10.1089/acm.2011.0031
53. Teodorczyk-Injeyan J. A., Injeyan H. S., Ruegg R. Spinal manipulative therapy reduces infl ammatory cytokines but not substance P production in normal subjects. J. Manipulat. Physiol. Ther. 2006; 29 (1): 14–21. https://doi.org/10.1016/j.jmpt.2005.10.002
54. Potekhina Yu. P., Tregubova E. S., Mokhov D. E. The phenomenon of somatic dysfunction and mechanisms of action of osteopathic treatment. Med. Bull. North Caucasus. 2020; 15 (1): 145–152. https://doi.org/10.14300/mnnc.2020.15036 (in russ.)].
55. Licciardone J. C., Kearns C. M., Hodge L. M., Bergamini M. V. Associations of cytokine concentrations with key osteopathic lesions and clinical outcomes in patients with nonspecifi c chronic low back pain: results from the osteopathic trial. J. Amer. Osteopath. Ass. 2012; 112 (9): 596–605. https://doi.org/10.7556/jaoa.2012.112.9.596
56. Schander A., Downey H. F., Hodge L. M. Lymphatic pump manipulation mobilizes infl ammatory mediators into lymphatic circulation. Exp. biol. Med. (Maywood). 2012; (237): 58–63. https://doi.org/10.1258/ebm.2011.011220
57. Walkowski S., Singh M., Puertas J., Pate M., Goodrum K., Benencia F. Osteopathic manipulative therapy induces early plasma cytokine release and mobilization of a population of blood dendritic cells. PLoS One. 2014; 9 (3): e90132. https://doi.org/10.1371/journal.pone.0090132
58. Stepantsova S. A., Mizonova I. B., Novoseltsev S. V., Vcherashniy D. B., Mokhov D. E. Osteopathic correction of the volume of extracellular fl uid of the human body. Manual Ther. 2014; 53 (1): 26–31 (in russ.)].
59. Schander A., Padro D., King H. H., Downey H. F., Hodge L. M. Lymphatic pump treatment repeatedly enhances the lym-phatic and immune systems. Lymphat. Res. Biol. 2013; 11 (4): 219–226. https://doi.org/10.1089/lrb.2012.0021
60. Franke H., Franke J. D., Fryer G. Osteopathic manipulative treatment for nonspecifi c low back pain: a systematic review and meta-analysis. BMC Musculoskelet. Disord. 2014; 15 (1): 286. https://doi.org/10.1186/1471-2474-15-286
61. Licciardone J. C., Minotti D. E., Gatchel R. J., Kearns C. M., Singh K. P. Osteopathic manual treatment and ultrasound therapy for chronic low back pain: a randomized controlled trial. Ann. fam. Med. 2013; 11 (2): 122–129. https://doi.org/10.1370/afm.1468
62. Licciardone J. C., Brimhall A. K., King L. N. Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskelet. Disord. 2005; 4 (6): 43. https://doi.org/10.1186/1471-2474-6-43
63. McReynolds T. M., Sheridan B. J. Intramuscular ketorolac versus osteopathic manipulative treatment in the management of acute neck pain in the emergency department: a randomized clinical trial. J. Amer. Osteopath. Ass. 2005; 105 (2): 57–68.
64. Stoll V., Jost J. M., Jack A., Johnson T., Klein S., Darbhanga J., Hurwitz A., Mehra R. S., Waters H. B. Non-steroidal anti-inflammatory drugs and osteopathic manipulative treatment for pain management in patients with osteoarthritis: a literature review. Cureus. 2023; 15 (8): e44168. https://doi.org/10.7759/cureus.44168
65. Altınbilek T., Murat S., Yumuşakhuylu Y., İçağasıoğlu A. Osteopathic manipulative treatment improves function and relieves pain in knee osteoarthritis: a single-blind, randomized-controlled trial. Turk. J. Phys. Med. Rehab. 2018; 64 (2): 114–120. https://doi.org/10.5606/tftrd.2018.1384
66. DeAngelo N. A., Gordin V. Treatment of patients with arthritis-related pain. J. Amer. Osteopath. Ass. 2004; 104 (11 Suppl. 8): S2–5.
67. Abdulganiev E. B., Mokhov D. E., Novikov Yu. O. Osteopathy in the complex treatment of gonarthrosis. Eurasian Union of Scientists (ESU). 2015; 12 (3): 34–35 (in russ.)].
68. Abdulganiev E. B., Novikov Yu. O. Improving the quality of diagnostics of the activity of the infl ammatory process in the knee joint in patients with osteoarthrosis. Med. Bull. Bashkortostan. 2013; 6: 27–29 (in russ.)].
69. Vorobyov S. V., Dolinina O. Yu., Mokhov A. D., Miroshnichenko D. B. Rationale for the use of osteopathic correction in the complex rehabilitation of patients after anterior cruciate ligament reconstruction surgery. Russ. Osteopath. J. 2023; 1: 20–34. https://doi.org/10.32885/2220-0975-2023-1-20-34 (in russ.)].
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Mokhov A.D., Belyaeva I.B., Mokhov D.E., Gavrilova T.A. Manual medical technologies in complex treatment and rehabilitation of patients with primary osteoarthritis (literature review). Russian Osteopathic Journal. 2024;(4):102-115. (In Russ.) https://doi.org/10.32885/2220-0975-2024-4-102-115
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