Issue 3-85, 2018

The Use of Physical Factors in Knee Injuries in Children

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1,2 Vakhova E.L., 3 Krestyashin I.V., 4 Prikuls V.F., 4 Trunova O.V., 4 Supova M.V.

1 Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russia
2 I.M. Sechenov First Moscow State Medical University, Moscow, Russia
3 Filatov Childrens City Clinical Hospital No 13, Moscow, Russia
4 Moscow Regional Research and Clinical Institute («MONIKI»), Moscow, Russia


ABSTRACT

Different types of knee joint injuries in childhood require a differentiated approach to the designation of physical factors.The researches established the expediency of using local air cryotherapy in the earliest postoperative period in childrenwith posttraumatic arthritis of knee joints after arthroscopy followed by the appointment of electrophoresis of chilled packagedmud. Under the influence of these factors, a pronounced anti-edema, analgesic effect, leveling of signs of inflammation,restoration of the structure of soft tissues according to ultrasound data was revealed.Data on the beneficial effect of the combined effect of robotic mechanotherapy and vasoactive electrostimulation onclinical and functional indices, the state of the neuromuscular system, the microcirculatory link in posttraumatic gonarthritisin children in the early postoperative period were obtained.An early regress of pain syndrome, elimination of microcirculatory disorders in the area of damage as a result of thecourse effect of pulsed low-frequency magnetotherapy at various stages of medical rehabilitation was registered.The effectiveness of polychromatic polarized light with a trophic-regenerative purpose, outside the acute period of kneeinjury in children, is proved.


KEYWORDS: children, trauma, knee joint, cryotherapy, galvanic mud, vasoactive electrostimulation, robotic mechanotherapy, pulsed low-frequency magnetotherapy, non-selective chromotherapy

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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.