Complex Approach in Examination of Function of the Knee Joint in Patients with Osteoarthritis
- Authors: Fedoseyev A.V.1, Chekushin A.A.1, Tishkin R.V.2, Dobychin A.N.3, Zenkin G.Y.3, Prints A.D.1, Melyokhina M.S.1, Tkachik A.V.1, Zubov A.A.1
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Affiliations:
- Ryazan State Medical University
- Design Bureau of Special Equipment
- Scientific and Technical Center ‘Spectrum’
- Issue: Vol 31, No 2 (2023)
- Pages: 317-328
- Section: Reviews
- Submitted: 05.08.2022
- Accepted: 12.01.2023
- Published: 16.07.2023
- URL: https://journals.eco-vector.com/pavlovj/article/view/109633
- DOI: https://doi.org/10.17816/PAVLOVJ109633
- ID: 109633
Cite item
Abstract
INTRODUCTION: Osteoarthritis (OA) of the knee joint (KJ) is a common problem. The basic factors impairing the function of the KJ are pain and restriction of movement. Evaluation of function of the KJ in OA is an indispensable part of the diagnostic and treatment process. There exists a problem of a quantitative evaluation of pain and restriction of movement of the KJ in OA, associated with the absence of a single standard for evaluation of the KJ function. In the article, the data are given on the modern possibilities for evaluation of the KJ function in OA. The KJ function is evaluated in clinical examination, functional tests, numerous functional questionnaires, as well as with the use of devices for record of movements. Clinical picture of OA of the KJ is evaluated in the clinical examination which includes diagnostic tests, evaluation of the volume of movement, force of muscles, with conclusions about the phenotype of the disease. Functional tests recommended by OARSI (Osteoarthritis Research Society International) are preferable for express-testing, but not all of them have reference values. Functional questionnaires for evaluation of the KJ function exist in many variants, which impedes their choice and interaction between specialists, and they are characterized by different labor intensity in use. There exists a diversity of devices for evaluation of function of the KJ, some of which are expensive, require special rooms, training of the specialist, and take considerable time. Others are simpler in use and inexpensive, but give less reliable results.
CONCLUSION: The authors showed the possibilities of a comprehensive evaluation, described the problem of the lack of a single standard for investigation of the KJ function. A conclusion is made about the necessity to develop a software-hardware complex that maximally satisfies the criteria of objectivity, accessibility and quickness of use for evaluation of function of the KJ in OA.
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About the authors
Andrey V. Fedoseyev
Ryazan State Medical University
Email: colobud@yandex.ru
ORCID iD: 0000-0002-6941-1997
SPIN-code: 6522-1989
MD, Dr. Sci. (Med.), Professor
Russian Federation, RyazanAleksandr A. Chekushin
Ryazan State Medical University
Author for correspondence.
Email: sales@ortodoctor.su
ORCID iD: 0000-0002-5977-8023
SPIN-code: 7226-9799
MD, Cand. Sci. (Med.)
Russian Federation, RyazanRoman V. Tishkin
Design Bureau of Special Equipment
Email: roman.tishkin@kbst.space
ORCID iD: 0000-0003-4505-4988
SPIN-code: 7205-5562
Cand. Sci. (Tech.)
Russian Federation, RyazanAleksey N. Dobychin
Scientific and Technical Center ‘Spectrum’
Email: dan8971@mail.ru
ORCID iD: 0000-0002-6406-8595
SPIN-code: 5476-4120
Cand. Sci. (Econ.)
Russian Federation, RyazanGrigoriy Yu. Zenkin
Scientific and Technical Center ‘Spectrum’
Email: official-mail@mail.ru
ORCID iD: 0000-0002-8258-5545
SPIN-code: 3885-2914
Russian Federation, Ryazan
Aleksandra D. Prints
Ryazan State Medical University
Email: alexandra.prints@yandex.ru
ORCID iD: 0000-0002-5401-2846
Russian Federation, Ryazan
Mariya S. Melyokhina
Ryazan State Medical University
Email: melekhina636@gmail.com
ORCID iD: 0000-0001-8119-4836
Russian Federation, Ryazan
Anna V. Tkachik
Ryazan State Medical University
Email: annatkachik2002@gmail.com
ORCID iD: 0000-0003-3553-5040
Russian Federation, Ryazan
Andrey A. Zubov
Ryazan State Medical University
Email: zubov.andre@mail.ru
ORCID iD: 0000-0002-8822-6084
SPIN-code: 7615-7432
MD, Cand. Sci. (Med.)
Russian Federation, RyazanReferences
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