The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2024
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Dashina T.A.

Central Production and Commercial Department for the Service of the Diplomatic Corps under the Ministry of Foreign Affairs of the Russian Federation (Medical Center), Moscow, Russia

Agasarov L.G.

Russian Scientific Center for Medical Rehabilitation and Balneology, Moscow, Russia

Effectiveness of various methods of cryotherapy in patients with osteoarthritis

Authors:

Dashina T.A., Agasarov L.G.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2020;97(2): 20‑28

DOI: 10.17116/kurort20209702120

Views: 6786

Downloaded: 198

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Dashina TA, Agasarov LG. Effectiveness of various methods of cryotherapy in patients with osteoarthritis. Problems of Balneology, Physiotherapy and Exercise Therapy. 2020;97(2):20‑28. (In Russ.)
https://doi.org/10.17116/kurort20209702120

Подписка 2025 (Problems of Balneology, Physiotherapy and Exercise Therapy)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
Mediasphera_Net
Close metadata
Recommended articles:
Depe­ndence of medi­cal reha­bilitation effe­ctiveness of patients with soma­tic diseases and meteopathology on features of weather-forming factors of the Moscow region. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(3):5-12
Total knee replacement in different age groups. Piro­gov Russian Journal of Surgery. 2024;(6):45-50
Biotechnology in deve­lopment of new treatments for osteoarthritis. Rege­nerative Biotechnologies, Preventive, Digi­tal and Predictive Medi­cine. 2024;(2):57-60

Aim of this study — the comparative effectiveness of cryotherapy (CT) with ice 0 °C, CT with ice 0 °C + SMC (cryo-SMC), air cryotherapy (ACT) –30 °C, hyperbaric gas cryotherapy (HC) CO2 –78 °C. Material and methods. We examined 150 patients with II — IV stage osteoarthritis of the knee and hip joints, movement pain of more than 40 mm on a VAS and Leken index more than 9. 120 of these patients received a course of CT of various temperatures and cryo-SMC for 2 weeks: 1st group (n=30) — CT of ice 0 °C; 2nd group (n=30) — cryo-SMC; 3rd group (n=30) — ACT; 4th group (n=30) — HC. The 5th group (control) included patients (n=30) who received only non-steroidal anti-inflammatory drugs (NSAIDs). We assessed dynamics of rest and movement pain according to VAS, the WOMAC index, the effectiveness according to the OMERACT-OARSI criterion and the need for NSAIDs. Effectiveness of treatment was evaluated by the patient and the doctor. Results. OMERACT-OARSI analysis demonstrated a high percentage of CT response. A statistically significant decrease in rest and movement pain intensity was registered in all patients of the groups: ice 0 °C, cryo-SMC, ACT, HC and control groups. The pain decreased by 82—83% in the groups 1—4, and by 70% in the control group. There were no differences in the effectiveness of treatment between groups 1, 3, and 4 and the cryo-SMC group; effectiveness of treatment was statistically significant (p<0.01) between groups 1—4 and the control group. A statistically significant decrease in the total WOMAC index, as well as in «pain» and «stiffness» VAS subscales (p<0.01) in the absence of intergroup differences in the 1st, 3rd, 4th groups and the cryo-SMC (p>0.05) group and a statistically significant difference between the 1st—4th groups and the control group (p<0.01). According to the «function» subscale of the WOMAC index, a statistically significant difference between all groups was not found (p>0.05). Conclusion. Results of this study according to the OMERACT-OARSI effectiveness evaluation criteria indicate the comparability of CT as a treatment method with NSAID therapy in terms of the effect on improving the patient’s functional capabilities and greater CT efficiency in relieving pain and stiffness in the joints.

Keywords:

osteoarthritis
cryotherapy
cryo-SMC therapy

Authors:

Dashina T.A.

Central Production and Commercial Department for the Service of the Diplomatic Corps under the Ministry of Foreign Affairs of the Russian Federation (Medical Center), Moscow, Russia

Agasarov L.G.

Russian Scientific Center for Medical Rehabilitation and Balneology, Moscow, Russia

List of references:

  1. Alexeyeva LA. Risk factors of osteoarthrosis. Rheumatology Science and Practice. 2000;2:36-43. (In Russ.).
  2. Balabanova RM, Erdes ShF. Dynamics of the spread of rheumatic diseases, included in the XIII class of ICD-10, in the adult population of the Russian Federation for 2000—2010. Rheumatology Science and Practice. 2012;50(2):10-12. (In Russ.).
  3. Karateev AE, Lila AM, Pogozheva EYu, Alexeeva LI, Amirdzhanova VN, Filatova ES. Evaluation of the effectiveness and tolerability of the combined use of the drug with non-saponifying compounds of avocado and soy and ketoprofen lysine salt in patients with osteoarthritis of the knee. Preliminary data of an open multicenter observational study PARACELS. RMJ. 2018;26(12-2):74-81.
  4. Staud R. Evidence for shared pain mechanisms in osteoarthritis, low back pain, and bromyalgia. Curr Rheumatol Rep. 2011;13(6):513-520.
  5. Folomeeva OA, Galushko EA, Erdes ShF. Prevalence of rheumatic diseases in adult populations of Russian Federation and USA. Rheumatology Science and Practice. 2008;46(4):4-13. (In Russ.). https://doi.org/10.14412/1995-4484-2008-529
  6. Nasonov EL. Rheumatology: Clinical recommendations of the Association of Rheumatologists of Russia. 2nd edition. M.: GEOTARR-Media; 2010. (In Russ.).
  7. Grigoriyeva VD, Fedorova NE, Dashina TA. Cryoterapy and sinusoidally-modulated currents application on patients with gonartrosis. Journal of Physical, Health Resort and Rehabilitation Medicin (Bulgaria). 1993;1:10.
  8. Grigoriyeva VD, Fedorova NE, Kiselev VI. Complex application of cryotherapy and ultrasound in patients with arthrosis of the leg joints. Problems of Balneology, Physiotherapy, and Exercise Therapy. 1996;1:18-21. (In Russ.).
  9. Razumov AN, Grigoriyeva VD, Dashina TA. Air cryotherapy in the rehabilitation treatment of patients with osteoarthritis and soft tissue diseases. Textbook for doctors. Problems of Balneology, Physiotherapy, and Exercise Therapy. 2010;4:51-53. (In Russ.).
  10. Dashina TA, Sidorov VD. Hyperbaric gaseous cryotherapy in the rehabilitative treatment of patients presenting with gonarthrosis and coxarthrosis. Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2010;4:3-6. (In Russ.).
  11. Altman R. Criteria for classification of clinical osteoarthritis. J Rheumatol suppl. 1991;27:10-12.
  12. Kellgren JH, lawrence JS. Radiografhic assessment of osteoarthritis. Ann Rheum dis. 1957;16:494-501.
  13. Alekseeva LI, Kashevarova NG, Taskina EA, Sharapova EP, Anikin SG, Korotkova TA, Strebkova EA. Efficacy and safety of diacerein in patients with knee osteoarthritis. Modern Rheumatology Journal. 2017;11(3):50-57. (In Russ.).
  14. Hawker GA, Davis AM, French MR, Cibere J, Jordan JM, March L, Suarez-Almazor M, Katz JN, Dieppe P.Development and preliminary psychometric testing of a new OA pain measure — an OARSI/OMERACT initiative. Ostejfrtrthit Cartilage. 2008;16(4):409-414. https://doi.org/10.1016/j.joca.2007.12.015

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.