THE BENEFITIS OF THE COMPLEX PHISICAL KINETIC TREATMENT IN THE REHABILITATION OF PACIENTS WITH KNEE OSTEOARTHRITIS
Bibliographic record
Abstract
Osteoarthritis is a chronical disease, characterised by degradation of the articular cartilage and subchondral bone, the symptoms are joint pain, loss of the knee function and movement. Knee osteoarthritis is one of the most common localisation of arthritis, is a cause of pain and disability and in advanced stages required high social and medical costs. The purpose of this study is to show the importance of kinetotherapy in improvement of the symptomes and the disfunction to the pacients diagnosed with knee ostaoarthritis. Material and methods. I included 100 pacients in the study diagnosed with knee osteoarthritis in II-III stages Kellgren-Lawrence. Pacients were randomly assigned to group A (50) and group B (50). The first lot followed just pain medication, electrotherapy, termotherapy and massage and group B contain 50 pacients, which followed: pain medication, electrotherapy, termotherapy, massage and additional kinetotherapy. The study was performed during 1 October 2011 to 1 April 2012. Pain was evaluated on a visual analogue scale (VAS), WOMAC scale before treatment, at three weeks and six months follow-up. Results and discussion. In both lots I have noted a very good evolution at the end of the treatment, at three weeks follow-up with an significant improvement (p<0.001), while significant improvement for pain and life quality was noted just in the lot B at six months follow-up. Conclusions. WOMAC and VAS scale may be used succesfully for evaluation the efficency of the kinetic program to the pacients diagnosed with knee osteoarthritis. It is necessary to continue the kinetic program at home for maintaing the functional independance and improvement the quality of life. The kinetic treatment has an significant improvement for pain and quality of life on a long term. Rezumat Artroza este o boala cronica ce se caracterizeaza prin deteriorarea cartilajului articular și a osului subcondral și se manifesta clinic prin durere, impotența funcționala și prin reducerea mobilitații articulare. Gonartroza este una dintre cele mai frecvente localizari ale procesului degenerativ, fiind o sursa de durere și dizabilitate, in stadiile avansate presupune costuri sociale și medicale ridicate. Obiectivul studiului este de a arata importanța tratamentului kinetic in ameliorarea simptomatologiei și a impotenței funcționale la pacienții diagnosticați cu gonartroza. Material și metoda. Am inclus in studiu un numar de 100 de pacienți diagnosticați cu gonartroza primitiva in stadiile II-III Kellgren-Lawrence. Pacienții au fost randomizați in doua loturi: lotul A și lotul B de câte 50 de pacienți. Pacienți din lotul A au urmat doar tratament simptomatic, antialgic, electroterapie, termoterapie și masaj, in timp ce pacienților din lotul B pe langa tratamentul simptomatic le-a fost aplicat un tratament complex fizical kinetic, constand din electroterapie, termoterapie, masaj și un program de kinetoterapie cu continuarea acestuia la domiciliu. Evaluarea pacienților s-a facut utilizând scala analog vizuala pentru durere VAS și cu ajutorul chestionarului Western Ontario and McMaster Universities Osteoarthritis Index (Womac) aplicate inainte de inceperea terapiei, la 3 saptamâni dupa inițierea tratamentului, respectiv la 6 luni. Rezultate și discuții. Prin prelucrarea statistica a datelor reiese ca evoluția pacienților atât din lotul A, cât și din lotul B este foarte buna la sfârșitul tratamentului de recuperare la 3 saptamâni cu o ameliorare statistic semnificativa (p<0.001), in timp ce evoluția favorabila a pacienților pe termen lung, adica la 6 luni se menține doar la pacienții din lotul B. Concluzii. Scorul Womac și scorul VAS poate fi utilizat cu succes pentru aprecierea eficienței programului de kinetoterapie la pacienții diagnosticați cu gonartroza. Necesitatea continuarii pe termen lung a programului de kinetoterapie insușit in vederea menținerii independenței funcționale și pentru imbunatațirea calitații vieții. Tratamentul kinetic duce la ameliorarea durerii, influențând in mod semnificativ calitatea vieții pe termen lung.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".