Why is therapeutic exercise the best treatment for knee osteoarthritis?
https://doi.org/10.37489/2949-1924-0055
EDN: YHJLXE
Abstract
Osteoarthritis (OA) of the knee joints (KJ) has a high social significance and is therefore a relevant pathology for scientific research. The authors have proposed an original hydraulic theory for the pathogenesis of OA in KJ. This approach is based on the notion of primary mechanical damage to the internal ligamentous structures and synovial membrane accompanied by posttraumatic edema, synovial hypervolemia, and hypertension. The authors demonstrated that regular physical activity at all stages of the disease is pathogenetically justified and allows the patient to improve lymphatic and venous outflow and thus resist increasing fibrosis. Improved arterial blood flow will reduce tissue hypoxia. Any type of symptom-modifying therapy can be harmful because it reduces the protective role of pain reflexes in protecting the KJ from excessive loads, leading to injury. The necessity of maintaining a walking speed of more than 4.3 km/h with an increase in cadence is emphasized from the perspective of reducing static stress during walking and extending life expectancy.
About the Authors
S. M. Noskov
Yaroslavl State Medical University
Russian Federation
Competing Interests:
Russian Federation
Sergey M. Noskov — Dr. Sci. (Med.), Prof., head of the department of hospital therapy with professional pathology
Yaroslavl
Competing Interests:
The authors declare no conflict of interest.
V. A. Margazin
Yaroslavl State Pedagogical University named after K. D. Ushinsky
Russian Federation
Competing Interests:
Russian Federation
Vladimir A. Margazin — Dr. Sci. (Med.), Prof., Department of Medical and Biological Foundations of Sports and Theory
Yaroslavl
Competing Interests:
The authors declare no conflict of interest.
A. S. Bashkina
Yaroslavl State Pedagogical University named after K. D. Ushinsky
Russian Federation
Competing Interests:
Russian Federation
Alexandra S. Bashkina — Dr. Sci. (Med.), Associate Professor, Department of Medicine
Yaroslavl
Competing Interests:
The authors declare no conflict of interest.
L. S. Shepelyaeva
Yaroslavl State Medical University
Russian Federation
Competing Interests:
Russian Federation
Lyudmila S. Shepelyaeva — assistant department of polyclinic therapy, clinical laboratory diagnostics and medical biochemistry
Yaroslavl
Competing Interests:
The authors declare no conflict of interest.
O. M. Parulya
Yaroslavl State Medical University
Russian Federation
Competing Interests:
Russian Federation
Olesya M. Parulya — Cand. Sci. (Med.), Assistant of the department of hospital therapy with professional pathology
Yaroslavl
Competing Interests:
The authors declare no conflict of interest.
R. M. Nagibin
Yaroslavl State Medical University, Yaroslavl
Russian Federation
Competing Interests:
Russian Federation
Roman M. Nagibin — Cand. Sci. (Med.), Assistant of the department of hospital therapy with professional pathology
Yaroslavl
Competing Interests:
The authors declare no conflict of interest.
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Review
For citations:
Noskov S.M., Margazin V.A., Bashkina A.S., Shepelyaeva L.S., Parulya O.M., Nagibin R.M. Why is therapeutic exercise the best treatment for knee osteoarthritis? Patient-Oriented Medicine and Pharmacy. 2024;2(3):21-28. (In Russ.) https://doi.org/10.37489/2949-1924-0055. EDN: YHJLXE
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