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  •  Features of medical rehabilitation in undifferentiated connective tissue dysplasia

    Редактор | 2022, Literature reviews, Practical medicine part 20 №2. 2022 | 5 апреля, 2022

    T.G. SAKOVETS, E.I. BOGDANOV

     Kazan State Medical University, Kazan

     Contact details:

    Sakovets T.G. — PhD (medicine), Associate Professor of the Department of Neurology and Rehabilitation

    Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7-917-924-99-79, e-mail: tsakovets@yandex.ru

     A pronounced prevalence of connective tissue dysplasia is recorded in the population. This connective tissue (CT) pathology is represented by hereditary and polygenic multifactor disorders in the CT development. The latter disorders are considered within the framework of undifferentiated variants of CT dysplasia. Undifferentiated dysplasia of CT (UDCT) is observed in 10–30% of the population; some authors believe that the frequency of individual signs of UCTD is much higher and is observed in 84.5% of the population.

    The use of various orthoses stabilizing the joints and spine in patients with UCTD was considered expedient. Patients with UCTD need an individual approach to the appointment of therapeutic gymnastic, sports exercises, as well as games. Physiotherapy with ultrasound, constant pulsed currents, sinusoidal modulated currents, and hydrotherapy is used to relieve pain in the muscular-articular syndrome. It is advisable to use manual therapy and acupuncture. Medical massage (vacuum, manual) is actively used.

    Thus, with UCTD, it is necessary to prescribe physiotherapy exercises, manual therapy, physiotherapy, therapeutic massage, reflexology, and it is also advisable to select technical means of rehabilitation.

    Key words: undifferentiated connective tissue dysplasia, rehabilitation, scoliosis, flat feet.

    REFERENCES

    1. Kadurina T.I., Gorbunova V.N. Modern ideas about connective tissue dysplasia. Kazan. med. zhurn. (Pril.), 2007, no. 5, pp. 2–5 (in Russ.).
    2. Chemodanov V.V., Gornakov I.S., Bulankina E.V. Displaziya soedinitel’noy tkani u detey [Connective tissue dysplasia in children]. Ivanovo: GOU VPOIvGMA MZ RF, 2004. 199 p.
    3. Nechaeva G.I., Drokina O.V., Martynov A.I. et al. Fundamentals of curation of patients with connective tissue dysplasia in primary health care. Terapiya, 2015, no. 1, pp. 29–36 (in Russ.).
    4. Yakovlev V.M., Nechaeva G.I., Martynov A.I. et al. Displaziya soedinitel’noy tkani v praktike vrachey pervichnogo zvena zdravookhraneniya: rukovodstvo dlya vrachey [Connective tissue dysplasia in the practice of primary care physicians: a guide for physicians]. Moscow: KST Interforum, 2016. 237 p.
    5. Nechaeva G.I., Yakovlev V.M., Konev V.P. et al. National recommendations of the Russian Scientific Medical Society of Therapists for the diagnosis, treatment and rehabilitation of patients with connective tissue dysplasia. Lechashchiy vrach, 2008, no. 2, pp. 22–28 (in Russ.).
    6. Timokhina V.E., Mekhdieva K.R., Blyakhman F.A. Connective tissue dysplasia in young and young athletes: a review of the literature. Chelovek. Sport. Meditsina, 2018, vol. 18, no. 3, pp. 101–112 (in Russ.).
    7. Suvorova A.V., Yakovlev V.M. National recommendations of the Russian Scientific Medical Society of Therapists for the Diagnosis, Treatment and Rehabilitation of Patients with Connective Tissue Dysplasia Medical.Vestnik Severnogo Kavkaza, 2016, vol. 11, no. 1, pp. 2–76 (in Russ.).
    8. Simmonds J.V. Hypermobility and the hypermobility syndrome, Part 2: Assessment and management of hypermobility syndrome: Illustrated via case studies.Manual Therapy, 2008, vol. 13, pp. 1–11.
    9. Fizioterapiya: natsional’noe rukovodstvo, pod red. G.N. Ponomarenko [Physiotherapy: national guidelines. Ed. by Ponomarenko G.N.]. Moscow: GEOTAR-Media, 2014. 864 p.
    10. Epifanov V.A., Epifanov A.V. Reabilitatsiya v travmatologii i ortopedii. 2-e izd., pererab. i dop. [Rehabilitation in traumatology and orthopedics. 2nd ed., revised. and additional]. Moscow: GEOTAR-Media, 2015. 416 p.
    11. Klinicheskie rekomendatsii. Travmatologiya i ortopediya detskogo i podrostkovogo vozrasta, pod red. S.P. Mironova [Clinical recommendations. Traumatology and orthopedics of childhood and adolescence, ed. Mironov by S.P.]. Moscow: GEOTAR-Media, 2017. 416 p.

    Метки: 2022, E.I. BOGDANOV, flat feet, Practical medicine part 20 №2. 2022, rehabilitation, scoliosis, T.G. SAKOVETS, undifferentiated connective tissue dysplasia

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