PECULIARITIES OF CORRECTION OF GERIATRIC STATUS IN ELDERLY PATIENTS WITH SARCOPENIC OBESITY AND HIP OSTEOARTHRITIS

Abstract

The purpose of the study is to determine the impact of the physical therapy program on indicators of the geriatric status of elderly people with osteoarthritis of the hip, which occurs against the background of sarcopenic obesity. Methods. 68 elderly people with osteoarthritis of the hip and sarcopenic obesity and 36 of their healthy peers (control group) were examined. Representatives of the comparison group (33 people) corrected the signs of osteoarthritis according to the clinical guideline “Osteoarthrosis”. Representatives of the main group (35 people) were engaged in a physical therapy program for six months using therapeutic exercises, functional training, Proprioceptive Neuromuscular Facilitation, massage, kinesiological taping; course of shock wave therapy, nutrition correction, patient education. The effectiveness of the program was evaluated by the dynamics of the Geriatric Depression Scale, Senior Fitness Test, Fall efficacy scale, Health-related quality of life questionnaire specific to sarcopenia (за SarQoL). Results. The geriatric status of patients was characterized by psycho-emotional depression (according to the Geriatric Depression Scale), physical weakness, low flexibility when performing movements that imitate usual activities (according to the Senior Fitness Test), high risk of falling and fear of its occurrence (according to the Fall efficacy scale), low quality of life associated with sacropenia (according to SarQoL). The tested comprehensive program of physical therapy revealed an improvement in the geriatric status of patients due to improvement in the psycho-emotional state, physical qualities – increased strength, flexibility, reduced risk of falling, improved quality of life compared to the initial indicators and corresponding parameters of the comparison group according to the studied parameters (р<0.05). Patients who were rehabilitated according to a standard osteoarthrosis correction program showed statistically significantly worse results according to the studied indicators, which emphasizes the need to develop rehabilitation strategies from the perspective of gerontological needs. Conclusions. Elderly patients with osteoarthritis of the hip joints and sarcopenic obesity need the development of physical therapy programs taking into account and correcting the specifics of geriatric syndromes, which increases the overall effectiveness of rehabilitation.