Clinical effi cacy evaluation of weight loss methods in gonarthrosis treatment in women

Abstract

Objective: to evaluate the weight loss methods clinical effi cacy in gonarthrosis treatment and rehabilitation. Materials and methods: the study involved 146 patients with gonarthrosis and metabolic syndrome (obesity). They were divided into 4 groups with similar age, BMI, course duration and radiologic stage of the main disease as well as comorbidities. Group I involved patients who were treated with standard conservative methods according to the current recommendations. In Group II, patients only used metabolic syndrome treatment methods. Group IIIА and IIIB were treated following the authors’ method including metabolic syndrome treatment and rehabilitative physical exercises. In group IIIA, weight correction and physical exercises program was 12-month long, and in group IIIB, the program duration was 3 months. During the study, we assessed the dynamics of patients BMI as well as clinical osteoarthrosis degree on Leven Index and WOMAC (Western Ontario and McMaster University Osteoarthrosis Index, the severity of Osteoarthrosis Index in Western Ontario and MacMaster universities). Results: the study found that the proposed program and rehabilitation measures help to improve the functional characteristics of patients with gonarthrosis and metabolic syndrome. The 12-month treatment program was the most efficient. In Group IIIA, we revealed the most visual and stable weight loss for 28%. It led to a signifi cant decrease in pain syndrome and the improvement of Leven’s Index by 41.8% and WOMAC by 59%. Conclusions: these rehabilitation measures resulted in a signifi cant decrease in the severity of knee joint function disorders compared to standard methods of weight loss and BMI decrease in gonarthrosis and metabolic syndrome patients.

Keywords

• оsteoarthritis
• knee
• therapeutic exercise
• obesity
• adipokines