Russian Journal of Physiotherapy, Balneology and RehabilitationRussian Journal of Physiotherapy, Balneology and Rehabilitation1681-34562413-2969Eco-Vector10941510.17816/rjpbr109415Review ArticlePhysical factors in traumatic arthropathy in childrenVakhovaEkaterina L.<pre id="tw-target-text" class="tw-data-text tw-text-large tw-ta" dir="ltr" data-placeholder="Перевод">MD, Cand. Sci. (Med.)</pre>vel_1202@mail.ruhttps://orcid.org/0000-0002-4509-7120KhanMaya A.<p>MD, Dr. Sci. (Med.), Professor</p>6057016@mail.ruhttps://orcid.org/0000-0002-1081-1726KorchazhkinaNаtalia B.<p>MD, Dr. Sci. (Med.), Professor</p>n9857678103@gmail.comhttps://orcid.org/0000-0001-6913-8778PochkinEvgeny О.po4kin_eo@mail.ruhttps://orcid.org/0000-0002-9103-4155IsaevIvan N.i.n.isaev@gmail.comhttps://orcid.org/0000-0001-7899-5800IvanovaIrina I.<p>MD, Dr. Sci. (Med.), Professor</p>i.ivanova@mail.ruhttps://orcid.org/0000-0002-8943-9321Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports MedicineThe First Sechenov Moscow State Medical University (Sechenov University)Filatov N.F. Children's City HospitalPetrovsky National Research Centre of SurgeryCentral state medical academy of department of presidential affairs3010202221165722607202226072022Copyright © 2022, Vakhova E.L., Khan M.A., Korchazhkina N.B., Pochkin E.О., Isaev I.N., Ivanova I.I.2022<p>The relevance and the urgent character of the problem of traumatic arthropathy of the knee joint in children is due to the high frequency of injuries of this localization, comprising from 5 to 25% of all injuries of the musculoskeletal system.</p>
<p>Nowadays, physical factors are commonly used at different stages of medical rehabilitation of children with traumatic injuries of the knee joint. At the same time, scientifically substantiated recommendations for medical rehabilitation of children with nonspecific posttraumatic knee pain syndrome are insufficient.</p>
<p>Studies conducted have ascertained the effectiveness of local air cryotherapy, which is characterized by an explicit anti-edema, analgesic effect. An early regression of pain has been registered, the elimination of microcirculatory disorders in the area of damage as a result of the course effects of pulsed low-frequency magnetic therapy at various stages of medical rehabilitation. The beneficial effect of a pulsed low-frequency electrostatic field on the indicators of orthopedic status, the state of microcirculation, thermography in the area of damage has been established in children with traumatic arthropathy of the knee joint.</p>
<p>The possibility of using polychromatic polarized light in traumatic arthropathy of the knee joint in children, characterized by pain reduction due to muscle relaxation, activation of microcirculation in the injury area, restoration of the volume of movements, has been proved.</p>childrentraumaknee jointtraumatic arthrоpathiacryotherapypulsed low-frequency magnetotherapypulsed low-frequency electrostatic fieldnon-selective chromotherapyдетитравмареабилитацияколенный суставартралгический синдромкриотерапияимпульсная низкочастотная магнитотерапияимпульсное низкочастотное электростатическое поленеселективная хромотерапия[Alekseeva EI, Bzarova TM. Joint damage in childhood. Lechashchii vrach. 2010;(6):46–51. (In Russ).][Tsurikova NA. Differential diagnosis and treatment of oligoarthritis in children [dissertation abstract]. Moscow; 2017. 47 p. (In Russ).][Naveed A, Heinz P. Joint pain in children. Paediatrics Child Health. 2014;2(24):45–50. doi: 10.1016/j.paed.2013.08.001][Bird HA. Joint hypermobility in children. Rheumatology. 2005;44(6):703–704. doi: 10.1093/rheumatology/keh639][Nazarova TI, Petruk NI. Anatomical and physiological features, examination methodology, semiotics of bone and muscle system lesions in children. Characteristics, research methods, semiotics of the lesion. Educational and methodological guide to the study of the course "Children's diseases". Moscow: Peoples' Friendship University of Russia; 2012. 52 p. (In Russ).][Solovyova KS, Zaletina AV. Traumatism of the children's population of St. Petersburg. Orthopedics, traumatology and reconstructive surgery of childhood. 2017;5(3):43–48. (In Russ).][Avramenko VV, Kuznetsov IA. Arthroscopy with internal injuries of the knee joint in children and adolescents. Traumatology and orthopedics of Russia. 2011;(4):131–139. (In Russ).][Merkulov VN, Eremushkin MA, Yeltsin AG, Dovluru RK. Rehabilitation of children and adolescents with injuries of the anterior cruciate ligament of the knee joint. Bulletin of Restorative Medicine. 2015;(3):7–12. (In Russ).][Merkulov VN, Karam EA, Sokolov OG, Yeltsin AG. Arthroscopic diagnosis and treatment of knee cartilage injuries in children. Bulletin of Traumatology and Orthopedics named after N.N. Pirogov. 2003;(2):74–79. (In Russ).][Vybornov DYu, Petrov MA, Isaev IN. Arthroscopy for injuries and diseases of the knee joint in children. Pediatric Surgery. 2012;(5):29–34. (In Russ).][Physiotherapy in pediatrics. Textbook. Ed. by M.A. Khan. Moscow; 2014. 194 p. (In Russ).][Physical and rehabilitation medicine. National Leadership. Ed. by G.N. Ponomarenko. Moscow: GEOTAR-Media; 2016. 685 p. (In Russ).][Vakhova EL, Khan MA, Krestyanin IV. Sanatorium-resort treatment of children with the consequences of injuries of the musculoskeletal system. Kurortnye vedomosti. 2018;(1):24–25. (In Russ).][Khan MA, Konova OM, Vybornov DYu. Air local cryotherapy for traumatic injuries in children. A manual for doctors. Moscow; 2003. 9 p. (In Russ).][Burkin IA, Konova OM, Simonova OI. Polarized light in the restorative treatment of children with traumatic injuries. Polyclinic. 2016;(1):47–50. (In Russ).]