Functional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosis

With osteochondrosis of the lumbar spine and L3, L4 lesions, local overloads of the spinal-motor segment lead to disruption of the functioning of the biokinematic chain "spine-lower limbs". Gonarthrosis is considered as an independent disease requiring surgical treatment. We have not found...

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Autores principales:	T. K. Verkhozina, E. G. Ippolitova, N. I. Arsentieva, E. S. Tsyslyak
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2018
Materias:	gonarthrosis osteochondrosis of the lumbar spine electroneuromyography Science Q
Acceso en línea:	https://doaj.org/article/5cd9c9f88d924b51abe1fbc515198aa9
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spelling	oai:doaj.org-article:5cd9c9f88d924b51abe1fbc515198aa92021-11-23T06:14:40ZFunctional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosis2541-94202587-959610.29413/ABS.2018-3.2.11https://doaj.org/article/5cd9c9f88d924b51abe1fbc515198aa92018-04-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/561https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596With osteochondrosis of the lumbar spine and L3, L4 lesions, local overloads of the spinal-motor segment lead to disruption of the functioning of the biokinematic chain "spine-lower limbs". Gonarthrosis is considered as an independent disease requiring surgical treatment. We have not found on the functional state of the peripheral neuromotor apparatus, with taking into account segmental radicular manifestations in patients with grade 3-4 gonarthrosis. We examined the tibial and peroneal nerves, and H-reflex in 51 patients undergoing treatment at the clinical department of traumatology and orthopedics of ISCST In all examined patients we revealed changes in the function of the peripheral nerves of the lower limbs (increase in the threshold values of the M-response to 24.8 mA (norm - 16 mA), a decrease in the direct muscle response amplitude to an average of 0.6 mV (norm - 2.0 mV), a decrease in the rate impulse up to 37-39 m/s (norm - 40 m/s), all changed were more pronounced on the affected limb. The revealed changes in ENMG indices could be due to both degenerative changes in periarticular tissues and radicular syndrome in lumbar osteochondrosis. Changes in reflex excitability were observed in combination with prolapse of the H-reflex in the majority of patients. The data obtained indicate damage to the roots and spinal motoneurons in L3-L4-L5 and a change in the functional state of the peripheral nerves of the lower limbs, indicating a single pathogenetic mechanism of degenerative processes in the knee and spine.T. K. VerkhozinaE. G. IppolitovaN. I. ArsentievaE. S. TsyslyakScientific Сentre for Family Health and Human Reproduction Problemsarticlegonarthrosisosteochondrosis of the lumbar spineelectroneuromyographyScienceQRUActa Biomedica Scientifica, Vol 3, Iss 2, Pp 63-67 (2018)
institution	DOAJ
collection	DOAJ
language	RU
topic	gonarthrosis osteochondrosis of the lumbar spine electroneuromyography Science Q
spellingShingle	gonarthrosis osteochondrosis of the lumbar spine electroneuromyography Science Q T. K. Verkhozina E. G. Ippolitova N. I. Arsentieva E. S. Tsyslyak Functional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosis
description	With osteochondrosis of the lumbar spine and L3, L4 lesions, local overloads of the spinal-motor segment lead to disruption of the functioning of the biokinematic chain "spine-lower limbs". Gonarthrosis is considered as an independent disease requiring surgical treatment. We have not found on the functional state of the peripheral neuromotor apparatus, with taking into account segmental radicular manifestations in patients with grade 3-4 gonarthrosis. We examined the tibial and peroneal nerves, and H-reflex in 51 patients undergoing treatment at the clinical department of traumatology and orthopedics of ISCST In all examined patients we revealed changes in the function of the peripheral nerves of the lower limbs (increase in the threshold values of the M-response to 24.8 mA (norm - 16 mA), a decrease in the direct muscle response amplitude to an average of 0.6 mV (norm - 2.0 mV), a decrease in the rate impulse up to 37-39 m/s (norm - 40 m/s), all changed were more pronounced on the affected limb. The revealed changes in ENMG indices could be due to both degenerative changes in periarticular tissues and radicular syndrome in lumbar osteochondrosis. Changes in reflex excitability were observed in combination with prolapse of the H-reflex in the majority of patients. The data obtained indicate damage to the roots and spinal motoneurons in L3-L4-L5 and a change in the functional state of the peripheral nerves of the lower limbs, indicating a single pathogenetic mechanism of degenerative processes in the knee and spine.
format	article
author	T. K. Verkhozina E. G. Ippolitova N. I. Arsentieva E. S. Tsyslyak
author_facet	T. K. Verkhozina E. G. Ippolitova N. I. Arsentieva E. S. Tsyslyak
author_sort	T. K. Verkhozina
title	Functional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosis
title_short	Functional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosis
title_full	Functional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosis
title_fullStr	Functional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosis
title_full_unstemmed	Functional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosis
title_sort	functional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosis
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2018
url	https://doaj.org/article/5cd9c9f88d924b51abe1fbc515198aa9
work_keys_str_mv	AT tkverkhozina functionalstateofperipheralnervesoflowerlimbsinpatientswithdeformingkneejointarthrosis AT egippolitova functionalstateofperipheralnervesoflowerlimbsinpatientswithdeformingkneejointarthrosis AT niarsentieva functionalstateofperipheralnervesoflowerlimbsinpatientswithdeformingkneejointarthrosis AT estsyslyak functionalstateofperipheralnervesoflowerlimbsinpatientswithdeformingkneejointarthrosis
_version_	1718416946953715712

Functional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosis

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