Sagtaganov Zhaxybek, Bekaryssova Dana
Department of Biology and Biochemistry, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.
Rheumatol Int. 2024 Sep;44(9):1789-1793. doi: 10.1007/s00296-024-05669-3. Epub 2024 Aug 3.
Rheumatoid arthritis (RA) is a common chronic autoimmune disease characterized by symmetrical polyarthritis, joint pain, and morning stiffness. It significantly impairs physical condition and increases the risk of functional disability. While conventional treatments include drug therapy, many patients continue to experience symptoms and seek alternative therapies to improve their condition. This article describes two clinical cases of RA patients treated with a comprehensive rehabilitation program, including moderate-intensity walking, yoga, and nutritional therapy. The study aimed to evaluate this approach's effectiveness in improving the patients' functional capacity and quality of life. The first patient (50 year-old female) noted a significant reduction in the number of painful joints (by 14) and swollen joints (by 12) after a three-month rehabilitation course. The visual analog scale (VAS) pain level decreased from 80 mm to 50 mm, and the duration of morning stiffness decreased from several hours to 80 min. The second patient (45 year-old female) also showed improvement: painful joints decreased from 13 to 2, and swollen joints from 7 to 1. VAS pain level decreased from 80 mm to 40 mm, and morning stiffness decreased by 50 min. Both patients reported an average reduction in excess weight by 1.65 kg/m², along with improvements in general well-being and mood. The results confirm that a comprehensive rehabilitation approach, including physical activity, yoga, and diet therapy, significantly improves the condition of RA patients. This approach helps reduce pain, decrease the number of inflamed joints, and improve overall functionality. Further studies with a larger sample are needed to determine the optimal rehabilitation strategies and the most impactful interventions.
类风湿性关节炎（RA）是一种常见的慢性自身免疫性疾病，其特征为对称性多关节炎、关节疼痛和晨僵。它会严重损害身体状况并增加功能残疾的风险。虽然传统治疗方法包括药物治疗，但许多患者仍有症状，并寻求替代疗法来改善病情。本文描述了两名类风湿性关节炎患者接受综合康复计划治疗的临床案例，该计划包括中等强度步行、瑜伽和营养疗法。该研究旨在评估这种方法在改善患者功能能力和生活质量方面的有效性。第一位患者（50岁女性）在为期三个月的康复疗程后，疼痛关节数量显著减少（减少了14个），肿胀关节数量也显著减少（减少了12个）。视觉模拟量表（VAS）疼痛水平从80毫米降至50毫米，晨僵持续时间从数小时降至80分钟。第二位患者（45岁女性）也有改善：疼痛关节从13个减少到2个，肿胀关节从7个减少到1个。VAS疼痛水平从80毫米降至40毫米，晨僵减少了50分钟。两名患者均报告平均体重超标减少了1.65千克/平方米，同时总体健康状况和情绪也有所改善。结果证实，包括体育活动、瑜伽和饮食疗法在内的综合康复方法能显著改善类风湿性关节炎患者的病情。这种方法有助于减轻疼痛、减少发炎关节数量并改善整体功能。需要进行更大样本量的进一步研究，以确定最佳康复策略和最有效的干预措施。
