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...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Scientific Сentre for Family Health and Human Reproduction Problems
2018-04-01
|
| Series: | Acta Biomedica Scientifica |
| Subjects: | |
| Online Access: | https://www.actabiomedica.ru/jour/article/view/561 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849251683357425664 |
|---|---|
| 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 |
| collection | DOAJ |
| 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 |
| id | doaj-art-5cd9c9f88d924b51abe1fbc515198aa9 |
| institution | Kabale University |
| issn | 2541-9420 2587-9596 |
| language | Russian |
| publishDate | 2018-04-01 |
| publisher | Scientific Сentre for Family Health and Human Reproduction Problems |
| record_format | Article |
| series | Acta Biomedica Scientifica |
| spelling | doaj-art-5cd9c9f88d924b51abe1fbc515198aa92025-08-20T03:56:54ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962018-04-0132636710.29413/ABS.2018-3.2.11561Functional state of peripheral nerves of lower limbs in patients with deforming knee joint arthrosisT. K. Verkhozina0E. G. Ippolitova1N. I. ArsentievaE. S. Tsyslyak2Irkutsk Scientific Centre of Surgery and Traumatology; Irkutsk State Medical Academy of Postgraduate Education -Branch Campus of the Russian Medical Academy of Continuing Professional EducationIrkutsk Scientific Centre of Surgery and TraumatologyIrkutsk Scientific Centre of Surgery and TraumatologyWith 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.https://www.actabiomedica.ru/jour/article/view/561gonarthrosisosteochondrosis of the lumbar spineelectroneuromyography |
| spellingShingle | 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 Acta Biomedica Scientifica gonarthrosis osteochondrosis of the lumbar spine electroneuromyography |
| title | 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_short | 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 |
| topic | gonarthrosis osteochondrosis of the lumbar spine electroneuromyography |
| url | https://www.actabiomedica.ru/jour/article/view/561 |
| work_keys_str_mv | AT tkverkhozina functionalstateofperipheralnervesoflowerlimbsinpatientswithdeformingkneejointarthrosis AT egippolitova functionalstateofperipheralnervesoflowerlimbsinpatientswithdeformingkneejointarthrosis AT niarsentieva functionalstateofperipheralnervesoflowerlimbsinpatientswithdeformingkneejointarthrosis AT estsyslyak functionalstateofperipheralnervesoflowerlimbsinpatientswithdeformingkneejointarthrosis |