The use of the medical rehabilitation technology for the correction of microcirculatory disorders in the patients presenting with gonarthrosis

: The objective of the present study was to estimate the efficacy of pulsed laser radiation from a matrix radiator for the treatment of patients suffering osteoarthrosis of the knee joint. A total of 25 patients aged from 50 to 75 years with I-II stage gonarthrosis (GA) were enrolled (20 without synovitis and 5 with mild synovitis). Nineteen patients presented with oligoosteoarthrosis and six with polyosteoarthrosis. The state of capillary blood flow was assessed from the results of laser Doppler flowmetry (LDF) using a LAKK-01 laser analyzer of surface capillary blood flow (NPP "LAZMA", Russia). Prior to the treatment, all the patients with gonarthrosis had microcirculatory disturbances; based on their character, the patients were allocated to two groups in accordance with the classification proposed by V.I. Makolkin. Group 1 was comprised of the patients (92%) with the hyperemic type of microcirculation while group 2 included patients (8%) with its normnnocirculatory type. A single course of pulsed laser therapy resulted in the appearance of the signs of normalization of capillary blood flow. LDF revealed a physiological response of microvessels to pulsed laser radiation that manifested itself in the first place as the improvement of active mechanisms of regulation of microcirculation.