N.B. Еffectiveness of Methods of Clinical Biomechanics at the Diagnosis and Treatment of Patients with Combined Lesions of the Venous and Musculoskeletal Systems of the Lower Limb

The purpose of the study Optimize the medical rehabilitation of patients with comorbidity pathology of venous and musculoskeletal systems of lower extremities through the application of biomechanical techniques in diagnosis and treatment. Materials and methods Analyze the results of а comprehensive survey of 452 patients C3-C6 classes. Clinical analysis of movements included podometry, goniometry and functional electromyography in dynamics. Evaluation of life quality of patients was done using the questionnaire «SF-36 Healf Status Survey». Evaluation of long-term results of surgical treatment (up to 3 years) was made. Results and their discussion Combined non-traumatic pathology of the locomotor system was detected in 404 (89%) patients. Clinical analysis of movements revealed the abnormalities of the step cycle and functional insufficiency of the lower limbs. A combined pathology of the venous and musculoskeletal systems leads to the development of congestive arthrogenic syndrome. At C5-C6 classes the formation of chronic venous compartment syndrome is considered to be possible. Lack of orthopedic correction is the main reason for the decline of quality of life during the late postoperative period. Conclusion Application of biomechanical techniques in the diagnosis and functional approach in treatment can help to improve long-term outcomes and quality of life of patients with combined lesions of the venous and musculoskeletal systems of the lower extremities. Key words Сhronic venous insufficiency, functional diagnostics, сlinical analysis of the motion