THE IMPORTANCE OF ULTRASONIC DATA IN DEVELOPING AN INDIVIDUAL REHABILITATION PROGRAM FOR RHEUMATOID ARTHRITIS
Аннотация
Relevance. Rheumatoid arthritis (RA) is a chronic autoimmune disease with progressive joint damage that requires personalized rehabilitation approaches. Ultrasound (US) provides an objective assessment of synovitis activity and the condition of periarticular structures in real time, opening the door to the development of individualized rehabilitation programs (IRPs). Objective. To evaluate the role of ultrasound as a tool for objectifying the rehabilitation process in RA and to develop an algorithm for developing an IRP. Materials and Methods. A prospective randomized study included 112 patients with verified RA (ACR/EULAR 2010). The study group (n=68) received an ILR based on ultrasound data, while the control group (n=44) received a standard program. B-mode, color Doppler imaging, and elastography were used. The observation period was 24 weeks. Results. In the study group, the DAS28 index decreased from 5.8±0.7 to 3.9±0.6 (p=0.001), and the HAQ index decreased from 1.8±0.5 to 0.9±0.4 (p=0.003). Synovial membrane thickness decreased by 1.7 times, and the degree of vascularization according to color Doppler imaging decreased by 2 times. Conclusion. The integration of ultrasound into the rehabilitation process for RA allows for personalized load adjustment, monitoring inflammation dynamics, and achieving better functional results.