DISTURBANCE OF VIBRATION SENSITIVITY DURING RHEUMATOID ARTHRITIS. CLINICAL ASPECTS

• Main Authors: B. F. Nemtzov, O V Smirnova, L A Timina
• Format: Article
• Language: Russian
• Published: IMA-PRESS LLC 2000-02-01
• Series: Научно-практическая ревматология
• Subjects: rheumatoid arthritis; vibration sensitivity; peripheral polyneuropathy
• Online Access: https://rsp.mediar-press.net/rsp/article/view/919

Summary Aim of study: To study the vibration sensitivity (VS) in rheumatoid arthritis (RA) depending on the clinical peculiarities of the disease. Material and methods: The study included 67pts (M:F=7:60) with reliable RA (ARA criteria, 1987). 55 out of 67 pts were positive on rheumatoid factor (RF), 20 pts had the 1st stage of activity, 32 - 2nd, 15 - 3d, corticosteroids were taken by 21 pts. Study of vibration sensitivity was done by electronic biotensiometer (EG Electronic, USA) in three points of lower extremities: dorsal foot surface, front al crural surface in the area of tibia bone crest in medial tertiary> level, knee calycle. Results: Frequency of VS disturbance was measured in parallel with clinical and laboratory indices and was in case of the 1st stage of activity 40%, in 2nd - 75% and in 3d - 93.3%. It was found that VS changing in great majority of cases allows to diagnose the lesion of peripheral nervous system as compared with other clinical changes. Assessing VS dynamics in the course of the therapy on the clinical stage and using NSAIDs and intraarticular injections of corticosteroids was not accompanied by the reliable dynamics of the index understudy. Clinical improvement of articular syndrome and disappearing of systemic manifestations was not associated with the improvement of VS indices. Conclusion: VS disturbance in RA pts is associated with the stage of activity and severity of the disease. Association of VS disturbance with systemic manifestations enables us to study VS in RA as an additional diagnostical test of revealing of systemic symptoms.