Остеоартроз в практике невролога: старые-новые возможности
Остеоартроз в практике невролога: старые-новые возможности
Путилина М.В. Остеоартроз в практике невролога: старые-новые возможности. Consilium Medicum. Неврология и Ревматология (Прил.). 2016; 1: 66–68.
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Putilina M.V. Osteoarthritis in the practice of the neurologist: old and new features. Consilium Medicum. Neurology and Rheumatology (Suppl.). 2016; 1: 66–68.
Остеоартроз в практике невролога: старые-новые возможности
Путилина М.В. Остеоартроз в практике невролога: старые-новые возможности. Consilium Medicum. Неврология и Ревматология (Прил.). 2016; 1: 66–68.
________________________________________________
Putilina M.V. Osteoarthritis in the practice of the neurologist: old and new features. Consilium Medicum. Neurology and Rheumatology (Suppl.). 2016; 1: 66–68.
Остеоартроз (ОА) – гетерогенная группа заболеваний, различных по клинической картине и исходам, в основе которых лежит поражение всех составляющих элементов сустава. В неврологических рекомендациях проблема ОА практически не рассматривалась, за исключением аспектов хронической боли, поэтому использование препаратов, максимально безопасных и эффективных у разных пациентов, рассматривается с позиций терапевтических и ревматологических критериев. Комитет Европейского общества по клиническим и экономическим аспектам остеопороза и остеоартрита (ESCEO – European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis) в 2014 г. предложил алгоритм ведения больных ОА в реальной клинической практике. Согласно этому документу в качестве базисной терапии рекомендуется назначение хондроитина сульфата и глюкозамина или их комбинации с короткими курсами назначения парацетамола для быстрого обезболивающего эффекта.
Ключевые слова: остеоартроз, боль в спине, хондропротекторы.
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Osteoarthritis (ОА) is a heterogeneous group of diseases of different clinical picture and outcomes, which are based on the defeat of all the components of the joint elements. Hardly seen in OA recommendations, are neurological problems except for the aspects of chronic pain, so the use of drugs, the most safe and effective in different patients, is considered from the standpoint of therapeutic and rheumatologic criteria. Committee of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO – European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis) in 2014 proposed algorithm of patients with OA in clinical practice. According to this document as a basic therapy recommended the appointment of chondroitin sulfate and glucosamine, or their combination with short courses of paracetamol destination for a quick anesthetic effect.
Key words: osteoarthritis, back pain, chondroprotectors.
1. Алексеева Л.И., Шарапова Е.П., Кашеварова Н.Г. и др. Применение Артра® MСM Форте у пациентов с остеоартрозом коленного сустава: результаты рандомизированного открытого сравнительного изучения эффективности и переносимости препарата. Справ. поликлин. врача. 2015; 8: 24–7. / Alekseeva L.I., Sharapova E.P., Kashevarova N.G. i dr. Primenenie Artra® MSM Forte u patsientov s osteoartrozom kolennogo sustava: rezul'taty randomizirovannogo otkrytogo sravnitel'nogo izucheniia effektivnosti i perenosimosti preparata. Sprav. poliklin. vracha. 2015; 8: 24–7. [in Russian]
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5. McAlindon T, Bannuru R, Sullivan M et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage 2014; 22 (3): 363–88. Doi:10.1016/j.joca.2015.02.014.
6. Henrotin Y, Marty M, Mobasheri A. What is the current status of chondroitin sulfate and glucosamine for the treatment of knee osteoarthritis? Maturitas 2014; 78: 184–7. Doi:10.1016/j.maturitas.2014.07.018.
7. Hoyland JA, Le Maitre C, Freemont AJ. Investigation of the role of IL-1 and TNF in matrix degradation in the intervertebral disc. Rheumatology 2008; 47 (6): 809–14.
8. Martin MD, Boxell CM, Malone DG. Pathophysiology of Lumbar Disc Degeneration: A Review of the Literature. Neurosurgical Focus 2002; 13 (2). www.medscape.com/viewarticle/442440
9. Hochberg M, Martel-Pelletier J, Monfort J et al. The Multicentric Osteoarthritis interVEntion Study with Sysadoa (MOVES). MOVES Steering Committee. Osteoarthritis and Cartilage 2014; 22: S7–S56. Doi: 10.1136/annrheumdis-2014-eular.4950.
10. Fransen M, Agaliotis M, Nairn L et al. Glucosamine and chondroitin for knee placebo-controlled clinical trial evaluating osteoarthritis: a double-blind randomised single and combination regimens. Ann Rheum Dis 2015; 74 (5): 851–8. Doi:10.1136/annrheumdis-2013-203954.
11. Bruyère O, Cooper C, Pelletier J et al. An algorithm recommendation for the management of knee osteoarthritis in Europe and internationally: A report from a task force of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Seminars Arthritis Rheum 2014; p. 2–11. Doi:10.1016/j.semarthrit.2014.05.014.
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15. Ebisuzaki K. Aspirin and methylsulfonylmethane (MSM): a search for common mechanisms, with implications for cancer prevention. Anticancer Res 2003; 23: 453–8.
16. Alam SS, Layman DL. Dimethyl sulfoxide inhibition of prostacyclin production in cultured aortic endothelial cells. Ann NY Acad Sci 1983; 411: 318–20. Doi: 10.1111/j.1749-6632.1983.tb47314.x.
17. Beilke MA, Collins-Lech C, Sohnle PG. Effects of dimethyl sulfoxide on the oxidative function of human neutrophils. J Lab Clin Med 1987; 110: 91–6.
18. Hasegawa T. Suppressive effect of methylsulfonylmethane (MSM) on type II collagen-induced arthritis in DBA/1J mice. Japan Pharmacol Ther 2004; 32: 421–7.
19. Usha P, Naidu M. Randomised, double-blind, parallel, placebo-controlled study of oral glucosamine, methylsulfonylmethane and their combination in osteoarthritis. Clin Drug Investig 2004; 24: 353–63. Doi: 10.2165/00044011-200424060-00005.
20. Kim LS, Axelrod LJ, Howard P et al. Efficacy of methylsulfonylmethane (MSM) in osteoarthritis pain of the knee: a pilot clinical trial. OsteoArthritis Cartilage 2006; 14: 286–94. Doi:10.1016/j.joca.2005.10.003.
21. Pagonis TA, Givissis PK, Kritis AC, Christodoulou AC. The Effect of Methylsulfonylmethane on Osteoarthritic Large Joints and Mobility. Int J Orthopaedics 2014; 1 (1): 19–24. Doi: http://dx.doi.org/10.1016/j.injury.2011.03.018.
22. Vidyasagar S, Mukhyaprana P, Shashikiran U et al. Efficacy and Tolerability of Glucosamine Chondroitin Sulphate – Methyl Sulfonyl Methane (MSM) in Osteoarthritis of Knee in Indian Patients. Int J Pharmacy Technol 2004; 3: 61–5.
________________________________________________
1. Alekseeva L.I., Sharapova E.P., Kashevarova N.G. i dr. Primenenie Artra® MSM Forte u patsientov s osteoartrozom kolennogo sustava: rezul'taty randomizirovannogo otkrytogo sravnitel'nogo izucheniia effektivnosti i perenosimosti preparata. Sprav. poliklin. vracha. 2015; 8: 24–7. [in Russian]
2. Manek NJ, MacGregor AJ. Epidemiology of Back Disorders: prevalence, risk factors, and prognosis. Сurr Opin Rheumatol 2005; 17 (2): 134–40.
3. Fardon DF, Milette PC. Nomenclature and classification of lumbar disk pathology: recommendations of the combined task forces of the North Am Spine Soc, Am Soc Spine Radiol, Am Soc Neuroradiol. Spine 2001; 26: 93–113.
4. Shostak N.A. Dorsopatii – sovershenstvovanie terapevticheskikh vozmozhnostei. Trudnyi patsient. 2006; 10: 24–30. [in Russian]
5. McAlindon T, Bannuru R, Sullivan M et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage 2014; 22 (3): 363–88. Doi:10.1016/j.joca.2015.02.014.
6. Henrotin Y, Marty M, Mobasheri A. What is the current status of chondroitin sulfate and glucosamine for the treatment of knee osteoarthritis? Maturitas 2014; 78: 184–7. Doi:10.1016/j.maturitas.2014.07.018.
7. Hoyland JA, Le Maitre C, Freemont AJ. Investigation of the role of IL-1 and TNF in matrix degradation in the intervertebral disc. Rheumatology 2008; 47 (6): 809–14.
8. Martin MD, Boxell CM, Malone DG. Pathophysiology of Lumbar Disc Degeneration: A Review of the Literature. Neurosurgical Focus 2002; 13 (2). www.medscape.com/viewarticle/442440
9. Hochberg M, Martel-Pelletier J, Monfort J et al. The Multicentric Osteoarthritis interVEntion Study with Sysadoa (MOVES). MOVES Steering Committee. Osteoarthritis and Cartilage 2014; 22: S7–S56. Doi: 10.1136/annrheumdis-2014-eular.4950.
10. Fransen M, Agaliotis M, Nairn L et al. Glucosamine and chondroitin for knee placebo-controlled clinical trial evaluating osteoarthritis: a double-blind randomised single and combination regimens. Ann Rheum Dis 2015; 74 (5): 851–8. Doi:10.1136/annrheumdis-2013-203954.
11. Bruyère O, Cooper C, Pelletier J et al. An algorithm recommendation for the management of knee osteoarthritis in Europe and internationally: A report from a task force of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Seminars Arthritis Rheum 2014; p. 2–11. Doi:10.1016/j.semarthrit.2014.05.014.
12. Blitterswijk WJ, Jos CM, Van de Nes, Wuisman P. Glucosamine and chondroitin sulfate supplementation to treat symptomatic disc degeneration: Biochemical rationale and case report. BMC Complement Altern Med 2003; 3: 2.
13. Alekseeva L.I., Chichasova N.V., Mendel' O.I. i dr. Ratsional'nyi vybor bazisnoi terapii pri osteoartroze. Rezul'taty otkrytogo randomizirovannogo mnogotsentrovogo issledovaniia preparata Artra v Rossii. RMZh. 2005; 13 (24): 1637–40. [in Russian]
14. Hasegawa T. Suppressive effect of methylsulfonylmethane (MSM) on type II collagen-induced arthritis in DBA/1J mice. Japan Pharmacol Ther 2004; 32: 421–7.
15. Ebisuzaki K. Aspirin and methylsulfonylmethane (MSM): a search for common mechanisms, with implications for cancer prevention. Anticancer Res 2003; 23: 453–8.
16. Alam SS, Layman DL. Dimethyl sulfoxide inhibition of prostacyclin production in cultured aortic endothelial cells. Ann NY Acad Sci 1983; 411: 318–20. Doi: 10.1111/j.1749-6632.1983.tb47314.x.
17. Beilke MA, Collins-Lech C, Sohnle PG. Effects of dimethyl sulfoxide on the oxidative function of human neutrophils. J Lab Clin Med 1987; 110: 91–6.
18. Hasegawa T. Suppressive effect of methylsulfonylmethane (MSM) on type II collagen-induced arthritis in DBA/1J mice. Japan Pharmacol Ther 2004; 32: 421–7.
19. Usha P, Naidu M. Randomised, double-blind, parallel, placebo-controlled study of oral glucosamine, methylsulfonylmethane and their combination in osteoarthritis. Clin Drug Investig 2004; 24: 353–63. Doi: 10.2165/00044011-200424060-00005.
20. Kim LS, Axelrod LJ, Howard P et al. Efficacy of methylsulfonylmethane (MSM) in osteoarthritis pain of the knee: a pilot clinical trial. OsteoArthritis Cartilage 2006; 14: 286–94. Doi:10.1016/j.joca.2005.10.003.
21. Pagonis TA, Givissis PK, Kritis AC, Christodoulou AC. The Effect of Methylsulfonylmethane on Osteoarthritic Large Joints and Mobility. Int J Orthopaedics 2014; 1 (1): 19–24. Doi: http://dx.doi.org/10.1016/j.injury.2011.03.018.
22. Vidyasagar S, Mukhyaprana P, Shashikiran U et al. Efficacy and Tolerability of Glucosamine Chondroitin Sulphate – Methyl Sulfonyl Methane (MSM) in Osteoarthritis of Knee in Indian Patients. Int J Pharmacy Technol 2004; 3: 61–5.
Авторы
М.В.Путилина*
ГБОУ ВПО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*profput@mail.ru
________________________________________________
M.V.Putilina*
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*profput@mail.ru