Physical Rehabilitation For Skeletal Muscle Atrophy

Hostiev O., Olha Sytnyk
Department of Physical Therapy, Occupational Therapy and Sports Medicine
Medical Institute, Sumy State University, Ukraine

Toufik’s Medical Journal
Volume 1, Supplement 1, November 2021
Abstract from Biomedical Perspectives III 

Introduction: Muscles are an important structure of our body. They are innervated by motor and sensory fibers. During work in the muscles there is an intensive metabolism, the intensity of which is regulated by the autonomic nervous system. Atrophy can occur when metabolic processes of different genesis are disturbed. Atrophy or excessive loss of muscle mass is associated with a number of diseases, including myopathies and muscular dystrophies, as well as systemic disorders such as cancer, diabetes, sepsis, heart failure and physiological aging. May lead to disability or complete loss of the limb. Therefore, it is important to timely rehabilitation and compliance with the correct motor regime.

Materials and methods: To consider physical therapy for skeletal muscle atrophy. Analysis of scientific and methodological literature.

Results: Atrophy – a decrease in the cross-sectional area of the fiber with subsequent loss of strength (Vandervoort A., 2002). Robert W. Jackman, Susan C. Kandarian note that skeletal muscle atrophy is accompanied by a decrease in muscle protein content, a decrease in fiber diameter, and a decrease in strength and resistance to fatigue. The causes are related to muscle and / or nerve tissue damage. After finding out the cause of atrophy, it is treated with medication and physical therapy. In the scientific literature, the most common means of physical therapy are kinesiotherapy in combination with diet and hardware physiotherapy. Muneshige S. and Kunihiro S., 2020 concluded that to improve muscle anabolism, the diet must includes alkaline foods, protein foods, vitamins A, D, B6, B12 and meals must be divided into 4-6 portions. The use of kinesiotherapy in the treatment of various forms of atrophy of the muscular system is based on the improvement of the functional state of the muscles under the influence of dosed training and the consequent increase in muscle mass (Yamshchikova N). Engelke S, Koch F, Sciascia Q, (2016) indicate that strength exercises increase the transport of amino acids from blood plasma to muscle cells through the transmembrane transporter, also promote muscle protein synthesis, increase energy metabolism. Manual techniques improve muscle tone, reduce symptoms, improve blood flow to the extremities and stimulate cellular respiration. The use of electrical procedures and procedures with magnetic fields have proven to stimulate nerve centers and improve tissue elasticity.

Conclusions: The considered means of physical therapy help the patient to quickly restore the normal functioning of muscle tissue and prevent the development of further complications. We recommend a comprehensive approach to the treatment and prevention of muscle atrophy, using diet therapy, kinesiotherapy and physiotherapy.