ALGORITHM OF APPLICATION OF THE INDIVIDUAL - GROUP PROTOCOL IN THE COMPLEX REHABILITATION OF PATIENTS WITH SARCOPENIA
With the beginning of the aging of the population, diseases associated with old age and senility have become a problem for public health worldwide. This process is accompanied by certain physiological changes. Sarcopenia is one of the causes of these changes and is defined as a clinical syndrome associated with age-related loss of skeletal muscle mass, strength, function and physical performance. Sarcopenia is officially recognized as a muscular disorder with the diagnostic code ICD-10-CM (M62.84) and is associated with various adverse outcomes, including falls, impaired mobility, weakness and death. The present study included 198 elderly male patients aged 61 to 75 years (average 68±3.27 years) suffering from sarcopenia. The patients were divided into groups I and II depending on the method of physical rehabilitation. Physical therapy classes were held for 12 weeks on the basis of the State Medical Institution of the Yaroslavl Regional Gerontological Center. The study participants voluntarily agreed to conduct a comprehensive medical and anthropological examination during 4 control sections, including antropometry, bioimpedance analysis, and hand dynamometry. Based on the data obtained, a computer program "Program for assessing the quality of rehabilitation in patients with progressive and generalized loss of muscle mass and muscle strength" was created, and a protocol for the physical rehabilitation of elderly patients with sarcopenia was developed.