PHYSICAL THERAPY AT THE STAGES OF RECOVERY AFTER REVISION ENDOPROTHESIS OF THE HIP JOINT
Purpose: scientific substantiation, development and evaluation of the effectiveness of the program of physical therapy of patients in the revision endoprothesis of the hip joint.
Material and methods: analysis of literary sources, indicators of blood pressure and pulse, anthropometry, goniometry, testing on the SCALE of VAS, mathematical statistics. The contingent of the studied was compiled by patients of the State Institution "Institute of Spine and Joint Pathology named after Prof. M.I.Sitenko AMNU in the number of 19 people divided into 2 groups, the main - 10 and control - 9. The duration of the developed intensive FT program for patients of the main group is 37 days, 10 days, the preoperative period - before surgery and 27 days after (early postoperative - 5 days, late postoperative - 7 days, early recovery - 15 days). Patients of the control group at the same time underwent a rehabilitation course according to the generally accepted method.
Results: dynamics, blood pressure and pulse indicators, anthropometry, goniometry of the hip and knee joints, intensity of pain syndrome on the SCALE of VAS, determined that all the indicated indicators were statistically better in patients of the main group.
Conclusions: during revision endoprosthesis, the patient's body should be prepared to prevent postoperative complications with the help of means and methods of physical therapy; patients of both groups had improved indicators of cardiovascular hemodynamics, indicators of dynamics of braided hip size, volume of movements in the hip and knee joints, testing the intensity of pain on the SCALE of VAS. However, in patients of the main group, in comparison with patients of the control group, a significant (statistically proven) improvement of all indicators was found; observations confirmed that segmental-reflex massage can be carried out in the early stages of rehabilitation; the studies obtained in dynamics make it possible to affirm that we have proven the high efficiency of the developed program of physical therapy of patients in the revision endoprothesis of the hip joint, which allows us to significantly improve the condition of the musculoskeletal system and the body as a whole.
Keywords: revision endoprothesis, hip joint, physical therapy.
Burʺyanov, O. A. (2006), Travmatolohiya ta ortopediya [Traumatology and Orthopedics]: pidruchnyk. Kyyiv, 435 p. (in Ukr.).
Pustovoyt, B. A., Tets, A. B. (2019), «The use and impact of a comprehensive program of physical therapy in the treatment of patients with coxarthrosis of 2-3 degrees», Slobozhans'kiy naukovo-sportivniy vísnik, №1 (69). pp. 31-36. (in Russ.).
Korzh, M. O. (2012), «The current state of the problem of joint replacement in Ukraine», Bolʹ, sustavy, pozvonochnyk, № 1 (05). pp. 10-12. (in Ukr.).
Holka, H. H., Burʺyanov, O. A, Klymovytsʹkyy, V. H. (2014), Travmatolohiya ta ortopediya [Traumatology and orthopedics]: pidruchnyk. Vinnytsya, 416 p. (in Ukr.).
Roy, I. V., Babova, I. K., Bila, P. (2010), «Vyznachennya efektyvnosti etapnoyi reabilitatsiyi khvorykh pislya endoprotezuvannya kulʹshovoho suhloba za faktom povernennya do pratsi», Suchasni pidkhody do orhanizatsiyi vidnovlyuvalʹnoho likuvannya pratsivnykiv zaliznychnoho transportu: materialy naukovo-praktychnoyi konferentsiyi, Odesa, pp. 48-54. (in Ukr.).
Zamorsʹkyy, T. V., Buchynsʹkyy, S. N. (2017), Vidnovlennya pislya endoprotezuvannya kulʹshovoho suhloba [Recovery after hip arthroplasty]: metodychni rekomendatsiyi. Kyyiv, 76 p. (in Ukr.).
Hlynyana, O. O., Papadyukha, YU. A. (2011), «Rehabilitation algorithm after primary hip arthroplasty», Pedahohika, psykholohiya ta medyko-biolohichni problemy fizychnoho vykhovannya ta sportu, №8, pp. 30-32. (in Ukr.).
Mansyrov, Asif Bahlar ohly, Lytovchenko, V. O., Bezʺyazychna, O. V. (2018), «Vplyv reabilitatsiynykh zakhodiv na yakistʹ zhyttya patsiyentiv pislya endoprotezuvannya kulʹshovoho suhloba», Fizychna reabilitatsiya ta rekreatsiyno-ozdorvchi tekhnolohiyi, №1. pp. 11-17. (in Ukr.).
Babov K.D. (2017), «Actual problems of early rehabilitation of patients after hip joint replacement», The International Scientific Congress The 60-th Session of General Assembly of the World Federation of Hydrotherapy and Climatotherapy. Italy, 156 p. (in Eng.).
Mahomed N.N. (2003), «Rates and outcomes of primary and revision total hip replacement in the United States Medicare population», J. Bone Joint Surg, Vol. 85-A, №1, pp. 27 – 32. (in Eng.).
Sliwinski M., Sisto S. (2006), «Gait, quality of life, and their association following total hip arthroplasty», Physical Therapy, № 29(1), pp.10 – 17. (in Eng.).
Vissers M.M., Bussmann J.B., Verhaar J.A.N., Arends L.R., Furlan A.D., Reijman M. (2011), «Recovery of physical functioning after total hip arthroplasty: systematic review and meta-analysis of the literature», Physical Therapy, №91, pp. 615 – 629. (in Eng.).
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our publications use CREATIVE COMMONS open access copyrighted magazines.
Authors published in this journal agree to the following conditions:
1 Authors reserve the copyright of the work and transfer to the journal the right to first publish this work, licensed under a Creative Commons Attribution license, which allows others to freely distribute the published work with reference to the authors of the original work and the first publication of this journal.
2 Authors have the right to conclude separate agreements for additional non-exclusive distribution of the work in the video material in which it was published in the journal (for example, in the workplace, in electronic storage or published as part of a monograph), provided that the link is before the first publication of this magazine