| Autor: |
Shchurova EN; Russian Ilizarov Scientific Centre «Restorative Traumatology and Orthopaedics», 6 M.Ulianova str., Kurgan 640014, Russian Federation, e-mail: office@rncvto.ru., Prudnikova OG; Russian Ilizarov Scientific Centre «Restorative Traumatology and Orthopaedics», 6 M.Ulianova str., Kurgan 640014, Russian Federation, e-mail: office@rncvto.ru., Gvozdev NS; Russian Ilizarov Scientific Centre «Restorative Traumatology and Orthopaedics», 6 M.Ulianova str., Kurgan 640014, Russian Federation, e-mail: office@rncvto.ru. |
| Jazyk: |
ruština |
| Zdroj: |
Advances in gerontology = Uspekhi gerontologii [Adv Gerontol] 2020; Vol. 33 (6), pp. 1107-1115. |
| Abstrakt: |
The purpose of the work was to study the effect of age on the degree of isometric strength restoration of the lower limb muscles in the long-term period after surgical treatment of adult patients with spondylolisthesis. 36 patients with spondylolisthesis of I and II displacement degree and 50 normal subjects at the age of 41-66 years were included in the study. Maximum moments of the femur and leg isometric strength were studied using dynamometric stands. The pain syndrome was evaluated in all the patients (VAS scale), as well as their functional condition (Oswestry scale). The investigations were performed before treatment and 75-99 months after surgical intervention. The presented reliable reverse correlation of the patient's age and the pattern and magnitude of changes in the strength of the lower limb muscles was identified in adult patients with spondylolisthesis in the long-term period after surgical treatment. At the younger age (41-59 years) positive dynamics of the muscle strength prevailed - an increase in 56,3% cases, conformity to the preoperative level was observed in 6,3% patients, a decrease in muscle function - in 37,4% cases. In the age-related group of 60-74 years the muscle strength growth was recorded only in 16,7% cases, there was no dynamics relative to the initial level in 8,3% patients, and a decrease in maximum moment of strength was observed in 75% cases. Thus, in case of large intervals of the follow-up period of the results of surgical treatment of adult patients with spondylolisthesis it is impossible to avoid evaluating the effect of age changes in muscles on the degree of restoring isometric strength of the lower limb muscles. As far as age increases, the reserves for muscle function improvement after surgical treatment are reduced significantly. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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