| Autor: |
Fedorov A; 1Federal State Budgetary Institution of Higher Professional Education «Urals State Medical University» of the Ministry of Healthcare of the Russian Federation, Yekaterinburg; 2Federal Budget Institution of Science 'Yekaterinburg Medical Research Center for Prophylaxis and Health Protection of Industrial Workers', Yekaterinburg; Russia., Baranov E; 1Federal State Budgetary Institution of Higher Professional Education «Urals State Medical University» of the Ministry of Healthcare of the Russian Federation, Yekaterinburg; Russia., Ryzhkin V; 3State Budgetary Healthcare Institution SR «Sverdlovskaya regional clinical Hospital №1», Yekaterinburg; Russia., Khubiev A; 4Clinical Hospital №101 FSBI NCFSRCC FMBA of Russia, Lermontov; Russia., Еmkuzhеv К; 5Pyatigorsk Medical and Pharmaceutical Institute - a branch of Volgograd State Medical University of the Ministry of Healthcare of Russia, Pyatigorsk, Russia. |
| Abstrakt: |
In a prospective randomized controlled longitudinal study, there have been assessed the results of early comprehensive rehabilitation of patients after total hip arthroplasty using "Levitas" passive suspension system. The study involved 85 patients (44 women and 41 men) with primary (77 people; 90,6%) and dysplastic coxarthrosis (8 people; 9,4%). The average age of the patients was 64,3±5,1 years old. Immediate results were evaluated in terms of pain intensity (visual-analogue scale), range of motion (M. D'Aubigne and M. Postel scales), functional activity (Harris scale) and mobility tests ("forward bend", "get up and go"), distant - by posturographic indicators and quality of life of the patients. All the patients were divided into 2 groups by simple randomization. The control group of the patients (42 people) had standard of rehabilitation measures (basic version of standard diet; prevention of early postoperative complications; drug support; alternating magnetic field; magnetic laser therapy; standard complex of physical therapy). The patients of the main group (43 people) additionally had treatment using a passive suspension system "Levitas" (Technomex, Poland). In both groups of patients, after a course of procedures, there has been recorded a significant decrease in pain, an increase in functional activity and an improvement in mobility tests (p <0.05-0.01). At the same time when comparing the final results obtained in the groups, the studied indicators had more significant shifts with the patients who received a complex treatment with additional prescription of "Levitas" sling system (p<0,05). According to the follow-up data, significant differences (p<0,05-0,01) were noted in stabilometric indicators and the quality of life (physical and mental health) which testified in favor of the patients in the main group. The absence of complications, side effects, deterioration in the condition of the patients in both groups indicates the safety of the used early rehabilitation methods. In the main group of the patients who additionally had exercises on the sling system, in comparison with the control group, there has been noted a more complete and high-quality restoration of the functional activity and support ability of the hip joint due to the early relief of pain syndrome, reducing in gait asymmetry, and optimization of the energy efficiency of body balance, which, apparently, is associated with adequate training of neuromuscular apparatus of both operated and contralateral limb, which provides more complete restructuring of the segments of the pelvic girdle. |
