[Physical rehabilitation for degenerative-dystrophic diseases of the hip joint in elderly and senile people (3rd stage).]

Q4 Medicine
D N Bobunov, S S Zotova, A S Kordyuk, Y A Bozhko, P A Miroshnikova, E S Volkov, E O Parysheva
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Abstract

Despite the numerous non-drug treatment options, a clear strategy for medical rehabilitation of patients with hip osteoarthritis has not been developed. Long-term physical inactivity associated with exacerbation of the disease, with limb immobilization due to injury or joint surgery leads to the development of secondary changes: muscle atrophy, contractures, osteoporosis and other changes in the tissues of the musculoskeletal system, which significantly complicate the restoration of motor function. The aim of the work is to evaluate the effectiveness of a modernized method of therapeutic exercise at the third stage of rehabilitation in elderly and senile patients with hip osteoarthritis. Patients received complex therapy, including myostimulation, massage, manual therapy and therapeutic exercise in groups. In addition to the traditional complex, patients of the main group received a method of therapeutic exercise according to the declared method. The use of a gymnastic ball and a medicine ball in exercises during squats allows strengthening the muscles of the thigh and buttocks without injury. The use of a gymnastic hemisphere and TRX loops in exercises allows safe training of balance, coordination and stabilizing muscles of the thigh and back, as well as helping the patient to adapt faster to everyday loads, and most importantly, to avoid fixing a pathological motor stereotype. The developed set of exercises has proven its effectiveness and demand among elderly and senile patients according to the total Leken algo-functional index, according to the visual analogue scale at rest and when walking, the WOMAC index, and can be used among other groups of the population as a method of treating and preventing osteoarthritis. The use of therapeutic physical training by patients in a fitness center or at home according to a given method at the 3rd stage of rehabilitation accelerates the processes of restoration of the hip joint by an average of 3 months.

老年人髋关节退行性营养不良疾病(第三期)的物理康复治疗
尽管有许多非药物治疗选择,但髋关节骨关节炎患者的医学康复尚未形成明确的策略。由于损伤或关节手术导致肢体固定的长期缺乏运动与疾病的恶化相关,导致继发性变化的发生:肌肉萎缩、挛缩、骨质疏松等肌肉骨骼系统组织的变化,使运动功能的恢复明显复杂化。这项工作的目的是评估一种现代化的治疗性运动方法在老年和老年髋关节骨关节炎患者康复的第三阶段的有效性。患者接受综合治疗,包括肌肉刺激、按摩、手工治疗和治疗性运动。主组患者在传统复合体的基础上,按申报方法进行治疗性运动。在深蹲运动中使用健身球和健身球可以加强大腿和臀部的肌肉而不会受伤。在练习中使用体操半球和TRX环可以安全训练平衡,协调和稳定大腿和背部肌肉,以及帮助患者更快地适应日常负荷,最重要的是,避免固定病理运动刻板印象。根据总Leken算法功能指数、休息时和行走时的视觉模拟量表、WOMAC指数,所开发的一套运动在老年人和老年患者中证明了其有效性和需求,可以在其他人群中作为治疗和预防骨关节炎的方法。在康复的第三阶段,患者在健身中心或在家中按照给定的方法进行治疗性体能训练,可使髋关节的恢复过程平均加快3个月。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
0.50
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