BIOLOGICAL RESPONSE METHOD IN REHABILITATION OF PATIENTS AFTER HIP JOINT ARTHROPLASTY

Abstract

Purpose – to develop a comprehensive physio- and functional treatment with biological response method to improve rehabilitation outcomes in patients after hip joint arthroplasty. Materials and methods. The study included 154 patients who underwent hip joint arthroplasty. All patients were divided in two groups – test group (82 patients) and control group (72 patients). In addition to conventional rehabilitation the patients of the test group underwent 10-12 procedures using biological response equipment. Outcomes were evaluated by clinical examination (VAS pain dynamics, goniometry), functional diagnostics (EMG), biomechanical examination (stability) as well as life quality assessment by SF-36. Patients were followed up to one year. results. In result of the study the authors observed regress in complaints and clinical symptoms in patients of both groups. VAS evaluation demonstrated that in the test group pain decrease was more significant (at 15-20% at various time stages), was reported earlier (5,0±0,9 days) and persisted during the follow up period. ROM increase of operated hip in the test group was 15-20% higher than in control group according to goniometry analysis. Patients of both groups demonstrated increased range and frequency of biopotential in examined muscles as well as a reduced displacement of gravity center of the body. However, a larger degree of above changes was observed in patients of the test group following biological response procedures that provide for exercise of affected muscles as well as for antagonistic muscles. Life quality improvement was faster in patients of the test group. Conclusion. The authors reported correlating results of clinical and biomechanical examinations, electromyography and life quality assessments that altogether prove efficiency and prospects of presented comprehensive rehabilitation treatment utilizing biological response method in patients after hip joint arthroplasty.