Issue №4-86, 2018

Rehabilitation of patients after total endoprosthesis replacement of hip joint

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1,3 Belyaev A.F., 2 Kantur T.A., 2 Khmeleva E.V., 3 Fotina O.N., 2 Kudryavykh A.V., 2 Litvinova I.I., 2 Kolesnikova Yu.B., 2 Shevchuk E.Yu.

1 Pacific State Medical University, Vladivostok, Russia
2 Far Eastern Federal University Medical Center, Vladivostok, Russia
3 Primorsky Institute of vertebral neurology and manual medicine, Vladivostok, Russia


ABSTRACT

Improving the effectiveness of the endoprosthesis and security of the patient after the operation directly linked to physicalrehabilitation. The goal of the work compared the effectiveness of the "new" model of rehabilitation of the old model inthe patients after hip replacement on the first and third stages. The operative treatment for hip joint Endoprosthesis (MRF) in2016 received 106 patients in the framework of the pilot project "Development of a system of medical rehabilitation in theRussian Federation". Distribution groups were as follows: the core group consisted of 86 people, who were to treat to a newmodel of medical rehabilitation in the second half, 2016. The comparison group-20 patients treated under the old model ofrehabilitation in the first half, 2016. Analysis of two models of rehabilitation organizations established a higher efficiency ofthe "new" models. It was found a significant reduction of pain syndrome (p<0.05) improvement of vital activity on a scalemRenkin (p<0.05) increase in hip joints on the scale of State Harris (p < 0.05) to a good level and the reduction of restrictionsvital activity on a scale Leken to moderate degree (p<0.05). Examination of the results obtained, suggests a good efficiencyof the new approach in the rehabilitation of patients.


KEYWORDS: rehabilitation after hip joint endoprosthesis, the first and third stage of rehabilitation, verticalization, multidisciplinary team, rehabilitation potential, pilot project.



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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.