Issue 2-90, 2019

Assessment of exercise tolerance in patients with amputation defects of the lower limbs

¹ Bolotov D.D., ² Rusakevich A.P., ¹ Starikov S.M.

¹ «Russian Medical Academy of Continuing Professional Education», Moscow, Russia
² «Federal Bureau of Medical and Social Expertise», Moscow, Russia

ABSTRACT

Amputation defects of the lower limbs are the cause of the formation of a number of interrelated pathological changesin the body. Along with static-dynamic disorders, leading, among other things, to a prolonged absence of an adequate load,disadaptation of various organs occurs in the body, primarily from the cardiovascular and respiratory systems, which experiencethe maximum load when locomotion is restored, which can be dangerous due to the possibility of the developmentof various types of complications. The changes require in-depth functional diagnostics with an assessment of tolerance tophysical activity, which can be carried out using a number of methods, the leading of which is electrocardiography with aload of different power, carried out in the process of carrying out manual bicycle ergometry. This method is simple, affordableand at the same time highly informative, it can also be used in cases when movement on the prosthesis is difficult orimpossible.

KEYWORDS: amputation of lower limbs defects, exercise tolerance, prosthetics, functional diagnostics, manual veloergometry.

References:

1. Vinogradov V.I., Katoshchuk G.I., Rylnikov P.A. Manual bicycle ergometry for patients with lower extremity stumps // Coll. works “Prosthetics and prosthetic». - M .: CNIIPP, 1986, vol. 75, pp. 127-132.
2. Vinogradov V.I., Katoshchuk G.I. Tolerance to physical stress in primary prosthetic persons with disabilities with stumps of the lower limbs. Coll. works «Prosthetics and prosthetic». - M .: CNIIPP, 1988, vol. 79, pp. 43-47.
3. Evseev S.P., Kurdibailo S.F., Malyshev A.I., Gerasimova G.V., Potapchuk A.A., Polyakov D.S. Physical rehabilitation of people with disabilities of the locomotor system: studies. allowance; by ed. dr. ped. sciences, prof. Evseeva S.P. and dr. med. sciences, prof. Kurdybaylo S.F. - M .: Soviet Sport, 2010. - 488 p.
4. Epifanov V.A. Rehabilitation in traumatology and orthopedics / V.A. Epifanov, A.V. Epifanov. - 2nd ed. - M .: GEOTAR-Media, 2015. - 416 p.
5. Ivanov A.M., Shapiro D.M., Naidina S.I., Kudryavtsev N.G. Differentiated approach to physical rehabilitation in preparation for the prosthetics of patients after amputations of the lower limbs. Coll. works. - «Prosthetics and prosthetic design». M .: CNIIPP, 1997, vol. 94, pp. 53-56.
6. Kaznacheev L.N., Kudryashov V.E., Ivanov A.M. Amputation of the lower extremities: another threat of coronary heart disease. - M .: OOO Fedorov Publishing Center, 2000. - 76 p.
7. Kudryashev V.E., Ivanov S.V., Rodnikov V.F., Kalinina I.B., Andreeva E.V., Tarasov S.I. The method of quantitative evaluation of the effectiveness of lower limb prosthetics // Coll. works «Prosthetics and prosthetic». - M .: CNIIPP, 1996, vol. 93, p. 92-96.
8. Kudryashev V.E., Tarasov S.I., Kalinina I.B., Rodnikov V.F. Arterial hypertension: prevalence, danger and diagnosis after amputations of the lower extremities - (literature review // Coll. works «Prosthetics and prosthetic engineering». - M .: CNIIPP, 2000, issue 96, p. 33-41.
9. Kurdyibaylo S/F/, Evseev S.P., Gerasimova T.V. Medical control in adaptive physical culture. - M .: Soviet Sport, 2003. - 178 p.
10. Therapeutic physical culture: Handbook / ed. prof. Epifanova V.A. - M .: Medicine, 2001. - 592 p.
11. Medical rehabilitation / ed. A.V. Epifanova, E.E. Achkasova, V.A. Epifanova. - M.: GEOTAR-Media, 2015. - 672

The content is available under the Creative Commons Attribution 4.0 License.

©

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