Issue №20-2, 2021

The Experience of Using the Author’s Method of Rehabilitation in Patients with Fractures of the Proximal Femur

¹ Vladimir I. Aydarov, ² Eldar R. Khasanov, ² Ildar F. Akhtiamov

¹ Republican Clinical Hospital, Kazan, Russian Federation
² Kazan State Medical University, Kazan, Russian Federation

ABSTRACT

Fractures of the proximal femur (РF) are a common type of injury to the lower extremities. Most patients after conservative or surgical treatment are faced with the occurrence of pain and limited mobility in the area of the injured joint. The proposed rehabilitation option allows not only to relieve pain, develop motor skills and vestibular apparatus, but also contributes to the psychological support of the patient

AIM. To evaluate the effectiveness of using the inventive device for pair balancing for patients with injuries of the PF.

MATERIAL AND METHODS. The study involved 72 patients. The main study group consisted of 35 patients whose rehabilitation included therapeutic gymnastics on a pair balancing device. 37 patients were in the comparison group and received a standard type of therapeutic gymnastics. Classes on the device were held from 3 to 5 weeks. The control of comparative results in the groups was carried out 1 month after the operation. As evaluation criteria, the authors focused on the severity of pain on a visual-analog scale and the angle of the hip joint on the affected limb.

RESULTS. Two patients (5.7%) from the main group had mild pain, three patients (8.6%) had contractures of biomechanical origin. In the comparison group, seven patients (18.9%) had pain, and ten patients (27.02%) had contractures. More often contractures were neurogenic and myogenic. Patients spared the affected limb and were afraid to give it a full load. This phobia was present in more than half of the patients in the comparison group while in the main group there were no similar phenomena.

CONCLUSION. This device has a complex effect in the rehabilitation of the patient after lower extremities injures. The device restores motor function and also acts verbally and prevents the development of psychosomatic complications.

KEYWORDS: proximal femur, fractures, osteosynthesis, arthroplasty of the hip joint, rehabilitation

Acknowledgments: The study had no sponsorship

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article

For citation: Aydarov V.I., Khasanov E.R., Akhtiamov I.F. The Experience of Using the Author’s Method of Rehabilitation in Patients with Fractures of the Proximal Femur. Bulletin of Rehabilitation Medicine. 2021; 20 (2): 16-22. https://doi.org/10.38025/2078-1962-2021-20-2-16-22

For correspondence: Eldar R. Khasanov, e-mail: haselik1@mail.ru

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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.