Early postoperative rehabilitation of patients with total endoprothesis of the hip

Gogen, Sulejman and Nikolovska, Lence and Krstev, Toshe and Stratorska, Tamara (2017) Early postoperative rehabilitation of patients with total endoprothesis of the hip. Knowledge - International Journal, Scientific and Applicative Papers, 16.4. pp. 1557-1560. ISSN 1857-923X

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The hip joint is one of the major joints of the human body, but some diseases, the most common arthritis can lead to partial or total destruction that can result in pain and problems with its function. Ruined joint hinder the movement and it’s a major cause of disability and unbearable pain. When all conservative methods of recovery have completed without success, it’s recommended restoring the joint by total endoprothesis. Replacing it with an artificial one of the biggest achievements of modern orthopedic surgery and general medicine.
Traditionally, physiotherapy is a routine component of recovery of a patient after endoprosthesis of the hip. It is known that disability and functional limitations continue one year after the operation, so that the effectiveness of kinesitherapy after discharge is a topical issue.
The objectives of physiotherapy at this stage are usually increased mobility and training of the patient exercises and precautions, having to prepare for his discharge. Besides improvement of functional status of the patient, physiotherapy reduces the overall cost of patient care in the early postoperative period. This is achieved mainly by reducing the time of stay in the hospital, but also due to the fact that patients who do physical therapy in the hospital after discharge is more likely to go home and not in a rehabilitation center, which would cost more.
Trudelle - Jackson and Smith (2004) propose and evaluate an exercise program that can be implemented from the 4th to the 12th month after endoprothesis and helps to reduce the deficit in strength and improve balance. Program exercise of Trudelle-Jackson and Smith (2004) consists of 7 exercises with load. These exercises not added any resistance, focusing on flexion of the abdominal muscles during all exercises to improve the stability of the body. Exercise should be done properly and slowly. Each exercise is repeated 15 times 3-4 times a week for about eight weeks. PNF application of models and techniques as the primary method for functional recovery in full endoprosthesis of the hip joint is not well studied. All of the studies on functional recovery of hip and lower limbs in general have demonstrated very encouraging results. However, the use of PNF method compared with isokinetic exercises model demonstrated that stimulates improvement in muscle strength.
The technique "Stabilizing reversal» enhances muscle strength and stability of the body, something necessary for physiological walking, especially in adults. Moreover, stimulate mutual function of the muscles of the body in functional activities used to reduce pain, facilitates the dissolution and increases the volume of traffic. The stability of the body (central control) is a prerequisite for human posture - and traffic is preceded by facilitating the movement of limbs.

Item Type: Article
Subjects: Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Tose Krstev
Date Deposited: 01 Nov 2017 14:03
Last Modified: 01 Nov 2017 14:03
URI: https://eprints.ugd.edu.mk/id/eprint/18404

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