LONG-TERM RESULTS OF COMPREHENSIVE MEDICAL REHABILITATION USING A PASSIVE SUSPENSION SYSTEM WITH PATIENTS AFTER HIP ENDOPROSTHETICS
The purpose of the work is to evaluate, in the long-term period of the study, the dynamics of stabilometry, electroneuromyography, catamnesis data and quality of life with the patients after total hip endoprosthetics who received comprehensive medical rehabilitation including additional trainings on a sling-system. Materials and methods. The study included 85 patients (44 women and 41 men) with primary (77 patients; 90,6%) and dysplastic coxarthrosis (8 patients; 9,4%). The average age of the patients was 64.3±5.1 years old. In the long-term period of the study (outpatient basis), the parameters of stabilometry, electroneuromyography, quality of life and catamnesis were studied comparatively with the patients of 2 groups after total hip endoprosthetics: the main group (43 patients), who received trainings on a sling- system in addition to the standard treatment of patients in a hospital, and control (42 people) the patents of which had only standard rehabilitation measures. All the patients after discharge from the hospital under the supervision of an orthopedist during the year received: medical support, massage, physiotherapy exercises, paraffin therapy and dosed walking. Results. In the long-term period of the study, in addition to the standard of medical rehabilitation, the patients who received training on a sling system showed more pronounced positive results of stabilometry and stimulation electroneuromyography. Moreover, they noted an improvement in most criteria for the quality of life, both in terms of physical and psychosocial components, the absence of late postoperative complications, and a greater number of people who restored their ability to work. Conclusion. The data obtained indicate the advisability of additional prescription of trainings on a sling-system to the standard treatment of patients after total hip endoprosthetics, which is confirmed by a more complete and high-quality restoration of the physiological pattern of locomotion in the lumbar spine-pelvis-lower limb segment, a decrease in walking asymmetry and the presence of optimal body balance.