THE APPROACH OF THE KINETIC PROGRAM FOR HIPS WITH APPLIED ENDO-PROSTHESIS IN THE “LACU-SARAT BRAILA” RECOVERY CENTER (2006 – 2009).
Titel:
THE APPROACH OF THE KINETIC PROGRAM FOR HIPS WITH APPLIED ENDO-PROSTHESIS IN THE “LACU-SARAT BRAILA” RECOVERY CENTER (2006 – 2009).
Auteur:
Viorica Lefter Oana Andreea Cibu
Verschenen in:
Citius Altius Fortius
Paginering:
Jaargang 28 (2010) nr. 3 pagina's 16-22
Jaar:
2010
Inhoud:
Objectives. The objective of the present study is to relieve the necessity and the efficiency of the kinetic recovery of theoperated hip, and to increase the orthopedist’s trust in the kinetic act as a medical act executed in a responsible and understanding fashion by the qualified staff. Arthroplasty refers to the replacement of a joint deteriorated by a certain pathological process (degenerative arthritis, infection, or tumor) with an artificial one, named endoprosthesis, a joint which must remain perfectly functional. The material and the method. The participants were 76 (63%) mail patients and 45 (37%) female patients, 44 (37%) of which with ages between 40 and 60 years, 54 (45%) between 60 and 70, and 21 (18%) exceeded 70 years of ageInclusion criteria for the study werethe display of the following symptoms: chronic pain, acute pain andmobility reduction. Thus, 52 (42%) patients featured acute pain, 42 (33%) chronic pain and 35 (27%) mobility disorders accompanied by walk disorders, that is, tilting pelvis 67 (55%) and limping 54 (45%) (Fig. 3), (Fig. 4) with hip prostheses of different types and at various intervals from the intervention. Subjects were clinically, functionally, radiologically and MRI investigated, preoperatively, postoperatively, after 3 months and after 1 year. A recovery program featuring educational, hygienic, diet, medication and physical-kinetic aspects was applied daily for a 14 to 15-day period, followed by kinesiotherapy and massage 2 to 3 times a week, by reevaluation and by a complete treatment at 3 months and at 1 year, respectively. Monitoring was made by the VAS scale for pain, Womac Lequesne for the functional status and Tinetii for the walk. Results. All patients have been evaluated initially, after 10 days and at the completion of the treatment, after 3 months and after 1 year. The recovery of hip arthroplasty must be carried out in time and maintained for the entire life.Conclusions.. Hips with applied endo-prosthesis must present the same functionality as a normal joint. If mobility is restoredby the very functionality of prosthesis as passive element, stability and walk require a 4-5 force musculature, values that can be obtained only through an analytical kinesiotherapy program for each muscle group. Due to the fact that the application of endoprostheses occurs between the ages of 60 and 80 years, the reeducation of the walk is slow,and the fear of falling hinders the recovery, which is an issue with great impact on the quality of life.
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