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Koneva E.S.

FGBU "Lechebno-reabilitatsionnyĭ tsentr" Minzdrava RF, Moskva

Liadov K.V.

Lechebno-reabilitatsionnyĭ tsentr Minzdravsotsrazvitiia Rossiĭskoĭ Federatsii, Moskva

Shapovalenko T.V.

Lechebno-reabilitatsionnyĭ tsentr, Moskva

Comprehensive programs and evaluation of the efficacy of early postoperative rehabilitation in the patients following total endoprosthetics of the hip joints in the lower extremities

Authors:

Koneva E.S., Liadov K.V., Shapovalenko T.V.

More about the authors

Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2013;90(4): 31‑34

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To cite this article:

Koneva ES, Liadov KV, Shapovalenko TV. Comprehensive programs and evaluation of the efficacy of early postoperative rehabilitation in the patients following total endoprosthetics of the hip joints in the lower extremities. Problems of Balneology, Physiotherapy and Exercise Therapy. 2013;90(4):31‑34. (In Russ.)

Подписка 2025 (Problems of Balneology, Physiotherapy and Exercise Therapy)
 
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A total of 562 patients completed the course of rehabilitative treatment in the early postoperative period after the total replacement of hip joints in the lower extremities. Early mobilization (the first walking experience within 3-4 hours after surgery) is not only possible, but is also associated with the lower levels of pain and anxiety. The analysis of X-ray images of the operated joints 12 months after the replacement revealed no signs of mechanical loosening of the prosthetic components which gives evidence of the safety of early postoperative walking.

Keywords:

early walking
total replacement of the hip joints in the lower extremities
anxiety
pain
postoperative rehabilitation

Authors:

Koneva E.S.

FGBU "Lechebno-reabilitatsionnyĭ tsentr" Minzdrava RF, Moskva

Liadov K.V.

Lechebno-reabilitatsionnyĭ tsentr Minzdravsotsrazvitiia Rossiĭskoĭ Federatsii, Moskva

Shapovalenko T.V.

Lechebno-reabilitatsionnyĭ tsentr, Moskva

List of references:

  1. Devjatova M.V., Smirnov G.I., Mashkov V.M., Panova G.I. Dvigatel'naja reabilitacija pri jendoprotezirovanii tazobedrennogo sustava [Locomotor rehabilitation of the patients undergoing the endoprosthetic treatment of the hip joint].. Teorija i praktika fizicheskoj kul'tury 1998; 1: 52-3. [Article in Russian].
  2. Koneva E.S., Serebrjakov A.B., Kamalova Je.G., Shapovalenko T.V., Tarbushkin A.A., Ljadov K.V. Analiz vyrazhennosti bolevogo sindroma vo vremja osushhestvlenija pervoj hod'by u pacientov posle operacii total'nogo jendoprotezirovanija sustavov nizhnej konechnosti [Analysis of severity of pain syndrome during first postoperative walk in the patients undergoing surgery for complete endoprosthetics of lower limb joints]. Travmatologija i ortopedija Rossii. 2012; 3: 41-4. [Article in Russian].
  3. Koneva E.S. Analiz gemodinamicheskoj reakcii na provedenie rannej hod'by u pacientov posle operacij total'nogo jendoprotezirovanija sustavov nizhnej konechnosti [Analysis of the hemodynamic reaction to early walking in the patients undergoing surgery for complete endoprosthetics of lower limb joints]. Vestnik vosstanovitel'noj mediciny. 2012; 5: 55-8. [Article in Russian].
  4. Koneva E.S., Shapovalenko T.V., Ljadov K.V., Romashin O.V. Kompleksnaja reabilitacija somaticheski otjagoshhennogo pacienta posle operacii odnomomentnogo dvustoronnego jendoprotezirovanija tazobedrennyh sustavov [Combined rehabilitative treatment of a patient in aggravated somatic conditions following surgery for simultaneous bilateral endoprosthetics of hip joints]. Lechebnaja fizkul'tura i sportivnaja medicina. 2013; 1: 21-5. [Article in Russian].
  5. Laskutkov A.E. Pamjatka dlja pacientov, kotorym predstoit jendoprotezirovanie tazobedrennogo sustava [Handbook for the patients awaiting hip joint endoprosthetics] . Dnepropetrovsk: Nauchno-proizvodstvennoe predprijatie ORTJeN LTD; 2004. 18 p. [Article in Russian].
  6. Brunenberg D.E., van Steyn M.J., Sluimer J.C., Bekebrede L.L., Bulstra S.K., Joore M.A. Joint recovery programme versus usual care: an economic evaluation of a clinical pathway for joint replacement surgery. Med. Care. 2005; 43 (10): 1018-26.
  7. Dawson J., Carr A. Outcomes evaluation in orthopaedics. J. Bone Joint Surg. Br. 2001; 83 (3): 313-5.
  8. Kehlet H., Soballe K. Fast-track hip and knee replacement - what are the issues? Acta Orthop. 2010; 81 (3): 271-2.
  9. Kim S., Losina E., Solomon D.H., Wright J., Katz J.N. Effectiveness of clinical pathways for total knee and total hip arthroplasty: literature review. J. Arthroplasty. 2003; 18 (1): 69-74.
  10. Barbieri A., Vanhaecht K., Van Herck P., Sermeus W., Faggiano F., Marchisio S., Panella M. Effects of clinical pathways in the joint replacement: a meta-analysis. BMC Med. 2009; 7: 32.
  11. Macario A., Horne M., Goodman S., Vitez T., Dexter F., Heinen R., Brown B. The effect of a perioperative clinical pathway for knee replacement surgery on hospital costs. Anesth. Analg. 1998; 86: 978-84.
  12. Panella M., Marchisio S., Di Stanislao F. Reducing clinical variations with clinical pathways: do pathways work? Int. J. Qual. Health Care. 2003; 15 (6): 509-21.

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