title: [Efficiency of postoperative sanatorium rehabilitation of patients with hip joint endoprosthesis: importance of kinesitherapy].
abstract: When treating degeneration diseases, endoprosthesis operations are performed widely. The results of the treatment depend not only on the operating technique and up-to-date prostheses but also on the correct postoperative rehabilitation, applied in particular the kinesitherapeutic means. The aim of the research was to establish the effect of postoperative rehabilitation with wide use of kinesitherapeutic means in sanatorium conditions on the functional capacity of the joint operated on as well as on the general condition of the patient. The research has been done at the traumatology department of the Sanatorium "Versme" in Birstonas. The patients were prescribed a complex of kinesitherapeutic means, i.e. curative gymnastic exercises performed for 45 min twice a day, water kinesitherapy, self-dependent isometric exercises, walking and manual massage. Clinical examination of 30 patients has been undertaken on the first and last day of their rehabilitation in the sanatorium. The mobility of the hip joint, muscle strength and circumference of the thigh have been measured. The patient's tolerance to physical load, his/her sensitiveness to pain, the patient's rate of walking and self-care have been estimated. It has been established that kinesitherapeutic means applied during the 30 day course of rehabilitation undergone in the Sanatorium increased the amplitude (flexion and drawing back) of the joint operated on, the strength of quadriceps muscle femoris and the strength of drawing back and back femoral muscles, as well as decreased sensitiveness to pain and improved the rate of walking and functional class (p < 0.001). The circumference of the femoral muscle and functional independence of the patients remained unchanged. The functional capacity of the endoprothesized hip joint of the patients improved to some extent irrespective of the section performed during the operation as well as irrespective of the sex and age of the patients.
authors.affiliation: Lietuvos kūno kultūros akademija, Birstono sanatorija Versme, Sporto 6, 3029 Kaunas.
authors.forename: Elvyra
authors.initials: E
authors.lastname: Griniene
authors.forename: Daiva
authors.initials: D
authors.lastname: Smailyte
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation*; D005081:Exercise Therapy; D005260:Female; D006294:Health Resorts; D006801:Humans; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D013997:Time Factors; D016138:Walking