Mazaev M S, Malchevskiy V A, Prokopev N Y, Khrupa D A
Tyumen Scientific Center of the Russian Academy of Sciences.
Tyumen State University.
Vopr Kurortol Fizioter Lech Fiz Kult. 2017 Dec 28;94(6):18-21. doi: 10.17116/kurort201794618-21.
The objective of the present study was to evaluate the outcome the application of the technique for the post-isometric relaxation of the muscles of the lumbosacral region of the spine and of the lumbosacral junction as a component of the combined rehabilitation on the manifestations of the flexion contracture in the hip joint in the men at the age of 50-60 years following amputation of the lower limb at the hip level throughout the course of the rehabilitative process.
A total of 243 patients who had undergone ablation of a femur available for the examination. 153 of them were treatment with the use of the technique for the post-isometric relaxation of the muscles of the lumbosacral region of the spine and of the lumbosacral junction. The control group was comprised of the remaining 90 patients treated without the application of the technique for post-isometric relaxation. The analysis of the degree of flexion contracture of the hip joint on the side of ablation was carried out by means of the Thomas test.
The results of the study give evidence that that use of the technique for the post-isometric relaxation of muscles of the lumbar spine and sacroiliac joint makes it possible to reduce the time needed to decrease the severity of contracture of the hip joint during the rehabilitation process.
The data obtained provide a basis for recommending the inclusion of the technique for the post-isometric relaxation of muscles of the lumbar spine and the lumbosacral junction into the program of the combined rehabilitation of the patients who had undergone ablation of a femur.
本研究的目的是评估将脊柱腰骶部和腰骶关节肌肉等长收缩后放松技术作为综合康复的一部分,对50 - 60岁男性髋关节屈曲挛缩表现的影响,这些男性在整个康复过程中因髋关节水平下肢截肢而接受治疗。
共有243例接受股骨切除的患者可供检查。其中153例采用脊柱腰骶部和腰骶关节肌肉等长收缩后放松技术进行治疗。对照组由其余90例未应用等长收缩后放松技术治疗的患者组成。通过托马斯试验对截肢侧髋关节屈曲挛缩程度进行分析。
研究结果表明,使用腰椎和骶髂关节肌肉等长收缩后放松技术能够缩短康复过程中减轻髋关节挛缩严重程度所需的时间。
所获得的数据为推荐将腰椎和腰骶关节肌肉等长收缩后放松技术纳入股骨切除患者的综合康复方案提供了依据。