A NEW MODEL OF MEDICAL REHABILITATION OF PATIENTS FOLLOWING ENDOPROSTHETIC HIP REPLACEMENT IN THE CLINICS OF THE SAMARA STATE MEDICAL UNIVERSITY

Abstract

The study is devoted to the evaluation of the effectiveness of the new organizational model of medical rehabilitation in patients after the endoprosthetic hip replacement in conditions of the Samara State Medical University clinics.There were observed 348 patients underwent total endoprosthesis of the hip joint due to degenerative-dystrophic processes. In the comparison group consisted of 179 patients, the traditional approaches to re-rehabilitation remained. In the main group of 169 patients, a problem-oriented multidisciplinary approach was implemented, using the International Classification of Functioning (ICF) clinical scales to execute timely examination and route patients to medical organizations. Within the framework of the Pilot Project, for the patients of the main group there were worked out the stage-by-stage approach, continuity, consistency of received medical measures in specialized licensed medical rehabilitation clinics of the Ministry of Health of the Samara Region. There was executed the evaluation of immediate, remote results of clinical and functional parameters of patients after hip joint prosthetics within the framework of the Pilot Project. To evaluate the rehabilitation potential and prognosis, a clinical, laboratory, functional and biomechanical assessment of the patients’ condition was carried out based on radiography, rheovasography, electromyography, podography, thermography, psycho-logical testing, and scale analysis. The analysis of the effectiveness of the new organizational model of medical rehabilitation in patients after hip arthroplasty in conditions of Clinics of the Samara State Medical University is presented.

Keywords

endoprosthesis / rehabilitation / multidisciplinary team / pilot project / Samara Region / Clinics of Samara State Medical University / scoring scales / International classification of functioning / routing / stages of rehabilitation

References

[1] Иванова Г.Е., Белкин А.А., Беляев А.Ф., Бодрова Р.А., Буйлова Т.В., Мельникова Е.В. и др. Пилотный проект «Развитие системы медицинской реабилитации в Российской Федерации». Общие принципы и протокол. Вестник Ивановской медицинской академии. 2016; 21(1): 6-14.

[2] Котельников Г.П., Миронов С.П. Ортопедия: национальное руководство. М.: ГЭОТАР-Медиа; 2008.

[3] Прилипко Н.С., Бантьева М.Н., Потребность взрослого населения России в медицинской реабилитации в условиях стационара. Здравоохранение Российской Федерации. 2014: 58(1): 11-5.

[4] Котельников Г.П., Яшков А.В. Гравитационная терапия. М.: Медицина; 2003.

[5] Котельников Г.П., Яшков А.В., Махова А.Н., Макаров И.В., Котельников М.Г. Экспериментальное обоснование гравитационной терапии. М.: Медицина; 2005.

[6] Иванова Г.Е., Буйлова Т.В., Цыкунов М.Б. Пилотный проект «Развитие системы медицинской реабилитации в Российской Федерации». Система контроля и мониторирования эффективности медицинской реабилитации при эндопротезировании тазобедренного сустава. Вестн. ИвГМА. 2016; 21 (1): 23-4.

[7] Мельникова Е.В., Шмонин А.А., Мальцева М.Н., Иванова Г.Е. Модифицированная шкала Рэнкина - универсальный инструмент оценки независимости и инвалидизации пациентов в медицинской реабилитации. Consilium Medicum. 2017; 19 (2.1): 8-13.

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