Method of dynamic modeling of the femoral head

Andrey N. Mezhov , Evgeny E. Volkov , Vladimir F. Kazakov , Svetlana N. Kolbakhova

Russian Journal of Physiotherapy, Balneology and Rehabilitation ›› 2021, Vol. 20 ›› Issue (5) : 473 -480.

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Russian Journal of Physiotherapy, Balneology and Rehabilitation ›› 2021, Vol. 20 ›› Issue (5) : 473 -480. DOI: 10.17816/rjpbr107585
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Method of dynamic modeling of the femoral head

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Abstract

The mechanism of action of therapeutic exercises can be considered as a universal form of exercise. Therapeutic physical exercises can provide both a direct load on the contact and articular surfaces (walking and exercises with crutches), and muscle load (concentric muscle contractions, motor system). The high sensitivity of the bone to mechanical signals is the basis for non-drug interventions, including physical therapy.

The article presents the author’s method of physical therapy for patients with femoral head aseptic necrosis. The gymnastics was based on a set of exercises for dynamic modelling of the femoral head, developed by Huang Keqin, a doctor of the Beijing Specialized Clinic for the Treatment of Femoral Head Necrosis, and modern concepts of bonne tissue biomechanics and physiology. The set includes 3 types of exercises. The first type is based on the principle of autogravity burden. The second type consists of the exercises with an accelerated rhythm of small amplitude. Type 3 is based on the muscles post-isometric relaxation principle.

In this article the recommendations are given regarding the exercises use depending on disease stage.

Keywords

avascular necrosis / femoral head aseptic necrosis / therapeutic exercise / hip joint / autogravity burden / exercises with an accelerated rhythm of small amplitude post-isometric relaxation of muscles

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Andrey N. Mezhov, Evgeny E. Volkov, Vladimir F. Kazakov, Svetlana N. Kolbakhova. Method of dynamic modeling of the femoral head. Russian Journal of Physiotherapy, Balneology and Rehabilitation, 2021, 20(5): 473-480 DOI:10.17816/rjpbr107585

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References

[1]

Tretyakova NV. Therapeutic exercise and massage. Textbook. Ekaterinbur; 2013. 358 p. (In Russ).

[2]

Третьякова Н.В. Лечебная физическая культура и массаж. Учебное пособие. Екатеринбург, 2013. 358 с.

[3]

Dubrovsky VI. Therapeutic physical culture (kinesotherapy). Textbook. 2nd ed. Moscow: VLADOS; 2001. 608 p. (In Russ).

[4]

Дубровский В.И. Лечебная физическая культура (кинезитерапия): учебник. 2-е изд. Москва: ВЛАДОС, 2001. 608 с.

[5]

Abuseva GR, Antipenko PV, Arkov VV, et al. Physical and rehabilitation medicine: national leadership. Interregional Scientific Society of Physical and Rehabilitation Medicine, Association of Medical Societies for Quality. Moscow: GEOTAR-Media; 2020. 688 p. (In Russ).

[6]

Абусева Г.Р., Антипенко П.В., Арьков В.В., и др. Физическая и реабилитационная медицина: национальное руководство. Межрегиональное научное общество физической и реабилитационной медицины, Ассоциация медицинских обществ по качеству. Москва: ГЭОТАР-Медиа, 2020. 688 с.

[7]

Abuseva GR, Adilov VB, Antipenko PV, et al. Sanatorium-resort treatment: national leadership. Moscow: GEOTAR-Media; 2021. 752 p. (In Russ). doi: 10.33029/9704-6022-1-SKL-2021-1-752

[8]

Абусева Г.Р., Адилов В.Б., Антипенко П.В., и др. Санаторно-курортное лечение: национальное руководство. Москва: ГЭОТАР-Медиа, 2021. 752 с. doi: 10.33029/9704-6022-1-SKL-2021-1-752

[9]

Epifanov VA, Epifanov AV. Medical and social rehabilitation of patients with various pathologies. In 2 parts. Ed. by S.V. Yablonsky. Vol. II. Moscow: GEOTAR-Media; 2019. 560 p. (In Russ).

[10]

Епифанов В.А., Епифанов А.В. Медико-социальная реабилитация пациентов с различной патологией. В 2-х частях / Под ред. С.В. Яблонского. Т. II. Москва: ГЭОТАР-Медиа, 2019. 560 с.

[11]

Volkov EE, Keqin Huang. Aseptic necrosis of the femoral head. Non-surgical treatment. Transl. from Chinese V.F. Shchichko. Moscow; 2010. 128 p. (In Russ).

[12]

Волков Е.Е., Кэцинь Хуан. Асептический некроз головки бедренной кости. Безоперационное лечение / Пер. с китайского В.Ф. Щичко. Москва, 2010. 128 с.

[13]

Microsurgery Department of the Orthopedics Branch of the Chinese Medical Doctor Association; Group from the Osteonecrosis and Bone Defect Branch of the Chinese Association of Reparative and Reconstructive Surgery; Microsurgery and Reconstructive Surgery Group of the Orthopedics Branch of the Chinese Medical Association. Chinese guideline for the diagnosis and treatment of osteonecrosis of the femoral head in adults. Orthop Surg. 2017;9(1):3–12. doi: 10.1111/os.12302

[14]

Microsurgery Department of the Orthopedics Branch of the Chinese Medical Doctor Association; Group from the Osteonecrosis and Bone Defect Branch of the Chinese Association of Reparative and Reconstructive Surgery; Microsurgery and Reconstructive Surgery Group of the Orthopedics Branch of the Chinese Medical Association. Chinese guideline for the diagnosis and treatment of osteonecrosis of the femoral head in adults // Orthop Surg. 2017. Vol. 9, N 1. Р. 3–12. doi: 10.1111/os.12302

[15]

Zorya VI, Guryev VV, Sklyanchuk ED. Rehabilitation treatment of patients with the initial stage of post-traumatic idiopathic coxarthrosis, avascular necrosis of the femoral head after conserving surgical treatment in adults. Bulletin of the East Siberian Scientific Center of the Siberian Branch of the Russian Academy of Medical Sciences. 2011;(1):58–61. (In Russ).

[16]

Зоря В.И., Гурьев В.В., Склянчук Е.Д. Восстановительное лечение больных с начальной стадией посттравматического идиопатического коксартроза, аваскулярного некроза головки бедра после органосохраняющего хирургического лечения у взрослых // Бюллетень ВСНЦ СО РАМН. 2011. № 1. С. 58–61.

[17]

Ondar VS. Rehabilitation of patients with damage to large joints. Clin Gerontology. 2010;(9-10):107–111. (In Russ).

[18]

Ондар В.С. Реабилитация больных при поражении крупных суставов // Клиническая геронтология. 2010. № 9-10. С. 107–111.

[19]

Chang G, Regatte RR, Schweitzer ME. Olympic fencers: adaptations in cortical and trabecular bone determined by quantitative computed tomography. Osteoporos Int. 2009;20(5):779–785. doi: 10.1007/s00198-008-0730-z

[20]

Chang G., Regatte R.R., Schweitzer M.E. Olympic fencers: adaptations in cortical and trabecular bone determined by quantitative computed tomography // Osteoporos Int. 2009. Vol. 20, N 5. Р. 779–785. doi: 10.1007/s00198-008-0730-z

[21]

Shea KG, Ford T, Bloebaum RD, et al. A comparison of the microarchitectural bone adaptations of the concave and convex thoracic spinal facets in idiopathic scoliosis. J Bone Joint Sur Am. 2004;86(5):1000–1006. doi: 10.2106/00004623-200405000-00017

[22]

Shea K.G., Ford T., Bloebaum R.D., et al. A comparison of the microarchitectural bone adaptations of the concave and convex thoracic spinal facets in idiopathic scoliosis // J Bone Joint Sur Am. 2004. Vol. 86, N 5. Р. 1000–1006. doi: 10.2106/00004623-200405000-00017

[23]

Lovejoy CO, McCollum MA, Reno PL, Rosenman BA. Developmental biology and human evolution. Annu Rev Anthropol. 2003;32(1):85–109. doi: 10.1146/annurev.anthro.32.061002.093223

[24]

Lovejoy C.O., McCollum M.A., Reno P.L., Rosenman B.A. Developmental biology and human evolution // Annu Rev Anthropol. 2003. Vol. 32, N 1. Р. 85–109. doi: 10.1146/annurev.anthro.32.061002.093223

[25]

Judex S, Zhong N, Squire ME, et al. Mechanical modulation of molecular signals which regulate anabolic and catabolic activity in bone tissue. J Cell Biochem. 2005;94(5):982–994. doi: 10.1002/jcb.20363

[26]

Judex S., Zhong N., Squire M.E., et al. Mechanical modulation of molecular signals which regulate anabolic and catabolic activity in bone tissue // J Cell Biochem. 2005. Vol. 94, N 5. Р. 982–994. doi: 10.1002/jcb.20363

[27]

Burr DB. Review Muscle strength, bone mass, and age-related bone loss. J Bone Miner Res. 1997;12(10):1547–1551. doi: 10.1359/jbmr.1997.12.10.1547

[28]

Burr D.B. Review muscle strength, bone mass, and age-related bone loss // J Bone Miner Res. 1997. Vol. 12, N 10. Р. 1547–1551. doi: 10.1359/jbmr.1997.12.10.1547

[29]

Judex S, Carlson KJ. Is bone’s response to mechanical signals dominated by gravitational loading? Med Sci Sports Exerc. 2009;41(11):2037–2043. doi: 10.1249/MSS.0b013e3181a8c6e5

[30]

Judex S., Carlson K.J. Is bone’s response to mechanical signals dominated by gravitational loading? // Med Sci Sports Exerc. 2009. Vol. 41, N 11. Р. 2037–2043. doi: 10.1249/MSS.0b013e3181a8c6e5

[31]

Judex S, Rubin CT. Is bone formation induced by high-frequency mechanical signals modulated by muscle activity? J Musculoskelet Neuronal Interact. 2010;10(1):3–11.

[32]

Judex S., Rubin C.T. Is bone formation induced by high-frequency mechanical signals modulated by muscle activity? // J Musculoskelet Neuronal Interact. 2010. Vol. 10, N 1. Р. 3–11.

[33]

Popov SN, Valeev NM, Garaseva TS, et al. Therapeutic physical education. Textbook. Moscow: Academy; 2004. 416 p. (In Russ).

[34]

Попов С.Н., Валеев Н.М., Гарасева Т.С., и др. Лечебная физическая культура: учебник. Москва: Академия, 2004. 416 с.

[35]

Mezhov AN, Kazakov VF, Kolbakhova SN. Comparative effectiveness of complex physiotherapeutic treatment of patients in the early stages of avascular necrosis of the femoral head. Problems Balneology Physiotherapy Exercise Therapy. 2020;97(2):52–57. (In Russ). doi: 10.17116/kurort20209702152

[36]

Межов А.Н., Казаков В.Ф., Колбахова С.Н. Сравнительная эффективность комплексного физиотерапевтического лечения больных на ранних стадиях асептического некроза головки бедренной кости // Вопросы курортологии, физиотерапии и лечебной физической культуры. 2020. Т. 97, № 2. С. 52–57. doi: 10.17116/kurort20209702152

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