Assessment of the Effectiveness of the Physiotherapy in Patients with the Coxarthrosis, Treated in Spa Facilities

Zbigniew Śliwiński, Marlena Maskiera, Marta Makara-Studzińska, Grzegorz Śliwiński, Małgorzata Starczyńska

Z. Śliwiński, M. Maskiera, M. Makara-Studzińska, G. Śliwiński, M. Starczyńska: Assessment of the Effectiveness of the Physiotherapy in Patients with the Coxarthrosis, Treated in Spa Facilities. FP

Abstract
Introduction. The objective of this study has been to assess the effectiveness of the physiotherapy in patients with the coxarthrosis, treated in Spa facilities. Materials and Methods. The study involved 49 patients (29 women and 20 men), who have been treated in the “Słowacki” Spa in Busko-Zdrój, during their 21 days rehabilitation stay. The patients have had degenerative changes in the hip joint, which have not been surgically treated. The patients have been divided into two groups. To the study group (24 persons) the physiotherapy treatments have been applied. In the control group (25 persons), in addition there has been the kinezytherapy applied. Each of the patients has gone through: questionnaire survey, measurement of the range motion in the hip joints, muscle strength evaluation with the Lovett scale, assessment of the pain severity in the VAS scale, functional tests (Linder 2, abdominal compression test, Patrick Faber test, SLR, Tinetti test,”Up & Go” test, gait analysis according to Perry). Results. After the 21-day rehabilitation treatment, the majority of patients have shown a significant decrease in the subjective pain sensation, a significant improvement of the hip motion functions and a reduced risk of the patient falling down. The carried out research has indicated, that better results have been achieved in the control group, where the kinezytherapy treatment has been applied in addition. Conclusions. 1. Physiotherapy has an impact on increasing the hip joint range of motion, in all directions, particularly in the flexion an abduction movements. 2. The rehabilitation procedure improve the gait stereotype in patients with the osteoarthritis of the hip joint. 3. The Spa rehabilitation therapy reduces the risk of falling down in patients with degenerative changes in the hip joints.

Key words:
Rehabilitation, physiotherapy, coxarthrosis, spa therapy treatment

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