Hospital rehabilitation after implantation of cementless hip endoprosthesis

Ewa Rosa, Wojciech Hagner, Urszula Kazimierczak, Grzegorz Srokowski, Agnieszka Radzymińska

Ewa Rosa, Wojciech Hagner, Urszula Kazimierczak, Grzegorz Srokowski, Agnieszka Radzymińska – Hospital rehabilitation after implantation of cementless hip endoprosthesis. Fizjoterapia Polska 2003; 3(2); 159-163

Abstract
Background. Hip joint alloplasty is a very complicated therapeutic problem. The cooperation of the orthopedic surgeon with they physiotherapist is very important in successful treatment. The aim of current treatment strategies is to restore the function of the hip joint. This article describes the model of rehabilitation treatment we apply in our clinical practice.Material and methods. We examined 18 patients after hip alloplasty using a cementless endoprosthesis, operated in the Orthopedic and Traumatology Clinic of the Medical University of Bydgoszcz, and rehabilitated in the Rehabilitation Clinic of the Medical University of Bydgoszcz. On the basis of differences in limb length, the patients were divided into three subgroups: A) no difference in limb length; B) operated limb shorter; C) operated limb longer.Results. Significant differences among the subgroups were found in terms of the percentage of weight burden on the operated limb.Conclusions. Rehabilitation after hip alloplasty must consider each patient individually. Outcome depends not only on good surgical technique, but also the nature and quality of the rehabilitation program after surgery.

Key words:
Hip Joint, cementless endoprosthesis, rehabilitation

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Using the MTD control balance platform in intensive PNF-based rehabilitation of patients with various dysfunctions

Grzegorz Srokowski, Anna Srokowska, Wojciech Hagner, Jan Talar, Maciej Dzierżanowski, Urszula Kazimierczak, Ewa Rosa, Mikołaj Kurczewski

Grzegorz Srokowski, Anna Srokowska, Wojciech Hagner, Jan Talar, Maciej Dzierżanowski, Urszula Kazimierczak, Ewa Rosa, Mikołaj Kurczewski – Using the MTD control balance platform in intensive PNF-based rehabilitation of patients with various dysfunctions. Fizjoterapia Polska 2004; 4(1); 58-67

Abstract

The diversity of available strategies enables the choice of the optimal method leading to effective and safe clinical work. One such strategy is the PNF concept, which is characterized by a holistic approach to the patient and his problems. This makes it possible to treat the patient in his/her own environment, using familiar behaviors and situations. This article describes examples of the use of the MTD Control Balance Platform as an auxiliary device in an intensive program of functional exercises based on the PNF concept. Seven patients are described, all treated at the Rehabilitation Clinic of the Rydygier Academy of Medicine in Bydgoszcz. The examples include neurological and orthopedic disorders, as well as sports injuries. Only the patient’s adaptation to independent living is proof of the effectiveness of rehabilitation. This effect can be achieved by conducting therapy in the patient’s own environment, using familiar behaviors and situations. The examples of PNF therapy selected for presentation here, supplemented with the patient’s independent exercising on the MTD Control Platform, satisfy these conditions and can be recommended.

Key words:

holistic approach, functional exercises, feedback

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