Saratov JOURNAL of Medical and Scientific Research

The use of clinical analysis of movements in evaluation of motor functional status of patients after total hip replacement

Year: 2016, volume 12 Issue: №2 Pages: 185-190
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Romakina N.A., Kireev S.I., Reshetnikov A.N., Frolenkov A.V., Norkin I.A.
Organization: Saratov State Medical University

Aim: to estimate functional status of coxarthrosis in patients requiring total hip replacement of the two hip joints. Material and methods. The biomechanical examination of 94 patients with bilateral primary coxarthrosis before and after total hip replacement was performed using clinical stabilometric software complex. The ability to perceive the mechanical load during standing and walking was evaluated at different stages of the treatment. The difference between the samples was estimated with the use of Mann — Whitney U-test. The rank correlation of biomechanical parameters was measured by Spearman coefficient. Results. It was revealed that the most responsive indicators are the transfer period, the first and second periods of double support and the deviation of the center of pressure relative to the average position in the frontal plane. Conclusion. After surgical treatment there was observed some improvement: the-left-and-right-step asymmetry decrease, rhythm rate increase, improved ability to maintain body balance, jog reactions increase.

1. Ivanov A.N., Fedonnikov A.S., Norkin I.A., Puchin'yan D.M. The correction of micro-circulatory disorders in strategies of management of ostheoarthritis and osteohondropathies. Medical Journal of the Russian Federation 2015; 21 (1): 18-23
2. Samorodskaya I.V. Treatment of patients with osteoarthrosis against new NICE recommendations. Medical Journal of the Russian Federation: Rheumatology 2014; (31): 2170
3. Skvortsov D.V. Locomotion disorders diagnostics using instrumental methods: walking analysis, stabilometrics. Moscow: T. M. Andreeva, 2007; 640 p.
4. Romakina N.A., Fedonnikov A.S., Kireev S.I., etal. Application of techniques of biomechanics in the status evaluation and pathology correction of locomotor system (review). Saratov Journal of Medical Scientific Research 2015; 11 (3): 310-315
5. Negreeva M.B., Shenderov V.A., Komogortsev I.E., et al. Biomechanical studies in diagnostics, treatment and rehabilitation of patients with lower extremities, pelvic girdle and backbone: results and perspective. Bulletin SNSA RAMS 2006; 4 (5): 201-206
6. Sazonova N.V., Shchurov V.A., Dolganova T.l. Diagnostic criteria of podography and dynamometry for patients with osteoarthrosis. Bulletin SNSA RAMS 2007; 6 (58): 119-122
7. Sergienko V.I., Bondareva I.B. Mathematical statistics in clinical trials: Practical guide. Moskow: Geotar-Media, 2006; 304 p.
8. Borovikov V Statistica: The art of a data computer analysis: For professionals. 2-nd ed., SPb.: Piter, 2003; 688 p., ill.
9. Gazhe Р.М., Veber В. Posturology: Regulation and human body imbalance. Trad, from fr. VI. Usachev, ed. SPb: SPb MAPO, 2008; 316 p, ill.
10. Duarte М, Freitas S. Revision posturography based on force plate for balance evaluation. Rev Bras Fisioter 2010; 14 (3): 183-92
11. Schubert P, Kirchner M, Schmidtbleicher D, Haas О About the structure of posturography: Sampling duration, parametization, focus of attention (part I) J Biomedical Science and Engineering 2012; 5: 496-507.

2016_02_185-190.pdf250.83 KB

No votes yet