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Comprehensive approach to the assessment of the functional status of patients with degenerative joint diseases of the lower extremities

Year: 2017, volume 13 Issue: №3 Pages: 510-514
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Romakina N.A., Korshunova G.A., Kireev S.I., Sertakova A.V., Norkin I.A.
Organization: Scientific Research Institute of Traumatology Orthopedics and Neurosurgery of Saratov State Medical University n.a. V.I. Razumovsky
Summary:

Aim: development of an integrated biomechanical index that reflects the state of kinematic and static function in patients who need replacement of large joints as well as evaluation of the myoneural complex of lower extremities activity of category of patients. Material and Methods. 103 patients with osteoarthrosis of the hip and knee joints. A biomechanical survey included podography, stabilometry and dynamometry. An electrophysiological study of the peripheral nerves of the lower extremities with the determination of the amplitude of the muscle response and late neuronal responses was carried out. The level of activity of the gluteal muscles was determined. Results. The most sensitive indicators reflecting the state of biomechanical status were identified, specialized software for the integral biomechanical index calculation was developed. Conclusion. Methods of clinical biomechanics allow specialists to assess the state of kinematic and static function of the musculoskeletal system, matching of the integral biomechanical index with the data of neurophysiological monitoring makes possible to select individual tactics of treatment.

Keywords: biomechanical parameters, neurophysiological study, total joint replacement

Bibliography:
1. Ivanov AN, Fedonnikov AS, Norkin IA, Puchin'yan DM. 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 IV. Treatment of patients with osteoarthrosis against new NICE recommendations. Medical Journal of the Russian Federation. Rheumatology 2014; (31): 2170
3. Romakina NA, FedonnikovAS, Kireev SI, 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
4. Shil'nikov VA, Tikhilov RM, Denisov АО. Pain syndrome after total hip replacement. Traumotologiya i ortopediya Rossii 2008; 2 (48): 106-109
5. Skvortsov DV. Locomotion disorders diagnostics using instrumental methods: walking analysis, stabilometrics. Moscow: Andreeva T.M., 2007; 640 p.
6. Schubert Р, Kirchner М, Schmidtbleicher D, Christian Haas Т. About the structure of posturography: Sampling duration, parametization, focus of attention (part I). J of Biomedical Science and Engineering 2012; 5: 496-507
7. Sergienko VI, Bondareva IB. Mathematical Statistics in clinical trials: Practical guide. Moscow: GEHOTAR-Media, 2006; 304 p.
8. Borovikov V STATISTICA: The art of a data computer analysis: For professionals. St.Petersburg: Piter, 2003; 688 p.
9. Способ выбора хирургической тактики лечения больных с диспластическими коксартрозом при эндопротезирова-нии тазобедренного сустава: пат. 2498770, МПК А61 В 5/0488 / А. В. Фроленков, Г.А. Коршунова, И.А. Норкин и др.; заявитель и патентообладатель ФГБУ СарНИИТО Минздрава России. №2012140655; заявл. 21.09.2012; опубл. 20.11.2013, Бюл. №32.

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All articles of the authors: Korshunova G.A., Norkin I.A. , Romakina N.A. , Sertakova A.V.

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