Authors
Malchevskiy V.A.1, 2, Mazaev M.S.1, Karpovich N.I.3, Kerimov A.A.4, Bekshokov K.K.4, Malchevskiy A.V.1, 2, Karpovich A.N.3
1 Tyumen State Medical University, Tyumen
2 Tyumen Scientific Center of the Siberian Branch of the Russian Academy of Science, Tyumen
3 Peoples’ Friendship University of Russia named after Patrice Lumumba, Moscow
4 Burdenko Main Military Clinical Hospital, Moscow
Abstract
Introduction: The instability of the residual limb circumference makes it difficult for the patient to fabricate and master the prosthesis. Compression therapy is the main method for controlling residual limb swelling to stabilise the circumference of the residual limb. Patients with hip stumps have polytylological reflex spasms of the muscles of the lumbosacral spine, the sacroiliac joint and the gluteal group. These, due to compression of the vascular and lymphatic channels, can lead to local microcirculation disorders, further increasing the severity of residual limb oedema. The use of postisometric relaxation technique (PIR), which allows to reduce the reflexive muscle spasm, may increase the effectiveness of compression therapy.
Objective: To evaluate the effect of using the PIR technique of the muscles of the lumbosacral spine, sacroiliac joint and gluteal group in the rehabilitation of patients with hip stump on the effectiveness of compression therapy.
Methods: The materials presented in this paper are based on the observations of men who underwent mid-third femoral amputation divided into two clinical groups depending on the application of the PIR technique.
Results and their discussion: The data on changes in the girth dimensions of the preserved lower limb and femoral stump in dynamics depending on the application of PIR and the type of constitution were obtained. The decrease in the circumferential dimensions of the residual limb after 6 months of PIR application is mainly due to the reduction of soft tissue oedema. Further in the dynamics they remain stable, indicating a positive effect of PIR on the effectiveness of compression therapy.
Conclusion: The use of the PIR technique of the muscles of the lumbosacral spine, sacroiliac joint and gluteal group in rehabilitation increases the effectiveness of compression therapy of the femoral stump in men.
Keywords: amputation, amputated thigh stump, prosthesis, thigh stump oedema, compression therapy, postisometric muscle relaxation.
References
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