Assessment of the impact of the rehabilitation procedure on functional and clinical condition of patients with coxarthrosis

Abstract

Objectives: Coxarthosis is one of the most frequent reasons for disability of people at the age of 50 and more. The chronic and progressive nature of this disease makes it a common reason for impairment of the patient’s functional and clinical condition. The aim of the study is to assess the impact of the rehabilitation procedure on functional and clinical condition of patients with coxarthrosis measured with the WOMAC and Lequesne Indexes. Material and methods: The study included 85 patients, among whom 50 patients were treated non-invasively (35 women and 15 men) and 35 were treated surgically (21 women and 14 men). All patients were provided with the physiotherapeutic treatments (point laser therapy power 100 mW dose 8 J, time 12 minutes), kinesitherapy (the patients did non-weight bearing exercises hip joint exercises, isometric exercises for muscles of the hip), and classical massage. All patients were provided with physiotherapeutic treatments for 10 days, excluding Saturdays and Sundays. The assessment of functional and clinical condition of patients with coxarthrosis was conducted using the WOMAC Questionnaire and the Lequesne Pain Index for the hip joint. The assessment of functional and clinical condition was carried out on the first and the last treatment day. Results: The rehabilitation procedure significantly improved functional and clinical condition of all patients. The greatest improvements were observed with surgically treated male patients who had been ill for less than 10 years. Conclusions: The proposed rehabilitation procedure significantly improves functional and clinical condition of patients with coxarthrosis. Disease duration, female sex and non-invasive treatment are factors influencing on the efficiency of rehabilitation for patients with coxarthrosis. The results suggest the necessity of using rehabilitation procedures in patients with coxarthrosis