Systemic scleroderma is a chronic progressive disease of connective tissue, the most characteristic of which is sclerotic skin changes.
Despite many publications in the literature devoted to the rehabilitation of patients after hip replacement otalnoho remain unclear and not fully investigated many issues relating to the amount and form acceptable physical activity in the postoperative period to restore motor functions operated joint.
The question of the need for preoperative preparation for TETS not addressed at all or are considered at collecting analyzes, although from my point of view, this period is crucial for faster (up to 1 month) and quality of recovery in the postoperative period. A huge number of prohibitions on any "unauthorized" motion of the operated limb permanently switch the patient from active life and often does not allow full use of future musculoskeletal system. Some successful cases of patients after TETS return to active life only underscore the tragedy of the situation. A known TETS terms of rehabilitation after 6 months or more, are too great to repair muscle and vascular system of the lower limb that has suffered from illness and surgery. Although in most cases after replacing the affected hip implant function in the legs, in practice, is able to recover fully.
Official statistics are irrepressible: 70% of patients after TETS require a re-operation in the first year.
Why is this happening? I will try to answer this question in a thesis and tell the specialists how to solve this problem.
Unfortunately, most of the currently used rehabilitation techniques are associated with the appointment in the postoperative exercise exercises with exercise therapy and eliminate the use of simulators force series. If and devices are used, which are called simulators, then the qualitative biomechanical component of these devices is too limited and primitive, which does not allow actively to use muscle pumps of skeletal muscle when restoring the nervous and vascular pathways partly disturbed during the operation. That is, the non-use of force exercises for the muscles of the operated foot in postoperative mode is either not recommended or prohibited.
Therefore, most simple block devices (and then not always and not everywhere) are used, on which the patient uses conventional rope cables to raise and lower the propedated foot on the bed in the postoperative period. In this case, the so-called geometry of movements does not take into account the wife and falls in the plane of the bed of the operated foot, ie higher or lower, more to the right or to the left. About controlling the load language and does not go. Yes, on the eye. Make 5 or 10 repetitions in one exercise, and enough. That is, the moves are for the sake of motion.
Quite persistently advocates the notion that force influence may shift the implant. But the fact is that in modern kinesiotherapy, simulators are used, which makes it possible to control the location of the operated foot, not allowing the ability to move without a command either on the horizontal or on the vertical axis. That is, the thigh is always fixed to the simulator chair, and there can be no tongue about its unauthorized displacement.
I rarely see doctors who work in gyms. The most interesting thing is that the specialists with exercise therapy are not interested in new fitness machines. Apparently, they have in front of their eyes poured bodybuilders, scaring unsportsmanlike people with the size of their muscles. Or heavyweight lifting rod with blurred eyes and bloated veins on the neck. It really scares. But I repeat: the simulator used in rehab, helps to restore the function of the muscles that have forgotten their functions. For example, the back muscles are given to a person so that he can pull up and get out of the pit. The leg muscles - in order to escape in the event of danger, while jumping over obstacles. But all such extreme exercises can only be seen in thrillers, adventure films, but not in life. Apparently, in recent years various extreme sports have appeared. Man is sad for adrenaline. He sat in the car, behind the computer, in the office chair. He is not able to tighten, squeeze, bend without pain in the back. He has atrophied muscles gradually, coxarthrosis arises, joints collapse. He is implanted with an artificial joint. At the same time, finally, the muscles are denervated, that is, they are deprived of their control by the central nervous system. And they start to teach walking. For this purpose, the specialists of the exercise therapy department give exercises on the movement of operated foot in space, even on the floor. But the muscles have forgotten how to do this, and they can so move their foot that the artificial joint flies out of the cup (artificial cavity). And if you take into account the age and the lack of coordination of movements associated with age-related encephalopathy (an option of dementia), then it becomes clear where this figure is taken - 70% of complications after TETS. To prevent this happening, you need to use the narrow-band simulators with the capabilities described above.
Sergey Bubnovsky, "The Truth About the Thyroid Joint", "Exmo" Publishing House, 2011