COMPARISON OF TWO HIP FRACTURE REHABILITATION PROGRAMS
COMPARISON OF TWO HIP FRACTURE REHABILITATION PROGRAMS

Summary/Abstract: Femoral fractures as well as the entire lower limb are a cause of disability and reduced ability to work. Long periods of immobilization, on the other hand, open the door to complications that come from hypokinesia and reduced circulation. To deal with these problems, early rehabilitation protocols have been developed in practice, in the first few days depending on the patient's characteristics. The constant optimization of the therapeutic agents as well as their combination will remain a field of interest for everyone involved in these processes. This research is our contribution. In the period March-December 2019 of the Department of Physical Therapy - Strumica we conducted a survey on the number of patients treated in this department as a result of a femoral fracture. In addition, we conducted a study to assess the impact of increasing the strength of early application of proprioceptive neuromuscular relief - PNMO. The study included 27 patients with an average age of 61.23 ± 8.46 years. Patients were divided into two groups. Group K (control) (n = 13) and Group E (experimental) (n = 14). All patients underwent a therapeutic course of 21 therapies. The program of Group K contains electrotherapy and analytical gymnastics, and in Group E: magnet, ultrasound and PNMO. To assess the effects, we made measurements of the level of subjective pain after (VAS) and assessed the strength of the muscles of the hip and knee. The results show a total of 70 patients for the period 2018-2019. As patients, women in the city center at the age of 60 are more common. The results of the therapy show more pronounced strengthening in Group E. The application of PNMO in the early stages of rehabilitation, effectively helps to reduce muscle imbalance, pain and normalize physiological processes as a prerequisite for strength training.

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