Methodical Bases of Physical Therapy Program Construction for Persons after Osteosynthesis of an Acetabulum

Abstract

Topicality. Acetabulum fractures in comparison with all pelvic fractures add up from 6 % to 23 %. Recently, the statistics of the musculoskeletal system`s injuries indicates that acetabulum fractures frequency currently does not decrease. According to the estimates of WHO, a significant number of patients after acetabulum fractures remain disabled and have a complications, such as post-traumatic osteoarthritis and aseptic necrosis of the hip joint. A rather difficult task is prevention of these consequences. Treatment of hip fractures (conservative and operative) in the acute injury period has been paid attention by many researchers. But only a few papers are devoted to physical therapy research that is associated with the use of only certain therapeutic methods. The traditional and modern approaches to the physical therapy process construction of patients after surgical treatment of acetabulum fractures have been considered in the research. The provisions of the international classification according to the organization and direction of physical therapy measures have been studied. The principles of physical therapy and approaches in frame of SMART-goals have been presented in the paper. Research purpose is to determine the methodological bases and features of the physical therapy program creation for patients after acetabulum osteosynthesis. Research methods are analysis of scientific and methodological literature, synthesis and generalizing. Research results. The analysis of the scientific-methodical literature and the physical therapy programs status for the patients after the acetabulum osteosynthesis was carried out. It was found insignificant number of such programs without any modern approaches. Therefore, the sequence of physical therapy program creation, including principles, ICF, SMART-goals and actions by a multidisciplinary team has been considered. Conclusions. A block diagram of the physical therapy process with the integrated use of tools and methods after osteosynthesis of the acetabulum fractures, defining goals and establishing the direction of the rehabilitation process, which follows the principles of physical therapy, taking into account the ICF and SMART-goals setting has been constructed.