Rehabilitation Diagnosis of Patients after Osteosyn- thesis of the Acetabulum based on the International Classification of Functioning, Life and Health Restrictions

Authors

  • Maryna Pasenko National Technical University of Ukraine “Igor Sikorsky Kyiv Polytechnic Institute”
  • Оksana Hlyniana National Technical University of Ukraine “Igor Sikorsky Kyiv Polytechnic Institute”
  • Yuliia Siomych Kyiv Regional Clinical Hospital №1

DOI:

https://doi.org/10.29038/2220-7481-2022-01-52-58

Keywords:

osteosynthesis, acetabulum, ICF, rehabilitation diagnosis, physical therapy

Abstract

Topicality. Nowadays, is increasing the number of acetabulum fractures. Modern surgical approaches to the treatment of this fracture do not reduce the percentage of patients` disability. Primarily due to structural and functional changes that occur in the hip joint after fracture and surgery. In addition to quality medical care, it is advisable to conduct comprehensive physical therapy, which should take place by establishing a rehabilitation diagnosis based on the International Classification of Functioning, Restrictions on Life and Health (ICF) and the International Classification of Diseases (ICD-10). The aim of the study is to establish a rehabilitation diagnosis for patients after osteosynthesis of the acetabulum on the basis of ICF. Stuff and methods of   the research. The study involved 48 patients aged 32 to 36 years after osteosynthesis of the acetabulum. The main research methods are theoretical, based on the analysis, evaluation and synthesis of modern knowledge of domestic and foreign scholars on the use of ICF in the recovery of patients after osteosynthesis of the acetabulum, clinical-instrumental and scale assessments. The research results. ICF facilitates accurately reflect the rehabilitation diagnosis based on existing issues for individuals after osteosynthesis of the acetabulum at the level of structure and function, activity and participation, environmental factors and personal factors. Rehabilitation diagnosis of patients after osteosynthesis of the acetabulum is: structural changes of the pelvic girdle (s 740.0), ligaments and fascia of the pelvic girdle (s 740.3), skin of the pelvic girdle (s 810.3); problems with changing the basic body position (d 410), maintaining a standing position (d 415.4), moving (d 465), walking long distances (d 450.1), personal hygiene (d 530), dressing problems (d 540), decreased tolerance to general endurance (b 455.0), lower extremity pain (b28015), impaired mobility of several joints (b 710.1), decreased muscle tone (b 735). The identified restrictions on participation significantly affected the emotions of patients (b152), their constant anxiety at their professional activities, as all of them were working age people. Conclusions. Rehabilitation diagnosis for patients after acetabular osteosynthesis based on ICF (according to disorders of structure, function, activity and participation, environmental factors and personal factors) will allow the multidisciplinary team to select treatment that will improve recovery efficiency.

References

Ankіn, N. L., Ankіn, L. N. (2016). Travmatologiya. Evropeyskie standarty diagnostiki i lecheniya [Traumatology. European Standards for Diagnosis and Treatment]. Kyiv: Kniga plyus, 456.

Bakaliuk, T. H., Holiachenko, A. O., Stelmakh, H. O. (2019). Mizhnarodna klasyfikatsiia funktsionuvannia, obmezhen zhyttiediialnosti ta zdorovia v upravlinni reabilitatsiieiu [International Classification of Functioning, Restrictions on Life and Health in Rehabilitation Management]. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorovia Ukrainy, vyp. 4 (82), 36–39.

Bezpalova, O. O., Rybalko, P. F., Sitovskyi A. M., Tsiupak, T.Ye. (2021). Reabilitaciinyi diaghnoz paciyentiv iz osteoartrozom na osnovi Mizhnarodnoyi klasyfikaciyi funkcionuvannya, obmezhennia zhyttiediyalnosti ta zdorov'ja (MKF) [Rehabilitation Diagnosis of Patients with Osteoarthritis Based on the International Classification of Functioning, Disability and Health (ICF).]. Art of medicine, vyp. 3(19), 6–15.

Buylova, T. V. (2013). Mezhdunarodnaya klassifikatsiya funktsionirovaniya kak kliuch k ponimaniju filosofii reabilitatsii [International Classification of Functioning as a Key to Understanding the Philosophy of Rehabilitation]. MediAl, vyp. 2 (7), 26–31.

Hertsyk, A. M. (2015). Meta, tsili ta zavdannia fizychnoi reabilitatsii: systemnyi pidkhid [Purpose, Goals and Objectives of Physical Rehabilitation: a Systematic Approach]. Molodizhnyi naukovyi visnyk SNU. Skhidnoievrop. nats. un-t im. Lesi Ukrainky, Lutsk, vyp. 20, 121–126.

Melnikova, E. V., Builova, T. V., Bodrova, R.A. (2017). Ispol'zovanie mezhdunarodnoy klassifikatsii funktsio- nirovaniya (MKF) v ambulatornoy i statsionarnoy meditsinskoy reabilitatsii: instruktsiya dlya spetsialistov [Using the International Classification of Functioning (ICF) in Outpatient and Inpatient Medical Rehabili- tation: Instructions for Professionals]. Vesnik vosstanovitel'noy meditsiny, vyp.6(82), 2–20.

Na vykonannia Rozporiadzhennia Kabinetu Ministriv Ukrainy vid 27 hrudnia 2017 r. No 1008-r [To the Order of the Cabinet of Ministers of Ukraine of December 27, 2017, no 1008-r] (2018). Ukrainskyi visnyk medyko- sotsialnoi ekspertyzy, vyp. 3–4(29–30), 66–71.

Pasenko, M. V., Hlyniana, O. O. (2021). Metodychni osnovy pobudovy prohramy fizychnoi terapii dlia osib pislia osteosyntezu vertliuhovoi zapadyny [Methodical Bases of the Physical Therapy Program for People after Osteosynthesis of the Acetabulum]. Fiz.vykh., sport i kultura zdorovia u suchasnomu suspilstvi. Nats.un-t im. Lesi Ukrainy. Lutsk, vyp. 1(53), 65–72. https://doi.org/10.29038/2220-7481-2021-01-65-71

Shvestkova, O., Sladkova, P. (2019). Fizychna terapiia [Physical Therapy]. Pidruchnyk. Kyiv, Cheskyi tsentr u Kyievi, 272.

Burger, H. (2011). Can the International Classification of Functioning, Disability and Health (ICF) be used in a prosthetics and orthotics outpatient clinic?. Prosthet Orthot Int, vol. 35 (3), 302–309.

Gruson, K. I., Moed, B. R. (2012). Injury of the femoral nerve associated with acetabular fracture. J Bone Joint Surg Am. Mar 85-A(3), 428–431.

Prodinger, B., Stucki, G., Coenen, M. (2019). Tennant The measurement of functioning using the International Classification of Functioning, Disability and Health: comparing qualifier ratings with existing health status instruments». Disabil Rehabil, vol. 41 (5), 541–548.

White book on physical and rehabilitation medicine in Europe (2018). European Journal of Physical and Rehabilitation Medicine, 54 (2), 125–321.

Published

2022-03-31

How to Cite

Pasenko, M., Hlyniana О., & Siomych, Y. (2022). Rehabilitation Diagnosis of Patients after Osteosyn- thesis of the Acetabulum based on the International Classification of Functioning, Life and Health Restrictions. Physical Education, Sport and Health Culture in Modern Society, (1(57), 52–58. https://doi.org/10.29038/2220-7481-2022-01-52-58

Issue

Section

Therapeutic physical training, sports medicine and physical rehabilitation