Branitskyi O. Influence of the acquired pattern of walking at a long course of degenerative coxarthrosis on recovery after endoprosthesis

The dissertation is devoted to the rehabilitation of patients with osteoarthritis after hip arthroplasty in the long course of the disease, in which a false walking pattern was formed and partially preserved after treatment. In the dissertation for the first time the concept of formation of pathological patterns of walking of patients with a long course of degenerative injuries of a hip joint and their influence on recovery after endoprosthesis is developed and scientifically confirmed. As a result of the conducted researches new data on features of walking of patients with a long course of coxarthrosis and the formed patterns of walking with essential defects after endoprosthesis are received. It was possible to return the acquired erroneous pattern of walking towards normalization, especially in young patients, thanks to the developed set of rehabilitation measures, which includes a number of static and dynamic physical exercises aimed at restoring walking symmetry (utility model patent № 126691UA). After the rehabilitation course, there was a marked improvement in the symmetry of walking. According to the indicator of functional assessment (FAP), the quality of walking was (84.1±2.3) points (at 85-100 points, which is considered normal), while in patients without rehabilitation FAP was (81.7±1.4) points.