The analysis of the effectiveness of implementing modern physical therapy techniques is of great importance for the medical community and society as a whole. Research in this area contributes to the development of innovative approaches to the treatment of coxarthrosis and enhances the efficiency of medical care for patients with this condition. All these factors underscore the relevance of the need for a comprehensive examination to outline the role of biomechanical studies in the development of rehabilitation programs for stage 2-3 coxarthrosis, aiming at optimal treatment and improvement of patients' lives. Thus, investigating this issue is timely. The research's goal is to highlight aspects of the contemporary use of biomechanical studies in the construction of physical therapy rehabilitation programs for patients with stage 2-3 coxarthrosis. The study aims to identify the most effective approaches and recommendations for the application of traditional physical therapy programs in the treatment of stage 2-3 coxarthrosis using Neurac and Mulligan methods, as well as their combination.
Within the framework of the research question, the following hypothesis is proposed: «the integration of biomechanical studies into the development of physical therapy rehabilitation programs for patients with stage 2-3 coxarthrosis will contribute to improving the quality of life for these patients, reducing hip joint pain, increasing their functional activity, and slowing down the progression of the disease by more accurately determining the individual needs and capabilities of each patient».
The main content of the dissertation is presented in four chapters, where the main results are explained and justified. In the introduction, the relevance of the dissertation topic is substantiated, the purpose and objectives of the research are formulated, research methods are described, information about the connection of the work with scientific programs, scientific novelty, and the practical significance of the obtained results is provided, and scientific works confirming the approval of the dissertation materials are presented. The first chapter of the dissertation, «Generalization of the Coxarthrosis Issues (Analytical Review of the Literature)» analyzes the main problems associated with the prevalence and impact of coxarthrosis worldwide and at the national level in Ukraine. Statistical data, clinical cases, and the impact on the quality of life of patients with this pathology are examined. The main trends, risk factors, and modern diagnostic methods of coxarthrosis are highlighted. The second chapter, «Materials and Research Methods» is dedicated to presenting the list of materials used during the study. This includes describing the main characteristics of patients with coxarthrosis and other relevant data, such as clinical history, age, gender, etc. On a methodological level, detailed descriptions of the methods used for data collection and processing during the study are provided. General methodological aspects and specific approaches that allow obtaining objective and reliable results are discussed. In the third chapter «Results of Personal Research» the results of a comprehensive biomechanical study of physical therapy rehabilitation programs for stage 2-3 coxarthrosis are presented. In this section, detailed results of biomechanical analysis conducted to assess the effectiveness of physical therapy rehabilitation programs are presented. Changes in functional indicators and biomechanical parameters of patients with stage 2-3 coxarthrosis who participated in the study are highlighted. The fourth chapter, "Summary of Research Results and Consideration of the Role of Biomechanical Research in Physical Therapy Rehabilitation Programs for Stage 2-3 Coxarthrosis," presents the main conclusions and generalizations from the comprehensive biomechanical study. Positive changes in functional and biomechanical parameters of participants are noted, along with potential limitations and result variability. The conclusions summarize the main results of the conducted research. In particular, the studies have shown that the combination of Mulligan and Neurac methods can be an effective approach to rehabilitating patients with stage 2-3 coxarthrosis. This approach aims to improve joint function, reduce pain, and strengthen muscles, contributing to the enhancement of quality of life and preservation of mobility. The research results emphasize the necessity of considering individual patient needs and consulting with medical professionals when choosing a methodology.