FEATURES OF THE DYNAMICS OF GERIATRIC STATUS AND QUALITY OF LIFE IN ELDERLY WITH BILATERAL HIP ENDOPROSTHESES UNDER THE INFLUENCE OF A PHYSICAL THERAPY
DOI:
https://doi.org/10.32782/2522-1795.2025.19.3.4Keywords:
physical therapy, bilateral arthroplasty, hip, lower limb, geriatric status, old ageAbstract
Objective – to evaluate the effectiveness of a physical therapy program for elderly with bilateral hip replacement in terms of the dynamics of geriatric status and quality of life.Material. 112 elderly (69.6 ± 1.2 years) were examined. The control group consisted of 42 people who had no history of lower limb joint replacement. The comparison group consisted of 37 people with unilateral total hip replacement. The experimental group consisted of 33 people with two hip replacements, the effectiveness of which is presented in our study. A three-month physical therapy program was developed and implemented for them using therapeutic exercises (using weights, Thera-Band, MFT Challenge Disc Digital); gait training (self-control, practicing gait phases, overcoming an obstacle course), functional training of symmetry of lower limb movements (PROCEDOS PLATFORM 9 platform), Nordic walking; educational component – learning to control one’s condition, movement limitations, reducing the fall risk, awareness of the need for regular rehabilitation interventions; reshaped physical factors – electromyostimulation of the quadriceps femoris muscle, gluteal muscles, and calf muscles. The effectivenesswas assessed by the results of handgrip dynamometry, Short Physical Performance Battery, Tinetti-test,Geriatric Depression Scale, SarQoL questionnaires, and SF-36 questionnaire.Results. The patients were found to have signs of geriatric syndromes – muscle weakness (sign ofsarcopenia) (by hand grip dynamometry), balance disorders and fall risk (by Short Physical PerformanceBattery, Tinetti-test), psychoemotional depression (by Geriatric Depression Scale), deterioration of quality of life with social and personal limitations (by SarQoL, SF-36). The studied indicators of geriatric syndromes, quality of life in elderly patients with bilateral endoprosthesis in the remote period of arthroplasty were worse (p < 0.05) compared to a similar contingent of patients with one endoprosthesis hip joint and a group of people with preserved joints of the lower extremities. The approved comprehensive physicaltherapy program revealed an improvement in the condition of patients due to the impact on the indicators of geriatric syndromes due to an increase in muscle strength, improved balance, reduced fall risk, andimproved quality of life compared to baseline for all studied parameters (p < 0.05).Conclusions. Physical therapy is advisable to prescribe for the correction of signs of geriatric syndromes and quality of life in elderly patients with bilateral hip arthroplasty.
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