Author/Editor		Stanič, U; Herman, S; Merhar, J; Maležič, M; Demšar, H; Aćimović-Janežič, R; Kljajić, N
Title		Rehabilitation of the patient with total hip replacement: comparison of standard and FES rehabilitation
Type		članek
Source		In: Jaeger R, Bajd T, editors. Proceedings of the Ljubljana FES conference; 1993 Aug 22-25; Ljubljana. Ljubljana: Slovenian society of medical and biological engineering,
Publication year		1993
Volume		str. 155-8
Language		eng
Abstract		In this study sixteen patients with total hip replacement were treated with two channel electrical stimulation (FES) and seventeen patients following a standard rehabilitation programme. The gait of these patients was evaluated before and one year after surgery. The results of gait evaluation for these sixteen patients in FES rehabilitation were compared with the results of seventeen patients following a standard rehabilitation programme. The FES rehabilitation of patients with total hip replacement consists of electrical stimulation of m. glut. medius and m. glut. maximus. Rehabilitation lasted six months, and during tliis time the muscles were stimulated cyclically one hour per day. For stimulation, a two-channel surface stimulator was used. The mean age of both group of patients was almost the same (56 years standard, 54 years FES). The most frequent observed anomalies before the operation for the standard rehabilitation group were limited flexion of hip joint observed in 80 per cent of the patients, Trendelenburg sign (73 per cent) and inadequate extension of the hip joint (67 per cent). For the FES rehabilitation group: inadequate extension of the hip joint (94 per cent), Trendelenburg sign (88 per cent) and limited flexion of the hip (75 per cent). One year after the operation, the Trendelenburg sign was reduced in 69 per cent of the patients treated with FES and increased to 77 per cent in the patients following standard rehabilitation. Inadequate extension of the hip was reduced to 50 per cent in the patients absolute shortening of stride time before and after treated with FES and increased to 71 per cent in the patients on standard rehabilitation. Limited flexion of the hip was reduced to 19 per cent of the patients treated with FES and to 24 per cent of the standard rehabilitation patients. The operation was 0.22s for patients on standard rehabilitation, and 0.23s for patients on FES rehabilitation.(trunc.)
Descriptors		HIP PROSTHESIS GAIT ELECTRIC STIMULATION PHYSICAL THERAPY