CORRECTION OF THE FALL-RISK AFTER FEMORAL BONE FRACTURES BY MEANS OF PHYSICAL THERAPY IN ELDERLY PATIENTS WITH PARKINSONISM AND FRAILTY

• Main Authors: B.V. Grytsulyak, Yu.A. Polataiko, R.P. Gerych
• Format: Article
• Language: English
• Published: State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department 2020-12-01
• Series: Клінічна та профілактична медицина
• Subjects: physical therapy, rehabilitation, frailty, parkinson's disease, bone fracture, trauma
• Online Access: http://cp-medical.com/index.php/journal/article/view/132

Aim: to evaluate the corrective effect of a comprehensive physical therapy program on the fall-risk after fractures of the femoral neck in elderly patients with parkinsonism (due to Parkinson's disease) and frailty. Material and methods. We examined 21 elderly patients with Parkinson's disease and frailty in the recovery period after a fracture of the femoral neck. They were divided into two groups: 1 (practiced according to the principles of polyclinic rehabilitation with a predominance of the use of preformed physical factors and general principles of physical therapy) and 2 (practiced according to the developed program of physical therapy with an emphasis on functional training aimed at improving physical qualities and improving motor stereotype, primarily movement, taking into account the signs of parkinsonism). The effectiveness of the program was assessed according to the results of The Short Physical Performance Battery, Berg Balance Scale, Functional Mobility Assessment in Eldery Patients, Falls efficacy Scale International, Parkinson's Disease Quality of Life Questionnaire-39. Results. Elderly patients with parkinsonism and frailty after a fracture of the femur have a high fall-risk, impairment of domestic and social functioning, deterioration in the quality of life, which is shown by the results of all tests performed. A pathogenetically substantiated complex program of physical therapy, created on the basis of functional training, taking into account the specificity of motor manifestations of parkinsonism, revealed a statistically significant positive effect on the fall-risk compared with the general polyclinic rehabilitation program in all its aspects studied (p <0.05). Conclusion. Elderly patients with complex pathology need to draw up pathogenetically based physical therapy programs, taking into account and correcting the specificity of each disease in order to increase the overall effectiveness of rehabilitation.