Efficacy of virtual reality and mechanotherapy technologies in the rehabilitation of patients with osteoporosis after surgical treatment of femoral fractures
https://doi.org/10.37586/2686-8636-4-2024-270-280
Abstract
BACKGROUND: The primary goal of rehabilitation after a femoral fracture surgery in patients with osteoporosis is to reduce the risk of disability and mortality, which is highest in the first months after the fracture.
AIM: To develop, scientifically justify, and evaluate the effectiveness of virtual reality and mechanotherapy technologies in the rehabilitation of patients with osteoporosis after surgical treatment of femoral fractures.
MATERIALS AND METHODS: The study included 98 patients aged 59 to 84 years who had undergone osteosynthesis or hip joint endoprosthetics for osteoporosis-related femoral fractures within 6 to 12 weeks before enrollment.
RESULTS: The study results indicate that the new medical rehabilitation program leads to an increase in the total Harris Hip Score (p = 0.034) and maximum hip extension strength (p = 0.041) after 12 days, improved gait speed and biomechanics, with increased right leg stride length after 12 days (p = 0.036) and reduced step width after 60 days (p = 0.22), faster pain syndrome regression, and better physical functioning.
CONCLUSION: In patients with osteoporosis who underwent surgical treatment for proximal femoral fractures, the new medical rehabilitation program involving mechanotherapy, virtual reality, and sensor-based treadmill training with biofeedback improves hip joint function recovery compared to standard rehabilitation programs.
About the Authors
L. A. Marchenkova
National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of Russia
Russian Federation
Russian Federation
Moscow.
V. A. Vasilyeva
National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of Russia
Russian Federation
Russian Federation
Moscow.
D. I. Otvetchikova
National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of Russia
Russian Federation
Russian Federation
Moscow.
A. D. Fesyun
National Medical Research Center for Rehabilitation and Balneology, Ministry of Health of Russia
Russian Federation
Russian Federation
Moscow.
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For citations:
Marchenkova L.A., Vasilyeva V.A., Otvetchikova D.I., Fesyun A.D. Efficacy of virtual reality and mechanotherapy technologies in the rehabilitation of patients with osteoporosis after surgical treatment of femoral fractures. Russian Journal of Geriatric Medicine. 2024;(4):270-280. (In Russ.) https://doi.org/10.37586/2686-8636-4-2024-270-280
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