Method of dynamic modeling of the femoral head
- Authors: Mezhov A.N.1, Volkov E.E.2, Kazakov V.F.1,3, Kolbakhova S.N.1
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Affiliations:
- State Research Center ― Burnasyan Federal Medical Biophysical Center
- HuangDi Medical Center
- The First Sechenov Moscow State Medical University
- Issue: Vol 20, No 5 (2021)
- Pages: 473-480
- Section: Guidelines for practitioners
- URL: https://journals.rcsi.science/1681-3456/article/view/107585
- DOI: https://doi.org/10.17816/rjpbr107585
- ID: 107585
Cite item
Abstract
The mechanism of action of therapeutic exercises can be considered as a universal form of exercise. Therapeutic physical exercises can provide both a direct load on the contact and articular surfaces (walking and exercises with crutches), and muscle load (concentric muscle contractions, motor system). The high sensitivity of the bone to mechanical signals is the basis for non-drug interventions, including physical therapy.
The article presents the author’s method of physical therapy for patients with femoral head aseptic necrosis. The gymnastics was based on a set of exercises for dynamic modelling of the femoral head, developed by Huang Keqin, a doctor of the Beijing Specialized Clinic for the Treatment of Femoral Head Necrosis, and modern concepts of bonne tissue biomechanics and physiology. The set includes 3 types of exercises. The first type is based on the principle of autogravity burden. The second type consists of the exercises with an accelerated rhythm of small amplitude. Type 3 is based on the muscles post-isometric relaxation principle.
In this article the recommendations are given regarding the exercises use depending on disease stage.
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##article.viewOnOriginalSite##About the authors
Andrey N. Mezhov
State Research Center ― Burnasyan Federal Medical Biophysical Center
Author for correspondence.
Email: givs2008@rambler.ru
ORCID iD: 0000-0002-3918-7779
SPIN-code: 3504-0071
Russian Federation, Moscow
Evgeny E. Volkov
HuangDi Medical Center
Email: givs2008@rambler.ru
ORCID iD: 0000-0002-8913-064X
SPIN-code: 6035-2623
MD, Cand. Sci. (Med.)
Russian Federation, MoscowVladimir F. Kazakov
State Research Center ― Burnasyan Federal Medical Biophysical Center; The First Sechenov Moscow State Medical University
Email: givs2008@rambler.ru
ORCID iD: 0000-0001-8944-3454
SPIN-code: 5355-0714
MD, Dr. Sci. (Med.), Professor
Russian Federation, Moscow; MoscowSvetlana N. Kolbakhova
State Research Center ― Burnasyan Federal Medical Biophysical Center
Email: givs2008@rambler.ru
ORCID iD: 0000-0003-4404-0437
SPIN-code: 9572-3271
MD, Cand. Sci. (Med.), Associate Professor
Russian Federation, MoscowReferences
- Tretyakova NV. Therapeutic exercise and massage. Textbook. Ekaterinbur; 2013. 358 p. (In Russ).
- Dubrovsky VI. Therapeutic physical culture (kinesotherapy). Textbook. 2nd ed. Moscow: VLADOS; 2001. 608 p. (In Russ).
- Abuseva GR, Antipenko PV, Arkov VV, et al. Physical and rehabilitation medicine: national leadership. Interregional Scientific Society of Physical and Rehabilitation Medicine, Association of Medical Societies for Quality. Moscow: GEOTAR-Media; 2020. 688 p. (In Russ).
- Abuseva GR, Adilov VB, Antipenko PV, et al. Sanatorium-resort treatment: national leadership. Moscow: GEOTAR-Media; 2021. 752 p. (In Russ). doi: 10.33029/9704-6022-1-SKL-2021-1-752
- Epifanov VA, Epifanov AV. Medical and social rehabilitation of patients with various pathologies. In 2 parts. Ed. by S.V. Yablonsky. Vol. II. Moscow: GEOTAR-Media; 2019. 560 p. (In Russ).
- Volkov EE, Keqin Huang. Aseptic necrosis of the femoral head. Non-surgical treatment. Transl. from Chinese V.F. Shchichko. Moscow; 2010. 128 p. (In Russ).
- Microsurgery Department of the Orthopedics Branch of the Chinese Medical Doctor Association; Group from the Osteonecrosis and Bone Defect Branch of the Chinese Association of Reparative and Reconstructive Surgery; Microsurgery and Reconstructive Surgery Group of the Orthopedics Branch of the Chinese Medical Association. Chinese guideline for the diagnosis and treatment of osteonecrosis of the femoral head in adults. Orthop Surg. 2017;9(1):3–12. doi: 10.1111/os.12302
- Zorya VI, Guryev VV, Sklyanchuk ED. Rehabilitation treatment of patients with the initial stage of post-traumatic idiopathic coxarthrosis, avascular necrosis of the femoral head after conserving surgical treatment in adults. Bulletin of the East Siberian Scientific Center of the Siberian Branch of the Russian Academy of Medical Sciences. 2011;(1):58–61. (In Russ).
- Ondar VS. Rehabilitation of patients with damage to large joints. Clin Gerontology. 2010;(9-10):107–111. (In Russ).
- Chang G, Regatte RR, Schweitzer ME. Olympic fencers: adaptations in cortical and trabecular bone determined by quantitative computed tomography. Osteoporos Int. 2009;20(5):779–785. doi: 10.1007/s00198-008-0730-z
- Shea KG, Ford T, Bloebaum RD, et al. A comparison of the microarchitectural bone adaptations of the concave and convex thoracic spinal facets in idiopathic scoliosis. J Bone Joint Sur Am. 2004;86(5):1000–1006. doi: 10.2106/00004623-200405000-00017
- Lovejoy CO, McCollum MA, Reno PL, Rosenman BA. Developmental biology and human evolution. Annu Rev Anthropol. 2003;32(1):85–109. doi: 10.1146/annurev.anthro.32.061002.093223
- Judex S, Zhong N, Squire ME, et al. Mechanical modulation of molecular signals which regulate anabolic and catabolic activity in bone tissue. J Cell Biochem. 2005;94(5):982–994. doi: 10.1002/jcb.20363
- Burr DB. Review Muscle strength, bone mass, and age-related bone loss. J Bone Miner Res. 1997;12(10):1547–1551. doi: 10.1359/jbmr.1997.12.10.1547
- Judex S, Carlson KJ. Is bone’s response to mechanical signals dominated by gravitational loading? Med Sci Sports Exerc. 2009;41(11):2037–2043. doi: 10.1249/MSS.0b013e3181a8c6e5
- Judex S, Rubin CT. Is bone formation induced by high-frequency mechanical signals modulated by muscle activity? J Musculoskelet Neuronal Interact. 2010;10(1):3–11.
- Popov SN, Valeev NM, Garaseva TS, et al. Therapeutic physical education. Textbook. Moscow: Academy; 2004. 416 p. (In Russ).
- Mezhov AN, Kazakov VF, Kolbakhova SN. Comparative effectiveness of complex physiotherapeutic treatment of patients in the early stages of avascular necrosis of the femoral head. Problems Balneology Physiotherapy Exercise Therapy. 2020;97(2):52–57. (In Russ). doi: 10.17116/kurort20209702152