Evaluation of osteopathic treatment of patients with distal tibia fractures in the late postoperative period
- Authors: Egorova I.A.1,2, Dyupin A.V.1,2, Liverko A.A.3, Chervotok A.E.1,2, Filimonova M.N.2
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Affiliations:
- Novgorod State University named after Yaroslav the Wise
- Institute of Osteopathic Medicine named after V.L. Andrianov
- Regional Clinical Hospital No. 2
- Issue: Vol 104, No 3 (2023)
- Pages: 358-366
- Section: Theoretical and clinical medicine
- URL: https://journals.rcsi.science/kazanmedj/article/view/145695
- DOI: https://doi.org/10.17816/KMJ237553
- ID: 145695
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Abstract
Background. The postoperative period is often accompanied by pain and limited mobility in the ankle joint. There is a need to evaluate the effectiveness of additional rehabilitation methods in the late postoperative period.
Aim. Evaluation of the effectiveness of complex (standard + osteopathic) treatment compared with standard resto¬rative treatment in patients with distal tibia fractures in the late postoperative period.
Material and methods. In the course of a randomized study, patients in the late postoperative period (6–8 weeks after surgery; n=40) were divided into two groups: the main group (n=20) received a standard rehabilitation treatment regimen and osteopathic treatment (correction of identified somatic dysfunctions); the comparison group (n=20) — only the standard rehabilitation treatment regimen. The amplitude of motion of the affected ankle joint was assessed using a goniometer, the level of pain in the affected ankle joint was assessed using a visual analogue scale, and the level of quality of life was assessed using the SF-36 questionnaire. Data are presented as arithmetic mean and standard deviation — M (SD). When analyzing intergroup differences, the nonparametric Mann–Whitney test (U-test) was used; when analyzing intragroup differences, the nonparametric Wilcoxon test (W-test) was used. The critical level of statistical significance was taken as 5% (p=0.05).
Results. The addition of osteopathic treatment to the standard scheme led to a significant decrease in the level of pain (0.3 points in the main group, 1.5 points in the comparison group; p=0.0026), an increase in the amplitude of active movements in the ankle joint (64.7° in the main group, 51.8° in the comparison group; p=0.000217), improvement in the quality of life — physical functioning (an increase in the indicator in the main group by 39 points, in the comparison group — by 26 points), general health (an increase in the indicator in the main group by 47 points, in the comparison group — by 28 points).
Conclusion. Combined treatment (standard plus osteopathic) improves the results of restorative treatment compared with standard therapy alone in patients with fractures of the distal tibia in the late postoperative period.
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##article.viewOnOriginalSite##About the authors
Irina A. Egorova
Novgorod State University named after Yaroslav the Wise; Institute of Osteopathic Medicine named after V.L. Andrianov
Author for correspondence.
Email: egorova.osteo@gmail.com
ORCID iD: 0000-0003-3615-7635
SPIN-code: 8356-2615
ResearcherId: AAQ-1290-2021
M.D., D. Sci. (Med.), Prof., Head of Depart., Depart. of Restorative Medicine and Osteopathy, Yaroslav the Wise Novgorod State University; Director
Russian Federation, Veliky Novgorod, Russia; St. Petersburg, RussiaArtem V. Dyupin
Novgorod State University named after Yaroslav the Wise; Institute of Osteopathic Medicine named after V.L. Andrianov
Email: adyupin@mail.ru
ORCID iD: 0000-0002-5881-2314
Assistant, Depart. of Restorative Medicine and Osteopathy; Lecturer
Russian Federation, Veliky Novgorod, Russia; St. Petersburg, RussiaAleksandr A. Liverko
Regional Clinical Hospital No. 2
Email: bulk000@mail.ru
ORCID iD: 0009-0008-3708-454X
M.D.
Russian Federation, Tyumen, RussiaAndrey E. Chervotok
Novgorod State University named after Yaroslav the Wise; Institute of Osteopathic Medicine named after V.L. Andrianov
Email: andro-med@rambler.ru
ORCID iD: 0000-0002-8559-982X
M.D., Cand. Sci. (Med.), Assoc. Prof., Head of Depart., Depart. of Restorative Medicine and Osteopathy; Deputy Director for Educational Work
Russian Federation, Veliky Novgorod, Russia; St. Petersburg, RussiaMariya N. Filimonova
Institute of Osteopathic Medicine named after V.L. Andrianov
Email: drfilimonova@mail.ru
ORCID iD: 0000-0002-1915-7951
M.D., Cand. Sci. (Med.), Lecturer
Russian Federation, St. Petersburg, RussiaReferences
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