Physical therapy of athletes with diaphysis shin bone fractures after intramedullary osteosynthesis (based on team sports games)

Authors

  • E. Yu. Doroshenko Zaporizhzhya State Medical University, Ukraine,
  • O. K. Nikanorov National University of Physical Education and Sports of Ukraine, Kyiv, Ukraine,
  • І. М. Liakhova Zaporizhzhіa State Medical University, Ukraine,
  • L. I. Levchenko Zaporizhzhіa State Medical University, Ukraine,
  • S. H. Puzik Zaporizhzhіa State Medical University, Ukraine,
  • O.Ye. Chernenko Zaporizhzhia State Medical University, Ukraine,
  • A. M. Hurieieva Zaporizhzhia State Medical University, Ukraine,
  • I. O. Sazanova Zaporizhzhia State Medical University, Ukraine,

DOI:

https://doi.org/10.14739/2409-2932.2020.2.207209

Keywords:

physical therapy, program, shin, diaphysis fractures, intramedullary osteosynthesis, rehabilitation treatment, athlete, sports games

Abstract

 

The aim of the work was to evaluate the effectiveness of a physical therapy program for athletes specializing in team sports games with diaphysis fractures of the shin after intramedullary osteosynthesis.

Materials and methods. Experimental studies were conducted with athletes in game sports (n = 58) with diaphyseal fractures of the tibia, who were treated in the Department of Traumatology and Orthopedics of the Clinical Hospital № 7, Kyiv, SI “Institute of Traumatology and Orthopedics NAMS of Ukraine”, sports clinic injuries of NUFVSU during 2014–2019. Methods of analysis and generalization of literature sources were used; method of anthropometric measurements to determine the comprehensiveness of a healthy and injured limb; goniometry method for measuring the available range of motion in the knee joint of a healthy and injured limb; myotonometry method to determine the tone of the quadriceps femoris; testing to calculate the symmetry index of the lower extremities (LSI ‒ Lower Extremity Symmetry Index); methods of mathematical statistics.

Results. The developed complex program of physical therapy is a cycle of restorative measures that meet the achievement of previous functionality, meets the requirements for the level of motor skills, general and special physical performance of athletes, and meets their personal ideas about the quality of life. Evaluation of the effectiveness of the physical therapy program allows us to state that in BG the normative values were reached by 25 out of 29 athletes (86.21 %), in CG ‒ 19 athletes out of 29 (65.52 %), which indicates the high efficiency of the proposed physical therapy program.

Conclusions. In the process of forming physical therapy programs for patients ‒ athletes with diaphysis fractures of the tibia after intramedullary osteosynthesis, therapeutic exercises should be grouped depending on the specific objectives of rehabilitation measures and their predominant focus: to restore motor function; to restore general physical fitness; to restore special physical fitness; to restore basic motor skills and abilities; to restore special motor skills and abilities in accordance with the specifics of training and competitive activities in sports games.

References

Jafar Tayseer Mohammad Al-Quran. (2018). Fizychna reabilitatsiia pislia intrameduliarnoho osteosyntezu u sportsmeniv z diafizarnymy perelomamy kistok homilky [Physical rehabilitation after intramedullary osteosynthesis for athletes with diaphyseal fractures of the shin bones]. Extended abstract of candidate`s thesis. National University of Physical Education and Sport of Ukraine. [in Ukrainian].

Doroshenko, E. Yu. (2015). Zastosuvannia zasobiv stretchinhu v protsesi fizychnoi reabilitatsii futbolistiv z poshkodzhenniam verkhnikh i nyzhnikh kintsivok [Application of stretching techniques in physical rehabilitation of football players with traumas of upper and lower limbs]. Pedahohika, psykholohiia ta medyko-biolohichni problemy psychischnoho vykhovannia i sportu, (7), 11-17. [in Ukrainian]. http://dx.doi.org/10.15561/18189172.2015.0702

Doroshenko, E. Yu., Malakhova, S. M., Chernenko, O. Ye., Hurieieva, A. M., Shapovalova, I. V., Sazanova, I. O., Oliinyk, M. O., & Svitlychna, T. S. (2019). Terapevtychni vpravy u protsesi fizychnoi reabilitatsii sportsmeniv iz ushkodzhenniamy oporno-rukhovoho aparatu (na materiali futzalu) [Therapeutic exercises in the process of physical rehabilitation of athletes with traumatic injuries of the musculoskeletal system (based on futsal)]. Current issues of pharmaceutical and medical science and practice, 12(3), 357-364. [in Ukrainian]. https://doi.org/10.14739/2409-2932.2019.3.184252

Kostyukevich, V. M., Voronova, V. I., Shynkaruk, O. A., & Borisova, O. V. (2016). Osnovy naukovo-doslidnoi roboty mahistrantiv ta aspirantiv u vyshchykh navchalnykh zakladakh [Fundamentals of research work of undergraduates and graduate students in higher educational institutions]. Vinnytsia: LLC «Nilan-LTD». [in Ukrainian].

Liuhailo, S. S. (2014). Osoblyvosti vykorystannia zasobiv fizychnoi reabilitatsii v systemi pidhotovky sportsmeniv z urakhuvanniam stanu ikhnioho zdorovia [Peculiarities of the use of means of physical rehabilitation in the system of training athletes taking into account the state of their health]. Sportyvna medytsyna, (1), 141-144. [in Ukrainian].

Nikanorov, O. K. (2015). Problema travmatyzmu v ihrovykh vydakh sportu ta perspektyvy vykorystannia zasobiv fizychnoi reabilitatsii [The problem of injuries in game sports and prospects for the use of physical rehabilitation]. Sportyvna medytsyna, (1-2), 82-87. [in Ukrainian].

Platonov, V. N. (2015). Sistema podhgotovki sportsmenov v olimpiiskom sporte. Obshchaia teoria I ee prakticheskie prilozheniia (dlia trenerov) [The system of training athletes in Olympic sports. General theory and its practical applications]. Vol. 1. Kiev : Olimpiiskaya literatura. [in Russian].

Platonov, V. N. (2015). Sistema podhgotovki sportsmenov v olimpiiskom sporte. Obshchaia teoria I ee prakticheskie prilozheniia (dlia trenerov) [The system of training athletes in Olympic sports. General theory and its practical applications]. Vol. 2. Kiev : Olimpiiskaya literatura. [in Russian].

Platonov, V. N. (2015). Peretrenirovannost v sporte [Overtraining in sports]. Nauka v olimpiiskom sporte, (1), 19-34. [in Russian].

Pustovoit, B. A., & Komarov, R. A. (2019). Fizychna terapiia pry perelomakh kistok homilkovostopnoho suhloba [Physical therapy for fractures of the ankle bones]. Fizychna reabilitatsiia ta rekreatsiino-ozdorovchi tekhnolohii, (1), 4-13. [in Ukrainian].

Raad, A. H. (2019). Fizychna reabilitatsiia pislia khirurhgichnoho likuvannia rozryvu akhillovoho sukhozhillia [Physical rehabilitation after surgical treatment of Achilles tendon rupture]. Extended abstract of candidate`s thesis. National University of Ukraine on Physical Education and Sport. [in Ukrainian].

Shadi, A. M. (2019). Fizychna reabilitatsiia pislia artroskopichnoho likuvannia “ Triady Turnera” u sportsmeniv ihrovykh vydiv sportu [Physical rehabilitation after the arthroscopic treatment of the «Turner triad» at athletes of sports games]. Extended abstract of candidate`s thesis. National University of Ukraine on Physical Education and Sport. [in Ukrainian].

Shakhlina, L. G. (2015). Fizicheskaia reabilitatsiia v kompleksnom lechenii sportivnykh travm [Physical rehabilitation in complex treatment of sports injuries]. Teoriia i metodyka fizychnoho vykhovannia i sportu, (2), 131-135. [in Russian]. https://doi.org/10.32652/tmfvs.2015.2.131-135

Alsheikhly, S. A., & Alsheikhly, M. S. (2019). Musculoskeletal Injuries: Types and Management Protocols for Emergency Care. In А. S. Alsheikhly (Ed.), Essentials of Accident and Emergency Medicine. IntechOpen. https://doi.org/10.5772/intechopen.81939

Crowell, M. S., Deyle, G. D., Owens, J., Gill, N. W., & StreC. (2016). Manual physical therapy combined with high-intensity functional rehabilitation for severe lower extremity musculoskeletal injuries: a case series. Journal of Manual & Manipulative Therapy, 24(1), 34-44. https://doi.org/10.1179/2042618614y.0000000076

Hertsyk, А. (2016). The creation of programs of physical rehabilitation/therapy in musculoskeletal disorders. Slobozhanskyi herald of science and sport, (6), 39-46.

Knudson, D. (2007). Fundamentals of Biomechanics (2nd ed.). Chico (USA): California State University, Springer.

Kostiukevych, V., Imas, Y., Borysova, O., Dutchak, M., Shynkaruk, O., Kogut, I., Voronova, V., Shlonska, O., & Stasiuk I. (2018). Modeling of the athletic training process in team sports during an annual macrocycle. Journal of Physical Education and Sport, 18(suppl. 1), 327-334. https://doi.org/10.7752/jpes.2018.s144

Murphy, A. C., Muldoon, S. F., Baker, D., Lastowka, A., Bennett, B., Yang, M. Z., & Bassett, D. S. (2018). Structure, function, and control of the human musculoskeletal network. Plos Biology, 16(1), Article e2002811. https://doi.org/10.1371/journal.pbio.200281

Ramos, G. A., Arliani, G. G., Astur, D. C., Pochini, A. C., Ejnisman, B., & Cohen, M. (2016). Rehabilitation of hamstring muscle injuries: a literature review. Revista brasileira de ortopedia, 52(1), 11-16. https://doi.org/10.1016/j.rboe.2016.12.002

Whittaker, J. L., Ellis, R., Hodges, P. W., Osullivan, C., Hides, J., Fernandez-Carnero, S., Arias-Buria, J. L., Teyhen, D. S., & Stokes, M. J. (2019). Imaging with ultrasound in physical therapy: What is the PT’s scope of practice? A competency-based educational model and training recommendations. British Journal of Sports Medicine, 53(23), 1447-1453. https://doi.org/10.1136/bjsports-2018-100193

How to Cite

1.
Doroshenko EY, Nikanorov OK, Liakhova ІМ, Levchenko LI, Puzik SH, Chernenko O, Hurieieva AM, Sazanova IO. Physical therapy of athletes with diaphysis shin bone fractures after intramedullary osteosynthesis (based on team sports games). Current issues in pharmacy and medicine: science and practice [Internet]. 2020Jul.3 [cited 2024Apr.19];13(2). Available from: http://pharmed.zsmu.edu.ua/article/view/207209

Issue

Section

Original research