Correction of postural disorders in patients after total hip arthroplasty using the robospine spinal dry traction device

Authors:

Skoromets Taras Alexandrovich – Professor of the Department of Neurosurgery at the First St. Petersburg State Medical University named after Academician I.P. Pavlov, 6-8 L’va Tolstogo Street, 197022 St. Petersburg, Russian Federation; Head of the Department of Therapeutic Physical Culture and Kinesiotherapy, State Budgetary Healthcare Institution “Hospital for War Veterans”, 32 Elizarova Ave., 192148 St. Petersburg, Russian Federation; e-mail: tskoromets@mail.ru; https://orcid.org/0000-0003-4580-4056.

Musin Robert Rafkatovich – physician of the Therapeutic Physical Culture at the Rehabilitation Center, State Budgetary Healthcare Institution “Hospital for War Veterans”, 32 Elizarova Ave., 192148 St. Petersburg, Russian Federation; e-mail: robus90@mail.ru; https://orcid.org/0009-0007-1747-1297.

Dmitrishen Ruslan Adamovich – PhD in Medical sciences (Cand. Med. Sci.), Deputy Chief of Rehabilitation, State Budgetary Healthcare Institution “Hospital for War Veterans”, 32 Elizarova Ave., 192148 St. Petersburg, Russian Federation; e-mail: dmitrishen@mail.ru.

Shtern Vladimir Petrovich – physician of the Therapeutic Physical Culture at the Rehabilitation Center, State Budgetary Healthcare Institution “Hospital for War Veterans”, 32 Elizarova Ave., 192148 St. Petersburg, Russian Federation; e-mail: lodi52@list.ru.

Pestryakov Alexey Pavlovich – physical therapist at the Rehabilitation Center, State Budgetary Healthcare Institution “Hospital for War Veterans”, 32 Elizarova Ave., 192148 St. Petersburg, Russian Federation; e-mail: batars21@bk.ru.

Vinokurov Vitaly Valerievich – physical therapist at the Rehabilitation Center, State Budgetary Healthcare Institution “Hospital for War Veterans”, 32 Elizarova Ave., 192148 St. Petersburg, Russian Federation; e-mail: vitalik0791@yandex.ru.

Annotation:

Introduction. Postural disorders in patients after total hip arthroplasty negatively affect rehabilitation and quality of life. One promising method for correcting such disorders is spinal dry traction using the Robospine device.

Aim. To assess the effectiveness of the Robospine device in comprehensive rehabilitation after total hip arthroplasty for postural correction, pain reduction, and functional improvement.

Materials and methods. The study included patients after total hip arthroplasty, divided into a main group (Robospine-assisted rehabilitation) and a control group (traditional rehabilitation). Assessments were conducted using the Visual Analog Scale (VAS) for pain, core and lower limb muscle strength tests, and functional status evaluation.

Results. A significant reduction in pain syndrome was observed in patients of the main group (VAS from 6.5 to 2.5), along with an improvement in muscle strength (by 26-63%) and functional status compared to the control group (VAS reduced to 4.0, muscle strength increased by 5-12%).

Discussion. The data confirm that the use of the Robospine device has a positive effect on muscle function and pain relief after total hip arthroplasty. The most pronounced effects were observed in the hip and knee joints, as well as the lumbosacral region. This supports the inclusion of Robospine in standard rehabilitation protocols.

Conclusion. The use of Robospine in total hip arthroplasty rehabilitation effectively corrects postural disorders, reduces pain, and improves functional status. This method can be recommended for inclusion in standard rehabilitation programs.

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