DYNAMICS OF FUNCTIONAL ABILITY OF ABDOMINAL MUSCLES IN INDIVIDUALS AFTER CHOLECYSTECTOMY UNDER THE INFLUENCE OF PHYSICAL REHABILITATION PROGRAM IN SANATORIUM-RESORT CONDITIONS
DOI:
https://doi.org/10.32782/ped-uzhnu/2024-4-2Keywords:
laparoscopy, cholecystectomy, rehabilitation, abdominal muscles, physical therapy, physical rehabilitation, physical exercises, therapeutic exercisesAbstract
The article deals with the dynamics of the functional capacity of the abdominal muscles (AMC) in individuals after laparoscopic cholecystectomy (LСC) under the influence of a physical rehabilitation program in sanatorium-resort conditions. The urgency of the problem, the aim and objectives of the study are formulated. The purpose of the article is to determine the dynamics of the functional ability of the AMC in people after LCC in sanatorium-resort conditions of rehabilitation. Objectives of the study: to determine the functional ability of the AMC using manual muscle testing (MMT) according to the Lovett method; to determine the dynamics of AMC strength under the influence of a rehabilitation program. The study involved 79 female individuals after cholecystectomy aged 45 to 59 years, who were in the rehabilitation department, divided into 2 groups: group A (n=39); group B (n=40). Individuals in group A received rehabilitation services according to the standard scheme of a medical institution (diet, hydrotherapy, mineral or coniferous baths, and physical therapy). In group B, the rehabilitation program used exercises to increase abdominal and trunk muscle strength and coordination based on the identified dysfunctions. The examination was conducted on the first day of admission to the rehabilitation department (initial examination) and on the day of discharge (final examination). It was found that people after LCC in the long-term rehabilitation period have a low functional capacity of the AMC. LCC causes an asymmetry in the strength of the external and internal oblique AMC – a statistically significant decrease in the functional state of these muscles on the right compared to the strength of the muscles on the left. After the rehabilitation intervention, a statistically significant difference (p<0.05) was found in group B in the indicators of trunk rotation on the right, left and trunk flexion. However, the strength of the AMC remains at a low level. The difference between the strength of trunk rotation on the right and left also persists in group B. In group A, there was no increase in muscle strength. The rehabilitation program of group B is effective in increasing muscle strength, however, the minimum physical therapy program aimed at increasing muscle strength should last at least 12 weeks, which requires continued rehabilitation intervention.
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