Telerehabilitation of patients with injuries of the lower extremities

Abstract

Orthopedic rehabilitation is a subspecialty that involves the care of patients who have complex musculoskeletal problems. After the injury in the body of the patients, physiological constants are temporarily violated, causing protective, restorative and compensatory reactions. Currently not sufficiently studied sequential algorithm of dosed loads on the injured extremity after immobilization and postoperative treatment of patients, not studied physiological and pathophysiological response for the sequence and dose of axial load on the limb. All patients were undergo generally accepted methods of rehabilitation in hospital. Patients trained with the method of assessment of pain on a 10-point scale, the method of measuring the volume of soft tissue and compared it with healthy limb before and after each stage of the exercise. In a telerehabilitation program participated 27 patients with injuries of the lower extremities affected more than 2 months ago. The system of remote monitoring includes device with sensors (with 6-axis sensor, pulse-oximetry, temperature sensor), fixed to the injured limb and software. During the telemonitoring physician controls the adequacy of execution of exercises and has the ability to adjust the load depending on the functional state of the limb. Software allows monitoring the exercises time, the frequency of active movements of injured limb, pulse. Telerehabilitation is good alternative for providing access to specialty care for the growing number of patients with traumatic injuries. Telerehabilitation system and dosed load algorithm can be used in a complex rehabilitation of patients with injuries of the lower extremities. This will improve the quality of life in this group of patients and significantly reduce the cost of the rehabilitation period.