TO THE SUBSTANTIATION OF ELECTROMIOGRAPHY AS A METHOD OF EVALUATING THE EFFICIENCY OF THE PROGRAM OF PHYSICAL REHABILITATION OF PATIENTS WITH A HORSE HERNIA

Vasylyk T. P.

METHODS AND METHODOLOGIES

Scentific article

With an annual increase in the number of interventions for various diseases of the abdominal cavity and the number of patients with postoperative and recurrent hernia, the issues of optimal diagnosis of the state of muscle tissue in patients before and after hernioplasty, as well as methods for monitoring the effectiveness of the physical rehabilitation program, remain unsolved. Objective: to scientifically substantiate the possibility of using eletromiographic diagnostics to improve the results of treatment of patients after hernioplasty through the use of an improved program of physical rehabilitation. Methods.120 patients after hernioplasty were examined. An improved program of physical rehabilitation for such patients provided for an individual approach using breathing exercises and special passive physical exercises for the upper and lower extremities with the maximum possible early active regimen. Monitoring the intensity of physical activity was carried out by heart rate throughout the entire session, as well as according to computer spirography and electromyographic studies. Results.In patients after 2 weeks after hernioplasty, there are processes that relate to stage II of the denervation-renervation process, and after 4 weeks – to stage I. After the introduction of physical rehabilitation facilities, a probable improvement in all average indicators of the functional reserves of the cardio-respiratory system was observed, which reduced the stay of patients with a sick-list after hernioplasty. Conclusion.Improvement of the external respiration function and the functional state of the cardiovascular system in the main group of patients, compared with the comparison group, testifies to the high efficiency of the improved physical rehabilitation program, which has reduced the stay of patients on the sick-list after hernioplasty. The study of electromyographic indicators in the dynamics of the introduction of an improved physical rehabilitation program is an objective basis for substantiating the electrophysiological periodization of the stagedness of the morpho-functional restructuring of all components of the anterior abdominal wall muscles after hernioplasty.

inguinal hernia, hernioplasty, electromyography, physical rehabilitation

1. Ivanov SV, Golikov AV, Gorbacheva OS, Ivanov IS. Gigantskaja pahovaja gryzha u zhenshhiny. Novosti hirurgii. 2018;26(2):238-42. DOI: 10.18484/2305-0047.2018.2.238 [in Russian].
2. Sidorenko AV, Mashkin AM, Ivanov VV. Preimushhestvo mini-dostupa pered tradicionnym dostupom v lechenii pahovyh gryzh. Medicinskaja nauka i obrazovanie Urala. 2016;2:107-10. [in Russian].
3. Nesterenko JuA, Gaziev RM. Pahovye gryzhi. Rekonstrukcija zadnej stenki pahovogo kanala. M.: BINOM. Laboratorija znanij; 2005. 144 s. [in Russian].
4. Prudkov MI. Osnovy minimal’no invazivnoj hirurgii. Ekaterinburg; 2007. 64 s. [in Russian].
5. Slavin LE, Fedorov IV, Sigal EI. Oslozhnenija hirurgii gryzh zhivota. M.: Profil’; 2005. 174 s. [in Russian].
6. Jurasov AV, Shestakov AL, Fedorov DA. Sovremennye podhody k lecheniju pahovyh grizh. Gerniologija. 2006;9:18-21. [in Russian].
7. Belokonev VI, Fedorina TA, Zavodchikov DA, Ponomarjova JuV. Patogenez pahovoj gryzhi i obosnovannost’ primenenija natjazhnyh i nenatjazhnyh sposobov plastiki pri ejo lechenii. Annaly plasticheskoj, rekonstruktivnoj i jesteticheskoj hirurgii. 2008;3:49-54. [in Russian].
8. Vinnik JuS, Petrushko SI, Nazar’janc JuA, Chajkin AA, Klimov NJu, Pahomova RA. Anatomicheskaja i klinicheskaja harakteristika u bol’nyh s pahovymi gryzhami. Kuban Nauch Med Vestn. 2013;(3):33-6. [in Russian].
9. Amato G, Agrusa А, Romano G, Salamone G, Cocorullo G, Mularo SA. Histological findings in direct inguinal hernia. Hernia. 2013;17(6):757-63.Available from: https://doi.org/10.1007/s10029-012-1032-0
10. Vasilik TP, Vasiljuk SM. Porіvnjal’nij klіnіko-morfologіchnij analіz pacіentіv z pahovimi grizhami. Hіrurgіja. 2018;23(2):23-30. [in Ukrainian].
11. Vasilik TP, Vasiljuk SM, Popel’ SL. Plastika ventral’noі grizhі prolenovim іmplantom: reakcіja nervovo-m’jazovih zakіnchen’ peredn’oі cherevnoі stіnki. Hіrurgіja Ukraуni. 2018;68(4):23-30. [in Ukrainian].
12. Popel’ SL. Struktura skeletnyh myshhc i nervno-myshechnyh okonchanij pri gipokinezii i posle fizicheskoj nagruzki srednej ajerobnoj moshhnosti u krys raznogo vozrasta. Zhurnal Grodnenskogo gosudarstvennogo medicinskogo universiteta. 2014;48(4):53-7. [in Russian].
13. Wright RC, Sanders E. Inguinal neuritis is common in primary inguinal hernia. Hernia. 2011;15(4):393-8. Available from: https://doi.org/10.1007/s10029-011-0807-z
14. Desai AY, Shirsat D, Pai VD. Giant inguinal hernia repair leading to the diagnosis of complete androgen insensitivity syndrome in an elderly lady. J Health Med Informat. 2015;6:211. DOI: 10.4172/2157-7420.1000211
15. Vagholkar K, Iyengar M, Vagholkar S. Inguinal hernia in females: do we know enough? Int Surg J. 2016;3(1):354-6. DOI: http://dx.doi.org/10.18203/2349- 2902.isj20160074
16. Musaev AI, Zhamankulova MK, Samarbekov NS. Sovremennye podhody k lecheniju pahovyh gryzh. Vestn KGMA im IK Ahunbaeva. 2016;(4):63-5. [in Russian].
17. Aboev AS, Kul’chiev AA. Hirurgicheskoe lechenie pahovyh gryzh. Hirurgija. 2006;3:55-8. [in Russian].
18. Vlasov VV, Suhodolja AI, Greshilo AA, Mikitjuk SR. Gernioplastika pahovyh gryzh metodom M.R. Desarda. Gerniologija. 2007;1:44-7. [in Russian].
19. Popel’ S. Occupational rehabilitation following open mesh surgical repair of an inguinal hernia. Physical Therapy. 2003;2:23-5.Available from: https://doi.org/10.1093/ptj/83.1.58
20. Santhosh KR. Randomised Controlled Study of Short Term Outcomes of Laparoscopic Inguinal Hernia Mesh Repair and Lichensteins Inguinal Hernia Mesh Repair. Journal of Medical Science And clinical Research. 2018;6(4):143-8. Available from: https://doi.org/10.18535/jmscr/v6i4.69
21. Verhulec’kij ІЕ, Grincov OG, Kunіc’kij JuL. Zashhemlenі grizhі. Donec’k: “Vidavnictvo Donechchina”; 2003. 160 s. [in Ukrainian].
22. Nesterenko JuA, Grinberg AA, Prikazchikov AV. Ushhemlennaja gryzha – puti uluchshenija rezul’tatov hirurgicheskogo lechenija. Rossijskij medicinskij zhurnal. 2000;4:17-21. [in Russian].
23. Aliev SA. Jevoljucija metodov hirurgicheskogo lechenija pahovyh grizh. Vestnik hirurgii im. I. I. Grekova. 2010;5:109-13. [in Russian].
24. Alimov IA, Mashkin AM, Alimov AI. Mini-dostup v praktike rajonnogo hirurga. Tjumen’: RIC «Ajveks»; 2015. 184 s. [in Russian].
25. Soler M. Topic: Inguinal Hernia – Primary inguinal hernia, state of the art in the different socio economic reality. Hernia. 2015;19(1):362.Available from: https://doi.org/10.1007/bf03355396
26. Shalaby KH, Gold LG, Schuessler TF, Martin JG, Robichaud A. Combined forced oscillation and forced expiration measurements for the assessment of airway hyperresponsiveness. Respiratory Research. 2010;11(1):45-50. Available from: https://doi.org/10.1186/1465-9921-11-82
27. Arlt G. Quality Control in Inguinal Hernia Surgery. Inguinal Hernia Repair. 2014;5:303-6. Available from: https://doi.org/10.1159/000423946
28. Rogozhin AA, Devlikamova FI. Jelektromiografija v diagnostike miopatij. Nervno-myshechnye bolezni. 2013;2:28-34. [in Russian].
29. Nikitin SS. Electromyographic stages of denervation/reinnervation processin neuromuscular diseases: need for revision. Neuromuscular Diseases. 2015;5(2):16-20. Available from: https://doi.org/10.17650/2222-8721-2015-5-2-16-24
30. Zhebrovskij VV, Mohamed TJe. Hirurgija gryzh zhivota i jeventracij. Simferopol’: Biznes: Inform; 2002. 440 s. [in Russian].
31. Zhebrovskij VV. Hirurgija gryzh zhivota. M.: OOO «Medicinskoe informacionnoe agenstvo»; 2005. 384 s. [in Russian].
32. Aufenacker TJ. Do guidelines influence results in inguinal hernia treatment? A descriptive study of 2,535 hernia repairs in one teaching hospital from 1994 to 2004. Hernia. 2009;13(1):35-9.
33. Adamjan AA, Gogija BSh, Aljautdinov RR. Plastika pahovogo kanala po Lihtenshtejnu, neposredstvennye i otdalennye rezul’taty. Gerniologija. 2005;6(2):36-40. [in Russian].
34. Alimov IA. Klinicheskaja i social’no-jekonomicheskaja jeffektivnost’ primenenija minidostupa v uslovijah central’noj rajonnoj bol’nicy: dis. kand. med. nauk. Tjumen’, 2012. [in Russian].
35. Egiev VN. Nenatjazhnaja gernioplastika. M.: Medpraktika; 2002. 148 s. [in Russian].
36. Adamjan AA, Fedorov AV, Gogija BSh. K voprosu o klassifikacii pahovyh gryzh. Hirurgija. 2007;11:44-5. [in Russian].
37. Orohovskij VI. Osnovnye gryzhesechenija. Gannover, Doneck, Kottbus: Kitis; 2000. 236 s. [in Russian].

«Bulletin of problems biology and medicine» Issue 4 Part 2 (147), 2018 year, 232-237 pages, index UDK 617-089.844

10.29254/2077-4214-2018-4-2-147-232-237