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document
[ Isometric hip muscle strength in posttraumatic below-knee amputees ] . BACKGROUND/AIM Traumas and war injuries , next to chronic occlusive artery disease and diabetes mellitus-derived complications , are the most frequent cause of the lower limbs amputation . They affect mostly younger population that need a higher level of activities as compared with the elderly . Medical rehabilitation is very significant for the muscle performance improvement in this population providing their social reintegration . The aim of this study was to investigate the effect of below-knee amputation on the hip isometric muscle strength and effect of rehabilitation on improvement of hip muscle strength in below-knee amputees , secondary to war wounding . METHODS Forty below-knee amputees ( after war wounding ) , average age 35.6 +/- 10.6 years , that were included in primary rehabilitation program with prosthetics , were examined . Objective parameters were used to evaluate therapeutical effects . Isometric muscle strength of hip flexors , extensors , abductors and adductors was measured by dynamometer and expressed in Newton ( N ) at admission , control and discharge for each patient . Average length of the treatment was 51 +/- 34.1 days . RESULTS For isometric hip flexors ( t = -1.99346 , p < 0.05 ) , extensors ( t = -4.629073 , p < 0.001 ) , abductors ( t = -4.9408 , p < 0.001 ) and adductors ( t = -2.00228 , p < 0.05 ) , muscle strength was significantly less on the amputated than on nonamputated side . The highest differences in muscle strength between amputated and nonamputated limbs were noted for hip abductors ( 26.6 % ) and extensors ( 23.3 % ) . There was significant improvement of mean values of strength for all examined hip muscles after rehabilitation and prosthetics for both legs in comparison to beginning of the therapy . The hip abductor on the amputated side was for 19.4 % weaker after rehabilitation in comparison to the non-amputated limb . CONCLUSION Decreases of isometric muscle strength in all examined hip muscles were observed , more in the amputated limb . Rehabilitation with prosthetics is a successful method for improving isometric hip muscle strength on the both , amputated and non-amputated limbs in war wounded below-knee amputees .
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Intervention_Educational
Medical rehabilitation
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Intervention_Physical
primary rehabilitation program with prosthetics
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Intervention_Physical
Isometric muscle strength of hip flexors , extensors , abductors and adductors was measured by dynamometer and expressed in Newton ( N ) at admission , control and discharge for each patient .
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Outcome_Physical
Isometric muscle strength of hip flexors , extensors , abductors and adductors was measured by dynamometer and expressed in Newton ( N ) at admission , control and discharge
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Participant_Condition
below-knee amputees
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Participant_Age
younger
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Participant_Condition
below-knee amputees
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Participant_Condition
war wounding
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Participant_Sample-size
Forty
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Participant_Condition
below-knee amputees
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Participant_Condition
after war wounding
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Participant_Age
35.6 +/- 10.6
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Participant_Condition
war wounded below-knee amputees .