ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 21 of 42
УЖМБС 2020, 5(2): 153–160
Physical Therapy and Ergotherapy

Results of the Quality of Life Analysis in Patients of Orthopedic Profile at the Beginning of the Outpatient Program of Physical Therapy

Fedorenko S.

Research of quality of life is now one of the main approaches in evaluating the effectiveness of physical therapy. Quality of life is an integral characteristic of a person's physical, psychological and social functioning. The purpose of the study was to determine the quality of life in outpatients with orthopedic profile disorders prior to the course of physical therapy, depending on the localization of the disorder and psychotype, to further improve the evaluation of the results of physical therapy. Material and methods. Quality of life assessment was performed using the internationally standardized Health Status Survey SF-36. Patient grouping was performed using the International Classification of Functioning and the method of determining types of attitudes to the disease. The obtained results were processed by methods of mathematical statistics. The study involved 113 patients who underwent a course of physical therapy at FESCO Medical Center during 2013-2015. Results and discussion. Patients with disorders in the lower body (lumbar, lower extremity girdle and lower limb) had statistically lower scores on the "physical functioning" scale and the "physical status" indicator in the absence of differences in other scales. Analysis of the assessment of the scale "physical functioning", revealed an average result in G1 (with disorders in the lower body) at the level of 47.1 ± 13.77 points, indicators Me (25%; 75%) were 40 (35;60) points; and in G2 (with disorders in the upper body) were 62.6±8.02 points and 60 (55;70) respectively. According to the results of the statistical analysis, patients with irrational attitudes (irrational psychotypes) had significantly lower scores on the "general health", "vitality", "role emotional", "mental health" and "mental status". Thus, in patients with rational attitudes the level of the scale "general health" was better (p<0.01), and the values of Me (25%; 75%) in patients with rational and irrational attitudes were 65 (58.8; 71.3) points and 55 (45; 60) points, respectively. The difference between the mean values of the groups was 11.1 points. Conclusion. The obtained results confirmed the existence of statistically significant differences in the quality of life assessment according to the SF-36 questionnaire among patients with orthopedic profile before the beginning of physical therapy at the outpatient stage when grouped according to the localization of the disorder and the type of attitude to the disease.

Keywords: physical therapy, therapeutic exercises, activity, participation, functioning, musculoskeletal disorders

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