METHOD OF REHABILITATION OF PATIENTS AFTER ONCOLOGICAL ENDOPROSTHETICS OF HUMERAL DHAPHYSUS Russian patent published in 2024 - IPC A61H1/00 

FIELD: medicine.

SUBSTANCE: invention relates to the rehabilitation of patients after oncological endoprosthetics of the humeral diaphysis. After endoprosthetics of the shoulder joint, a set of rocking-push exercises is performed, including flexion, extension, abduction, adduction and elevation of the upper limb, as well as internal and external rotation of the arm, performed from a state of pre-tension, within the threshold of pain with an amplitude from 20 to 40 degrees 4 times a day. On days 2–3, the following exercises are performed: the patient stands on the floor, leaning his healthy arm on a couch, bed or window sill, the affected arm is in a relaxed state and performs smooth rocking movements back and forth, left and right for 2–5 minutes, or this exercise is performed while sitting on a chair, while the operated arm is in a hanging, relaxed position and it is used to perform smooth pendulum swinging movements back and forth, left and right for 1–2 minutes. The patient sits on a chair, the operated arm is in a hanging position, the doctor-instructor flexes the elbow joint, turning the arm towards the patient’s chest towards the shoulder, while the shoulder does not move, the palm is turned up and down, bending it at a right angle for 1–2 minutes. The patient sits on a bed or on a chair with the operated upper limb lowered so that the arm hangs freely, and alternately performs flexion and extension movements in the elbow joint 10–12 times within the pain syndrome. On days 3–4: standing, stretching the operated arm forward and holding a load of up to 1 kg in one hand, the patient begins to “draw” letters of the alphabet or numbers in the air for 2–3 minutes. On days 5–7: active movements are performed without the support of a healthy upper limb: flexion and extension around the frontal axis, abduction and adduction around the sagittal axis, supination and pronation around the vertical axis, circular movements, free movement of the forearm and radius.

EFFECT: reduction of pain in patients after oncological endoprosthetics of the humeral diaphysis.

1 cl, 4 dwg, 2 ex