ORIGINAL
ARTICLE – abstractRestore
the pelvis’ tilt after surgically treated complex acetabular
fractures in athletes Rumiana
Tasheva
National
Sports Academy Vassil Levski, Sofia, Bulgaria
Abstract
The
dislocated acetabular fractures are often occurred traumas in motoring,
parachutism, hang gliding and other highly-energetic sports. The only
thing left to do is the surgical stabilization which has been improving
for the last years but the problem with pelvis tilt is in fact. The
purpose of study is to trace the physiotherapy approach to restore the
pelvis’ tilt after surgical treated complex acetabular
fractures in athletes. Material and method. From February 2000 until
July 2008 were treated 29 patients after dislocated complex acetabular
fractures in multiple traumas. The surgical stabilization as a limited
invasive method was implemented by A. Iotov (2001). Relaxation of m.
quadratus lumborum and reactivation of the abdominal muscles was a base
of controlling the pelvis’ tilt in supine, side and standing
positions. Results. The pain intensity was with average 8, 7 level and
regressed to 3, 6 after two weeks. The differences in the levels of the
both anterior superior iliac spines in all patients have been
eliminating for three weeks. The results of the static endurance test
showed reduction of the abdominal muscles inhibition. M. quadratus
lumborum was shortness in contrast to flexors. Palpation and specific
test after three weeks demonstrated abasement of its tonus and to reach
the balance with abdominal muscles. Conclusion. The adequate recovery
of the athletes after surgical stabilized dislocated complex acetabular
fractures in multiple traumas is needed to control of the
pelvis’ tilt in the early phase of the physiotherapy program.
Key
words:acetabular
fractures, pelvis’ tilt, physiotherapy
|
