FEATURES OF PHYSICAL THERAPY OF MILITARY SERVANTS WITH TRANSFEMORAL AMPUTATION IN THE RECOVERY PERIOD
DOI:
https://doi.org/10.32782/pub.health.2026.1.29Keywords:
physical therapy, transfemoral amputation, military personnel, chronic low back pain, spinal stabilization, isokinetic dynamometryAbstract
Topicality. Chronic low back pain (lumbalgia) is a common secondary pathology in patients with lower limb amputations, which is caused by biomechanical imbalance and deviations in spinal kinematics during movement on a prosthesis.
Purpose. Theoretical justification and experimental verification of an 8-week comprehensive physical therapy program aimed at stabilizing the lumbar spine in military personnel with transfemoral amputation.
Materials and methods. The study involved 9 military personnel (mean age — 33.9±6.4 years) with combat trauma and chronic lumbalgia. The program included 16 classes (2 times a week) focused on strengthening the deep trunk stabilizer muscles. The assessment was carried out using the visual analogue scale (VAS), the Oswestry index, the Sorensen and Thomas tests, as well as the isokinetic dynamometry method.
Results of the study. A statistically significant decrease in pain intensity according to VAS (p < 0.001) and an increase in the strength of the abdominal muscles and back extensors (p < 0.01) were established. The endurance of the lumbar extensors according to the Sorensen test increased (p < 0.001). Hardware diagnostics confirmed an increase in peak torque and total work of the stabilizer muscles (p < 0.05). The program was equally effective for patients with unilateral and bilateral amputations (p > 0.05 in the intergroup comparison).
Conclusions. The developed program is a safe and effective means of correcting chronic back pain. It provides the formation of a stable «muscle corset», which contributes to biomechanical compensation for the loss of a limb and prevents secondary disability.
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