[Physical rehabilitation for degenerative-dystrophic diseases of the hip joint in elderly and senile people (3rd stage).].

Despite the numerous non-drug treatment options, a clear strategy for medical rehabilitation of patients with hip osteoarthritis has not been developed. Long-term physical inactivity associated with exacerbation of the disease, with limb immobilization due to injury or joint surgery leads to the development of secondary changes: muscle atrophy, contractures, osteoporosis and other changes in the tissues of the musculoskeletal system, which significantly complicate the restoration of motor function. The aim of the work is to evaluate the effectiveness of a modernized method of therapeutic exercise at the third stage of rehabilitation in elderly and senile patients with hip osteoarthritis. Patients received complex therapy, including myostimulation, massage, manual therapy and therapeutic exercise in groups. In addition to the traditional complex, patients of the main group received a method of therapeutic exercise according to the declared method. The use of a gymnastic ball and a medicine ball in exercises during squats allows strengthening the muscles of the thigh and buttocks without injury. The use of a gymnastic hemisphere and TRX loops in exercises allows safe training of balance, coordination and stabilizing muscles of the thigh and back, as well as helping the patient to adapt faster to everyday loads, and most importantly, to avoid fixing a pathological motor stereotype. The developed set of exercises has proven its effectiveness and demand among elderly and senile patients according to the total Leken algo-functional index, according to the visual analogue scale at rest and when walking, the WOMAC index, and can be used among other groups of the population as a method of treating and preventing osteoarthritis. The use of therapeutic physical training by patients in a fitness center or at home according to a given method at the 3rd stage of rehabilitation accelerates the processes of restoration of the hip joint by an average of 3 months.