CORRECTION OF PHYSICAL STATUS, BALANCE AND FALL RISK INDICATORS USING PHYSICAL THERAPY IN ELDERLY PERSONS WITH SARCOPENIA AFTER LIVER RESECTION DUE TO COLORECTA LMETASTASES

Abstract

Objective: to assess the effectiveness of the developed physical therapy program for elderly people after liver resection for colorectal metastases according to the dynamics of physical status, balance and fallrisk. Material. The control group consisted of 33 elderly people who were not diagnosed with oncological processes and sarcopenia. The group of elderly people after liver resection for colorectal metastases consisted of 33 people who underwent surgical and conservative treatment according to the unified clinical protocols of primary and specialized medical care «Colon cancer», «Rectal cancer». They were divided into two subgroups. The comparison group consisted of 31 people who recovered in the postoperative period according to the recommendations of the specified clinical protocols – modification of nutrition (Pevzner table No. 5), postoperative motor restrictions due to the presence of an abdominal scar, information on the features of further observation and treatment. The main group consisted of 32 people who underwent a developed comprehensive physical therapy program lasting six months in the postoperative period with the use of therapeutic exercises of various directions (aerobic, strength, to improve balance), differentiated according to the early and late postoperative periods, the chemotherapy period and the long-term postoperative period, an educational component (in particular, regarding dietary modification, prevention of the risk of falling) taking into account individual rehabilitation goals. The effectiveness was assessed according to the results of the Senior Fitness Test, stabilometry, Senior Fitness Test, and the Timed Up & Go test. Results. In elderly people after liver resection for colorectal metastases, an unsatisfactory state of physical qualities (according to the Senior Fitness Test), deterioration of postural stability (according to the results of stabilometry), and the risk of falling (according to the Fall efficacy scale, the Timed Up & Go test) were determined. The approved comprehensive physical therapy program revealed an improvement in the patients’ condition due to the impact on the physical condition due to the improvement of strength, flexibility, endurance, balance, postural stability and a decrease in the risk of falling compared to baseline and the comparison group for all studied parameters (p<0.05). Conclusions. Physical therapy should be prescribed for the comprehensive correction of physical status, signs of postural dysfunction, and the of fallrisk in elderly patients after liver resection for colorectal metastases.