Severity: Warning
Message: file_get_contents(https://...@pubfacts.com&api_key=b8daa3ad693db53b1410957c26c9a51b4908&a=1): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
Line Number: 176
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 176
Function: file_get_contents
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 250
Function: simplexml_load_file_from_url
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3122
Function: getPubMedXML
File: /var/www/html/application/controllers/Detail.php
Line: 575
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 489
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
The article presents the results of post-clinical observation of F., who had total replacement of two hip joints and goes to the gym, taking an individual programme with an elective part on training machines with a preset load vector that excludes a sharp dynamic effect on the musculoskeletal system. In 2014, based on the diagnosis of bilateral dysplastic coxarthrosis of the 3rd stage (function impairment 2), F. had total replacement of a right hip joint, followed by total replacement of a left hip joint in 2015; in both cases, the postsurgical period included the symptomatic therapy, rehabilitation exercises, joint movement training, and a physiotherapeutic treatment course. During the rehabilitation period, the patient's condition significantly improved, and after 3 months and the second operation, the orthopedist and physician admitted the patient to have health activities in a gum with some restrictions - to exclude inertial loads on a hip joint (running, jumps, free-weight exercises). The obtained results indicate that an individual programme with the use of training machines allows to solve medical and social tasks.
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