RU2825510C1 - Method of treating functional disorders in diseases of hip joint - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to methods of treating functional disorders in human hip joint diseases, namely to methods of kinesitherapeutic treatment using machine vision. Disclosed is a method characterized by that a list of preliminary diagnoses is formed, based on which therapeutic exercises are selected for the treatment of the hip joint in the form of weight-bearing exercises, thereafter, the formed therapeutic exercises are transmitted to the client application of the patient. Further, the patient performs said set of therapeutic exercises in front of the video camera associated with the client application, where the therapeutic exercises on the hip joint are performed in two degrees of freedom of the hip joint, a video sequence is formed in the client application, in which an image of the patient is selected and a skeletal three-dimensional model is constructed in the form of an undirected graph with vertices at reference points, angular displacements of a support point of a hip joint of a person during therapeutic exercises are assessed and the obtained angular displacements are compared with angular displacements of a human hip joint of a personal norm of angular values of hip joint opening. Patient is informed of the errors or a signal is given to the patient to terminate the exercises. Every 15 sessions of the complex of exercises for the hip joint distributed over the days, the repeated functional diagnostics is performed, and adding of weight load is permissible only if the personal norm of functionality of the hip joint is increased by 20%.

EFFECT: invention provides faster accurate treatment of functional disorders in hip joint diseases, as well as reduced risk of injuries or aggravation of hip joint diseases with independent performance of therapeutic exercises by the patient.

5 cl, 1 dwg, 1 tbl

Description

The invention relates to methods of treating functional disorders in diseases of the human hip joint, namely to methods of kinesitherapeutic treatment using machine vision tools [A61B 1/00, A61B 5/00, A61H 1/00].

The prior art discloses INERTIAL GYMNASTICS FOR THE HIP JOINT [RU94007475A1, published 10/27/1996] for the purpose of preventing and treating arthrosis, arthritis and other diseases requiring the use of therapeutic exercise, with specific gymnastic exercises distinguished by the ability to create several therapeutic factors simultaneously directly in the joint area (push stress, relaxation, stretching), arising due to the inertial energy experienced by the joint from moderately sharp movements of various parts of the body.

The disadvantage of this analogue is the initial performance of therapeutic exercises with increased load in the form of sports equipment without preliminary functional diagnostics of the hip joint, as well as without taking into account contraindications for a specific disease.

Also known is the METHOD OF THERAPEUTIC AND HEALTH-IMPROVING IMPACT ON A HUMAN BY V. A. ZHDANOV [RU2643403C1, published 01.02.2018] including the performance of therapeutic physical training exercises, characterized in that the corresponding pain zones of the patient's body are first relaxed and/or toned, after which techniques are used to restore the patient's body to a position of maximum approximation of the body axis to the gravity vector, for which the following poses and exercises are used:

• the patient stands with his back against a smooth vertical surface, moving his feet forward, placing them parallel at a distance of twice the width of the foot, then bends the knees and presses the entire spine tightly to the vertical surface, moving the pelvis forward and upward by tensing the muscles of the lower abdominal press, large gluteal muscles, pelvic floor, the shoulder blades are pressed to the ribs, together with the shoulder blades are lowered down, the patient straightens his legs, simultaneously trying to press the spine along its entire length, including the neck, to the vertical plane, sliding along it without pressure, do not hold your breath; repeat until new sensations in the body are firmly fixed;

• the patient, standing, mentally projects the highest point of the cranial vault - the crown of the head - onto the middle of the distance between the inner ankles, and the doctor, with light pushes in the chest, back and from the side of the shoulder joints, helps the patient feel stability in an upright position; in this stable position, the patient fixes the horizontal position of the pelvis, in which the posterior and anterior superior ossicles are at the same level relative to the floor;

• in the course of everyday life, the patient consolidates the sensation of this new physiological position by checking his presence in it every half hour or hour;

• in a sitting position of the patient: support only on the ischial tuberosities, the crown of the head is projected onto the middle of the distance between them, legs are straightened at the knees at an angle greater than 90 degrees, hips are maximally suspended, feet are on the floor; in this case, the patient enhances his sense of verticality by performing small oscillatory movements of the body around the spine with a static head, small, barely noticeable rocking back and forth and from side to side, slight shifting of the patient on the ischial tuberosities in all possible directions, the patient imagines that, while sitting, he is rotating a gymnastic hoop and makes corresponding movements with the body clockwise and counterclockwise, while performing these exercises, while sitting, the patient raises and holds his gaze at 45 degrees to the horizon, then closes his eyes, then with open eyes stops fixing the surrounding objects with his gaze - defocuses his gaze;

• imitation of walking in the initial position: sitting, the seat surface is hard, support is only on the ischial tuberosities, thighs are suspended, the angle at the knee joint is more than 90 degrees, the legs are released from the support, the muscles of the lower abdominal press and the interscapular region are toned, the shoulder girdles are in the horizontal plane, the shoulder blades are brought together and lowered, hands are on the hips, the head and neck are in the nod position - as when throwing a hood over the head, then the patient moves the knee of one leg forward, and the feet remain in place, on the same line, while the forward movement of the thigh is accompanied by the movement of the pelvis on the same side, the hand of the same hand moves along the upper surface of the thigh to the groin, the other thigh goes back, accompanied by the movement of the pelvis on its side, and the hand on this side lies on the shin below the knee joint, the shoulder girdles make counter movements with the opposite knee joints, and the head takes a motionless position due to holding the gaze of the imaginary goal of the route, the patient remembers the feeling of symmetry and the same sensations from the contralateral, counter movement of the halves of the body;

• the “stopped step” exercise: both legs are placed on a support, and the leg extended forward touches the support with the heel, where the foot and toes perform maximum dorsiflexion, and the foot of the leg left behind is in a state of stopped pushing off the support – stopped plantar flexion, while the patient remembers the feeling of lightness for both halves of the body;

• double crossing movement forward – right leg and left shoulder, then vice versa, eyes looking in the direction of movement, head motionless,

• walking with a wide stride, during which the patient should feel tension in the lower third of the gluteus maximus muscle on the side of the leg that is behind; first place the heel on the support, then the outer surface of the foot, begin to touch the support with the pads of the toes from the little toe to the big toe, then push off and move the leg forward, simultaneously lifting the toes towards you, and place the leg back on the heel, the entire movement is accompanied by lifting the pelvis on the same side, the inner edge of the feet goes in one line or at a distance of 5-10 cm from each other, do not allow swinging from side to side;

• when performing exercises, the patient uses affirmations of a health-improving nature;

• exercises are performed during the waking period for 0.5-2 minutes every 0.5-2 hours until a stable sensation of a new physiological position of the body and its automatic use is achieved;

• additionally 3-4 times a day, half an hour before meals, the patient lies down with the navel area on an elastic elevation in the form of a roller 15-20 cm wide, 25-30 cm high, then moves the roller 5-7 cm lower, then higher than the navel, without allowing severe pain, but guided by the feeling of discomfort, while using small movements - bends in the lumbar spine and breathing to change the direction of the roller, the duration of the procedure is as long as the patient wants to perform it;

• breathing during exercises: the patient imagines that his chest is a cap or cone, and his stomach is a ball, and, inhaling, the patient lowers this “cone” or “cap” of the chest onto the “ball” of the stomach, the patient exhales through closed lips, with resistance.

The main disadvantage of this method is the impossibility of improving the condition of the hip joint, since the method is aimed at the entire musculoskeletal system. In addition, this method does not control the performance of exercises on the hip joint and the adjustment of the treatment program.

The closest in technical essence is the SYSTEM OF DIAGNOSTICS AND TREATMENT OF DISEASES OF THE MUSCULOSKELETAL SYSTEM [RU23106U1, publ. 20.05.2002], containing a database block on the etiology and pathogenesis of musculoskeletal diseases, means and methods of their treatment, a diagnostic block, a block for analyzing and developing an individual treatment plan, a block for monitoring treatment results, wherein the diagnostic block contains information carriers of the patient's life history and medical history, the former of which contains information on the patient's age, bad habits, occupation, information on past illnesses, and the medical history information carrier includes information on the patient's complaints, X-ray data, MRI, CT, duration of the existing disease, characteristics of the musculoskeletal system, the presence or absence of scoliosis, lordosis, hyperlordosis, hyperkyphosis, kyphosis, hypertonicity of the paravertebral muscles, rigidity of the interspinous ligaments, as well as information on the condition of the shoulder, knee, ankle joints in the "lying on the stomach" position, information on the condition of the hip joints in the "lying on back", information on the presence or absence of the "tension" symptom, information on the performance of the body flexion test from the "sitting with bent legs" position, "sitting with straight legs", while the output of the diagnostic database block is connected with the possibility of feedback to the input of the diagnostic block, and the output of the diagnostic block is connected to the input of the block for analyzing and developing an individual treatment plan, which issues specific recommendations on the number, duration and types of classes on specific exercise machines, the output of the treatment block is connected with the possibility of feedback to the output of the treatment results monitoring block and the output of the block for the database on the etiology and pathogenesis of diseases of the musculoskeletal system, means and methods of their treatment.

The main technical problem of the prototype is the impossibility of improving the condition of the hip joint, since the method is aimed at the entire musculoskeletal system, as well as the lack of video control of the exercise performance, resulting in a high risk of the patient receiving concomitant injuries or exacerbation of the hip joint disease.

The objective of the invention is to eliminate the shortcomings of the prototype and analogues.

The technical result of the invention consists in increasing the efficiency of precise treatment of functional disorders in diseases of the hip joint, as well as in reducing the risk of injury or exacerbation of diseases of the hip joint when the patient independently performs therapeutic exercises.

The specified technical result is achieved due to the fact that the method for treating functional disorders in diseases of the hip joint is characterized by collecting the patient's life and disease history, performing functional diagnostics of the patient's hip joint and transmitting the results of collecting the history and functional diagnostics to the server, where a list of preliminary diagnoses is formed, on the basis of which therapeutic exercises are selected for treating the hip joint in the form of sets of exercises with a weight load aimed at restoring the human hip joint, while excluding from the list of said exercises those exercises that are contraindicated in concomitant diseases or in the current disease of the hip joint, after which the formed sets of therapeutic exercises with recommendations on the technique, quantity and duration of their implementation are transferred to the patient's client application, the patient performs the specified set of therapeutic exercises, while the patient's position to the video camera during the exercise performance is: standing - frontal view and profile from one or two sides, sitting - frontal view and profile from one or two sides, lying down - profile from both sides, and performing therapeutic exercises the patient performs exercises in front of a video camera connected to a client application, where therapeutic exercises for the hip joint are performed in two degrees of freedom of the hip joint, a video sequence is generated in the client application, in which an image of the patient is selected and a skeletal three-dimensional model is constructed in the form of an undirected graph with vertices at the support points, an assessment is made of the angular movements of the support point of the human hip joint during the performance of therapeutic exercises and the obtained angular movements are compared with the angular movements of the human hip joint of the personal norm of angular values of hip joint opening, while informing the patient about errors or giving a signal to the patient about the need to stop performing the exercises, while every 15 sessions of performing a set of exercises for the hip joint distributed over days, repeated functional diagnostics are performed, and adding a weight load is permissible only with an increase in the personal norm of hip joint functionality by 20%.

In particular, anamnesis collection and functional diagnostics are performed using a client application installed on a mobile device, personal laptop or desktop computer.

In particular, the number of therapeutic exercises is from 10 to 25 pieces.

In particular, the duration of therapeutic exercises is from 15 to 45 minutes.

In particular, in case of hip joint diseases, traction exercises are contraindicated; circular rotation of the hip joint is allowed only without weight load, without movement restrictions, without resistance equipment.

Brief description of the drawings.

Fig. 1 shows a constructed skeletal model of the human musculoskeletal system.

On figure 1 the following are marked: 0 - nose; 1 - inner corner of the left eye; 2 - center of the left eye; 3 - outer corner of the left eye; 4 - inner corner of the right eye; 5 - center of the right eye; 6 - outer corner of the right eye; 7 - left ear; 8 - right ear; 9 - left corner of the mouth; 10 - right corner of the mouth; 11 - left shoulder; 12 - right shoulder; 13 - left elbow; 14 - right elbow; 15 - left wrist; 16 - right wrist; 17 - little finger of the left hand; 18 - little finger of the right hand; 19 - index finger of the left hand; 20 - index finger of the right hand; 21 - thumb of the left hand; 22 - thumb of the right hand; 23 - left thigh; 24 - right thigh; 25 - left knee; 26 - right knee; 27 - left ankle; 28 - right ankle; 29 - left heel; 30 - right heel; 31 - index toe of the left foot; 32 - index toe of the right foot; 33 and 34 - central vertical axis.

Implementation of the invention

The method of treating functional disorders in diseases of the hip joint is characterized by the fact that for its implementation, the patient is initially diagnosed, including collecting anamnesis by means of questionnaires and functional diagnostics of hip joint disorders. In this case, the questionnaire is carried out using a client application installed on a mobile device, personal portable or stationary computer of the patient. After the questionnaire is carried out, functional diagnostics of the patient's hip joint mobility is carried out using a series of diagnostic physical exercises to identify hip joint disorders. In this case, the values of the angular displacements of the patient's hip joint are compared with the reference values from the database of reference values, and then the program calculates the personal norm of angular values of hip joint opening for this patient.

Then the obtained results of the anamnesis collection and functional diagnostics are transferred to the server, where a list of preliminary diagnoses is formed, on the basis of which the selection of recommended therapeutic exercises for treatment with the frequency of repeated functional diagnostics of the hip joint in the form of exercise complexes, with loading principles, aimed at restoring the human hip joint, is made.

In this case, the recommended therapeutic exercises are formed from an array of exercises grouped into complexes and aimed at restoring the functionality of the hip joint. In the presented embodiment, the said complexes for the hip joint include exercises performed in various starting positions: standing, sitting on a chair, sitting on the floor, lying on the stomach, lying on the back. The said complexes of therapeutic exercises are stored in the exercise module in the form of a description of exercises and files with personal standards for performing each exercise.

In addition, traction exercises that can lead to an exacerbation of the hip joint disease, as well as concomitant diseases of the patient, are excluded from the recommended therapeutic exercise sets. For this purpose, a block of prohibition of exercises is formed in the exercise selection module, in which prohibited exercises are removed from the formed sets of recommended therapeutic exercises based on preliminary diagnoses. At the same time, in case of functional disorders of the hip joint, pressing exercises are allowed, as well as circular rotation of the hip joint only strictly without weight load and without movement limiters, without resistance equipment.

After that, the formed set of exercises is distributed by days (for 3 days, taking into account the performance of exercises every other day) and sent to the patient's client application. Then the patient launches the recommended treatment program on his client application, in accordance with which he performs therapeutic exercises. In this case, the patient performs these exercises in front of the video camera of a mobile device or personal computer. The patient's position to the video camera during the exercise: standing (frontal and profile from one/two sides), sitting (frontal and profile from one/two sides), lying (profile from both sides). Therapeutic exercises for the hip joint are performed in two degrees of freedom of the hip joint.

During the exercise process, a video stream is continuously generated, which is used to construct a skeletal three-dimensional model of the patient with the formation of reference points and calculation of their spatial movement. The correctness of the exercise performance is monitored using the specified spatial movement calculations, and deviations from the personal norm for performing exercises are recorded. The therapeutic complex for the hip joint, depending on individual indicators and a specific disease, contains 20 exercises, each lasting about 30 minutes.

In alternative embodiments of the invention, the set of therapeutic exercises for the hip joint contains from 10 to 25 exercises, each lasting from 15 to 45 minutes.

The presented embodiments of the claimed technical solution with different numbers and durations of therapeutic exercises for the hip joint make it possible to achieve the claimed technical result of the invention, since the efficiency of precise treatment of functional disorders in diseases of the hip joint is increased, and the risk of injury or exacerbation of diseases of the hip joint is reduced when the patient independently performs therapeutic exercises.

Then, after every 15 sessions of performing a set of exercises for the hip joint, distributed by days, a repeated functional diagnostics is performed. Based on the results of the repeated diagnostics and the results of the quality of the performance of diagnostic exercises, the sets of therapeutic exercises are adjusted, namely, the load is reduced or increased, exercises are excluded or included, and the recommended set of therapeutic exercises is re-formed. Adding a load is permissible only if the personal norm of hip joint functionality increases by 20%. Weights and resistance equipment (rubber bands, etc.) can be used as a weight load. This set of therapeutic exercises is repeated until the required acceptable level of the functional state of the patient's hip joint is reached.

An example of the use of the claimed invention.

An example of the implementation of the invention with the selection of therapeutic exercises recommended for the treatment of the hip joint is the treatment of hip dysplasia. Therapeutic exercises in this case are aimed at the step-by-step development and strengthening of the muscles around the patient's hip joint and the restoration of the functions of the hip joint.

Initially, the patient's life and disease history is collected, functional diagnostics of the hip joint is performed using a client application installed on the patient's mobile device and the results of the anamnesis and functional diagnostics are transmitted to the server, then therapeutic exercises are selected for the treatment of hip dysplasia in the form of a set of 15 exercises without weight load for about 20 minutes each, aimed at restoring the human hip joint. This allows us to assess the progress of joint function restoration and adjust the set of exercises taking into account the principles of loading by conducting repeated functional diagnostics.

The frequency of repeated diagnostics depends on the nature and extent of the disease, individual characteristics of the patient and the dynamics of his recovery. In case of hip dysplasia, repeated functional diagnostics is carried out 15 sessions after the start of the course of treatment with therapeutic exercises. At the stage of software functional diagnostics of the hip joint condition, images of the patient performing a set of diagnostic exercises are obtained, according to which, using machine vision technology, a three-dimensional model of the patient is built in the frame, including the designation of the location of the hip joint on the image of the patient's musculoskeletal system in the form of reference points on his skeletal model, while assessing the spatial position of these points and, based on their angular movements relative to each other, determining the angular values of the opening and degrees of freedom of the patient's hip joint, after which the obtained values are compared with the values of the opening angles and degrees of freedom of the hip joint specified in the atlas of reference values.

To assess the progress of treatment of hip dysplasia during repeated functional diagnostics, the following diagnostic exercises are used:

– the patient sits on a chair facing the camera, resting his hands behind him, straightening his back, bringing his shoulder blades together, exhaling, moving his straight right leg to the side, trying not to turn his foot, with his toes pointing upwards, returning his right leg to its original position, then the patient repeats the exercises for his left leg;

– the patient gets on all fours facing the camera, lowers himself onto his elbows, fingers “locked”, neck in a natural position, on the exhale swings the bent right leg back, returns the leg to the starting position, then the patient swings the straight right leg back, returns the leg to the starting position, then the patient repeats the exercise for the left leg;

– the patient gets on all fours facing the camera, lowers himself onto his elbows, fingers “locked”, neck in a natural position, moves his straight right leg to the side and touches the floor, on the exhale, swings his leg up and, describing a “semicircle” in the opposite direction, lowers it down, then the patient repeats the exercise for the left leg;

– the patient sits on the floor with his right side to the camera, hands behind him, back straight, shoulder blades together, legs extended forward, exhaling, lifts his straight right leg up, lowers his leg, then the patient sits with his left side to the camera and repeats the exercise for his left leg.

Based on the deviations obtained in the performance of these diagnostic exercises, a list of adjusted therapeutic exercises is formed on the basis of the created database in the form of exercise complexes with load principles to continue the treatment of the patient's hip dysplasia until the personal norm of hip joint functionality is increased by 20%.

Incorporating load principles into exercise routines allows for a gradual increase in the load on the hip joint and muscles, helping to strengthen them and restore function. Therapeutic exercises include various joint movements, muscle strengthening exercises. They are performed under the supervision of a physician or physical therapist and can be adapted to each patient based on their individual needs and capabilities.

Also, the method of treating functional disorders in diseases of the hip joint is used to select recommended therapeutic exercises for the treatment of arthritis, arthrosis or bursitis of the hip joint.

The technical result of the invention consists in increasing the efficiency of precise treatment of functional disorders in diseases of the hip joint, as well as in reducing the risk of injury or exacerbation of diseases of the hip joint when the patient independently performs therapeutic exercises.

The specified technical result is achieved due to the fact that the method for treating functional disorders in diseases of the hip joint is characterized by collecting the patient's life and disease history, performing functional diagnostics of the patient's hip joint and transmitting the results of collecting the history and functional diagnostics to the server, where a list of preliminary diagnoses is formed, on the basis of which therapeutic exercises are selected for treating the hip joint in the form of sets of exercises with a weight load aimed at restoring the human hip joint, while excluding from the list of said exercises those exercises that are contraindicated in concomitant diseases or in the current disease of the hip joint, after which the formed sets of therapeutic exercises with recommendations on the technique, quantity and duration of their implementation are transferred to the patient's client application, the patient performs the specified set of therapeutic exercises, while the patient's position to the video camera during the exercise performance is: standing - frontal view and profile from one or two sides, sitting - frontal view and profile from one or two sides, lying down - profile from both sides, and performing therapeutic exercises the patient performs exercises in front of a video camera connected to a client application, where therapeutic exercises for the hip joint are performed in two degrees of freedom of the hip joint, a video sequence is generated in the client application, in which the patient's image is selected and a skeletal three-dimensional model is constructed in the form of an undirected graph with vertices at the support points, an assessment is made of the angular movements of the support point of the human hip joint during the performance of therapeutic exercises and the obtained angular movements are compared with the angular movements of the human hip joint of the personal norm of angular values of hip joint opening, while informing the patient about errors or giving a signal to the patient about the need to stop performing the exercises, while every 15 sessions of performing a set of exercises for the hip joint, distributed over the days, a repeated functional diagnostics is performed, and the addition of a weight load is permissible only with an increase in the personal norm of hip joint functionality by 20%.

The locations on the patient's hip joint image are indicated as reference points on his skeletal model: 23 - left hip joint, 24 - right hip joint. Based on this, after 15 sessions, a repeated functional diagnostics of the spatial position of the indicated points and their angular movements relative to each other in comparison with the angular movements of the reference was carried out to assess the current state of the patient and the dynamics of the personal norm (See Table 1).

Table 1 shows the measured values of the angle of the 24th support point between the 26th and 34th support points, which corresponds to the position of the hip joint of the right leg relative to the right knee joint and the central axis of the body, during the performance of a set of diagnostic exercises for diagnosing functional disorders of the hip joint.

Table 1.

Left hip joint support point angle values

Diagnostic exercise no. Average angle of anchor points (in degrees) Result 1 71 Non-critical deviation 2 49 Below normal 3 82 Norm 4 105 Norm

Conformity of the patient's personal norm to the atlas of reference values:

- 0%-15% error is normal;

- 15%-25% deviation – below the norm;

- 25%-50% pathology is not a critical deviation;

- more than 50% - this is a serious deviation and an immediate recommendation to consult a doctor without using a set of exercises for functional disorders of the hip joint.

According to the results of the repeated functional diagnostics, the patient has a slight deviation in the angular movements of the support point in comparison with the databases and atlas of reference angular values of hip joint opening for all degrees of its freedom. Based on the results obtained, adjustments were made to the recommended list of exercises for the treatment of functional disorders of the patient's hip joint and a new set of exercises was compiled.

Thus, the claimed invention increases the efficiency of precise treatment of functional disorders in diseases of the hip joint by 15%, compared to the prototype, which is intended for the treatment of the general condition of the musculoskeletal system.

This is achieved by conducting repeated functional diagnostics and using a client application installed on a mobile device, personal portable or stationary computer, using machine vision technology. In this case, diagnostics using machine vision tools determines with the required accuracy the angular movements of the reference points of the patient's skeletal model and compares them with databases and reference angular values of hip joint opening for all degrees of freedom, which reduces the risk of injury or exacerbation of hip joint diseases when the patient independently performs therapeutic exercises, and also allows for the correct adjustment of the recommended set of exercises for the treatment of the identified functional disorders of the patient's hip joint.

Claims (5)

1. A method for treating functional disorders in diseases of the hip joint, characterized by collecting the patient's life and disease history, performing a functional diagnosis of the patient's hip joint and transmitting the results of the history collection and functional diagnostics to a server, where a list of preliminary diagnoses is formed, based on which therapeutic exercises are selected for treating the hip joint in the form of sets of exercises with a weight load aimed at restoring the human hip joint, while excluding from the list of said exercises those exercises that are contraindicated in concomitant diseases or in the current disease of the hip joint, after which the formed sets of therapeutic exercises with recommendations on the technique, quantity and duration of their implementation are transferred to the patient's client application, the patient performs the specified set of therapeutic exercises, while the patient's position to the video camera during the exercise performance is: standing - frontal view and profile from one or two sides, sitting - frontal view and profile from one or two sides, lying down - profile from both sides, and the patient performs the therapeutic exercises in front of a video camera connected to a client application, where therapeutic exercises for the hip joint are performed in two degrees of freedom of the hip joint, a video sequence is generated in the client application, in which an image of the patient is selected and a skeletal three-dimensional model is constructed in the form of an undirected graph with vertices at the support points, an assessment is made of the angular movements of the support point of the human hip joint during the performance of therapeutic exercises and the obtained angular movements are compared with the angular movements of the human hip joint of the personal norm of angular values of hip joint opening, while informing the patient about errors or giving a signal to the patient about the need to stop performing the exercises, while every 15 sessions of performing a set of exercises for the hip joint, distributed by days, a repeated functional diagnosis is performed, and the addition of a weight load is permissible only with an increase in the personal norm of hip joint functionality by 20%. 2. The method according to paragraph 1, characterized in that the collection of anamnesis and functional diagnostics are performed using a client application installed on a mobile device, personal portable or stationary computer. 3. The method according to item 1, characterized in that the number of therapeutic exercises is from 10 to 25 pieces. 4. The method according to item 1, characterized in that the duration of the therapeutic exercises is from 15 to 45 minutes. 5. The method according to paragraph 1, characterized in that in case of diseases of the hip joint, traction exercises are contraindicated, circular rotation of the hip joint is permitted only without weight load, without limitation of movement, without resistance equipment.