| Autor: |
Стауде, В. А., Арутюнян, З. А., Радзішевська, Є. Б., Яременко, О. Д., Стауде, А. О. |
| Předmět: |
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| Zdroj: |
Orthopaedics, Traumatology & Prosthetics / Ortopediia, Traumatologiia i Protezirovaniie; 2022, Issue 1/2, p12-19, 8p |
| Abstrakt: |
Knee arthroplasty can significantly improve the quality of life of patients with knee osteoarthritis. About 20 % of patients after knee arthroplasty unsatisfied with surgical treatment results. One of the factors that reduces the unsatisfactory results is the use of new rehabilitation technologies. Objective. Investigate the feasibility and effectiveness of the proposed rehabilitation system within 2-3 months after knee arthroplasty. Methods. A prospective study of two groups of patients with osteoarthritis after knee arthroplasty was conducted. The group БР consisted of 28 patients who did not undergo special rehabilitation treatment. The group Р consisted of 30 patients who underwent special rehabilitation treatment in the hospital within 2-3 months after surgery. The groups were comparable in terms of age and body mass index. Flexion and extension angles of the operated knee were measured in patients of both groups within 2-3 and 5-6 months after surgery. The course of special rehabilitation treatment included: massage of the muscles of the lower back, buttocks, thighs, leg and foot on the operated side; performing special physical exercises twice a day for two weeks. Methods of non-parametric statistics were used to process the results. The statistical significance of the differences for unrelated samples was checked using the Mann-Whitney U-test (CMU), for the connected ones, the Wilcoxon test (CV). Results. After a course of rehabilitation, in group Р the flexion angle rate increased 1.3 times and amounted to 90° (90°; 100°) (КВ, р < 0.01). In group БР during the same period the flexion angle rate underwent a partial regression, amounting 100° (100°; 110°). The rate of extension angle in both groups Р did not change. But in group Р, in all patients who had a deficiency of extension angle of the operated knee, it disappeared. In group БР, in all patients who had deficiency of extension angle of the operated knee, it decreased slightly, but did not disappear. Conclusions. The use of proposed rehabilitation treatment within 2-3 months after knee arthroplasty restores the volume of movements in the operated knee, reduces the risk of contracture of the operated joint (especially extension contracture) and restores the normal stereotype of walking. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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