The assessment of post-operative rehabilitation methods in patients after total knee replacement in terms of the lower limb functions with its proprioception
DOI:
https://doi.org/10.12775/mbs-2013-0017Keywords
function of lower limb, knee arthroplasty, rehabilitation, proprioceptionAbstract
In advanced stages of osteoarthritis of the knee joints arthoplasty is the only effective treatment for joint replacement. However, in the postoperative phase, due to its wide area, it influences patient’s health and their lower limb. It requires skilfull rehabilitation. The objective was to determine the relationship between the function of the lower limb proprioception in patients after implantation of knee replacement for osteoarthritis and type of rehabilitation treatment, used in this patients. The material included 45 patients who underwent knee replacement in Department of Orthopedics and Traumatology Collegium Medicum in Bydgoszcz (from October 2005 year - to March 2006 year) and then patients were randomly assigned to one of three groups of 15 people with a different way of rehabilitation: I - traditional, II - aggressive and III - proprioceptive. Improvement of lower limb function was achieved after 3 months in group 2 and 3, in group 1 only after 6 months. Improvement of proprioception already noted in the early postoperative period in group 3, and in the other groups - outright deterioration. In subsequent periods the improvement was significant only in group 3, and only after 6 months in group 2. Studies have allowed drawing following conclusions:
1. Proprioceptive rehabilitation has advantages over the traditional model and aggressive rehabilitation in terms of improving lower limb function and deep sensory.
2. The worst results of rehabilitation treatment in the assessment of lower limb function are given by a traditional model of rehabilitation.
References
Dieppe P. Osteoarthritis. Acta Orthop Scand Suppl. 1998 Jun;281:2-5.
Furnes O, Espehaug B, Lie SA, et al. Early failures among 7,174 primary total knee replacements: a follow-up study from the Norwegian Arthroplasty Register 1994-2000. Acta Orthop Scand. 2002 Apr;73(2):117-29.
Górecki A: Problemy leczenia zmian zwyrodnieniowych stawu biodrowego i kolanowego. Dekada Kości i Stawów 2000-2010. Kraków 2000; 22-32.
Lee JA: Choroba zwyrodnieniowa stawu kolanowego u dorosłych. Medycyna po dyplomie 2000; 4: 115-127.
WHOQOL Group: The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995; 41: 1403-1409.
Wierusz-Kozłowska M, Markuszewski J: Choroba zwyrodnieniowa stawów. W: Wiktora Degi Ortopedia i Rehabilitacja. t. II, PZWL. Warszawa, 2003.
Wierusz-Kozłowska M, Wall A: Kierunki badan naukowych i perspektywy postępu w leczeniu choroby zwyrodnieniowej stawów. Dekada Kości i stawów 2000-2010. Kraków 2000; 33-39.
Boutron J, Poiraudean S, Revaud J F, Baron G, Revel M, Nizard R et al: Disability in adults with hipp and knee arthroplasty. A French national community based survey. Ann Rheum Dis 2003; 62: 748-754
Dega W, Milanowska K: Ortopedia i rehabilitacja we współczesnym ujęciu. W: Wiktora Degi Ortopedia i Rehabilitacja. t. I, PZWL Warszawa, 2003.
Milanowska K, Warzecha D: Rola i zadania rehabilitacji w zapobieganiu i zwalczaniu niesprawności ruchowej. Dekada Kości i Stawów 2000-2010, Kraków 2000; 181-197.
Stryła W, Lisiński P, Zapalski W: Metody fizykalne w leczeniu bólu u chorych ze zmianami zwyrodnieniowymi stawów kolanowych. Ortop Traum Rehab 2005 Vol 7; nr 3; 317-321
Ware JE, Kosinski M, Keller SD: SF-36 physical and mental component summary measures - a user’s manual. The Health Institute. Boston 1994.
Hagner W., Stec G.: Urazy stawu kolanowego. Cz. I. Więzadło krzyżowe przednie. Podręcznik dla studentów kierunku fizjoterapia. Wydawnictwo „SCRYPT”. Bydgoszcz 2004.
Sosin P., Dutka J., Stabach M: Porównanie wczesnych wyników kinezyterapii z zastosowaniem ciągłego ruchu biernego i bez jego zastosowania w usprawnianiu chorych po całkowitej alloplastyce stawu kolanowego. Chir Narz Ruchu Ortop Pol 2000; 65, 1: 47-53.
Gandhi R., de Beer J., Petruccelli D. et al. Does patient Can J Surg. 2007 Jun;50(3):181-6.
Lephart SM, Princivero DM, Rozzi SL: Proprioception of the ankle and knee. Sports Med 1998; 25:149-155.
Rymer T, Kruczyński J: Ocena propriocepcji stawu kolanowego za pomoca urządzenia pomiarowego własnej konstrukcji. Chir Narz Ruchu Ortop Pol 2007; 72(3): 189-192.
Mancuso CA, Sculco TP, Wickiewica TL et al: Patients’ expectations of knee surgery. J Bone Joint Surg Am 2001; 83-A:1005-12.
Russel T G, Buttrum P, Wootton R et al. Rehabilitation after total knee replacement via low-bandwidth telemedicine: The patient and therapist experience. Journal of Telemedicine and Telecare 2004; 10.
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