Features of the development of movements after knee arthroplasty
DOI: https://doi.org/10.29296/25877305-2021-05-15
Issue:
5
Year:
2021
Objective: to compare different options for the development of knee joint movements after
arthroplasty. Subjects and methods. The investigation involved 130 patients who had undergone knee
arthroplasty. According to the postsurgery rehabilitation program, the patients were divided into 4 groups:
1) 25 patients who underwent the core of the rehabilitation program from the first day and active and
passive knee flexion exercises from day 3; 2) 25 patients who did knee flexion exercises from day 3 and also
received passive movement therapy; 3) 40 patients, in whom movement development was started immediately
after surgery; 4) 40 patients, in whom movement development was initiated as soon as possible postsurgery
and passive movement therapy was also used. Results. The amount of drainage discharge and the pain visual
analogue scale (VAS) scores were higher in Group 4 patients at 1 and 5 days. There was a statistically
significant difference in the Knee Society Clinical Rating System (KSS) scores between Groups 1 and 2,
Groups 2 and 3, and Groups 2 and 4 at 6 months postsurgery, while that in the WOMAC scores between Groups 1
and 2 at 12 months after arthroplasty. However, no statistically significant difference was found in the KSS
scores in the groups at 12 months after arthroplasty. Conclusion. When keeping the adequate balance of the
ligamentous apparatus during knee arthroplasty, it is advisable to implement a standard early rehabilitation
program without using the hardware techniques. The use of passive movement therapy significantly increases
the amount of drainage discharge and worsens pain syndrome.
Keywords:
surgery
knee arthroplasty
rehabilitation
passive movement therapy
drainage discharge
References:
- Beljakova A.M., Sereda A.P., Samojlov A.S. Reabilitatsija sportsmenov posle operativnogo vmeshatel'stva na ahillovom suhozhilii. Sportivnaja meditsina: nauka i praktika. 2017; 7 (1): 73–8 [Belyakova A., Sereda A., Samoylov A. Rehabilitation of athletes’ after Achilles tendon surgery. Sports medicine: research and practice. 2017; 7 (1): 73–8 (in Russ.)]. https://doi.org/10.17238/ISSN2223-2524.2017.1.73
- Efimenko N.A., Gritsjuk A.A., Sereda A.P. Diagnostika razryvov ahillova suhozhilija. Klinicheskaja meditsina. 2011; 89 (3): 64–70 [Efimenko N.A., Gritsyuk A.A., Sereda A.P. Diagnostics of achilles tendon ruptures. Klinicheskaya meditsina. 2011; 89 (3): 64–70 (in Russ.)].
- Samojlov A.S., Sereda A.P., Kljuchnikov M.S. i dr. Opyt primenenija metodov vosstanovitel'noj meditsiny v uslovijah provedenija uchebno-trenirovochnyh sborov sbornyh komand Rossii. Meditsina ekstremal'nyh situatsij. 2015; 4 (54): 98–106 [Samoylov A.S., Sereda A.P., Kljuchnikov M.S. et al. Experience of using rehabilitation medicine priciples in training camps for national sports teams of Russia. Meditsina ekstremal’nykh situatsii. 2015; 4 (54): 98–106 (in Russ.)].
- Sereda A.P. Hirurgicheskoe lechenie razryvov ahillova suhozhilija. Avtoref. dis. ... d-ra med. nauk. M., 2014 [Sereda A.P. Khirurgicheskoe lechenie razryvov akhillova sukhozhiliya. Avtoref. dis. ... d-ra med. nauk. M., 2014 (in Russ.)].
- Avramidis K., Karachalios T., Popotonasios K. et al. Does electric stimulation of the vastusmedialis muscle influence rehabilitation after total knee replacement? Orthopedics. 2011; 34 (3): 175. DOI: 10.3928/01477447-20110124-06
- Ling Z., Guo H., Boersma S. Analytical study on the kinematic and dynamic behaviors of a knee joint. Med EngPhys. 1997; 19: 29–36. DOI: 10.1016/s1350-4533(96)00031-8
- Mizner R.L., Snyder-Mackler L. Altered loading during walking and sit-to-stand is affected by quadriceps weakness after total knee arthroplasty. J Orthop Res. 2005; 23 (5): 1083–90. DOI: 10.1016/j.orthres.2005.01.021
- Mockford B.J., Thompson N.W., Humphreys P. et al. Does a standard outpatient physiotherapy regime improve the range of knee motion after primary total knee arthroplasty? J Arthroplasty. 2008; 23 (8): 1110–4. DOI: 10.1016/j.arth.2007.08.023
- Nabatov A.A., Troegubova N.A., Rylova N.V. et al. Sport- and sample-specific features of trace elements in adolescent female field hockey players and fencers. J Trace Elem Med Biol. 2017; 43: 33–7. DOI: 10.1016/j.jtemb.2016.11.002
- Petterson S.C., Mizner R.L., Stevens J.E. et al. Improved function from progressive strengthening interventions after total knee arthroplasty: a randomized clinical trial with an imbedded prospective cohort. Arthritis Rheum. 2009; 61 (2): 174–83. DOI: 10.1002/art.24167
- Stevens J.E., Mizner R.L., Snyder-Mackler L. Quadriceps strength and volitional activation before and after total knee arthroplasty for osteoarthritis. J Orthop Res. 2003; 21 (5): 775–9. DOI: 10.1016/S0736-0266(03)00052-4
- Stevens-Lapsley J.E., Balter J.E., Wolfe P. et al. Early neuromuscular electrical stimulation to improve quadriceps muscle strength after total knee arthroplasty: a randomized controlled trial. Phys Ther. 2012; 92 (2): 210–26. DOI: 10.2522/ptj.20110124
- Thomas A., Stevens-Lapsley J. Importance of attenuating quadriceps activation deficits after total knee arthroplasty. Exerc Sport Sci Rev. 2012; 40 (2): 95–101. DOI: 10.1097/JES.0b013e31824a732b