Rehabilitation Approaches for Knee Arthroplasty

Petrova, Roza V.; Николаев, Н. С.; Цыкунов, М. Б.

doi:10.38025/2078-1962-2022-21-2-61-69

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Косинской (1961) и Kellgren & Lawrence (1963) [15,16], считается тотальное эндопротезирование коленного сустава [2,11,[17][18][19]. Результатом проведения этой операции является стойкое снижение боли, улучшение функции коленного сустава, восстановление повседневной активности пациента [20].…”

Section: обоснованиеunclassified

Biofeedback training for the analysis of gait stereotypes in patients with gonarthrosis

Nikolaev,

Petrova,

Viktorova

et al. 2024

Physical and rehabilitation medicine, medical rehabilitation

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BACKGROUND: The justification of the treatment techniques for patients with gonarthrosis requires the use of modern methods for assessing walking stereotypes. AIM: This study aimed to evaluate the biomechanical and podometric gait parameters of patients with gonarthrosis using the C-Mill multifunctional complex with biofeedback. MATERIALS AND METHODS: The study included 55 patients who were divided into the following groups: main group (n=35) of patients who had gait disturbances, diagnosed with stage III–IV primary gonarthrosis with varus deformation of the limb axis according to ICD-10, and underwent total knee replacement and control group (n=20) of patients diagnosed with stage I primary gonarthrosis. The average age of patients was 58.7 years in the main group and 47.5 years in the control group. RESULTS: In the main group, the decrease in average walking speed was accompanied by decreases in stride length and step frequency (р 0.05). In the stance phase, which is characterized by the contact of the foot of the affected and contralateral lower extremities with the platform surface, the durations of the double stance phase of both extremities in the main group were longer than those in the control group (p 0.05), indicating gait asymmetry and redistribution of excess load on the contralateral lower extremity, which is clinically manifested by lameness. In the main group, gait was characterized by a decrease in voluntary speed, step frequency, and gait pattern changes in various planes, confirming severe clinical and functional disorders in the lower limbs. CONCLUSION: The study of the walking stereotype in patients using the C-Mill multifunctional complex with biofeedback can be used to substantiate treatment techniques, followed by drawing up an individual medical rehabilitation plan to restore lower limb functions in the postoperative period, fully monitor treatment dynamics, prevent falls, and improve the quality of life of patients.

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Section: обоснованиеunclassified

Biofeedback training for the analysis of gait stereotypes in patients with gonarthrosis

Nikolaev,

Petrova,

Viktorova

et al. 2024

Physical and rehabilitation medicine, medical rehabilitation

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Significance of the second stage of medical rehabilitation after arthroplasty of large joints

Николаев

Petrova

Preobrazhenskaya

et al. 2023

Physical and rehabilitation medicine, medical rehabilitation

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Until recently, the three-level system of medical rehabilitation adopted in Russia assumed the implementation of each of the stages in various medical organizations. The lack of funding within the budget and the basic CHI program led to limited access for patients to the trajectory of the completed cycle of MR after surgical interventions, which reduced the effectiveness of the provision of profile HTMC. The aim of study is to demonstrate the effectiveness of the system for organizing rehabilitation care for patients after arthroplasty of large joints of the lower extremities in a stationary (second) stage in a medical rehabilitation center. Materials and methods. The data of the medical information system on patients treated for three months at the second (inpatient) stage after arthroplasty of the hip and knee joints in the conditions of the Medical Rehabilitation Center were used. The effectiveness of rehabilitation was assessed by tests and scales: RRS, VAS, Borg exercise tolerance scale, HADS, EQ-5D; MRS, index Leken. Results. 308 patients (306 operated) were treated after medical rehabilitation measures at the first stage with a RRS score of 4-5 points, of which about 80% - after primary and revision arthroplasty of large joints. Upon completion of rehabilitation measures, a statistically significant improvement in all functional indicators was noted. Discussion. Despite the ambiguous opinion of scientists about the need for inpatient rehabilitation after arthroplasty, according to our data, arthroplasty and the subsequent stage of medical rehabilitation using modern technologies in a hospital significantly improve the clinical status, reduce or eliminate pain, increase motor activity, improve the psycho-emotional background and the patient's quality of life. Stationary (second) stage of rehabilitation was effective in 100%. Conclusions. The results of the work of the CMR proved its organizational feasibility, clinical effectiveness and advantages: continuity and phasing of rehabilitation in a single institution; continuity of observation of the patient during the interaction of MDRT with the participation of the operating surgeon, an anesthesiologist-resuscitator. The quality of rehabilitation is improved by the concentration of high-tech therapeutic and regenerative agents and experienced specialists, the correction of concomitant pathology, explanatory work with patients to increase compliance.

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Rehabilitation Approaches for Knee Arthroplasty

Cited by 2 publications

References 7 publications

Biofeedback training for the analysis of gait stereotypes in patients with gonarthrosis

Biofeedback training for the analysis of gait stereotypes in patients with gonarthrosis

Significance of the second stage of medical rehabilitation after arthroplasty of large joints

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