Rules of physiotherapy after surgical reconstructions of ruptured anterior cruciate ligament

Lisiński, Przemysław; Pawelec, Andrzej; Samborski, Włodzimierz

doi:10.2478/v10109-009-0043-6

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…In addition, neurologic conditions that increase muscle tone or cause weakness could contribute to contracture due to unequal forces generated by opposing muscle group -neurogenic type and any joint could be affected in this manner. [7] The adopted and proven effective approach for treating joint contracture is the combination of kinesitherapy and physiotherapy [9][10][11]. However, it has always been essential in healthcare field more effective approaches to be researched.…”

Section: Introductionmentioning

confidence: 99%

Peripheral Application of Repetitive Pulse Magnetic Stimulation on Joint Contracture for Mobility Restoration:Controlled Randomized Study

Kouloulas

2016

International Journal of Physiotherapy

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Background: Joint contracture is a limitation in the passive or active range of motion (ROM) of a joint, where in addition to the mobility limiting factor the pain is also present. Repetitive pulsed Magnetic Stimulation (rPMS) appears to be an effective, non-invasive and safety solution for treating this condition. Therefore aim of this study was to evaluate the effect of rPMS in treating joint contracture. Methods: 30 subjects with joint contracture in the knee were enrolled in this study and divided respectively into Treatment and Control group. The treatment group were delivered with rPMS therapy. The control group was delivered with conventional physiotherapy method (ultrasound). The primary outcome measurements were: 1. Mobility evaluation by goniometry (ROM in degrees while performing flexion) and Patient Functional Assessment Questionnaire (PFAQ) for ability to perform Activities of Daily Living (ADL) and 2. Pain evaluation by 10-point Visual Analog Scale (VAS) for pain perception. Absence of adverse events was set as a secondary measure. Results:The results of the study show statistical difference (p<0.05) between the levels of improvement of all studied parameters while comparing between both groups. The results suggest greater immobility restoration and pain relieving effect of the rPMS in comparison to conventional physiotherapy method. Conclusion:rPMS an effective and safe non-invasive method for mobility restoration and pain relief in case of joint contractures. This study suggests the method as beneficial and quality of life ameliorating among patients suffering from immobilized joints accompanied by pain.

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Section: Introductionmentioning

confidence: 99%

Peripheral Application of Repetitive Pulse Magnetic Stimulation on Joint Contracture for Mobility Restoration:Controlled Randomized Study

Kouloulas

2016

International Journal of Physiotherapy

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Comparison of Results of Local Cryotherapy Obtained with the use of Medical Devices and with the use of Ice in Patients After Reconstruction of the Anterior Cruciate Ligament in the Context of guaranteed Healthcare Services

Bednarski¹,

Kiwerski²

2020

Acta Balneol

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Introduction: The development of innovative medical technologies is associated with the need to evaluate the procedures included in the guaranteed service basket, with particular emphasis on assessing currently available medical procedures in terms of their clinical effectiveness. The paper constitutes a critical review of literature by comparing the results of studies found as a result of a search in four online databases. Aim: The main purpose of this paper is to compare the clinical effectiveness of two cryotherapy methods: medical devices and ice treatments in patients after anterior cruciate ligament reconstruction. Material and Methods: The scientific reports were reviewed through the Medline, Embase, Cochrane Library and PEDro databases, in accordance with the designed search strategy using the following keywords: Anterior Cruciate Ligament Reconstruction, Cryostimulation, Cryotherapy, Cold Therapy, Cold Stimulation. Results: As a result of the search, a total of 170 publications were found, of which 4 studies were included in the analysis. Statistically significant therapy outcomes in the context of analgesia with a predominance of medical devices were obtained in two of four studies. However, in the context of anti-edema action only in one of the two studies, the statistically significant result was higher in the group of patients who used the medical device with simultaneous compression. Conclusions: 1. The results of the trials suggest that devices utilizing cryocompression have the highest efficiency in the case of analgesic and anti-edema action after arthroscopic reconstruction of ACL and are positively received by patients who use this form therapy. However, the results of randomized trials are not sufficient to draw definitive conclusions about the effectiveness of this form of therapy. 2. The need to amend the provisions of the relevant legal acts regulating the conditions for the provision of services and determining the criteria for the selection of offers in the procedure regarding the conclusion of contracts for the provision of medical services. 3. The need to using a uniform terminology regarding the name of the treatments utilizing low temperatures. 4. The need to conduct large multicentre randomized clinical trials with standardized intervention.

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Water Treadmill Therapy After Reconstruction of the Anterior Cruciate Ligament ACL – Case Report

Maruszewska

Panasiuk

2020

Acta Balneol

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Introduction: The knee joint is one of the most commonly injured joints, especially among physically active persons. In turn, the anterior cruciate ligament (ACL) is the knee ligament which is most frequently torn. Water treadmill therapy is one of the forms of rehabilitation available for patients after ACL reconstruction. Materials and Method: The case of a 38-year-old woman is presented who during parachute jumping sustained injury to the knee joint on landing. Using the magnetic resonance imaging (MRI) a tear of the ACL was diagnosed. Physiotherapeutic examination was performed: palpation and visual observation of both knee joints: assessment of position of the patella and the axes of the lower limbs, assessment of joint temperature, patella ballottement sign, and tenderness. In order to objectively monitor the progress of therapy measurements were taken of the circumference of the lower limbs, and pain complains assessed according to the VAS scale. Eight weeks after reconstruction of the anterior cruciate ligament, the patient underwent 30 treadmill therapy treatments. Results: Quadriceps muscle mass gain and reduction of the knee joint swelling were observed. Full range of knee joint motion was confirmed, and lack of pain in the medial compartment of the knee joint. Conclusions: Water treadmill therapy is an effective supplementation of the process of patient rehabilitation after reconstruction of the anterior cruciate ligament.

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Rules of physiotherapy after surgical reconstructions of ruptured anterior cruciate ligament

Cited by 3 publications

References 11 publications

Peripheral Application of Repetitive Pulse Magnetic Stimulation on Joint Contracture for Mobility Restoration:Controlled Randomized Study

Peripheral Application of Repetitive Pulse Magnetic Stimulation on Joint Contracture for Mobility Restoration:Controlled Randomized Study

Comparison of Results of Local Cryotherapy Obtained with the use of Medical Devices and with the use of Ice in Patients After Reconstruction of the Anterior Cruciate Ligament in the Context of guaranteed Healthcare Services

Water Treadmill Therapy After Reconstruction of the Anterior Cruciate Ligament ACL – Case Report

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