Physiotherapy following surgical repair of knee cartilage

Andrzej Czamara

Andrzej Czamara – Physiotherapy following surgical repair of knee cartilage. Fizjoterapia Polska 2003; 3(4); 401-411

Abstract

This article presents a four-stage physiotherapy program for use after certain surgical operations on knee joint cartilage, adapted to the dynamics of tissue healing and reconstruction. In the first stage, the load-bearing time of the operated lower limb in vertical configuration is differentiated, depending on the degree and site of damage and the surgical technique, as well as the patient’s own goals and personal characteristics. Physical agents are also used, along with passive movement of the knee joint without load on CPM devices. Isometric and co-contraction exercises are also used. The patient is taught to walk while relieving the operated limb with crutches. In the second phase of rehabilitation, in addition to routine methods, we use gradual loading on the limb in vertical position, using objective measurements obtained from tensometric platforms. In the third phase standard rehabilitation methods are used. In addition we have implemented monitoring of gradually increased loads, with the goal of restoring limb function, i.e. walking on a level surface and at a variable grade, and basic motor characteristics. The fourth stage is intended for persons whose goal is to return to sport or other professional work requiring a high level of physical activity.

Key words:
knee joint cartilage, knee joint cartilage injuries, physiotherapy, rehabilitation program
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Physical fitness evaluation of drug addicts participating in the „Monar” rehabilitation program

Ryszard Zarzeczny, Rafał Rzońca, Dorota Zarzeczna, Anna Polak, Piotr Król

Ryszard Zarzeczny, Rafał Rzońca, Dorota Zarzeczna, Anna Polak, Piotr Król – Physical fitness evaluation of drug addicts participating in the „Monar” rehabilitation program. Fizjoterapia Polska 2011; 11(4); 341-349

Abstract
Background. The aim of this study was to investigate the changes of physical fitness level in drug addicts participating in an 18-month rehabilitation program organized by “Monar” Association Centre in Dębowiec. Materials and methods. The sample comprised 40 drug addicts participating in the rehabilitation program. Depending on the length of the therapy all patients were divided into 4 groups: 1) 0-3 months; 2) 4-6 months; 3) 7-9 months and 4) 16-18 months. Physical fitness of the patients was evaluated by the Harvard test, Ruffier test, Crampton test and volitional breath holding time. Results. the study outcome revealed a clear progress in the results obtained using the Harvard test and the volitional breath holding time. No significant between group differences were found in the Ruffier’s as well as in Crampton’s index. Conclusions. Physical fitness estimated by means of Harvard test and especially exercise tolerance of this test in drug-addicts who start treatment are low; however, they improve up to control level during the 18 month rehabilitation program. Exercise tests applied in the process of rehabilitation of drug addicts, based only on HR measurements in post-exercise recovery period may not properly reflect the real level of physical fitness.
Key words:
Physical Fitness, rehabilitation program, drug addicts
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Rehabilitation models for patients with COPD

Jan Szczegielniak, Jacek Łuniewski, Marcin Krajczy, Katarzyna Bogacz

J.Szczegielniak, J. Łuniewski, M. Krajczy, K. Bogacz – Rehabilitation models for patients with COPD. Fizjoterapia Polska 2019; 19(3); 126-137

Abstract
Rehabilitation program includes models A, B, C, D and E. Key criteria in qualifying patients for adequate rehabilitation models include assessment of exercise tolerance, degree of lung ventilation dysfunction (FEV1 index), dyspnea level and physical function level.
The other criteria considered in the qualification include age, dyspnea and physical function. Patients with contraindications for exercise test and patients with cardiopulmonary insufficiency are qualified for model E. Individual models include cycle ergometer training (up to training heart rate), breathing and general exercises, resistance training or station training, walking, inhalations, postural drainage and effective coughing exercises, as well as chest percussion, physical therapy and massage.

Key words:
rehabilitation program, COPD, rehabilitation models

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