Tag: chrząstka stawu kolanowego

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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Ground reaction forces of the gait in patients undergoing physiotherapy after articular cartilage surgeries

Andrzej Czamara, Tadeusz Trzaska

Andrzej Czamara, Tadeusz Trzaska – Ground reaction forces of the gait in patients undergoing physiotherapy after articular cartilage surgeries. Fizjoterapia Polska 2006; 6(4); 289-297

Abstract
Background. The goal of our study was the evaluation of the ground reaction forces (N) of vertical component in flat surface gait in patients undergoing 10 to 14 weeks of physiotherapy after chosen surgeries of the knee joint cartilage. Material and methods. We measured ground reaction forces of the gait in 58 people. 31 patients after the carrier surface of knee joint cartilage surgeries and 27 people with no cartilage injuries were examined. When the patients developed individual gait after 10 to 14 weeks of physiotherapy, we measured ground reaction forces of their gait. The examination was carried on a track with, computer programmed, mtd-balance tensometric platforms. Results and Conclusions. Between 10th and 14th week after the surgery, the patients regained the gait. The values of ground reaction forces of the gait during stance phase for the operated limbs were close to the results of healthy limbs. The results did not differ from the results reached by the people with no cartilage injuries and oscillated between 1,19 to 1,21 of body weight. Moreover, minor asymmetry was reported between left and right limbs in groups with no articular cartilage injuries and in patients which did not exceed 5%.

Key words:
physiotherapy, gait, knee joint cartilage, ground reaction forces

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