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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慢性阻塞肺病患者的康复模型

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

摘要
康复计划包括A、B、C、D、E等模式,特定类型分级的基本标准为运动耐力、肺通气受损(FEV1指数)、呼吸困难程度及体适能等方面的评估。
患者评估时考虑的其他标准还包括年龄、呼吸困难程度及体适能等。对运动测试有禁忌症或出现循环或呼吸功能衰竭者将被分类为E型,其他类型测试涵盖自行车测功计、呼吸和一般运动训练、阻力训练或站立训练、步行、吸入、引流和有效咳嗽、胸部轻拍、物理治疗和按摩等。

关键词:
康复计划、慢性阻塞肺病、康复模式

 

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