ORIGINAL PAPER
The impact of medical gymnastics on load on the lower limb
after knee twisting, on the basis of selected tests
More details
Hide details
Submission date: 2013-12-18
Final revision date: -0001-11-30
Acceptance date: 2014-03-07
Publication date: 2014-04-01
Medical Studies 2014;30(1):27-34
KEYWORDS
TOPICS
ABSTRACT
Introduction: The issue of knee sprain is increasingly raised in connection with the large number of people that visit rehabilitation centres to recover efficiency and eliminate the pain of an injured joint.
Aim of the research study: To determine the usefulness of medical gymnastics (kinesiotherapy) in the process of limb loading and overcoming the discomfort and pain.
Material and methods: The study included 50 rehabilitated patients of the Rehabilitation Unit of the District Hospital in Staszow, who were troubled with a history of knee sprains. The subjects were selected from 327 patients admitted to the rehabilitation unit within a 3-month period. Two groups of subjects were established (each with 25 people). Evaluation was focused on certain parameters related to the load of the rehabilitated limb, the rate of occurrence of pain felt during standing and walking, and the disappearance of complaints during resting. The group consisted of patients aged 20–64 years, and the median age of those tested was 42 years. The patients came from villages and towns in the county of Staszow, and a significant percentage of them were economically active.
Results: The applied physiotherapy was beneficial as it increased the load on the diseased limbs (two-scales test and standing-on-one-leg test) and improved quality of life, thanks to the palliation of pain to a considerable or complete degree.
Conclusions: Physiotherapy enriched with physical exercise allows for faster recovery of an injured leg.
REFERENCES (19)
1.
Uszkodzenia stawu kolanowego. Górecki A (ed). PZWL, Warsaw 1997.
2.
Stawy rzepkowo-udowe: wybrane problemy patologii, diagnostyki i terapii: opracowanie zbiorowe. Modrzewski K (ed). BiFolium, Lublin 1998.
3.
Sokołowska-Pituchowa J. Anatomia człowieka: podręcznik dla studentów medycyny. PZWL, Warsaw 2006.
4.
Dziak A, Tayara S. Urazy i uszkodzenia w sporcie. Kasper, Krakow 2009.
5.
Uszkodzenia chrząstki kolana. Górecki A, Kuś WM (eds.). Oficyna Wydawniczo-Poligraficzna „Adam”, Warsaw 2010.
6.
Widuchowski J. Kolano: artroskopia diagnostyczna i operacyjna. Sport Med, Katowice 2002.
7.
Logerstedt DS, Snyder-Mackler L, Ritter RC, et al. Knee stability and movement coordination impairments: knee ligament sprain. Orthopaedic Section of the American Physical Therapist Association. J Orthop Sports Phys Ther 2010; 40: A1-A37.
8.
Beaulieu MJ. Overtraining in the young athlete: an increase in anterior cruciate ligament and meniscal injuries. Perspect Infirm 2012; 9: 43.
9.
Bojek W. Krioterapia – uwagi ogólne. Balneologia Polska 2006; 1: 64-67.
10.
Szlachta M, Polak A, Błaszczyk B, et al. Badanie skuteczności ultradźwięków i elektrofonoforezy we wspomaganiu leczenia choroby zwyrodnieniowej stawu kolanowego. FP 2009; 9: 211-222.
11.
Escamilla RF. Knee biomechanics of the dynamic squat exercise. Med Sci Sports Exerc 2001; 33: 127-141.
12.
Hewett TE, Lindenfeld TN, Riccobene JV, et al. The effect of neuromuscular training on the incidence of knee injury in female athletes. Am J Sports Med 1999; 27: 699-706.
13.
Mizner RL, Petterson SC, Snyder-Mackler L. Quadriceps strength and the time course of functional recovery after total knee arthroplasty. J Orthop Sports Phys Ther 2005; 35: 424-436.
14.
Mascarin NC, Vancini RL, Andrade ML, et al. Effects of kinesiotherapy, ultrasound and electrotherapy in management of bilateral knee osteoarthritis: prospective clinical trial. BMC Musculoskelet Disord 2012; 13: 182.
15.
Deyle GD, Henderson NE, Matekel RL, et al. Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee. Ann Intern Med 2000; 132: 173-181.
16.
Jansen MJ, Viechtbauer W, Lenssen AF, et al. Strength training alone, exercise therapy alone, and exercise therapy with passive manual mobilisation each reduce pain and disability in people with knee osteoarthritis: a systematic review. J Physiother 2011; 57: 11-20.
17.
Wilk M, Trąbka R, Tomaszewski W. Wstępne wyniki zastosowania protokołu rehabilitacyjnego we wczesnym okresie u pacjentów po artroskopowej przezportalowej jedno i dwupęczkowej rekonstrukcji więzadła krzyżowego przedniego z użyciem ścięgien mięśni półścięgnistego i smukłego. FP 2009; 9: 97-103.
18.
Ardern CL, Taylor NF, Feller JA, et al. Psychological responses matter in returning to preinjury level of sport after anterior cruciate ligament reconstruction surgery. Am J Sports Med 2013; 41: 1549-1558.
19.
Wierike SC, van der Sluis A, van den Akker-Scheek I, et al. Psychosocial factors influencing the recovery of athletes with anterior cruciate ligament injury: a systematic review. Scand J Med Sci Sports 2013; 23: 527-540.