Dissertation is devoted to study, research and development effectiveness of the program of physical rehabilitation of patients after anterior cruciate ligament reconstruction of the knee joint during arthroscopic surgical interventions.
The analysis of scientific literature, summarizing the experience of leading domestic and foreign experts on the problem of the use of physical rehabilitation during arthroscopic surgery in patients with anterior cruciate ligament injury, indicates that adequate recovery systems that take into account the type of fixation of transplants, functional features the affected limbs and other factors, including the extent of dysfunction of the knee joint, designed not for all cases of injuries and their consequences.
We proposed a comprehensive program of physical rehabilitation of standard programs featured a comprehensive approach to the problem of rehabilitation. Whose main objective was not only to normalize the functions of the operated limb, restoring stability and joint mobility, muscle tone of injured limbs, but restoring proprioceptive sensitivity, elimination of load distribution asymmetry of the lower limbs, enabling the prevention of orthopedic complications.
Based on the investigation of functional state of the lower limbs of patients were grounded and developed a program of physical rehabilitation of patients after anterior cruciate ligament reconstruction with arthroscopic surgery, which was built with regard to pedagogical principles, the gradual restoration of stability and mobility of the joint and extremity muscle tone, local status knee opportunities dosed axial load and reduce the asymmetry of the lower load mo jets; and consisted of five periods of preoperative, postoperative early, late postoperative, functional and period of increased physical activity. The basis of the program was the use of exercise modules on the platform, therapeutic exercises, therapeutic massage with elements of passive design to improve range of motion in the affected joint and postisometric relaxation, mechanical therapy unit for continuous joint development and adherence to orthopedic treatment and so on.
One of the differences between our program of physical rehabilitation of patients with damage to the anterior cruciate ligament of the traditional medical establishment has become the program, including (in addition to early postoperative rehabilitation) application modules exercises «Boat», «Sorting ball», «Balls sort», «Jumping», «Rope», «Combined» platform «Gamma Platform».
Course Rehabilitation of SI «Institute of Traumatology and Orthopedics NAMS Ukraine» were 52 people. To determine the effectiveness of physical rehabilitation program was formed two groups of patients – primary, held recovery according to our author’s program (n = 21) and control group patients (n = 31) who performed complex restorative treatment, which contains physiotherapy, classic massage and methods of physical therapy program impact hospital.
Output (preoperative) performance parameters studied in patients formed groups did not differ statistically significantly (p <0.05). Past studies on the effectiveness of our program of physical rehabilitation prove accurate data on its superiority compared to traditional app hospital. Data obtained during the pedagogical experiment indicate that the use of preoperative, early and late postoperative, functional period of rehabilitation after anterior cruciate ligament reconstruction of the knee joint during arthroscopic surgery, physical rehabilitation program developed possible to achieve better results main group of patients, according to clinical and instrumental studies, compared with patients in the control group.
Thus, the use of the developed program allowed to increase the effectiveness of rehabilitation of patients after anterior cruciate ligament reconstruction of the knee joint during arthroscopic surgical interventions.
