Features of walking in patients with knee arthrosis before and after arthroplasty according to the GAITRite system

Background. Hardware examinations are the key to standardizing the assessment of the patient’s condition, they reduce the doctor’s error, make it possible to obtain digital material, which can be used to determine the functional ability of the patient. One of such studies is the GAITRite system, the purpose of which is to assess the parameters of a person’s walking. The study was aimed to determine the basic parameters of walking in patients with gonarthrosis before and after the endoprosthesis. Materials and methods. There were examined 23 patients with gonarthrosis after unilateral endoprosthesis. The studies carried out concern the analysis of temporal, geometric parameters of walking, as well as the assessment of the functional ability of patients with degenerative diseases of the hip joint before treatment and one year after arthroplasty. Results. Before treatment for knee arthrosis, patients experience a violation of walking in the form of asymmetry of steps. There is a decrease in the time of support on the foot of the impaired limb and, therefore, an increase in the time of transfer of the foot of this limb. Changes in the impaired limb are reflected in the opposite one. After surgery, the changes in the parameters of walking in patients were as follows: an increase in the time of support on the prosthetic limb, and, therefore, a decrease in the time of support on the foot of the opposite limb that manifested in an increase in the symmetry of the parameters of steps. Reduction of pain syndrome and restoration of limb support ability increase the indicator of gait functionality. Osteoarthritis is a systemic disease and develops more often in both knee joints, and other structures of the skeleton are often involved in the degenerative process. Therefore, in elderly patients, FAP after arthroplasty reaches only satisfactory values. We examined patients after endoprosthesis on one knee joint, and this does not always give the expected good result immediately. Conclusions. Instrumental methods of studying patients’ gait make it possible to determine the degree of impairment of dynamics. Knee arthroplasty eliminates pain and restores limb resistance, which improves gait. This method of assessing walking allows determining the degree of recovery of patients and to adjust the need for further methods of correcting walking or a plan for further treatment.

INFLUENCE OF THE POST-ISOMETRIC RELAXATION METHOD ON THE QUALITY OF LIFE OF PATIENTS WITH KNEE ARTHROSIS

The article presents the results of the study to identify the effect of the method of post-isometric relaxation in the correction of functional disorders of the musculoskeletal system by patients with arthrosis of the knee joint. The study showed the importance of using additional rehabilitation means by persons with arthrosis.

Effect of Therapy Using Aquatic Treadmill on the Functional Status of Patients with Knee Arthrosis

Introduction: Arthrosis is considered as a disease of the whole locomotor system, which may be prevented and treated at early stages. Gonarthrosis develops gradually within 10-15 years, interfering with daily activities and capability for work. Aquatic exercises are considered as a potentially effective therapeutic intervention in persons with knee arthrosis. Aim: Assessment of the effectiveness of a 4-week aquatic treadmill exercise programme, with respect to the measurement of pain, balance, function, and mobility. Materials and Methods: The study covered 15 patients with gonarthrosis, using a 4-week cycle of exercises. The results of measurements included a visual-analogue scale for assessing pain, Time Up and Go (TUG) for balance, 6-meter walk test for mobility and Lequesne index for function. The exercise protocol covered an aquatic treadmill using water jets to destabilize while standing, and achieve high ratings of perceived exertion during walking. Results: The comparison of results obtained by the patients after 20 interventions, with those obtained before therapy allowing the presumption that on the level of significance α= 0.05 there occurred statistically significant differences in the results of the tests performed (p<0.05). This concerned both pain complaints (VAS scale, Lequesne index of severity for arthrosis of the knee), as well as functional tests TUG, and measurement of the range of motion (p = 0.041-0.001). Conclusions: Based on the results of the study a decrease was observed in pain complaints, improvement of the range of motion in the joints, balance and function, after participation in a 4-week aquatic treadmill exercise programme, which contained the components of balance and endurance training.

Structure and content of rehabilitation of 45–50 year old women with knee arthrosis

The purpose of the work is to develop and substantiate a technique for physical rehabilitation in knee arthrosis. We assumed that the technique we developed will contribute to the speedy restoration of knee joint functions, the removal of pain syndrome and an increase in the physical activity of patients. Of greatest importance in kinesitherapy is the determination of women's motor capabilities, abilities for household and labor skills, for which muscle testing on multifunctional simulators is used. For subjective assessment of pain, we proposed a verbal descriptive scale. This method is designed to determine the intensity of pain and allows you to evaluate the subjective pain sensations that the patient experiences at the time of the study. Hydroxynesitherapy is in the physical rehabilitation program. When performing gymnastics in water, different depth of immersion is used, dynamic exercises, exercises with elastic (rubber) bandage, rubber espanders, shovels (to increase rowing resistance), flippers and special cuffs on knee joints are used. Duration of classes 15–20 min 2–3 times a week, course 30–45 days and subsequent application of teips. The rehabilitation included treatment baths, which women conducted independently at home. When conducting kinesitherapeutic measures, we took into account the patient's complaints, we carried out medical supervision, control of heart rate and blood pressure. We presented the results of the study of influence of the proposed technique on morphofunctional state of women 45–50 years old. We noted positive dynamics of influence of kinesitherapy on motor functions of knee joint.

Treatment experiences of gonarthrosis by intra-articular infiltration of ozonated autologous blood

Knee arthrosis is a degenerative process with inflammatory characteristics that develops in the articular environment, resulting in irreversible alterations that tend to impair its functionality. In this study, we subjected 136 patients to a new infiltrative therapy by means of autologous ozonated blood. The study yielded positive results on pain symptoms and functional recovery.

Total cement knee arthroplasty in patients of 85–95 years old with terminal stage of degenerative knee disease

The objectiveof the study is to make the analysis of the results of total cement knee arthroplasty in the most difficult age group of 85–95 years old patients.Material and methods.40 patients with terminal knee arthrosis were selected based on their comorbidity.Results.Patients with the Charlson comorbidity index of 5–8 points need hospitalization for the treatment of aggravating somatic pathology, as preparation for a future knee arthroplasty. In the operated patients, the result on the KOOS was (76±7.19), and on the WOMAC was (151±4.83) a year after the arthroplasty.Сonclusion.Surgical intervention – total knee arthroplasty in patients of 85–95 years old is possible only if its risk is minimized.