THE ALGORITHM OF MEDICAL REHABILITATION OF PATIENTS AFTER THE ANTERIOR CRUCIATE LIGAMENT PLASTIC SURGERY
Journal: Journal of the Grodno State Medical University (Vol.19, No. 6)Publication Date: 2022-01-10
Authors : M. V. Shpekht; L. A. Pirogova;
Page : 629-635
Keywords : algorithm of medical rehabilitation; plastic surgery of the anterior cruciate ligament; interval vacuum therapy; kinesiotaping;
Abstract
Background. The return of the original functions of the anterior cruciate ligament after its reconstruction is the most important task of rehabilitation. Therefore, the development of modern and effective methods for its restoration is an urgent and important task. Objective. To develop an algorithm of rehabilitation measures for the restoration of the anterior cruciate ligament after its plastic surgery using modern and effective methods of physical therapy. Material and methods. To develop the algorithm, methods of interval vacuum therapy with the "Vacusport" device and kinesiological tapes in combination with drug and non-drug therapies were used. The research methods included goniometry and motor tests. Statistical processing of the research results was performed using Wilcoxon test, Mann-Whitney test, Fisher's exact test, descriptive statistics. Results. Statistically significant dependences of the studied indicators and recovery periods on the algorithm of application of the developed complex of rehabilitation measures were revealed. For the "flexion angle" parameter the differences in the groups were significant at p<0.001 (W=231) at the 8th week of the postoperative period; for the "strength test" parameter at p<0.002 (the proportion in the experimental group was 55.17% vs. 13.79% in the control one) at the 24th week; for the "pain" parameter at p<0.0001 (the proportion of 69% vs. 3.45%) at the 6th week; for the "edema " parameter at p<0.0002 (58.62% vs. 50% respectively) at the 6th week. Conclusions. A new method of using interval vacuum therapy and kinesiotaping in the complex of rehabilitation measures for the restoration of the anterior cruciate ligament after its reconstruction has been developed. The method significantly reduces the time of recovery.
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Last modified: 2022-01-18 18:01:57