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Purpose:The article covers the issues of grounding, elaborating and studying the effectiveness of the physical rehabilitation complex program among patients undergoing the reconstruction of anterior cruciate ligament with arthroscopic surgical interventions. The reason for the program was the use of workout modules performed on stabilographic platform, remedial gymnastics, therapeutic massage with the passive workoutelements, aimed to increase the movements' amplitude in the injured joint and to achieve the postisometric relaxation, mechanotherapyon the joints workout machine and keeping to the orthopedic routine. The primary biomechanical characteristics of balance control, received during the balance test, show that the patients have problems with load distribution in lower limbs with the injury of anterior cruciate ligament Materials:According to the proposed program, 21 patients (the main group of patients) underwent rehabilitation after ACL reconstruction. 31 patients received the traditional program of physical rehabilitation. The results registered on the previous study stage showed the lack of statistically meaningful discrepancies in the studied indicators and the age among the patients of the control and the main groups.. All patients (52 people) underwent the rehabilitation treatment in the rehabilitation department of ITO NAMS of Ukraine and were operated in the hospitals of the institute. The femoral end of the transplant was fixed with the help of "Rigid-fix" or "Cross-pin" systems, and the tibial end-using "Biointrafix" or "Biosure-synk" systems. Medication were applied according to the prescriptions. Results:The results of stabilographic studies in the functional rehabilitation period show that 100% of patients in the control group have middle or high asymmetry level of load distribution in lower limbs (by indicators of load time difference (dominant) of intact and injured lower limb)-38,53±6,74 % (x ±S), which proves that the patients continued to overload the intact lower limb. At the same time, in patients of the control group during the functional rehabilitation period, the load time indicators (dominant) (%) of intact and injured lower limb showed static distinctions (р<0,05), while indicators of the intact lower limb exceeded indicators of the injured one for 1,89-3,38 times. In the dynamic studies there were positive changes observed, which were manifested in decreased load time difference (dominant) of intact and injured lower limbs, thus, during the functional rehabilitation period patients of the control group achieved the preoperative level of the studied indicators-38,53±6,74 % (x ±S) (р˂0,05). At the same time, in patients of the control group the studied indicators of injured lower limb, comparing to the preoperative period, have increased in average to 0,28 times, for intact lower limb-have slightly decreased (р>0,05). Conclusions:Thus, the load distribution function in the vertical stance among the patients of the control group has left deficient, which allows concluding, that the ...
Purpose:The article covers the issues of grounding, elaborating and studying the effectiveness of the physical rehabilitation complex program among patients undergoing the reconstruction of anterior cruciate ligament with arthroscopic surgical interventions. The reason for the program was the use of workout modules performed on stabilographic platform, remedial gymnastics, therapeutic massage with the passive workoutelements, aimed to increase the movements' amplitude in the injured joint and to achieve the postisometric relaxation, mechanotherapyon the joints workout machine and keeping to the orthopedic routine. The primary biomechanical characteristics of balance control, received during the balance test, show that the patients have problems with load distribution in lower limbs with the injury of anterior cruciate ligament Materials:According to the proposed program, 21 patients (the main group of patients) underwent rehabilitation after ACL reconstruction. 31 patients received the traditional program of physical rehabilitation. The results registered on the previous study stage showed the lack of statistically meaningful discrepancies in the studied indicators and the age among the patients of the control and the main groups.. All patients (52 people) underwent the rehabilitation treatment in the rehabilitation department of ITO NAMS of Ukraine and were operated in the hospitals of the institute. The femoral end of the transplant was fixed with the help of "Rigid-fix" or "Cross-pin" systems, and the tibial end-using "Biointrafix" or "Biosure-synk" systems. Medication were applied according to the prescriptions. Results:The results of stabilographic studies in the functional rehabilitation period show that 100% of patients in the control group have middle or high asymmetry level of load distribution in lower limbs (by indicators of load time difference (dominant) of intact and injured lower limb)-38,53±6,74 % (x ±S), which proves that the patients continued to overload the intact lower limb. At the same time, in patients of the control group during the functional rehabilitation period, the load time indicators (dominant) (%) of intact and injured lower limb showed static distinctions (р<0,05), while indicators of the intact lower limb exceeded indicators of the injured one for 1,89-3,38 times. In the dynamic studies there were positive changes observed, which were manifested in decreased load time difference (dominant) of intact and injured lower limbs, thus, during the functional rehabilitation period patients of the control group achieved the preoperative level of the studied indicators-38,53±6,74 % (x ±S) (р˂0,05). At the same time, in patients of the control group the studied indicators of injured lower limb, comparing to the preoperative period, have increased in average to 0,28 times, for intact lower limb-have slightly decreased (р>0,05). Conclusions:Thus, the load distribution function in the vertical stance among the patients of the control group has left deficient, which allows concluding, that the ...
Antecedentes: La rodilla es una unidad funcional anatómica móvil que juega un papel clave en la función deportiva. Las lesiones producidas en esta articulación y, más específicamente, las roturas de ligamento cruzado anterior son de gran gravedad obligando al deportista a estar mucho tiempo apartado de la competición. En los últimos años, el trabajo en el medio acuático se ha incrementado debido a las diferentes ventajas que este proporciona. En cuanto a la readaptación de este tipo de lesiones, las terapias acuáticas pueden ser favorables debido a su implementación en etapas tempranas en las que se requiere minimizar el impacto en la articulación lesionada.Objetivos: Averiguar si la readaptación en el medio acuático produce beneficios durante las distintas fases de recuperación de la lesión del ligamento cruzado anterior respecto a una readaptación en el medio terrestre.Método: Se ha llevado a cabo una revisión de artículos que han comprobado los beneficios obtenidos entre una readaptación acuática y otra tradicional, así como la complementación de ambas.Resultados: Los resultados obtenidos no muestran diferencias significativas en la mayoría de variables (dolor, ROM, fuerza, etc.), aunque si se evidencian mejoras en cuanto al tiempo de recuperación durante el ejercicio en el medio acuático. También se encuentran diferencias negativas en el trabajo de fuerza isquitibial en el medio acuático respecto al entrenamiento tradicional.Conclusiones: El ejerccio físico en el medio acuático es un complemeto útil para la recuperación terrestre. Además, facilita la recuperación en la etapa temprana de la lesión.Palabras clave: ligamento cruzado anterior, rotura, intervención quirúrjica, hidroterapia, piscina, recuperación, ROM, fuerza. AbstractIntroduction: The knee is a mobile anatomical functional unit that plays a key role in sports function. The injuries produced in this joint and, more specifically, anterior cruciate ligament tears are of great gravity, forcing the athlete to be a long time away from the competition. In recent years, work in the aquatic environment has increased due to the different advantages it provides. Regarding the rehabilitation of this type of lesions, aquatic therapies may be favorable due to their implementation in the early stages in which it is required to minimize the impact on the injured joint.Objectives: To determine if the readaptation in the aquatic environment produces benefits during the different phases of recovery of the anterior cruciate ligament injury with respect to a readaptation in the terrestrial environment.Method: A review has been carried out of articles that have verified the benefits obtained between an aquatic and a traditional readaptation, as well as the complementation of both.Results: The results obtained do not show significant differences in the majority of variables (pain, ROM, force, etc.), although there is evidence of improvement in recovery time during exercise in the aquatic environment. There are also negative differences in the work of isquitibial force in the aquatic environment compared to traditional training.Conclusions: Physical exercise in the aquatic environment is a useful supplement for terrestrial recovery. It also facilitates recovery at the early stage of the injury.Keywords: anterior cruciate ligament, rupture, surgical intervention, hydrotherapy, pool, recovery, ROM, strength. ResumoAntecedentes: O joelho é uma unidade funcional anatômica móvel que desempenha um papel fundamental na função desporto. Lesões nessa articulação e, mais especificamente, quebra ACL são extremamente graves obrigando o atleta a ser longo para fora da competição. Nos últimos anos, o trabalho no ambiente aquático tem aumentado devido às diversas vantagens que ela proporciona. Como para a reabilitação de tais lesões, terapia da água pode ser favorável devido à sua implementação em estágios iniciais é necessária para minimizar o impacto sobre a articulação lesada.Objetivos: Descubra se a reciclagem no ambiente aquático produz benefícios durante as várias fases de lesão recuperação ACL sobre um retrofit em terra.Método: Realizou uma revisão de artigos têm mostrado os benefícios obtidos a partir de uma reabilitação aquática e outra tradicional e complementação de ambos.Resultados: Os resultados não mostram diferenças significativas na maioria das variáveis (dor, ROM, força, etc.), embora melhorias no tempo de recuperação são evidentes durante o exercício em ambiente aquático. As diferenças negativas também são encontrados na isquitibial força de trabalho no ambiente aquático em relação à formação tradicional.Conclusões: Ejercicio física no meio aquático é útil para recuperação complemeto terrestre. Além disso, facilita a recuperação na fase inicial da lesão.Palavras-chave: ligamento cruzado anterior, de ruptura, de intervenção quirúrjica, piscina de hidroterapia, recuperação, ROM, força.
Antecedentes: La rodilla es una unidad funcional anatómica móvil que juega un papel clave en la función deportiva. Las lesiones producidas en esta articulación y, más específicamente, las roturas de ligamento cruzado anterior son de gran gravedad obligando al deportista a estar mucho tiempo apartado de la competición. En los últimos años, el trabajo en el medio acuático se ha incrementado debido a las diferentes ventajas que este proporciona. En cuanto a la readaptación de este tipo de lesiones, las terapias acuáticas pueden ser favorables debido a su implementación en etapas tempranas en las que se requiere minimizar el impacto en la articulación lesionada.Objetivos: Averiguar si la readaptación en el medio acuático produce beneficios durante las distintas fases de recuperación de la lesión del ligamento cruzado anterior respecto a una readaptación en el medio terrestre.Método: Se ha llevado a cabo una revisión de artículos que han comprobado los beneficios obtenidos entre una readaptación acuática y otra tradicional, así como la complementación de ambas.Resultados: Los resultados obtenidos no muestran diferencias significativas en la mayoría de variables (dolor, ROM, fuerza, etc.), aunque si se evidencian mejoras en cuanto al tiempo de recuperación durante el ejercicio en el medio acuático. También se encuentran diferencias negativas en el trabajo de fuerza isquitibial en el medio acuático respecto al entrenamiento tradicional.Conclusiones: El ejerccio físico en el medio acuático es un complemeto útil para la recuperación terrestre. Además, facilita la recuperación en la etapa temprana de la lesión.Palabras clave: ligamento cruzado anterior, rotura, intervención quirúrjica, hidroterapia, piscina, recuperación, ROM, fuerza.
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