Issue 2-21, 2022

Original article

https://doi.org/10.38025/2078-1962-2022-21-2-46-52

The Physical Factors Application in Rehabilitation Programs for Patients after Total Knee Replacement

View article (Download PDF file)



Download XML file

1 ORCIDDetelina B. Kulchitskaya, 1 ORCIDAnatoliy D. Fesyun, 2 ORCIDAlexander S. Samoilov, 2 ORCIDSvetlana N. Kolbakhova

1 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation
2 A.I. Burnazyan State Scientific Center of the Russian Federation – Federal Medical Biophysical Center, Moscow, Russian Federation


ABSTRACT

Total knee replacement (TKR) surgery has been performed in increasing number of patients in recent years. Postoperative complicationsoften occur despite the improvement of the technique for performing this surgical intervention. All of the above confirms the need forthe development and implementation of modern rehabilitation programs for patients after TKR.Aim. To substantiate scientifically the feasibility of the combined use of cryotherapy and electrical stimulation in patients after TKR.Material and methods. We examined 90 patients who were admitted 3 months after TKR and were randomized into 3 groups. In thefirst group – 30 subjects received electrical stimulation of the quadriceps muscles and carried out therapeutic exercises for a course of10 procedures. In the second group – 30 subjects received electrical stimulation of the quadriceps muscles and air cryotherapy, performedtherapeutic exercises for a course of 10 procedures. In the third group – 30 people were given physical therapy classes only.Results. From the standpoint of the ICF, it has been proven that the physical factors application in the complex treatment of the abovepatients’ category contributes to the improvement of “b 710 – the function of joint mobility”. This is confirmed by the operated jointfunction improvement according to the KSS scale, microcirculation state enhancement, and the decrease in pain syndrome accordingto the VAS. The mobility level advance was revealed when evaluating the effectiveness of the proposed rehabilitation programs in thedomain “d 450-walking” based on the ICF. When assessing the domain “d 5-self-service”, the HAQ questionnaire data indicate an increasein the ability to perform most activities in everyday life. However, more statistically significant results were obtained in patients aftera course of quadriceps electrical stimulation, air cryotherapy and therapeutic exercises.


KEYWORDS: total knee replacement, air cryotherapy, electrical stimulation, rehabilitation

FOR CITATION:

Kulchitskaya D.B., Fesyun A.D., Samoilov A.S., Kolbakhova S.N. The Physical Factors Application in Rehabilitation Programs for Patients after Total Knee Replacement. Bulletin of Rehabilitation Medicine. 2022; 21(2): 46-52. https://doi.org/10.38025/2078-1962-2022-21-2-46-52


For correspondence: Detelina B. Kulchitskaya, e-mail: deti_ku@mail.ru



References:

  1. Cykunov M.B. Programma reabilitacii pri povrezhdeniyah hryashchevyh i kapsul‘no-svyazochnyh struktur kolennogo sustava. Metodicheskie rekomendacii [Rehabilitation program for injuries of cartilage and capsular ligamentous structures of the knee joint. Methodological recommendations]. Bulletin of Rehabilitation Medicine. 2014; 3(61): 110–114 (In Russ.).
  2. Wang X., Hunter D.J., Vesentini G., Pozzobon D., Ferreira M.L. Technology-assisted rehabilitation following total knee or hip replacement for people with osteoarthritis: a systematic review and meta-analysis. BMC Musculoskeletal Disorders. 2019; 1(20): 506 p. https://doi.org/10.1186/s12891-019-2900-x
  3. Abdel M.P., Oussedik S., Parratte S., Lustig S., Haddad F.S. Coronal alignment in total knee replacement: historical review, contemporary analysis, and future direction. Bone and Joint Journal. 2014; 96-B(7): 857–862. https://doi.org/10.1302/0301-620X.96B7.33946
  4. Kul‘chickaya D.B., Konchugova T.V., Salamadina M.O. Nemedikamentoznye metody lecheniya bol‘nyh gonartrozom [Non-drug methods of treatment of patients with gonarthrosis]. Bulletin of Rehabilitation Medicine. 2019; 2(90): 40–43 (In Russ.).
  5. Kul‘chickaya D.B., Konchugova T.V., Minenkov A.A., Kolbaya L.I. Tekhnologii vosstanovitel‘noj mediciny v korrekcii mikrocirkulyatornyh narushenij u bol‘nyh gonartrozom [Technologies of restorative medicine in the correction of microcirculatory disorders in patients with gonarthrosis]. Voprosy Kurortologii, Fizioterapii i Lechebnoj Fizicheskoj Kul’tury. 2012; 89(1): 14–16 (In Russ.).
  6. Alqualo-Costa R., Thomé G.R., Perracini M.R., Liebano R.E. Low-level laser therapy and interferential current in patients with knee osteoarthritis: a randomized controlled trial protocol. Pain Management. 2018; 8(3): 157–166. https://doi.org/10.2217/pmt-2017-0057
  7. Hegedűs B., Viharos L., Gervain M., Gálfi M. The effect of low-level laser in knee osteoarthritis: a double-blind, randomized, placebo-controlled trial.
  8. Photomedicine and Laser Surgery. 2009; 27(4): 577–584.
  9. Langella L.G., Casalechi H.L., Tomazoni S.S. et. al. Photobiomodulation therapy (PBMT) on acute pain and inflammation in patients who under- went total hip arthroplasty-a randomized, triple-blind, placebo-controlled clinical trial. Lasers in Medical Science. 2018; 33(9): 1933–1940. https://doi.org/10.1007/s10103-018-2558-x
  10. Zhang Q., Zhang J.H., Tong P. Application of transcutaneous electrical nerve stimulation to multimodal analgesia after total knee arthroplasty.
  11. Zhongguo Gu Shang. 2014; 27(4): 283–286.
  12. Şavkin R., Büker N., Güngör H.R. The effects of preoperative neuromuscular electrical stimulation on the postoperative quadriceps muscle strength and functional status in patients with fast-track total knee arthroplasty. Acta Orthopaedica Belgica. 2021; 87(4): 735–744. https://doi.org/10.52628/87.4.19
  13. Bistolfi A., Zanovello J., Ferracini R., Allisiardi F., Lioce E., Magistroni E., Berchialla P., Da Rold I., Massazza G. Evaluation of the Effectiveness of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Meta-Analysis. American Journal of Physical Medicine & Rehabilitation. 2018; 97(2): 123–130.
  14. Mistry J.B., Elmallah R.D., Bhave A. et al. Rehabilitative Guidelines after Total Knee Arthroplasty: A Review. The Journal of Knee Surgery. 2016; 29(3): 201–17. https://doi.org/10.1055/s-0036-1579670
  15. Fatoye F., Wright J.M., Yeowell G., Gebrye T. Clinical and cost-effectiveness of physiotherapy interventions following total hip replacement: a systematic review and meta-analysis. Rheumatology International. 2020; 40(9): 1385–1398.
  16. Belyaev A.F., Kantur T.A., Khmeleva E.V. Reabilitatsiya patsiyentov posle endoprotezirovaniya tazobedrennykh sustavov [Rehabilitation of patients after hip arthroplasty]. Bulletin of Rehabilitation Medicine. 2018; 4(86): 2–6 (In Russ.).
  17. Razumov A.N., Grigor‘eva V.D., Dashina T.A. Vozdushnaya krioterapiya v vosstanovitel‘nom lechenii bol‘nyh osteoartrozom i zabolevaniya mi myagkih tkanej. Posobie dlya vrachej [Air cryotherapy in the restorative treatment of patients with osteoarthritis and soft tissue diseases. A manual for doctors]. Voprosy Kurortologii, Fizioterapii i Lechebnoj Fizicheskoj Kul’tury. 2010; (4): 51–53 (In Russ.).



Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©


This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.