INFLUENCE OF KINESITHERAPY ON PATIENTS WITH GONARTHROSIS

Abstract

Degenerative changes in articular cartilage occur as a result of loss of mechanical resistance to it, resulting in a disruption of the degeneration and regeneration processes of the articular cartilage and are characterized by pain and impaired joint function. It begins as a degenerative alteration of the cartilage that subsequently reflects changes in the bone structures of the joints. In the acute period, joint immobilization is applied, isometric exercises of certain muscle groups are performed. Active and passive flexion and extension exercises are used to increase knee range of motion. Isotonic exercises are used to increase muscle strength and auxiliaries are used until muscle strength returns. Primary and secondary prophylaxis is applied, which includes weight regulation, prevention of articular cartilage and strengthening of knee stabilizer muscles, mainly of the medial and lateral muscle groups. The aim is to study the efficacy of CT based techniques of rehabilitation to improve the functional status of patients with GA. Material and methods: The study included 24 patients (18 women and 6 men) with gonarthrosis who were treated for one month approach. Patients were selected according to several criteria in order to have homogeneity of the study: to be between 45 and 65 years of age; have diagnosed gonarthrosis (unilateral and / or bilateral); not have severe cardiovascular and respiratory insufficiency as well as severe cognitive impairment; have stable hemodynamics, and arterial pressure is below 140/90; to move without auxiliary means. For the purposes of the study, a complex set of diagnostic methods is applied, and the results from which are evaluated on day 1, day 10, and month 1 of treatment are shown in a worksheet. Motor and balance options are assessed by: one-leg standing balance test, manual muscle test (MMT) of m.quadriceps femoris, circumcision centimeter 10cm above knee, knee mobility test - ° (°). A kinesiotherapy method is used in the study group. It is based on the basic principles of modern rehabilitation Results and Discussion: The presented results provide an opportunity to analyze the effect of applied kinesiotherapy. The specialized kinesiology method stabilizes permanently functional motor revascularization and equilibrium opportunities in patients with GA. Conclusion: The presence of positive change in all parameters was observed after the administration of specialized kinesiotherapy in all subjects. A thorough and in-depth analysis of the results provides us with the basis for claiming that kinesiotherapy has both a wounded and a late therapeutic effect associated with the continuity of application, the structure of administration and the appropriateness of the kinesis involved.