Physical Rehabilitation of patients who underwent the reconstruction of anterior cruciate ligament with arthroscopic surgical interventions

Abstract

Purpose: The article observes the issues of grounding, elaborating and studying the effectiveness of the complex physical rehabilitation program among patients who have undergone the reconstruction of anterior cruciate ligament with arthroscopic surgical interventions. The reason for the program was the use of workout modules performed on a stabilographic platform, remedial gymnastics, therapeutic massage with the elements of passive workout, aimed to increase the movements’ amplitude in the injured joint and to achieve the postisometric relaxation, mechanotherapy on the joints workout machine and keeping to the orthopedic routine. 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, registered on the preliminary stage of research, showed no statistically meaningful discrepancies between the examined indicators and the age of the patients among the control group and the main group. As a result of the proposed complex rehabilitation program applied, one can observe the decrease (р <0,05) in number of unsatisfactory results from 38,09 % in the preoperative period to the full absence of unsatisfactory results in the late postoperative period according to the scale by J. Lysholm, J. Gillquist (1982) among patients of the main group. The percentage of unsatisfactory results among patients of the control group has not reliably changed (р > 0,05).