Klupiński Kamil, Krochmalski Jakub, Woldańska-Okońska Marta
Medical Magnus Clinic, Lodz, Poland.
Department of Rehabilitation and Physical Medicine of the Physiotherapy Unit, Medical University of Lodz, Poland.
Pol Merkur Lekarski. 2017 Jun 23;42(252):247-251.
Osteoarthritis is the most common joint disease. Gonarthrosis is one of the most serious diseases the highly developed modern medicine must face. The number of patients suffering from joint pain and progressive disability is growing, especially in economically developed countries. Over the years, the disease has been considered merely as a symptom of aging and the effect of "wear and tear" of the cartilage. At present it is known that the degenerative joint disease is of chronic and progressive nature and its pathogenesis is complex.
The aim of the study was to determine the impact of dynamic platform exercises on knee joint muscle strength in patients with gonarthrosis treated with microfracture method.
The study included 120 patients of both sexes, aged 40 to 65 years, height range1.60-1.90 m., weight 50- 100 kg. Patients were divided into two groups. Group I of 60 patients after knee arthroscopy (with performed microfractures on the articular cartilage) who were subjected to physiotherapy with the use of dynamometric platform and to isometric and dynamic exercises of muscles surrounding the knee joint. Group II (control) of 60 patients after knee arthroscopy (with performed microfractures on the articular cartilage), who were subjected only to isometric and dynamic exercises of muscles surrounding the knee joint. The patients underwent rehabilitation according to the same rehabilitation program suggested by the Medical Magnus Clinic in Lodz, which consisted in performing daily exercises in open and closed kinetic chains. All Group I and II patients were examined three times: before the start of the rehabilitation, after 4th week of rehabilitation (on the average 20 days of the procedures) and 3 months afterwards. The clinical examination included the measurement of muscle strength using Lovett test.
It has been demonstrated that the introduction of modern highly specialized physiotherapy contributes to the improvement of the outcome and to the shortening of the treatment duration. A significant improvement was observed in all the examined patients at all stages of rehabilitation in relation to the baseline values.
The conducted modern physiotherapy has a significant effect on the condition of patients after surgery. Different exercises on dynamometric platform combined with static and dynamic exercises exert a positive impact on the strengthening of muscles surrounding the knee joint, which in time perspective results in better quality of life of the patients.
骨关节炎是最常见的关节疾病。膝关节病是现代高度发达的医学必须面对的最严重疾病之一。遭受关节疼痛和进行性残疾的患者数量正在增加，尤其是在经济发达国家。多年来，这种疾病一直仅被视为衰老的症状以及软骨“磨损”的结果。目前已知，退行性关节病具有慢性和进行性的性质，其发病机制复杂。
本研究的目的是确定动态平台训练对采用微骨折法治疗的膝关节病患者膝关节肌肉力量的影响。
该研究纳入了120名年龄在40至65岁之间、身高范围为1.60 - 1.90米、体重为50 - 100千克的男女患者。患者被分为两组。第一组60名患者在膝关节镜检查后（对关节软骨进行了微骨折手术），接受了使用测力平台的物理治疗以及膝关节周围肌肉的等长和动态训练。第二组（对照组）60名患者在膝关节镜检查后（对关节软骨进行了微骨折手术），仅接受膝关节周围肌肉的等长和动态训练。患者按照罗兹的马格努斯医学诊所建议的相同康复方案进行康复，该方案包括进行开链和闭链的日常训练。所有第一组和第二组患者均接受了三次检查：康复开始前、康复第4周后（平均进行20天的治疗）以及3个月后。临床检查包括使用Lovett测试测量肌肉力量。
已证明引入现代高度专业化的物理治疗有助于改善治疗效果并缩短治疗时间。在康复的所有阶段，与基线值相比，所有接受检查的患者均有显著改善。
所进行的现代物理治疗对手术后患者的状况有显著影响。在测力平台上进行的不同训练与静态和动态训练相结合，对增强膝关节周围肌肉有积极影响，从长远来看，这会使患者生活质量更高。
