Khaptagaev T B, Koneva E S, Strukov R N, Konev S M, Illarionov V E, Zhumanova E N, Aganesov A G, Aleksanyan M M, Mikhailova A A
Group of companies MEDSI, Otradnoe, Russia.
Sechenov First Moscow State Medical University, Moscow, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2022;99(4. Vyp. 2):17-21. doi: 10.17116/kurort20229904217.
To evaluate the effectiveness of balance training on stabilizing platform (HUBER360) in early postoperative rehabilitation of patients after total knee arthroplasty.
We examined 60 patients after total knee arthroplasty. Mean age of patients was 69.1±9.8 years, mean postoperative period - 3.6±1.4 days. All patients were divided into 2 groups (main group (=30) and control group (=30)). All patients received a standard course of treatment, including therapeutic exercises, massage of affected lower in electro-static field limb using a drainage technique, magnetotherapy, mechanotherapy of affected limb in passive motor mode (Artromot device). Duration of rehabilitation course in a round-the-clock hospital was 7 days. In the main group, patients additionally received balance-training procedures on the HUBER 360 multiaxial platform in baseline sitting position.
Treatment was followed by positive dynamics in all patients that correlated with significant regression of pain syndrome, edema, improvement of quality of life and 10-meter walk test with external support on crutches. However, additional balance training provided more effective regression of pain, as well as improvement of quality of life and walking after the first procedures.
We can recommend balance training on stabilizing platform for early rehabilitation after total knee arthroplasty.
评估在全膝关节置换术后患者早期康复中，使用稳定平台（HUBER360）进行平衡训练的有效性。
我们检查了60例全膝关节置换术后患者。患者平均年龄为69.1±9.8岁，平均术后时间为3.6±1.4天。所有患者分为2组（主要组（=30）和对照组（=30））。所有患者均接受标准疗程治疗，包括治疗性锻炼、在静电场中使用引流技术对患侧下肢进行按摩、磁疗、在被动运动模式下对患侧肢体进行机械疗法（Artromot设备）。在全天候医院的康复疗程持续时间为7天。在主要组中，患者在基线坐姿下额外接受了在HUBER 360多轴平台上的平衡训练程序。
所有患者治疗后均呈现积极变化，这与疼痛综合征、水肿的显著消退、生活质量的改善以及在拐杖外部支撑下的10米步行测试结果相关。然而，额外的平衡训练在首次训练后能更有效地减轻疼痛，改善生活质量和步行能力。
我们推荐在全膝关节置换术后早期康复中使用稳定平台进行平衡训练。
