The use of rehabilitation programs for patients in the early recovery period after total knee arthroplasty

Kulchitskaya D.B.; Fesyun A.D.; Samoylov A.S.; Kolbakhova S.N.; Gushchina N.V.; Astakhova K.A.

doi:https://doi.org/10.17116/kurort20229902132

Kulchitskaya D.B.

National Medical Research Center for Rehabilitation and Balneology

ORCID: 0000-0002-7785-9767

Fesyun A.D.

National Medical Research Centre for Rehabilitation and Balneology

ORCID: 0000-0003-3097-8889

Samoylov A.S.

State Research Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Kolbakhova S.N.

State Scientific Center of the Russian Federation — Burnazyan Federal Medical Biophysical Center

ORCID: 0000-0003-0191-5272

Gushchina N.V.

National Medical Research Center for Rehabilitation and Balneology

Astakhova K.A.

National Medical Research Center for Rehabilitation and Balneology

The use of rehabilitation programs for patients in the early recovery period after total knee arthroplasty

Authors:

Kulchitskaya D.B., Fesyun A.D., Samoylov A.S., Kolbakhova S.N., Gushchina N.V., Astakhova K.A.

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Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2022;99(2): 32‑36

DOI: 10.17116/kurort20229902132

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To cite this article:

Kulchitskaya DB, Fesyun AD, Samoylov AS, Kolbakhova SN, Gushchina NV, Astakhova KA. The use of rehabilitation programs for patients in the early recovery period after total knee arthroplasty. Problems of Balneology, Physiotherapy and Exercise Therapy. 2022;99(2):32‑36. (In Russ.)
https://doi.org/10.17116/kurort20229902132

Подписка 2026 Вопросы курортологии, физиотерапии и лечебной физической культуры (Problems of Balneology, Physiotherapy and Exercise Therapy)

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OBJECTIVE

Scientific substantiation of the feasibility of the combined use of low-intensity laser radiation (LILR) and PLFEF in patients after total knee arthroplasty.

MATERIAL AND METHODS

90 patients aged from 55 to 80 years after total knee arthroplasty were examined. All patients were randomly assigned to three groups. Patients of the 1st group underwent therapeutic exercises with an instructor and low-intensity laser exposure; in the 2nd group, therapeutic exercises with an instructor, low-intensity laser therapy, and PLFEF were performed without a time interval; patients of the 3rd group received only therapeutic exercises with an instructor.

RESULTS

After the course of treatment, a positive dynamics of the state of microcirculation was noted in all patients, which correlated with a significant regression of the pain syndrome and an improvement in the performance of the 10-meter walk test with external support on crutches. However, a more significant decrease in pain intensity after the first procedures and at the end of the course of treatment was found in the group of patients who received complex therapy, which included LILR, PLFEF, and therapeutic exercises.

CONCLUSION

Thus, based on the data of this study, it is possible to recommend the combined use of LILR and PLFEF for the treatment of patients after total knee arthroplasty.

Keywords:

laser radiation

laser Doppler flowmetry

knee arthroplasty

pulsed low-frequency electric field

Authors:

Kulchitskaya D.B.

National Medical Research Center for Rehabilitation and Balneology

ORCID: 0000-0002-7785-9767

Fesyun A.D.

National Medical Research Centre for Rehabilitation and Balneology

ORCID: 0000-0003-3097-8889

Samoylov A.S.

State Research Center — Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Kolbakhova S.N.

State Scientific Center of the Russian Federation — Burnazyan Federal Medical Biophysical Center

ORCID: 0000-0003-0191-5272

Gushchina N.V.

National Medical Research Center for Rehabilitation and Balneology

Astakhova K.A.

National Medical Research Center for Rehabilitation and Balneology

Received:

11.07.2021

Accepted:

26.10.2021

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References:

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