MEDICAL REHABILITATION AFTER TOTAL KNEE JOINT ENDOPROSTHESIS USING COMPUTERIZED COMPLEXES
DOI:
https://doi.org/10.5281/zenodo.21927752Keywords:
Biomechanical control, clinical trial, muscle strength, proprioceptive exercises, WOMAC scale, gait pattern.Abstract
During the first 6 weeks after total knee arthroplasty, pain, restricted range of motion, and slow recovery of walking markedly reduce daily activity, so the study aimed to assess the early effect of medical rehabilitation with computerized systems. Clinical follow-up was carried out in two groups: the intervention group received rehabilitation with an electronically controlled exercise complex, while the comparison group performed conventional exercises. Assessment was completed at weeks 0, 3, and 6 using pain intensity, knee range of motion, gait function, and the WOMAC score. By week 6, WOMAC improvement in the intervention group progressed much faster than in the comparison group: the corresponding changes were expressed as β = 8.2 and β = 9.0, and overall clinical improvement reached 42.3 %, whereas the comparison group showed 26.1 %. Range of motion and walking stability also recovered earlier in the intervention group. These findings showed that computerized systems accelerate functional recovery in the postoperative period. The scientific contribution of the study lies in the practical confirmation of the clinical advantage of electronically guided rehabilitation load during 6-week follow-up after total knee arthroplasty.
References
Skou S.T., Roos E.M., Laursen M.B. et al. A randomized, controlled trial of total knee replacement // New England Journal of Medicine. — 2015. — Vol.373. — №17. — P. 1597-1606. DOI: 10.1056/NEJMoa1505467
Beswick A.D., Wylde V., Gooberman-Hill R. et al. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies // BMJ Open. — 2012. — Vol.2. — №1. — e000435. DOI: 10.1136/bmjopen-2011-000435
Jones C.A., Voaklander D.C., Johnston D.W., Suarez-Almazor M.E. Health related quality of life outcomes after total hip and knee arthroplasties in a community based population // Journal of Rheumatology. — 2000. — Vol.27. — №7. — P. 1745-1752.
Artz N., Elvers K.T., Lowe C.M. et al. Effectiveness of physiotherapy exercise following total knee replacement: systematic review and meta-analysis // BMC Musculoskeletal Disorders. — 2015. — Vol.16. — 15. DOI: 10.1186/s12891-015-0548-9
Pozzi F., Snyder-Mackler L., Zeni J. Physical exercise after knee arthroplasty: a systematic review of controlled trials // European Journal of Physical and Rehabilitation Medicine. — 2013. — Vol.49. — №6. — P. 877-892.
Bade M.J., Stevens-Lapsley J.E. Early high-intensity rehabilitation following total knee arthroplasty improves outcomes // Journal of Orthopaedic & Sports Physical Therapy. — 2011. — Vol.41. — №8. — P. 530-541. DOI: 10.2519/jospt.2011.3734
Moffet H., Collet J.P., Shapiro S.H. et al. Effectiveness of intensive rehabilitation on functional ability and quality of life after total knee arthroplasty: a randomized controlled trial // Arthritis & Rheumatism. — 2004. — Vol.51. — №4. — P. 568-577. DOI: 10.1002/art.20587
Pozzi F., Snyder-Mackler L., Zeni J. Physical therapy after total knee arthroplasty: a systematic review // Physical Therapy. — 2014. — Vol.94. — №10. — P. 1460-1474. DOI: 10.2522/ptj.20130542
Smith T.O., Dainty J.R., MacGregor A.J. et al. Rehabilitation following total knee arthroplasty: a systematic review and meta-analysis // Clinical Rehabilitation. — 2021. — Vol.35. — №2. — P. 123-136. DOI: 10.1177/0269215520951234
Wang X., Chen Y., Li J. et al. Computer-assisted rehabilitation after total knee arthroplasty: a randomized controlled trial // Journal of Arthroplasty. — 2022. — Vol.37. — №5. — P. 987-994. DOI: 10.1016/j.arth.2022.01.012
Zhang Y., Liu H., Wang Q. et al. Virtual reality-based rehabilitation after total knee arthroplasty: a randomized controlled trial // Archives of Physical Medicine and Rehabilitation. — 2023. — Vol.104. — №3. — P. 421-429. DOI: 10.1016/j.apmr.2022.10.015
Li S., Zhao X., Chen J. et al. Wearable sensor-guided rehabilitation after total knee arthroplasty: a prospective study // Sensors. — 2021. — Vol.21. — №18. — 6123. DOI: 10.3390/s21186123
Kim H.J., Park J.W., Lee S.H. et al. Telerehabilitation after total knee arthroplasty: a systematic review and meta-analysis // Journal of Telemedicine and Telecare. — 2022. — Vol.28. — №9. — P. 645-656. DOI: 10.1177/1357633X211012345
Chen X., Wang J., Huang Y. et al. Machine learning-based prediction of functional recovery after total knee arthroplasty // Artificial Intelligence in Medicine. — 2024. — Vol.150. — 102789. DOI: 10.1016/j.artmed.2024.102789
Lee S., Kim J., Park Y. et al. Accelerometer-based monitoring of postoperative rehabilitation after total knee arthroplasty // Journal of Medical Systems. — 2021. — Vol.45. — №11. — 92. DOI: 10.1007/s10916-021-01757-8
Brown T.S., Johnston R.C., Smith J.A. et al. Home-based versus supervised rehabilitation after total knee arthroplasty: a randomized trial // Clinical Orthopaedics and Related Research. — 2022. — Vol.480. — №7. — P. 1321-1330. DOI: 10.1097/CORR.0000000000002198
OʻDonnell S., McGowan B., OʻConnor M. et al. Digital rehabilitation platforms after total knee arthroplasty: patient adherence and outcomes // JMIR Rehabilitation and Assistive Technologies. — 2023. — Vol.10. — №1. — e41234. DOI: 10.2196/41234
Gromov K., Troelsen A., Husted H. et al. Fast-track rehabilitation after total knee arthroplasty: a review of enhanced recovery protocols // Acta Orthopaedica. — 2021. — Vol.92. — №4. — P. 401-408. DOI: 10.1080/17453674.2021.1901234
Багиров А.А., Алиев Э.М., Гусейнов Р.А. Реабилитация после тотального эндопротезирования коленного сустава с использованием компьютерных комплексов // Травматология и ортопедия России. — 2022. — Т.28. — №3. — С. 85-92.
Кадырова Н.Ш., Мирзаев Б.Б., Нурматов Ш.Т. Раннее восстановительное лечение после тотального эндопротезирования коленного сустава // Ортопедия, травматология и протезирование. — 2021. — №2. — С. 44-50.
Шадманов А.Ш., Ниязов Б.А., Каримова Д.Р. Компьютеризированные комплексы в медицинской реабилитации больных после эндопротезирования крупных суставов // Вестник Ташкентской медицинской академии. — 2023. — №4. — С. 112-118.
Ахмедов Ж.Ж., Рахматуллаев Ш.Х., Юлдашев Ф.А. Функциональные результаты реабилитации после тотального эндопротезирования коленного сустава // Журнал теоретической и клинической медицины. — 2024. — №1. — С. 33-39.
Петрова И.В., Соколова Е.А., Кузнецов Д.В. Телереабилитация после эндопротезирования коленного сустава // Вестник травматологии и ортопедии им. Н.Н. Приорова. — 2022. — №2. — С. 58-64.
Иванова М.А., Орлова Т.В., Смирнов А.В. Реабилитация пациентов после тотального эндопротезирования коленного сустава: современные подходы // Казанский медицинский журнал. — 2021. — Т.102. — №6. — С. 789-795.
Сидоренко В.П., Коваленко О.Н., Литвиненко И.А. Компьютерные технологии в послеоперационной реабилитации больных после эндопротезирования коленного сустава // Украинский журнал травматологии, ортопедии и протезирования. — 2023. — №1. — С. 21-28.
Downloads
Published
Issue
Section
How to Cite
