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PHYSICAL THERAPY OF PATIENTS AFTER AUTOPLASTY OF THE ANTERIOR CRUCIATE LIGAMENT AT THE FOLLOW-UP STAGE

Background: despite the large number of works covering the rupture of the anterior cruciate ligament of the knee joint, today there are no generally accepted tactics of physical therapy after this injury. The issue of staged rehabilitation of persons after autoplasty of the anterior cruciate ligament needs to be clarified.

Objective: to develop an effective program of complex physical therapy for persons after autoplasty of the anterior cruciate ligament at the follow-up stage based on comparisons of rehabilitation programs of the two medical centers.

Materials and Methods. The clinical trial involved 26 patients of different ages and genders from two medical centers (by 13 subjects) at the follow-up stage after autoplasty of the anterior cruciate ligament. Original rehabilitation program with using crossovers, balancing platforms, massage rollers, kinesiotaping and CPM was developed. Amplitude of knee flexion and extension, manual and muscular testing and some cardiovascular parameters (heart rate, systolic and diastolic blood pressure) were analyzed before and after the rehabilitation program in all participants from medical center 1 (original program) and for all participants from medical center 2 (standard program). Standard statistics was used to describe and compare the results. Results: After the course of therapy, the patients in both centers achieved the same rates of active flexion and extension of the knee, but patients from the 1 medical center reached them on average 5-6 weeks after the start of therapy.

Conclusions: There is an advantage of using a comprehensive program of physical therapy (with using multi-function simulators, balancing platforms, massage rollers, kinesio-taping and CPM simulators) for individuals after autoplasty of the anterior cruciate ligament at the follow-up stage.