RU2013120209A - METHOD OF REHABILITATION AT TOTAL KNEE JOINT AND DENTISTRY IN PRE-AND POSTOPERATIVE PERIODS - Google Patents

Abstract

1. A rehabilitation method for total knee replacement in the pre- and postoperative periods, including preparing the patient for surgery, appointing after the operation walking with support in the form of a cane and without support, performing physical exercises, characterized in that preparing the patient for surgery includes performing exercises during 12-36 sessions, providing strengthening of the muscles of the leg and thigh of the operated limb, for which, in the supine position, they begin to perform exercises on the simulators sparing the knee joint by traction the load with a straight leg and when fixing the body with your hands over fixed supports, after which the same exercises are performed while sitting on the floor or standing, then the ankle joint is put into operation, for which the load is fixed to the foot by bending the leg in the ankle joint, and proceed to perform exercises with bending the knee, then perform physical exercises that strengthen the muscles of the back and the upper limb belt, for which they carry out the pull of the load with both hands to the chest, two-leg presses, pull-over, butterfly, pre c-crunches, breaststroke, star, after endoprosthetics on days 4-12 go to walking with a cane, during which at least 2 times a week they carry out exercises according to the rehabilitation program after knee replacement, for which, in the beginning, from the supine position, they are abducted - bringing the leg with an endoprosthesis, with the MTB simulator cuff fixed on its lower leg, after which the load is thrust when the operated leg is bent in the knee joint in the supine position, then they perform the same exercise in the standing position on the unoperated

Claims (14)

1. A rehabilitation method for total knee replacement in the pre- and postoperative periods, including preparing the patient for surgery, appointing after the operation walking with support in the form of a cane and without support, performing physical exercises, characterized in that preparing the patient for surgery includes performing exercises during 12-36 sessions, providing strengthening of the muscles of the leg and thigh of the operated limb, for which, in the supine position, they begin to perform exercises on the simulators sparing the knee joint by traction the load with a straight leg and when fixing the body with your hands over fixed supports, after which the same exercises are performed while sitting on the floor or standing, then the ankle joint is put into operation, for which the load is fixed to the foot by bending the leg in the ankle joint, and proceed to perform exercises with bending the knee, then perform physical exercises that strengthen the muscles of the back and the upper limb belt, for which they carry out the pull of the load with both hands to the chest, two-leg presses, pull-over, butterfly, pre c-crunches, breaststroke, star, after endoprosthetics on days 4-12 go to walking with a cane, during which at least 2 times a week they carry out exercises according to the rehabilitation program after knee replacement, for which, in the beginning, from the supine position, they are abducted - bringing the leg with an endoprosthesis, with the MTB simulator cuff fixed on its lower leg, after which the load is thrust when the operated leg is bent in the knee joint in the supine position, then they perform the same exercise in the standing position on the unoperated face the simulator rack, then proceed to walking without support, during which they squat, holding both hands on the motionless support, including the simulator rack, with a straight back, bending the leg in the knee to an angle of no more than 90 degrees, providing an arrangement hips parallel to the floor, in the future, as the thigh muscles strengthen, increasing this angle to a comfortable angle, that is, allowing you to straighten your legs painlessly after squats. 2. The method according to claim 2, characterized in that in the preoperative period, one-leg load pulling is performed from the upper or lower blocks by individually selected weights, standing on the knee of a healthy leg, or standing on a straight leg, or lying belly on a universal bench in case of damage the other knee joint, from the position of an extended leg with a weight attached to the cable with the help of the cuff. 3. The method according to claim 1, characterized in that in the preoperative period of the load traction exercise with the legs bent in the ankle joint, the load is fixed using a special cuff fixed to the foot. 4. The method according to claim 1, characterized in that the exercises in the preoperative period to strengthen the muscles of the lower leg and thigh are completed in the supine position by pulling the load on the MTB with two legs from the upper block. 5. The method according to claim 1, characterized in that in the preoperative period, the draft of the load with two hands to the chest is carried out simultaneously or alternately with a / b or n / b from the initial position, sitting facing the rack on the floor or on a universal bench - fitball. 6. The method according to claim 1, characterized in that in the preoperative period, the presses with two hands are carried out from the starting position, sitting with my back to the rack with b / w or n / b, straightening my arms in the final phase of movement. 7. The method according to claim 1, characterized in that in the preoperative period "Pull Over" is carried out by traction with two hands. lying on the floor or on a bench - a fitball from the upper or lower blocks, while in the final phase of the movement of the arms are straight, in front of the chest. 8. The method according to claim 1, characterized in that in the preoperative period, the exercise "Butterfly" is performed while lying on a universal bench or standing by pulling a load from the upper or lower blocks of 2 racks, from the most dilated arms to their attention above the head, or in front of the chest. 9. The method according to claim 1, characterized in that in the preoperative period, the exercise “Press Crunch” is performed by pulling a load while sitting on a universal bench or kneeling, bending the body to the maximum, elbows forward and down, minimizing the abdominal muscles. 10. The method according to claim 1, characterized in that in the preoperative period, the exercise "Brass" is carried out lying on a support by pulling the load with the legs while bending the hip joints from the upper blocks of 2 racks. 11. The method according to claim 1, characterized in that in the preoperative period, the exercise "Star" "is carried out from the starting position. lying on the upper back between the uprights, while the legs with the help of special cuffs on the lower 1/3 of the lower leg are attached to the upper blocks, stretching the legs in the knee joints and lifting the lower body with the pelvis above the floor surface, and with hands clasped behind the head, first try to touch the elbows of the knees, bent toward the floor, then the arms spread out alternately touch each other, twisting the body to the side in the mode of straightened legs, then when moving to the support on the upper chest, push-ups are performed from gender and return to starting position. 12. The method according to claim 1, characterized in that at the beginning of walking with a cane and without a cane perform exercises that improve the fixation of the endoprosthesis, for the adductors of the thigh, the passive part of the exercise is initially performed, for which, from the initial position, sitting on the floor sideways to the MTB stand , at a distance for the maximum possible abduction of the operated leg, when fixing the unoperated leg, to a fixed support, the working, operated leg lead to the fixed unoperated leg, then the active, strength part of the exercise with and dividual chosen weights, allowing to perform the same exercise from two to 20 reps, increasing the load from class to class, without changing the number of repetitions, all 1-7. classes per week. 13. The method according to claim 1, characterized in that during the period of the start of walking with a cane and without a cane perform exercises for the abducting muscles of the thigh, I.P. sitting sideways to the stand (next to it), the legs together, the operated leg (external to the stand) are taken to the maximum possible distance from the non-working (but participating in the movement) legs (active strength of the exercise), and then returns to I.P. . (legs together) - the passive (not power) part of the exercise. 14. The method according to claim 1, characterized in that while walking with a cane, the load traction exercise is lying down from the upper block, or sitting on a universal bench from the lower block, or standing on an unoperated leg facing the rack at a distance of outstretched arms resting in an arch of a rack, bending a leg in a knee joint (with an endoprosthesis), trying to bring a heel as high as possible to a hip.