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    STUDIA EDUCATIO ARTIS GYMNASTICAE - Issue no. 4 / 2009  
         
  Article:   THE IMPORTANCE OF PHYSICAL THERAPY IN THE FUNCTIONAL RECOVERY OF THE KNEE WITH GONARTHROSIS.

Authors:  HOROTAN PAUL-EMIL, OGNEAN RALUCA-MARIA, NICA LAURA-ALEXANDRA, ZAMORA ELENA.
 
       
         
  Abstract:  Goals of the study. The goals of the study were the following: efficient and fast recovery of the affected knee, teaching the patient how to continue the recovery program at home and not the last, teaching the patient to respect the prevention rules of the disease. Methods of working. We had five patients in the study during March and May 2009. The patients who came to our healthcare unit were suffering from primarily or secondary gonarthrosis. The average of age was 51. After the patients followed a physical treatment, based on exercises for the growth of muscular force and joint mobility, the initial goals were fulfilled. In order to evaluate the movement in the joint we used the goniometric method. For the evaluation of the muscular force, we used a scale called “Scale of the National Foundation for Infantile Paralysis” (Scala Fundaţiei Naţionale pentru Paralizie Infantilă), the inspection method and palpation. To evaluate the stability in the joint we used the inspection method and the evaluation of walking. The patient was evaluated the moment he presented to the hospital. We used this initial evaluation to identify the exact health condition of the patient. The final evaluation, made before the patient left the hospital was used to observe the evolution of the health condition of the patient and also to identify the correct rules of prevention for the patient to respect at home. Results. At the initial evaluation, the patients presented an average of 85-90 degrees at the flexion movement in the knee joint. After the physical treatment, the flexion movement increased with 10-20 degrees. The extension movement increased with about 15-20 degrees as comparing to the initial evaluation. The age of the patient and the bone structure had an important influence upon the success of the physical treatment.

Keywords: Gonarthrosis, Chronic evolution, Functional impotence, Physical treatment
 
         
     
         
         
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