The efficiency and expediency of different rehabilitation approaches after knee replacement

Abstract

The paper reviews the literature on the efficiency of different rehabilitation methods after knee arthroplasty, such as continuous passive motion (CPM) therapy, exercises for balance and strengthening of hip muscles on the postoperative leg, and aquatic rehabilitation. It analyzes the optimal periods of rehabilitation initiation and continuance, studies of the Pilates system for patients after knee arthroplasty, kinesiotaping, fast-track rehabilitation, and Locomat robotic system. Various functional tests and questionnaire surveys are considered as performance measures. CPM therapy and the Pilates method are shown to require an additional investigation for inclusion in the standard rehabilitation program. Balance exercises have a positive impact on functional status and mobility in patients after surgery. Exercises for strengthening the hip muscles on the postoperative leg and aquatic training are recommended for use in routine practice. Kinesiotaping is successfully used to more effectively perform exercises, by reducing pain, edema and to improve a patient's psychological status. The Locomat can be used for walking technology training, which will be able to enhance the structure of a step and amortization function. The time taken in the rehabilitation center can be reduced using the fast-track rehabilitation program.