International Journal of Physical Medicine & Rehabilitation
Open Access
ISSN: 2329-9096
+44 1300 500008
ISSN: 2329-9096
+44 1300 500008
Ivet Koleva and Borislav Yoshinov
Medical University, Sofia, Bulgaria
Posters & Accepted Abstracts: Int J Phys Med Rehabil
Introduction: The importance of Anterior Cruciate Ligament (ACL) for knee stability and gait is recognized. Aim: The goal of current study was to realize a comparative evaluation of the efficacy of application of three different PRM programmes of care after arthroscopic reconstruction of ACL. Material & Methods: A total of 96 patients (divided into three groups) after ACL reconstruction were treated during one month. All patients received physiotherapy (analytic exercices), cryotherapy (ice massage), patient education. Patients of first group received only these procedures. In group 2, we added interferential currents and electrostimulations of the quadriceps femoris muscle (especially m.vastus medialis obliquus). In group 3, we added other preformed modalities: Low intensity low frequency magnetic field and Deep Oscillation. Patients were controlled before, during, at the end of the PRM course and one month later - using a battery of objective methods: tests and scales for pain, range of motion, knee stability and gait. Statistical analysis was performed with SPSS package, using ANOVA and Willcoxon methods (p<0.05). Analysis of results: Results demonstrate the efficacy of physiotherapy and cryotherapy on mobility of the knee joint and gait velocity. The knee stability was significantly improved in group 2. Efficacy of PRM on pain, oedema and the lenght of the step was most significant in group 3. Discussion & Conclusion: We consider that pre-formed physical modalities can ameliorate the efficacy of rehabilitation in these patients. Electrostimulations are useful for the knee mobility and stability, deep oscillation and magnetic field ��? for the pain and oedema.
Ivet Koleva is a Medical Doctor and Specialist in Neurology and in Physical & Rehabilitation Medicine from the Medical University of Sofia, Bulgaria with 30 years of clinical practice in the domain of Neurorehabilitation. She has completed a PhD thesis on “Physical Prevention and Therapy of Diabetic Polyneuropathy” and a thesis for Doctor of Medical Sciences on “Neurorehabilitation in Patients with Socially Important Neurological Diseases”. She received the titles of Associate Professor (2006) and Professor (2010) in Physical & Rehabilitation Medicine. Actually, she is Professor at the Medical University of Sofia, Bulgaria.
Email: yvette@cc.bas.bg