Ergebnisse einer multivariaten klinischen Vergleichsuntersuchung zur Wirksamkeit physikalischer Intervall- und Kombinationstherapien in der postoperativen Frührehabilitation von Knieinstabilitäten

Journal/Book: Physikalische Medizin Rehabilitationsmedizin Kurortmedizin. 1992; 2/1: 7-11.

Abstract: In the first part of this study (6) the results of the early rehabilitation were described an the basis of parameters of the course in 3 groups performing different postoperative plans of treatment. Group A underwent a physical combined therapy performing 1.5 weeks of therapy followed by 2 weeks of rest. Group B and group C underwent a treatment with alternating days of therapy and rest, at which in group B the combined therapy and in group C the exercise monotherapy was applied.Group A showed a superior functional result, including the results of stability, with significantly shorter periods of treatment compared to group B and group C.The results of the follow-up examination of this part of the study show exclusively in group A functional improvements up to the final extent corresponding with identifical good results of stability during the first year after the end of the early rehabilitation. In group B there were only partly functional improvements and nothing but little qualitative deteriorations of the stability an patients with manifest partial laxities. In contrast to this there were clear functional deteriorations and increases of reinsufficiencies in group C.So the results demonstrate, that the early result decisively determines the long-term development, and that patients with a good functional status attain a further reactivation up to the final extent, whereas patients with deficit results are threatened to suffer further functional deteriorations including the result of stability. Therefore in cases of such patients the question of secondary-preventive therapies in long-term intervals is discussed.

Keyword(s): Knieinstabilitäten

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Ergebnisse einer multivariaten klinischen Vergleichsuntersuchung zur Wirksamkeit physikalischer Intervall- und Kombinationstherapien in der postoperativen Frührehabilitation von Knieinstabilitäten - Teil II