Aim: The aim of this paper was to assess adverse factors hindering the course of rehabilitation; applied means of rehabilitation; results of effectiveness of the inpatient rehabilitation.
Materials and methods: A study of 200 rehabilitees after knee replacement. Data on adverse factors hindering the course of rehabilitation and applied rehabilitation means were collected. Changes in pain, operated knee function, recovery of mobility and independence were analyzed.Results and Discusion. Only 1 patient (0.5%) did not display the chosen adverse factors. During inpatient rehabilitation, 55% of the applied means of rehabilitation were active (kinesiotherapy, occupational therapy, etc.) and 45% passive (treatment with physical agents, massage, etc.). Significant improvement in the operated knee function, mobility and independence, postoperative pain relief were assessed, but not all rehabilitees attained the criteria of effective rehabilitation; lower pain intensity and greater recovery of movement were observed in men than in women.
Conclusions: Theknee replacement was mostly performed for patients with more than one factor hindering the course of rehabilitation. In the postoperative period, active means of rehabilitation were mostly applied, allowing a significant improvement in knee function, postoperative pain and movement ability, as well as for 60.5% of the patients to become fully independent or just insignificantly dependent at the end of inpatient rehabilitation.More »
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Jason Roberts, Eduardo Savine Mayr, Dominik Rymer, Bartosz Zielski