2018, Number 3
Rehabilitation of the quadriceps femoris muscle in patients with atrophy after knee post-surgery
Vanega HM, Fernández BO, Arceo EM, Silvera EF
Language: Spanish
References: 0
Page: 573-598
PDF size: 181.02 Kb.
ABSTRACT
Introduction: post-knee reconstruction rehabilitation is currently carried out for the treatment of knee affections, with a maximum of efficacy and a reduced report of complications.Objective: to evaluate the effectiveness of posartroscopy rehabilitation treatment in adult patients with muscle atrophy of the femoral quadriceps, operated by knee arthroscopy for multiple causes who received treatment in the rehabilitation room.
Methods: prospective evaluation study in 56 patients older than 25 years, who needed rehabilitation treatment in the specialty clinic of Carlos M. de Céspedes Hospital of Bayamo, Granma province, Cuba, from May to December 2017. Muscle mass was evaluated , arthroscopic diagnosis, age, sex and body mass index are expressed in absolute numbers and percentages.
Results: the muscle mass of the femoral quadriceps achieved a better recovery at the end of the III phase of the rehabilitative treatment, 53.6 % of the patients reached a normal trophism, with remarkable results in the age range of 25-49 years (80 %), in normal-weight patients (91.6 %) and similar in both sexes. Muscular strength evolved towards improvement at the end of the III phase of treatment, 91.6 % reached a maximum, significant evaluation in the age range of 25-49 years (86.7 %), in normal-weight patients (83.3 %) and similar in both sexes. The diseases with the highest incidence according to the arthroscopic diagnosis were multiple causes (33.9 %), chondromalacia patellae (21.4 %) and synovial plica (16 %) and the recovery of the femoral quadriceps was significant in patients diagnosed with plica synovial (88.9 %) and multiple causes (78.9 %).
Conclusion: the rehabilitative treatment was effective, obtaining the recovery of the femoral quadriceps muscle in most of the patients at the end of the III phase.