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Effectiveness of Rehabilitation After Arthroscopic Anterior Cruciate Ligament Reconstruction. P. 54-62

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Section: Clinical medicine

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UDC

616.728.3:616-036.8

DOI

10.37482/2687-1491-Z140

Authors

Ivan I. Radysh* ORCID: https://orcid.org/0000-0002-1585-5402
Larisa I. Kruglova** ORCID: https://orcid.org/0000-0002-5044-5265
Valeriy V. Boyarintsev** ORCID: https://orcid.org/0000-0001-9707-3262

*Clinical Hospital No. 1 of the Administrative Directorate of the President of the Russian Federation (Moscow, Russian Federation)
**Central State Medical Academy of Department of Presidential Affairs (Moscow, Russian Federation)

Corresponding author: Ivan Radysh, address: ul. Starovolynskaya 10, Moscow, 121352, Russian Federation; e-mail: dr-ivo@yandex.ru

Abstract

The aim of this paper was to study treatment effectiveness in patients after arthroscopic anterior cruciate ligament (ACL) reconstruction using individualized physical rehabilitation. Materials and methods. The study included 834 subjects aged 18–54 years (464 men and 370 women) diagnosed with ACL rupture. The patients were divided into two groups: the main group of 304 subjects (162 men and 142 women), who, in addition to standard treatment, received comprehensive individualized rehabilitation, and the control group of 530 subjects (302 men and 228 women), who underwent standard postoperative rehabilitation. Treatment effectiveness was assessed using subjective orthopaedic questionnaires during follow-ups (before surgery and 1 year after surgery and rehabilitation). Results. One year after arthroscopic ACL reconstruction and physical rehabilitation, statistically significantly higher medians of treatment effectiveness were established according to orthopaedic questionnaires in patients of the main group than in those of the control group. It is important to note that the subjects from the main group statistically significantly more often demonstrated high rates of treatment effectiveness compared with the representatives of the control group. Thus, comprehensive individualized rehabilitation of patients that underwent surgery after ACL rupture significantly improves their physical and mental state.

Keywords

postoperative rehabilitation, comprehensive individualized rehabilitation, treatment effectiveness, anterior cruciate ligament rupture, arthroscopic reconstruction, orthopaedic questionnaires

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