309 -5 (79) 2025 - Mansurov J.Sh., Negmatov I.S. - COMPREHENSIVE REHABILITATION WITH TOTAL ENDOPROTIZATION OF THE KIDEN JOINT AS A FACTOR IN IMPROVING THE QUALITY OF LIFE

COMPREHENSIVE REHABILITATION WITH TOTAL ENDOPROTIZATION OF THE KIDEN JOINT AS A FACTOR IN IMPROVING THE QUALITY OF LIFE

Mansurov J.Sh. - Samarkand State Medical University

Negmatov I.S. - Samarkand State Medical University

Resume

Total knee joint endoprosthetics (TKA) remains the "gold standard" for treatment of severe gonarthrosis, significantly reducing pain syndrome and ensuring stable long-term results. However, the recovery of patients after surgery is variable in nature, and most of them retain muscle weakness of the lower extremities and functional limitations compared to the control groups of comparable age. The purpose of this review is to systematically analyze scientific publications, including controlled and randomized studies devoted to the effectiveness of outpatient rehabilitation after TKA in both short-term and long-term perspectives. Special attention was paid to preoperative preparation and postoperative recovery, as well as the role of physical activity recommendations in the overall rehabilitation strategy. The following interventions used in clinical practice after TKA are considered: • preoperative training and therapeutic physical training, • Hardware Passive Mobilization (CPM), • muscle strengthening exercises, • hydrokinesotherapy, • balance training, • use of a tourniquet during intervention, • Positioning and type of implants, • mobile apps and wearable devices, • differences in postoperative protocols, • use of orthoses, • neuromuscular electrostimulation • conditions for rehabilitation. Intensive strength and functional exercises for patients over 45 years of age, performed in a gym or in water, with a gradual increase in load depending on the recovery dynamics, proved to be most effective in improving functional indicators and quality of life. Taking into account the individual approach to the patient, optimal long-term results are achieved when undergoing outpatient physiotherapy under clinical conditions under the supervision of a specialist. The review also highlights the impact of rehabilitation methods on the quality of life and overall well-being of patients who underwent total knee joint endoprosthetics, including at the clinics of the Samarkand State Medical University.

Keywords: total knee joint endoprosthetics, rehabilitation, physiotherapy, preoperative preparation, function restoration, quality of life, water therapy, strength exercises.

First page

1553

Last page

1560

For citation:Mansurov J.Sh., Negmatov I.S. - COMPREHENSIVE REHABILITATION WITH TOTAL ENDOPROTIZATION OF THE KIDEN JOINT AS A FACTOR IN IMPROVING THE QUALITY OF LIFE//New Day in Medicine 5(79)2025 1553-1560 https://newdayworldmedicine.com/en/new_day_medicine/5-79-2025

List of References

1. Gränicher и др. Preoperative physiotherapy has little benefit on total knee arthroplasty // 2020.
2. Wirries и др. CPM significantly improved knee flexion // 2020.
3. Yelin и др. There is an increased number of patients reporting for musculoskeletal diseases // 2016.
4. Petterson и др. There are no adverse events following exercises after total knee arthroplasty // 2009.
5. Bade и др. After six months, the patients were back to their preoperative status // 2010.
6. Ranawat и др. Few patients will face difficulty to restore normal life after total knee arthroplasty rehabilitation // 2003.
7. Franklin и др. Total knee arthroplasty effectively relieves pain due to arthritis // 2008.
8. Mizner и др. Muscle activation is necessary after total knee arthroplasty // 2005.
9. Chehuen и др. Walking training also improved cardiovascular function // 2017.
10. Franz и др. Use of tourniquets can also lead to muscle atrophy // 2018.
11. Liao и др. Longer duration of CPM use gives a better effect // 2019.
12. Jette и др. Physiotherapy should start within 24 hours of surgery // 2020.
13. Clode и др. Prehabilitation improves the patient’s pain before total knee arthroplasty // 2018.
14. Mistry и др. Early initiation of exercise therapy helps to heal faster // 2016.
15. Walsh и др. Severe impairments cannot be treated completely // 1998.
16. Doerfler и др. High-velocity quadriceps exercises are a very effective way to heal after total knee arthroplasty // 2016.
17. Orr и др. In older persons, power exercise improves balance because it causes a delayed contraction and initially lowers muscle power // 2006.
18. Johnson и др. An alternate strengthening program for patients recovering from complete knee replacements is whole-body vibration // 2010.
19. Saleh и др. Neuromuscular electrical stimulation improves the strength of the quadriceps // 2010.
20. Liebs и др. Effect size of early aquatic therapy comparable to NSAID therapy for osteoarthritis // 2012.

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