THE EFFECTS OF REHABILITATION IN KNEE-PULSE SYNDROME

Abstract

Background: Acute or chronic pain in the knee joint is part of the problems of many people, regardless of age, physical activity or occupation. Diagnostic procedures take into account their structural and functional nature, which makes subsequent treatment faster, more targeted and more effective. For simpler treatment management, we create the so-called guidelines that help to summarize the most effective ways of solving the patient's health condition.

Objective: The main objective of the study was to determine the effectiveness of kinesiotherapy and physical therapy in the treatment of knee blister syndrome. 3 hypotheses were determined, which we verified with descriptive statistics, the Shapiro-Wilk test and the McNamara χ2 test.

Sample: 40 patients (12 women, 28 men) aged 25-34 were included in the study. Patients were selected into two subgroups with different forms of therapy: group A focused on physiotherapy and group B focused on therapy with medication and manual techniques. The sample selection criterion was a diagnosis of plica syndrome and the patient was not allowed to show signs of another disease.

Methods: For the acquisition and processing of data, we chose the method of qualitative research, which was carried out in the form of clinical examinations. The study was carried out in the medical facility RehabMedica s.r.o. in Trenčín. Patients were examined by aspect, palpation provocation flexion/extension tests and Hughston plica test and visual pain scale (VAS) before and after therapy.

Results: In both types of therapy, data analysis confirmed a significant reduction in pain values ​​after the end of the therapy. However, their difference in therapy effectiveness and speed of effect was not statistically significant at the final measurement (p = 0.224). Data analysis confirmed a significant increase in the degree of knee joint flexion in both groups, but the difference between the two therapies at the final measurement was not statistically significant (p = 0.148).Statistical results of provocation tests of flexion/extension (p = 0.007) and Hughston's test (p = 0.002) showed a significant decrease in their positivity in both observed groups.

Conclusions: Knee blister syndrome is difficult in terms of diagnosis and treatment due to lack of information and knowledge of the given diagnosis by the physiotherapy public. A rehabilitation program consisting of complex physiotherapy including kinesiotherapy and physical therapy can prevent irreversible changes in the synovial structures and thereby prevent surgery.