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Pol. Merkur. Lek (Pol. Med. J.), 2016, XL/238: 235-239 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2016, XL/238: 235-239

Title: Assessment of degree of functional efficiency patients with the gonarthrosis after applying physiotherapy

Authors:  Klimkiewicz R, Kubsik A, Janczewska K, Jankowska A, Woldańska-Okońska M. 

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Assessment of degree of functional efficiency patients with the gonarthrosis after applying physiotherapy


Klimkiewicz R, Kubsik A, Janczewska K, Jankowska A, Woldańska-Okońska M.

Medical University of Lodz , Poland, Department of Rehabilitation and Physical Medicine

Gonarthrosis is the most important problem of contemporary medicine. Social and economic aspect of this phenomenon caused the World Health Organization gave it the status of "disease of civilization".
The aim of the study
was assessment of the impact chosen models of physiotherapy proceedings on the functional efficiency of patients with the gonarthrosis.
Material and methods
. In the study took part in 120 patients of both sexes divided into 4 groups. Group I – 30 patients with the gonarthrosis who have been applied electrostimulation of Kot'z and static exercises with biofeedback of extensors and flexors of the knee joint. Group II – 30 patients with the gonarthrosis who have been applied electrostimulation of Kot'z and dynamic exercises of muscles working on the knee joint. Group III – 30 patients with the gonarthrosis who have been applied static exercises with biofeedback of extensors and flexors of the knee joint, without electrostimulation. Group IV – 30 patients with the gonarthrosis who have been applied dynamic exercises of muscles working on the knee joint, without electrostimulation. Participants in the project were examined twice (before the starting and after finishing rehabilitation) and the level of the functional efficiency of patients was assessed based on results of the Functional Lequesne Index for knee joints.
Results
. Results collected at this work are confirming the dominant role of the model of therapy from the group I (Kot'z electriostimulation and static exercises with biofeedback) in the forming of the functional efficiency of patients with the gonarthrosis. Results of this group, in the statistically significant way differ from of the patients from the group III (only static exercises) and IV (only dynamic exercises). No significant diferences between groups I and II confirm the tkey role in the forming of the result of Kot'z electrostimulation.
Conclusions
. Combination of kinesio exercises and Kot'z electrostimulation influences significally on increasing of the functional efficiency patients with gonarthosis. Out of all analysed models of therapy it turned out that the most effective is combination of "Russian stimulation" and static exercises with biofeedback.

Key words: gonarthrosis, Kot'z currents, muscle stimulation, physiotherapy

Pol Med J, 2016; XL (238); 235–239