Chapters authored
Knee Dislocation: Comprehensive Rehabilitation Program after Two-Stage Ligament Reconstruction
Knee dislocation is a multi-structure injury that usually requires surgical treatment. One of procedures is two-stage reconstruction that gives possibility to carry out rehabilitation after each of the stages in accordance with the requirements resulting from graft anatomy and biomechanics of the joint. The aim of the study is to analyze possibilities of using created rehabilitation program and to evaluate its effectiveness in a young woman who suffered an accident while practicing sports. The study of peak power shows differences between limbs primarily in maximum strength of the quadriceps muscle. With increasing load, differences in power in knee extension were 32, 17, and 61%. The rate of power development examination on force platform showed similar possibilities of operated and unoperated limb (best 19.5 cm test, 70–74 W/kg/s), however, in each subsequent trial operated limb achieved a worse result, which was not observed in healthy limb. Good results in Lysholm and IKDC 2000 knee assessment questionnaire (in sequence 95 and 81.6 points) 6 months after completed rehabilitation indicate good functional preparation of the joint, which is additionally confirmed by the jump test. Peak power test indicates the need to increase the elements of strength and endurance training in rehabilitation.
Part of the book: Sports, Health and Exercise Medicine