PHYSICAL THERAPY OF KNEE JOINT AFTER ARTHROSCOPIC RECONSTRUCTION OF THE MEDIAL COLLATERAL LIGAMENT (CLINICAL CASE)
DOI:
https://doi.org/10.32782/health-2025.1.23Keywords:
ICF, knee joint, MCL reconstruction, individual rehabilitation program (IRP), football playerAbstract
Introduction. The article is dedicated to rehabilitation in patients after reconstruction of the medial collateral ligament of the knee joint. The research is a part of department research topic: “Physical therapy and prevention of injuries and diseases in athletes” 0122U200927. Aim: to substantiate the program of physical therapy after reconstruction of the medial collateral ligament of knee joint and to prove its effectiveness. Methods: objective methods of evaluation according to the ICF, namely, ROM, VAS, valgus load test, MMT, KOOS were used. Result. The paper presents an individual rehabilitation program (IRP) created according to the needs determined by ICF, which includes therapeutic exercises for relaxation, balancing and coordination, exercises for functional recovery and improvement of motor skills, as well as exercises to strengthen the muscles of the lower extremity, therapeutic massage, physiotherapy, mechanotherapy and kinesiotaping. Considering the patient's recovery period and his/her movement regimen, this program helps to restore physical performance, reduce pain and return to professional activity. Most of the knee joint functions have been restored. The results of the valgus load test and MMT also showed achievement of sufficient joint stability and flexor muscle strength. The patient has returned to his usual daily activities and performs most exercises without pain and discomfort, constantly increasing the load in accordance with recommendations. During specialized loads of higher intensity, the athlete continues to experience moderate pain, which necessitates continued rehabilitation.Conclusions. The effectiveness of IRP in the patient who underwent MCL reconstruction has been confirmed. Most knee joint functions returned to the previous level in full. The results of this study may establish optimal physical therapy strategies for patients after similar surgical interventions, contributing to the improvement of their physical functioning and quality of life.
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