CHRONIC
DISEASE AND PHYSICAL ACTIVITY
CONTROL
OF THE COMPENSATORY
MECHANISMS BY PHYSIOTHERAPY AFTER SURGICAL STABILIZED PROXIMAL TIBIA
FRACTURE
Tasheva
Rumiana1,
Aliakova Zoya2, Penev Plamen2,
Borisov Stoil2
1National
Sports Academy «Vassil Levsky» - Sofia,
2Military
Medical Academy – Sofia, Bulgaria
An improved method of treatment
of the proximal tibia fracture is a surgical stabilization. The early
phase has to lead on adequate recovery of the patients by
physiotherapy.
THE PURPOSE OF THIS STUDY is to
present the developed physiotherapy program on the control of the
compensatory mechanisms and muscle reactivation during the early phase
after surgical stabilized proximal tibia fracture in soccer player.
Material
and method. A male 42 years old patient was observed after
proximal dextral lateral tibia fracture (type b1 regarding AO
classification) during soccer play. The surgical
stabilization was made in Austria in June 2008. The brace was used for
the relative immobilization after the surgery for 30 days.
The physiotherapy was directed to restore of the knee range motion,
muscle reactivation and weight bearing by controlling the compensatory
mechanisms. The unloaded exercises were performed with changing of the
initial position in passive and active insufficiency.
RESULTS.
The early post surgical results (10 days after surgery) show the knee
range of motion for flexion 20º and extension -15º
which progressed to flexion 115º and extension -5º
after 3 weeks. The circumference data manifests to reduce the knee
effusion but in being the muscle thigh hypotrophy. The weight bearing
was improved with one crutch at doing the daily activities.
CONCLUSION.
The precise physiotherapy leads to correct of the compensatory
mechanisms and to progress the opportunely recovery of the patient
after surgical stabilized proximal tibia fracture in soccer player.
Key
words: compensatory mechanisms, physiotherapy, proximal
tibia fracture.
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