A CASE
REPORT – abstractControl
of compensatory mechanisms by physiotherapy after surgical stabilized
proximal tibia fracture Rumiana Tasheva, Zoya Aliakova,
Penev Plamen, Borisov Stoil
National Sports Academy
Vassil
Levski, Sofia, Bulgaria
Abstract
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:tibia
fracture, surgical
treatment, rehabilitation
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