GONARTHROSIS REHABILITATION TREATMENT IN CONJUNCTION WITH INTRAARTICULAR VISCOSUPPLEMENTARY PRODUCTS - CLINICAL AND FUNCTIONAL EVALUATION OF THERAPEUTIC RESPONSE
We performed a study of the efficiency of the rehabilitation treatment (physiotherapie, kinetotherapy, massage, and thermotherapy) in conjunction with intraarticular injection of viscosupplementary products on the purpose to evaluate the efficiency of the combined treatment for the patients with gonarthrosis. The purpose of this study is the clinical and functional evaluation of the specific parameters for gonarthrosis in the beginning and in the end of the combined treatment. To assess the specific parameters of gonarthrosis we used the Lysholm Knee Scoring Scale. We have selected a group of 30 patients with primary gonarthrosis, hospitalized in our rehabilitation department for a period of one year (November 2010 - November 2011). The patients were assessed for clinical and functional scores, using Lysholm Knee Scoring Scale, at the beginning and in the end of the specific and adapted rehabilitation treatment, associated with the injection of 3 doses of viscosupplementary products, during one week interval. We have observed the results of the specific treatment in what concerns the diminuation of the pain, the improvement of ROM of the knee, the muscle tone and daily living activities at the end of the treatment. The conclusions of this study were that, for the majority of the patients we observed an improvement of the clinical and functional scores in the case of the combined treatment for gonarthrosis in what concerns the evoluation of pain, ROM, and the daily living activities.