Table 2. First step postoperative rehabilitation in OA.
Schematic representation of primary rehabilitation activities that should be included in post-operative rehabilitation program soon after the surgery.
| PHASE | TYPE OF ACTIVITY | EFFECTS |
|---|---|---|
| FIRST STEP | CONTROLLED WEIGHT BEARING | Nourishes the articular cartilage and provides molecular
signals necessary to produce an optimal extracellular matrix. |
| RANGE OF MOTION (ROM) | Facilitates healing process and prevents degeneration. | |
| FORCE PLATFORM | Facilitates a normal gait pattern and enhances strength,
proprioception, and balance. |
|
| PASSIVE RANGE OF MOTION (PROM) | Nourishes the healing articular cartilage and prevents the
formation of adhesions. |
|
| CONTINUOUS PASSIVE MOTION (CPM) | Enhances cartilage healing and long-term outcomes. | |
| ELECTRICAL MUSCLE STIMULATION AND
BIOFEEDBACK |
Promotes the active contraction of musculature. | |
| STRETCHING EXERCISES (in advanced
phases of rehabilitation) |
Increases the amount of stress applied to the joint and
provides a stimulus for cartilage tissue healing. |
|
|
* In case of
prosthesis |
PASSIVE FLEXION-EXTENSION (with use of
special machines) |
Facilitates healing process. |