Table III.

Algorithm of treatment and rehabilitation in degenerative arthritis of the knee with the use of CD34+ stem cells in the outpatient period

Outpatient period
Early (duration: 1-6 weeks) Frequency: Physiotherapy performed 1-2 times daily depending on the patient’s efficiency and pain. Location: Physiotherapy performed on outpatient basis		Late (duration: 7 weeks to 3 months) Frequency: Physiotherapy performed once daily. Location: Physiotherapy performed on outpatient basis or in the gym
Physiotherapy	Kinesitherapy (depending on patient’s general state)	Physiotherapy	Kinesitherapy (depending on patient’s general state)
Light therapy (Sollux lamp] with blue filter)/15 min Electrotherapy (electrostimulation of quadriceps m. 2 weeks after the procedure)/15 min	Intensification of the exercises from the previous period Knee joint exercises with the use of CPM device (to 120°)/15 min Isometric exercises with the use of : sEMG (muscles: quadriceps, ischiocrural group, gluteal, lower back)/number of repetitions: 30, time of muscle tension 5-8 s, time of muscle relaxation 5-8 s Isometric exercises of quadriceps m. with resistance/number of repetitions: 30, time of muscle tension 5-8 s, time of muscle relaxation 5-8 s Exercises with elastic resistance (bands, tubes, Terapi Master(adduction, abduction, gluteal muscles)/number of repetitions: 30, time of muscle tension 5-8 s, time of muscle relaxation 5-8 s Knee joint passive exercises with the use of Biodex System 4 Pro/15 min Active and self-assisted exercises of joint bending and straightening/5 min Knee joint non-weight bearing exercises/15 min Postisometric relaxation (PIR) of muscles surrounding knee joint/approximately 20 min/ Total banning of loading the limb subjected to the procedure	Light therapy (Sollux lamp with blue filter)/15 min Electrotherapy (electrostimulation of quadriceps m.)/15 min	Continuation and intensification of exercises from the previous period Learning proper gait with full loading (depending on doctor’s recommendations) Unloaded knee joint exercises (with dosed resistance)/15 min Active exercises of knee joint and surrounding muscles with the use of cycloergometer, treadmill, stair stepper (escalator),rowing machine, weight bench, Biodex, stepper, dynamometric platform, Humac 360/approximately 45 min/ Sensorimotor exercises with the use of Biodex Balance System, sensorimotor discs, trampoline, balance trainer/ approximately 20 min Exercises with the use of biofeedback on Humac 360 devices, dynamometric platform/30 min Exercises of proper symmetrical lower limb loading/10 min Isokinetic training on Biodex System 4 Pro/30 min Introduction of technical elements of individual sports disciplines (in the case of sportsmen) Pool exercises (with breaststroke swimming not allowed) Gym work-out (controlled by individual trainer)

CPM: continuous passive motion.