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manuelletherapie 2015; 19(03): 127-134
DOI: 10.1055/s-0035-1557156
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Originalarbeit
Georg Thieme Verlag KG Stuttgart · New York

Effektivität aktiver versus passiver physiotherapeutischer Behandlungstechniken zur Verbesserung der Knieextension nach vorderer Kreuzbandersatzplastik

Effectiveness of Active versus Passive Physiotherapeutic Treatment Modalities for Improved Knee Extension following Anterior Cruciate Ligament Reconstruction
Heide Schwieder
1   BG-Unfallklinik Tübingen, Schnarrenbergstr. 95; 72076 Tübingen
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Publication History

23 July 2014

15 September 2014

Publication Date:
15 July 2015 (online)

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Zusammenfassung

Patienten nach Ersatzplastik des vorderen Kreuzbands (VKB) haben in den ersten postoperativen Monaten Probleme mit der vollen Knieextension. Die physiotherapeutische Behandlung kann mit aktiven und passiven Behandlungstechniken erfolgen.

Die vorliegende Interventionsstudie verglich die beiden Behandlungsarten miteinander. Von den in 2 Gruppen eingeteilten 24 Studienteilnehmern 4 Wochen nach VKB-Ersatzplastik erhielt eine Gruppe über 3 Wochen 2-mal wöchentlich aktive und die andere passive physiotherapeutische Behandlungstechniken zur Verbesserung der Knieextension.

In beiden Gruppen verbesserte sich das Extensionsdefizit signifikant, jedoch ohne signifikanten Unterschied. Auch beim Zusammenhang zwischen der Verbesserung der Knieextension und der subjektiven Empfindung der Studienteilnehmer in Bezug auf Beschwerden beim Strecken, Schmerzen beim Drehen im betroffenen Knie und Schwierigkeiten beim Treppenabwärtssteigen ergab sich kein signifikantes Ergebnis.

Abstract

During the first postoperative months following anterior cruciate ligament reconstruction patients have problems with the total knee extension. Physiotherapeutic treatment can include active and passive treatment techniques.

This intervention study compared the two treatment modalities. The 24 participants four weeks after anterior cruciate ligament reconstructed were allocated into two groups. One group received active and the other group passive physiotherapeutic treatment techniques aimed at improving knee extension twice a week for 3 weeks.

The extension deficit improved significantly in both groups. There was, however, no significant difference between the groups. The correlation between knee extension improvement and the participants’ symptoms during extension, pain on twisting the affected knee and problems with climbing downstairs also did not demonstrate any significant results.

Schlüsselwörter

vordere Kreuzbandersatzplastik - Übungstherapie - Manuelle Therapie - passive physiotherapeutische Techniken - Physiotherapie

Keywords

anterior cruciate ligament reconstruction - exercise therapy - manual therapy - passive physiotherapeutic techniques - physiotherapy
 

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