I. Non-surgical rehabilitation
Osteoarthrosis is a common and frequent disease among athletes and elderly people, and non-surgical treatment is generally preferred for the treatment of bone and joint. In non-surgical treatment, people are most accustomed to the application of drug therapy, while rehabilitation is often neglected. Rehabilitation treatment for osteoarthrosis should pay attention to the following aspects.
1. Improvement of living environment.
Patients with osteoarthrosis often have joint pain, swelling and functional limitations, therefore, compared with normal people, their living environment should be more convenient and comfortable, such as, the toilet in the living room should use a flush toilet, rather than the application of full squatting type, to prevent inconvenience caused by the knee joint can not be overflexed; around the residence of grocery shopping, shopping should not be too far away, the traffic should be convenient to prevent excessive walking joints lead to osteoarthrosis Symptoms aggravated, etc.
2. Engage in more suitable types of work.
Patients with osteoarthritis should be engaged in jobs with less walking, less joint flexion activity and less joint loading to reduce the stimulation of the diseased joints and prevent aggravation of osteoarthritis.
3, reasonable arrangement of daily life.
Patients with osteoarthrosis should do that they should not be overly active, and not at all immobile. For example, before the disease to go to the cinema to walk 2000 meters in one breath can be completed, but after the disease, a breath to walk the joint may be discomfort, if divided into 3-4 sections to walk, each section of a break, you can achieve the purpose of not reducing the amount of activity, but also harmless to the joint.
4, quadriceps muscle strength training.
Quadriceps is an important structure to maintain the stability of the knee joint, osteoarthrosis patients with quadriceps more than obvious atrophy, resulting in a decline in the stability of the knee joint and the patellofemoral joint of the non-slotted movement, can be at the occurrence of osteoarthrosis and aggravation of the condition. Strengthening the quadriceps muscle can restore the stability of the knee joint, thus reducing the symptoms of osteoarthrosis and increasing other therapeutic effects.
II. Post-surgical rehabilitation.
(a) Post-operative rehabilitation after incisional surgery.
1. On the first day after surgery, perform appropriate amount of contraction and relaxation exercises of quadriceps and plantarflexion and dorsiflexion activities of the ankle joint.
2. On the second day after surgery, you can continue the activities on the first day and go to the toilet for a short time without holding the abductor and the affected limb on the ground.
3.After the end of the severe pain period 5-7 days after surgery, you can start the straight leg raising exercises of the affected limb, at which time the contraction and relaxation of the quadriceps muscle can be increased to 500-1000 times, and you can go to the cotton leg.
4, one week after surgery can knee joint without bending weight walking, the number of straight leg raising increased, the number of muscle contraction and relaxation to more than 1000 / day.
5, two weeks after surgery to remove the stitches, begin to practice knee flexion and extension activities, increase the amount of lower limb activity. At this time, the quadriceps exercises should be strengthened (such as performing static squatting battle pile exercises). Work weights that do not require walking can participate in work.
6.One month after surgery, you can participate in the work that requires a small amount of walking.
7.At 2 months after surgery, the athlete can participate in training if the joint shape is too good. If there is still a little swelling and discomfort in the affected knee, then participate in training 3 months after surgery.
(B) Post-arthroscopic surgery rehabilitation.
1. Same as incisional surgery.
2. On the first postoperative day, in addition to all the rehabilitation activities on the first day of the incision, you can start to lift your leg straight and go to the bathroom for a short time without crutches.
3.On the third day after surgery, the number of muscle contraction and relaxation can be increased by 500-1000 times/day, and the cotton leg can be removed.
4, five days after surgery muscle contraction and relaxation times can exceed 1000 / day, increase walking distance, practice flexion and extension. At this time open to strengthen the quadriceps strength training (such as open to make static squatting stance exercises).
5, 1 week after surgery to remove the stitches, flexion and extension should be basically normal, you can engage in work without walking.
6, 2 weeks after surgery can be engaged in walking less work. 7 athletes 6 weeks after surgery, if the joint state is not good, 2 months after surgery before training.