KINETIC RECOVERY IN SECONDARY GONARTHROSIS

Aim. This case study aims to highlight the important role of physical therapy in the treatment of secondary gonarthrosis by applying an individualized physical therapy program for the six patients diagnosed with secondary gonarthrosis, with the aim of optimizing the recovery process by reducing the time required and increasing its efficiency, which will lead to improved joint mobility, muscle strength, and pain reduction. Methods. Observation and intervention in the study took place over a period of three months. The initial assessment included the patients' medical history, evaluation of joint mobility using a goniometer, evaluation of lower limb muscle strength using the manual method, and evaluation of pain in the morning, during physical exercise, and during the night using a visual analog pain scale. The hydrokinesitherapy, kinesitherapy, and massage program was practiced by patients over a period of three months, three times a week, with each session lasting approximately 40-60 minutes. It combined recovery exercises from hydrokinesitherapy, kinesitherapy, and massage techniques, exercises to improve mobility, muscle strength, and pain reduction. Results. Initial and final tests were conducted, and following the final tests, it was found that the exercise program designed and adapted for secondary gonarthrosis led to a significant improvement and recovery of joint mobility and muscle strength, as well as a reduction in pain. Conclusions. Through the selected methods and immediate application of the kinetic recovery program, the dysfunction of the femorotibial joint improved, giving it the necessary strength, ensuring static and dynamic balance to the body, and enabling the patient to return to his social and professional life. Massage using sedative techniques on the periarticular structures and toning/stimulating techniques on the lower limb muscles is very important in preparation for physical therapy and hydrokinesitherapy sessions. Keywords: hydrokinesitherapy, kinesitherapy, recovery, massage techniques.