Patients after knee joint injury outpatient rehabilitation evaluation of efficiency

Jūratė Samėnienė1, Greta Galasevičienė1, Marius Atkočiūnas2, Žygimantas Paliūnis3 

1 Lithuanian University of Health Sciences Faculty of Nursing Department of Rehabilitation,

2 Rehabilitation center of Siauliai,

3 Lithuanian University of Health Sciences  Medical Academy  Faculty of medicine


The knee joint has the highest joint surface and has a very high load and is therefore very vulnerable. Chronic knee pain is about 25% adult. Due to acute pain in the United States (US) 1 million are visited each year in emergency departments, and 1.9 million patients in primary health care facilities [2, 3]. According to the Hygiene Institute, there are about 56,000 patients with gonarthrosis in Lithuania and about 31,000 people with internal knee injury [4]. Objective: to evaluate the efficiency of outpatient rehabilitation in patients with knee joint injuries. In a retrospective study, data of 146 patients with knee joint disorders, who were examined and treated at LSMU Hospital, Kaunas Clinics, Rehabilitation Clinic, outpatient rehabilitation department, were analyzed. Patients selected on the basis of outpatient rehabilitation card data, according to the International Classification of Diseases and Related Diseases, 10th Edition (ICD-10): M17.1, M17.3, S83.53, S83.2, M23.20, M22.4, S82.0. Patients were investigated before and after outpatient rehabilitation using Modified Keitel Functional Test (MKFT) and Visual Analogue Scale (VAS). There were significantly more women than men in gonarthrosis group, and lesions in the anterior cruciate ligament (ACL) were more common in men. The mean pain perception rate, significantly more decreased in a group of patients with ACL injuries. The mean change in funcional capacity was significantly lower in the group of patients with meniscal injuries. The mean functional capacity evaluation, perception rate evaluation between men and women was significantly different before and after rehabilitation. The overall VAS score for women was higher and MKFT was lower than men. With a 14-day multidisciplinary outpatient rehabilitation program, increased the patients’ functional capacity, perception of pain in patients has decreased.

Keywords: the knee joint, injury, outpatient rehabilitation, efficiency