Disminución del dolor y el peso durante el tratamiento de fisioterapia en pacientes intervenidos de prótesis de rodilla

Pain of recently operated patients for total knee prosthesis is the main problem during the first phase of physiotherapy, which is faster and more efficient in non-overweight patients. We performed a randomized clinical trial to demonstrate pain and body weight reduction in obese patients undergoing knee prosthesis through daily biorhythms and physiological protocolized nutrition, exercise, hydration and rest during the two months post-operation. The methodology was to compare two groups of 19 patients each. One control group only received physical therapy after knee arthroplasty operation and the protocol was also applied in the second group. Three measurements were performed for each group: at recently intervened, at one month and at two months. Baseline homogeneity was observed between both groups in all of the variables collected: age, sex, body mass index (BMI), weight, measured by pain analogue assessment scale (ASA). Significant differences were demonstrated in weight, BMI and pain when both groups were compared (p<0.0005). At two months of the operation, the interventions weights 4.5 kg less and the paid had disappeared. In regards to the control group, their weight did not vary and pain was 3 on the ASA. In conclusion, this study has shown that a physiological life rhythm protocol in combination with basic physiotherapy treatment applied in recently operations overweight patients of knee prosthesis leads to significant improvements in pain and weight loss.