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Purpose: The patients expect optimal knee function after Total Knee Arthroplasty. It is necessary to apply appropriate surgical technique and supervised physical therapy. The optimal management of posterior cruciate ligament remains controversial. Both implant designs, i.e., cruciate retaining and posterior substituting, allow the orthopedic surgeon to achieve excellent clinical outcomes, as measured by commonly used questionnaires. Such methods of assessment may poorly reflect the functional status of patients. Therefore, three-dimensional gait analysis is recommended to evaluate the outcomes of surgical intervention. This study sought to determine differences in kinematic gait parameters and Knee Society Score between cruciate-retaining and posterior-substituting patients., Methods: 23 individuals after cruciate-retaining total knee arthroplasty and 19 individuals after posterior-substituting total knee arthroplasty were subjected to gait analysis using three-dimensional motion capture system BTS Smart DX 7000. In addition, gait was assessed in 21 patients with knee osteoarthritis and in 30 healthy individuals., Results: The study did not reveal differences between cruciate-retaining and posterior-substituting groups, both in terms of Knee Society Score and kinematic gait parameters. There were also no differences in kinematic gait parameters between patients from the knee osteoarthritis group and total knee arthroplasty groups. The analyzed parameters in all of the groups differed significantly from those found in healthy individuals., Conclusions: Surgical technique and implant design do not affect values of kinematic gait parameters evaluated under natural walking speed. Several months after surgery the patients still demonstrated alterations in gait pattern, similar to those recorded in patients with knee osteoarthritis.

The study aimed to establish the short- and long-term effects of vibration on postural stability in young men. A single set of exercises and a 4-week vibration training were assessed for their impact on the center of foot pressure (COP) sway. The sample consisted of 49 male subjects randomly allocated to seven comparative groups, six of which exercised on a vibration platform whose parameters were set individually for the groups. Group VII was the control group. The stabilographic signal was recorded before the test commenced, after a single application of vibration, before the last set of exercises of the 4-week vibration training, immediately afterwards, as well as one week and one month after the training ended. The subjects were exposed to vibration 3 times a week for 4 weeks. Both a single application of vibration and the 4-week vibration training had an effect on all parameter values, but most changes were statistically insignificant. Group III was the only one where the COP sway in the anterior-posterior direction significantly increased after a single exposure to vibration and significantly decreased in both anterior-posterior and medio-lateral planes one week after vibration training compared with the pre-test recordings.

The aim of this study was to check whether there was a correlation between the value of the maximum developed torque of the quadriceps femoris muscle and subjective evaluation of a patient's pain which is measured by the VAS. Also evaluated were changes in the muscle torque value and KSS scale over time. For examining patient's condition use was made of a KSS scale (knee score: pain, range of motion, stability of joint and limb axis) before the surgery and in weeks 6 and 12, as well as 6 months after surgery. It was found to be constantly improving in comparison with the condition before the surgery. This is confirmed by a significant statistical value difference of KSS scale. The surgery substantially increases the quality of live and function recurrence.