HomeArchiveVolume 1 - Number 1 (1) 2012Study regarding the trainig of posttraumatic knee’s “four facet’s muscles”

Study regarding the trainig of posttraumatic knee’s “four facet’s muscles”

Zoltan PÁSZTAI, Doriana Ioana CIOBANU

Universitatea din Oradea

This email address is being protected from spambots. You need JavaScript enabled to view it.



            Rehabilitation is very important in posttraumatic status injury of the knee. Because the knee has an important role in gait, it is important to have an early and safe recovery. Physical therapy helps to maintain the muscle power and joint range and get back to the normal life as early as possible. The proprioception can be regained only by proper physiotherapy.

We are dealing with two studies regarding the posttraumatic knee rehabilitation.

            Material and method - First study was made on 5 students at the University of Oradea, all men, two of them after surgery bya K. Jones technique and three patients after surgery by Clancy technique. In order to have an eficient rehabilitation, Campbell Clinic (SUA) and  Shelbourne şi Nitz clinic rehabilitation protocol for ACL surgery was applied. In order to observe rehabilitation protocol’s eficiency, we compared the baseline and final scores for the following aspects of posttraumatic knee: instability, pain, edema, ROM, hydrartrosis, Lachman test, seratus anterior test, pivot Schift test, SC Lisholm and C. Nozes.

The second study is a case study of a 20 years old male, student at the University of Oradea, with right knee internal meniscus lesion and surgery in 2004 and left knee internal meniscus lezion with surgery in, 2005. For rehabiltation were used FNP techniques, Freeman metod, spiral dinamics concept on physioball and elements from „ladiţa Zoli” technique.

Results -In the first study we found out that baseline score are pointing an instable knee(5,8), with pain and edema, articular laxity (Lachman test+2,5; sertarului anterior test +2,5; Pivot‑Shift test +1,8). After the treatment the knee was functinal and stable (instability 0,66, pain level 1, Lachman test negativ, anterior drower test, negative, Pivot Shift test negative.

In the second study, all assessed parameters improved after the complex global physical therapy program ( technics  specific for “the knee four facets”).

Conclusions - Active physical therapy of knee four facets muscle has an important role in posttraumatic knee rehabilitatin process, fact demonstrated by presented studies - evidence base practice. The more surgery moment is far away, the more physical therapy is indispensable.


Key words: posttraumatic knee, the “four facets muscle” physical therapy, rehabilitation protocols

Coperta / Front cover:

Studenţii noştri campioni - Our champion students

Flavius Kocszi - Un campion cu care ne mândrim

Flavius Kocszi - A champion that we are proud of

Go to top