Copyright: © 2026 by the authors. Licensee: Pirogov University.
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ORIGINAL RESEARCH

Gait parameter adjustment after knee arthroplasty by kinesiotherapy in suspension

Minasov BSh1 , Yakupov RR1 , Akbashev VN1 , Evgrafov IO1 , Malsagov YuM3 , Karimov KK2 , Minasov IB1 , Akhmeldinova AA1 , Shveykin AA1
About authors

1 Bashkir State Medical University, Ufa, Russia

2 Avicenna Tajik State Medical University, Dushanbe, Tajikistan

3 Republican Oncology Dispensary, Plievo, Republic of Ingushetia, Russia

Correspondence should be addressed: Vladislav N. Akbashev
Lenina, 3, Ufa, 450008, Russia; ur.liam@bka-dalv

About paper

Author contribution: Minasov BSh — study concept and design, academic advising, manuscript approval; Yakupov RR — study design, clinical phase management, interpretation of the results; Akbashev VN — surgical treatment of patients, clinical assessment of the results; Evgrafov IO — clinical data acquisition, part in the rehabilitation program implementation; Malsagov YuM — clinical and functional assessment of patients, research database creation; Karimov KK — statistical data processing, analysis of the study results; Minasov IB — instrumental tests (stabilometry, gait phase analysis), data processing and interpretation; Akhmeldinova AA — course of kinesiotherapy in suspension, compliance with the rehabilitation protocol; Shveykin AA — scientific literature review, interpretation of the results, manuscript writing.

Compliance with ethical standards: the study was approved by the Ethics Committee of the Bashkir State Medical University (protocol No. 4 dated 25 April 2025) and conducted in accordance with the principles of the World Health Association Declaration of Helsinki (2013). All patients submitted the informed consent to take part in the study.

Received: 2026-01-05 Accepted: 2026-01-20 Published online: 2026-02-03
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The study is relevant due to persistent postural control impairment and gait disorder in patients post total knee arthroplasty (TKA), despite pain relief and restoration of the range of motion. The study aimed to assess the effects of kinesiotherapy in suspension on the patients’ stabilometry and gait phase parameters in the long term after TKA. A prospective comparative study was conducted that involved 93 patients (39 males and 54 females; average age 62.3 ± 5.1 years) enrolled 36 months after surgery. The patients were randomized into the index group (standard rehabilitation involving kinesiotherapy in suspension) and comparison group (standard program). The efficacy was assessed using stabilometry and gait phase analysis before and after the 3-week rehabilitation course. In the index group, a significant decrease in the normalized vectorogram area from 320 ± 60 to 190 ± 40 mm2 (p = 0.001) and mean center of pressure movement linear speed from 15.5 ± 2.8 to 8.7 ± 2.1 mm/s (p = 0.002) was revealed. The stance phase duration increased by 18%, and the walking phase symmetry increased from 74 ± 5 to 90 ± 4% (p < 0.01). In the comparison group, the changes were non-significant (p > 0.05). The decrease in WOMAC scores was reported for both groups, there were no intergroup differences. The data obtained confirm the efficacy of using kinesiotherapy in suspension to adjust postural and locomotor disorders after TKA.

Keywords: stabilometry, medical rehabilitation, gait, total knee arthroplasty, kinesiotherapy, axial skeleton, stance phase

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