The impact of training in a 3D video reconstruction rehabilitation system on the functional recovery of patients in the early postoperative period following total knee arthroplasty

  • Authors: Konev S.M.1, Korchazhkina N.B.2, Tagabilev D.G.3, Koneva E.S.4, Zhumanova E.N.3, Khaptagaev T.B.5, Tolstykh N.N.3, Lyadov K.V.5
  • Affiliations:
    1. Petrovsky National Research Centre of Surgery Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
    2. B.V. Petrovsky Russian Research Center of Surgery
    3. Petrovsky National Research Centre of Surgery
    4. Petrovsky National Research Centre of Surgery, Moscow, Russia Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia
    5. Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
  • Section: Original studies
  • Published: 17.11.2025
  • URL: https://rjpbr.com/1681-3456/article/view/693480
  • DOI: https://doi.org/10.17816/rjpbr693480
  • ID: 693480


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Abstract

Abstract. The aim of the study was to evaluate the effectiveness of the D-Wall exerciser (DIH S.r.l., Florence, Italy) in patients in the early recovery period following total knee arthroplasty (TKR) using the International Classification of Functioning, Disability, and Health (ICF) domains.

Materials and methods. A prospective, randomized, controlled study was conducted involving 60 patients, average age 68.2 ± 6.5 years, who underwent primary TKR surgery in the second stage of medical rehabilitation. Patients were divided into a study group (n=30) who received rehabilitation treatment in addition to the standard rehabilitation program, including training on the D-Wall rehabilitation system, and a control group (n=30) who received a standard comprehensive rehabilitation program. Functional status was assessed before and after the 10-day rehabilitation course.

Results. Ten days after the completion of the rehabilitation course, statistically significant improvement was noted in patients in the main group compared to patients in the control group (CG): a decrease in pain intensity according to VAS by 42% (4.1 ± 1.2 points in the I group and 6.3 ± 1.5 points in the II group patients, p < 0.01); an increase in the amplitude of knee flexion by 25 ° (115 ° ± 8 ° in the II group and 90 ° ± 10 ° in the I group patients, p < 0.001); an increase in walking speed according to C-Mill data by 35% (0.92 ± 0.15 m/s in the II group patients and 0.68 ± 0.12 m/s in the I group, p < 0.01); an improvement in social adaptation indicators by 28% (p < 0.05).

Conclusion. Incorporating the D-Wall rehabilitation system with 3D video reconstruction and biofeedback of dynamic patterns into the early rehabilitation program for patients undergoing TKA promotes accelerated motor function recovery, gait correction, and improved quality of life.

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About the authors

Sergey Mikhailovich Konev

Petrovsky National Research Centre of Surgery


Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Author for correspondence.
Email: koneffseryozha039@gmail.com
ORCID iD: 0000-0001-5907-140X

junior research assistant

Moscow, Russia

Natalia B. Korchazhkina

B.V. Petrovsky Russian Research Center of Surgery

Email: n9857678103@gmail.com
ORCID iD: 0000-0002-9804-7725
SPIN-code: 9733-7646

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Dmitry Gennatulovich Tagabilev

Petrovsky National Research Centre of Surgery

Email: nkc3@med.ru
ORCID iD: 0000-0003-2823-635X

Candidate of Medical Sciences

Moscow, Russia

Elizaveta Sergeevna Koneva

Petrovsky National Research Centre of Surgery, Moscow, Russia

Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia

Email: elizaveta.coneva@yandex.ru
ORCID iD: 0000-0002-9859-194X

Doctor of Medical Sciences

г. Москва, Россия

Ekaterina Nikolaevna Zhumanova

Petrovsky National Research Centre of Surgery

Email: ekaterinazhumanova@yandex.ru
ORCID iD: 0000-0003-3016-4172

Doctor of Medical Sciences

Moscow, Russia

Timur Budaevich Khaptagaev

Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Email: khaptagaev.tb@medsigroup.ru
ORCID iD: 0000-0003-2879-7114

orthopedic traumatologist

Moscow, Russia

Natalya Nikolaevna Tolstykh

Petrovsky National Research Centre of Surgery

Email: nkc3@med.ru
ORCID iD: 0009-0007-3153-4186
Russian Federation, Moscow, Russia

Konstantin Viktorovich Lyadov

Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Email: klyadov@mail.ru
ORCID iD: 0000-0001-5468-5074

Academician of the Russian Academy of Sciences, Professor

Russian Federation, Moscow, Russia

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