Physiotherapy Rehabilitation Protocol for Pseudomonas-Induced Knee Septic Arthritis: A Single Subject Research
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Abstract
BACKGROUND: Septic arthritis, especially due to Pseudomonas aeruginosa, can cause rapid joint damage and long-term disability if not managed properly. Early physiotherapy, alongside medical and surgical treatment, is essential to restore mobility, reduce complications, and ensure full functional recovery. This study highlights the importance of timely rehabilitation in a young patient with knee septic arthritis.
OBJECTIVE: This case report demonstrates the significance of early and structured physiotherapy in aiding the recovery of a 20-year-old male diagnosed with septic arthritis of the knee resulting from Pseudomonas aeruginosa. The objective was to alleviate pain and inflammation, restore joint mobility, and regain functional strength and independence.
MATERIALS & METHODS: Following confirmation of Pseudomonas infection, the patient underwent arthrotomy and synovectomy. Subsequently, a comprehensive physiotherapy program was initiated. The initial phase involved cryotherapy, passive range of motion (ROM) exercises, and isometric strengthening to manage inflammation and prevent stiffness. Over a period of eight weeks, the rehabilitation progressed to active ROM, resistance exercises, balance, and proprioception training, gradually enhancing mobility and strength.
RESULTS: By the fourth week, the patient achieved 90° of knee flexion with improved pain management and reduced swelling. By the eighth week, the patient attained 120° of knee flexion, along with restored strength and joint stability. Functional mobility showed significant improvement, enabling the patient to resume daily activities without complications.
CONCLUSION: Early and customized physiotherapy plays a crucial role in the recovery from septic arthritis, particularly when caused by aggressive pathogens such as Pseudomonas aeruginosa. This case underscores the importance of a gradual rehabilitation protocol in preventing long-term disability, optimizing joint function, and facilitating a successful return to normal activities.
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References
Li D, Zhang L, Liang J, Deng W, Wei Q, Wang K. Biofilm Formation by Pseudomonas aeruginosa in a Novel Septic Arthritis Model. Frontiers in Cellular and Infection Microbiology [Internet]. 2021 [cited 2024 Oct 6];11. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8490669/
Tindel JR, Crowder JG. Septic Arthritis Due to Pseudomonas aeruginosa. JAMA. 1971 Oct 25;218(4):559–61.
Bhoge SS, Samal S. Physiotherapeutic Approach for Septic Arthritis of Knee Joint. Cureus. 15(9):e45550.
Mathews CJ, Weston VC, Jones A, Field M, Coakley G. Bacterial septic arthritis in adults. The Lancet. 2010 Mar;375(9717):846–55.
Current concepts review: Septic arthritis of the knee pathophysiology, diagnostics, and therapy | Wiener klinische Wochenschrift [Internet]. [cited 2024 Oct 10]. Available from: https://link.springer.com/article/10.1007/s00508-011-1554-y
Zeman M, Princová P. Influence of physiotherapy on knee joint pain after arthroscopy. Kontakt. 2017 Mar 1;19(1):e29–35.
Wirtz D, Marth M, Miltner O, Schneider U, Zilkens K. Septic arthritis of the knee in adults: treatment by arthroscopy or arthrotomy. International Orthopaedics (SICOT). 2001 Aug 1;25(4):239–41.
Chabaud A, Tetard M, Descamps S, Nguyen C, Rannou F, Tournadre A, et al. Early rehabilitation management strategy for septic arthritis of the knee. Infectious Diseases Now. 2022 May 1;52(3):170–4.