Randomised Controlled Trial of Physiotherapy in the Early Period after Arthroscopic Partial Meniscectomy

Goodwin, Peter; Morrissey, MC; Klarneta, MA; Morrissey, Dylan; Ratcliffe, Julie; Omar, Rumana; King, JB; McAuliffe, TB; Knight, PV; Brown, Michael J.; Southall, K

doi:10.1016/s0031-9406(05)61279-5

Cited by 9 publications

(17 citation statements)

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“…Goodwin et al 14 evaluated the effectiveness of supervised physical therapy in the early period after arthroscopic partial meniscectomy. Forty-one patients were allocated to the home exercise group (mean  SD age, 41  9 years) and 45 to the treatment group (outpatient physical therapy plus home exercise) (mean  [ research report ]…”

Section: Outpatient Physical Therapy Plus Home Exercise Versus Home Ementioning

confidence: 99%

“…This means that the inpatient group showed a 75% lower risk of effusion. In the studies, the inpatient group had a mean treatment time of Goodwin et al 14 Jokl et al 21 Karumo 22 Karumo et al 23 Kelln et al 24 Kirnap et al 25 Krebs 28 Leonard 29 Mo et et al 34 …”

Section: Inpatient Treatment Versus Inpatient Plus Outpatient Treatmentmentioning

confidence: 99%

“…The treatment should include outpatient care and a well-planned home exercise program. It should be performed at least 3 times a week 6,10,14,21,24,34,40,44,47,48 and start as soon as possible. 29 The treatment may contain the following interventions: early weight bearing, progressive knee mobilization exercises, quadriceps and hamstrings strengthening exercises (dynamic and isometric), sensory motor training, thermotherapy, and an early return to activities.…”

Section: Implications For Practicementioning

confidence: 99%

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The Effectiveness of Postoperative Physical Therapy Treatment in Patients Who Have Undergone Arthroscopic Partial Meniscectomy: Systematic Review With Meta-analysis

Dias

Mazuquin²,

Mostagi³

et al. 2013

J Orthop Sports Phys Ther

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Section: Outpatient Physical Therapy Plus Home Exercise Versus Home Ementioning

confidence: 99%

Section: Inpatient Treatment Versus Inpatient Plus Outpatient Treatmentmentioning

confidence: 99%

Section: Implications For Practicementioning

confidence: 99%

See 1 more Smart Citation

The Effectiveness of Postoperative Physical Therapy Treatment in Patients Who Have Undergone Arthroscopic Partial Meniscectomy: Systematic Review With Meta-analysis

Dias

Mazuquin²,

Mostagi³

et al. 2013

J Orthop Sports Phys Ther

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“…1,5 Arthroscopic partial meniscectomy (APM) is often indicated to remove the damaged portion of the meniscus contributing to symptoms. 1,5 APM is one of the most common orthopedic interventions, [6][7][8] favored for its minimal invasiveness 1,2 and the perceived benefit of a relatively fast return to activity after surgery. 2,5,6,9 It has been reported that hamstrings strength resolves quickly after APM, yet quadriceps strength is markedly decreased immediately after APM, and weakness may persist long after the injury.…”

mentioning

confidence: 99%

“…1,5 APM is one of the most common orthopedic interventions, [6][7][8] favored for its minimal invasiveness 1,2 and the perceived benefit of a relatively fast return to activity after surgery. 2,5,6,9 It has been reported that hamstrings strength resolves quickly after APM, yet quadriceps strength is markedly decreased immediately after APM, and weakness may persist long after the injury. 2,3,[9][10][11][12][13][14][15][16] APM patients often return to sport and activities of daily living weeks after surgery even in the presence of these neuromuscular quadriceps deficits.…”

mentioning

confidence: 99%

Effects of Arthroscopic Partial Meniscectomy on Quadriceps Strength: A Systematic Review

McLeod¹,

Gribble²,

Pfile³

et al. 2012

Journal of Sport Rehabilitation

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Context: Arthroscopic partial meniscectomy (APM) after meniscal tear has been widely accepted and associated with quick return to activity. Unfortunately, meniscectomy is associated with risk for knee osteoarthritis, which may be attributed to postsurgical quadriceps weakness. This has important implications, as the quadriceps play a prominent role in knee stabilization and energy attenuation in the lower extremity. Objective: To determine the magnitude of interlimb quadriceps strength deficits in people with unilateral APM by systematically reviewing the current literature. Evidence Acquisition: The Web of Knowledge databases were searched on September 22, 2010, using terms meniscus OR meniscectomy AND quadriceps strength OR quadriceps weakness. Included articles were written in English, reporting means and SDs of isokinetic peak torque at 60° and 180°/s for both limbs. Evidence Synthesis: Four articles were included in the final analysis. Effect sizes and 95% confidence intervals (CI) were calculated between limbs for periods less than 1 mo, 1-3 mo, 3-6 mo, and more than 6 mo. Conclusion: Homogeneous effect sizes indicate quadriceps weakness in the involved limb. Effects were strong at less than 1 mo (d = -1.01 to -1.62), while weak to strong effects were found for 1-3 mo (d = -0.40 to -8.04) and 3-6 mo (d = -0.40 to -5.11). Weak effects were found at more than 6 mo (d = -0.30 to -0.37). Definitive effects with a CI not crossing zero were found in 65% of the data. Although APM patients return to function within weeks after surgery, prolonged quadriceps strength deficits may increase the risk of knee-joint degeneration. Furthermore, evidence of bilateral dysfunction after unilateral injury may suggest that neuromuscular deficits post-APM are greater than the interlimb differences found in this review. Further research should be conducted to determine the nature of strength deficits and the best methods for restoring strength after APM.

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Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial

Herrlin

Hållander

Wange

et al. 2007

Knee Surg Sports Traumatol Arthrosc

315

307

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In this prospective randomised study two treatments after non-traumatic medial meniscal tear diagnosed with radiological examination and magnetic resonance imaging were compared; arthroscopic partial meniscectomy followed by supervised exercise or supervised exercise alone. The aim was to evaluate knee function and physical activity. Ninety patients (mean age 56 years) were evaluated using the Knee Injury and Osteoarthritis Outcome Score, the Lysholm Knee Scoring Scale, the Tegner Activity Scale and a Visual Analogue Scale for knee pain prior to the intervention, after 8 weeks of exercise and after 6 months. According to the outcome scores arthroscopic partial medial meniscectomy combined with exercise did not lead to greater improvement than exercise alone. After the intervention both groups reported decreased knee pain, improved knee function and a high satisfaction (P<0.0001). Forty-one per cent of the patients returned to their pre-injury activity level after 6 months. In conclusion, when evaluated with outcome scores, arthroscopic partial medial meniscectomy followed by supervised exercise was not superior to supervised exercise alone in terms of reduced knee pain, improved knee function and improved quality of life.

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Randomised Controlled Trial of Physiotherapy in the Early Period after Arthroscopic Partial Meniscectomy

Cited by 9 publications

References 0 publications

The Effectiveness of Postoperative Physical Therapy Treatment in Patients Who Have Undergone Arthroscopic Partial Meniscectomy: Systematic Review With Meta-analysis

The Effectiveness of Postoperative Physical Therapy Treatment in Patients Who Have Undergone Arthroscopic Partial Meniscectomy: Systematic Review With Meta-analysis

Effects of Arthroscopic Partial Meniscectomy on Quadriceps Strength: A Systematic Review

Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial

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