Neuromuscular Exercise post Partial Medial Meniscectomy

Autor: Kim L Bennell, Margaret Staples, Tim V. Wrigley, Michelle Hall, Paul W. Hodges, Rana S Hinman, Ewa M. Roos
Rok vydání: 2015
Předmět:
Adult
Male
Neuromuscular exercise
medicine.medical_specialty
Knee Joint
medicine.medical_treatment
Knee adduction moment
Physical Therapy
Sports Therapy and Rehabilitation
Menisci
Tibial/surgery
Osteoarthritis
Menisci
Tibial
law.invention
Knee Joint/physiopathology
Physical medicine and rehabilitation
Randomized controlled trial
law
Outcome Assessment
Health Care
medicine
Humans
Orthopedic Procedures
Single-Blind Method
Orthopedics and Sports Medicine
Muscle Strength
Arthroscopic partial meniscectomy
Rehabilitation
Osteoarthritis
Knee/physiopathology
business.industry
Chronic pain
Orthopedic Procedures/rehabilitation
Outcome Assessment
Health Care/methods
Middle Aged
Osteoarthritis
Knee
medicine.disease
Gait
Exercise Therapy/methods
Confidence interval
Exercise Therapy
Clinical trial
Physical therapy
Muscle Strength/physiology
Female
business
Zdroj: Hall, M, Hinman, R S, Wrigley, T V, Roos, E M, Hodges, P W, Staples, M P & Bennell, K L 2015, ' Neuromuscular Exercise Post Partial Medial Meniscectomy : Randomized Controlled Trial ', Medicine and Science in Sports and Exercise, vol. 47, no. 8, pp. 1557–1566 . https://doi.org/10.1249/MSS.0000000000000596
ISSN: 0195-9131
DOI: 10.1249/mss.0000000000000596
Popis: AB Purpose: This study aimed to evaluate the effects of a 12-wk, home-based, physiotherapist-guided neuromuscular exercise program on the knee adduction moment (an indicator of mediolateral knee load distribution) in people with a medial arthroscopic partial meniscectomy (APM) within the past 3-12 months. Methods: An assessor-blinded, randomized controlled trial including people age 30-50 yr with no to mild pain after medial APM was conducted. Participants were randomly allocated to either a 12-wk neuromuscular exercise program that targeted neutral lower limb alignment or a control group with no exercise. The exercise program included eight individual sessions with one of seven physiotherapists in private clinics, together with home exercises. Primary outcomes were the peak external knee adduction moment during normal-paced walking and during one-leg sit-to-stand. Secondary outcomes included additional measures of knee joint load distribution, patient-reported outcomes, maximal knee and hip muscle strength, and physical function measures. Results: Of 62 randomized participants, 60 (97%) completed the trial. There were no significant between-group differences in the change in peak knee adduction moment during normal-paced walking (mean difference (95% confidence interval), 0.22 (-0.11 to 0.55) N[middle dot]m/body weight x height %, P =0.19) or during one-leg sit-to-stand (-0.01 (-0.33 to 0.31) N[middle dot]m/body weight x height %, P = 0.95). There were also no significant between-group differences for any of the secondary outcomes. Conclusions: In patients 3-12 months after a medial APM, a neuromuscular exercise program did not alter the peak knee adduction moment, a key predictor of osteoarthritis structural disease progression. (Australia and New Zealand Clinical Trials Registry, #ACTRN12612000542897.)
Databáze: OpenAIRE
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