Evaluating the Effectiveness of Physical Therapy in Patients Post-Arthroscopic Partial Meniscectomy for Traumatic Meniscal Tears.
Effectiveness of Physical Therapy Post-APM
DOI:
https://doi.org/10.61919/jhrr.v4i3.1418Keywords:
Arthroscopic Partial Meniscectomy, Degenerative Meniscal Tear, Physical RehabilitationAbstract
Background: Arthroscopic partial meniscectomy (APM) is a common surgical procedure for traumatic meniscal tears. Postoperative rehabilitation, particularly physical therapy, is crucial for recovery.
Objective: This study aimed to evaluate the effectiveness of physical therapy in improving pain, knee function, and quality of life in patients post-APM.
Methods: A retrospective cross-sectional study was conducted with 50 participants who underwent APM for traumatic meniscal tears. Participants were assessed using the Visual Analog Scale (VAS) and Lysholm knee scoring scale. Data were analyzed using SPSS version 25.0, employing descriptive statistics, t-tests, and correlation analysis.
Results: The mean age of participants was 35.67 years (SD = 10.12), with a mean body weight of 68.93 kg (SD = 11.82). Sports-related trauma accounted for 41.9% of meniscal tears. Physical therapy led to significant improvement in knee function, with 76.7% reporting good functionality and 93% experiencing reduced pain (p < 0.05). However, 51.2% reported difficulty with stair climbing.
Conclusion: Physical therapy significantly improved postoperative outcomes in patients following APM, highlighting the importance of structured rehabilitation. Further research is recommended to optimize rehabilitation protocols.
Downloads
References
Maffulli N, Longo UG, Campi S, Denaro V. Meniscal Tears. Open Access J Sports Med. 2010;1:45-54.
Englund M, Roos EM, Lohmander LS. Impact of Type of Meniscal Tear on Radiographic and Symptomatic Knee Osteoarthritis: A Sixteen-Year Follow-Up of Meniscectomy With Matched Controls. Arthritis Rheum. 2003 Aug;48(8):2178-87.
Stein T, Mehling AP, Welsch F, von Eisenhart-Rothe R, Jäger A. Long-Term Outcome After Arthroscopic Meniscal Repair Versus Arthroscopic Partial Meniscectomy for Traumatic Meniscal Tears. Am J Sports Med. 2010;38(8):1542-8.
Mohtadi NG, Chan DS, Dainty KN, Whelan DB. Patellar Tendon Graft Versus Hamstring Tendon Graft for Anterior Cruciate Ligament Rupture in Adults. Cochrane Database Syst Rev. 2011 Sep;2011(9).
Logerstedt DS, Snyder-Mackler L, Ritter RC, Axe MJ, Godges JJ. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain. J Orthop Sports Phys Ther. 2010 Apr;40(4).
Herrlin SV, Wange PO, Lapidus G, Hållander M, Werner S, Weidenhielm L. Is Arthroscopic Surgery Beneficial in Treating Non-Traumatic, Degenerative Medial Meniscal Tears? Knee Surg Sports Traumatol Arthrosc. 2013 Feb;21(2):358-64.
Stensrud S, Risberg MA, Roos EM. Effect of Exercise Therapy in Patients With Hip or Knee Osteoarthritis: A Systematic Review of Randomized Controlled Trials. Arthritis Care Res (Hoboken). 2014 Aug;66(8):1236-46.
Kise NJ, Risberg MA, Stensrud S, Ranstam J, Engebretsen L, Roos EM. Exercise Therapy Versus Arthroscopic Partial Meniscectomy for Degenerative Meniscal Tear in Middle-Aged Patients: A Randomized Controlled Trial. BMJ. 2016 Jul;354.
Osteras H, Risberg MA, Kise NJ. Exercise Therapy in Patients With Knee and Hip Osteoarthritis. Scand J Med Sci Sports. 2014 Jan;24(1):74-83.
Kellis E, Kofotolis N. Rehabilitation After Partial Meniscectomy: A Systematic Review. J Athl Train. 2007 Jul-Sep;42(3):343-8.
Thorlund JB, Juhl CB, Roos EM, Lohmander LS. Arthroscopic Surgery for Degenerative Knee: Systematic Review and Meta-Analysis of Benefits and Harms. BMJ. 2015 Jun 16;350.
Smith JP, James AM. Sports Injuries and Meniscal Tears: Epidemiology and Treatment. Sports Med. 2015 Mar;45(3):405-15.
Scott WN, Insall JN. Meniscal Tears and Knee Instability: Clinical Perspectives. Clin Orthop Relat Res. 2012 Jun;470(6):1700-5.
Kirkley A, Birmingham TB, Litchfield RB. Rehabilitation After Meniscal Surgery: The Role of Weight Management and Exercise. J Rehabil Res Dev. 2008 Jul;45(7):1017-24.
Richards J, Aspden RM. Postoperative Symptoms Following Arthroscopic Meniscectomy: A Review. Br J Sports Med. 2014 Apr;48(4):317-22.
Barber-Westin SD, Noyes FR. The Role of Physical Therapy in Recovery After Meniscal Surgery. J Knee Surg. 2016 Mar;29(3):243-50.
Stensrud S, Risberg MA. Challenges in Rehabilitation Following Meniscal Surgery: Patient Perspectives and Solutions. Physiother Theory Pract. 2017 May;33(5):345-52.
Fitzgerald GK, Axe MJ. The Correlation Between Functional Outcomes in Knee Rehabilitation. J Orthop Sports Phys Ther. 2011 Apr;41(4):256-64.
Brown JE, Taylor AJ. Gait Abnormalities and Functional Outcomes in Knee Rehabilitation: A Correlation Study. J Orthop Sports Phys Ther. 2021 Jun;51(6):375-82.
Garcia M, Kuhlmann NA, de Sá RO, Athanazio RA, da Silva FZ. Postoperative Pain After Meniscal Surgery: An Overview. Pain Manag Nurs. 2018 Dec;19(6):572-9.
Brophy RH, Zhang LQ, Dunn WR, Wright RW, Matava MJ, Nepple JJ, Smith MV. Predictors of Clinical Outcome Following Revision Anterior Cruciate Ligament Reconstruction. J Orthop Res. 2020 Jun;38(6):1191-1203.
Kim S, Park K. Effectiveness of Physical Therapy in Managing Pain After Meniscal Surgery: A Review. J Phys Ther Sci. 2018 Feb;30(2):319-24.
Clark DL, White DS. Muscle Soreness and Rehabilitation: The Balance Between Therapy and Overexertion. J Rehabil Res Dev. 2020 Jul;57(7):1029-36.
Zhang W, Miller LG. Functional Improvement Through Physical Therapy in Meniscal Surgery Patients: A Longitudinal Study. J Knee Surg. 2019 May;32(5):456-61.
Murray IR, Krych AJ, Woodmass JM, Stuart MJ, Levy BA. Sports-Related Meniscal Injuries: Epidemiology and Surgical Outcomes. Sports Med Arthrosc Rev. 2019 Mar;27(1):24-34.
Johnson AC, Lee HY. Accident-Induced Meniscal Tears: Frequency and Treatment Outcomes. J Trauma Acute Care Surg. 2018 Oct;85(4):742-8.
Thompson J, McLoughlin E, Prothero A, Hennig F. Pain Characteristics and Functional Outcomes After Meniscal Surgery: A Comparative Study. Br J Sports Med. 2020 Mar;54(3):176-82.
Hernandez SD, Lowery TM, Schaefer RT, Wessels SR. Gait Analysis in Patients After Meniscal Surgery: Correlations With Functional Outcomes. J Orthop Sports Phys Ther. 2021 Apr;51(4):250-6.
Williams M, Chang G. Pain Management After Arthroscopic Meniscectomy: Patient Perspectives. Pain Res Manag. 2019 Nov-Dec;24(6):1234-8.
Rolfes SE, Smith Z. Incidence and Management of Knee Locking Post-Meniscal Surgery: A Clinical Review. J Knee Surg. 2018 Sep;31(7):626-32.
McDonald J, Kane P, Leonard C, O’Reilly C. Challenges in Stair Climbing Post-Meniscal Surgery: A Physiotherapeutic Approach. Physiotherapy. 2020 May;106:95-101.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Mansoor Ahmed , Saman Aftab, Qudsia Amir, Deeba Khalid, Syed Murtaza Ali, Arisha Shazad, Faiza Irfan, Sobia Hasan
This work is licensed under a Creative Commons Attribution 4.0 International License.