Meniscectomy Sequelae
Conditions
Keywords
Knee meniscectomy, Functionality, Range of movement, Pain intensity, Kinesiophobia
Brief summary
Introduction. Meniscal lesions are common and are associated with the development of osteoarthritis of the knee. Work activities that cause mechanical stress can lead to acute or chronic injuries. The surgical treatment for this injury is meniscectomy. Physiotherapy is a widely accepted first-line treatment for patients with meniscus tears. Objective. To assess the clinical and functional status of patients who have undergone meniscus surgery with and without post-surgical physiotherapy. Material and method. Multicenter ambispective cohort study. 89 patients who have undergone meniscectomy will be recruited. The primary variable of the study will be functionality (Time Up & Go), with the prescription of a post-surgical physiotherapy treatment being the dependent variable. The secondary variables, estimated as modifying or confounding, will be range of motion (goniometry), pain intensity (visual analog scale) and kinesiophobia (Tampa scale).
Interventions
In the present study, no intervention will be carried out, and only the patients recruited will complete the questionnaires set out below.
Sponsors
Study design
Eligibility
Inclusion criteria
* Persons aged 20 to 65 * Of both sexes * With previous meniscectomy surgery in one of the two knees in the last 5 years * Who sign the informed consent document.
Exclusion criteria
* Patients who require technical aids for walking * Dependent patients for carrying out activities of daily living * Patients over 65 years of age * Patients with cognitive impairments that prevent understanding of tests and evaluations
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of knee functionality | Screening visit | To assess knee functionality we will use the Time Up & Go instrument. This test consists of getting up from a chair, walking three meters around an obstacle and returning to the starting position. This tool is closely related to the risk of falls. The unit of measurement is time, where the lower the mark, the better the functionality. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of range of knee motion | Screening visit | The range of knee motion will be assessed using a goniometer. The fixed arm will be placed between the center of the greater trochanter and the lateral epicondyle of the femur, while the movable arm will be placed on the axis of the tibia between the lateral femoral epicondyle and the center of the lateral malleolus. During the evaluation, each patient will be asked to perform maximum active knee flexion and extension. The unit of measurement is the maximum range of motion measured in degrees, where the higher the graduation, the greater the range of motion. |
| Assessment of pain perception | Screening visit | Pain perception will be measured using a visual analog scale. This measuring instrument quantifies pain according to the patient's subjective perception on a scale of 0 to 10, where 0 indicates the absence of pain and 10 the maximum pain perceived by the patient. |
| Assessment of Kinesiophobia | Screening visit | Kinesiophobia (fear of movement) will be measured using the Tampa Scale (TSK-11). This scale consists of 11 questions scored from 1 strongly disagree to 4 strongly agree. The range of scores is from 11 to 44 points, where a higher score indicates greater fear of movement on the part of the respondent. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Assessment of the patient's gender at the time of the study | Screening visit | The sociodemographic variable gender (male/female) will be measured |
| Assessment of the time elapsed since the surgical intervention | Screening visit | The main clinical variables will be measured: date of the surgical procedure and date of evaluation (in DD/MM/YYYY format; to calculate the elapsed time, in days) |
| Measurement of the patient's level of physical activity before and after surgery | Screening visit | The variable physical exercise before and after meniscectomy will be measured (dichotomous answers: yes/no). |
| Assessment of the patient's type of work at the time of the study | Screening visit | The sociodemographic variable type of work (sedentary/active) will be measured. This evaluation will be based on whether the work is office work or at least 4 hours/day sitting. |
| Assessment of the patient's weight at the time of the study | Screening visit | The anthropometric variables of weight (measured in kg) |
| Measurement of the patient's age at the time of the study | Screening visit | The sociodemographic variables age (in whole months) will be measured |
| Assessment of the patient's height at the time of the study | Screening visit | The anthropometric variable height (measured in cm) |
Countries
Spain