Arthogenic muscle in hibition of knee after meniscus repair surgery Arthrogenic muscle inhibition Meniscus repair surface electromyographic biofeedback Central activation ratio Sonnery-Cottet classification lysholm knee score M-trigger
Conditions
Interventions
Participants will undergo a 6-month standard rehabilitation program following meniscus repair. The protocol is divided into two phases: the initial 6 weeks consist of supervised sessions twice a week
Experimental Device,Active Comparator Other
surface EMG biofeedback,Standard rehabilitation program
Sponsors
Faculty of Medicine, Chulalongkorn University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: Subpopulation 1 NonOA Knee Group 1 Patients without radiographic or MRI confirmed osteoarthritis who are scheduled for arthroscopic meniscus repair with or without ACL reconstruction 2 Adults aged 18 to 75 years 3 Undergoing arthroscopic meniscus repair with or without ACL reconstruction 4 No evidence of knee osteoarthritis on MRI 5 No concurrent bone fractures 6 Physically active defined as adjust tegner activity level at least 3 7 Body mass index BMI less than 30 kgm2 8 No orthopedic or neurological disorders affecting normal movement or muscle strength including Hip knee or ankle deformities Myelopathy radiculopathy parkinsons disease Motor neuron disease Myopathy Stroke Cognitive impairment 9 No unstable cardiac conditions Subpopulation 2 OA Knee Group 1 Patients with knee osteoarthritis who are scheduled for arthroscopic meniscus repair without ligamentous injury 2 Adults aged 18to 75 years 3 Undergoing arthroscopic meniscus repair only 4 No concurrent ligament injury 5 No concurrent bone fractures
Exclusion criteria
Exclusion criteria: 1 Undergoing meniscectomy 2 History of prior surgery on the affected knee 3 Significant cardiovascular disease including Heart failure Triple vessel coronary artery disease Myocardial infarction Stable or unstable angina Status post coronary artery bypass graft (CABG) 4 Inability to comply with study procedures due to transportation limitations communication barriers or cognitive impairment (non-compliance). 5 Decline to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Central activation ratio 6 weeks post operative Percentage of MVIC of knee extensor to MVIC of knee extensor with superimposed burst | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Central activation ratio baseline (Preoperative), 2weeks post operative and 6 months post operative Percentage of MVIC of knee extensor to MVIC of knee extensor with superimposed burst,2. Clinical AMI Severity baseline (Preoperative), 2weeks post operative, 6 weeks post operative and 6 months post operative Sonnery-Cottet AMI Classification,3. Quadriceps Muscle Strength baseline (Preoperative), 2weeks post operative, 6 weeks post operative and 6 months post operative Maximal Voluntary Isometric Contraction [MVIC] of knee extension torque (Newton-Meters)),4. Pain Intensity baseline (Preoperative), 2weeks post operative, 6 weeks post operative and 6 months post operative Measured via a 10-point Numeric Rating Scale (NRS) ,5. Knee Range of Motion (ROM) baseline (Preoperative), 2weeks post operative, 6 weeks post operative and 6 months post operative Passive and active knee flexion/extension assessed using a standard goniometer by trained assessors,6. Functional Outcomes baseline (Preoperative), 2weeks post operative, 6 weeks post operative and 6 months post operative Lysholm Knee Score | — |
Countries
Thailand
Contacts
Public ContactChawis Hansasuta
Faculty of Medicine, Chulalongkorn University
Outcome results
None listed