Assessment of Different Rehabilitation Treatments After a Partial Removal of the Meniscus (MENFIS)

University Rovira i Virgili

Status and phase: Unknown; Phase 2

Conditions: Rehabilitation Post-meniscectomy

Treatments: Procedure: Isotonic and isokinetic exercises; Procedure: Isotonic exercises; Procedure: Isokinetic exercises; Procedure: ST

Study type: Interventional

Funder types: Other

Identifiers

NCT01775345

MENFIS

Details and patient eligibility

About

To determine that rehabilitation treatment for a partial meniscectomy is more efficient in the functional recovery of the knee. Set in the fewest possible sessions, what treatment has benefits that last beyond the physical and what is the best cost-effectiveness.

It is expected that the combination of isotonic and isokinetic exercises in post-meniscectomy physiotherapy allows faster and less costly patient rehabilitate than the current isotonic protocol.

Full description

Longitudinal randomized single-blind study, 81 patients (27 per group; 3 groups), 18 to 60 years, underwent surgery meniscus and performing rehabilitation at the University Hospital Sant Joan de Reus. The first rehabilitation sessions will be common (manual therapy, electrotherapy, proprioceptive reeducation, isometric exercises, bike exercise and cryotherapy). From Session 10, will be randomized into 3 groups: group 1 protocol added isotonic exercises, group 2 isokinetic exercises and group 3 isotonic and isokinetic exercises.

The principal variable will be the maximum force peak of the muscle. An evaluation of other parameters such as knee function (Lysholm Test) and the degree of pain (VAS) will be performed.

Enrollment: 81 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Men and women of between 18 and 60 years
• Surgical Intervention: partial meniscectomy of the internal meniscus
• Informed consent

Exclusion criteria

• Re-meniscectomy
• Associate injury of crossed ligaments
• Degenerative osteoarthritis of knee degree the II, III or IV
• Morbid obesity
• Infectious diseases in the skin, cutaneous injuries and / or zones of hypoesthesia
• Participants with malignant tumors
• Participants with cognitive or sensory alterations
• Volunteers who have taken part in a study in the last 3 months
• Lack of collaboration of the patient

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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81 participants in 3 patient groups

Isotonic exercises + ST

Experimental group

Description:

This group will realize 20 sessions of muscular force work by means of isotonic exercises, that to the beginning will consist of 2 series of 10 repetitions to 60, 65 and 70 % of a maximum repetition (MR)(MR is the maximum resistance that a muscle can conquer). Later, a gradual progression will be realized and the load will be increasing up to being able to realize, before the session 30: 2 series of 15 repetitions to 60, 65 and 70 %, of 1MR, 2 series of 10 repetitions to 75 and 80 % of 1MR and one series of 6 repetitions to 85 and 90 % of 1MR.

Treatment:

Procedure: ST

Procedure: Isotonic exercises

Isokinetic exercises + ST

Experimental group

Description:

This group will realize 20 sessions of muscular force work by means of isokinetic exercises, that to the beginning will consist of 2 series of 10 repetitions to 150, 180 and 210 º / seg in the first session and it will be increasing in a progressive and gradual way up to being able to realize, before the last session: 3 series of 15 repetitions to 180 º, 210 º and 240 º / seg, 2 series of 10 repetitions to 120 º and 150 º / seg and 2 series of 6 repetitions of 60 º and 90 º / seg.

Treatment:

Procedure: ST

Procedure: Isokinetic exercises

Isotonic and isokinetic exercises + ST

Experimental group

Description:

This group will realize 20 sessions of muscular force work by means of isotonic and isokinetic exercises. To the beginning it will consist of 1 series of 10 repetitions to 150, 180 and 210 º / seg and 1 series of 10 repetitions to 60, 65 and 70 % of 1MR. A gradual progression will be realized up to reaching, before the last session, a load of: 2 series of 15 repetitions to 180, 210 and 240 º / seg, 1 series from 10 to 120 and 150 º / seg and 1 series of 6 repetitions to 60 and 90 º / seg, and 1 series of 15 repetitions to 60, 65 and 70 %, of 1MR, 1 series of 10 repetitions to 75 and 80 % of 1MR and 1 series of 3 repetitions to 85 and 90 % of 1MR.

Treatment:

Procedure: ST

Procedure: Isotonic and isokinetic exercises