PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

Changes in postural stability on balance platform in patients after meniscal repair – two years follow up

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Purpose: The aim of this work was to evaluate postural stability on the balance platform averagely 2 years following meniscal repair. Methods: This is a retrospective, case-control comparative analysis of patients who underwent surgical repair for the isolated longitudinal traumatic meniscal tear versus matched healthy controls. The study group consisted of 30 patients (mean age 29.93 years; averagely 2.3 years after surgery) and the control group – of 30 people. Following physical examination and completion of the IKDC, and the Lysholm questionnaires, the evaluation of the postural stability using two single-leg stabilometry tests was performed. In the static test, the analyzed variables included deviations from the horizontal, vertical axes and the length of the balance path travelled. In the dynamic test, the length of the path travelled and the time to complete task were recorded. Between-limb and between-groups comparison of collected stabilometry tests were performed. Additionally, the IKDC and the Lysholm questionnaires scores were compared between the study and heathy groups. Results: No abnormalities were found on clinical examination in the study group nor any differences between the operated and contralateral knee (p > 0.05). In stabilometry: (1) in the study group, the operated extremity scored worse than the contralateral limb (length of path traveled in: A) static test x = 56.7 cm SD = 37.91 cm vs. x = 21.6 cm SD = 9.06 cm; p = 0.002 and B) dynamic test x = 82.57 cm, SD = 50.43 cm vs. x = 53.32 cm, SD = 13.82 cm; p = 0.003); (2) In the control group, no leg-related differences were noted (p > 0.05); (3) Between-group comparison revealed that the study group scored worse than the control group (length of path traveled in: A) static test x = 56.7 cm, SD = 37.91 cm vs. x = 17.23 cm, SD = 3.39 cm; p = 0.001 and B) dynamic test x = 82.57 cm, SD = 50.43 cm vs. x = 32.13 cm, SD = 9.41 cm; p < 0.001). Study group scored worse on IKDC scores (p < 0.001) but not on Lysholm score ( p > 0.05). Conclusions: Postural stability deficit persists despite a successful meniscal repair.
Słowa kluczowe
Rocznik
Strony
75--83
Opis fizyczny
Bibliogr. 39 poz., rys., tab.
Twórcy
  • Department of Orthopedics and Physiotherapy, Jagiellonian University Medical College, Kraków, Poland
  • Trauma and Orthopaedics Clinical Department, University Hospital, Kraków, Poland
  • Trauma and Orthopaedics Clinical Department, University Hospital, Kraków, Poland
  • Arthrogryposis Treatment Center, University Children’s Hospital of Cracow, Poland
  • Department of Orthopedics, University Children’s Hospital of Cracow, Poland
  • Department of Orthopedics and Physiotherapy, Jagiellonian University Medical College, Kraków, Poland
  • Trauma and Orthopaedics Clinical Department, University Hospital, Kraków, Poland
  • Orthopädie Liesing, Wien, Austria
autor
  • Department of Orthopedics and Physiotherapy, Jagiellonian University Medical College, Kraków, Poland
  • Trauma and Orthopaedics Clinical Department, University Hospital, Kraków, Poland
Bibliografia
  • [1] AHMED M.M., MUSSALLEM D.M., KHAIRET S.M., ISMAIL T.A., HAMIDO F.A., AL-BUSAIRI W.A., Evaluation of dynamic posturography in anterior cruciate ligament injury patients, Maced. J. Med. Sci., 2011, 15, 167–173.
  • [2] AL-DADAH O., SHEPSTONE L., DONELL S.T., Proprioception following partial meniscectomy in stable knee, Knee Surg. Sports Traumatol. Arthrosc., 2011, 19 (2), 2007–2013.
  • [3] ANDREWS S., SHRIVE N., RONSKY J., The shocking truth about menisci, J. Biomech., 2011, 44 (10), 2737–2740.
  • [4] BAKER J.C., FRIEDMAN M.V., RUBIN D.A., Imaging the postoperative knee meniscus: an evidence-based review, Am. J. Roentgenol., 2018, 211 (3), 519–527.
  • [5] BAŞAR B., BAŞAR G., AYBAR A., KURTAN A., BAŞAR H., The effects of partial meniscectomy and meniscal repair on the knee proprioception and function, J. Orthop. Surg., 2020, 28 (1), 2309499019894915, DOI: 10.1177/2309499019894915.
  • [6] BRINDLE T., NYLAND J., JOHNSON D.L., The meniscus: review of basic principles with application to surgery and rehabilitation, J. Athl. Train., 2011, 36 (2), 160–169.
  • [7] CAVANAUGH J.T., KILLIAN S.E., Rehabilitation following meniscal repair, Curr. Rev. Musculoskelet Med., 2012, 5 (1), 46–58.
  • [8] CHAPIN R., Imaging of the postoperative meniscus, Radiol. Clin. North Am., 2018, 56 (6), 953–964.
  • [9] CHIVERS M.D., HOWITT S.D., Anatomy and physical examination of the knee menisci: a narrative review of the orthopedic literature, J. Can. Chiropr. Assoc., 2009, 53 (4), 319–333.
  • [10] COLLINS N.J., MISRA D., FELSON D.T., CROSSLEY K.M., ROOS E.M., Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS), Arthritis Care Res (Hoboken), 2011, 63 Suppl. 11 (0 11), S208–28.
  • [11] DAY B., MACKENZIE W., SHIM S.S., LEUNG G., The vascular and nerve supply of the human meniscus, Arthroscopy, 1985, 1, 58–62.
  • [12] FOX A.J., BEDI A., RODEO S.A., The basic science of human knee menisci: structure, composition and function, Sports Health, 2012, 4 (4), 340–351.
  • [13] GREVNERTS H.T., TERWEE C.B., KVIST J., The measurement properties of the IKDC – subjective knee form, Knee Surg. Sports Traumatol. Arthrosc., 2015, 23 (12), 3698–3706.
  • [14] HENRIKSSON M., LEDIN T., GOOD L., Postural control after anterior cruciate ligament reconstruction and functional rehabilitation, Am. J. Sports Med., 2001, 29, 359–66.
  • [15] HEWETT T.E., PATERNO M.V., MYER G.D., Strategies for enhancing proprioception and neuromuscular control of the knee, Clin. Orthop. Relat. Res., 2002, (402), 76–94.
  • [16] JAUREGUI J.J., WU Z.D., MEREDITH S., GRIFFITH C., PACKER J.D., HENN R.F., How should we secure our transplanted meniscus? A meta-analysis, Am. J. Sports Med., 2018, 46 (9), 2285–2290.
  • [17] KARAHAN M., KOCAOGLU B., CABUKOGLU C., AKGUN U., NURAN R., Effect of partial medial meniscectomy on the proprioceptive function of the knee, Arch. Orthop. Trauma Surg., 2010, 130 (3), 427–431.
  • [18] KOCH M., MEMMEL C., ZEMAN F., PFEIFER CH.G., ZELLNER J., ANGELE P. et al., Early functional rehabilitation after meniscus surgery: Are currently used orthopedic rehabilitation standards up to date?, Rehabil. Res. Pract., 2020, DOI: 10.1155/2020/3989535.
  • [19] KOPF S., BEAUFLS P., HIRSCHMANN M.T., ROTIGLIANO N., OLLIVIER M., Management of traumatic meniscus tears: the 2019 ESSKA meniscus consensus, Knee Surg. Sports Traumatol. Arthrosc., 2020, 28 (4), 1177–1194.
  • [20] KRYCH A.J., BERNARD C.D., LELAND D.P., CAMP C.L., JOHNSON A.C., FINNOFF J.T., STUART M.J., Isolated meniscus extrusion associated with meniscotibial ligament abnormality, Knee Surg. Sports Traumatol. Arthrosc., 2019, 28, 3599–3605.
  • [21] LEE D.W., HA J.K., KIM J.G., Medial meniscus posteriori root tear: a comprehensive review, Knee Surg. Relat. Res., 2014, 26 (3), 126–134.
  • [22] LEE J.H., HEO J.W., LEE D.H., Comparative postural stability in patients with lateral meniscus versus medial meniscus tears, Knee, 2018, 25 (2), 256–261.
  • [23] LIND M., NIELSEN T., FAUNØ P., LUND B., CHRISTIANSEN S.E., Free rehabilitation is safe after isolated meniscus repair: a prospective randomized trial comparing free with restricted rehabilitation regimens, Am. J. Sports Med., 2013, 41 (12), 2753–2758.
  • [24] MAGYAR M.O., KNOLL Z., KISS R.M., Effect of medial meniscus tear and partial meniscectomy on balancing capacity in response to sudden unidirectional perturbation, J. Electromyogr. Kinesiol., 2012, 22 (3), 440–445.
  • [25] MOSICH G.M., LIEU V., EBRAMZADEH E., BECK J.J., Operative treatment of isolated meniscus injuries in adolescent patients: a meta-analysis and review, Sports health, 2018, 10 (4), 311–316.
  • [26] MUTSAERTS E., ECK C., DE GRAAF V., DOORNBERG J.N., DEN BEKEROM M., Surgical interventions for meniscal tears: a closer look at the evidence, Arch. Orthop. Trauma Surg., 2016, 136, 361–370.
  • [27] NAKAYAMA H., KANTO R., KAMBARA S., KUROSAKA K., ONISHI S., YOSHIYA S., YAMAGUCHI M., Clinical outcome of meniscus repair for isolated meniscus tear in athletes, Asia Pac. J. Sports Med. Arthrosc. Rehabil. Technol., 2017, 10, 4–7.
  • [28] O’DONELL K., FREEDMAN K.B., TJOUMAKARIS F.P., Rehabilitation protocols after isolated meniscal repair: a systematic review, Am. J. Sports Med., 2016, 45 (7), 1687–1697.
  • [29] OGRODZKA-CIECHANOWICZ K., CZECHOWSKA D., CHWAŁA W., ŚLUSARSKI J., GĄDEK A., Stabilometric indicators as an element of verifying rehabilitation of patients before and after reconstruction of anterior cruciate ligament, Acta Bioeng. Biomech., 2018, 20 (1), 101–107.
  • [30] PALMER-GREEN D., Epidemiology of sports injuries and illnesses, ABC of sports and exercise medicine 4th Edition 1, 2015.
  • [31] PARK J.H., JEONG W.K., LEE J.H., CHO J.J., LEE D.H., Postural stability in patients with anterior cruciate ligament tears with and without medial meniscus tear, Knee Surg. Sports Traumatol. Arthrosc., 2013, 23 (1), 240–245.
  • [32] PARUS K., LISIŃSKI P., HUBER J., Body balance control deficiencies following ACL reconstruction combined with medial meniscus suture. A preliminary report, Orthop. Traumatol. Surg. Res., 2015, 101 (7), 807–10.
  • [33] PATHAK S., BHARADWAJ A., PATIL P. et al., Functional outcomes of arthroscopic combined anterior cruciate ligament reconstruction and meniscal repair: a retrospective analysis, Arthrosc. Sports Med. Rehabil., 2020, 2 (2), e71–e76.
  • [34] ROBINSON J.R., JERMIN P.J., Meniscal root tears: current concepts, Asian J. Arthrosc., 2016, 1 (2), 35–46.
  • [35] RUSSO A., CAPASSO R., VARELLI C. et al., MR imaging evaluation of the postoperative meniscus, Musculoskelet Surg., 2017, 101 (Suppl. 1), 37–42.
  • [36] SPANG R.C., NASR M.C., MOHAMADI A., DEANGELIS J.P., NAZARIAN A., RAMAPPA A.J., Rehabilitation following meniscal repair: a systematic review, B.M.J. Open Sport Exerc. Med., 2018, DOI: 10.1136/bmjsem-2016-000212.
  • [37] THORLUND J.B., JUHL C.B., INGELSRUD L.H., SKOU S.T., Risk factors, diagnosis and non-surgical treatment for meniscal tears: evidence and recommendations: a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF), Br. J. Sports Med., 2018, 52 (9), 557–565.
  • [38] WESTERMANN R.W., DUCHMAN K.R., AMENDOLA A., GLASS N., WOLF Br., All-inside versus inside-out meniscal repair with concurrent anterior cruciate ligament reconstruction: a meta-regression analysis, Am. J. Sports Med., 2017, 45 (3), 719–724.
  • [39] YOON K.H., PARK K.H., Meniscal repair, Knee Surg. Relat. Res., 2014, 26 (2), 68–76.
Uwagi
Opracowanie rekordu ze środków MNiSW, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2024).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-e3b74072-98a0-4d62-b2c4-58ae4208aeca
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.