Effect of Rehabilitation Exercises Program on Functional Outcomes among Patients with Knee Fracture 1

Knee fracture of the patella is a common injury among adults having higher prevalence among males population. The mechanism of injury either direct or indirect. The most common fracture pattern occurring is the transverse fracture followed by comminuted and vertical fractures. Treatment of patellar fractures depends on fracture type, integrity of extensor mechanism and size of fragment. Conservative management includes splinting and rest. Surgical techniques involve anterior tension band wiring and partial/total patellectomy. Physiotherapy management included early weight bearing followed by gradual mobilization and strengthening of extensor compartment of the knee joint. Fracture of patella is common among middle age group individuals. The treatment depends on type of fracture, extensor mechanism and articular congruence. Operative management mainly tension band wiring followed by early rehabilitation program expedites the functional outcome. Early weight bearing, ambulation, range of motion exercises followed by strengthening exercises of extensor mechanism helps to avoid unwanted complications and achieve good functional status. The study was designed to evaluate the Effect of rehabilitation exercises program on functional outcomes among patients with knee fracture. The research hypothesis showed that, there is positive effect of rehabilitative exercise program on the Functional outcomes among patients with knee fracture. Methods: A quasi-experimental design was utilized in this study. A random sample of 30 adult patients was selected randomly and divided an alternatively into two equal groups 15 each. Inclusions criteria were that patients should on surgical treatment with no local unclean or new injuries enjoyed in the study before applied prescribed management and they has diagnosed with curiae ligaments. Methods: there were Data were collected through three tools that were used to determine the effect of rehabilitative on functional outcomes joint and muscle. Tool I was consisted of two parts: socio deco graphic finical data and pain scathe. In addition, tool II Mobility index of knee was developed by researchers in English language to determine rouge of motional 90 degree to measure angle of the joint and list flexibility in performing the rouge of movement of the knee a flexion/ extension. Finally, tool III was muscle strength of the affected knee. Method: Official permission to carry out the study was taken, all tools were submitted to nine experts in the field of nursing and orthopedic to test its content validity and were tested for reliability for 10 patients using test – retest method within one week. Informed consent was taken from each participant after explanation of the purpose of study and confidentiality was assured. A pilot study was conducted on five patients to test the feasibility and applicability of the tools and the necessary modifications were done. Sixty adult patients with cruciat / igment injury randomly according to previously mentioned criteria and will be divided alternatively into two equally groups 30 patients. Biosociodemographic and clinical data were obtained from all patient participating in the study on the first day of admission. The results revealed that the majority of total patients were in the age (40 – <50 years) and female patients represented slightly higher percentage than male patients. There was a significant difference was found between experimental and control groups in the Level of education and occupation. Findings showed that equal distribution between the experimental and control groups regarding their medical diagnosis as all had Unilateral Knee fracture. Regarding body weight (kg) the Mean ± SD of experimental and control groups Regarding body height (cm) the Mean ± SD of experimental and control groups. In relation to body mass index it was observed that the Mean ± SD of experimental and control groups. Regarding the knee joint extension it was noticed that the majority of experimental group had incomplete extension. Furthermore, regarding gait equal distribution for both two groups had limping gait. In addition, the results illustrated that of experimental and control groups using of assistive devices for ambulation. There was a significant difference was found between experimental and control groups in the using of assistive devices for ambulation. Fortunately the results showed that there was improvement in the patients according to their assessment and physical examination of the affected joint before and after quadriceps muscle exercise programs among the experimental group. In conclusion, support the prescription of knee fracture strength training program for patients with knee fracture. The study revealed limited patients ROM, weak muscle strength, pain, and inability to perform activities of daily living prior to the strength training program. In addition, quadriceps muscle strength training is an important part in the management plan of patients with knee fracture, and has a positive effect on providing the patient with self-confidence to deal with disease related problems. Illustrated rehabilitation exercises program post knee fracture should be available as a reference for Effect of Rehabilitation Exercises Program on Functional Outcomes among Patients with Knee . DOI: 10.9790/1959-0604076684 www.iosrjournals. org 67 | Page health care settings recommended [ 1 Hend Abd El-Monem Eid Elshenawie, 2 Heba Abdel Mowla Ahmed. Effect of Rehabilitation Exercises on Functional Outcomes among Patients with Knee Fracture].