Clinical trial NCT04925726: Rehabilitation After Arthroscopic Partial Meniscectomy
Official title: Water-Based vs. Land-Based Rehabilitation After Arthroscopic Partial Meniscectomy in Middle-Aged Active Patients With a Degenerative Meniscal Tear: A Randomized, Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Knee Pain
Keywords: Rehabilitation
Exercise
Aquatherapy
Lead sponsor: Afyonkarahisar Health Sciences University
Sponsor class: OTHER
First posted: 2021-06-14
Enrollment: 30
Sex: ALL
Minimum age (years): 35
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Water-Based vs. Land-Based Rehabilitation After Arthroscopic Partial Meniscectomy in Middle-Aged Active Patients with a Degenerative Meniscal Tear: A Randomized, Controlled Study

Detailed description: In this study, we aimed to determine and compare the benefits of water-based exercise (WBE) and land-based exercise (LBE) on pain, functionality, and quality of life after arthroscopic partial meniscectomy (APM). Middle-aged (35-50), active 30 patients having APM for a degenerative meniscal tear randomized into LBE (n=15) and WBE (n=15) groups. The pain level (visual analogue scale \[VAS\]), isokinetic muscle strength, quality of life (Short Form-36 \[SF-36\]), and function level (single-leg hop test and Lysholm questionnaire) were evaluated prior to treatment and at follow-up visits at the fourth and eighth week after surgery. The exercise sessions were conducted 3 times a week for 4 weeks in both groups.

Eligibility criteria: Inclusion Criteria: The inclusion criteria comprised a non-locked painful knee of more than 1 month, age between 35-50 years, a clinical history and examination compatible with degenerative meniscus, positive findings of a degenerative meniscal tear visible with magnetic resonance imaging (MRI), no response to nonoperative treatment of at least 3 months after onset of symptoms, and no evidence of advanced osteoarthritis (OA) on X-rays or MRI

Exclusion Criteria: The exclusion criteria employed were advanced knee OA, systemic inflammatory disease, a concurrent tear of posterior cruciate ligament, a concurrent collateral ligament repair, other problems causing knee pain (e.g., hip and ankle pathologies), a history of cardiopulmonary disease that could limit isokinetic and functional testing, an unstable medical condition, a serious cognitive deficit, a psychiatric problem, no capacity for independent walking and standing, an open wound on the skin, or pregnancy

Primary outcomes:
measure: Change from baseline VAS (visual analog scale) at 4th and 8th week
timeFrame: up to 8 weeks
Secondary outcomes:
measure: Change from baseline isokinetic muscle strength at 4th and 8th week
timeFrame: up to 8 weeks
measure: Change from baseline quality of life (short form 36) at 4th and 8th week
timeFrame: up to 8 weeks
measure: Change from baseline Single-leg hop test at 4th and 8th week
timeFrame: up to 8 weeks
measure: Change from baseline Lysholm questionnaire at 4th and 8th week
timeFrame: up to 8 weeks
Other outcomes:
Locations:
city: Merkez
country: Turkey
facility: Hilal Yesil
state: Afyon
Study officials:
affiliation: Afyonkarahisar Health Sciences University
name: Murat Yesil, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Yesil M, Ozcan O, Dundar U, Toktas H, Yesil H. Aquatic vs. land-based exercise after arthroscopic partial meniscectomy in middle-aged active patients with a degenerative meniscal tear: A randomized, controlled study. J Orthop Sci. 2023 Mar;28(2):391-397. doi: 10.1016/j.jos.2021.11.011. Epub 2021 Dec 16.