Clinical trial NCT01775345: Assessment of Different Rehabilitation Treatments After a Partial Removal of the Meniscus
Official title: Assessment of Different Treatments of Muscle Strengthening in Post-meniscectomy Knee.
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE2
Conditions: Rehabilitation Post-meniscectomy
Keywords: Partial meniscectomy
Physiotherapy
Isokinetics
Cost-effectiveness
Lead sponsor: University Rovira i Virgili
Sponsor class: OTHER
Collaborators: name: Hospital Universitari Sant Joan de Reus
First posted: 2013-01-24
Enrollment: 81
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Maximum force peak in flexion of 60 º / seg and 180 º / seg, and extension of 60 º / seg and 180 º / seg. The assessment will be comparative. It will be realized in both the affected knee and the healthy knee.
timeFrame: 7 weeks
Secondary outcomes:
measure: Knee functionality with the Lysholm Test.
timeFrame: 7 weeks
Other outcomes:
measure: Degree of pain with the Visual Analogue Scale (VAS).
timeFrame: 7 weeks
measure: Metabolomic biomarkers
timeFrame: 7 weeks
Locations:
city: Reus
country: Spain
facility: Hospital Universitari Sant Joan
Study officials:
affiliation: Hospital Universitari Sant Joan de Reus
name: Carme Casajuana, PT
role: STUDY_DIRECTOR
References: