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Introduction. Meniscal lesions are common and are associated with the development of osteoarthritis of the knee. Work activities that cause mechanical stress can lead to acute or chronic injuries. The surgical treatment for this injury is meniscectomy. Physiotherapy is a widely accepted first-line treatment for patients with meniscus tears.
Objective. To assess the clinical and functional status of patients who have undergone meniscus surgery with and without post-surgical physiotherapy.
Material and method. Multicenter ambispective cohort study. 89 patients who have undergone meniscectomy will be recruited. The primary variable of the study will be functionality (Time Up & Go), with the prescription of a post-surgical physiotherapy treatment being the dependent variable. The secondary variables, estimated as modifying or confounding, will be range of motion (goniometry), pain intensity (visual analog scale) and kinesiophobia (Tampa scale).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Observational group | Patients will be recruited from the Fisiomaturana and Fisialty centers. The primary variable of the study will be functionality, with the prescription of a post-surgical physiotherapy treatment being the dependent variable. The secondary variables, estimated as modifying or confounding, will be range of motion, pain intensity and kinesiophobia. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Survey using a questionnaire. | Other | In the present study, no intervention will be carried out, and only the patients recruited will complete the questionnaires set out below. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of knee functionality | To assess knee functionality we will use the Time Up & Go instrument. This test consists of getting up from a chair, walking three meters around an obstacle and returning to the starting position. This tool is closely related to the risk of falls. The unit of measurement is time, where the lower the mark, the better the functionality. | Screening visit |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of range of knee motion | The range of knee motion will be assessed using a goniometer. The fixed arm will be placed between the center of the greater trochanter and the lateral epicondyle of the femur, while the movable arm will be placed on the axis of the tibia between the lateral femoral epicondyle and the center of the lateral malleolus. During the evaluation, each patient will be asked to perform maximum active knee flexion and extension. The unit of measurement is the maximum range of motion measured in degrees, where the higher the graduation, the greater the range of motion. |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of the time elapsed since the surgical intervention | The main clinical variables will be measured: date of the surgical procedure and date of evaluation (in DD/MM/YYYY format; to calculate the elapsed time, in days) | Screening visit |
| Assessment of the patient's weight at the time of the study |
Inclusion Criteria:
Exclusion Criteria:
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People with previous meniscectomy surgery
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rubén Cuesta-Barriuso, PhD | Contact | 0034 985103386 | ruben.cuestab@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidad Católica San Antonio de Murcia | Murcia | Principality of Asturias | 33006 | Spain |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D000092442 | Kinesiophobia |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010698 | Phobic Disorders |
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| Screening visit |
| Assessment of pain perception | Pain perception will be measured using a visual analog scale. This measuring instrument quantifies pain according to the patient's subjective perception on a scale of 0 to 10, where 0 indicates the absence of pain and 10 the maximum pain perceived by the patient. | Screening visit |
| Assessment of Kinesiophobia | Kinesiophobia (fear of movement) will be measured using the Tampa Scale (TSK-11). This scale consists of 11 questions scored from 1 "strongly disagree" to 4 "strongly agree". The range of scores is from 11 to 44 points, where a higher score indicates greater fear of movement on the part of the respondent. | Screening visit |
The anthropometric variables of weight (measured in kg) |
| Screening visit |
| Measurement of the patient's age at the time of the study | The sociodemographic variables age (in whole months) will be measured | Screening visit |
| Assessment of the patient's height at the time of the study | The anthropometric variable height (measured in cm) | Screening visit |
| Assessment of the patient's gender at the time of the study | The sociodemographic variable gender (male/female) will be measured | Screening visit |
| Assessment of the patient's type of work at the time of the study | The sociodemographic variable type of work (sedentary/active) will be measured. This evaluation will be based on whether the work is office work or at least 4 hours/day sitting. | Screening visit |
| Measurement of the patient's level of physical activity before and after surgery | The variable physical exercise before and after meniscectomy will be measured (dichotomous answers: yes/no). | Screening visit |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |