Int J Sports Med 2009; 30(2): 144-149
DOI: 10.1055/s-2008-1038843
Orthopedics & Biomechanics

© Georg Thieme Verlag KG Stuttgart · New York

Crossover Training Effects of Three Different Rehabilitation Programs After Arthroscopic Meniscectomy

G. Koutras1 , E. Pappas2 , I. P. Terzidis3
  • 1Physical Therapy, Technological Institution of Thessaloniki, Thessaloniki, Greece
  • 2Physical Therapy, Long Island University, Brooklyn, New York, United States
  • 3Orthopedic Surgery, Ippokration General Hospital, Thessaloniki, Greece
Further Information

Publication History

accepted after revision June 20, 2008

Publication Date:
30 July 2008 (online)

Abstract

The present study investigated the crossover effect of three rehabilitation programs (isokinetic, isotonic and home exercise), that were focused on the involved extremity, on the isokinetic performance of knee flexors and extensors and the functional performance of the uninvolved leg in subjects who underwent arthroscopic partial meniscectomy. Twenty-eight patients (mean age: 28) were measured for isokinetic performance and functional performance with the single jump, triple jump and vertical jump 14 days and 33 days after surgery. Peak torque of hamstrings at 60°/sec (p = .008), hamstrings at 180°/sec (p < 0.001), quadriceps at 180°/sec (p = 0.024), single jump (p < 0.001), triple jump (p = 0.002), and vertical jump (p = 0.005) were significantly increased during the final measurement session compared to the initial measurement session. The knee flexors exhibited higher gains than the knee extensors. There were no differences between the isokinetic, isotonic, and home exercise program group (p = 0.506). Researchers and clinicians are encouraged to obtain measurements of the uninvolved leg at consistent time points between groups in order to allow for accurate comparisons.

References

  • 1 Bardana D, Burks R. Meniscectomy: is there still a role?.  Oper Tech Orthop. 2000;  10 183-193
  • 2 Boyd K T, Myers P T. Meniscus preservation; rationale, repair techniques and results.  Knee. 2003;  10 1-11
  • 3 Ericsson Y, Roos E, Dahlberg L. Muscle strength, functional performance, and self-reported outcomes four years after arthroscopic partial meniscectomy in middle-aged patients.  Arthr Rheum. 2006;  55 946-952
  • 4 Gapeyeva H, Paasuke M, Ereline J, Vaher V, Pintsaar A, Eller A. Recovery of contractile properties of the knee-extensor muscles after arthroscopic partial meniscectomy.  J Sport Rehabil. 2001;  10 298-307
  • 5 Goldblatt J, Smith J. Managing meniscal injuries; the treatment.  J Musculoskel Med. 2005;  22 183-186
  • 6 Goodwin P C, Morrissey M C. Supervised physiotherapy after arthroscopic partial meniscectomy: is it effective?.  Exerc Sport Sci Rev. 2003;  31 85-90
  • 7 Goodwin P C, Morrissey M C, Omar R Z, Brown M, Southall K, McAuliffe T B. Effectiveness of supervised physical therapy in the early period after arthroscopic partial meniscectomy.  Phys Ther. 2003;  83 520-535
  • 8 Gur H, Akova B, Punduk Z, Kucukogly S. Effects of age on the reciprocal peak torque ratios during knee muscle contractions in elite soccer players.  Scand J Med Sci Sporls. 1999;  9 81-87
  • 9 Hellenbrandt F, Parish A, Houtz S. Influence of unilateral exercise on contralateral limb.  Arch Phys Med Rehabil. 1947;  28 76-85
  • 10 Holder-Powell H M, Di Matteo G, Rutherford O M. Do knee injuries have long-term consequences for isometric and dynamic muscle strength?.  Eur J Appl Physiol. 2001;  85 310-316
  • 11 Hulet C, Locker B, Schiltz D, Texier A, Tallier E, Vielpau C. Arthroscopic medial meniscectomy on stable knees.  J Bone Joint Surg [Br]. 2001;  83-B 29-32
  • 12 Kannus P, Alosa D, Cook L, Johnson R, Renstrom P, Pope M, Beynnon B, Yasuda K, Nichols C, Kaplan M. Effect of one-legged exercises on the strength, power and endurance of the contralateral leg.  Eur J Appl Physiol. 1992;  64 117-126
  • 13 Klimkiewicz J, Shaffer B. Meniscal surgery 2002 update: indications and techniques for resection, repair, regeneration, and replacement.  Arthroscopy. 2002;  18 14-25
  • 14 Komi P, Viitasalo J, Rauramaa R, Vihko V. Effect of isometric strength training on mechanical, electrical, and metabolic aspects of muscle function.  Eur J Appl Physiol. 1978;  40 45-55
  • 15 Krotkiewski M, Annianson A, Grimby G, Bjorntrop P, Sjostrom L. The effect of unilateral strength training on local adipose and muscle tissue morphology, thickness, and enzymes.  Eur J Appl Physiol. 1979;  42 271-281
  • 16 Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale.  Am J Sports Med. 1982;  10 150-154
  • 17 Machover S, Sapecky A. Effect of isometric exercise on the quadriceps muscle in patients with rheumatoid arthritis.  Arch Phys Med Rehab. 1966;  47 737-741
  • 18 Matthews P, St-Pierre D MM. Recovery of muscle strength following arthroscopic meniscectomy.  J Orthop Sports Phys Ther. 1996;  23 18-26
  • 19 Moritani T, deVries H. Neural factors versus hypertrophy in the time course of muscle strength gain.  Am J Phys Med. 1979;  58 115-130
  • 20 Morrissey M C, Milligan P, Goodwin P C. Evaluating treatment effectiveness: Benchmarks for rehabilitation after partial meniscectomy knee arthroscopy.  Am J Phys Med Rehab. 2006;  85 490-501
  • 21 Ostenberg A, Roos E, Ekdahl C, Roos H. Isokinetic knee extensor strength and functional performance in healthy female soccer players.  Scand J Med Sci Sports. 1998;  8 257-264
  • 22 Pincivero D, Lephart S, Karunakara R. Relation between open and closed kinematic chain assessment of knee strength and functional performance.  Clin J Sport Med. 1997;  7 11-16
  • 23 Risberg M, Holm I, Ekeland A. Reliability of functional knee tests in normal athletes.  Scand J Med Sci Sports. 1995;  5 24-28
  • 24 Spencer J, Hayes K, Alexander I. Knee joint effusion and quadriceps reflex inhibition in man.  Arch Phys Med Rehabil. 1984;  65 171-177
  • 25 Stetson W, Templin K. Two- versus three-portal technique for routine knee arthroscopy.  Am J Sports Med. 2002;  30 108-111
  • 26 Tegner Y, Lysholm J, Lysholm M, Gillquist J. A performance test to monitor rehabilitation and evaluate anterior cruciate ligament injuries.  Am J Sports Med. 1986;  14 156-159
  • 27 Uh B, Beynnon B, Helie B, Alosa D, Renstrom P. The benefit of a single-leg strength training program for the muscles around the untrained ankle.  Am J Sports Med. 2000;  28 568-573
  • 28 Wilk K, Romaniello W, Soscia S, Arrigo C, Andrews J. The relationship between subjective knee scores, isokinetic testing, and functional testing in the ACL-reconstructed knee.  J Orthop Sports Phys Ther. 1994;  20 60-73

Dr. PT, PhD, OCS Evangelos Pappas

Long Island University
Physical Therapy

1 University Plz

Brooklyn, New York 11201

United States

Phone: + 1 71 84 88 14 98

Fax: + 1 71 87 80 40 02

Email: evangelos.pappas@liu.edu

    >