The Effectiveness of Postoperative Physical Therapy Treatment in Patients Who Have Undergone Arthroscopic Partial Meniscectomy: Systematic Review With Meta-analysis

Dias, João Marcos Domingues; Mazuquin, Bruno; Mostagi, Fernanda Queiroz Ribeiro Cerci; Lima, Tarcisio Brandão; Silva, Mônica Angélica Cardoso; Resende, Bruna Nogueira; Silva, Rodrigo Matsuoka Borges da; Lavado, Edson Lopes; Cardoso, Jefferson Rosa

doi:10.2519/jospt.2013.4255

Cited by 36 publications

(25 citation statements)

References 42 publications

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“…Aerobic and strengthening exercises have been shown to be effective treatments for reducing pain and improving function in patients with knee OA [12–20]. Postoperative exercises are associated with improvements in self-reported measures of knee function and range of motion among patients who have undergone arthroscopic partial meniscectomy (APM) for degenerative meniscal tear [21]. In patients with OA and symptomatic meniscal tear, the treatment effect of exercise is comparable to that of APM [15–17].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Exercise Adherence in Patients With Meniscal Tear and Osteoarthritis

Tuakli‐Wosornu

Selzer

Losina

et al. 2016

Archives of Physical Medicine and Rehabilitation

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Objective To identify predictors of poor exercise adherence in patients with osteoarthritis (OA) and meniscal tear. Design Secondary analysis of data gathered over the first 12 weeks in the Meniscal Tear in Osteoarthritis Research (MeTeOR) Trial, a multicenter, randomized controlled trial. Setting Seven referral centers in the US. Participants This analysis was conducted in 325 of the 351 MeTeOR patients, each of whom was ≥ 45 years old and had meniscal tear and osteoarthritic changes on imaging studies; 26 were excluded due to missing data from which to derive the primary outcome variable. Interventions All patients received a structured supervised exercise program focused on strengthening, along with prescribed home exercises; half were randomized to also receive arthroscopic partial meniscectomy. Main Outcome Measure Poor exercise adherence through 12 weeks, defined as performing <50% of prescribed exercise. Results 38% of the MeTeOR cohort showed poor exercise adherence. In the multivariate model, adjusting for treatment group, those who earned ≤ $29,000/year had 1.64 times the risk of non-adherence (95% CI: 1.10, 2.43) than those who earned >$100,000 /year; and, those without baseline pain with pivoting and twisting had 1.60 times greater risk of non-adherence than those with these symptoms (95% CI: 1.14, 2.25). Conclusion Low income was associated with poor exercise adherence among patients ≥ 45 with osteoarthritis and meniscal tear, as was absence of pain with pivoting and twisting. Our findings highlight the need for further research into exercise adherence and for interventions to enhance adherence among those with low incomes.

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Section: Introductionmentioning

confidence: 99%

Predictors of Exercise Adherence in Patients With Meniscal Tear and Osteoarthritis

Tuakli‐Wosornu

Selzer

Losina

et al. 2016

Archives of Physical Medicine and Rehabilitation

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“…Overall the PT intervention and home exercise program align with literature describing perioperative meniscectomy rehabilitation programs [9, 22–24, 29, 30] and international programs created to address degenerative meniscal tears or OA [6, 36, 37]. The TeMPO program is influenced by the PT regimen described in recent trials [24, 30, 38–41].…”

Section: Discussionmentioning

confidence: 83%

A consensus-based process identifying physical therapy and exercise treatments for patients with degenerative meniscal tears and knee OA: the TeMPO physical therapy interventions and home exercise program

Safran‐Norton

Sullivan

Irrgang

et al. 2019

BMC Musculoskelet Disord

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BackgroundKnee osteoarthritis (OA) is prevalent and often associated with meniscal tear. Physical therapy (PT) and exercise regimens are often used to treat OA or meniscal tear, but, to date, few programs have been designed specifically for conservative treatment of meniscal tear with concomitant knee OA. Clinical care and research would be enhanced by a standardized, evidence–based, conservative treatment program and the ability to study the effects of the contextual factors associated with interventions for patients with painful, degenerative meniscal tears in the setting of OA. This paper describes the process of developing both a PT intervention and a home exercise program for a randomized controlled clinical trial that will compare the effectiveness of these interventions for patients with knee pain, meniscal tear and concomitant OA.MethodsThis paper describes the process utilized by an interdisciplinary team of physical therapists, physicians, and researchers to develop and refine a standardized in-clinic PT intervention, and a standardized home exercise program to be carried out without PT supervision. The process was guided in part by Medical Research Council guidance on intervention development.ResultsThe investigators achieved agreement on an in-clinic PT intervention that included manual therapy, stretching, strengthening, and neuromuscular functional training addressing major impairments in range of motion, musculotendinous length, muscle strength and neuromotor control in the major muscle groups associated with improving knee function. The investigators additionally achieved agreement on a progressive, protocol-based home exercise program (HEP) that addressed the same major muscle groups. The HEP was designed to allow patients to perform and progress the exercises without PT supervision, utilizing minimal equipment and a variety of methods for instruction.DiscussionThis multi-faceted in-clinic PT program and standardized HEP provide templates for in-clinic and home-based care for patients with symptomatic degenerative meniscal tear and concomitant OA. These interventions will be tested as part of the Treatment of Meniscal Tear in Osteoarthritis (TeMPO) Trial.Trial registrationThe TeMPO Trial was first registered at clinicaltrials.gov with registration No. NCT03059004 on February 14, 2017. TeMPO was also approved by the Institutional Review Board at Partners HealthCare/Brigham and Women’s Hospital.

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“…meta-analysis. The authors concluded that the abovementioned outpatient physical therapy procedures combined with instructions for exercise at home improved knee function, according to patient reports, and knee flexion and extension range of motion compared to outpatient physical therapy alone 11 .…”

Section: What Is Systematic Review and Meta-analysis?mentioning

confidence: 99%

Tutorial for writing systematic reviews for the Brazilian Journal of Physical Therapy (BJPT)

Mancini

Cardoso

Sampaio

et al. 2014

Braz. J. Phys. Ther.

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Systematic reviews aim to summarize all evidence using very rigorous methods in order to address a specific research question with less bias as possible. Systematic reviews are widely used in the field of physical therapy, however not all reviews have good quality. This tutorial aims to guide authors of the Brazilian Journal of Physical Therapy on how systematic reviews should be conducted and reported in order to be accepted for publication. It is expected that this tutorial will help authors of systematic reviews as well as journal editors and reviewers on how to conduct, report, critically appraise and interpret this type of study design.

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The Effectiveness of Postoperative Physical Therapy Treatment in Patients Who Have Undergone Arthroscopic Partial Meniscectomy: Systematic Review With Meta-analysis

Cited by 36 publications

References 42 publications

Predictors of Exercise Adherence in Patients With Meniscal Tear and Osteoarthritis

Predictors of Exercise Adherence in Patients With Meniscal Tear and Osteoarthritis

A consensus-based process identifying physical therapy and exercise treatments for patients with degenerative meniscal tears and knee OA: the TeMPO physical therapy interventions and home exercise program

Tutorial for writing systematic reviews for the Brazilian Journal of Physical Therapy (BJPT)

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