Neuromuscular Exercise Post Partial Medial Meniscectomy: Randomized Controlled Trial

Hall, Michelle, Hinman, Rana S., Wrigley, Tim V., Roos, Ewa M., Hodges, Paul W., Staples, Margaret P. and Bennell, Kim L. (2014) Neuromuscular Exercise Post Partial Medial Meniscectomy: Randomized Controlled Trial. Medicine and Science in Sports and Exercise, 47 8: 1557-1566. doi:10.1249/MSS.0000000000000596

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Author Hall, Michelle
Hinman, Rana S.
Wrigley, Tim V.
Roos, Ewa M.
Hodges, Paul W.
Staples, Margaret P.
Bennell, Kim L.
Title Neuromuscular Exercise Post Partial Medial Meniscectomy: Randomized Controlled Trial
Journal name Medicine and Science in Sports and Exercise   Check publisher's open access policy
ISSN 1530-0315
0195-9131
Publication date 2014-08
Year available 2015
Sub-type Article (original research)
DOI 10.1249/MSS.0000000000000596
Open Access Status Not Open Access
Volume 47
Issue 8
Start page 1557
End page 1566
Total pages 10
Place of publication Philadelphia, Pennsylvania, United States
Publisher Lippincott Williams and Wilkins
Collection year 2016
Language eng
Subject 2732 Orthopedics and Sports Medicine
3612 Physical Therapy, Sports Therapy and Rehabilitation
Formatted abstract
Purpose: This study aimed to evaluate the effects of a 12-wk, home-based, physiotherapist-guided neuromuscular exercise program on the knee adduction moment (an indicator of mediolateral knee load distribution) in people with a medial arthroscopic partial meniscectomy (APM) within the past 3–12 months.
Methods: An assessor-blinded, randomized controlled trial including people age 30–50 yr with no to mild pain after medial APM was conducted. Participants were randomly allocated to either a 12-wk neuromuscular exercise program that targeted neutral lower limb alignment or a control group with no exercise. The exercise program included eight individual sessions with one of seven physiotherapists in private clinics, together with home exercises. Primary outcomes were the peak external knee adduction moment during normal-paced walking and during one-leg sit-to-stand. Secondary outcomes included additional measures of knee joint load distribution, patient-reported outcomes, maximal knee and hip muscle strength, and physical function measures.
Results: Of 62 randomized participants, 60 (97%) completed the trial. There were no significant between-group differences in the change in peak knee adduction moment during normal-paced walking (mean difference (95% confidence interval), 0.22 (-0.11 to 0.55) N·m/body weight × height %, P =0.19) or during one-leg sit-to-stand (-0.01 (-0.33 to 0.31) N·m/body weight × height %, P = 0.95). There were also no significant between-group differences for any of the secondary outcomes.
Conclusions: In patients 3–12 months after a medial APM, a neuromuscular exercise program did not alter the peak knee adduction moment, a key predictor of osteoarthritis structural disease progression.
Keyword Neuromuscular Exercise
Knee adduction moment
Arthroscopic Partial Meniscectomy
Osteoarthritis
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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