THE EFFECTS OF PHYSICAL THERAPY COMBINED WITH REINFORCING EXERCISE IN POST ARTHROSCOPY FOR ANTERIOR CRUCIATE LIGAMENT
Keywords:
Anterior cruciate ligament, physical therapy, reinforcement exercises.Abstract
Background: Knee ligament injuries are among the most common sports lesions. However injuries of anterior cruciate ligament are frequent especially in amateur football who does not realize streching muscular before entering in the field.
Purpose: The purpose of this study was to evaluate physical therapy combined with reinforcing exercises post arthroscopy for anterior cruciate ligament.
Methods: This is a Pilot Randomized Clinical Trial Study. Patients were divided into two groups. In group A patients (n=5) were underwent a protocol with physical therapy combined with reinforcing exercises, while in group B (n=5), patients underwent only physical therapy. Like outcomes measures included visual analogic scale (VAS) and range of motion was measured with a goniometer.
Results: In group A values were significant for visual analogue scale VAS with (p value < 0, 05) was compared with group B. While degrees of motion in group A were positive for a relatively shorter period than in group B.
Conclusion: In the group A which was applied physical therapy combined with reinforcement exercises were efficient results than in group B that was applied only the physical therapy (TENS) in amateur football sports.
References
Snyder-Macker L, Lewek M. (2006). The knee: introduction. In: Lippert LS, editor. Clinical kinesiology and anatomy. 4th. Philadelphia: FA Davis Co. p. 393.
Thomson LC, Handoll HH, Cunningham A, Shaw PC. (2002). Physiotherapist-led programmes and interventions for rehabilitation of anterior cruciate ligament, medial collateral ligament and meniscal injuries of the knee in adults. Cochrane Database Syst Rev.;(2):CD001354 [PubMed]
Irvine GB, Glasgow MM. (1992) The natural history of the meniscus in anterior cruciate insufficiency. Arthroscopic analysis. J Bone Joint Surg Br.; 74(3): 403-5.
Binfield PM, Maffulli N, Good CJ, King JB. (2000). Arthroscopy in sporting and sedentary children and adolescents. Bull Hosp Jt Dis; 59(3): 125-30.
Halkjaer-Kristensen J, Ingemann-Hansen T. (1985). Wasting of the human quadriceps muscle after knee ligament injuries. Scand J Rehabil Med Suppl.; 13: 5-55.
Morrissey MC, Brewster CE, Shields CL Jr, Brown M. (1985). The effects of electrical stimulation on the quadriceps during postoperative knee immobilization. Am J Sports Med.; 13(1): 40-5.
Perry J, Fox JM, Boitano MA, et al. (1980). Functional evaluation of the pes anserinus transfer by electromyography and gait analysis. J Bone Joint Surg Am.;62(6): 973-80.
Gerber C, Hoppeler H, Claassen H, et al. (1985) The lower-extremity musculature in chronic symptomatic instability of the anterior cruciate ligament. J Bone Joint Surg Am.; 67(7):1034-43.
Vegso JJ, Genuario SE, Torg JS. (1985). Maintenance of hamstring strength following knee surgery. Med Sci Sports Exerc. 17(3): 376-9.
Anderson AF, Lipscomb AB.(1989) Analysis of rehabilitation techniques after anterior cruciate reconstruction. Am J Sports Med.; 17(2): 154-60.
Bottoni CR, Liddell TR, Trainor TJ, Freccero DM, Lindell KK. (2008). Postoperative range of motion following anterior cruciate ligament reconstruction using autograft hamstrings: a prospective, randomized clinical trial of early versus delayed reconstructions. Am J Sports Med.; 36(4): 656–62.
Van Grinsven S, van Cingel RE, Holla CJ, van Loon CJ. (2010). Evidence-based rehabilitation following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc.; 18(8): 1128–44.
Beynnon BD, Uh BS, Johnson RJ, Abate JA, Nichols CE, Fleming BC, et al. (2005). Rehabilitation after anterior cruciate ligament Reconstruction: a prospective, randomized, double-blind comparison of programs administered over 2 different time intervals. Am J Sports Med.; 33(3): 347–59.
Aline Mizusaki Imoto; Stella Peccin; Gustavo Jerônimo Melo Almeida; Humberto Saconato; Álvaro Nagib Atallah, (2011) Effectiveness of electrical stimulation on rehabilitation after ligament and meniscal injuries: a systematic review. Sao Paulo Med J.; 129(6): 414-23.
Kelson Nonato Gomes da Silva; Aline Misuzaki Imoto; Moisés Cohen, Maria Stella Peccin. (2010) Postoperative rehabilitation of the anterior and posterior cruciate ligaments - Case study, Acta ortop. ISSN 1413-7852.
