Impact of Physiotherapy on Short-term Outcome After Meniscectomy

NCT01571102 | Completed

• 1 other identifier: 2012/161
• Study Type: interventional
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

In this study we investigate whether physiotherapy offers added value in rehabilitation after meniscectomy compared with no therapy or a home program. The population consists of 180 post-operative meniscus injury patients, operated at UZ Gent, the first 60 patients received no therapy, the next 60 patients were offered a treatment by their home physiotherapist according to our established protocol and the last 60 patients we have prepared a home program . The physiotherapeutic treatment has been prepared based on scientific literature and own experience from the program at Ghent University and internships. It includes exercises to promote mobility, strength and stability and exercises to reduce pain and swelling depending on the phase of tissue repair and evolution of the patient. This schedule will be given to the patient along with the questionnaires at registration of the operation and will serve as a guideline for the physiotherapist for the rehabilitation of the patient after surgery. Monitoring of the evolution will take place by calling the physiotherapist on regular basis. The home program is prepared on the basis of commonly used home exercises after arthroscopy and also includes exercises to promote mobility, strength and stability and exercises to reduce pain and swelling. The difference with the physiotherapeutic treatment is that there is no control and supervision of a physiotherapist and that the treatment is more limited. This program is given with the patient along with the questionnaires at registration of the operation. Pre-operatively and 4 weeks, 3 months, 6 months and 12 months post-operatively, an evaluation of the current condition of the patient will happen on the basis of standardized questionnaires. Based on the results of these questionnaires, collected at different times, we can determine which treatment provides the best rehabilitation after meniscectomy. The first (preoperative) questionnaire, given at registration of the operation, is completed and given to the nurse of the day hospital on the day of surgery, the other (postoperative) questionnaires are sent electronically to the patient's email address and need to be returned, after filling up. This study spends specific attention to the speed of resumption of work / sports and daily activities and the presence or absence of complaints.

Conditions

Meniscectomy

Outcome Measures

Primary Outcomes (30)

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the VAS (Visual analogue scales) questionnaire.

  After 4 weeks post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the KOOS (Knee injury and Osteoarthritis Outcome Score)questionnaire.

  After 4 weeks post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the SF-36 (Short Form Health Survey 36) questionnaire.

  After 4 weeks post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the Tegner questionnaire.

  After 4 weeks post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the FORSS (Factor Occupational Rating System Scale)questionnaire.

  After 4 weeks post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from a physiotherapeutic questionnaire.

  After 4 weeks post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the VAS (Visual analogue scales) questionnaire.

  After 3 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the KOOS (Knee injury and Osteoarthritis Outcome Score)questionnaire.

  After 3 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the SF-36 (Short Form Health Survey 36) questionnaire.

  After 3 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the Tegner questionnaire.

  After 3 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the FORSS (Factor Occupational Rating System Scale)questionnaire.

  After 3 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from a physiotherapeutic questionnaire.

  After 3 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the VAS (Visual analogue scales) questionnaire.

  After 6 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the KOOS (Knee injury and Osteoarthritis Outcome Score)questionnaire.

  After 6 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the SF-36 (Short Form Health Survey 36) questionnaire.

  After 6 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the Tegner questionnaire.

  After 6 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the FORSS (Factor Occupational Rating System Scale)questionnaire.

  After 6 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from a physiotherapeutic questionnaire.

  After 6 months post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the VAS (Visual analogue scales) questionnaire.

  After 1 year post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the KOOS (Knee injury and Osteoarthritis Outcome Score)questionnaire.

  After 1 year post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the SF-36 (Short Form Health Survey 36) questionnaire.

  After 1 year post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the Tegner questionnaire.

  After 1 year post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the FORSS (Factor Occupational Rating System Scale)questionnaire.

  After 1 year post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from a physiotherapeutic questionnaire.

  After 1 year post-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the VAS (Visual analogue scales) questionnaire.

  Pre-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the KOOS (Knee injury and Osteoarthritis Outcome Score)questionnaire.

  Pre-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the SF-36 (Short Form Health Survey 36) questionnaire.

  Pre-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the Tegner questionnaire.

  Pre-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from the FORSS (Factor Occupational Rating System Scale)questionnaire.

  Pre-operative

• Speed of resumption of work/ sports and daily activities.

  This outcome will be derived from a physiotherapeutic questionnaire.

  Pre-operative

Secondary Outcomes (1)

• The presence of a total number of complaints.

  pre-operative and 4 weeks, 3 months, 6 months and 1 year post-operative.

Study Arms (3)

physiotherapy

ACTIVE COMPARATOR

Promote mobility, strength and stability and exercises to reduce pain and swelling depending on the phase of tissue repair and evolution of the patient.

Behavioral: Therapy

Rest

NO INTERVENTION

Home exercises

ACTIVE COMPARATOR

Promote mobility, strength and stability and exercises to reduce pain and swelling depending on the phase of tissue repair and evolution of the patient.

Behavioral: Exercise therapy

Interventions

Therapy BEHAVIORAL

week 1 - 4: 3 times/week, week 5 - 8: 2 times/week, duration 40min.

physiotherapy

Exercise therapy BEHAVIORAL

week 1 - 4: 3 times/week, week 5 - 8: 2 times/week, duration 30 min.

Home exercises

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Post-operative meniscectomy and surgery at Ghent University Hospital

Sponsors & Collaborators

• University Hospital, Ghent: lead

Study Sites (1)

Ghent University Hospital

Ghent, 9000, Belgium

Location

Related Links

• Related Info

MeSH Terms

Interventions

Therapeutics; Exercise Therapy

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 28, 2012
• First Posted: April 4, 2012
• Study Start: February 1, 2013
• Primary Completion: June 1, 2015
• Study Completion: June 1, 2015
• Last Updated: December 29, 2022

Record last verified: 2014-12

Locations

BE (1)