Abstract

Removal of the semi-lunar cartilage/s (menisci) of the knee is a common surgical procedure. Surgeons recognize the importance of an exercise programme supervised by a physiotherapist, in order to obtain the best post-operative rehabilitation. However, the best method of post-operative rehabilitation has been a controversial issue. Controlled studies to determine the relative effectiveness of different treatment regimens are reviewed. Substantial research is being carried out to determine the physiological effects of surgical procedures, subsequent immobilization and different forms of exercise on the leg. These are discussed and considered in formulating the ideal post-meniscectomy rehabilitation programme. The effects and importance of isokinetic exercise is emphasized.

Highlights

  • The aim of a rehabilitation programme is to return the patient to full functional capacity in as short a time as possible

  • The physiological effects of the various types of exercise are considered and these are applied in the formulation of a postmeniscectomv rehabilitation programme

  • The following is an example of an ideal rehabilitation programme for a patient who has undergone a meniscectomy

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Summary

SUMMARY

Removal o f the semi-lunar cartilage/s (menisci) o f the knee is a common surgical procedure. Surgeons recognize the importance o f an exercise programme supervised by a physiotherapist, in order to obtain the best post-operative rehabilitation. The best method o f post-operative rehabilitation has been a controversial issue. Controlled studies to determine the relative effectiveness o f different treatment regimes are reviewed. Substantial research is being carried out to determine the physiological effects o f surgical procedures, subsequent immobilization and different form s o f exercise oil the leg. These are discussed and considered in form ulating the ideal post-meniscectom y rehabilitation programme. The effects and importance o f isokinetic exercise is emphasized

INTRODUCTION
No of days off work
THE NATURE OF THE DECREASED MUSCLE STRENGTH AFTER LIMB IMMOBILIZATION
Change in fibre composition of the muscle
Neurological factors
What is isokinetic exercise?
The importance o f contraction speed in muscle rehabilitation
The effects of training at different contractile velocities
THE EFFECTS OF ENDURANCE TRAINING
THE REHABILITATION PROGRAMME
Stage I
The period after the plaster cast is removed A im s
Return to sport
Findings
CONCLUSION
Full Text
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