Standardized Partial or Total Meniscectomy Rehabilitation Program Applied from Home
Abstract
In the Sports Medicine and Physiotherapy Department of the Sports Directorate of the Autonomous University of Nuevo Leon, 12 cases of athletes after meniscectomy with longer recovery times in rehabilitation and readaptation to their sports activities, compared to the estimated times by the specialist physician, were detected. Therefore, the Standardized Post Partial or Total Meniscectomy Rehabilitation Program was carried out with the aim of accelerating these processes through standardization in physical exercises. Due to the health contingency derived in 2020 by the SARS-CoV2 virus, the proposal was modified to be applied non-face-to-face through individualized sessions from Monday to Friday and the use of ICTs. Evaluations were carried out with the frequency that each stage of the program marks (7-10 days), obtaining progress to determine if they were suitable to continue with the next stage until the end of the program. As a result of the application, increases in thigh and calf perimeters and an increase in knee joint maximum range of motion (ROM) were obtained. It was observed that with standardization and continuity, an acceleration carried out in 60 days of the estimated 120-180 days is generated. The objective of the work is to accelerate the recovery and reintegration into the daily life and physical-sporting activities of athletes through standardization in physical exercises for rehabilitation and sports readaptation.
References
Álvarez, A., y García, Y. (2015). Técnicas quirúrgicas para las lesiones de menisco. Revista Cubana de Ortopedia y Traumatología, 29(2). https://revortopedia.sld.cu/index.php/revortopedia/article/view/66/48
Álvarez, A., García, Y., Ortega, C., y Guillen de la Rosa, R. (2012). Lesiones de menisco en pacientes con osteoartritis de la rodilla. Revista Archivo Médico de Camagüey, 16(3), 343-352. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552012000300012
Álvarez, A., Soto-Carrasco, S., y García, Y. (2017). Meniscectomía Artroscópica en 100 pacientes. Arch Med Camagüey, 21, 574-583. https://revistaamc.sld.cu/index.php/amc/article/view/5154
Beynnon, B.D. (2010). Meniscal injuries. In M. Miller, y S. Thompson, DeLee, Drez's and Miller's Orthopedic Sports Medicine: Principles and Practice (3rd ed., vol. 2, pp. 1596-1623). Saunders Elsevier.
Blahd, W. (2019). Cirugía de menisco: Tiempo de recuperación. Cigna Healthcare. https://www.cigna.com/es-us/knowledge-center/hw/ciruga-de-menisco-te7372#
Bouza, D., Bartolomé, B., Iglesias, C., Maestro, F., Veleiro, M, Iglesias, B., y Rodríguez, B. (2012). Escalas de valoración del dolor. Atención Primaria. https://www.1aria.com/docs/sections/areaDolor/escalasValoracion/EscalasValoracionDolor.pdf
Brindle, T., Nyland, J., y Johnson, D.L. (2001). The Meniscus: Review of Basic Principles With Application to Surgery and Rehabilitation. Journal of Athletic Training, 36(2), 160-169. https://www.researchgate.net/publication/7219965
Busto, J., Liberato, I., y Vargas, G. (2009). Lesiones meniscales. Ortho-tips, 5(1), 39-48. https://www.medigraphic.com/pdfs/orthotips/ot-2009/ot091d.pdf
Cailliet, R. (2009). Functional Anatomy of Musculoskeletal System. American Medical Association Press.
Calais-Germain, B. (1999). Anatomía para el Movimiento. La Liebre de Marzo.
Campos, M. (2012). Propuesta de readaptación tras meniscectomía parcial en futbolistas. Apunts Medicina de l'Esport, 47, 105-112. https://doi.org/10.1016/j.apunts.2011.12.002
Cifuentes, N., Rivero Rapalino, O.M., Charry Higuera, H., Zayed, G., Romero Enciso, J.A., y Carrillo Arango, G. (2007). Tratamiento de las lesiones meniscales de acuerdo con la categorización morfológica: concordancia entre resonancia magnética y artroscopía. Rev. Colombiana de Ortopedia y Traumatología, 21(1), 361-365. https://www.imbiomed.com.mx/articulo.php?id=47846
Cook, J. (s/f). Post-Surgical Protocols. Florida Joint Care Institute. http://www.drjennifercook.com/html/post_surgical_protocols_-_doct.html
Dawson, L.J., Howe, T.E., Syme, G., Chimimba, L.A., y Roche, J. (2017). Surgical versus conservative interventions for treating meniscal tears of the knee in adults. Cochrane database of systematic reviews, (9). http://dx.doi.org/10.1002/14651858.CD011411.pub2
Ericsson, Y.B., Dahlberg, L.E., y Roos, E.M. (2009). Effects of functional exercise training on performance and muscle strength after meniscectomy: a randomized trial. Scandinavian Journal of Medicine and Science in Sports, 19(2), 156-165. http://dx.doi.org/10.1111/j.1600-0838.2008.00794.x
García-Valtuille, R., Abascal, F., Carral, J., y Cerezal, L. (2016). RM de la rodilla. En Atlas de los principales hallazgos por RM en la patología de la rodilla (109-140). Editorial OSATEK, S.A.
Greene, W. (2007). NETTER Ortopedia. Elsevier Saunders.
Hall, C., y Thein, L. (2006). Ejercicio terapéutico: recuperación funcional. Editorial Paidotribo.
Instituto Mexicano de Seguro Social (2010). Diagnóstico y Tratamiento de las Lesiones de Meniscos en Rodilla del Adulto. Guía de Práctica Clínica GPC. Gobierno de México. https://www.imss.gob.mx/sites/all/statics/guiasclinicas/577GER.pdf
International Society for the Advancement of Kinanthropometry (2019). Manual Oficial. ISAK.
Karia, M., Ghaly, Y., Al-Hadithy, N., Mardoqueo, S. y Gupte, C. (2019). Current concepts in the techniques, indications and outcomes of meniscal repairs. European Journal of Orthopaedic Surgery & Traumatology, 29(3), 509-520. https://doi.org/10.1007/s00590-018-2317-5
Logerstedt, D., Arundale, A., Lynch, A., y Snyder-Mackler, L. (2015). A conceptual framework for a sports knee injury performance profile (SKIPP) and return to activity criteria (RTAC). Brazilian Journal of Physical Therapy, 19(5), 340–359. https://doi.org/10.1590/bjpt-rbf.2014.0116
Long, Y., Xie, J., Zhang, Z.Q., Zhang, Z., Meng, F., y He, A. (2019). Substantive molecular and histological changes within the meniscus with tears. BMC, 20(1). https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-019-2943-z
Magee, D. (1994). Ortopedia. Interamericana McGraw Hill.
Marañanes, L., Muñoz, A., Navarro, R., Ruiz, J., y Brito, M.E. (2012). Lesiones de la rodilla. Canarias Médica y Quirúrgica, 9(26).
Martínez, S. (2015). Revisión bibliográfica del tratamiento de las lesiones meniscales degenerativas: meniscectomía artroscópica vs. fisioterapia [Tesis de fin de grado en Fisioterapia. Publica Universitas Navarrensis]. https://academica-e.unavarra.es/xmlui/handle/2454/18411
Melrose, J. (2019). The Importance of the Knee Joint Meniscal Fibrocartilages as Stabilizing Weight Bearing Structures Providing Global Protection to Human Knee-Joint Tissues. Cells, 8(4), 324. https://doi.org/10.3390/cells8040324
Neyret, P. (2016). Rehabilitación. FIFA Medical Network. https://www.fifamedicalnetwork.com/es/lessons/menisco-y-cartilagorehabilitacion/
Peters, A.E., Akhtar, R., Comerford, E.J., y Bates, K.T. (2018). Tissue material properties and computational modelling of the human tibiofemoral joint: a critical review. PeerJ, 6, e4298. https://doi.org/10.7717/peerj.4298
Skou, ST, Lind, M., Hölmich, P., Jensen, HP, Jensen, C., Afzal, M., Jorgensen, U., y Thorlund, JB (2017). Study protocol for a randomised controlled trial of meniscal surgery compared with exercise and patient education for treatment of meniscal tears in young adults. BMJ, 7(8), e017436. https://doi.org/10.1136/bmjopen-2017-017436
Spang Iii, R.C., Nasr, M.C., Mohamadi, A., De Angelis, J.P., Nazarian, A., y Ramappa, A.J. (2018). Rehabilitation following meniscal repair: a systematic review. BMJ, 4(1), e000212. https://doi.org/10.1136/bmjsem-2016-000212
Taboadela, C. (2007). Goniometría: una herramienta para la evaluación de las incapacidades laborales. Asociart ART.
Terzidis, I.P., Christodoulou A., Ploumis, A., Givissis, P., Natsis, K., y Koimtzis, M. (2006). Meniscal Tear Characteristics in Young Athletes with a Stable Knee: Arthroscopic Evaluation. Am J Sports Med., 34(7), 1170–1175. https://doi.org/10.1177/0363546506287939
Tortora, G., y Derrickson, B. (2013). Principios de Anatomía y Fisiología. Editorial Médica Panamericana.
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