An algorithmic approach to rehabilitation following arthroscopic surgery for arthrofibrosis of the knee.
Background and Purpose: Loss of knee range of motion (ROM) has been reported as the most common complication following anterior cruciate ligament reconstruction (ACLR). Arthrofibrosis of the knee, or specifically Cyclops syndrome, has been described as the formation of a scar tissue nodule adjacent...
| Publicado en: | Physiotherapy Theory & Practice Vol. 34; no. 1; pp. 66 - 75 |
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| Autor principal: | |
| Formato: | algorithm case study tables/charts Journal Article |
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Taylor & Francis Ltd
Jan2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126917764&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126917764 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Jan2018 vid: 34 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 126917764 126917764 126917764 10.1080/09593985.2017.1370754 126917764 ppf: 66 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: An algorithmic approach to rehabilitation following arthroscopic surgery for arthrofibrosis of the knee. aug: au: Eckenrode, Brian J. affil: Physical Therapy, Arcadia University, Glenside, PA, USA sug: subj: Arthroscopy Anterior Cruciate Ligament Reconstruction Adverse Effects Fibrosis Surgery Physical Therapy Methods Fibrosis Rehabilitation Range of Motion Pain Measurement Knee Joint Pathology Extension Treatment Outcomes Adult Female Male Adult: 19-44 years Female Male ab: Background and Purpose: Loss of knee range of motion (ROM) has been reported as the most common complication following anterior cruciate ligament reconstruction (ACLR). Arthrofibrosis of the knee, or specifically Cyclops syndrome, has been described as the formation of a scar tissue nodule adjacent to the tibial tunnel of the anterior cruciate ligament (ACL) graft. This lesion often results in loss of knee extension ROM, pain, and impaired function.Case Descriptions: Three consecutive patients were referred to physical therapy following arthroscopic knee surgery for lysis of adhesions of a Cyclops lesion from a previous ACLR. Arthroscopic debridement was performed between 3 and 12 months post ACLR. An algorithmic progression of extension ROM was the initial focus of physical therapy, which then advanced to strengthening, neuromuscular reeducation, and sport specific training.Outcome: Following knee surgery for debridement of the Cyclops lesion, mean knee joint ROM at the initial physical therapy evaluation was 7.0° ± 8.6° to 118.3° ± 7.6° that progressed to −1.0° ± 1.7° to 127° ± 2.6° at discharge. Mean numeric pain rating improved from 3.0 ± 1.0 at the evaluation to 0.7 ± 1.1 at discharge. Mean Lower Extremity Functional Scale (LEFS) improved from 56.3 ± 13.6 to 77.0 ± 4.3 at discharge.Discussion: Arthroscopic debridement of knee joint arthrofibrosis after ACLR in conjunction with a postoperative physical therapy algorithmic approach to maximizing knee joint extension ROM can be beneficial in gaining symmetrical knee extension range of motion and improved function. Further studies may help to understand the optimal mode, frequency, and duration of stretching to achieve full symmetrical knee extension in this population. pubtype: Academic Journal doctype: algorithm case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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