Contribution of isokinetic in the treatment of meniscal lesions: Report of 26 cases

Annals of Physical and Rehabilitation Medicine(2016)

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摘要
Objective Meniscal injuries are an extremely common condition that also occurs well in young adults at a sporting injury, than in most elderly where it is often the degenerative changes in the knee illustration. The application of isokinetic knee is widespread, either in assessment or rehabilitation. The objective of the study is to determine the contribution of the isokinetic for meniscal pathology. Material/Patients and methods This is a retrospective study of 6 months, including patients followed in physical medicine and rehabilitation for meniscal lesions confirmed by imaging and in whom supported classical rehabilitative and/or isokinetic was indicated. Results Twenty-six patients were followed in our service to support meniscal lesion. The average age was 32.18 years [18–60 years], there was a male predominance (67%). Five patients underwent partial meniscectomy, meniscal suturing 3 patients and 17 patients had no surgical indication. All patients had an isokinetic evaluation that objectified muscle weakness of the quadriceps and hamstrings of the injured knee, with an imbalance in the ratio IJ/Q, which has allowed us to adapt the rehabilitative care that was classic in 8 patients and 18 patients isokinetic. Improvement was objectified our patients at the end of rehabilitation. Discussion/Conclusion The concept of meniscus savings dominates the therapeutic management of meniscal lesions. A well-adapted rehabilitation is a pillar of support. The isokinetic allows an objective assessment of patients and an orientation of the rehabilitation treatment.
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