Date of Award

2014

Document Type

Scholarly Project

Degree Name

Doctor of Physical Therapy (DPT)

Department

Physical Therapy

First Advisor

Mark Romanick

Keywords

Meniscectomy -- rehabilitation; Case Reports

Abstract

Background and Purpose. Partial meniscectomy is a very commonly performed surgical procedure and many cases are uncomplicated and successfully treated with home-based exercise programs. However, some patients experience more significant problems following surgery and require rehabilitation services. Research is limited regarding physical therapy (PT) effectiveness in the post-operative management of such complicated cases. This case report aims to evaluate the effectiveness of PT treatment of a 34-year-old male with significant impairments and functional limitations following partial medial meniscectomy.

Case Description. Examination and evaluation included ROM/flexibility and strength measurements as well as functional assessment. PT included therapeutic exercise which was aimed at quadriceps and hip musculature strengthening and also incorporated soft tissue and joint mobilization. A home exercise program (HEP), patient education and modalities for pain modulation were also utilized.

Outcomes. Outcomes following approximately one month of PT treatment revealed decreased pain ratings and increases in range of motion, strength and functional abilities. However, at one month post-surgery the patient still demonstrated quadriceps fatigue with prolonged ambulation and had not yet reached his previous level of function.

Discussion. After PT intervention this patient had decreased impairments and functional limitations. Further research involving large sample sizes needs to be gathered in order to determine PT effectiveness in complicated cases following partial meniscectomy.

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