Dejeneratif Menisküs Yırtığına Bağlı Parsiyel Menisektomi Sonrası Kuvvet Duyusu, Fonksiyonel Performans, Yaşam Kalitesi, Aktivite Düzeyi ve Kinezyofobi

Abstract

The aim of this study was to compare the force sense of knee joint, functional performance, quality of life, activity level and kinesiophobia between healthy and patients with degenerative meniscal tear following meniscectomy. Twenty healthy subjects and 20 individuals who underwent meniscectomy within 20-month postoperatively were included in this study. Pain severity of the subjects was assessed with visual analogue scale, range of motion in knee joint assessed with universal goniometer, maximal voluntary isometric muscle strength (MVIMS) of M. Ouadriceps femoris and force sense assessed with a biofeedback device, functional performance assessed with stair up/down, physical activity level assessed with Tegner Activity Level scale, physical function assessed with Knee Injury and Osteoarthritis Outcome Score-Physical Function Short Form (KOOS-PS), quality of life assessed with Western Ontario Meniscal Evaluation Tool (WOMET), kinesiophobia assessed with Brief Fear of Movement Scale. However, range of motion (p=0.002); maximal voluntary isometric muscle strength of M. Quadriceps femoris (p=0,012) and force sense (p=0.001) decreased in the operated leg compared with the non-operated leg. Maximal voluntary isometric muscle strength of M. Quadriceps femoris (p=0.003); force sense (p<0.001); functional performance (p<0.001); physical function (p=0.043) and quality of life (p<0.001) were lower in meniscectomy group compared to healthy peers. Pain severity, range of motion, physical activity level, kinesiophobia scores were also similar in both groups (p>0.05). Considering that functional deficient after partial meniscectomy we suggest that individuals with meniscectomy need detailed assessment programs and rehabilitation programs to support functional recovery after surgery. We suggest that physiotherapy and rehabilitation programs should be established considering deficiencies in muscle strength, proprioception, functional performance, physical function and quality of life following partial meniscectomy.