Investigation of the Effects of Combined Low-intensity Resistance Exercise With Blood Flow Restriction on Muscle Strength, Pain, and Fear of Movement in Post-operative Meniscus Rehabilitation
概览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Uskudar University
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Visual Analog Scale (VAS)
概览
简要总结
This study was conducted to investigate the effects of combined low-intensity resistance exercise with blood flow restriction (BFR-LIRE) on muscle strength, pain, and fear of movement in individuals who had undergone post-operative meniscus surgery.
A total of 36 individuals who reported knee pain of 4 or higher on the Visual Analog Scale (VAS) following surgery voluntarily participated in the study. The participants were randomly divided into two groups. The first group underwent traditional physical therapy exercises and physical therapy modalities for the operated lower extremity for 60 minutes a day, three days a week, for eight weeks. The second group received the same traditional physical therapy modalities and exercises for 60 minutes a day, three days a week, for eight weeks, with an additional 15-minute BFR-LIRE session aimed at increasing the strength of the operated lower extremity and managing pain.
Keywords: Pain, Knee Pain, Meniscus, Physiotherapy, Blood Flow Restriction, Exercise
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having undergone meniscus repair surgery within the last 6 months
- •Being between 20 and 50 years of age
- •Being unable to perform high-intensity training
- •Having a Visual Analog Scale (VAS) score of 4 or higher
排除标准
- •Having a history of hypertension
- •Having a history of heart failure or myocardial infarction
- •Having a history of Deep Vein Thrombosis (DVT)
- •Having Peripheral Artery Disease, varicose veins, or bleeding disorders
- •Use of anticoagulants
- •Presence or history of peripheral nerve disorders or neuropathy
- •History of Diabetes Mellitus
- •Having skin sensitivity
- •Pregnancy
结局指标
主要结局
Visual Analog Scale (VAS)
时间窗: Baseline and after 8 weeks of intervention
The Visual Analog Scale (VAS) was used to measure the severity of pain felt by the patients in the knee region before and after treatment. VAS is an assessment tool that was first developed in the field of psychology and later began to be used in pharmacology to evaluate pain in rheumatology patients undergoing treatment. Patients are asked to mark the point that indicates their pain intensity on a 100 mm (10-centimeter) scale. An increase in the value indicates that the perceived pain intensity has increased. VAS is a scale that can be administered in a very short time and has high reliability.
Muscle Strength Analysis
时间窗: Baseline and after 8 weeks of intervention
Muscle strength measurements were performed using a digital hand-held dynamometer, the "MicroFET2" (Hoggan Health Industries, Draper, UT), which has been shown to be valid and reliable in many studies. Knee extension (quadriceps) muscle strength, knee flexion (hamstring) muscle strength, and ankle plantar flexion (gastrocnemius) muscle strength were measured in accordance with the procedures described in the validity and reliability studies of the MicroFET2 device.
Tampa Scale for Kinesiophobia (TSK)
时间窗: Baseline and after 8 weeks of intervention
The Tampa Scale for Kinesiophobia (TSK), which is frequently used to assess fear of movement related to pain in individuals with chronic musculoskeletal pain, was preferred in this study to evaluate participants' levels of fear and avoidance associated with movement. The Turkish validity and reliability study of the scale has been conducted. The scale consists of 17 items scored on a Likert scale. Individuals can obtain a score between 17 and 68, and higher scores indicate a greater level of kinesiophobia. Participants were asked to complete the scale themselves by selecting one of the following options for each item: "strongly disagree," "disagree," "agree," or "strongly agree."
Assessment of Range of Motion
时间窗: Baseline and after 8 weeks of intervention
While measuring knee flexion and extension angles, patients were positioned supine as recommended by Clarkson et al. In measurements performed using a universal goniometer, the pivot point was placed on the lateral condyle of the femur, the stationary arm was aligned with the lateral midline of the femur, and the movable arm was aligned parallel to the fibula.
次要结局
未报告次要终点
研究者
Dr. Öğr. Üyesi Muhammed Fatih Kavak
Assistant Professor
Uskudar University