The effect of neuromuscular training post-arthroscopic partial meniscectomy on medial knee joint loading: a randomised, controlled trial.

Not Applicable

Recruiting

• Conditions: Arthroscopic partial medial meniscectomy; Musculoskeletal - Osteoarthritis; Surgery - Other surgery

• Registration Number: ACTRN12612000542897
• Lead Sponsor: The University of Melbourne

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2012-05-22
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

a) Aged between 30-50 years old; b) a primary arthroscopic partial medial meniscectomy between 3-12 months ago

Exclusion Criteria

a) in the past week an average overall pain greater than or equal to 3 out of 10 on an 11 point numerical rating scale; b) signs of moderate or severe knee osteoarthritis on x-ray(Kellgren & Lawrence Grades 3 or 4); c) full tears of the knee anterior or posterior cruciate ligaments; d) anterior or posterior cruciate ligaments reconstructions; e) back or lower extremity pain (other than the affected knee) that limited everyday activities or required treatment in the past month; f) history of lower limb surgery (other than arthroscopy); g) other forms of arthritis, diabetes cardiac, circulatory conditions that limit everyday activities; h) neurological conditions; i) a body mass index >34; j) any ailment precluding safe participation in exercise; k) inadequate written or spoken English; l) high levels of physical activity defined as participation in organised team or individual sport that requires regular competition and requires some form of systematic training

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The external peak knee adduction moment (KAM) during normal pace walking and single-leg rise. The KAM will be measured using 3-dimensional movement analysis.[Baseline and 12 weeks following neuromuscular exercise intervention]

Secondary Outcome Measures

Name	Time	Method
Muscle activation patterns using electromyography. The primary muscles of interest include vastus lateralis, vastus medialis, rectus femoris, medial and lateral hamstrings. We will also collect data on the gluteus medius and medial and lateral gastrocnemius.[Baseline and follow-up (12 weeks)];Functional performance for: single-leg rise, hop for distance and 30 second knee bends[Baseline and follow-up (12 weeks)];Muscle Strength: 1) knee extensor and flexors (isokinetic dynamometer) and 2) hip adductors and abductors (hand-held dynamometer)[Baseline and follow-up (12 weeks)];Self-Reported Outcomes: Knee Osteoarthritis Outcome Score[Baseline and Follow-up (12 weeks)];Peak KAM during fast-pace walking and hop for distance and KAM impulse during walking (normal pace and fast pace), single-leg rise and hop for distance.[Baseline and Follow-up (12 weeks)]