EVALUATION OF THE RELATIONSHIP BETWEEN MUSCLE STRENGTH IMBALANCE AND KINESIOPHOBIA IN POSTOPERATIVE AND CONSERVATIVELY MANAGED MENISCUS PATIENTS
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Acıbadem Atunizade Hospital
- Enrollment
- 46
- Locations
- 2
- Primary Endpoint
- Tampa Kinesiophobia Scale (TKS-17)
Overview
Brief Summary
This study is a cross-sectional and comparative clinical investigation designed to examine the relationship between periarticular muscle strength imbalance and kinesiophobia levels in individuals with meniscal injuries receiving postoperative or conservative treatment, and to determine whether this relationship differs according to the treatment modality.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Being between 18 and 50 years of age, with a diagnosis of meniscal injury (male or female)
- •Having a medial meniscal injury confirmed by magnetic resonance imaging (MRI)
- •Presence of a unilateral injury
- •Voluntary agreement to participate in the study
- •A minimum of 3 weeks having elapsed since surgery for postoperative participants
- •A minimum of 2 months having elapsed since injury for participants receiving conservative treatment
Exclusion Criteria
- •Concomitant anterior cruciate ligament (ACL) injury or additional ligament injuries such as posterior cruciate ligament (PCL), lateral collateral ligament (LCL), or medial collateral ligament (MCL)
- •History of fracture or significant trauma to the lower extremity within the past 6 months
- •Current or previous neurological disorders (e.g., stroke, multiple sclerosis, peripheral neuropathy, Parkinson's disease)
- •Vestibular system disorders or any conditions affecting balance
- •Presence of a second surgical intervention or postoperative complications
- •Osteoarthritis with a Kellgren-Lawrence grade ≥ 2
- •Contracture or severe limitation of knee range of motion restricting joint mobility
Arms & Interventions
Post-operative Meniscus Group
This group will consist of individuals who have undergone surgical intervention (meniscectomy or meniscal repair) due to medial meniscal injury confirmed by magnetic resonance imaging (MRI). Participants will be required to have completed at least a three-week postoperative recovery period and to be actively continuing a routine rehabilitation program.
Conservative Treatment Group
This group will consist of individuals with MRI-confirmed medial meniscal injury who are managed conservatively without surgical intervention and are followed through non-operative approaches such as physiotherapy, exercise, and medical treatment. Participants will be required to have at least two months elapsed since the injury and to be actively engaged in an ongoing rehabilitation program.
Outcomes
Primary Outcomes
Tampa Kinesiophobia Scale (TKS-17)
Time Frame: Baseline. The evaluation is conducted only once during the research process.
This is a self-report scale that assesses avoidance of movement and fear of re-injury. It consists of 17 articles. The scale will be completed using a 4-point Likert scale (1=Strongly disagree, 4=Strongly agree), and the total score will range from 17 to 68.
Muscle Strength
Time Frame: Baseline. The assessment will be conducted once during the study period.
Muscle strength will be assessed using a standardized isometric dynamometer. It will be applied to the quadriceps and hamstring muscles.This will be used to objectively measure isometric muscle strength and determine the difference/asymmetry of strength between the affected and unaffected extremities. This measure quantitatively reflects lower extremity muscle performance and potential functional strength loss.
Secondary Outcomes
- Visual Analog Scale (VAS)(Baseline. The evaluation will be conducted once during the study period.)
- Single Leg Hop Test(Baseline. The evaluation will be conducted once during the study period.)
- International Knee Documentation Committee (IKDC)(Baseline, The evaluation will be conducted once during the study period.)
- Lysholm Knee Scale(Baseline. The evaluation will be conducted once during the study period.)
- Reaction Time Assessment (BlazePod)(Baseline. The evaluation will be conducted once during the study period.)
- Proprioception(Baseline. The evaluation will be conducted once during the study period.)
Investigators
Neslihan Yildizdagi
Pediatric Physiotherapist
Acıbadem Atunizade Hospital