EVALUATION OF THE RELATIONSHIP BETWEEN MUSCLE STRENGTH IMBALANCE AND KINESIOPHOBIA IN POSTOPERATIVE AND CONSERVATIVELY MANAGED MENISCUS PATIENTS
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 46
- 试验地点
- 2
- 主要终点
- Tampa Kinesiophobia Scale (TKS-17)
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
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.
结局指标
主要结局
Tampa Kinesiophobia Scale (TKS-17)
时间窗: 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
时间窗: 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.
次要结局
- 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.)
研究者
Neslihan Yildizdagi
Pediatric Physiotherapist
Acıbadem Atunizade Hospital