From the Michael DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada (PV, DD); Division of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Centre, Hamilton, ON, Canada (DC, DdS); and School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada (BM).
Am J Phys Med Rehabil. 2023 Sep 1;102(9):764-772. doi: 10.1097/PHM.0000000000002198. Epub 2023 Feb 1.
The aim of the study is to determine the effect of strength-based rehabilitation programs on patients who underwent partial meniscectomy procedures.
Three databases MEDLINE, PubMed, and Embase were searched from inception to May 9, 2022. Data on functional outcomes such as quadriceps and hamstring strengths, as well as patient-reported outcomes such as Knee Osteoarthritis and Outcome Score and visual analog scale were recorded.
A total of nine studies comprising 417 patients were included in this review. There were no significant differences in quadriceps or hamstring strength measures between preinterventation and postintervention for both groups. Knee Osteoarthritis and Outcome Scores significantly increased from preintervention and postintervention in both control and exercise groups. Visual analog scale scores changed from 5.0 to 1.4 cm in the exercise arm and 3.1 to 1.9 cm in the control arm.
Strength-based exercise programs for patients postpartial meniscectomy did not result in significantly different improvements in quadriceps or hamstring strength compared with control programs. However, strength-based exercise programs resulted in significantly higher Knee Osteoarthritis and Outcome Scores and a greater decrease in visual analog scale scores. Further studies, specifically well-designed systematic randomized controlled trials, are necessary to elucidate the specifics behind what type of exercises to use in addition to load progression and frequency of training.
本研究旨在确定强化康复方案对接受部分半月板切除术患者的影响。
从建库至 2022 年 5 月 9 日，我们在 MEDLINE、PubMed 和 Embase 这三个数据库中进行了检索。记录了功能结果（如股四头肌和腘绳肌力量）和患者报告的结果（如膝关节骨关节炎和结局评分和视觉模拟评分）的数据。
本综述共纳入了 9 项研究，共计 417 例患者。两组患者在干预前和干预后，股四头肌或腘绳肌力量测量值均无显著差异。膝关节骨关节炎和结局评分在对照组和运动组中均从干预前到干预后显著增加。运动组的视觉模拟评分从 5.0 降至 1.4cm，对照组从 3.1 降至 1.9cm。
与对照组方案相比，强化运动方案并未导致接受部分半月板切除术的患者在股四头肌或腘绳肌力量方面有显著不同的改善。然而，强化运动方案导致膝关节骨关节炎和结局评分显著提高，且视觉模拟评分显著降低。需要进一步的研究，特别是精心设计的系统随机对照试验，以阐明除负荷进展和训练频率外，还应使用哪种类型的运动。
