Burcea Claudia-Camelia, Oancea Maria-Daniela-Antonia, Tache-Codreanu Diana-Lidia, Georgescu Luminița, Neagoe Ioana-Cristina, Sporea Corina
Faculty of Midwifery and Nursing, University of Medicine and Pharmacy "Carol Davila", 37 Dionisie Lupu Street, 020021 Bucharest, Romania.
Oancea Maria-Daniela-Antonia Physiotherapy Activities, 1 Brebu Street, 023671 Bucharest, Romania.
Life (Basel). 2024 Oct 23;14(11):1355. doi: 10.3390/life14111355.
The medial patellofemoral ligament (MPFL) is critical for patellar stability. This study investigates the efficacy of a one-year physical therapy rehabilitation program following MPFL reconstruction using Synthetic Graft (SG) and Quadriceps Tendon Autograft (QTA). Thirty-five patients aged 18-38 underwent MPFL reconstruction (20 SG, 15 QTA). They participated in a structured rehabilitation program to improve their range of motion (ROM), muscle strength, pain management, and overall quality of life (QoL). The program included physiotherapy and MLS laser, Game Ready Therapy, EMS, TENS, TECAR, and lymphatic drainage. Before and after the program, assessments included knee flexion and extension using goniometry, muscle strength via the Medical Research Council (MRC) scale, knee circumference, pain intensity on the Visual Analogue Scale (VAS), and QoL with the EQ-5D instrument. Significant improvements were observed in knee flexion (37.57° vs. 114.71°, < 0.001), muscle strength (MRC scale 1-4 points vs. 4-5 points, < 0.001), and pain reduction (VAS 6.66 vs. 0.46, < 0.001). The functional coefficient of mobility and QoL scores also markedly increased. Patients with QTA improved some parameters better than those with SG. These findings support the effectiveness of a comprehensive rehabilitation program in enhancing knee functionality, reducing pain, and improving QoL post-MPFL reconstruction. Personalized rehabilitation protocols are recommended to optimize recovery outcomes.
髌股内侧韧带（MPFL）对髌骨稳定性至关重要。本研究调查了使用合成移植物（SG）和股四头肌肌腱自体移植物（QTA）进行MPFL重建后为期一年的物理治疗康复计划的疗效。35名年龄在18 - 38岁的患者接受了MPFL重建（20例使用SG，15例使用QTA）。他们参与了一个结构化的康复计划，以改善其活动范围（ROM）、肌肉力量、疼痛管理和整体生活质量（QoL）。该计划包括物理治疗和MLS激光、Game Ready疗法、EMS、TENS、TECAR和淋巴引流。在该计划前后，评估包括使用角度测量仪测量膝关节屈伸、通过医学研究委员会（MRC）量表评估肌肉力量、膝关节周长、视觉模拟量表（VAS）上的疼痛强度以及使用EQ - 5D工具评估生活质量。观察到膝关节屈伸（37.57°对114.71°，< 0.001）、肌肉力量（MRC量表1 - 4分对4 - 5分，< 0.001）和疼痛减轻（VAS 6.66对0.46，< 0.001）有显著改善。活动功能系数和生活质量得分也显著提高。使用QTA的患者在某些参数上比使用SG的患者改善得更好。这些发现支持了综合康复计划在增强MPFL重建后膝关节功能、减轻疼痛和改善生活质量方面的有效性。建议采用个性化康复方案以优化康复效果。
