Forster D P, Frost C E
Br Med J (Clin Res Ed). 1982 Feb 13;284(6314):485-7. doi: 10.1136/bmj.284.6314.485.
In a randomised controlled trial comparing the outcome of two groups of men aged 16-45 one group received outpatient physiotherapy after medial meniscectomy and the other did not. In clinical aspects of knee function there was no significant difference between the test group and control group measured at specified intervals up to 26 weeks postoperatively. Similarly, there was no significant difference between the groups in the time taken to return to work or in the mean fall in take-home pay as a result of meniscectomy. The mean cost per patient of providing outpatient physiotherapy in the test group was 23 pounds at 1976 prices. Thus the least costly way of returning male patients aged 16-45 to activity is by not providing routine outpatient physiotherapy after medial meniscectomy. Further randomised controlled trials are, however, required to determine the value of physiotherapy in other age groups and other conditions.
在一项随机对照试验中，比较了两组年龄在16至45岁之间男性的治疗结果。一组在接受内侧半月板切除术后接受门诊物理治疗，另一组则未接受。在术后长达26周的特定时间间隔测量的膝关节功能临床方面，试验组和对照组之间没有显著差异。同样，两组在恢复工作所需时间或因半月板切除术导致的实得工资平均下降方面也没有显著差异。以1976年的价格计算，试验组为每位患者提供门诊物理治疗的平均费用为23英镑。因此，让16至45岁男性患者恢复活动的成本最低的方法是在内侧半月板切除术后不提供常规门诊物理治疗。然而，还需要进一步的随机对照试验来确定物理治疗在其他年龄组和其他病症中的价值。
