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Journals / Journal of Exercise Therapy and Rehabilitation / 2016 / Cilt: 3 - Sayı: 2

Effect of physiotherapy after quadricepsplasty for knee extension contracture: a case report

Diz ekstansiyon kontraktürü sonrası quadrisepsplastide fizyoterapinin etkinliği: bir olgu raporu

Ceyda SARIAL
Hande GUNEY
Gizem İrem KINIKLI
Sercan ÖNAL
Ömür ÇAĞLAR
İnci YÜKSEL
Pages
72–76
Publication Date
2016-08-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A physiotherapy protocol specific to symptoms after quadricepsplasty should be applied to the patient to improve the functional outcomes.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Knee stiffness with extension contracture due to femoral fracture impedes the activities of daily living and impairs the normal gait pattern.
📊
Key Findings & Data:A 59-year-old male patient with a history of knee extension contracture after femoral fracture was included in the study.
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Conclusion & Impact:A physiotherapy protocol specific to symptoms after quadricepsplasty should be applied to the patient to improve the functional outcomes.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:M. Quadriceps femoris · Quadricepsplasti · Kontraktür

Abstract

Knee stiffness with extension contracture due to femoral fracture impedes the activities of daily living and impairs the normal gait pattern. Quadricepsplasty surgery is one of the most popular methods to resolve the lack of the flexion movement. A 59-year-old male patient with a history of knee extension contracture after femoral fracture was included in the study. Knee flexion and extension range of motion (ROM), pain levels, Lower Extremity Functional Scale and Short Form-36 (SF-36) were evaluated before quadricepsplasty surgery and 8th weeks after surgery. A quadricepsplasty-specific rehabilitation program was applied to improve the functional activities. The ROM, pain levels, and functional outcomes improved with the rehabilitation after surgery. A physiotherapy protocol specific to symptoms after quadricepsplasty should be applied to the patient to improve the functional outcomes.

Özet

Femoral kırık nedeniyle gelişen ekstansiyon kontraktürü ile birlikte diz sertliği günlük yaşam aktivitelerini zorlaştırır ve normal yürüyüş paternini bozar. Quadrisepsplasti cerrahisi fleksiyon hareketinin kaybını gidermek için kullanılan en popüler yöntemlerden biridir. Femoral kırık sonrasında diz ekstansiyon kontraktürü hikayesi olan 59 yaşında erkek hasta çalışmaya dahil edildi. Diz fleksiyon ve ekstansiyonuna ait normal eklem hareket açıklığı (NEH), ağrı seviyesi, Alt Ekstremite Fonksiyonel Skalası ve Kısa Form-36 (KF-36) quadrisepsplasti cerrahisi öncesinde ve cerrahiden sonra 8. haftada değerlendirildi. Fonksiyonel aktiviteleri geliştirmek için quadrisepsplastiye özgü bir rehabilitasyon programı uygulandı. NEH, ağrı ve fonksiyonel sonuçlar rehabilitasyonla birlikte cerrahiden sonra gelişti. Quadrisepsplasti sonrası hastada fonksiyonel sonuçları geliştirmek için, semptomlara yönelik spesifik bir fizyoterapi protokolü uygulanmalıdır.

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Cite This Article

SARIAL, C., GUNEY, H., KINIKLI, G. İ., ÖNAL, S., ÇAĞLAR, Ö., YÜKSEL, İ. (2016). Effect of physiotherapy after quadricepsplasty for knee extension contracture: a case report. Journal of Exercise Therapy and Rehabilitation, Cilt: 3 - Sayı: 2, 72–76. https://ajindex.com/articles/677588

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References (16)

  1. Harato K, Nagura T, Matsumoto H, et al. Knee flexion contracture will lead to mechanical overload in both limbs: a simulation study using gait analysis. Knee. 2008;15(6Suppl):467-472
  2. Trudel G, Laneuville O, Coletta E, et al. Quantitative and temporal differential recovery of articular and muscular limitations of knee joint contractures; results in a rat model. J Appl Physiol. 2014;117:730-737
  3. Dennis DA, The stiff total knee arthroplasty: causes and cures. Orthopedics. 2001;24(9Suppl):901
  4. Mulholland SJ, Wyss UP. Activities of daily living in Non-Western cultures: range of motion requirements for hip and knee joint implants. Int J Rehabil Res. 2001;24:191-198
  5. Kadaba MP, Ramakrishnan HK, Wootten ME. Measurement of lower extremity kinematics during level walking. J Orthop Res. 1990;8 (3Suppl): 383-392
  6. Dhillon M. Extra articular arthroscopic release in post-traumatic stiff knees: a prospective study of endoscopic quadriceps and patellar release. Acta Orthop Belg. 2005;71:197-203
  7. Mahran M, El Batrawy Y, Sala F, et al. M. Quadricepsplasty: a sustained functional achievement in front of a deteriorated flexion gain. Injury. 2014;45(10Suppl):1643-1647
  8. Nicoll EA. Quadricepsplasty the treatment of stiff knee following trauma. Postgrad Med J. 1964;40:521-526
  9. Brazier JE, Harper R, Jones NMB, et al. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992;305:160-164
  10. Binkley JM, Stratford PW, Lott SA, et al. The lower extremity functional scale (LEFS): scale development, measurement properties, and clinical application. Phys Ther. 1999;79:371-383
  11. Judet R, Judet J, Lagrange J. A technique for freeing the extensor apparatus in cases of stiffness of the knee. Mem Acad Chir. 1956;82:944-947
  12. Merchan EC, Myong C. Quadricepsplasty: the Judet technique and results of 21 posttraumatic cases. Orthopedics. 1992;15(9Suppl):1081-1085
  13. Masse A, Biasibetti A, Demangos J, et al. The Judet quadricepsplasty: long-term outcome of 21 cases. J Trauma. 2006;61:358-362
  14. Bellemans J, Steenwerckx A, Brabants K, et al. The Judet quadricepsplasty: a retrospective analysis of 16 cases. Acta Orthop Belg. 1996;62:79-82
  15. Mistry JB, Elmallah RK, Bhave A, et al. rehabilitative guidelines after total knee arthroplasty: a review. J Knee Surg. 2016;29(3Suppl):201-217
  16. Palmieri-Smith RM, Thomas AC, Wojtys EM. Maximizing quadriceps strength after ACL reconstruction. Clin Sport Med. 2008;27(3Suppl):405-4