التفاصيل البيبلوغرافية
| العنوان: |
A consensus-based process identifying physical therapy and exercise treatments for patients with degenerative meniscal tears and knee OA: the TeMPO physical therapy interventions and home exercise program |
| المؤلفون: |
Safran-Norton, Clare E., Sullivan, James K., Irrgang, James J., Kerman, Hannah M., Bennell, Kim L., Calabrese, Gary, Dechaves, Leigh, Deluca, Brian, Gil, Alexandra B., Kale, Madhuri, Luc-Harkey, Brittney, Selzer, Faith, Sople, Derek, Tonsoline, Peter, Losina, Elena, Katz, Jeffrey N. |
| المساهمون: |
National Institute of Arthritis and Musculoskeletal and Skin Diseases |
| المصدر: |
BMC Musculoskeletal Disorders ; volume 20, issue 1 ; ISSN 1471-2474 |
| بيانات النشر: |
Springer Science and Business Media LLC |
| سنة النشر: |
2019 |
| مصطلحات موضوعية: |
Orthopedics and Sports Medicine, Rheumatology |
| الوصف: |
Background Knee osteoarthritis (OA) is prevalent and often associated with meniscal tear. Physical therapy (PT) and exercise regimens are often used to treat OA or meniscal tear, but, to date, few programs have been designed specifically for conservative treatment of meniscal tear with concomitant knee OA. Clinical care and research would be enhanced by a standardized, evidence–based, conservative treatment program and the ability to study the effects of the contextual factors associated with interventions for patients with painful, degenerative meniscal tears in the setting of OA. This paper describes the process of developing both a PT intervention and a home exercise program for a randomized controlled clinical trial that will compare the effectiveness of these interventions for patients with knee pain, meniscal tear and concomitant OA. Methods This paper describes the process utilized by an interdisciplinary team of physical therapists, physicians, and researchers to develop and refine a standardized in-clinic PT intervention, and a standardized home exercise program to be carried out without PT supervision. The process was guided in part by Medical Research Council guidance on intervention development. Results The investigators achieved agreement on an in-clinic PT intervention that included manual therapy, stretching, strengthening, and neuromuscular functional training addressing major impairments in range of motion, musculotendinous length, muscle strength and neuromotor control in the major muscle groups associated with improving knee function. The investigators additionally achieved agreement on a progressive, protocol-based home exercise program (HEP) that addressed the same major muscle groups. The HEP was designed to allow patients to perform and progress the exercises without PT supervision, utilizing minimal equipment and a variety of methods for instruction. Discussion This multi-faceted in-clinic PT program and standardized HEP provide templates for in-clinic and home-based care for ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1186/s12891-019-2872-x |
| DOI: |
10.1186/s12891-019-2872-x.pdf |
| DOI: |
10.1186/s12891-019-2872-x/fulltext.html |
| الإتاحة: |
https://doi.org/10.1186/s12891-019-2872-xTest |
| حقوق: |
http://creativecommons.org/licenses/by/4.0Test/ ; http://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: |
edsbas.2265EF1B |
| قاعدة البيانات: |
BASE |
