Introduction. Meniscal lesions are common and are associated with the development of osteoarthritis of the knee. Work activities that cause mechanical stress can lead to acute or chronic injuries. The surgical treatment for this injury is meniscectomy. Physiotherapy is a widely accepted first-line treatment for patients with meniscus tears.
Objective. To assess the clinical and functional status of patients who have undergone meniscus surgery with and without post-surgical physiotherapy.
Material and method. Multicenter ambispective cohort study. 89 patients who have undergone meniscectomy will be recruited. The primary variable of the study will be functionality (Time Up \& Go), with the prescription of a post-surgical physiotherapy treatment being the dependent variable. The secondary variables, estimated as modifying or confounding, will be range of motion (goniometry), pain intensity (visual analog scale) and kinesiophobia (Tampa scale).
Persons aged 20 to 65
Of both sexes
With previous meniscectomy surgery in one of the two knees in the last 5 years
Who sign the informed consent document.
Patients who require technical aids for walking
Dependent patients for carrying out activities of daily living
Patients over 65 years of age
Patients with cognitive impairments that prevent understanding of tests and evaluations
People with previous meniscectomy surgery
Cohort
Cross-sectional
Survey using a questionnaire.
Other interventionIn the present study, no intervention will be carried out, and only the patients recruited will complete the questionnaires set out below.
Assessment of knee functionality
To assess knee functionality we will use the Time Up \& Go instrument. This test consists of getting up from a chair, walking three meters around an obstacle and returning to the starting position. This tool is closely related to the risk of falls. The unit of measurement is time, where the lower the mark, the better the functionality.
Assessment of range of knee motion
The range of knee motion will be assessed using a goniometer. The fixed arm will be placed between the center of the greater trochanter and the lateral epicondyle of the femur, while the movable arm will be placed on the axis of the tibia between the lateral femoral epicondyle and the center of the lateral malleolus. During the evaluation, each patient will be asked to perform maximum active knee flexion and extension. The unit of measurement is the maximum range of motion measured in degrees, where the higher the graduation, the greater the range of motion.
Assessment of pain perception
Pain perception will be measured using a visual analog scale. This measuring instrument quantifies pain according to the patient's subjective perception on a scale of 0 to 10, where 0 indicates the absence of pain and 10 the maximum pain perceived by the patient.
Assessment of Kinesiophobia
Kinesiophobia (fear of movement) will be measured using the Tampa Scale (TSK-11). This scale consists of 11 questions scored from 1 "strongly disagree" to 4 "strongly agree". The range of scores is from 11 to 44 points, where a higher score indicates greater fear of movement on the part of the respondent.
Assessment of the time elapsed since the surgical intervention
The main clinical variables will be measured: date of the surgical procedure and date of evaluation (in DD/MM/YYYY format; to calculate the elapsed time, in days)
Assessment of the patient's weight at the time of the study
The anthropometric variables of weight (measured in kg)
Measurement of the patient's age at the time of the study
The sociodemographic variables age (in whole months) will be measured
Assessment of the patient's height at the time of the study
The anthropometric variable height (measured in cm)
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