Getting athletes back in the game: A comprehensive rehabilitation assessment  of knee injuries

Denis Arsovski; Erblin  Domazeti; Tanja  Jovanovska; Gordana  Ristevska-Dimitrovska

doi:10.55225/hppa.485

Authors

Denis Arsovski University of St. Kliment Ohridski, Higher Medical School – Bitola, North Macedonia https://orcid.org/0000-0003-4992-686X
Erblin Domazeti Special Hospital for Nephrological Diseases, Department of Physical Therapy – Struga, North Macedonia
Tanja Jovanovska University of St. Kliment Ohridski, Higher Medical School – Bitola, North Macedonia
Gordana Ristevska-Dimitrovska University of St. Kliment Ohridski, Higher Medical School – Bitola, North Macedonia https://orcid.org/0000-0003-1002-5845

DOI:

https://doi.org/10.55225/hppa.485

Keywords:

knee rehabilitation, physical activity, athletes, physical therapy

Abstract

Movement is an essential characteristic that has developed over the course of human evolution. With the inclusion of various populations in sports activities, sports have become an important part of people’s daily lives. Knee injuries are common among athletes, with knee joint being the most vulnerable to various injuries. Knee injuries require appropriate treatment to allow the athlete to return to their sports activities. Additionally, this study aimed to increase awareness of the importance of preventing knee injuries in sports and to highlight the potential impact of such injuries on an athlete’s ability to participate in their sport.
A cross-sectional study was conducted to evaluate the functional outcomes of athletes with knee injuries. The study included 38 patients with knee injuries (ACL, meniscal injuries, collateral ligament injuries) out of which 21 were physically active athletes, 9 were not, but they were athletes who were not involved in sports at the time of the testing and 8 were recreational athletes. The majority of respondents (76%) reported that they sustained the injury during sports activities. Knee pain was reported as at least once a week by most respondents.
The study highlights the importance of proper knee injury prevention measures during sports activities and the need for prompt and effective rehabilitation for those who do suffer injuries. Overall, these findings have important implications for the treatment and management of knee injuries among athletes and individuals seeking to maintain an active lifestyle.

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References

Hall SJ. Basic Biomechanics. 7th ed. New York: McGraw--Hill Education; 2015. Google Scholar

Wilmore JH, Costill DL, Kenney WL. Physiology of Sport and Exercise. 4th ed. Champaign: Human Kinetics; 2008. Google Scholar

McArdle WD, Katch FI, Katch VL. Exercise Physiology: Nutrition, Energy, and Human Performance. 8th ed. Philadelphia: Wolters Kluwer Health; 2015. Google Scholar

Petrovska S. Knee injuries in sports: Types and treatments. J Sports Med. 2023;10(2):45-58. Google Scholar

Lekic N, Erceg M, Knezevic J, Mitkovic M. Rehabilitation program for ligament injuries of the knee joint. Acta Inform Med. 2017;25(1):56-61. doi: 10.5455/aim.2017.25.56-61. Google Scholar

Sivevska D. Rehabilitation after knee ligament injuries. Macedonian J Med Sci. 2019;7(1):116-120. Google Scholar

Dawson J. Examination of the knee. Surgery (Oxford). 2003;21(9):206-211. Google Scholar

Mandelbaum BR, Silvers HJ, Watanabe DS et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med. 2005;33(7):1003-1010. doi: 10.1177/0363546504272261. DOI: https://doi.org/10.1177/0363546504272261 Google Scholar

Yagi M, Wong EK, Kanamori A, Debski RE, Fu FH, Woo SL. Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med. 2002 Sep-Oct;30(5):660-6. doi: 10.1177/03635465020300050801. DOI: https://doi.org/10.1177/03635465020300050501 Google Scholar

Marx RG, Jones K. The knee and related structures. In: American Academy of Orthopaedic Surgeons, ed. Orthopedic Knowledge Update: Sports Medicine 3. Rosemont: American Academy of Orthopaedic Surgeons; 2004:241-261. Google Scholar

Ristić V, Maljanović M, Madić D. Rehabilitation after anterior cruciate ligament reconstruction surgery. Acta Clin Croat. 2018;57(2):375-383. doi: 10.20471/acc.2018.57.02.16. DOI: https://doi.org/10.20471/acc.2018.57.02.16 Google Scholar

Shelbourne KD, Wilckens JH. Rehabilitation after anterior cruciate ligament reconstruction: A prospective, randomized, double-blind comparison of programs administered over 2 different time intervals. Am J Sports Med. 1995;23(4):347-56. doi: 10.1177/036354659502300402. DOI: https://doi.org/10.1177/036354659502300402 Google Scholar

Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS): Development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28(2):88-96. doi: 10.2519/jospt.1998.28.2.88. DOI: https://doi.org/10.2519/jospt.1998.28.2.88 Google Scholar

Arumugam A, Manikandan M, Kumaresan R. Effectiveness of proprioceptive neuromuscular facilitation technique and stretching in rehabilitation of plantar fasciitis: A comparative study. Int J Health Sci Res. 2019;9(6):326-332. doi: 10.36469/ijhsr.2019.9601. Google Scholar

Baltaci G, Aktas G, Camci E, Oksuz S, Yildiz S. Comparison of high-intensity interval training versus conventional rehabilitation program on outcomes of patients with knee osteoarthritis: A randomized controlled study. Int J Rheum Dis. 2017;20(6):822-830. doi: 10.1111/1756-185X.12692. DOI: https://doi.org/10.1111/1756-185X.12692 Google Scholar

Busanich R, Fenton BM, Aghazarian G, Cuccurullo S. Effect of aquatic therapy and rehabilitation on gait parameters in adults with knee osteoarthritis. J Nov Physiother Rehabil. 2019;4(1):1-4. Google Scholar

Lee HM, Chung YH, Park JK, Kim KH, Lee SH, Lim SH. Effects of a self-care program on shoulder pain and quality of life for stroke patients. J Phys Ther Sci. 2019;31(1):58-62. Google Scholar

Singh S, Bhatia D. Comparative study of manual therapy and exercise versus electrotherapy and exercise in the management of cervicobrachialgia. Int J Health Sci Res. 2017;7(4):72-79. Google Scholar

Wu WT, Hsieh YW. Effects of home-based virtual reality rehabilitation on upper extremity function and visual perception in chronic stroke patients: A randomized controlled trial. J Neuroeng Rehabil. 2019;16(1):1-9. Google Scholar

Yildirim N, Demir N, Sahin F. The effectiveness of McKenzie exercises on pain, function and quality of life in patients with chronic low back pain: A randomized controlled trial. Int J Health Sci Res. 2019;9(2):146-153. Google Scholar

Moffet H, Collet JP, Shapiro SH, Paradis G, Marquis F, Roy L, Hébert LJ. Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: A single-blind randomized controlled trial. Arch Phys Med Rehabil. 2002;83(9):1152-1160. doi: 10.1053/apmr.2002.34285. Google Scholar

Karamanidis K, Gollhofer A. Functional retraining of the injured lower extremity. J Rehabil Med. 2006;38(1):2-12. doi: 10.1080/16501970500441885. Google Scholar

Niederer D, Engeroff T, Wilke J, Vogt L, Banzer W. Rehabilitation after ACL injury: A systematic review. J Sports Med Phys Fitness. 2018;58(5):801-815. doi: 10.23736/S0022-4707.17.07109-1. Google Scholar

Alappattu MJ, Koltyn KF, Hortobágyi T. Home-based rehabilitation for knee osteoarthritis: A randomized controlled trial. J Orthop Sports Phys Ther. 2015;45(10):747-755. doi: 10.2519/jospt.2015.5876. Google Scholar

Zeng C, Wei J, Deng Z, Yang T, Li H, Yang Y. The effects of an eight-week rehabilitation program on patients with knee osteoarthritis. J Clin Med Res. 2021;13(2):75-80. doi: 10.14740/jocmr4449. DOI: https://doi.org/10.14740/jocmr4449 Google Scholar

Kim M, Kwon O, Oh J, Kim Y, Lee B. The Effect of a six-week rehabilitation program on balance, muscle strength, and functional performance in patients with anterior cruciate ligament injury. Ann Rehabil Med. 2021;45(2):120-128. doi: 10.5535/arm.20170. Google Scholar

El-Araby HM, Kamel DM, Hegazy FA, et al. Comparison of traditional physiotherapy versus functional training exercises after arthroscopic partial meniscectomy: A randomized controlled study. J Rehabil Med. 2018;50(6):534-540. doi: 10.2340/16501977-2329. DOI: https://doi.org/10.2340/16501977-2329 Google Scholar

Hegedus EJ, Stern B, Reiman MP, Tarara D. Effective rehabilitation of anterior cruciate ligament injuries: A systematic review of clinical evidence from sports medicine providers. J Sports Med Phys Fitness. 2012;52(4):373-386. Google Scholar

Khamis S, Mohamed O, Al-Jarrah M. Effectiveness of a six-week rehabilitation program on patients with patellofemoral pain syndrome. J Phys Ther Sci. 2019;31(1):53-58. doi: 10.1589/jpts.31.53. DOI: https://doi.org/10.1589/jpts.31.53 Google Scholar