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Results of implementation of the joint mobilization techniques to restore mobility of the knee complex in patients after partial meniscectomy

Rostislav Kostov, Biserka Ilieva


BACKGROUND: The formation of primary and secondary motion deficit in the knee complex area is polyethiologic muscle-skeletal dysfunctions as a consequence of multiple traumas, injuries and pre-clinical conditions. INTRODUCTION: In this article we present the final effect of the application of complex soft tissue manually-treatment system for recovery of joint kinematics in patients with moderate and minimal protective period of rehabilitation after arthroscopic meniscectomy. MATERIAL AND METHODS: The study was conducted in2005-2012 into three medical centers in Bulgaria: Blagoevgrad, Sofia and Pleven. The study included a total of 110 patients divided into three groups (Control and Experimental I and Experimental Group II) who studied the effect of topical application of the manual therapeutic techniques compared to traditional rehabilitation methods applied. For testing the efficacy of a treatment approach in the three groups of patients, the results have processed by the method of variational analysis. RESULTS: After analysis of results we find significantly more fully and without residual short violations recovery for all controlled parameters in patients who have implemented comprehensive manually-therapeutic treatment compared with control group patients. CONCLUSION: Application of adequate physiological and pedagogically grounded complex rehabilitation is required in patients after arthroscopic meniscectomy model with motor deficits in tractable routine rehabilitation. Observations allow us to offer a methodology for implementation in general practice rehabilitation in patients after meniscal ruptures treated by arthroscopic meniscectomy and motor deficits, intractable routine rehabilitation.


physiotherapy; manual therapeutic techniques; arthrokinematics of the knee complex

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Urquhart MW, JA. O`Leary, JR. Giffin. Meniscal injuries: 1. Meniscal injuries in the adult.In DeLee J (ed.), DeLee and Drez`s Orthopaedic Sports Medicine: Principles and Practice.-Philadelphia: Saunders. 2: 87-96. 2003.

Lee SJ, Aadalen KJ, Malaviya P, Lorenz EP, Hayden JK, Farr J, Kang RW, Cole BJ. Tibiofemoral contact mechanics after serial medial meniscectomies in the human cadaveric knee. Am J Sports Med. 2006, 34:1334-1344.

McLaughin, J, et al. Rehabilitation after meniscus repair. J. Orthopedics. 1994, 17:463.

Seto, JL, Brewster, CE. Rehabilitation of meniscal injuries. In Greenfield, BH (ed) Rehabilitation of the Knee: A Problem-Solving Approach.- Philadelphia: FA Davis.1993, pp. 381-409.

Boyce, DA, Hanley, ST: Functional based rehabilitation of the knee after partial meniscectomy or meniscal repair. Orthop Phys Ther Clin North Am. 1994, Vol. 3. p. 555.

Mulligan, BR: Manual Therapy “NAGS,” “SNAGS,” “MWM’s” etc, ed 4. Plane View Press, Wellington, 1999.

Maitland G, E. Hengeveld, K. Banks. Maitlands. Peripheral Manipulation.- Elsevier: Butterworth, 2005.

About The Authors

Rostislav Kostov
Medical university of Pleven

Department of physical medicine, rehabilitation, occupational therapy and sports,

Biserka Ilieva
Medical university of Pleven

Department of therapeutic nursing care

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