Functionality of Lower Limbs in Patients Who Have Undergone Knee Meniscectomy

Functionality of Lower Limbs in Patients Who Have Undergone Knee Meniscectomy. A Multicenter Ambispective Cohort Study

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).

Study Overview

• Status: Not yet recruiting
• Conditions: Meniscectomy Sequelae
• Intervention / Treatment: Other: Survey using a questionnaire.

• Study Type: Observational
• Enrollment (Estimated): 89

Contacts and Locations

• Study Contact: Name: Rubén Cuesta-Barriuso, PhD; Phone Number: 0034 985103386; Email: ruben.cuestab@gmail.com

Study Locations

• Spain
  • Asturias
    • Murcia, Asturias, Spain, 33006
      • Universidad Católica San Antonio de Murcia
      • Contact: Rubén Cuesta-Barriuso, PhD; Phone Number: 0034 985 103 386; Email: ruben.cuestab@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

People with previous meniscectomy surgery

Description

Inclusion Criteria:

• 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.

Exclusion Criteria:

• 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

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Observational group; Patients will be recruited from the Fisiomaturana and Fisialty centers. The primary variable of the study will be functionality, 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, pain intensity and kinesiophobia.	Other: Survey using a questionnaire.; In the present study, no intervention will be carried out, and only the patients recruited will complete the questionnaires set out below.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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.	Screening visit

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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.	Screening visit
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.	Screening visit
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.	Screening visit

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
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)	Screening visit
Assessment of the patient's weight at the time of the study	The anthropometric variables of weight (measured in kg)	Screening visit
Measurement of the patient's age at the time of the study	The sociodemographic variables age (in whole months) will be measured	Screening visit
Assessment of the patient's height at the time of the study	The anthropometric variable height (measured in cm)	Screening visit
Assessment of the patient's gender at the time of the study	The sociodemographic variable gender (male/female) will be measured	Screening visit
Assessment of the patient's type of work at the time of the study	The sociodemographic variable type of work (sedentary/active) will be measured. This evaluation will be based on whether the work is office work or at least 4 hours/day sitting.	Screening visit
Measurement of the patient's level of physical activity before and after surgery	The variable physical exercise before and after meniscectomy will be measured (dichotomous answers: yes/no).	Screening visit

Collaborators and Investigators

• Sponsor: Universidad Católica San Antonio de Murcia

Study record dates

Study Major Dates

• Study Start (Estimated): April 5, 2025
• Primary Completion (Estimated): April 28, 2025
• Study Completion (Estimated): May 20, 2025

Study Registration Dates

• First Submitted: April 1, 2025
• First Submitted That Met QC Criteria: April 7, 2025
• First Posted (Actual): April 9, 2025

Study Record Updates

• Last Update Posted (Actual): April 9, 2025
• Last Update Submitted That Met QC Criteria: April 7, 2025
• Last Verified: April 1, 2025

More Information

Terms related to this study

• Keywords: Functionality; Kinesiophobia; Pain intensity; Range of movement; Knee meniscectomy
• Other Study ID Numbers: FunctMenisc

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No