Research Information System
Thesis Type: Postgraduate
Institution Of The Thesis: Gazi Üniversitesi, Sağlık Bilimleri Enstitüsü, Turkey
Approval Date: 2017
Student: SEVİM BEYZA ÖLMEZ
Supervisor: SELDA BAŞAR
Open Archive Collection: AVESIS Open Access Collection
Abstract:The objective of this study is to compare balance, proprioception, muscle strength and functional performance of patients, to whom operations such as isolated arthroscopic meniscal repair (AMR postoperative: 1.5 years) and partial meniscectomy (APM postoperavite: 8 months) are performed following a medial meniscus tear, with the healthy control group s. AMR group is composed of 14 male patients, with an average age of 28.6. APM group is comprised of 14 male patients, with an average age of 35.3 as well as 14 healthy individuals which constitutes control group, with an average age of 29.2, without history of knee injury. Proprioception at 20° and 40° flexion angles, static and dynamic postural stability, isokinetic strength of knee quadriceps and hamstring at 60 s-1 angular velocity, functional performance (one leg hop and vertical jump tests) and Lysholm Knee Score, Tegner Activity Scale, the Western Ontario Meniscal Evaluation Tool (WOMET) are performed to all groups. Following the operation approximately 1.5 years and 8 months later, static postural stability and sway indices of patients, to whom arthroscopic meniscal repair and partial meniscectomy are performed, is evaluated and it is concluded that a significant dynamic postural stability deficit exists (p<0.05), while there is no difference with regard to all directions of static postural stability and sway indices comparing to their non-operated knee and the control group (p>0.05). Repairing or resecting meniscal tear do not affect knee proprioception in the middle flexion angles (p>0.05), while they decrease knee proprioception in the lower flexion angles (p<0.05). It is determined that hamstring pik tork value at operated extremity in AMR group is weaker than non-operated extremity, but quadriceps pik tork value at operated extremity in APM group decrease significantly comparing with non-operated extremity and healthy individuals (p<0.05). It is determined that functional performance of AMR and APM groups is lower than the control group (p<0.05). Both surgical groups reached to the normal activity level (p>0.05). Relating to AMR and APM groups, subjective functional condition is found to affect quality of life negatively (p<0.05). In this study, effect of MT and PM surgery on postural stability, muscle strength and functional performance is found nto differ. On the other hand, their effect on proprioception is similar. According to the results, it is essential to establish neuromuscular rehabilitation programs which increase postural stability, proprioception, muscle strength and functional performance in the early period for both surgical groups.