Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions CPG

Question 1

Meniscus and Articular Cartilage CPG: Exam: outcome measures: activity limitations/self reported measures

Answer 1

B level: 
IKDC 2000
KOOS
C level: 
Tegner Scale 
Marx acitivty rating scale
SF-36
EQ-5D

Question 2

Meniscus and Articular Cartilage CPG: Exam: physical performance measures

Answer 2

C level: single leg hop testing:

single leg hop for distance, crossover hop for distance, triple hop for distance, 6m timed hop

Question 3

Meniscus and Articular Cartilage CPG: Exam: physical impairments

Answer 3

B level: meniscus
modified stroke test, knee AROM, max voluntary isometric quad strength, forced hyperextension, max passive knee flex, McMurray’s, palpation for jt line tenderness
D level: articular cartilage
modified stroke test, knee AROM, max voluntary quad strength, palpation for jt line tenderness

Question 4

Meniscus and Articular Cartilage CPG: Interventions: Progressive knee motion

Answer 4

B level: may use early progressive active and passive knee motion after meniscus or articular cartilage surgery

Question 5

Meniscus and Articular Cartilage CPG: Interventions: progressive WBing

Answer 5

C level: consider early progressive WB in pts with meniscus repairs
B level: stepwise progression of WB to reach FWB by 6-8wks after ACI procedure

Question 6

Meniscus and Articular Cartilage CPG: Interventions: Progressive Return to activity

Answer 6

C level: early progressive return to activity following meniscus repair
E level: delay return to activity depending on type of articular cartilage surgery

Question 7

Meniscus and Articular Cartilage CPG: Interventions: Supervised rehab

Answer 7

B level: use exercises as part of in clinic supervised rehab and HEP (menisectomy)

Question 8

Meniscus and Articular Cartilage CPG: Interventions: Therex

Answer 8

B level: provide supervised progressive ROM, strength of hip and knee, and NM training to both meniscus tear and articular cartilage lesions AND after surgery for both.

Question 9

Meniscus and Articular Cartilage CPG: Interventions: NMES, Biofeedback

Answer 9

B level: Provide NMES and NMR following meniscus procedures to improve quad strength, functional performance, and knee function