Effects of Contralateral Strength Training on Postoperative Strength Deficits in the Immobilized Lower Extremity

NYU Langone Health50 enrolled

Overview

This is a prospective, randomized controlled trial that will enroll patients undergoing unilateral meniscal root repair or meniscus transplant. The objective of this study is to determine if immediate postoperative strength training of the contralateral (non-surgical) lower extremity reduces postoperative loss of strength in an immobilized lower extremity. After the completion of surgery, patients will be randomized to either the experimental treatment (Group 1) or control group (Group II)for postoperative rehabilitation.

Group I will receive knee flexion and extension strength training exercises for the contralateral (non-operative) lower extremity in addition to standard of care postoperative rehabilitation. The experimental strength training will be performed with moderate resistance and will require moderate effort. Exercises will include unilateral leg presses, lunges, step ups, and step downs. These exercises are performed as standard of care but are not typically introduced into the physical therapy regimen until 10-12 weeks postoperatively. In the experimental group, these exercises will be introduced starting with the first postoperative physical therapy session, but only for the contralateral (non-operative) leg.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Meniscus; Detachment, Current Injury

Interventions

Standard of Care RehabilitationOTHER

Knee flexion and extension strength training exercises for the contralateral (non-operative) lower extremity in addition to standard of care postoperative rehabilitation.

Experimental Strength TrainingOTHER

Will be performed with moderate resistance and will require moderate effort. Exercises will include unilateral leg presses, lunges, step ups, and step downs. These exercises are performed as standard of care but are not typically introduced into the physical therapy regimen until 10-12 weeks postoperatively. In the experimental group, these exercises will be introduced starting with the first postoperative physical therapy session, but only for the contralateral (non-operative) leg.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient is indicated for meniscal root repair * Patient is indicated for meniscus transplant * Patient is at least 18 years of age * Patient is expected to survive at least 1 year beyond surgery * Patient has intact lower extremities bilaterally * Patient is willing to participate by complying with pre-and post-operative visit requirements * Patient is willing and able to review and sign a study informed consent form Exclusion Criteria: * Lower extremity musculoskeletal defects * Systemic neuromuscular disorders * Failure to complete pre-operative BIDOEX strength assessment * Failure to complete pre-operative self-assessment score intake forms

Effects of Contralateral Strength Training on Postoperative Strength Deficits in the Immobilized Lower Extremity

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Central Contacts