Degenerative Meniscus Tears - 9 in 10 get better | SYNOPSIS

Summary

This video from Physiotherapists discusses a study on degenerative medial meniscal tears, focusing on patient-reported knee function over five years. It identifies three trajectories of improvement: minimal, moderate, and high. While most patients experience significant early improvements, those with higher body mass index, anxiety, and weaker muscle strength face a greater risk of minimal progress. The findings highlight the importance of addressing these factors in rehabilitation to enhance patient outcomes and encourage better functioning in daily activities. Overall, the study underscores that targeted interventions can lead to clinically relevant improvements in knee function.

Takeaways

• 😀 Degenerative meniscal tears are common in physiotherapy practice and can significantly affect daily functioning.
• 📊 A study by Bjorn Berg et al. focused on patients aged 35 to 60 with degenerative medial meniscal tears.
• 📝 The main outcome measured was patient-reported knee function using the Knee Injury and Osteoarthritis Outcome Score (KOOS).
• ⏳ The KOOS was assessed at multiple intervals: baseline, 3 months, 12 months, 2 years, and 5 years.
• 📉 Three improvement trajectories were identified over five years: low/minimal improvements (10-12%), moderate improvements (20-36%), and high/early improvements (53-70%).
• 🏋️‍♂️ Patients with minimal improvements had higher body mass index (BMI), more symptoms of depression and anxiety, and poorer knee function.
• 🤸 Patients experiencing moderate improvements showed better scores across most KOOS sub-scales, except for symptoms.
• 🏆 The high improvement group achieved KOOS scores close to or above 90 points across all sub-scales after five years.
• ⚠️ Key prognostic factors for minimal improvement included higher BMI, mental health issues, and muscle weakness.
• 🛠️ Targeting quadriceps and hamstring strength during rehabilitation can enhance treatment outcomes for patients with degenerative meniscal tears.

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