Knee Extensor Muscle Strength in Middle-Aged and Older Individuals Undergoing Arthroscopic Partial Meniscectomy: A Systematic Review and Meta-Analysis

Arthritis Care & Research
Michelle HallJ B Thorlund

Abstract

People with meniscal tears are at high risk to develop or progress to knee osteoarthritis. Knee extensor weakness is considered a risk factor for osteoarthritis and is often reported in these individuals. The purpose of this systematic review and meta-analysis was to investigate knee extensor strength in people undergoing an arthroscopic partial meniscectomy (APM). Six databases (Medline, CINAHL, SPORTDiscus, Embase, PEDro, and AMED) were searched up to June 22, 2014. Studies that measured knee extensor muscle strength in people age ≥30 years undergoing APM for a meniscal tear and used either a healthy control group or the contralateral leg to compare knee extensor muscle strength were included. Methodological quality was assessed using guidelines from the Centre for Reviews and Dissemination. Eleven studies, in which participants were predominantly male, were included (n = 596). A moderate reduction in muscle strength was observed prior to APM compared to controls (standardized mean difference [SMD] 0.58, 95% confidence interval [95% CI] 0.04, 1.13) and continued up to 6 months postsurgery (SMD range -2.42 to -0.47). There was no difference in muscle strength at 2 years post-APM (SMD -0.01 [95% CI -0.36, 0.35]), while a modera...Continue Reading

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Citations

Apr 7, 2016·Journal of Science and Medicine in Sport·Maria ThorningMichelle Hall
Sep 22, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tina GanderupJonas B Thorlund
Sep 25, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Brian T Feeley, Brian C Lau
Feb 2, 2018·The Journal of Orthopaedic and Sports Physical Therapy·David S LogerstedtChristine M McDonough
Sep 22, 2020·Orthopaedic Journal of Sports Medicine·Jason B SmoakLeslie J Bisson

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