Rehabilitation exercise program after surgical treatment of patellar tendon rupture: A case report

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2024-01-04 DOI:10.1016/j.ptsp.2024.01.001

Zhenghe Qiu, Haifeng Ma

{"title":"Rehabilitation exercise program after surgical treatment of patellar tendon rupture: A case report","authors":"Zhenghe Qiu, Haifeng Ma","doi":"10.1016/j.ptsp.2024.01.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>This case report describes in detail a rehabilitation and exercise program following surgical treatment of patellar tendon rupture<span> and offers postoperative therapeutic goals and recommendations, with the aim of expediting the resumption of activities of daily living and sports participation following the surgical procedure. In addition, this report analyzes the cause of the patellar tendon rupture in this case.</span></p></div><div><h3>Design</h3><p>Case report.</p></div><div><h3>Participants</h3><p>The patient, a 25-year-old male recreational athlete (height: 184 cm; weight: 80 kg; right-hand dominant), experienced a complete rupture of the patellar tendon upon landing on the left lower extremity during an unopposed dribble turn.</p></div><div><h3>Rehabilitation exercise program</h3><p>A well-structured rehabilitation program was implemented. Passive knee flexion range of motion (ROM) exceeded 90° at week 5 and was fully recovered at week 16. A second surgery was performed at week 19 to remove the decompression wires, and the patient progressively resumed basic physical and specialized training at 7 months post-surgery.</p></div><div><h3>Main outcome measures</h3><p>Morphometric and functional tests were performed to measure the effectiveness of rehabilitation throughout the postoperative process.</p></div><div><h3>Conclusions</h3><p>Early surgical repair and an immediate postoperative rehabilitation program have a positive impact on knee ROM, function, and muscle strength. The causes of the patellar tendon rupture in this patient included long-standing uncontrolled patellar tendinopathy, impaired mobility of the ankle and hip joints, poor landing technique, and muscle strength imbalances.</p></div>","PeriodicalId":49698,"journal":{"name":"Physical Therapy in Sport","volume":"66 ","pages":"Pages 17-24"},"PeriodicalIF":2.2000,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physical Therapy in Sport","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1466853X24000014","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

This case report describes in detail a rehabilitation and exercise program following surgical treatment of patellar tendon rupture and offers postoperative therapeutic goals and recommendations, with the aim of expediting the resumption of activities of daily living and sports participation following the surgical procedure. In addition, this report analyzes the cause of the patellar tendon rupture in this case.

Design

Case report.

Participants

The patient, a 25-year-old male recreational athlete (height: 184 cm; weight: 80 kg; right-hand dominant), experienced a complete rupture of the patellar tendon upon landing on the left lower extremity during an unopposed dribble turn.

Rehabilitation exercise program

A well-structured rehabilitation program was implemented. Passive knee flexion range of motion (ROM) exceeded 90° at week 5 and was fully recovered at week 16. A second surgery was performed at week 19 to remove the decompression wires, and the patient progressively resumed basic physical and specialized training at 7 months post-surgery.

Main outcome measures

Morphometric and functional tests were performed to measure the effectiveness of rehabilitation throughout the postoperative process.

Conclusions

Early surgical repair and an immediate postoperative rehabilitation program have a positive impact on knee ROM, function, and muscle strength. The causes of the patellar tendon rupture in this patient included long-standing uncontrolled patellar tendinopathy, impaired mobility of the ankle and hip joints, poor landing technique, and muscle strength imbalances.

查看原文本刊更多论文

髌腱断裂手术治疗后的康复锻炼计划：病例报告

目的本病例报告详细描述了髌骨肌腱断裂手术治疗后的康复和锻炼计划，并提出了术后治疗目标和建议，旨在加快术后恢复日常生活和运动的速度。此外，本报告还分析了本病例中髌腱断裂的原因。设计病例报告。参与者患者是一名 25 岁的男性休闲运动员（身高：184 厘米；体重：80 公斤；右手优势），在一次无对抗运球转身中左下肢着地，导致髌腱完全断裂。被动膝关节屈曲活动范围（ROM）在第 5 周时超过 90°，在第 16 周时完全恢复。结论早期手术修复和术后即时康复计划对膝关节活动度、功能和肌力有积极影响。该患者髌骨肌腱断裂的原因包括长期未得到控制的髌骨肌腱病、踝关节和髋关节活动度受损、着地技术不佳以及肌肉力量失衡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.