Effectiveness of a neuromuscular exercise program conducted with a physiotherapist in individuals with degenerative meniscal tears.

Abstract

BackgroundDegenerative meniscal tears are common, causing knee pain, functional limitations, and reduced quality of life. Effective treatment is essential to restore daily functionality. This study evaluated the impact of a neuromuscular exercise program on individuals with degenerative meniscal tears.Materials and MethodsFifty patients (ages 20-65) with degenerative meniscal tears were randomly divided into two groups. Group 1 participated in a physiotherapist-guided neuromuscular exercise program, while Group 2 performed a home exercise program. Both groups underwent treatment three times a week for six weeks. Effectiveness was assessed using the Tegner Activity Level Scale, Knee Injury and Osteoarthritis Outcome Score - Physical Function Short Form (KOOS-PS), Western Ontario Meniscal Evaluation Tool (WOMET), pain assessment, and jump performance before and after treatment.ResultsBoth groups showed significant improvements. However, Group 1 improved WOMET General Calculation, Night Pain, and KOOS-PS Symptoms (p < 0.001). Neuromuscular exercises with physiotherapist support yielded superior outcomes compared to the home program. Significant changes were observed in parameters such as "Pain Activity" and "Pain Rest" (p < 0.001) in both groups, with notable improvements in Group 1. WOMET tests also showed significant gains for Group 1 (p < 0.001) and Group 2 (p < 0.001).ConclusionPhysiotherapist-supervised neuromuscular exercise programs significantly improved pain, knee function, and quality of life in individuals with degenerative meniscal tears. The findings underscore the added value of professional supervision in maximizing clinical outcomes.