Challenges of physiotherapy management: type 4 knee arthrofibrosis following traumatic multiple structural injuries of knee in a 16-year old boy: a clinical case report.
Traumatic knee crush injuries of degloving nature carries a greater risk for the multitude of complications rendering emergency surgical intervention the treatment of choice in the majority of such injuries. These types of injuries commonly result in a unique post- operative complication such as art...
Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
Department of Surgery, UKM Medical Centre
2012
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Online Access: | http://journalarticle.ukm.my/5186/1/10-MS1042%2834-38%29.pdf |
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author | Vijayakumar P, Leonard HJ, Ayiesah HR, |
author_facet | Vijayakumar P, Leonard HJ, Ayiesah HR, |
author_sort | Vijayakumar P, |
collection | UKM |
description | Traumatic knee crush injuries of degloving nature carries a greater risk for the multitude of complications rendering emergency surgical intervention the treatment of choice in the majority of such injuries. These types of injuries commonly result in a unique post- operative complication such as arthrofibrosis and it presents overly challenge for Physiotherapists managing it. In this retrospective single-case report, we describe the challenges of in – and out- patient physiotherapy treatment planning for a 16-year old boy throughout the continuum of care for his knee arthrofibrosis following a series of surgical procedures. As result of his complex medical situation, the time-specific physiotherapy intervention during the immediate post-operative period failed to improve our patient’s knee function. The knee function with regard to range of motion ( especially extension), muscle strength(quadriceps) improved considerably with the adoption of an aggressive physiotherapy intervention approach that included specific quadriceps muscle strengthening, joint mobilization (rotation/traction) in sitting position with legs over the edge of table and contract-relax quadriceps stretching in prone position using theraband. |
first_indexed | 2024-03-06T03:56:27Z |
format | Article |
id | ukm.eprints-5186 |
institution | Universiti Kebangsaan Malaysia |
language | English |
last_indexed | 2024-03-06T03:56:27Z |
publishDate | 2012 |
publisher | Department of Surgery, UKM Medical Centre |
record_format | dspace |
spelling | ukm.eprints-51862016-12-14T06:37:49Z http://journalarticle.ukm.my/5186/ Challenges of physiotherapy management: type 4 knee arthrofibrosis following traumatic multiple structural injuries of knee in a 16-year old boy: a clinical case report. Vijayakumar P, Leonard HJ, Ayiesah HR, Traumatic knee crush injuries of degloving nature carries a greater risk for the multitude of complications rendering emergency surgical intervention the treatment of choice in the majority of such injuries. These types of injuries commonly result in a unique post- operative complication such as arthrofibrosis and it presents overly challenge for Physiotherapists managing it. In this retrospective single-case report, we describe the challenges of in – and out- patient physiotherapy treatment planning for a 16-year old boy throughout the continuum of care for his knee arthrofibrosis following a series of surgical procedures. As result of his complex medical situation, the time-specific physiotherapy intervention during the immediate post-operative period failed to improve our patient’s knee function. The knee function with regard to range of motion ( especially extension), muscle strength(quadriceps) improved considerably with the adoption of an aggressive physiotherapy intervention approach that included specific quadriceps muscle strengthening, joint mobilization (rotation/traction) in sitting position with legs over the edge of table and contract-relax quadriceps stretching in prone position using theraband. Department of Surgery, UKM Medical Centre 2012 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/5186/1/10-MS1042%2834-38%29.pdf Vijayakumar P, and Leonard HJ, and Ayiesah HR, (2012) Challenges of physiotherapy management: type 4 knee arthrofibrosis following traumatic multiple structural injuries of knee in a 16-year old boy: a clinical case report. Journal of Surgical Academia, 2 (1). pp. 34-38. ISSN 2231-7481 http://jsurgacad.com/ |
spellingShingle | Vijayakumar P, Leonard HJ, Ayiesah HR, Challenges of physiotherapy management: type 4 knee arthrofibrosis following traumatic multiple structural injuries of knee in a 16-year old boy: a clinical case report. |
title | Challenges of physiotherapy management: type 4 knee arthrofibrosis following traumatic multiple structural injuries of knee in a 16-year old boy: a clinical case report. |
title_full | Challenges of physiotherapy management: type 4 knee arthrofibrosis following traumatic multiple structural injuries of knee in a 16-year old boy: a clinical case report. |
title_fullStr | Challenges of physiotherapy management: type 4 knee arthrofibrosis following traumatic multiple structural injuries of knee in a 16-year old boy: a clinical case report. |
title_full_unstemmed | Challenges of physiotherapy management: type 4 knee arthrofibrosis following traumatic multiple structural injuries of knee in a 16-year old boy: a clinical case report. |
title_short | Challenges of physiotherapy management: type 4 knee arthrofibrosis following traumatic multiple structural injuries of knee in a 16-year old boy: a clinical case report. |
title_sort | challenges of physiotherapy management type 4 knee arthrofibrosis following traumatic multiple structural injuries of knee in a 16 year old boy a clinical case report |
url | http://journalarticle.ukm.my/5186/1/10-MS1042%2834-38%29.pdf |
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