Conservative Treatment of Degenerative Meniscus: Building Consensus for the Development of a Rehabilitation Program

João Páscoa Pinheiro, Lurdes Rovisco Branquinho, Joana Pinheiro, Susana Ramos
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Abstract

Background: Degenerative meniscus is a common condition, and the current therapeutic approaches lack consistency, leading to uncertain outcomes. The aim is to establish a standardized approach for the conservative management of degenerative meniscus, informed by evidence-based practices and expert input from professionals in related areas. Methods: The rehabilitation program was developed through a multidisciplinary approach. A systematic review of the existing literature on degenerative meniscus treatments was conducted to identify evidence-based practices. Additionally, experienced professionals from Rehabilitation Medicine, Orthopaedics, and Physiotherapy were consulted to provide their insights and expertise. Consensus meetings were held to integrate these diverse perspectives into a comprehensive rehabilitation program. Results: The resulting rehabilitation program for degenerative meniscus offers a structured and evidence-based approach. It includes a combination of exercises, physical modalities, and lifestyle modifications tailored to the individual patient's needs. Key components of the program focus on muscles strengthening, improving joint stability, and reducing pain and inflammation. The program also emphasizes patient education to promote long-term self-management. Conclusions: By bringing together experts from various healthcare disciplines and incorporating evidence-based strategies, this rehabilitation program addresses the current lack of coherence and heterogeneity in degenerative meniscus treatment. It provides a standardized and functional approach to conservative management. The program's emphasis on individualized care and patient education may lead to better treatment adherence and outcomes. Furthermore, collaboration among healthcare professionals ensures a well-rounded and comprehensive approach to addressing the multifaceted nature of degenerative meniscus.
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退行性半月板的保守治疗:为制定康复计划建立共识
背景:退行性半月板是一种常见病,目前的治疗方法缺乏一致性,导致疗效不确定。我们的目的是根据循证医学实践和相关领域专家的意见,为保守治疗退行性半月板建立标准化方法。方法:通过多学科方法制定康复计划。我们对有关退行性半月板治疗的现有文献进行了系统回顾,以确定循证实践。此外,还咨询了康复医学、矫形外科和物理治疗方面经验丰富的专业人士,请他们提供见解和专业知识。我们还召开了共识会议,将这些不同的观点整合到综合康复计划中。结果最终制定的退行性半月板康复计划提供了一种结构化的循证方法。它包括运动、物理模式和生活方式调整的组合,以满足患者的个人需求。该计划的主要内容是加强肌肉力量、提高关节稳定性、减轻疼痛和炎症。该计划还强调患者教育,以促进长期的自我管理。结论该康复计划汇集了来自不同医疗领域的专家,并采用了循证策略,解决了目前在退行性半月板治疗中缺乏一致性和异质性的问题。它为保守治疗提供了一种标准化的功能性方法。该计划强调个体化护理和患者教育,可提高治疗依从性和治疗效果。此外,医疗保健专业人员之间的合作可确保采用全面综合的方法来解决退行性半月板的多方面问题。
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