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  • Author: Jewell B. Duncan x
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Lori A. Bolgla, Douglas R. Keskula and Jewell B. Duncan

Context:

Researchers have suggested that quadriceps inhibition resulting from a simulated knee effusion would lead to decreased lower extremity performance.

Purpose:

To investigate the relationship between a simulated knee effusion and lower extremity performance.

Participants:

9 college students.

Methods:

Subjects performed 3 functional-performance tests before and after a simulated knee effusion. Measurement was the average distance hopped for a single hop and crossover hop for distance and time for completion on a timed hop test.

Results:

An analysis of variance revealed significant change in average test scores after injection only for the timed hop in subjects receiving a 60-ml injection.

Conclusion:

Nonsignificant differences might have resulted from compensation from other muscle groups, fluid movement within the knee joint, and absence of an inflammatory process. Further research on the relationship between simulated knee effusion and lower extremity performance is needed.

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Doyglas R. Keskula, Jewell B. Duncan and Virginia L. Davis

This paper describes the rehabilitation of a patient following a medial meniscus transplant. Both preoperative and postoperative history and relevant physical findings are presented. Rehabilitation goals and the corresponding treatment plan are discussed, with an emphasis on functional outcomes. A general framework for treatment addressing impairment and functional goals is outlined. Progression of the rehabilitation program was based on surgical precautions and the patient's tolerance to the exercise progression. This case study demonstrates that appropriate surgical intervention combined with a properly designed rehabilitation program contributed to the improved functional abilities of this patient.