Acta clinica Croatica, Vol. 42 No. 1, 2003.
Izvorni znanstveni članak
Ultrasound Monitoring of the Success of Rehabilitation of the Femoral Muscle after the Injury of the Knee Joint
Melita Uremović
Renata Budić
Marija Bošnjak-Pašia
Vesna Vargek-Solter
Branka Bošnjak
Darko Solter
Vida Demarin
Sažetak
The ultimate goal of successful rehabilitation of the knee joint is to achieve normal movement of the knee joint and to re-establish active muscle control in the shortest time possible. The knee joint movement during rehabilitation can be objectively measured by using a goniometer. The recovery of femoral muscles after a knee joint injury can be accurately and precisely monitored by ultrasonic measurement of the muscular volume. The aim of this longitudinal study was to standardize and evaluate the method of ultrasonographic measurement of muscular volume itself, and practical applicability of the method, in order to reach a general conclusion on the femoral muscle rehabilitation. The measurements were performed at equal intervals in 30 subjects with a history of knee joint injury, and in 30 asymptomatic subjects as a control group. The results showed that the ultrasound method could precisely and accurately monitor the process of muscular atrophy that develops during immobilization, as well as the course of muscular restitution during physical therapy. Full recovery of the rectus femoris muscle was achieved in more than a half of the patients, i.e. 54.4 per cent of women and 53.8 per cent of men. Vastus intermedius muscle responded less readily to physical therapy. Full recovery was achieved in 22.2 per cent of female and28.6 per cent of male patients. Within the same intervals, no muscular mass changes were recorded in the control group. Prior to implementation, it is necessary to precisely determine the reproducibility of the method and measurement errors. The ultrasound method has good reproducibility because the error does not exceed 2 per cent of the measurement value. However, practical application of ultrasonic measurement is not simple, because it requires experience and procedure standardization.
Ključne riječi
Muscles - diagnosis; Muscles - ultrasonography; Wounds and injuries - diagnosis; Knee - physiology
Hrčak ID:
14575
URI
Datum izdavanja:
3.3.2003.
Posjeta: 1.694 *