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...

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Main Authors:	Vijayakumar P, Leonard HJ, Ayiesah HR
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2012
Online Access:	http://journalarticle.ukm.my/5186/ http://journalarticle.ukm.my/5186/ http://journalarticle.ukm.my/5186/1/10-MS1042%2834-38%29.pdf

id	ukm-5186
recordtype	eprints
spelling	ukm-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/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
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.
format	Article
author	Vijayakumar P, Leonard HJ, Ayiesah HR,
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.
author_facet	Vijayakumar P, Leonard HJ, Ayiesah HR,
author_sort	Vijayakumar P,
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_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_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_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.
publisher	Department of Surgery, UKM Medical Centre
publishDate	2012
url	http://journalarticle.ukm.my/5186/ http://journalarticle.ukm.my/5186/ http://journalarticle.ukm.my/5186/1/10-MS1042%2834-38%29.pdf
first_indexed	2023-09-18T19:43:35Z
last_indexed	2023-09-18T19:43:35Z
_version_	1777405751477665792

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.

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