presented by Terry Malone
Terry Malone presents the challenges and concepts for rehabilitation of patients with meniscal tears in the knee. Learners will be able to describe the goals of partial meniscectomy and meniscal repair surgery, recommend the proper examination procedures for the menisci, and select the proper exercises for both meniscal repair and partial meniscectomy. Terry contrasts open and closed chain exercise sequences and their proper use in rehabilitation for patients that have undergone meniscus surgery. Other exercise progressions will be examined, with a focus on the proper running progressions to be used with patients after meniscal surgeries. The course is concluded with a discussion of real case studies from Terry’s own clinical experience.
Dr. Terry Malone received his EdD and MSPT from Duke University in North Carolina and his BA from Bluffton College in Ohio. At Duke, he served as the initial Sports Physical Therapist and was the Coordinator of the Sports Medicine Clinic. He served as the initial Chairman of the Sports Specialization Council of the APTA and has been liaison to the American Orthopaedic Society for Sports. Dr. Malone was the initial chair and dean of the Krannert School of Physical Therapy at the University of Indianapolis, and served as the Physical Therapy Program Director at UK from 1993-2006. Terry is now a full time professor at the University of Kentucky, and enjoys most sports with a particular love for golf.
Identify key anatomy of the medial and lateral menisci, describe the functions of the menisci, load transmission and its effect on biomechanics of the menisci.
Perform the appropriate evaluative tests to assess patients for meniscus tear. Discuss the effectiveness of various tests for meniscal tears.
Identify the different patterns of meniscal tears, including vertical longitudinal, oblique, horizontal cleavage, radial, and degenerative. Explain the basics of partial meniscectomy and meniscal repair surgeries as they relate to rehabilitation. Compare and contrast the benefits and reasoning behind menisectomy and meniscal repair surgeries.
Describe the early post-operative period after partial meniscectomy. Identify which physical activities should be avoided in the rehabilitation phases following partial meniscectomy. Compare open versus closed chain exercises and their significance in the rehabilitation period.
Describe meniscal repair surgical techniques. Outline general rules for rehabilitation following meniscal repair surgery. Design a rehabilitation program for weeks 0 through 24 following meniscal repair surgery. Describe the use of allografts in meniscus repair.
Describe rehabilitation concepts and discuss case studies regarding meniscus injury and repair.