Italian Journal of Sports rehabilitation and Posturology

1651 – 1671

Authors: Rosario D’Onofrio, Mehul Padasala, Bojan Bjelica, Shamila Hussain, Jaymin H Bhatt;

Background.The important biomechanical role played by the meniscus in the functionality and stability of the knee during sports performance is known in the literature. The combinations of torsional and axial load appear to be the cause of most meniscal injuries. Diagnosis of acute knee injuries has long been a topic of discussion throughout orthopedic literature. Many clinical tests and diagnostic studies have been developed to increase the clinician's ability to accurately diagnose these types of knee disorders. Objective. The objective of our study is to verify through a review of the literature if Clinical tests in a closed kinetic chain to diagnose the meniscal knee lesions have a validity, if they are correlated with the classical tests in the open kinetic chain and then propose them as a screening tool in the their practical applicability on the pitch during a competition or training. Materials and methods. In this systematic review of the literature we used the Search Equation of the Boolean Operators AND and OR within Search Equation. We have thus inserted specific Key words to the research topic: physical examination, meniscal tears, Physical Examination for Meniscus Tears, Clinical diagnosis of meniscal tears, tests for meniscal Injury specific to the research topic. At the word "meniscus tear" we found, in December 2018, on PubMed 3814 abstracts and full-text articles. While on PubMed Central 4737 from which we have considered, it is our search only 841 for free Full-text articles. To the keywords "Meniscal test" highlighted 1068 abstracts and Full-text articles on PubMed and 4986 abstracts and Full-text articles PubMed Central. We have tried to further refine our research by addressing it in the last 5 years with 417 articles published on PubMed. Of these we have selected, for our research, 166 free full text articles. Results. For the preparation of this review have selected 57 scientific articles. Recently, from the international scientific movement, tests have been reported, in a closed kinetic chain, that reproduce technical-athletic gestures, for the diagnosis of meniscal lesion. Among these the Thessaly Test and the Ege's Test, have shown a high diagnostic accuracy, approaching, in fact, reference models such as joint line tenderness, McMurray's test and Apley's compression test. Among other things, these tests, in CKC, stimulating technical / athletic gestural moments, these tests can find, "going towards the lesion" an indication and prescription both in rehabilitation training and in physical ones aimed at prevention, given the extremely articular environment proprioceptive, knee ligament capsule injuries and, in particular, meniscal lesions. We did not find any work related to the practical applicability of these clinical tests used during competitions and training. Conclusions. Meniscal tears are frequently found in sports. The diagnosis can be accurately performed in 75% of the knees on the basis of the clinical history alone, while the specific clinical tests that have been used for the detection of these lesions do not have high values of sensitivity and specificity if taken individually. In our study we have identified test clinic in closed kinetic chain that allow to operate a more incisive evaluation, correlating clinical expressivity with the specific gestures of the athlete. Study Design. Systematic Review. Authorship Credit. “Credit: “Equal Contribution” (EC). Citation. Rosario D’Onofrio, Mehul Padasala, Bojan Bjelica, Shamila Hussain, Jaymin H Bhatt; The meniscal injuries in the soccer player: clinical field tests in closed kinetic chain. Validity and applicability ; 2021; Ita. J. Sports Reh. Po. 16;(8) 1651 – 1671 ; DOI : 10.17385/ItaJSRP.21.16.080101; ISSN 2385-1988 [online] ; IBSN 007-111-19 - 55; CGI J OAJI 0,101)] Published online.

1694 – 1730

Authors: Jan van de Rakt, Steve McCarthy-Grunwald

Part 1B makes the assessment further complete again with an the translation through an case description. The translation start with:” What is normal movement of this gentlemen and How can the environment help to optimized his independency. In part 1 A, there is an description what the approach must be to get people with dementia in an exercising treatment plan and also the cooperation of the other members of the family and others. “Their home is their castle “ is everywhere in the world present and it is not logical that professionals are coming in their home and say what must be done. The change that this will succeed is very limited. In the Netherlands the approach EDOMAH is investigated and that show that it is possible when there is an conversation between the individual and the family about their wishes. And the wishes are the start for an better treatment plane and that is often, at the start, not the conclusion/wishes of the professional. This process, that people talk with each other and – maybe the most important issue- have confidence in the expertise of the professional, lead often to an situation that exercising and adaptation of the environment to get an better independency of the individual with dementia. In the Netherlands are family doctors starting with an approach that able the individual and his/her family to stay at home and get the family doctor at home on regular base to discuss the problems and what has to be done. In this approach are other professionals introduced by this family doctor and one of the most important elements, is that the people that comes at home are always or almost always the same and there is base that is needed to get an optimal quality of live for this people. Often is an assessment impossible the first time but with an introduction of the family doctor that was now often easy and could also discuss with the other professionals and the individual with dementia and his/her family. There we have the base and now we can start to change /adapt the environment (family and bed/toilet etc.) and introduced the treatment plane that can be done on an regular base. That must also be the case in all long living care situation , especially in Nursing home. Citation. Jan van de Rakt , Steve McCarthy-Grunwald , Physical treatment of individuals with dementia. Part 1B. Assessment- WHY. Ita. J. Sports Reh. Po. 2021; 16;(8); 3; 1694 – 1730 ; DO 10.17385/ItaJSRP.21.16.080103 ; ISSN 2385-1988 [online] IBSN 007-111-19 - 55; CGI J OAJI 0,101). Published online. Authorship credit : “Criteria authorship scientific article” has been used “Equal Contribution” (EC)