ArticleSAGE open medical case reports2025
A case study of a nonsurgical patient with a medial meniscus tear: A role for gluteal muscle physiotherapy.
Article in SAGE open medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
The aim of this case study is to report how treatment and rehabilitation for meniscus tears can exacerbate the underlying condition or improve function. In addition, the objective of the study is to compare quadriceps physical therapy in a patient to gluteal muscle therapy. There are different types of meniscus tears, and each rehabilitation plan depends on the location and type of meniscus injury. Treatment options include conservative, nonsurgical therapy and surgical repair or replacement therapy. Typically, strengthening the quad muscles is the focus of physiotherapy. Few studies have assessed the role of the gluteal muscles, rather than the quad muscles, in improving the patient's situation. The patient, a 32-year-old female, reported experiencing sharp pain in her right knee, a swollen knee, and joint line tenderness, following an incident involving carrying an unbalanced load. Magnetic resonance imaging confirmed the presence of a meniscal tear in the right knee. The patient received quadriceps physical therapy, which resulted in worsening of the knee joint and loss of mobility. Subsequently, she received (gluteal muscle) therapy, which resulted in restoration of mobility, improved range of motion, and recovery from joint line tenderness. The patient was able to walk again without pain. Gluteal muscles play a key role in stabilizing the pelvis and maintaining proper alignment of the hips and knees. They help with movements such as walking, running, and jumping, and strong gluteal muscles reduce the risk of injuries, like knee valgus.
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