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Biomedical subjects

I Karumo

Publications and source records attributed to I Karumo.

6 recordsLinked to original sources
PubMed1977

Red and white muscle fibres in meniscectomy patients. Effects of postoperative physiotherapy.

Clinical examination of the knee joint of 16 meniscectomy patients was performed and muscle biopsies were taken preoperatively and four weeks postoperatively from the vastus medialis of the quadriceps muscle. Corresponding investigations were performed in 15 healthy volunteer controls. One group of the meniscectomy patients was given routine postoperative physiotherapy, the other group intensive physiotherapy. Type I and II muscle fibres were determined from the muscle biopsies of the myosin-ATPase staining method. No difference was observed in the clinical and histochemical findings between the patients given routine and intensive physiotherapy respectively. Compared with the controls, the older patients had clinical quadriceps atrophy preoperatively, but there were no differences in the muscle fibre composition. After meniscectomy the patients developed even more marked quadriceps atrophy, which was more manifest in the patients with a good preoperative muscle status. The surface areas of the type I and II fibres of the operated patients diminished compared with the samples from the healthy volunteer controls. Only in the male patients was the decrease in the type I muscle area considerable. The present data indicate that meniscectomy is accompanied by a marked change in the clinical and histochemical appearance of the quadriceps muscle compared with the muscle status following meniscus injury; the extent of physiotherapy as carried out in the present study did not significantly modify the results.

Adenosine Triphosphatases↗
PubMed1977

Intensive physical therapy after meniscectomy.

Fifty six meniscectomy patients were divided into 2 groups. One group (27 patients) was given the standard postoperative physiotherapy and the remainder (29 patients) received intensive physiotherapy. Clinical examination of the knee joint was performed preoperatively and 1, 2 and 4 weeks postoperatively. The patients' age was 36.26 +/- 12.34 and 34.00 +/- 9.21 years in the two groups respectively. The medial meniscus was removed from 47 patients, the lateral meniscus from 8 patients and bilateral meniscectomy was performed on one patient; no tear was seen in the excised meniscus in 8 cases. The clinical findings for the patient groups did not differ significantly either before or after the operation. The flexion strength of the knee of patients given intensive physiotherapy increased less in these 4 weeks than the flexion strength of the routine therapy group. The range of knee movement of the patients given intensive therapy was still below the preoperative value 4 weeks after the operation. Knee punctures were made more frequently on patients given intensive physiotherapy. Their walking capacity 2 weeks postoperatively was inferior to that of patients given routine physiotherapy, but this difference had disappeared at the 4-week examination. The isometric quadriceps strength and isotonic strength correlated well. The thigh girth gave no evidence of quadriceps atrophy. It can be concluded that intensified physiotherapy in meniscectomy patients does not shorten the rehabilitation period.

Adult↗
PubMed1977

Intensive physical therapy after fractures of the femoral shaft.

22 patients with fractures of the femoral shaft were divided into 2 groups. One group (12 patients) were given the standard postoperative physiotherapy and the remainder (10 patients) received intensive physiotherapy. Clinical examination of the knee joint was performed 2, 4 and 9 weeks postoperatively. The patients' mean age was 31 years; 15 of them were men. The fractures in 18 patients were treated with intramedullary nailing, 2 with a long-shanked Jewett nail and 2 with AO-nailing. Mobilisation and quadriceps atrophy of the injured limb of the patients given intensive physiotherapy appeared to improve faster than in the patients of the routine physiotherapy group. Nine weeks after the operation the range of knee movement had normalised in the cases given intensive physiotherapy. The flexion strength of the knee in the operated limb was close to the values for the normal limb after nine weeks, but the extension strength was still 40-66% below the values for the healthy limb. The greatest increase in muscle power occurred during the first four postoperative weeks. Intensive physiotherapy seems to hasten the recovery of quadriceps strength of the patients with fractures of the femoral shaft, and to shorten the duration of sick leave of the patients operated on by closed intramedullary nailing.

Adolescent↗
PubMed1977

Recovery and rehabilitation of elderly subjects with femoral neck fractures.

The effects of operative methods and postoperative care were studied in a series of 87 patients with femoral neck fractures. Thirty nine patients were treated with the Thompson endoprosthesis and 48 with internal fixation. Half of the patients in both groups were given the routine postoperative physical therapy of the department and the other half intensive physical therapy. The patients' mean age was 73 years, and 75% of the patients were women. The patients fitted with a prosthesis were mobilised better than patients following internal fixation. The clinical results in the cases who had received intensive physical therapy and those given routine physical therapy did not differ during the postoperative follow-up period of 9 weeks. The patients' age did not influence recovery. Mortality during the 3 months of follow-up was 11.5%. The mean age of the patients who died was higher than that of the other patients. Wound infections occurred in 7%. The morbidity and mortality rates were the same for both groups. Postoperative mobilisation of elderly patients with femoral neck fractures causes a great deal of work to the nursing staff. Intensified physical therapy did not hasten the patients' recovery in this study.

Aged↗