Effect of Accelerated Rehabilitation with Anti-Gravity Treadmill Program : Isokinetic Myofuction and Functional Score of Knee Joint, ROM, and VAS Score in Meniscus Repair Patients

Anti-Gravity Treadmill Program을 적용한 가속재활의 효과 : 반월상연골 봉합술 환자의 슬관절 등속성 근기능 및 기능점수와 관절의 가동범위, 통증지수

  • Received : 2016.07.06
  • Accepted : 2016.08.11
  • Published : 2016.08.31


This study was conducted to investigate the effects of participation in the accelerated rehabilitation with an anti-gravity treadmill program for 16 weeks on isokinetic myofunction and functional score of knee joint, ROM, and VAS score in meniscus repair patients. A total of 10 male adult patients who underwent meniscus repair by the same doctor were investigated in this study. Both extension and flexion peak torque at $60^{\circ}/sec$ and $180^{\circ}/sec$ significantly increased (p<0.001, p<0.01), while under muscle deficit, extension and flexion peak torque at $60^{\circ}/sec$ and extension peak torque at $180^{\circ}/sec$ significantly decreased (p<0.01, p<0.05). ROM in extension significantly decreased (p<0.05), whereas ROM in flexion significantly increased (p<0.01) in response to the program. VAS score significantly decreased (p<0.001) and lysholm scores significantly increased after completion of the program (p<0.001). These results suggest that 16 weeks of the anti-gravity treadmill accelerated rehabilitation program improves isokinetic muscle strength and functional score of knee joint, ROM, and VAS score in meniscus repair patients. Therefore, the anti-gravity treadmill accelerated rehabilitation program, which is a more scientific and effective method than conventional rehabilitation, leads to faster recovery of paly ground and normal daily activities.


Accelerated rehabilitaion;Anti-gravity treadmill;Isokinetic muscle strength;Lysholm score;Meniscus repair;ROM;VAS score


  1. B. B. Seedhom, D. Dowson, V. Wright, " Proceedings: functions of the menisci. A preliminary study", Annals of the rheumatic diseases, vol. 33, no. 1, p. 111, 1974. DOI:
  2. A. Hede, D. B. Jensen, P. Blyme, "Epidemiology of meniscal lesions in the knee: 1215 open operations in Copenhagen 1982-84", Acta orthopaedica scandinavica, vol. 61 no. 5, pp. 435-437, 1990. DOI:
  3. R. Verdonk, P. Verdonk, W. Huysse, R. Forsyth, E. L. Heinrichs, "Tissue ingrowth after implantation of a novel, biodegradable polyurethane scaffold for treatment of partial meniscal lesions", The American journal of sports medicine, vol. 39, no. 4, pp. 774-782, 2011. DOI:
  4. W. S. Cho, M. Y. Kim, K. C. Lee, H. Jung, S. W. Lee, "Sports injury around knee joint" The Korean Journal of Sports Medicine, vol. 23, no. 1, pp. 24-29, 2005.
  5. E. Englund, "The role of the meniscus in osteoarthritis genesis", Rheumatic disease clinics of North America, vol. 34, no. 3, pp. 573-579, 2008.
  6. J. J. Fazalare, K. R. McCormick, D. B. Babins, "Meniscal repair of the knee", Orthopedics, vol. 32, no. 3, pp. 199, 2009. DOI:
  7. W. D. Cannon, C. D. Morgan, "Meniscal repair: Arthroscopic repair techniques", Instructional course lectures, vol. 43, pp. 77-96, 1994.
  8. C. D. Morgan, S, W. Casscells, "Arthroscopic meniscus repair : A safe approach to the posterior horns", Arthroscopy, vol. 2, no. 1, pp. 3-12, 1986. DOI:
  9. Brotzman SB, Wilk KE., Clinical Orthopaedic Rehabilitation. second edition, Philadelphia:Mosby, 315-319, 2002.
  10. K. D. Shelbourne, D. V. Patel, W. S. Adsit, D. A. Porter, "Rehabilitation after meniscal repair", Clinics in sports medicine, vol. 15, no. 3, pp. 595-612, 1996.
  11. M. K. Kim, S. K. Lee, S. Y. Jung, H. Y. Jo, J. W. Jang, "Effect of the Point in Time of Rehabilitation on Knee Joint Myofunction and Functional Score with Meniscus Repair", Journal of Sport and Leisure Studies, vol. 38, no. 2, pp. 1049-1058, 2009.
  12. J. C. Lee, "The effect of rehabilitative exercise on musculoarticular, proprioceptive functions and Lysholm score in athletes with meniscus repair", Journal of coaching development, vol. 8, no. 4, pp. 219-227, 2006.
  13. A. Saxena, A. Granot, "Use of an Anti-Gravity Treadmill in the Rehabilitation of the Operated Achilles Tendon: A Pilot Study", The journal of foot and ankle surgery, vol. 50, no. 5, pp. :558-561, 2011.
  14. M. N. Moore, C. Vandenakker-Albanese, M. D. Hoffman, "Use of partial body-weight support for aggressive return to running after lumber disk herniation: A case report", Archives of physical medicine and rehabilitation, vol. 91, no. 5, pp. 803-805, 2010. DOI:
  15. M. Mikami, K. Fukuhara, T. Kawae, H. Kimura, M. Ochi, "The effect of anti-gravity treadmill training for prosthetic rehabilitation of a case with below-knee amputation", Prosthetics and orthotics international, vol. 39, no. 6, pp. 502-506, 2015. DOI:
  16. M. M. Reinold, K. E. Wilk, "Meniscus repair", 2002. DOI:
  17. M. Lind, T. Nielsen, P. Fauno, B. Lund, S. E. Christiansen, "Free rehabilitation is safe after isolated meniscus repair", The American journal of sports medicine, vol. 41, no. 12, pp. 2753-8, 2013. DOI:
  18. J. Lysholm, J. Gillquist, "Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale", The American journal of sports medicine, vol. 10, no. 3, pp. 150-154, 1982. DOI:
  19. N. H. Choi, J. S. Oh, "Management of Meniscal Injury: Repair, Meniscectomy, and Transplantation", J Korean Orthop Assoc, vol. 46, no. 3, pp. 165-170, 2012. DOI:
  20. T. P. Heckmann, S. D. Barber-Westin, F. R. Noyes, "Meniscal repair and transplantation: Indications, Technique, Rehabilitation, and Clinical Outcome", The Journal of orthopaedic and sports physical therapy, vol. 36, no. 10, pp. 795-814, 2006. DOI:
  21. Brent SB, Kevin EW., Clinical Orthopaedic Rehabilitation. second edition, New York:Mosby, 315-320, 2002.
  22. D. B. Bruce, J. J. Robert, "Anterior cruciate ligament injury rehabilitation in athletes; Biomechanical consideration", Sports medicine, vol. 22, no. 1, pp. 54-64, 1996. DOI:
  23. R. C. Thomas, "Meniscus Repair in 2007", Techniques in Knee Surgery, vol. 6, no. 4, pp. 233-241, 2007. DOI:
  24. F. A. Barber, "Accelerated rehabilitation for meniscus repairs", Arthroscopy, vol. 10, no. 2, pp. 206-210, 1994. DOI:
  25. P. P. Mariani, N, Santori, E. Adriani, M. Mastantuono, "Accelerated rehabilitation after arthroscopic meniscal repair: a clinical and magnetic resonance imaging evaluation", Arthroscopy, vol. 12, no. 6, pp. 680-686, 1996. DOI:
  26. P. Kannus, L. Yasuda, "Peak torque and total work relationship in the muscle offer anterior cruciate ligament injury," Journal of Orthopaedic & Sports Physical Therapy, Vol. 10, No. 3, pp. 97-101, 1992. DOI:
  27. S. G. Kim, J. C. Lee, K. O. An, Y. H. Byun, J. J. Bae, "Rehabilitative exercise program for meniscus repair", Health and Sports Medicine; Official Journal of KACEP, vol. 9, no. 1, pp. 111-120, 2007.
  28. Y. S. Jee, J. C. Lee, J. S. Yang, "The effect of rehabilitative exercise on musculoarticular functions and VAS in athletes with meniscus repair", Journal of coaching development, vol. 8, no. 4, pp. 209-218, 2006.
  29. C. Erggelet, C. Grosse, H. R. Henche, B. De Koning, "Arthroscopic meniscus repair: clinical and isokinetic results", Diagnostic and therapeutic endoscopy, vol. 4, no. 3, pp. 119-125, 1998. DOI:
  30. P. Pabian, W. J. Hanney, "Functional Rehabilitation after Medial Meniscus Repair in a High School Football Quarterback: A Case Report", North American journal of sports physical therapy, vol. 3, no. 3, pp. 161-9, 2008.
  31. S. Keyhani, M. R. Abbasian, N. Siatiri, A. Sarvi, M. M. Kivi, A. A. Esmailiejah, "Arthroscopic meniscal repair: Modified outside-In technique", Archives of bone and joint surgery, vol. 3, no. 2, pp, 104-108, 2015.
  32. S. Javela, R. Sihvonen, H. Sirkeoja, T. Javela, "All-inside meniscal repair with bioabsorbable meniscal screws or with bioabsorbable meniscus arrows", The American journal of sports medicine, vol. 38, no. 11, pp. 2211-2217, 2010. DOI:
  33. P. A. Dowdy, A. Miniaci, S. P. Arnoczky, P. J. Fowler, D. R. Boughner, "The effect of cast immobilization on meniscal healing. An experimental study in the dog", The American journal of sports medicine, vol. 23, no. 6, pp. 721-728, 1995. DOI:
  34. C. D. Morgan, E. M. Wojtys, C. D. Casscells, S. W. Casscells, "Arthroscopic meniscal repair evaluated by secondlook arthroscopy", The American journal of sports medicine, vol. 19, no. 6, pp. 632-637; discussion 637-638, 1991. DOI:
  35. K. E. DeHaven, K. P. Black, H. J. Griffiths, "Open meniscus repair. Technique and two to nine year results", The American journal of sports medicine, vol. 17, no. 6, pp. 788-795, 1989.
  36. D. W. Kim, J. S. Moon, M. G. Kim, J. G. Kim, "Pull-out repair for root tear of medial meniscus", Journal of the Korean Orthopaedic Association, vol. 9, no. 1 pp. 40-44, 2005. DOI:
  37. R. S. Kim, K. J. Cho, D. H. Choi, H. C. Jung, Y. H. Park, "Prognostic Factors Related to Meniscal Healing in Arthroscopic Meniscal Repair", Journal of the Korean Orthopaedic Association, vol. 37, no. 1, pp. 83-88, 2002.
  38. D. W. Jackson, C. A. McDevitt, T. M. Simon, S. P. Arnoczky, E. A. Atwell, N. J. Silvino, " Meniscal transplantation using fresh and cryopreserved allografts. An experimental study in goats", The American journal of sports medicine, vol. 20, no. 6, pp. 644-656, 1992. DOI:
  39. S. W. Han, "Effects of Backward Walking and Neuromuscular Electrical Stimulation on Muscle Function, Functional Capacity, and Pain in Patients with Patellofemoral Pain Syndrome", Graduate School, Korea University, 2003.
  40. J. Takacs, J. R. S. Leiter, J. D. Peeler, "Novel Application of Lower Body Positive-Pressure in the Rehabilitation of an Indi vidual with Multiple Lower Extremity Fractures", Journal of rehabilitation medicine, vol. 43, no. 7, pp. 653-656, 2011. DOI:
  41. J. Takacs, J. E. Anderson, J. R. S. Leiter, P. B. MacDonald, J. D. Peeler, "Lower body positive pressure: an emerging technology in the battle against knee osteoarthritis", Clinical interventions in aging, vol. 8, pp. 983-991, 2013.


Grant : BK21플러스

Supported by : 단국대학교(천안캠퍼스)