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Osteoarthritis and exercise

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https://www.readbyqxmd.com/read/29146385/cross-cultural-adaptation-and-implementation-of-good-life-with-osteoarthritis-in-denmark-gla-d-tm-group-education-and-exercise-for-hip-and-knee-osteoarthritis-is-feasible-in-canada
#1
Aileen M Davis, Deborah Kennedy, Rosalind Wong, Susan Robarts, Søren T Skou, Rhona McGlasson, Linda C Li, Ewa Roos
OBJECTIVE: Adapt and evaluate the feasibility of implementing Good Life with osteoArthritis in Denmark (GLA:D(TM)) in Canada for people with mild to severe hip/knee osteoarthritis. METHODS: Patients triaged to non-surgical management participated in two education sessions and 12 supervised, neuromuscular exercise classes. We used the RE-AIM implementation framework evaluating outcomes of Reach, Effectiveness/Efficacy, Adoption, Implementation and Maintenance. Patients completed surveys pre-program and at 3 months follow-up...
November 13, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29133185/squatting-re-education-with-lumbo-pelvic-thigh-muscles-cocontraction-improves-functional-performance-in-patellofemoral-pain-syndrome-a-case-report
#2
Nagarajan Manickaraj
Anterior knee pain with or without joint crepitus during squatting is the common clinical feature in the individuals with patellofemoral pain syndrome (PFPS). Altered lower extremity alignment and lumbo-pelvic-thigh muscles motor control is often associated with PFPS. Although current interventions recommend individual muscle activation and strength training exercises, the reported benefits of cocontraction based exercises in PFPS is limited. It might be due to the long standing hypothesis that the exercise induced cocontraction of thigh muscles may induce a negative effect by increasing the joint contact forces in individuals with knee osteoarthritis...
November 10, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29129608/no-exacerbation-of-knee-joint-pain-and-effusion-following-preoperative-progressive-resistance-training-in-patients-scheduled-for-total-knee-arthroplasty-secondary-analyses-from-a-randomized-controlled-trial
#3
Birgit Skoffer, Ulrik Dalgas, Thomas Maribo, Kjeld Søballe, Inger Mechlenburg
BACKGROUND: Preoperative progressive resistance training (PRT) is controversial in patients scheduled for total knee arthroplasty (TKA), because of the concern that it may exacerbate knee joint pain and effusion. OBJECTIVE: To examine if preoperative PRT initiated 5 weeks prior to TKA would 1) exacerbate pain and knee effusion, 2) allow a progressively increased training load throughout the training period that would subsequently increase muscle strength. DESIGN: Secondary analyses from a randomized controlled trial...
November 9, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29119193/outpatient-management-of-knee-osteoarthritis
#4
Yiyang Liow, Wilson Wang, Victor Weng Keong Loh
Osteoarthritis of the knee is a common disease that causes significant disability. Most patients can be managed conservatively in the outpatient setting. A small minority require surgery. The cornerstones of treatment are weight loss, exercise and analgesia. Walking aids, medial patellar taping, acupuncture and transcutaneous electrical nerve stimulation are useful management adjuncts. Current evidence does not support routine prescription of glucosamine and chondroitin supplements. Early consultation with an orthopaedic surgeon should be made when conservative measures fail...
October 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/29108873/the-comparison-of-the-effectiveness-of-conventional-therapeutic-exercises-and-pilates-on-pain-and-function-in-patients-with-knee-osteoarthritis
#5
Vahid Mazloum, Pouya Rabiei, Nader Rahnama, Elnaz Sabzehparvar
The aim of this study was to investigate the effectiveness of two different interventions on pain and disability in patients with knee osteoarthritis (KOA). Forty-one individuals (Mean ± SD: Age 52.1 ± 8.9 years, Height 172.8 ± 6.6 cm, Weight 80.2 ± 6.9 kg) with KOA were randomly allocated into Pilates (N = 14), conventional therapeutic exercise (CTE) (N = 14), and control (N = 13) groups. Joint position sense (JPS), functional performance, pain, and disability were examined using Biodex system, aggregate time of four daily activities, and Lequesne Index...
October 22, 2017: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/29107059/one-year-effectiveness-of-neuromuscular-exercise-compared-with-instruction-in-analgesic-use-on-knee-function-in-patients-with-early-knee-osteoarthritis-the-exerpharma-randomized-trial
#6
A Holsgaard-Larsen, R Christensen, B Clausen, J Søndergaard, T P Andriacchi, E M Roos
OBJECTIVE: To test long-term effectiveness of neuromuscular exercise (NEMEX) with instructions in optimized pharmacological treatment (PHARMA) on activities of daily living (ADL) in patients with early knee osteoarthritis. DESIGN: 12-months follow-up from a randomized controlled trial. Participants with mild-to-moderate medial tibiofemoral knee osteoarthritis were randomly allocated to 8 weeks NEMEX or PHARMA. The primary outcome measure was the ADL-subscale of the Knee Injury and Osteoarthritis Outcome Score (KOOS)...
October 26, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29105234/prevalence-and-characteristics-of-australian-women-aged-45-and-older-who-consult-acupuncturists-for-their-osteoarthritis
#7
Lu Yang, Wenbo Peng, Jon Adams, David Sibbritt
BACKGROUND: There is growing acupuncture use amongst people with osteoarthritis, and acupuncture has been shown to have a positive effect on osteoarthritis. The aim of the study is to identify the characteristics of Australian women who consult acupuncturists for osteoarthritis treatment in order to help inform patients, practitioners and policy makers about the range of health care options accessed by older women with osteoarthritis. METHODS: The research reported here involved participants from a sub-study of the Sax Institute's 45 and Up Study in Australia...
November 3, 2017: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/29096934/a-randomized-trial-of-a-motivational-interviewing-intervention-to-increase-lifestyle-physical-activity-and-improve-self-reported-function-in-adults-with-arthritis
#8
Abigail L Gilbert, Jungwha Lee, Linda Ehrlich-Jones, Pamela A Semanik, Jing Song, Christine A Pellegrini, Daniel Pinto Pt, Dorothy D Dunlop, Rowland W Chang
BACKGROUND: Arthritis is a leading cause of chronic pain and functional limitations. Exercise is beneficial for improving strength and function and decreasing pain. We evaluated the effect of a motivational interviewing-based lifestyle physical activity intervention on self-reported physical function in adults with knee osteoarthritis (KOA) or rheumatoid arthritis (RA). METHODS: Participants were randomized to intervention or control. Control participants received a brief physician recommendation to increase physical activity to meet national guidelines...
October 5, 2017: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/29052519/circuit-training-enhances-function-in-patients-undergoing-total-knee-arthroplasty-a-retrospective-cohort-study
#9
Wei-Hsiu Hsu, Wei-Bin Hsu, Wun-Jer Shen, Zin-Rong Lin, Shr-Hsin Chang, Robert Wen-Wei Hsu
BACKGROUND: The number of patients receiving total knee arthroplasty (TKA) has been rising every year due to the aging population and the obesity epidemic. Post-operative rehabilitation is important for the outcome of TKA. METHODS: A series of 34 patients who underwent primary unilateral TKA was retrospectively collected and divided into either exercise group (n = 16) and control group (n = 18). The exercise group underwent a 24-week course of circuit training beginning 3 months after total knee arthroplasty (TKA)...
October 19, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29044455/use-of-an-app-controlled-neuromuscular-electrical-stimulation-system-for-improved-self-management-of-knee-conditions-and-reduced-costs
#10
Morad Chughtai, Nicholas Piuzzi, George Yakubek, Anton Khlopas, Nipun Sodhi, Assem A Sultan, Salahuddin Nasir, Benjamin S T Yates, Anil Bhave, Michael A Mont
Patients suffering from quadriceps muscle weakness secondary to osteoarthritis or after surgeries, such as total knee arthroplasty, appear to benefit from the use of neuromuscular electrical stimulation (NMES), which can improve muscle strength and function, range of motion, exercise capacity, and quality of life. Several modalities exist that deliver this therapy. However, with the ever-increasing demand to improve clinical efficiency and costs, digitalize healthcare, optimize data collection, improve care coordination, and increase patient compliance and engagement, newer devices incorporating technologies that facilitate these demands are emerging...
October 12, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29037845/implementing-core-nice-guidelines-for-osteoarthritis-in-primary-care-with-a-model-consultation-mosaics-a-cluster-randomised-controlled-trial
#11
K S Dziedzic, E L Healey, M Porcheret, E K Afolabi, M Lewis, A Morden, C Jinks, G A McHugh, S Ryan, A Finney, C Main, J J Edwards, Z Paskins, A Pushpa-Rajah, E M Hay
OBJECTIVE: To determine the effectiveness of a model osteoarthritis consultation, compared with usual care, on physical function and uptake of National Institute for Health and Care Excellence (NICE) osteoarthritis recommendations, in adults ≥45 years consulting with peripheral joint pain in UK general practice. METHOD: Two-arm cluster-randomised controlled trial with baseline health survey. Eight general practices in England. PARTICIPANTS: 525 adults ≥45 years consulting for peripheral joint pain, amongst 28,443 population survey recipients...
October 14, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29032354/exercise-for-hand-osteoarthritis-a-cochrane-systematic-review
#12
Nina Østerås, Ingvild Kjeken, Geir Smedslund, Rikke H Moe, Barbara Slatkowsky-Christensen, Till Uhlig, Kåre Birger Hagen
OBJECTIVE: To assess the benefits and harms of exercise compared with other interventions, including placebo or no intervention, in people with hand osteoarthritis (OA). METHODS: Systematic review using Cochrane Collaboration methodology. Six electronic databases were searched up until September 2015. INCLUSION CRITERIA: randomized or controlled clinical trials comparing therapeutic exercise versus no exercise, or comparing different exercise programs...
October 15, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/29031342/the-competitive-senior-athlete
#13
REVIEW
David A Soto-Quijano
Clinicians should discuss common health issues of the older population and how medical problems affect their sports performance. Patients with chronic conditions, such as hypertension and diabetes mellitus, benefit from participation in sports. However, special care should be taken to keep the patient healthy and minimize effects of these conditions and their treatments in athletic performance. Another important consideration in the older athlete is fluid ingestion and the increased risk of dehydration. There is evidence that physical exercise reduces pain in osteoarthritis and enhances physical function of affected joints...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29020716/improving-joint-pain-and-function-in-osteoarthritis
#14
REVIEW
Claire Owens, Philip G Conaghan
Osteoarthritis has become a major chronic pain condition. It affects more than 10% of adults and accounts for almost 10% of health service resources. The impact of osteoarthritis is amplified by underuse of effective muscle strengthening exercises and a focus on often less effective and poorly tolerated analgesic therapies. Although traditionally considered to be primarily a disease of cartilage, there is now ample evidence that typical clinical osteoarthritis involves multiple tissue pathologies. Increased BMI is associated with a higher incidence of knee osteoarthritis...
December 2016: Practitioner
https://www.readbyqxmd.com/read/28987643/blood-flow-restricted-resistance-training-in-older-adults-at-risk-of-mobility-limitations
#15
Summer B Cook, Dain P LaRoche, Michelle R Villa, Hannah Barile, Todd M Manini
High-load resistance training (HL) may be contraindicated in older adults due to pre-existing health conditions (e.g. osteoarthritis). Low-load blood flow restricted (BFR) resistance training offers an alternative to HL with potentially similar strength improvement. PURPOSE: To compare muscle strength, cross-sectional area (CSA), physical function, and quality of life (QOL) following 12-weeks of HL or BFR training in older adults at risk of mobility limitations. METHODS: Thirty-six males and females (mean: 75...
December 1, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28979857/osteoarthritis-action-alliance-consensus-opinion-best-practice-features-of-anterior-cruciate-ligament-and-lower-limb-injury-prevention-programs
#16
Thomas Trojian, Jeffrey Driban, Rathna Nuti, Lindsay Distefano, Hayley Root, Cristina Nistler, Cynthia LaBella
AIM: To identify best practice features of an anterior cruciate ligament (ACL) and lower limb injury prevention programs (IPPs) to reduce osteoarthritis (OA). METHODS: This consensus statement started with us performing a systematic literature search for all relevant articles from 1960 through January 2017 in PubMed, Web of Science and CINAHL. The search strategy combined the Medical Subject Heading (MeSH) and keywords for terms: (1) ACL OR "knee injury" OR "anterior cruciate ligament"; (2) "prevention and control" OR "risk reduction" OR "injury prevention" OR "neuromuscular training"; and (3) meta-analysis OR "systematic review" OR "cohort study" OR randomized...
September 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28973832/improved-hand-function-self-rated-health-and-decreased-activity-limitations-results-after-a-two-month-hand-osteoarthritis-group-intervention
#17
Linda Bjurehed, Nina Brodin, Ulla Nordenskiöld, Mathilda Björk
INTRODUCTION: Hand Osteoarthritis (hand OA) causes pain, impaired mobility and reduced grip force, which cause activity limitations. Osteoarthritis group interventions in primary care settings are sparsely reported. PURPOSE: To evaluate the effects on hand function, activity limitations and self-rated health of a primary care hand OA group intervention. METHOD: 64 individuals with hand OA agreed to participate, 15 were excluded due to not fulfilling the inclusion criteria...
October 3, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28971551/exercise-induced-effects-on-muscle-function-and-range-of-motion-in-patients-with-hip-osteoarthritis
#18
Theresa Bieler, Volkert Siersma, S Peter Magnusson, Michael Kjaer, Nina Beyer
BACKGROUND AND PURPOSE: Patients with hip osteoarthritis have impairments in muscle function (muscle strength and power) and hip range of motion (ROM), and it is commonly believed that effective clinical management of osteoarthritis should address these impairments to reduce pain and disability. Therefore, the purpose of this study was to compare the short- and long-term effects of 4 months of physiotherapist-supervised strength training, physiotherapist-supervised Nordic Walking (NW), or unsupervised home-based exercise (HBE) on muscle function and hip ROM in patients diagnosed with hip osteoarthritis...
October 3, 2017: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://www.readbyqxmd.com/read/28969626/effects-of-dietary-supplementation-with-a-standardized-aqueous-extract-of-terminalia-chebula-fruit-ayuflex-%C3%A2-on-joint-mobility-comfort-and-functional-capacity-in-healthy-overweight-subjects-a-randomized-placebo-controlled-clinical-trial
#19
RANDOMIZED CONTROLLED TRIAL
H L Lopez, S M Habowski, J E Sandrock, B Raub, A Kedia, E J Bruno, T N Ziegenfuss
BACKGROUND: Joint and connective tissue integrity, comfort and function are paramount to optimal performance in exercise, recreational and occupational activities. The fruit of Terminalia chebula has been used extensively in various traditional health systems for different ailments, with additional preclinical and clinical data demonstrating antioxidant and anti-inflammatory potential. The aim of this study was to evaluate the effects of a standardized aqueous extract of Terminalia chebula fruit (AyuFlex®) dietary supplementation on joint mobility, comfort, and functional capacity in healthy overweight subjects...
October 2, 2017: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/28969226/perilunate-dislocation-case-report-and-review-of-literature
#20
Karthik Subramanian, Bakul Arora, Abhinav Bhatnagar, Imran Jan
Perilunate dislocations are rare injuries comprising of less than 10% of all wrist injuries. These usually occur after high-energy trauma to the wrist. One-fourth (25%) of perilunate dislocations are missed at the initial presentation. We report a case of perilunate dislocation in a patient who presented late, about two months after trauma. He underwent open reduction through a single dorsal approach and internal fixation with K-wires. Aggressive physiotherapy exercises were started after removal of K-wires...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
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