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Knee rehabilitation

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https://www.readbyqxmd.com/read/28642490/relationship-between-kellgren-lawrence-score-and-3d-kinematic-gait-analysis-of-patients-with-medial-knee-osteoarthritis-using-a-new-gait-system
#1
Xiaolong Zeng, Limin Ma, Zefeng Lin, Wenhan Huang, Zhiqiang Huang, Yu Zhang, Chuanbin Mao
Knee osteoarthritis (KOA) is reported to have characteristic kinematics during walking. However, the relationship between Kellgren-Lawrence (K/L) score and the 3D kinematic gait of patients with medial KOA remains unclear. Here, ninety-seven patients with medial KOA and thirty-eight asymptomatic participants were involved. Patients with medial KOA were divided into early, moderate, and severe KOA based on the K/L score. Through kinematic gait analysis, we found a relationship between K/L score and 3D kinematic gait for patients...
June 22, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28634540/improvement-of-walking-ability-during-postoperative-rehabilitation-with-the-hybrid-assistive-limb-after-total-knee-arthroplasty-a-randomized-controlled-study
#2
Yohei Tanaka, Hiroyuki Oka, Shuichi Nakayama, Takaaki Ueno, Ko Matsudaira, Toshiki Miura, Kiyokazu Tanaka, Sakae Tanaka
OBJECTIVE: We aimed to compare the efficacies of rehabilitation with the hybrid assistive limb and conventional rehabilitation after total knee arthroplasty. MATERIALS AND METHODS: A total of 37 consecutive patients who underwent primary total knee arthroplasty for knee osteoarthritis were enrolled. Seven patients withdrew from the study after randomization, and 30 patients (hybrid assistive limb group: n = 16; conventional group: n = 14) completed the randomized controlled trial...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28634320/comparison-of-2-analgesia-modalities-in-total-knee-replacement-surgery-is-there-an-effect-on-knee-function-rehabilitation
#3
Janis Zinkus, Lina Mockutė, Arūnas Gelmanas, Ramūnas Tamošiūnas, Arūnas Vertelis, Andrius Macas
BACKGROUND We compared the effects of continuous femoral nerve block (CFNB) and continuous intraarticular block (CIAB) on pain, functional recovery and adverse effects after total knee arthroplasty (TKA). MATERIAL AND METHODS We prospectively randomized 54 patients undergoing TKA into 2 groups: CFNB (Group F) and CIAB (Group I). Surgery was performed under spinal anesthesia. All patients received patient-controlled analgesia (PCA) with morphine, diclofenac, and acetaminophen for the first 72 h postoperatively...
June 20, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28630726/the-hapi-hip-arthroscopy-pre-habilitation-intervention-study-does-pre-habilitation-affect-outcomes-in-patients-undergoing-hip-arthroscopy-for-femoro-acetabular-impingement
#4
Louise F Grant, Derek J Cooper, Jon L Conroy
The purpose of this randomized prospective comparative controlled pilot study was to determine whether specific patient exercises done pre-hip arthroscopy surgery for femoro-acetabular impingement affected post-operative recovery. Between October 2013 and June 2014, 6 males and twelve females over the age of eighteen, who were listed for hip arthroscopy for femoro-acetabular impingement, were randomized into two groups. A hip-specific, 8-week home exercise programme was given to the experimental group before their surgery...
January 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28629906/can-bundled-payments-be-successful-in-the-medicaid-population-for-primary-joint-arthroplasty
#5
P Maxwell Courtney, Tori Edmiston, Brian Batko, Brett R Levine
BACKGROUND: Although some bundled payment models have had success in total joint arthroplasty, concerns exist about access to care for higher cost patients who use more resources. The purpose of this study is to determine whether Medicaid patients have increased hospital costs and more resource utilization in a 90-day episode of care than Medicare or privately insured patients. METHODS: We retrospectively reviewed a consecutive series of 7268 primary hip and knee arthroplasty patients at a single institution...
May 25, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28629423/understanding-consumer-and-clinician-preferences-and-decision-making-for-rehabilitation-following-arthroplasty-in-the-private-sector
#6
Mark A Buhagiar, Justine M Naylor, Grahame Simpson, Ian A Harris, Friedbert Kohler
BACKGROUND: To understand private consumer and clinician preferences towards different rehabilitation modes following knee or hip arthroplasty, and identify factors which influence the chosen rehabilitation pathway. METHODS: Mixed methods cross-sectional study involving 95 semi-structured interviews of consumers (patients and carers) and clinicians (arthroplasty surgeons, physiotherapists and rehabilitation physicians) in Sydney, Australia, during 2014-2015. Participants were asked about the acceptability of different modes of rehabilitation provision, and factors influencing their chosen rehabilitation pathway...
June 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28627859/use-of-dynamic-movement-orthoses-to-improve-gait-stability-and-trunk-control-in-ataxic-patients
#7
Mariano Serrao, Carlo Casali, Alberto Ranavolo, Silvia Mari, Carmela Conte, Giorgia Chini, Luca Leonardi, Gianluca Coppola, Cherubino DI Lorenzo, Mahmoud Harfoush, Luca Padua, Francesco Pierelli
BACKGROUND: Patients with cerebellar ataxia show increased upper body movements, which have an impact on balance and walking. AIM: In this study, we investigated the effect of using dynamic movement orthoses (DMO), designed as elastic suits, on trunk motion and gait parameters. DESIGN: A longitudinal uncontrolled study. SETTING: Rehabilitative outpatient unit. POPULATION: Eleven patients (seven men, four women; mean age of 49...
June 19, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28617653/systematic-review-of-the-effect-of-taping-techniques-on-patellofemoral-pain-syndrome
#8
Catherine A Logan, Abhiram R Bhashyam, Ashley J Tisosky, Daniel B Haber, Anna Jorgensen, Adam Roy, Matthew T Provencher
CONTEXT: Taping is commonly used in the management of several musculoskeletal conditions, including patellofemoral pain syndrome (PFPS). Specific guidelines for taping are unknown. OBJECTIVE: To investigate the efficacy of knee taping in the management of PFPS. Our hypothesis was that tension taping and exercise would be superior to placebo taping and exercise as well as to exercise or taping alone. DATA SOURCES: The PubMed/MEDLINE, Cochrane, Rehabilitation and Sports Medicine Source, and CINAHL databases were reviewed for English-language randomized controlled trials (RCTs) evaluating the efficacy of various taping techniques that were published between 1995 and April 2015...
June 1, 2017: Sports Health
https://www.readbyqxmd.com/read/28610968/comparison-of-the-effect-of-sensory-level-and-conventional-motor-level-neuromuscular-electrical-stimulation-on-quadriceps-strength-after-total-knee-arthroplasty-a-prospective-randomized-single-blind-trial
#9
Yosuke Yoshida, Koki Ikuno, Koji Shomoto
OBJECTIVE: To compare sensory-level neuromuscular electrical stimulation (sNMES) and conventional motor- level neuromuscular electrical stimulation (mNMSE ) in patients after total knee arthroplasty (TKA). DESIGN: A prospective randomized single-blind trial. SETTING: A hospital total arthroplasty center: inpatients. PARTICIPANTS: Patients with osteoarthritis (N=66, 85% women, mean age 73.5±6.3y) were randomized to receive either sNMES applied to the quadriceps (the sNMES group), mNMES (the mNMES group), or no stimulation (the Control group) in addition to a standard rehabilitation program...
June 10, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28608009/clinical-outcomes-of-extra-articular-tenodesis-anterolateral-reconstruction-in-the-acl-injured-knee
#10
REVIEW
Bertrand Sonnery-Cottet, Nuno Camelo Barbosa, Thais Dutra Vieira, Adnan Saithna
PURPOSE: The role of concomitant extra-articular procedures in improving the outcome of ACL reconstruction has experienced a recent resurgence in interest. The aim of this article is to highlight the differences in philosophies and outcomes of historical lateral extra-articular tenodesis (LET) and contemporary, anterolateral reconstruction. METHODS: A narrative review was performed using PubMed/MEDLINE using the keywords "lateral extra-articular tenodesis" and "anterolateral ligament reconstruction"...
June 12, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28607522/agreement-between-fragility-fracture-risk-assessment-algorithms-as-applied-to-adults-with-chronic-spinal-cord-injury
#11
T Cervinka, C L Lynch, L Giangregorio, J D Adachi, A Papaioannou, L Thabane, B C Craven
STUDY DESIGN: Cross-sectional. OBJECTIVES: The objective of the study was to determine and report agreement in fracture risk stratification of adults with spinal cord injury (SCI) using (1) Canadian Association of Radiologists and Osteoporosis Canada (CAROC) and Canadian Fracture Risk Assessment (FRAX) tools with and without areal bone mineral density (aBMD) and (2) SCI-specific fracture thresholds. SETTING: Tertiary rehabilitation center, Ontario, Canada...
June 13, 2017: Spinal Cord
https://www.readbyqxmd.com/read/28605314/the-validity-and-reliability-of-knee-proprioception-measurement-performed-with-inclinometer-in-different-positions
#12
Sinem Suner-Keklik, Gamze Cobanoglu-Seven, Nihan Kafa, Mustafa Ugurlu, Nevin Atalay Guzel
CONTEXT: Proprioception is the basic element of the spontaneous control of movement, balance and joint stability. Therefore, it is necessary for the execution of walking and daily and sport activities. Loss of proprioception of the knee, which may cause a new injury, is important to evaluate the position sense of the joint during the rehabilitation period. However, the evaluation methods that are used are very expensive, complicated and non-portable, or the measuring method is difficult to implement...
June 12, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28605231/a-comparison-of-both-motorized-and-non-motorized-treadmill-gait-kinematics-to-overground-locomotion
#13
Adam M Fullenkamp, Danilo V Tolusso, C Matthew Laurent, Brian M Campbell, Andrea E Cripps
CONTEXT: Motorized treadmills (MT) present an altered motor task compared to overground (OG) locomotion in that MT belt surfaces are motor-driven, whereas individuals walking/running OG must propel themselves. A possible solution may lie with novel non-motorized treadmill (NMT) devices as the belt surface is propelled by the user. OBJECTIVE: The purpose of this study was to compare gait performance during both MT and NMT locomotion to OG. DESIGN: Crossover study...
June 12, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28605148/effects-of-a-dynamic-core-stability-programme-on-the-biomechanics-of-cutting-manoeuvres-a-randomised-controlled-trial
#14
Enda F Whyte, Chris Richter, Siobhan O'Connor, Kieran A Moran
Deficits in trunk control predict ACL injuries which frequently occur during high risk activities such as cutting. However, no existing trunk control/core stability programme has been found to positively affect trunk kinematics during cutting activities. This study investigated the effectiveness of a 6-week dynamic core stability programme (DCS) on the biomechanics of anticipated and unanticipated side and crossover cutting manoeuvres. Thirty-one male, varsity footballers participated in this randomised controlled trial...
June 12, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28602934/biomechanical-factors-associated-with-pain-and-symptoms-following-anterior-cruciate-ligament-injury-and-reconstruction
#15
Aisia Azus, Hsiang-Ling Teng, Lauren Tufts, Daniel Wu, C Benjamin Ma, Richard B Souza, Xiaojuan Li
BACKGROUND: Few studies have investigated the associations between patient-reported outcome and gait in patients with anterior cruciate ligament (ACL) injury and reconstruction over time. Because there is an association between ACL rupture and the presence of osteoarthritis later in life, a better understanding of these relationships will help to elucidate how patients' gait pattern may affect pain and symptoms, potentially leading to better treatment for or preventing the development of knee OA...
June 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28599157/comparison-in-three-dimensional-gait-kinematics-between-young-and-older-adults-on-land-and-in-shallow-water
#16
Khalid Abdul Jabbar, Shigetada Kudo, Kee Wee Goh, Ming Rong Goh
This study investigated in three-dimensional space, firstly whether the aquatic medium and secondly ageing, had any effect on the lower limb's joint angles during aquatic-based gait. Three-dimensional joint kinematics of the lower limb of 51 healthy male participants [25 young group (24.6±4.9 years, 172.1±5.5cm, 69.8±10.3kg) and 26 older group (58.5±5.1 years, 167.9±5.1cm, 70.8±12.1kg)] were quantified during land and shallow water walking. Participants walked at their self-selected comfortable speed in both mediums...
May 20, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28597708/balance-and-walking-performance-are-improved-after-resistance-and-aerobic-training-in-persons-with-chronic-stroke
#17
Caroline Lund, Ulrik Dalgas, Therese Koops Grønborg, Henning Andersen, Kåre Severinsen, Morten Riemenschneider, Kristian Overgaard
PURPOSE: To investigate the effect of different types of physical training on balance performance and whether improved balance correlates with improved walking performance. METHODS: Forty eight participants with chronic stroke were randomly assigned to aerobic training on cycle ergometer (AT-group), resistance training of the lower extremities (RT-group), or sham training of upper extremities (ST-group). Participants exercised 3 d/week for 12 weeks. Balance (Berg Balance Scale), peak oxygen uptake rate, isometric knee extensor strength, maximal gait speed, and 6 minute walk test were measured at baseline and after 12 weeks...
June 9, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28597696/-not-always-a-straight-path-patients-perspectives-following-anterior-cruciate-ligament-rupture-and-reconstruction
#18
Sarah M Scott, Meredith A Perry, Gisela Sole
PURPOSE: To explore patients' perspectives following anterior cruciate ligament rupture and subsequent reconstructive surgery. METHODS: A qualitative study design was employed, using validated questionnaires, interviews and general inductive methodology. Semi-structured interviews were conducted with five men and four women who had undergone an anterior cruciate ligament reconstruction in the past 6-36 months. Participants completed the Knee Osteoarthritis Outcome Score and the Tegner Activity Score...
June 9, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28593015/target-range-of-motion-for-rehabilitation-after-total-knee-arthroplasty
#19
Hirotaka Mutsuzaki, Ryoko Takeuchi, Yuki Mataki, Yasuyoshi Wadano
Objective: Postoperative knee range of motion (ROM) is among the most important factors influencing patient satisfaction after total knee arthroplasty (TKA). The purpose of this study was to clarify the time course of improvement in knee ROM up to 12 months after TKA, including intraoperative knee ROM after implantation, and to clarify a target ROM for rehabilitation after TKA. Patients and Methods: In total, 39 knee joints in 26 patients with osteoarthritis who underwent TKA (retaining the posterior cruciate ligament) were evaluated...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28590385/post-discharge-care-duration-charges-and-outcomes-among-medicare-patients-after-primary-total-hip-and-knee-arthroplasty
#20
Karthikeyan E Ponnusamy, Zan Naseer, Mostafa H El Dafrawy, Louis Okafor, Clayton Alexander, Robert S Sterling, Harpal S Khanuja, Richard L Skolasky
BACKGROUND: In April 2016, the U.S. Centers for Medicare & Medicaid Services initiated mandatory 90-day bundled payments for total hip and knee arthroplasty for much of the country. Our goal was to determine duration of care, 90-day charges, and readmission rates by discharge disposition and U.S. region after hip or knee arthroplasty. METHODS: Using the 2008 Medicare Provider Analysis and Review database 100% sample, we identified patients who had undergone elective primary total hip or knee arthroplasty...
June 7, 2017: Journal of Bone and Joint Surgery. American Volume
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