keyword
https://read.qxmd.com/read/38479249/late-stage-rehabilitation-after-anterior-cruciate-ligament-reconstruction-a-multicentre-randomised-controlled-trial-prep
#1
JOURNAL ARTICLE
Daniel Niederer, Matthias Keller, Karl-Friedrich Schüttler, Christian Schoepp, Wolf Petersen, Raymond Best, Natalie Mengis, Julian Mehl, Matthias Krause, Sarah Jakob, Max Wießmeier, Lutz Vogt, Lucia Pinggera, Daniel Guenther, Andree Ellermann, Turgay Efe, David A Groneberg, Michael Behringer, Thomas Stein
BACKGROUND: At the completion of formal rehabilitation after anterior cruciate ligament reconstruction, functional capacity is only restored in a small proportion of affected individuals. Therefore, the end of formal rehabilitation is not the end of functional rehabilitation. OBJECTIVE: To compare adherence to and effectiveness of a late-stage rehabilitation programme with usual care after anterior cruciate ligament (ACL) reconstruction. METHODS: This prospective, double-blind, multicentre, parallel group, randomised controlled trial, included people aged 18 to 35 years after formal rehabilitation completion (mean [SD] 241 [92] days post-reconstruction)...
March 12, 2024: Annals of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/38362036/relationship-between-intraoperative-macroscopic-anterior-cruciate-ligament-findings-perioperative-surgical-findings-and-postoperative-clinical-outcome-after-cruciate-retaining-total-knee-arthroplasty
#2
JOURNAL ARTICLE
Tsuneari Takahashi, Ryusuke Ae, Tatsuya Kubo, Yuya Kimura, Mikiko Handa, Katsushi Takeshita
PURPOSE: To assess how intraoperative macroscopical anterior cruciate ligament (ACL) findings affect perioperative procedures, biomarkers, and postoperative anterior-posterior (AP) laxity and range of motion (ROM) after cruciate-retaining (CR) total knee arthroplasty (TKA) and to determine how chronic ACL deficiency may affect postoperative inflammatory biomarker, AP laxity, and ROM. METHODS: A total of 121 patients with varus knee osteoarthritis without a history of ACL injury who underwent ATTUNE® (DePuy Synthes, Warsaw, IN) CR TKA were analyzed...
February 2024: Curēus
https://read.qxmd.com/read/38336528/eliminating-extended-release-opioids-from-a-postoperative-pain-protocol-for-total-knee-replacement-patients
#3
JOURNAL ARTICLE
Anoush Kalachian, Judith Barberio, Jill Cox
PURPOSE: To determine whether the elimination of extended release (ER) opioids in the multimodal medication regimen of total knee replacement (TKR) patients resulted in improved patient outcomes. DESIGN: Retrospective cohort quality improvement. METHODS: This project utilizes a retrospective chart review to evaluate an institution's current postoperative pain protocol. The outcomes of interest include mean hospital length of stay, discharge disposition, mean pain score, antiemetic use, mean opioid dose used, and number of opioid discharge prescriptions...
February 8, 2024: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://read.qxmd.com/read/38158473/magnetic-targeting-of-lornoxicam-spion-bilosomes-loaded-in-a-thermosensitive-in-situ-hydrogel-system-for-the-management-of-osteoarthritis-optimization-in-vitro-ex-vivo-and-in-vivo-studies-in-rat-model-via-modulation-of-rankl-opg
#4
JOURNAL ARTICLE
Basma Ibrahiem, Rehab Shamma, Abeer Salama, Hanan Refai
Osteoarthritis is a bone and joint condition characterized pathologically by articular cartilage degenerative damage and can develop into a devastating and permanently disabling disorder. This investigation aimed to formulate the anti-inflammatory drug lornoxicam (LOR) into bile salt-enriched vesicles loaded in an in situ forming hydrogel as a potential local treatment of osteoarthritis. This was achieved by formulating LOR-loaded bilosomes that are also loaded with superparamagnetic iron oxide nanoparticles (SPIONs) for intra-muscular (IM) administration to improve joint targeting and localization by applying an external magnet to the joint...
December 29, 2023: Drug Delivery and Translational Research
https://read.qxmd.com/read/38118246/peripheral-artery-disease-causes-consistent-gait-irregularities-regardless-of-the-location-of-leg-claudication-pain
#5
JOURNAL ARTICLE
Hafizur Rahman, Todd Leutzinger, Mahdi Hassan, Molly Schieber, Panagiotis Koutakis, Matthew A Fuglestad, Holly DeSpiegelaere, G Matthew Longo, Philippe Malcolm, Jason M Johanning, George P Casale, Iraklis I Pipinos, Sara A Myers
BACKGROUND: The most common symptom of peripheral artery disease (PAD) is intermittent claudication that involves the calf, thigh, and/or buttock muscles. How the specific location of this leg pain is related to altered gait, however, is unknown. OBJECTIVES: We hypothesized that because the location of claudication symptoms uniquely affects different leg muscle groups in people with PAD, this would produce distinctive walking patterns. METHODS: A total of 105 participants with PAD and 35 age-matched older volunteers without PAD (CTRL) were recruited...
December 19, 2023: Annals of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/37883831/effect-of-lower-limb-resistance-training-on-icf-components-in-chronic-stroke-a-systematic-review-and-meta-analysis-of-rcts
#6
REVIEW
Tales Andrade Pereira, Marcos Paulo Braz de Oliveira, Paula Regina Mendes da Silva Serrão, Carolina Tsen, Nataly Barbieri Coutinho, Rubens Vinícius Letieri, Adriana Teresa Silva Santos, Luciana Maria Dos Reis
BACKGROUND: Resistance training (RT) effectively promotes functional independence after stroke. OBJECTIVES: To investigate the effect of lower limb RT on body structure and function (muscle strength, postural balance), activity (mobility, gait) and participation (quality of life, impact of stroke on self-perceived health) outcomes in individuals with chronic stroke. METHODS: Six databases were searched from inception until September 2022 for randomized controlled trials comparing lower limb RT to a control intervention...
October 24, 2023: Annals of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/37795322/the-use-of-elastic-resistance-bands-to-reduce-dynamic-knee-valgus-in-squat-based-movements-a-narrative-review
#7
JOURNAL ARTICLE
Davis A Forman, Shahab Alizadeh, Duane C Button, Michael Wr Holmes
UNLABELLED: An elastic band wrapped around the distal thighs has recently been proposed as a method for reducing dynamic knee valgus (medial movement of the knee joint in the frontal/coronal plane) while performing squats. The rationale behind this technique is that, by using an external force to pull the knees into further knee valgus, the band both exaggerates the pre-existing movement and provides additional local proprioceptive input, cueing individuals to adjust their knee alignment...
2023: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/37720916/conventional-rehabilitation-post-tka-achieves-better-knee-flexion-with-higher-resource-utilization-compared-to-application-based-rehabilitation-a-systematic-review-and-meta-analysis
#8
REVIEW
Arghya Kundu Choudhury, Shivam Bansal, Akash Jain, Balgovind S Raja, Bishwa Bandhu Niraula, Roop Bhushan Kalia
BACKGROUND: Post-operative physiotherapy is a major component of the effectiveness of knee replacement. Adequate rehabilitation protocols are required for better functional outcomes. With the advent of smartphones and smartwatches, the use of telerehabilitation has increased recently. This study aims to compare tele rehabilitation using various mobile-based applications to conventional rehabilitation protocols. METHODS: From Jan 2000 to Jun 2022, all the RCTs from SCOPUS, EMBASE and PUBMED comparing patient-related outcome measures between the smartphone-based app and conventional rehabilitation protocols were scanned and seven studies meeting the eligibility criteria were included in this systematic review and meta-analysis...
October 2023: Journal of Orthopaedics
https://read.qxmd.com/read/37425101/the-evolution-of-rehabilitation-and-return-to-sport-following-cartilage-surgery
#9
JOURNAL ARTICLE
Snehal Patel, William Marrone
UNLABELLED: Rehabilitation after knee cartilage repair or restoration can be a challenging and nuanced process. Historically, conservative rehabilitation protocols have been characterized by limited weightbearing and restricted range of motion (ROM) were created to primarily protect the repaired cartilage but did little for progression into higher level activity. Recent literature has supported accelerated protocols in a variety of cartilage procedures ranging from osteochondral allograft (OCA) Osteochondral autograft surgery (OATS) to matrix-based scaffolding procedures such as Matrix Induced Chondrocyte Implantation (MACI) or Denovo procedures...
2023: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/36843080/cannabis-use-disorder-is-associated-with-shorter-length-of-stay-and-increased-home-discharge-after-primary-total-joint-arthroplasty-a-propensity-weighted-analysis
#10
JOURNAL ARTICLE
Dalia Rahmon, Abdul Kareem Zalikha, Matthew Mazur, Inaya Hajj Hussein, Mouhanad M El-Othmani
INTRODUCTION: Increased legalization of cannabis use across the United States has been correlated with increased cannabis use in the clinical setting. However, little is known regarding the characteristics and postoperative outcomes after primary joint arthroplasty (TJA) for patients with cannabis use disorder (CUD). METHODS: This retrospective cohort study used data from the National Inpatient Sample of patients undergoing primary TJA between 2006 to 2015. Patients were grouped based on presence of concomitant CUD...
February 27, 2023: Arthroplasty
https://read.qxmd.com/read/36793575/my-top-five-concepts-for-selecting-lower-extremity-exercises-for-cruciate-ligament-and-patellofemoral-rehabilitation
#11
JOURNAL ARTICLE
Rafael F Escamilla
This clinical commentary will address five key concepts that can be used by clinicians as criteria for selecting lower extremity weight bearing exercises (WBE) and non-weight bearing exercises (NWBE) employed for cruciate ligament and patellofemoral rehabilitation. The following will be discussed for both cruciate ligament and patellofemoral rehabilitation: 1) Knee loading varies between WBE and NWBE; 2) Knee loading varies with technique variations within WBE and NWBE; 3) Knee loading varies between different WBE; 4) Knee loading varies as a function of knee angle; and 5) Knee loading increases with increased knee anterior translation beyond toes...
2023: International Journal of Sports Physical Therapy
https://read.qxmd.com/read/36763725/alkaline-phosphatase-is-an-independent-risk-factor-for-periprosthetic-fractures-in-total-joint-arthroplasty
#12
JOURNAL ARTICLE
Brandon E Lung, Matthew Kim, Maddison McLellan, Kylie Callan, Edward D Wang, William McMaster, Steven Yang, David H So
BACKGROUND: Serum alkaline phosphatase (ALP) is a biomarker for chronic low-grade inflammation along with hepatobiliary and bone disorders. High abnormal ALP levels in blood have been associated with metabolic bone disease and high bone turnover. METHODS: All primary total hip and knee arthroplasties from 2005 to 2019 were queried from the National Surgical Quality Improvement Program database. Patients with available serum ALP levels were included and stratified to low (<44 IU/L), normal (44 to 147 IU/L), and high (>147 IU/L)...
February 1, 2023: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/36740283/editorial-commentary-there-is-no-standard-for-or-standardization-of-postoperative-rehabilitation-protocols-after-anterior-cruciate-ligament-reconstruction
#13
EDITORIAL
Timothy J Lin
The anterior cruciate ligament (ACL) is the most studied ligament in the knee and one of the most studied topics in orthopaedics, with little consensus on best options for surgical technique or graft choice. While there is little question that physical rehabilitation is one of the most important variables in the episode of care before and after ACL reconstruction (ACLR), recent research surveying orthopaedic surgeons demonstrates no consensus of how to rehab ACLR patients and how to get them to return to sport safely and quickly...
March 2023: Arthroscopy
https://read.qxmd.com/read/36715226/reconsideration-of-return-to-sport-decision-making-after-pediatric-acl-injury-a-scoping-review
#14
REVIEW
Anne Hendrika Johanna Pauw, Tristan Marcel Frank Buck, Alli Gokeler, Igor Joeri Ramon Tak
CONTEXT: Up to 90% of pediatric athletes return to sport (RTS) after anterior cruciate ligament reconstruction (ACL-R); however, <50% RTS at the same level and second ACL injury rates are up to 32%. OBJECTIVES: (1) Determine which physical and patient-reported outcome measures guide clinical decision-making on RTS in pediatric athletes after ACL-R and (2) present a framework with insights from cognitive and neurophysiological domains to enhance rehabilitation outcomes...
January 30, 2023: Sports Health
https://read.qxmd.com/read/36710693/acute-effects-of-an-exercise-based-multimodal-in-patient-rehabilitation-protocol-in-male-knee-osteoarthritis-patients-and-the-two-years-follow-up-sustainability
#15
JOURNAL ARTICLE
Aki Pietsch, Jan Schroeder, Stefan Dalichau, Rüdiger Reer, Daniel Engel, Anette Wahl-Wachendorf, Thomas Solbach, Christopher Edler, Helge Riepenhof
BACKGROUND: Working with lifting and carrying heavy loads and kneeling postures with crawling, squats or heel seat position lead to progressive cartilage wear with premature degenerative changes. OBJECTIVE: To investigate the effects of the exercise based multimodal 'knee college' and its sustainability in patients with knee osteoarthritis with data assessments before and after a starter course, before a 1-year and a 2-year follow-up refresher course in a retrospective observational study...
January 25, 2023: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://read.qxmd.com/read/36691463/preoperative-malnutrition-and-metabolic-markers-may-predict-periprosthetic-fractures-in-total-hip-arthroplasty
#16
JOURNAL ARTICLE
Brandon E Lung, Megan Donnelly, Kylie Callan, Maddison McLellan, Arya Amirhekmat, William C McMaster, David H So, Steven Yang
BACKGROUND: Periprosthetic fractures are a devastating complication of total hip arthroplasty (THA) and are associated with significantly higher mortality rates in the postoperative period. Given the strain that periprosthetic fractures place on the patient as well as the healthcare system, identifying and optimizing medical comorbidities is essential in reducing complications and improving outcomes. METHODS: All THA with primary indications of osteoarthritis from 2007 to 2020 were queried from the National Surgical Quality Improvement Program database...
February 2023: Arthroplasty Today
https://read.qxmd.com/read/36645964/prosthetic-fitting-associated-with-better-survival-at-5-years-after-above-knee-amputation-due-to-vascular-insufficiency
#17
JOURNAL ARTICLE
Alexandre Brügger, François Luthi, Philippe Vuistiner, Stéphane Cherix, Olivier Borens, Sylvain Steinmetz
BACKGROUND: Individuals requiring non-traumatic Gritti-Stokes amputation or mid-thigh amputation usually have multiple comorbidities that place them at high risk of mortality. OBJECTIVE: To determine survival rate 5 years after Gritti-Stokes and mid-thigh amputation in individuals with vascular insufficiency and to identify the predictors of survival. METHODS: We conducted a retrospective observational study including all individuals with vascular insufficiency who underwent amputation from September 2007 to December 2015 in our University Hospital...
January 14, 2023: Annals of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/36459889/functional-recovery-after-total-hip-knee-replacement-in-obese-people-a-systematic-review
#18
REVIEW
Matthieu Courtine, Abderrahmane Bourredjem, Anaïs Gouteron, Isabelle Fournel, Placido Bartolone, Emmanuel Baulot, Paul Ornetti, Pierre Martz
OBJECTIVE: Several studies have investigated the influence of body mass index (BMI) on functional gain after total hip replacement (THR) or total knee replacement (TKR) in osteoarthritis, with contradictory results. This systematic literature review was conducted to ascertain whether obesity affects functional recovery after THR or TKR in the short (<1 year), medium (<3 years) and long term (>3 years). METHODS: The study was registered with PROSPERO and conducted according to the PRISMA guidelines...
November 29, 2022: Annals of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/36434264/harvesting-a-second-graft-from-the-extensor-mechanism-for-revision-acl-reconstruction-does-not-delay-return-of-quadriceps-function
#19
JOURNAL ARTICLE
Joshua C Setliff, Christopher M Gibbs, Volker Musahl, Bryson P Lesniak, Jonathan D Hughes, Stephen J Rabuck
PURPOSE: The purpose of this study was to evaluate whether harvesting a second graft from the ipsilateral extensor mechanism adversely affects clinical outcomes in revision anterior cruciate ligament (ACL) reconstruction. METHODS: A retrospective review of 34 patients undergoing revision anterior cruciate ligament (ACL) reconstruction with either quadriceps tendon (QT) autograft or bone-tendon-bone (BTB) autograft was conducted. Patients with two grafts (BTB+QT) from the extensor mechanism were matched based on age, laterality, and sex to patients who had primary reconstruction with hamstring (HS) autograft followed by revision with either BTB or QT autograft (HS+QT/BTB)...
November 25, 2022: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/36431181/graft-intra-articular-remodeling-and-bone-incorporation-in-acl-reconstruction-the-state-of-the-art-and-clinical-implications
#20
REVIEW
Lorenzo Moretti, Davide Bizzoca, Giuseppe Danilo Cassano, Nuccio Caringella, Michelangelo Delmedico, Biagio Moretti
The knee is one of the most frequently affected joints in sports trauma, and anterior cruciate ligament (ACL) injury and meniscal tears are the most common lesions. ACL reconstruction (ACLR) remains the treatment of choice for patients willing to return to their previous activity. There are different surgical techniques and different possible usable grafts. The graft used for ACLR surgery undergoes a bone incorporation process and an intra-articular remodelling named ligamentization until it reaches characteristics similar to the native ligament...
November 12, 2022: Journal of Clinical Medicine
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