Tag: kelio osteoartritas

Review of systematic reviews on the effects of blood flow restriction training on knee osteoarthritis patients

Ahmed Abdelmoniem Ibrahim, Shammaa Homoud H Alsroor, Mashael Jarallah A Alshammari,Khalid Ayad S Alanazi, Amany Raafat Mohamed, Hisham Mohamed Hussein

Ahmed Abdelmoniem Ibrahim et al. – Review of systematic reviews on the effects of blood flow restriction training on knee osteoarthritis patients –  Fizjoterapia Polska 2024; 24(4); 379-384

DOI: https://doi.org/10.56984/8ZG01A8R3T9

Abstract
Objectives. A review of the systematic reviews designed to assess the overall certainty in the evidence for the effect of blood flow restriction training (BFRT) in patients with knee osteoarthritis (OA).
Methods. A systematic search identified systematic reviews using BFRT in knee osteoarthritis OA. Two authors searched five electronic databases, including Google Scholar, Cochrane Library, PubMed, PEDro, and CINAHL, from October 2010 to October 2023. The quality of included reviews was analyzed by the AMSTAR tool.
Results. Six systematic reviews were eligible, and 33 randomized controlled trials (RCTs) with a total of 1248 participants were included. The quality varied from moderate to high, and results showed minimal enhancement in pain, physical function, and life quality.
Conclusion. The synthesis of the reviews has shown some potential improvement in OA patient outcomes. BFRT can be beneficial in OA rehabilitation, and the findings suggest conducting a higher-quality review to explore the use of BFRT with different loads.
Key words
knee osteoarthritis, training, blood flow restriction, review, AMSTAR
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Gender differences in effects of Graston technique, active release technique, and PNF stretching on hamstring flexibility in knee osteoarthritis

Um Habiba, Aisha Razzaq, Tahir Masood, Suman Sheraz

Um Habiba, Aisha Razzaq, Tahir Masood, Suman Sheraz – Gender differences in effects of Graston technique, active release technique, and PNF stretching on hamstring flexibility in knee osteoarthritis –  Fizjoterapia Polska 2024; 24(4); 202-206

DOI: https://doi.org/10.56984/8ZG01A8Z2Q9

Abstract
Aims. To seek gender differences among the effects of the Graston Technique (GT), Active Release Technique (ART), and Proprioceptive Neuromuscular Facilitation (PNF) stretching on hamstring flexibility, pain, lower extremity function, and physical function in patients with knee osteoarthritis.
Materials and methods. A multicenter, single-blind randomized controlled trial was conducted involving 45 patients – aged above 30 years with knee osteoarthritis – randomly allocated to three equal groups: Group-A (GT), Group-B (ART), and Group C (PNF). Each group received 12 physiotherapy sessions over a four-week intervention period (3 visits per week). Data were collected before and after rehabilitation using the Numeric Pain Rating Scale, Active Knee Extension Test, Lower Extremity Function Scale, and Western Ontario and McMaster Universities Arthritis Index (WOMAC).
Results. A statistically significant interaction between the effects of gender and Active Release Technique on lower extremity function was present (p < 0.001) with males (42.4 ± 2.2) showed more improvement than females (35.6 ± 6.6). On the contrary, females showed more improvement (p < 0.001) than males when Graston Technique and PNF techniques were applied.
Conclusion. There were no significant gender-based differences among GT, ART, and PNF regarding pain, hamstring flexibility and WOMAC score. However, males showed significantly more improvement in lower extremity function than females with ART, and females showed more improvement in lower extremity function as compared to males with GT and PNF.
Keywords
active release technique, graston technique, hamstring flexibility, knee osteoarthritis, proprioceptive neuromuscular facilitation
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Effects of core exercises on knee pain, disability, proprioception, and quadriceps strength in patients with knee osteoarthritis: A randomized controlled trial

Adel Motawea Elsayed Zedan, Mohammed Moustafa Aldosouki Hegazy, Ahmad Hamdi Azzam, Mohammed Shawki Abdelsalam

 

Adel Motawea Elsayed Zedan, Mohammed Moustafa Aldosouki Hegazy, Ahmad Hamdi Azzam, Mohammed Shawki Abdelsalam – Effects of core exercises on knee pain, disability, proprioception, and quadriceps strength in patients with knee osteoarthritis: A randomized controlled trial . Fizjoterapia Polska 2023; 23(4); 98-102

DOI: https://doi.org/10.56984/8ZG20A27A

Abstract
Aim. This pretest-posttest controlled study investigated the effects of core exercises on knee pain, disability, proprioception, and quadriceps strength in patients with knee osteoarthritis (KOA).
Materials and Methods. Eighty patients aged from 40-65 years with mild to moderate KOA were recruited from Cairo University hospitals. They were randomly assigned into two equal groups; group A received core exercises plus conventional exercises and group B received conventional exercises only. Sessions were done 3 times weekly for 4 weeks. Patients were evaluated, pre-and post-treatment, for knee pain (using visual analogue scale), disability (using aggregate locomotor function), proprioception (using inclinometer), and quadriceps strength (using dynamometer).
Results. There were no significant differences between groups post-treatment (p-value > 0.05). There was a significant improvement in quadriceps strength in group (A&B) and pain and disability in group (A) post-treatment (p-value < 0.05).
Conclusions. Adding core exercises to conventional exercises showed a trend towards significance in reducing pain and disability than conventional exercises alone in KOA. On the other hand, conventional exercises with or without core exercises improved quadriceps strength rather than proprioception. Hence, further studies on a larger sample are promising.
Keywords
core exercises, knee pain and function, knee osteoarthritis, knee proprioception, muscle strength
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