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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A review of the effects of nutritional supplements on muscle strength and endurance in athletes

Fadli Ihsan, Ahmad Nasrulloh

Fadli Ihsan, Ahmad Nasrulloh – A review of the effects of nutritional supplements on muscle strength and endurance in athletes. Fizjoterapia Polska 2023; 23(2); 138-147

DOI: https://doi.org/10.56984/8ZG0DF3B8

Abstract
Athletes widely use nutritional supplements to increase muscle strength and endurance. This review aims to summarize the effects of commonly used dietary supplements on muscle strength and endurance in athletes. A literature search identified several dietary supplements studied for their impact on muscle performance, including protein supplements, creatine, beta-alanine, branched-chain amino acids (BCAAs), caffeine, nitrates, and vitamins and minerals. The review discussed the mechanisms by which this supplement affects muscle strength and endurance. The review methodology includes a systematic literature search, study selection, and data analysis. The review summarizes the effects of each type of supplement on muscle strength and endurance based on the available literature. The discussion includes an overview of the effectiveness and safety of using nutritional supplements to increase muscle strength and endurance in athletes, as well as limitations of studies reviewed and directions for future research. In conclusion, this review highlights the importance of choosing the right and safe nutritional supplements to improve muscle performance in athletes.
Keywords
nutritional, supplements, muscle strength, endurance
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Carry over effect of different cervical mobilization techniques on shoulder muscle strength in rotator cuff tendinitis patients: A randomized control trial

Noha Elserty, Dina Othman Shokri Morsigalal, Shaima M. Abdelmageed, Eman Wagdy, Rania Reda Mohamed


Noha Elserty, Dina Othman Shokri Morsigalal, Shaima M. Abdelmageed, Eman Wagdy, Rania Reda Mohamed – Carry over effect of different cervical mobilization techniques on shoulder muscle strength in rotator cuff tendinitis patients: A randomized control trial. Fizjoterapia Polska 2022; 22(3); 130-137

DOI: https://doi.org/10.56984/8ZG1420LR

Abstract
Objective. To study if different cervical mobilizations have a long-term effect on pain relief and strengthening of external rotators and abductors in rotator cuff tendinitis. Method. Seventy-five patients with rotator cuff tendinitis were recruited from outpatient clinic, with age ranged from 25 to 40 years. Group A: C5-6 antero-posterior cervical mobilization and ultrasound therapy. Group B: C5-6 lateral glide cervical mobilization and Ultrasound. Group C: C5-6 Postero-anterior cervical mobilization and US. The Visual Analogue Scale measured pain severity level and Lafayette Manual Muscle Tester measured shoulder external rotators and abductors isometric muscle strength. Results. The Wilcoxon test revealed a statistically significant difference in shoulder external rotators, abductors strength, and pain reduction between pre, immediate post-mobilization, 10 minutes post-mobilization, and 30 minutes post-mobilization within the three groups. But, the immediate post-mobilization and 10 minute post-mobilization median values of external rotators were statistically significant differences among the three groups, while the 30 minute post-mobilization median values of external rotators were not. For Abductors: Among the three groups, there were no statistically significant differences in abductors’ immediate post-mobilization, 10 minute post-mobilization, or 30 minute post-mobilization, but there were statistically significant differences in pain scores immediate post-mobilization, 10 minute post-mobilization, and 30 minute post-mobilization. Conclusion. The study found that all three kinds of cervical mobilization are useful in reducing pain and strengthening the external rotators and abductors muscles and that the most effective method is antero-posterior in treating rotator cuff tendinitis.

Key words:
lateral glide, antero-posterior mobilization, postero-anterior glide, muscle strength, rotator cuff tendinitis

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Neuromobilization in the treatment of post-traumatic lumbo-sacral pain: a case study

Janusz Boczar, Łukasz Wojtyczek

Janusz Boczar, Łukasz Wojtyczek – Neuromobilization in the treatment of post-traumatic lumbo-sacral pain: a case study. Fizjoterapia Polska 2003; 3(4); 384-386

Abstract

Background. The purpose of this article is to present the neuromobilization technique as a useful procedure in physical therapy. Material and methods. The paper presents a case study of a male patient who was treated at the Subcarpathian Hospital in Krosno, Poland. In addition to various kinds of PT procedures, the neuromobilization technique was implemented in treatment. Results. We noted improvement in range of movement and muscle strength, and decreased pain after treatment. The patient regained a very high functional status. Conclusions. Neuromobilization is a successful method when used to treat patients with neurobiomechanical problems, and should be implemented in regular physiotherapy.

Key words:
range of movement, muscle strength, physical therapy, fracture of the sacrum
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Outcome of early rehabilitation with continous passive motion for patients recovering from surgical reconstruction of the knee due to degenerative changes. A preliminary report

Magdalena Wilk, Bogusław Frańczuk, Rafał Trąbka, Wojciech Szwarczyk

Magdalena Wilk, Bogusław Frańczuk, Rafał Trąbka, Wojciech Szwarczyk – Outcome of early rehabilitation with continous passive motion for patients recovering from surgical reconstruction of the knee due to degenerative changes. A preliminary report. Fizjoterapia Polska 2004; 4(2); 163-166

Abstract

Background. Due to the increasing number of surgical knee constructions, there is a constant search for new solutions in surgical techniques and rehabilitation methods. The goal of rehabilitation is to enable the patient to return to normal activities of daily living and recover functional independence as soon as possible. Continuous passive motion (CPM) is one of the methods currently used for patients recovering from surgical reconstruction of the knee. Material and methods. Our research involved 60 patients who had received total endoprostheses due to degenerative changes in the knee, divided at random into two groups. Both groups received the same rehabilitation program except for CPM, which was applied only in group I. All patients were examined twice (before and after surgery) to measure body mass, range of movement in the knee joints (using a Sanders digital inclinometer), and muscle strength in the femoral quadriceps. Results. The outcome was more favorable in group I, where CPM was used, both in terms of the average range of movement and on the VAS scale. The patients in group I also reported greater satisfaction. CPM applied in early rehabilitation for this patients accelerates the recovery process. Conclusions. The introduction of CPM in the early post-surgery period contributes to shortening recover time, increases the range of movement in the operated knee, reduces pain and tension in soft tissues, facilitates healing, and accelerates the resorption of hematomas.

Key words:
total endoprosthesis, range of movement, muscle strength
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The impact of local cryotherapy on motor capacity in patients with rheumatoid arthritis

Wojciech Romanowski, Anna Straburzyńska-Lupa, Agnieszka Romanowska, Zbigniew Świetlik, Roman Lorenc

Wojciech Romanowski, Anna Straburzyńska-Lupa, Agnieszka Romanowska, Zbigniew Świetlik, Roman Lorenc – The impact of local cryotherapy on motor capacity in patients with rheumatoid arthritis. Fizjoterapia Polska 2004; 4(4); 355-360

Abstract

Background. The aim of our study was to assess the impact of local cryotherapy on the motor capacity of patients with rheumatoid arthritis (RA). Material and methods. 74 women with RA and synovitis of the knee were divided into two groups: the first was treated with local cryotherapy, and the second with an impulse electromagnetic field. Muscle strength, the 50-meter walking test, and joint mobility were estimated. Results. In both groups statistical improvement was achieved in the measured parameters. Conclusions. Local cryotherapy is an effective method of treatment for patients with RA.

Key words:
impulse electromagnetic fields, joint mobility, muscle strength
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Evaluation of the effectiveness of Tolpa Physioactive Gel in patients with osteoarthritis

Krzysztof Borysewicz, Czesław Jezierski, Jacek Szechiński, Renata Kuliś-Orzechowska

Krzysztof Borysewicz, Czesław Jezierski, Jacek Szechiński, Renata Kuliś-Orzechowska – Evaluation of the effectiveness of Tolpa Physioactive Gel in patients with osteoarthritis. Fizjoterapia Polska 2004; 4(4); 349-354

Abstract

Background. The goal of our research was to evaluate the application of Tolpa Physioactive Gel in the treatment of osteoarthritis in peripheral joints. Material and methods. Two cycles of physicotherapy were performed on patients with osteoarthritis of the knee or hip joints. The first cycle was performed with an active substance, Tolpa Physioactive Gel, while the second was performed with a placebo. We assessed the following parameters: range of movement in the affected joint, the WOMAC Scale, the Visual Assessment Scale (VAS) for pain, the Likert scale, and an attempt to walk on a flat surface. Results. Subjectively there was greater improvement after application of Tolpa Physioactive Gel, as assessed on the WOMAC, VAS, and Likert scales. The examiners agreed that improvement was achieved in all patients in respect to range of movement in the affected joints and muscle strength after rehabilitation procedures, both with the physioactive gel and the placebo. Conclusions. Tolpa physioactive gel can be used effectively during iontophoresis in the treatment of patients with osteoarthritis.

Key words:
physicotherapy, pain management, range of movement, muscle strength, iontophoresis
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Effect of preoperative graduated abdominal exercises and russian stimulation on muscle strength after abdominoplasty: A randomized controlled trial

Mahmoud Ewidea, Ayman M. Elmakaky, Faten Ali, Mohamed Y. Abdelhamid Abdelsamee

Mahmoud Ewidea, Ayman M. Elmakaky, Faten Ali, Mohamed Y. Abdelhamid Abdelsamee – Effect of preoperative graduated abdominal exercises and russian stimulation on muscle strength after abdominoplasty: A randomized controlled trial. Fizjoterapia Polska 2021; 21(1); 158-163

Abstract
Objectives. To investigate the effect of preoperative graduated abdominal exercises and Russian stimulation on the strength of abdominal muscles after abdominoplasty. Methods. Sixty patients before abdominoplasty were enrolled in this study after the assessment of their eligibility, their age ranged from 20 to 45 years, they were randomly distributed into four equal groups. The ultrasonography was used to evaluate abdominal muscle thickness as an indicator for muscle strength on 4 occasions, initial assessment, pre-operative assessment, 2 Months post-operative assessment, and finally 4 Months post-operative assessment. For study group (A); received only graduated abdominal exercises, group (B); received only Russian stimulation on abdominal muscles, group (c); received graduated abdominal exercises and Russian stimulation on abdominal muscles, all participants in the study groups received the treatment protocol for 30 min., 3 times/week for 6 successive weeks preoperatively for control group (D); were instructed to presume in normal activities of daily living preoperatively. Results. Post-treatment findings, revealed a statistically significant increase in abdominal muscle strength preoperatively and postoperatively in the three study groups compared to the control group in favor of group C. Conclusion. The pre-operative graduated abdominal exercises and Russian current stimulation has a significant effect in strengthening abdominal muscles after abdominoplasty.
Key words:
abdominoplasty, abdominal exercises, ultrasonography, muscle strength, russian stimulation
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