Tag: choroba zwyrodnieniowa stawu kolanowego

Knee stability training exercise versus Biodex balance training on dynamic balance indices in individuals with knee osteoarthritis: A Randomized clinical trial

Yomna F. Ahmed, Marian M. Shafeek, Sarah S. Abdelaziz, Karim Ghuiba, Maha G. Ibrahim


Yomna F. Ahmed, Marian M. Shafeek, Sarah S. Abdelaziz, Karim Ghuiba, Maha G. Ibrahim – Knee stability training exercise versus Biodex balance training on dynamic balance indices in individuals with knee osteoarthritis: A Randomized clinical trial. Fizjoterapia Polska 2023; 23(1); 164-169

DOI: https://doi.org/10.56984/8ZG07B6E6

Abstract
Objective. To compare the impacts of Knee stability training exercise versus Biodex balance training on dynamic balance indices in individuals suffering from knee osteoarthritis. Methods. This randomized, double-blind, pre-post measurement study included forty patients aged 45 to 65 with knee osteoarthritis. They were classified into 2 groups at random: group A (n = 20), which received knee stability training plus strengthening exercise, and group B (n = 20), which received Biodex balance training plus strengthening exercise. The Biodex Balance System and Visual Analog Scale were utilized to quantify dynamic balance indices as well as pain intensity at baseline and four weeks following therapy. Results. Statistically significant differences were reported in the overall stability index (OASI), anterior-posterior stability index (APSI), medial-lateral stability indices (MLSI), and Visual Analogue Scale (VAS) values before and after treatment for group A (p < 0.05) as well as before and after treatment for group B (p < 0.05). Statistically significant differences were reported among the two groups (A & B) regarding the post-treatment values of the OASI, APSI, MLSI, and VAS (p < 0.05). Conclusion. Improvement in all dynamic balance indices and pain was reported after knee stability training exercises and after Biodex balance training, with greater improvement after Biodex balance training.
Keywords
knee osteoarthritis, Biodex Balance System, knee stability training, dynamic balance indices, pain intensity
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Hip abductors versus knee extensors strengthening on quadriceps isometric strength in patients with knee osteoarthritis

Aalaa M. Sweelam, Mohammed M. Hegazy, Ahmad H. Azzam, Mohammed S. Abdelsalam


Aalaa M. Sweelam, Mohammed M. Hegazy, Ahmad H. Azzam, Mohammed S. Abdelsalam – Hip abductors versus knee extensors strengthening on quadriceps isometric strength in patients with knee osteoarthritis. Fizjoterapia Polska 2022; 22(4); 16-20

DOI: https://doi.org/10.56984/8ZG1A6HN3

Abstract
Purpose. To detect effect of hip abductors against quadriceps exercises on quadriceps isometric strength in Knee OA individuals.
Methods. Seventy patients with bilateral knee OA were recruited , ages ranged between 50-70 years. They were randomized into equal groups; hip abductors strengthening exercises (HAS) group and knee extensors strengthening (KES) group. Both groups received hamstring stretch. Duration was 6 weeks (2 sessions per week). Baseline and 6 weeks assessments of quadriceps isometric strength were done using hand held dynamometer.
Results. there wasn’t any statistical significant difference between the two groups.
Conclusion. Both forms of exercises have the same effect on quadriceps isometric strength.

Key words:
knee osteoarthritis, hip abductors, quadriceps

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Static Magnetic Stimulation Versus Conventional Treatment on Cross Sectional Area of Quadriceps Muscle in Knee Osteoarthritis Patients: A Randomized Controlled Study

Haytham M. Elhafez, Sohier S. Rizkallah, Magda R. Zahran, Doaa S. Mostafa, Ahmed F Geneidy

Haytham M. Elhafez, Sohier S. Rizkallah, Magda R. Zahran, Doaa S. Mostafa, Ahmed F Geneidy – Static Magnetic Stimulation Versus Conventional Treatment on Cross Sectional Area of Quadriceps Muscle in Knee Osteoarthritis Patients: A Randomized Controlled Study. Fizjoterapia Polska 2021; 21(2); 216-222

Abstract
Background. Quadriceps femoris muscle significantly affected knee osteoarthritic patients. Weakness and atrophy occur as a result of muscle unloading and dysfunction. As the maximum force produced by a muscle has a direct proportion to its cross-sectional area (CSA), the current study revealed that static magnetic stimulation (SMS) is beneficial for improving CSA of the quadriceps muscle. Purpose. To examine the influence of magnetic stimulation on CSA of the quadriceps muscle in knee osteoarthritis patients and hence knee function. Materials and Methods. This study adopted a randomized controlled trial design. Twenty-four patients with both knee osteoarthritis (Grades II and III) participated. The participants, aged between 45–55 years, were randomly assigned to two groups. Group (A) received magnetic first stimulation in addition to selected physical therapy consisting of ultrasound device and isometric exercise for quadriceps. Group (B) received selected physical therapy consisting of ultrasound device and isometric exercise for quadriceps only. Two therapeutic sessions were given weekly for three consecutive weeks. Outcome measures were CSA of quadriceps at both sides and Lysholm knee scoring for assessment of the functional ability of the knee joint. These measures were taken before and after three consecutive weeks of intervention. Results. Within groups, the analysis showed a statistically significant increase for all measured variables in the two studied groups (p < 0.05). Between groups, the analysis revealed that quadriceps at both side and Lyshlom were significant increase in group (A) compared to group (B). Conclusions. Adding SMS to quadriceps strengthening exercises improved the CSA of quadriceps, which protects muscle from being atrophied and hence improved the knee joint functions more than quadriceps strengthening exercises alone.
Key words:
Electromyostimulation, Knee osteoarthritis, Quadriceps femoris, Strengthening exercises
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The evaluation of the effectiveness of a cryotherapy treatment in patients with gonarthrosis

Kamila Wieczorek

Kamila Wieczorek – The evaluation of the effectiveness of a cryotherapy treatment in patients with gonarthrosis. Fizjoterapia Polska 2021; 21(2); 144-153

Abstract
The purpose of the study. The purpose of this study is to describe the results of the research on the patients’ evaluation regarding complaints and difficulties in their daily life, as well as on the assessment of their general health condition in terms of the rehabilitation of gonarthrosis before and after physiotherapy treatments, with and without the use of cryotherapy. Materials and methods. The research was carried out with the use of a survey questionnaire on a group of 40 patients. Each patient experienced osteoarthritis in at least one knee joint. The questionnaire consisted of questions related to the type of complaints and functioning difficulties in patients with gonarthrosis before and after rehabilitation, and to the type of performed treatments with emphasis put on cryotherapy and the assessment of general health improvement in patients after rehabilitation. Conclusions. According to the patients participating in the research, the improvement in rehabilitation of gonarthrosis with cryotherapy treatments is not greater than with other physiotherapy treatments.
Key words:
Cryotherapy, cold therapy, gonarthrosis
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膝关节骨性关节炎的点激光治疗疗效评估

Paulina Kozieł, Marek Kiljański

P. Kozieł, M. Kiljański – Assessment of the effectiveness of local laser therapy in treatment of gonarthrosis. Work on habits. Fizjoterapia Polska 2018; 18(4); 26-33

摘要
前言。膝关节骨性关节炎为运动器官疾病中最常见的疾病之一，其特征不仅在于关节软骨的破坏，也包括软骨下骨层、滑膜、关节囊及关节周围结构的变化，对日常活动中至关重要的关节解剖结构造成损害。点激光治疗为用于对抗膝关节骨性关节炎的治疗方法之一，该治疗具有抗炎、镇痛及抗肿胀的作用。该研究目的在评估点激光对膝关节骨性关节炎患者的疗效、对活动范围和疼痛的影响。
材料和方法。共有50名膝关节骨性关节炎患者参与研究，他们被分为对照组及研究组，每组各25人。包含19名女性及6名男性的对照组接受三种理疗，包括：低温疗法、磁疗及低频治疗仪电流。包含19名女性及6名男性的研究组另外接受点激光刺激，所有人均接受10次的系列疗程，从星期一至星期五，持续两周。系列治疗进行前后由患者匿名填写问卷，其中包括VAS疼痛程度、膝关节矢状面的弯曲活动范围测量及膝关节周长的线性测量等。
结果。对接受研究的两组所获得的结果进行统计分析，治疗后的第一组及第二组与治疗前相较，膝关节活动范围得到改善，膝关节周长减少且以VAS量表所测量的疼痛程度降低。另外接受点激光治疗的组在活动范围上有所改善且膝关节周长减少。
结论。点激光治疗为膝关节骨性关节炎治疗的有效方法，无论是在对照组或研究组中，疼痛均获减轻，然而对照组中的程度更大，差异具统计学意义。两组中均观察到膝关节活动的改善，而研究组的改善程度较大，差异具统计学意义。无论是在对照组或研究组中膝关节周长均减少，研究组中减少的程度较大，差异具统计学意义。

关键词：
膝关节骨性关节炎、点激光治疗

 

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Evaluation of the Efficacy of Local Cryotherapy in Patients with the Degenerative Knee Joint Disease

Marek Woszczak, Katarzyna Bogacz, Magdalena Józefowicz-Korczyńska, Joanna Kałuża-Pawłowska, Jan Szczegielniak

M. Woszczak, K. Bogacz, M. Józefowicz-Korczyńska, J. Kałuża-Pawłowska, J. Szczegielniak – Evaluation of the Efficacy of Local Cryotherapy in Patients with the Degenerative Knee Joint Disease. FP 2017; 17(2); 48-59

Abstract

Introduction. Pain, swelling and deformities of joints are the typical symptoms of a degenerative disease. The disease affects more than 60% of persons over 60 years of age. Due to this condition, every thirteenth person takes painkillers on a daily basis. Etiology of the degenerative knee joint disease comprises most often of micro traumas, injuries, overstrain, previous inflammatory conditions, improper weight distribution and congenital anomalies in the joint structure.
Research Goal. The aim of our study has been to evaluate the efficacy of local cryotherapy in patients with the degenerative knee joint disease.
Materials and Methods. The study has been carried out on a group of 86 persons, 20 to 45 years old, treated in the Rehabilitation Unit of the University Clinical Hospital No. 1 of the Medical University in Łódź. The patients have been randomly assigned to group A (40 persons) and B (46 persons.) In all the patients, there have been diagnosed degenerative changes in knee joints. In the study participated persons professionally active, able to walk.
Prior to application of treatment, all the patients were interviewed, had undergone physical and clinical examinations and were asked to fill out the WOMAC (Western Ontario and McMaster) questionnaire. An important purpose of the interview was to gather information about the patients’ lifestyle, their diet, addictions, physical activity and the potential epidemiological threats arising from the type of work they do.
Before and after completing the cycle of 10 treatment sessions, the patients were also examined physically by visual inspection, palpation, percussion, auscultation, measurements of lengths and perimeters, testing of muscle strength and functional tests. The patients were asked to anonymously fill out a questionnaire.
For all the patients were applied same treatments: ultrasounds, magnetic field, self-assisted exercises, knee joint load relief exercises. The differentiating factor in the study were the knee joint local cryotherapy treatments applied additionally for patients in group B. The evaluation was made on the basis of examinations before and after the physiotherapy treatments.
Results. Based on the examinations it can be concluded, that there has been achieved statistically significant reduction in pain according to VAS in both, group A and group B. There has also been a reduction in exudate and temperature of the joint.. There has also been registered an increase in the mobility ranges. Based on results of the test of Western Ontario and McMaster Universities Osteoarthritis Index, we have also observed an improvement in functional capacities in executing daily activities, i.e. for example climbing/descending stairs or putting on/taking off socks.
Conclusions. While interpreting the results, it has been observed that the degree of improvement in the above listed factors in group B, in which the additional local cryotherapy was applied, was statistically significantly higher than in group A, in which the treatment was not used.

Key words:
cryotherapy, degenerative knee joint disease, physiotherapy

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