Tag: osteoarthritis

Comparison of early and late surgical outcomes of patients after total hip arthroplasty in terms of the type of surgical approach and assessment of the level of fitness

Paweł Zieliński, Rafał Trąbka, Jarosław Amarowicz, Mateusz Curyło, Paweł Kamiński, Magdalena Wilk-Frańczuk, Tomasz Maicki

P. Zieliński, R. Trąbka, J. Amarowicz, M. Curyło, P. Kamiński, M. Wilk-Frańczuk, T. Maicki – Comparison of early and late surgical outcomes of patients after total hip arthroplasty in terms of the type of surgical approach and assessment of the level of fitness. Fizjoterapia Polska 2021; 21(4); 190-203

Abstract
Osteoarthritis is the most common form of human joint pathology. It is estimated that it affects about 6% of the world’s population. In addition to the hand and knee joints, the hip joint is one of the most common joints affected by OA.
The study included 59 randomly selected patients (from a group of over 600 people operated in a similar period) of the Orthopaedics and Rehabilitation Department of the Centre for Rehabilitation and Orthopaedics in Krakow, who underwent THA due to advanced degenerative changes using a cementless prosthesis.
The objective of the study was to compare the early and late outcomes of the procedure (patient’s fitness level and subjective assessment) using the anterolateral (according to Watson-Jones) and lateral (McFarland and Osborne as modified by Hardinge) approach.
The obtained results confirm better outcomes in terms of the abduction strength scale (SO%), HHS, VAS, frequency of the Trendelenburg sign and partially mobility (external rotation) in relation to short-term follow-up (especially after 6 and 12 weeks), but not long-term follow-up (after 24 weeks and 11-12 years).
It was found that people who underwent surgery using the lateral approach (according to Hardinge) recover faster than people who underwent surgery with the use of the anterolateral approach (according to Watson-Jones).
Key words:
arthroplasty, osteoarthritis, hip joint
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Comparative analysis of the functional status of women with osteoarthritis of the hip or knee joint

Małgorzata Kilon, Agnieszka Przedborska, Joanna Kostka, Jan W. Raczkowski

Małgorzata Kilon, Agnieszka Przedborska, Joanna Kostka, Jan W. Raczkowski – Comparative analysis of the functional status of women with osteoarthritis of the hip or knee joint. Fizjoterapia Polska 2021; 21(3); 134-142

Abstract
Objective. The objective of the study was to compare the level of functional efficiency and factors influencing it in women after the age of 50 with advanced osteoarthritis of the hip (coxarthrosis) or knee (gonarthrosis) joint.
Material and methods. The study included 70 women aged 50–90 years with coxarthrosis (n = 35) or gonarthrosis (n = 35), stage 3 according to the Kellegren-Lawrence scale.
The functional status was assessed based on the Tinetti test and the Two-scales test. The Likert scale rated pain, stiffness, and the difficulty of getting up and putting on socks. The quality of life was assessed using a 100-point scale.
Results. Women with coxarthrosis achieved worse results in the Tinetti test in the part concerning gait (p < 0.01) and balance (p < 0.05). Pain and stiffness determined the results of most tests. Patients with gonarthrosis had greater problems with walking on flat surfaces and with getting up from a chair (p < 0.001). Pain determined difficulties when walking and putting on socks, and stiffness influenced difficulties in walking, standing up, putting on socks, and the results of the Tinetti test.
Conclusions.
1. Stiffness and pain deteriorate functional efficiency in women with coxarthrosis and gonarthrosis.
2. Greater problems with gait and balance occur in women with coxarthrosis, while women with gonarthrosis have greater difficulties with walking on flat surfaces and getting up from a chair.
Key words:
osteoarthritis, hip joints, knee joints, functional efficiency, Tinetti test
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The Efficiency of Physiotherapy for Hip Osteoarthritis in the Light of Self-assessed Health-related Quality of Life

Daria Chmielewska, Joanna Wawrzyńczyk, Janusz Kubacki, Edward Błaszczak, Agnieszka Perkowska

Daria Chmielewska, Joanna Wawrzyńczyk, Janusz Kubacki, Edward Błaszczak, Agnieszka Perkowska – The Efficiency of Physiotherapy for Hip Osteoarthritis in the Light of Self-assessed Health-related Quality of Life. Fizjoterapia Polska 2012; 12(1); 59-70

Abstract
The aim of this study was to assess the effectiveness of a 4-week osteoarthritis rehabilitation program in terms of the amount of change in pain severity, range of motion in the hip affected as well as changes in function subscales as determined by SF-36 Health Survey, version 2 (SF-36v2) both in the total study population and in relation to gender. Correlations between the changes and range of motion and pain indices were also analyzed. The study group comprised 30 patients with hip osteoarthritis participating in a 4-week reha­bilitation program. Both active and passive. range of motion (ROM) in the hip joint was assessed Pain severity was measur­ed using the Numerical Rating Scale (NRS). Health-related quality of life was determined by means of SF-36 Health Survey, version 2 (SF-36v2) before and after the rehabilitation program. The analysis of mean scores in SF-36v2 function subscales obtained before and after therapy demonstrated major improvements in health-related quality of life subscales except general physical function. Pain severity decreased as suggested by the bodily pain subscale of the SF-36v2 and numerical rating pain scale. Statistically significant changes in active range of motion after therapy compared to the baseline values observed in the total study population as well as in female and male subgroups seem to confirm the effectiveness of physiotherapy for hip osteoarthritis.
Key words:
Osteoarthritis, Quality of Life, SF36v2 Health Survey
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Effect of Cryotherapy and Selected Knee Exercises on Clinical Outcomes of Patients with Knee Osteoarthritis

Nevin Adel Amer, Amera Bekhatroh Rashed, Zeinab A.Ali, Miad Janab Al-Ruwaili

Nevin Adel Amer, Amera Bekhatroh Rashed, Zeinab A.Ali, Miad Janab Al-Ruwaili – Effect of Cryotherapy and Selected Knee Exercises on Clinical Outcomes of Patients with Knee Osteoarthritis. Fizjoterapia Polska 2021; 21(1); 90-96

Abstract
Objective. This study aimed to determine the effect of Cryotherapy and selected knee exercises on clinical outcomes of patients with knee osteoarthritis.
Materials and Methods. The researchers utilized interrupted time series research design. Data collection started from 1st of February to the end of August 2017 at Physical Medicine and Rehabilitation Department, Menofia University Hospitals. A purposive sample of 100 patients with primary knee osteoarthritis assigned alternatively into two equal groups, 50 patients for each group. 91 patients completed the study (48 in group I and 43 in group II). Three instruments were used for data collection. Clinical data assessment sheet, WOMAC knee osteoarthritis scale, and Knee stroke test.
Results and discussion. There was statistically significant improvement in knee joint pain, stiffness, and physical function in study group I throughout the study (p = 0.000) while there wasn’t any statistically significant difference between both groups throughout the assessment time in joint pain (p = 0.236), stiffness (p = 0.454), and physical function (p =.201). There was a statistically significant suppression in knee joint swelling in the study group I P =0.000.
Conclusion: Knee joint pain, stiffness and physical function is enhanced among Knee osteoarthritis patients who performed exercise program followed by cryotherapy and in those who exposed to conventional therapy. Knee swelling is decreased in patients performed exercise program and cryotherapy.
Key words:
osteoarthritis, knee, thermotherapy
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Therapeutic value of local cryotherapy in the treatment of patients with gonarthrosis

Łukasz Kopacz, Anna Lubkowska, Iwona Bryczkowska, Piotr Skomro, Elżbieta Kubala, Marek Kiljański, Danuta Lietz-Kijak

Ł. Kopacz, A. Lubkowska, I. Bryczkowska, P. Skomro, E. Kubala, M. Kiljański, D. Lietz-Kijak – Wartość terapeutyczna krioterapii miejscowej w leczeniu pacjentów z gonartrozą. FP 2013; 13(4); 31-36

Streszczenie
Wstęp. Celem przeprowadzonych badań była ocena wpływu zabiegów krioterapii miejscowej na zakres ruchu w stawie kolanowym u pacjentów z chorobą zwyrodnieniową stawów. Dodatkowo analizowano potencjalne zmiany w dolegliwościach bólowych pacjentów. Materiał i metody. Grupa badana liczyła 50-ciu pacjentów i była jednorodna pod względem schorzenia. W badaniu wzięło udział 39 kobiet i 11 mężczyzn. Pacjenci poddani byli 10-ciu codziennym zabiegom krioterapii miejscowej na okolicę stawu kolanowego. Przed przystąpieniem do krioterapii, pacjenci zostali poddani badaniom antropometrycznym oraz wyliczono wskaźniki BMI. Został zebrany wywiad odnośnie chorób współistniejącychi zbadano dolegliwości bólowe według skali VAS. U wszystkich badanych wykonano pomiar zakresu ruchów w stawie kolanowym za pomocą goniometru. Został on wykonany przed rozpoczęciem zabiegów oraz po ich zakończeniu. Wynik. U wszystkich pacjentów, poddanych serii zabiegów można stwierdzić znaczną poprawę w zakresie ruchu zgięcia i wyprostu w stawie kolanowym. Analizując dolegliwości bólowe oceniane za pomocą skali VAS, po zakończeniu serii zabiegów wykazano znaczne zmniejszenie wartości wskazywanych przez badanych. Rozpatrując zakres ruchu zgięcia w stawie kolanowym w obu grupach, zarówno z rozpoznaniem choroby zwyrodnieniowej stawów kolanowych oraz choroby zwyrodnieniowej wielostawowej, po serii zabiegów krioterapii miejscowej ruch znacznie się poprawił, natomiast zakres ruchu wyprostu w stawie kolanowym polepszył się w grupie z rozpoznaniem choroby zwyrodnieniowej wielostawowej. Wnioski. Krioterapia miejscowa jest korzystną metodą, redukującą dolegliwości bólowe oraz wpływającą na poprawę zakresu ruchów w stawie kolanowym u pacjentów z gonartrozą.

Słowa kluczowe:
zimnolecznictwo, gonartroza, leczenie zimnem

Abstract

Introduction. The aim of the study was to evaluate the effect of local cryotherapy treatment for range of motion in the knee joint in patients with osteoarthritis. In addition, analyzed potential changes in symptoms of pain patients. Material and method. The study group consisted of 50 of the patients and was homogeneous in terms of disease. The study involved 39 women and 11 men. Patients were subjected to 10 daily treatments local cryotherapy on the area of the knee. Before cryotherapy, patients were examined anthropometric, and BMI was calculated indicators. Was collected interview regarding comorbidities and examined pain according to VAS. In all patient performed to measure of range of motion in the knee joint using a goniometer. It was made before and after treatment.
Results. All patients who underwent a series of treatments there is a considerable improvement in flexion and extension of the knee. Considering the analysis of pain assessed by VAS in all patients demonstrated a significant reduction in the value indicated by the respondents on the scale after the series of treatments. Considering the range of flexion in the knee joint in both groups, both diagnosed with osteoarthritis of the knee and polyarticular osteoarthritis, after a series of local cryotherapy treatments became significant improvement, while the range of motion in the knee extension improved more in the group diagnosed with polyarticular osteoarthritis. Conclusion. Local cryotherapy is a beneficial effect on the range of motion in the knee joint and reduction of pain in patients with gonarthrosis.

Key words:
cryotherapy, osteoarthritis, knee, cold therapy