Tag: staw kolanowy

Ankieta dotycząca częstości występowania choroby zwyrodnieniowej stawów

Kirupa.K, Brightlin S., Saraswathi.K, P. Preethi Angel, Aashiba Mariyam Beevi S., Sevanthi C.

Kirupa.K, Brightlin S., Saraswathi.K, P. Preethi Angel, Aashiba Mariyam Beevi S., Sevanthi C. – Sample survey on the prevalence of osteoarthritis –  Fizjoterapia Polska 2024; 24(5); 288-292

DOI: https://doi.org/10.56984/8ZG020C6YZU

Streszczenie Tło. Osteoartroza jest najczęstszą przyczyną niepełnosprawności, a jej rozpowszechnienie stale rośnie wraz ze starzeniem się populacji. Częstość występowania wzrasta nie tylko z wiekiem, ale również z powodu siedzącego trybu życia i braku świadomości na temat znaczenia ćwiczeń. Określenie rozpowszechnienia specyficznego dla regionu dostarczy cennych informacji umożliwiających rekomendację ukierunkowanych interwencji w celu leczenia i zapobiegania komplikacjom związanym z osteoartrozą kolan. Cel. Głównym celem badania jest określenie rozpowszechnienia osteoartrozy w Porur i okolicznych obszarach Chennai. Metody. Po uzyskaniu zgody komisji etycznej przeprowadzono badanie od 25 sierpnia 2023 do 27 maja 2024. Prostą losową próbę pobrano z pacjentów odwiedzających ACS Medical College and Hospital w Velappanchavadi oraz Mahalakshmi Multispeciality Hospital w Chennai. Badanie przeprowadzono za pomocą ankiety udostępnionej pacjentom i badanym w tych szpitalach. Wyniki. Statystyki opisowe pokazują, że rozpowszechnienie osteoartrozy obejmuje zakres wiekowy od 30 do 76 lat, ze średnią wiekiem 50,63 roku i odchyleniem standardowym 7,754. Wnioski. Na podstawie statystyk można stwierdzić, że osteoartroza może zacząć się już w wieku 30 lat i występować aż do 76 lat. Kobiety są bardziej narażone na rozwój osteoartrozy. Świadomość lub diagnoza osteoartrozy została stwierdzona tylko u 68,7% pacjentów. Pomimo braku świadomości na temat osteoartrozy, 100% pacjentów zgłosiło stosowanie domowych środków leczniczych i leków doustnych.
Słowa kluczowe rozpowszechnienie, osteoartroza, niepełnosprawność, staw kolanowy, próba badania
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Selected issues in the biomechanics of the knee joint

Aleksander Kabsch, Tadeusz Bober

Aleksander Kabsch, Tadeusz Bober – Selected issues in the biomechanics of the knee joint. Fizjoterapia Polska 2001; 1(2); 179-182

Abstract
This article presents of the biomechanics of the knee joint in terms suitable for application in diagnostics and kinesitherapy. For practical reasons the thematic range of the discussion is limited; a separate monograph would be required to deal with the subject fully, especially the biomechanical conditions underlying pathologies of this joint. The basic aspects of the biomechanics of the knee joint presented in this article include its motion and mobility, the role of muscle force momentum, and the value of the force of reaction in the context of the construction and function of the joint. The scope of the subject matter presented here covers the issues that in the authors’ opinion are most essential for the physiotherapist in terms of the biomechanics of the knee joint.

Key words:
Knee Joint, Biomechanics

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The application of a low-frequency impulse magnetic field in patients recovering from arthroscopic ablation of the medial meniscus

Piotr Wróbel, Rafał Trąbka

Piotr Wróbel, Rafał Trąbka – The application of a low-frequency impulse magnetic field in patients recovering from arthroscopic ablation of the medial meniscus. Fizjoterapia Polska 2003; 3(1); 31-37

Abstract
Background. The goal of the present study was to test the influence of a low-frequency impulse magnetic field on recovery from surgery by patients who have undergone surgical ablation of the medial meniscus. Material and methods. Our research involved 20 persons undergoing rehabilitation in a private physiotherapeutic practice. The clinical material was randomly divided into two numerically equal groups. The kinesitherapy program was identical in both groups, but the experimental group received magnetotherapy, while the control group did not. The rehabilitation program lasted for two 6-day cycles with a 1-day interval between. The patients in both groups were tested for range of movement in the knee, the strength of the femoral quadriceps, and the circumference of the affected limb, measured at the joint and 20 cm above the patella, before, during, and after rehabilitation. Results. In the experimental group the patients recovered normal range of movement somewhat faster. These patients also showed greater increases in limb circumference above the joint and greater reduction of edema in the joint itself. No significant differences were found in respect to muscle strength. Some patients from the control group showed a recurrence of edema, which did not take place in the experimental group. Conclusions. In view of the faster improvement in range of motion and the significant reduction of edema in the operated limb, the use of low-frequency impulse magnetic fields can be recommended for the rehabilitation of patients recovering from arthroscopic ablation of the medial meniscus.

Key words:
magnetic field intensity, magnetic field frequency, Knee Joint, range of movement

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Injuries and diseases of the knee joint – diagnostic evaluation

Jerzy Widuchowski, Wojciech Widuchowski

Jerzy Widuchowski, Wojciech Widuchowski – Injuries and diseases of the knee joint – diagnostic evaluation. Fizjoterapia Polska 2004; 4(4); 297-306

Abstract

In traumatic injuries and diseases of the knee joint establishing a correct diagnosis is a very important part of therapeutic management. In many cases it is not easy. The reason for this is the possibility of simultaneous injury of many different anatomical joint structures, and as a result the occurrence of clinical symptoms that vary in intensity and often overlap. In diagnostic procedures, the most important task is to establish which of the anatomical structures has been damaged as a result of acute or chronic trauma, and how extensive the loss of joint function actually is. Making a correct diagnosis in acute traumatic injuries of the knee should be done as quickly as possible. The present study contains an outline of diagnostic evaluation in traumatic injuries and diseases of the knee joint. Each part of this outline is fully discussed.

Key words:
knee joint, diagnosis, injury
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The assessment of gait deviations in patients with knee arthritis using the ground reaction forces analysis

Grzegorz Konieczny, Katarzyna Leżoń, Zdzisława Wrzosek, Michał Sokołowski

Grzegorz Konieczny, Katarzyna Leżoń, Zdzisława Wrzosek, Michał Sokołowski – The assessment of gait deviations in patients with knee arthritis using the ground reaction forces analysis. Fizjoterapia Polska 2006; 6(4); 317-321

Abstract
Background. The purpose of this study is to analyze the objective gait parameters for the subjects with knee arthritis using ground reaction forces analysis. Material and methods. The gait analysis was performed on 31 subjects with unilateral knee arthritis with use of Pressure Distribution Measurement System (PDM-S) force-plate. The first peak force, the second peak force, the loading rate, the push-off rate, the stance time, and the distribution of pressure across the foot were analyzed. The VAS score was also obtained. Results. The obtained results were compared with outcomes of gait analysis of healthy population presented by J. L. McCrory. The first and the second peak force were lower for the limb with arthritic knee. The stance time for the limb with arthritic knee was lower. The pressure measured at the heel, and rate of loading were also lower for the limb with arthritic knee. Conclusion. The osteoarthritis of knee leads to substantial alterations in gait. Gait deviations contribute mainly to pain associated with osteoarthritis of knee joint. The gait analysis with use of ground reaction force-plates is valuable method in functional assessment of knee arthritis.

Key words:
gait analysis, arthritis, knee

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Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński

Magdalena Wilk, Rafał Trąbka, Zbigniew Śliwiński – Changes in knee joint thermograms following local cryotherapy combined with various physiotherapy regimens. Fizjoterapia Polska 2008; 8(3); 267-271

Abstract
Background. The aim of the study was to evaluate the effectiveness of cryotherapy and physiotherapy regimens in patients with indications for use of these procedures in the knee joint region or knee joints. Material and methods. The study was performed in the Cracow Rehabilitation Centre in 2008. The study involved a group of 38 patients who underwent cryotherapy of the knee joint region. The patients were dMded into two groups. Group 1 included patients who performed lower limb exercises immediately after the cryotherapy procedure, and patients in group 2 performed exercises 30 minutes following the cryotherapy procedure. Changes in thermograms were recorded in all patients. Results. Mean temperature in the affected knee joint before treatment was x=30.19°C in group 1 and 31.46°C in group 2. The differences between the study groups revealed in examination 2 were also not statistically significant. Examination 3 showed signi-ficant differences. The mean value of the temperature range was x=28.54C in Group 1 and 23.38°C in Group 2. The last exami-nation, performed 30 minutes after the completion of the cryogenic therapy procedure, showed a mean temperature of the treated knee joint of x=28.99°C in Group 1 and x=29.43C in Group 2. Conclusions. Tissue temperature in the knee joint region increased at a slower rate in patients who did not undergo kinesi-therapy immediately after cryotherapy of that region.
Key words:
knee joint, cryotherapy, thermovision, physiotherapy
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The efficacy of ultrasound and electrophonophoresis as adjuncts to the treatment of degenerative knee joint disease

Marta Szlachta, Anna Polak, Beata Błaszczyk, Agnieszka Kluszczyńska-Galas, Janusz Kubacki, Piotr Król

Marta Szlachta, Anna Polak, Beata Błaszczyk, Agnieszka Kluszczyńska-Galas, Janusz Kubacki, Piotr Król – The efficacy of ultrasound and electrophonophoresis as adjuncts to the treatment of degenerative knee joint disease. Fizjoterapia Polska 2009; 9(3); 211-222

Abstract
Background. The study aimed to evaluate the efficacy of ultrasound and Ketonal (ketoprofen) electrophonophoresis as adjuncts to the treatment of degenerative knee joint disease. Materiał and methods. Forty-six persons randomly assigned to two groups were investigated. Group A consisted of 23 per-sons aged 53-72 years. Group B comprised 23 patients whose age ranged from 54 to 60 years. The knee joint rangę of motion and muscle strength were assessed in all patients immediately before treatment and on completion ofa course of physical thera-py Group A was treated with ultrasound (1 MHz; 0.5-1.0 W/cm2; 20%; 1-3 min/cm2), while Group B was subjected to electropho-nophoretic treatment (0.1 mA/cm2; 1 MHz; 0.5-1.0 W/cm2; 20%; 1-3 min/cm2; 2% Ketonal). A total of 10 procedures were admini-stered to each patient over two weeks. Results. The knee-joint rangę of motion and strength ofthe knee flexors and extensors improved significantly in both groups after treatment in comparison to baseline values. There was no statistically significant inerease in the muscle strength ofthe knee rotators. An inter-group comparison of treatment effects showed that the ranges of the passive and active flexion, passive and active extension and strength of the flexor and extensor muscles of the knee joint had inereased morę significantly in group B than in group A. Conclusions. The treatment applied in both comparative groups was effective. Electrophonophoresis led to slightly better treatment outeomes than ultrasound.
Key words:
degenerative disease, ultrasound, electrophonophoresis, knee joint
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Analysis of selected factors affecting rest pain in knee joint osteoarthritis

Beata Olesiak, Agnieszka Przedborska

Beata Olesiak, Agnieszka Przedborska – Analysis of selected factors affecting rest pain in knee joint osteoarthritis. Fizjoterapia Polska 2021; 21(2); 206-214

DOI: https://doi.org/10.56984/8ZG0DDAB4

Abstract
Introduction. Knee pain is a clinical sign of osteoarthritis and an ongoing inflammatory process in the joint. Aim of the thesis. The purpose of this study was to evaluate the effect of BMI and degradative changes in patellofemoral joint cartilage on the level of knee pain at rest. Material and methods. The study group consisted of 150 patients with patellofemoral joint cartilage lesions. The classification of cartilage degradation according to Outerdridge was done by ultrasound. The level of pain at rest was assessed according to the VAS scale. The data was collected with usage of a self-made study protocol. Results. There was no statistically significant correlation between BMI and VAS pain complaints (rho = 0.099, p = 0.228). There was also no statistically significant correlation between degradative changes in the cartilage of the patellofemoral joint and the level of pain on the VAS scale (rho = 0.076, p = 0.353). Conclusions. BMI does not affect the severity of knee joint pain at rest. The extent of cartilage wear in the patellofemoral joint does not correlate with knee pain during physical inactivity.
Key words:
rest pain, femoropatellar joint, gonarthrosis, knee joint, Body Masse Index (BMI)
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使用Lysholm量表评估前后手术期物理治疗对前交叉韧带重建患者功能恢复的影响

Sebastian Zduński, Witold Rongies

S. Zduński, W. Rongies – Evaluation of pre and post operative physiotherapy using the Lysholm scale on functional Outcomes in Patients undergoing Anterior Cruciate Ligament Reconstruction. Fizjoterapia Polska 2020; 20(1); 130-143

DOI: https://doi.org/10.56984/8ZG078S84

摘要

背景。 大多数前交叉韧带（ACL）损伤需要手术和物理治疗。决定物理治疗成功的一个重要因素是患者在ACL重建手术前就已达到最佳功能状态。

材料与方法。 研究共纳入72名随机入组的患者，他们均被诊断为前交叉韧带完全断裂并被确定适合手术重建。实验组包括37名患者，年龄在18至60岁之间（平均年龄37 ±10.3岁）。所有实验组患者在手术前的4周内接受了一套基于既定康复实践的物理治疗方案。对照组包括35名患者，年龄在18至60岁之间（平均年龄34 ±10.0岁），他们未接受任何术前物理治疗。

结果。 在第二次评估时，与基线相比，实验组和对照组的Lysholm评分均有显著提高（p < 0.05）。实验组的Lysholm-Gillquist评分优于对照组。在手术后第6周和第12周，实验组和对照组在Lysholm功能性膝关节评分上存在统计学显著差异（p < 0.05）。

结论。

  1. 在前交叉韧带完全断裂的患者中，术前物理治疗是一个重要且有益的因素，有助于在ACL重建前改善膝关节功能。
  2. 手术后，两组患者的Lysholm评分（用于评估功能性膝关节）均证实了手术和物理治疗方案的有效性。

关键词：
膝关节, 前交叉韧带, Lysholm-Gillquist量表

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前交叉韧带重建术后使用膝关节与骨关节炎结局评分（KOOS）问卷评估物理治疗结果

Sebastian Zduński, Witold Rongies, Marcin Ziółkowski, Tomasz Kozieł, Janusz Sierdziński

S. Zduński, W. Rongies, M. Ziółkowski, T. Kozieł, J. Sierdziński – Evaluation of physiotherapy results after anterior cruciate ligament reconstruction using the Knee and Osteoarthrosis Outcome Score (KOOS) questionnaire. FP 2017; 17(2); 60-70

DOI: https://doi.org/10.56984/8ZG0D9Z60

摘要

引言。近年来，膝关节损伤的发生率增加，随之而来的前交叉韧带（ACL）完全损伤也日益增多。在大多数情况下，ACL损伤需要进行专业的手术和物理治疗。康复的主要目标是恢复膝关节及整个下肢的完整功能。近年来，对ACL重建术效果评估方法的兴趣逐渐增加。许多问卷和评分量表被开发用于评估治疗效果，其中一个例子就是膝关节与骨关节炎结局评分（KOOS）。

研究目的。 在膝关节与骨关节炎结局评分（KOOS）模型中，评估关节镜下前交叉韧带重建术的近期及远期疗效。

材料与方法。 该随机研究纳入了72名因前交叉韧带完全断裂而接受手术重建的患者。研究组包括37名患者，年龄范围为18至60岁（平均年龄37 ±10.3岁）。该组所有受试者在重建手术前均接受了为期4周的物理治疗，总共进行了10至12次治疗课程。对照组包括35名患者，年龄范围为18至60岁（平均年龄34 ±10.0岁），他们未接受术前物理治疗。所有研究对象术后均接受相同的物理治疗方案。

结果。 研究表明，研究组和对照组在不同测量时间点，使用KOOS问卷评估膝关节功能均有统计学意义上的显著改善（p < 0.05）。在ACL重建术后6周和12周，研究组在**KOOS的几乎所有子项目（症状、僵硬、日常活动、运动能力、生活质量）**中均显示出更好的结果。然而，研究组与对照组之间没有统计学上的显著差异（p > 0.05）。在ACL重建术后12周，KOOS量表中的“僵硬”评分显示出统计学上的显著差异（p < 0.05）。此外，在12周后，**KOOS量表中的SP3（跳跃能力）**也存在统计学上的显著差异（p < 0.05）。

结论。

  1. 在KOOS问卷的评估下，重建术后两组患者的功能恢复均良好，验证了手术和物理治疗的高质量。
  2. 研究组KOOS评分较高，表明术前康复具有较高的治疗价值。

关键词：
前交叉韧带, 膝关节, 物理治疗, KOOS问卷

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