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Knee Exam

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281. The quality of reporting in randomized controlled trials of acupuncture for knee osteoarthritis: A cross-sectional survey. Full Text available with Trip Pro

The quality of reporting in randomized controlled trials of acupuncture for knee osteoarthritis: A cross-sectional survey. To assess the reporting quality of acupuncture trials for knee osteoarthritis (KOA), and explore the factors associated with the reporting.Three English and four Chinese databases were searched from inception to December 2016 for randomized control trials testing effects of acupuncture for knee osteoarthritis. We used the standard CONSORT (2010 version), CONSORT Extension (...) for Non-Pharmacological Treatments, and STRICTA for measuring the quality of reporting. Using pre-specified study characteristics, we undertook regression analyses to examine factors associated with the reporting quality.A total of 318 RCT reports were included. For the standard CONSORT, ten items were substantially under-reported (reported in less than 5% of RCTs), including specification of important changes to methods after trial commencement (0.6%), description of any changes to trial outcomes

2018 PLoS ONE

282. Clinical significance of Matrilin-3 gene polymorphism in Egyptian patients with primary knee osteoarthritis Full Text available with Trip Pro

the potential association and clinical significance of MATN-3 rs8176070 (SNP6) polymorphism in a series of Egyptian patients with primary knee OA.Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) was used to determine genotypes of MATN-3 SNP6 for 50 primary knee OA patients in addition to 50 healthy subjects of the same sex and age range. Full history was obtained from OA patients, followed by clinical examination, together with clinical assessment of the severity of knee OA (...) Clinical significance of Matrilin-3 gene polymorphism in Egyptian patients with primary knee osteoarthritis Osteoarthritis (OA) is a multifactorial, degenerative, and inflammatory disorder of joints causing damage of the articular cartilage, formation of osteophytes, and eburination of the subchondral bone. Matrilin-3 (MATN-3) is a non-collagenous oligomeric extracellular matrix protein (ECM), which is the smallest member of the matrilin family. This study was conducted to identify

2017 European journal of rheumatology

283. Maintenance of the paraspinal muscles may protect against radiographic knee osteoarthritis Full Text available with Trip Pro

trunk muscles with radiographic knee osteoarthritis (RKOA).From 2012 to 2016, data were collected from 146 males and 135 females (age 63.9±13.4 years, BMI 23.2±3.8 kg/m2) at annual musculoskeletal examinations, including knee radiographs and body composition analyses, by dual-energy X-ray absorptiometry. Cross-sectional areas of abdominal trunk muscles were measured using a single-slice computed tomography scan image obtained at the level of the umbilicus.The prevalence of RKOA was 21.2% in males (...) Maintenance of the paraspinal muscles may protect against radiographic knee osteoarthritis Knee osteoarthritis (OA) is an increasing health problem worldwide. So far, only obesity and quadriceps weakness are identified as modifiable risk factors for knee OA. Core muscle strengthening is becoming increasingly popular among older adults because of its ability to enhance the activities of daily living during old age. This study investigated the associations of the size and quality of the abdominal

2017 Open access rheumatology : research and reviews

284. Efficacy of extracorporeal shockwave therapy and low-intensity pulsed ultrasound in a rat knee osteoarthritis model: A randomized controlled trial Full Text available with Trip Pro

. Pain scores were measured with a knee bend test. Bone mineral density measurements and scintigraphic bone scans were performed. Histopathological examination was done using a modified Mankin scale.There was no difference among the right knee subchondral bone osteoblastic activities (p>0.05). The left knee osteoblastic activities in the LIPUS and extracorporeal shockwave therapy (ESWT) groups were higher than those in the control group (p<0.05), but there was no difference between the LIPUS and ESWT (...) Efficacy of extracorporeal shockwave therapy and low-intensity pulsed ultrasound in a rat knee osteoarthritis model: A randomized controlled trial This study aims to assess the efficacy of extracorporeal shockwave therapy (ESWT) and low-intensity pulsed ultrasound (LIPUS) on osteoarthritic rat knees.Twenty-four rats were divided into 3 groups: group 1-control (n=8), group 2-LIPUS (n=8) and group 3-ESWT (n=8). Cartilage degeneration was provided using mono-iodo-asetate (MIA). One milligram

2017 European journal of rheumatology Controlled trial quality: uncertain

285. Correlations between ultrasonographic findings, clinical scores, and depression in patients with knee osteoarthritis Full Text available with Trip Pro

of knee troubles participated in this study. We evaluated depressive symptoms in all participants using the Beck Depression Inventory (BDI) scale. Thorough clinical examination was performed, including assessment using the Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) for disability. All patients underwent US examination of their affected knees.Depression was detected in 60 patients with knee OA (30%) and in 5 controls (5%). The mean of BDI score was 12.8±12.2 in OA patients (...) Correlations between ultrasonographic findings, clinical scores, and depression in patients with knee osteoarthritis This study aimed to explore correlations between the presence of depression, clinical scores, and ultrasonographic (US) grading in osteoarthritis (OA) patients and to clarify if depressive symptoms might cause a discrepancy between US findings and clinical scores.Two hundred patients with primary knee OA and 100 healthy hospital volunteers of the same age and sex not complaining

2017 European journal of rheumatology

286. Reproducibility of isokinetic strength assessment of knee muscle actions in adult athletes: Torques and antagonist-agonist ratios derived at the same angle position. Full Text available with Trip Pro

Reproducibility of isokinetic strength assessment of knee muscle actions in adult athletes: Torques and antagonist-agonist ratios derived at the same angle position. The current study aimed to examine the reliability of the conventional and functional ratios derived from peak torques (PTs) and those obtained from the combination of knee flexors torque at the angle of knee extensors PT. Twenty-six male athletes (mean of 24.0±0.7 years) from different sports completed a test-to-test variation

2018 PLoS ONE

287. Association between handgrip strength, balance, and knee flexion/extension strength in older adults. Full Text available with Trip Pro

Association between handgrip strength, balance, and knee flexion/extension strength in older adults. The objective of the study was to examine the association between handgrip strength (HGS), knee flexion and extension strength, and static and dynamic balance in older women. One hundred and ten women with a mean age of 67.4±5.9 years were assessed for dynamic postural balance using the Time Up & Go Test (TUG) with and without cognitive tasks. Semi-static balance was assessed by means of a force (...) platform; knee flexor and extensor muscle strength was calculated using an isokinetic dynamometer; and HGS using a hand held dynamometer. Weaker HGS was significantly correlated with worse performance in dynamic postural balance, as well as performance with TUG with and without cognitive tasks; however, there was no correlation between HGS and static balance. There was a moderate positive correlation between knee flexion/extension strength and HGS. This suggests that HGS could be used as a proxy

2018 PLoS ONE

288. Effects of collagen matrix and bioreactor cultivation on cartilage regeneration of a full-thickness critical-size knee joint cartilage defects with subchondral bone damage in a rabbit model. Full Text available with Trip Pro

Effects of collagen matrix and bioreactor cultivation on cartilage regeneration of a full-thickness critical-size knee joint cartilage defects with subchondral bone damage in a rabbit model. Cartilage has limited self-repair ability. The purpose of this study was to investigate the effects of different species of collagen-engineered neocartilage for the treatment of critical-size defects in the articular joint in a rabbit model. Type II and I collagen obtained from rabbits and rats was mixed (...) to form a scaffold. The type II/I collagen scaffold was then mixed with rabbit chondrocytes to biofabricate neocartilage constructs using a rotating cell culture system [three-dimensional (3D)-bioreactor]. The rabbit chondrocytes were mixed with rabbit collagen scaffold and rat collagen scaffold to form neoRBT (neo-rabbit cartilage) and neoRAT (neo-rat cartilage) constructs, respectively. The neocartilage matrix constructs were implanted into surgically created defects in rabbit knee chondyles

2018 PLoS ONE

289. Nonsurgical Management of Osteoarthritis of the Knee

of recommendation, and supporting evidence citations. Module A: Diagnosis and Evaluation History and Physical Examination Recommendation Clinicians should conduct a history and physical examination for all patients, with an emphasis on the musculoskeletal examination. [EO] Plain Radiography Recommendation Clinicians may use plain radiography to confirm the clinical diagnosis of hip and knee OA. [C] Magnetic Resonance Imaging (MRI) Recommendation Clinicians should not use MRI as an evaluative tool to diagnose (...) , confirm, or manage the treatment of OA. [D] Routine Use of Laboratories and Synovial Fluid Analysis Recommendation Clinicians should avoid routine use of laboratory examinations or synovial fluid analysis to diagnose OA of the hip and/or knee. [EO] Module B: Core Non-surgical Treatment Principles Patient Education Recommendation The decision to prescribe any intervention should be based on consideration of assessment findings, risk vs. benefit analysis, pain severity, functional status, patient

2016 National Guideline Clearinghouse (partial archive)

290. Effects of pay for performance on risk incidence of infection and of revision after total knee arthroplasty in type 2 diabetic patients: A nationwide matched cohort study. Full Text available with Trip Pro

Effects of pay for performance on risk incidence of infection and of revision after total knee arthroplasty in type 2 diabetic patients: A nationwide matched cohort study. As the world's population ages, the number of people receiving total knee arthroplasty (TKA) has been on the rise. Although patients with diabetes mellitus are known to face greater risks of TKA postoperative infection and revision TKA owing to diabetic complications, studies on whether such patients' participation in pay (...) for performance (P4P) programs influences the incidence rates of TKA postoperative infection or revision TKA are still lacking. This study examined the 2002-2012 data of Taiwan's National Health Insurance Research Database to conduct a retrospective cohort analysis of diabetic patients over 50 years old who have received TKA. To reduce any selection bias between patients joining and not joining the P4P program, propensity score matching was applied. The Cox proportional hazards model was used to examine

2018 PLoS ONE

291. Aquatic exercise for knee and hip osteoarthritis

Aquatic exercise for knee and hip osteoarthritis RACGP - Aquatic exercise for knee and hip osteoarthritis Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway to RACGP Fellowship (...) Fellowship International graduates FRACGP exams RACGP offer courses and events to further develop the knowledge you need to develop your GP career Re-entry to general practice Supervisors and examiners Mental Health (GPMHSC) Research Discover a world of educational opportunities to support your lifelong learning Courses and events QI&CPD Online learning Conferences Become a provider with the QI&CPD Program and be recognised for the quality education and training you offer GPs Curriculum for Australian

2013 Handbook of Non-Drug interventions (HANDI)

292. Systematic review with meta analysis: In knee osteoarthritis, pharmacological interventions, with the exception of acetaminophen, significantly improve pain; with intra-articular administration being more effective

of various medications including acetaminophen, anti-inflammatories, intra-articular (IA) corticosteroids, IA-hyaluronic acid (HA), and oral and IA-placebo. This systematic review and network meta-analysis examined randomised controlled trials (RCTs) comparing different treatments for knee OA in order to determine the best treatment option. Methods A systematic review of RCTs of patients with symptomatic primary knee OA that compared at least two interventions and reported data for … Request Permissions (...) Systematic review with meta analysis: In knee osteoarthritis, pharmacological interventions, with the exception of acetaminophen, significantly improve pain; with intra-articular administration being more effective In knee osteoarthritis, pharmacological interventions, with the exception of acetaminophen, significantly improve pain; with intra-articular administration being more effective | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content

2015 Evidence-Based Medicine

293. Cohort study: Study results suggest a positive effect of light-to-moderate physical activity on disability among those with or at risk of knee arthritis Full Text available with Trip Pro

physical activity on disability onset and progression among adults with KOA or at risk for KOA. Such data would be instrumental in designing public health programmes to address physical activity and inform rehabilitation interventions designed to enhance functional outcomes of patients with KOA. References Dillon CF , Rasch EK , Gu Q , et al . Prevalence of knee osteoarthritis in the United States: arthritis data from the third National Health and Nutrition Examination Survey 1991–94 . Brault MW (...) Cohort study: Study results suggest a positive effect of light-to-moderate physical activity on disability among those with or at risk of knee arthritis Study results suggest a positive effect of light-to-moderate physical activity on disability among those with or at risk of knee arthritis | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how

2015 Evidence-Based Medicine

294. Pre-emptive Oral Non-Steroidal Anti-Inflammatory Drugs or Acetaminophen for Knee Arthroscopy

Pre-emptive Oral Non-Steroidal Anti-Inflammatory Drugs or Acetaminophen for Knee Arthroscopy Pre-emptive Oral Non-Steroidal Anti-Inflammatory Drugs or Acetaminophen for Knee Arthroscopy: A Rapid Review. August 2014; pp. 1–18 Pre-emptive Oral Non-Steroidal Anti- Inflammatory Drugs or Acetaminophen for Knee Arthroscopy: A Rapid Review Health Quality Ontario August 2014 Evidence Development and Standards Branch at Health Quality Ontario Pre-emptive Oral Non-Steroidal Anti-Inflammatory Drugs (...) or Acetaminophen for Knee Arthroscopy: A Rapid Review. August 2014; pp. 1–18 2 Suggested Citation This report should be cited as follows: Health Quality Ontario. Pre-emptive oral non-steroidal anti-inflammatory drugs or acetaminophen for knee arthroscopy: a rapid review. Toronto: Health Quality Ontario; 2014 August. 18 p. Available from: http://www.hqontario.ca/evidence/evidence-process/episodes-of-care#knee-arthroscopy. Permission Requests All inquiries regarding permission to reproduce any content in Health

2014 Health Quality Ontario

295. Preoperative Shower or Bath With Antiseptics Before Knee Arthroscopy

the eligibility criteria were obtained. Reference lists were also examined for any additional relevant studies not identified through the search. Inclusion Criteria ? English-language full-text publications ? published between January 1, 2004, and April 16, 2014 ? randomized controlled trials (RCTs), observational studies, systematic reviews (SRs), and meta-analyses ? knee arthroscopy population ? evaluating the use of preoperative showers or baths with skin antiseptics compared with use of preoperative (...) Preoperative Shower or Bath With Antiseptics Before Knee Arthroscopy Preoperative Shower or Bath With Antiseptics Before Knee Arthroscopy: A Rapid Review. August 2014; pp. 1–14 Preoperative Shower or Bath With Antiseptics Before Knee Arthroscopy: A Rapid Review Health Quality Ontario August 2014 Evidence Development and Standards Branch at Health Quality Ontario Preoperative Shower or Bath With Antiseptics Before Knee Arthroscopy: A Rapid Review. August 2014; pp. 1–14 2 Suggested Citation

2014 Health Quality Ontario

296. Physiotherapy After Knee Arthroscopy

Knee Arthroscopy: A Rapid Review. August 2014; pp. 1–22 6 Background Objective of Analysis The objective of this analysis is to examine the effectiveness of physiotherapy after knee arthroscopy on patient pain and return to activity. Clinical Need and Target Population International guidelines are inconsistent with respect to whether patients should receive physiotherapy when recovering from a knee arthroscopy procedure. (1-3) There is uncertainty about the effectiveness of physiotherapy (...) . Reference lists were also examined for any additional relevant studies not identified through the search. Inclusion Criteria ? English-language full-text publications ? published between January 1, 2008 and January 21, 2014 ? systematic reviews (SRs) and meta-analyses ? knee arthroscopy ? physiotherapy compared with no physiotherapy (or usual care) Exclusion Criteria ? studies where results on outcomes of interest cannot be abstracted Outcomes of Interest ? pain ? return to activity, work, or sport

2014 Health Quality Ontario

297. Peripheral Nerve Blocks for Post-Operative Pain Relief After Arthroscopic Knee Ligament Reconstruction

Peripheral Nerve Blocks for Post-Operative Pain Relief After Arthroscopic Knee Ligament Reconstruction Peripheral Nerve Blocks for Post-Operative Pain Relief After Arthroscopic Knee Ligament Reconstruction: A Rapid Review. August 2014; pp. 1–23 Peripheral Nerve Blocks for Post-Operative Pain Relief After Arthroscopic Knee Ligament Reconstruction: A Rapid Review SE McDowell August 2014 Evidence Development and Standards Branch at Health Quality Ontario Peripheral Nerve Blocks for Post-Operative (...) Pain Relief After Arthroscopic Knee Ligament Reconstruction: A Rapid Review. August 2014; pp. 1–23 2 Suggested Citation This report should be cited as follows: McDowell SE. Peripheral nerve blocks for post-operative pain relief after arthroscopic knee ligament reconstruction: a rapid review. Toronto: Health Quality Ontario; 2014 August. 23 p. Available from: http://www.hqontario.ca/evidence/evidence-process/episodes-of-care#knee-arthroscopy. Permission Requests All inquiries regarding permission

2014 Health Quality Ontario

298. Intra-Articular Analgesia After Knee Arthroscopy

Intra-Articular Analgesia After Knee Arthroscopy Intra-Articular Analgesia After Knee Arthroscopy: A Rapid Review. August 2014; pp. 1–20 Intra-Articular Analgesia After Knee Arthroscopy: A Rapid Review Health Quality Ontario August 2014 Evidence Development and Standards Branch at Health Quality Ontario Intra-Articular Analgesia After Knee Arthroscopy: A Rapid Review. August 2014; pp. 1–20 2 Suggested Citation This report should be cited as follows: Health Quality Ontario. Intra-articular (...) analgesia after knee arthroscopy: a rapid review. Toronto: Health Quality Ontario; 2014 August. 20 p. Available from: http://www.hqontario.ca/evidence/evidence-process/episodes-of- care#knee-arthroscopy. Permission Requests All inquiries regarding permission to reproduce any content in Health Quality Ontario reports should be directed to EvidenceInfo@hqontario.ca. How to Obtain Rapid Reviews From Health Quality Ontario All rapid reviews are freely available in PDF format at the following URL: http

2014 Health Quality Ontario

299. Bracing After Knee Arthroscopy

Bracing After Knee Arthroscopy Bracing After Knee Arthroscopy: A Rapid Review. August 2014; pp. 1–21 Bracing After Knee Arthroscopy: A Rapid Review Health Quality Ontario August 2014 Evidence Development and Standards Branch at Health Quality Ontario Bracing After Knee Arthroscopy: A Rapid Review. August 2014; pp. 1–21 2 Suggested Citation This report should be cited as follows: Health Quality Ontario. Bracing after knee arthroscopy: a rapid review. Toronto: Health Quality Ontario; 2014 August (...) . 21 p. Available from: http://www.hqontario.ca/evidence/evidence-process/episodes-of-care#knee- arthroscopy. Permission Requests All inquiries regarding permission to reproduce any content in Health Quality Ontario reports should be directed to EvidenceInfo@hqontario.ca. How to Obtain Rapid Reviews From Health Quality Ontario All rapid reviews are freely available in PDF format at the following URL: http://www.hqontario.ca/evidence/publications-and-ohtac-recommendations/rapid-reviews. Conflict

2014 Health Quality Ontario

300. Update on Physiotherapy Rehabilitation After Total Knee or Hip Replacement

Update on Physiotherapy Rehabilitation After Total Knee or Hip Replacement Update on Physiotherapy Rehabilitation After Total Knee or Hip Replacement: OHTAC Recommendation. March 2014; pp. 1–9 Update on Physiotherapy Rehabilitation After Total Knee or Hip Replacement: OHTAC Recommendation Ontario Health Technology Advisory Committee March 2014 Update on Physiotherapy Rehabilitation After Total Knee or Hip Replacement: OHTAC Recommendation. March 2014; pp. 1–9 Suggested Citation This report (...) should be cited as follows: Ontario Health Technology Advisory Committee (OHTAC). Update on physiotherapy rehabilitation after total knee or hip replacement: OHTAC recommendation [Internet]. Toronto: Queen's Printer for Ontario; 2014 March. 9 p. Available from: http://www.hqontario.ca/evidence/publications-and-ohtac-recommendations/ontario-health- technology-assessment-series/physiotherapy-rehabilitation-after-total-knee-or-hip-replacement. Permission Requests All inquiries regarding permission

2014 Health Quality Ontario

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