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knee rehabilitation

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5661. The effect of a new multimodal perioperative anesthetic regimen on postoperative pain, side effects, rehabilitation, and length of hospital stay after total joint arthroplasty. (Abstract)

The effect of a new multimodal perioperative anesthetic regimen on postoperative pain, side effects, rehabilitation, and length of hospital stay after total joint arthroplasty. This study evaluated the effect of a new multimodal perioperative anesthetic and pain management strategy for primary total hip (THA) and total knee arthroplasty (TKA). Two cohorts of 50 consecutive THA and 50 TKA patients from before and after initiation of the new protocol were compared. The protocol involved scheduled

2006 Journal of Arthroplasty

5662. The influence of a continuum of care model on the rehabilitation of compensation claimants with soft tissue disorders. (Abstract)

The influence of a continuum of care model on the rehabilitation of compensation claimants with soft tissue disorders. Population-based before-and-after design with concurrent control group.As continuums of care have been little studied, we evaluated the impact of the Workers' Compensation Board of Alberta (WCB-Alberta) model on sustained return to work, satisfaction with care, and cost.Musculoskeletal conditions, such as back pain, continue to be leading causes of disability and work loss (...) . From 1996 through 1997, the WCB-Alberta implemented a continuum of care model to guide rehabilitation service delivery for claimants with soft tissue injury. The model was designed as a decision-making tool to promote a consistent, evidence-based approach to care within the jurisdiction.The model was implemented province-wide so the entire population of workers insured by the WCB-Alberta was studied. Data were extracted from the WCB-Alberta administrative database from 2 years before implementation

2007 Spine

5663. Posterior cruciate ligament rehabilitation: how slow should we go? (Abstract)

techniques; and advances in the understanding of knee ligament structure and biomechanics, resulting in more accurate surgical tunnel placement, achieving anatomic graft insertion sites while minimizing graft bending. Today, PCL reconstructive surgery often results in excellent function with a return to the patient's preinjury level of activity. In contrast to accelerated rehabilitation after ACL reconstructive surgery, slow and deliberate postoperative rehabilitation is recommended to allow early (...) Posterior cruciate ligament rehabilitation: how slow should we go? Outcomes after posterior cruciate ligament (PCL) reconstructive surgery have historically been inferior to outcomes after reconstruction of the anterior cruciate ligament (ACL). As such, some surgeons may be reluctant to recommend reconstruction of the PCL. However, recent technologic advances have substantially improved PCL reconstructive surgical outcomes. These advances include better understanding of PCL diagnosis

2008 Arthroscopy

5664. Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for knee pain

Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for knee pain Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for knee pain Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for knee pain Philadelphia Panel Authors' objectives To improve appropriate use of rehabilitation interventions for knee pain through the development (...) to articles published in full in English, French or Spanish. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs), non-randomised controlled clinical trials, case-control and cohort studies were eligible. Specific interventions included in the review Rehabilitation interventions for knee pain. The interventions included massage, thermal therapy (hot or cold packs), electrical stimulation, electromyographic feedback, transcutaneous electrical nerve

2001 DARE.

5665. Cerebrovascular Event Rehabilitation

Cerebrovascular Event Rehabilitation Cerebrovascular Event Rehabilitation. Stroke information. Patient | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Cerebrovascular Event Rehabilitation Authored by , Reviewed by | Last edited 27 Jan 2017 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based (...) on research evidence, UK and European Guidelines. You may find the article more useful, or one of our other . In this article In This Article Cerebrovascular Event Rehabilitation In this article See also separate and articles. All people with suspected stroke should be admitted directly to a specialist acute stroke unit. People who have had a suspected transient ischaemic attack (TIA) who are at high risk of stroke should have a specialist assessment and investigation within 24 hours of the onset

2008 Mentor

5666. Decrease in quadriceps inhibition after sacroiliac joint manipulation in patients with anterior knee pain. (Abstract)

Decrease in quadriceps inhibition after sacroiliac joint manipulation in patients with anterior knee pain. Evidence exists that conservative rehabilitation protocols fail to achieve full recovery of muscle strength and function after joint injuries. The lack of success has been attributed to the high amount of muscle inhibition found in patients with pathologic conditions of the knee joint. Clinical evaluation shows that anterior knee pain is typically associated with sacroiliac joint (...) dysfunction, which may contribute to the muscle inhibition observed in this patient group.To assess whether sacroiliac joint manipulation alters muscle inhibition and strength of the knee extensor muscles in patients with anterior knee pain.The effects of sacroiliac joint manipulation were evaluated in patients with anterior knee pain. The manipulation consisted of a high-velocity low-amplitude thrust in the side-lying position aimed at correcting sacroiliac joint dysfunction. Before and after

1999 Journal of Manipulative and Physiological Therapeutics

5667. The effect of knee bracing after anterior cruciate ligament reconstruction. A prospective, randomized study with two years' follow-up. (Abstract)

The effect of knee bracing after anterior cruciate ligament reconstruction. A prospective, randomized study with two years' follow-up. The purpose of this prospective, randomized, clinical trial was to evaluate the effect of knee bracing after anterior cruciate ligament reconstruction. Sixty patients were randomized into one of two groups: Patients in the braced group wore rehabilitative braces for 2 weeks, followed by functional braces for 10 weeks, and patients in the nonbraced group did (...) not wear braces. Data were recorded preoperatively, and postoperatively after 6 weeks, 3 and 6 months, and 1 and 2 years. The following outcome measures were used: KT-1000 arthrometry, the Cincinnati knee score, goniometry to record range of motion, computed tomography to determine thigh atrophy, Cybex 6000 isokinetic testing to evaluate muscle strength, three functional knee tests, and a visual analog scale to evaluate pain. At all follow-up times there were no significant differences between the two

1999 American Journal of Sports Medicine Controlled trial quality: uncertain

5668. The Johnson antishear device and standard shin pad in the isokinetic assessment of the knee. Full Text available with Trip Pro

The Johnson antishear device and standard shin pad in the isokinetic assessment of the knee. Isokinetic training and assessment of the knee joint has been the mainstay of rehabilitation, especially in patients with anterior cruciate ligament deficiency. Besides the original shin pad used, the antishear device was introduced by Johnson in 1982. This device has been shown biomechanically to prevent excessive anterior translation of force on the tibia during training. However, there is a need (...) to compare the antishear device and the standard shin pad in the isokinetic assessment. Hence, the major objective of this study is to define, if any, the difference in patient assessment between the new double pad device and the old single shin pad. Ten subjects with no previous history of injury on either knee were tested with the Cybex Isokinetic Dynamometer. There were four men and six women and the mean age was 25.2 years. They were randomized into different test sequences with different shin pads

1993 British Journal of Sports Medicine Controlled trial quality: uncertain

5669. A quantifiable approach in the comparison of isokinetic assessment data--new correlation equations for the Johnson antishear device and standard shin pad in the isokinetic assessment of the knee. Full Text available with Trip Pro

A quantifiable approach in the comparison of isokinetic assessment data--new correlation equations for the Johnson antishear device and standard shin pad in the isokinetic assessment of the knee. The rehabilitation of the knee with a deficient anterior cruciate ligament (ACL) always presents a great challenge. Isokinetic assessment allows muscle performance to be quantified. The antishear device, introduced by Johnson, has the distinct advantage of minimizing the anterior translation force (...) the application of comparison of isokinetic data in the quantitative approach of rehabilitation of the knee with a deficient anterior cruciate ligament.

1995 British Journal of Sports Medicine Controlled trial quality: uncertain

5670. Conservative lower back treatment reduces inhibition in knee-extensor muscles: a randomized controlled trial. (Abstract)

Conservative lower back treatment reduces inhibition in knee-extensor muscles: a randomized controlled trial. Knee-joint pathologies, such as anterior knee pain (AKP), are associated with strength deficits and reduced activation of the knee extensors, which is referred to as muscle inhibition (MI). MI is thought to prevent full functional recovery, and treatment modalities that help to reduce or eliminate MI appear necessary for successful rehabilitation. Clinical observations suggest that AKP (...) is typically associated with sacroiliac (SI) joint dysfunction. It is unknown whether SI-joint dysfunction contributes to knee-extensor deficits and whether correction of SI-joint dysfunction alleviates MI.The objective of this study was to assess whether conservative low back treatment reduces lower limb MI.In a randomized, controlled, double-blind study the effects of conservative lower back treatment on knee-extensor strength and MI were evaluated in patients with AKP.Twenty-eight patients with AKP were

2000 Journal of Manipulative and Physiological Therapeutics Controlled trial quality: uncertain

5671. Early knee motion after open and arthroscopic anterior cruciate ligament reconstruction. (Abstract)

was allowed, limiting the last 20 degrees of knee extension for the first 4 postoperative weeks to protect the repair. In all other respects, the rehabilitation program after surgery was the same for the two groups, including postoperative compression dressings, exercises, and weight-bearing status. Ten of the eighteen patients had acute ACL disruptions and 8 had chronic ACL insufficiencies. There was an even distribution of acute and chronic knee cases and of open and arthroscopic ligament procedures (...) in comparing the two knee motion programs. An important finding of this study was the significant decreases in thigh circumference that occurred within the first few weeks of surgery, which progressed despite a closely supervised inpatient and outpatient rehabilitation program.(ABSTRACT TRUNCATED AT 400 WORDS)

1987 American Journal of Sports Medicine Controlled trial quality: uncertain

5672. Two-versus three-portal technique for routine knee arthroscopy. (Abstract)

. Patients in the three-portal group returned to work and normal activities at a mean of 19 days after surgery, compared with 9 days for patients in the two-portal group. Standard knee arthroscopy with a two-portal technique does not violate the vastus medialis obliquus muscle and allows an earlier return of quadriceps muscle function and strength, earlier rehabilitation, and a faster return to activity. (...) Two-versus three-portal technique for routine knee arthroscopy. The purpose of this study was to compare the results of a two-portal versus a three-portal technique for knee arthroscopy and to determine differences in patient and muscle recovery time and postoperative pain. We prospectively evaluated 16 patients undergoing routine knee arthroscopy in a randomized, double-blinded study. Six patients underwent arthroscopy with the standard three-portal technique, with the superomedial portal

2002 American Journal of Sports Medicine Controlled trial quality: uncertain

5673. Effects of two electrical stimulation frequencies in thigh muscle after knee surgery. (Abstract)

Effects of two electrical stimulation frequencies in thigh muscle after knee surgery. The purpose of this study was to compare the effects of two protocols of electrical stimulation combined with voluntary contractions on the recovery of thigh muscles after anterior cruciate ligament (ACL) surgery. Ten sportsmen with a mean age of 26 yrs were randomly assigned into two groups: a 80 Hz stimulated group (5 patients) and a 20 Hz stimulated group (5 patients). All patients received electrical (...) stimulation of the quadriceps femoris, five days a week, for 12 weeks, and had a standard program of voluntary contractions. Muscle and fat volumes of the thigh were assessed using MRI before surgery and after 12 weeks of rehabilitation. Quadriceps and hamstring muscle strength were evaluated by isokinetic measurements. Twelve weeks after surgery, the quadriceps peak torque deficit in the operated limb with respect to the non operated limb at 180 degrees /s and 240 degrees /s was significantly (p < 0.05

2002 International Journal of Sports Medicine Controlled trial quality: uncertain

5674. Eccentric and concentric isokinetic moment characteristics in the quadriceps and hamstrings of the chronic isolated posterior cruciate ligament injured knee Full Text available with Trip Pro

Eccentric and concentric isokinetic moment characteristics in the quadriceps and hamstrings of the chronic isolated posterior cruciate ligament injured knee Functional strength deficits associated with chronic isolated posterior cruciate ligament (PCL) insufficiency have received limited attention in the literature. The purpose of this study was to determine the eccentric and concentric isokinetic moment characteristics of the quadriceps and hamstrings in a sample of patients with isolated PCL (...) injury.Eccentric and concentric mean average and average peak moments were measured for 17 patients with a history of conservatively treated isolated PCL injury using an isokinetic dynamometer. Quadriceps and hamstring isokinetic moments were recorded from 10 degree to 90 degree of knee flexion. Strength ratios were calculated and compared with those reported in the literature for healthy subjects.The hamstrings of the involved side (eccentric/concentric (E/C) ratio = 1.06) were significantly weaker (p<0.05

1999 British Journal of Sports Medicine

5675. Evaluation of knee braces in Swedish ice hockey players. Full Text available with Trip Pro

of the medical collateral ligament (60%), meniscus (15%) or anterior cruciate ligament (12%) were the most commonly reported injuries. Prophylactic knee braces were worn by 138 (23%) of the players. Of these, 122 (88%) had earlier sustained a knee injury, and 16 had not. A total of 17 knee injuries had occurred while the players were wearing a brace. Six of these players had previously uninjured knees while 11 had repeat injury in a brace despite earlier successful rehabilitation or operation. The most (...) Evaluation of knee braces in Swedish ice hockey players. In this retrospective investigation we have determined the rate and types of knee injuries among Swedish ice hockey players, and related these data to the use of knee braces. Thirty-seven of the originally selected 50 hockey teams (74%) of elite or first division calibre took part in the study, and 600 players answered a questionnaire. A total of 254 previous knee injuries sustained while playing hockey were reported by 243 players; tears

1991 British Journal of Sports Medicine

5676. Knee closure in total knee replacement: a randomized prospective trial. (Abstract)

that the degree of knee flexion at the time of capsular closure in total knee replacement has no effect on early rehabilitation after total knee replacement. (...) Knee closure in total knee replacement: a randomized prospective trial. A randomized prospective study of 75 total knee replacements in 64 patients who were randomized to capsular closure with the knee in full extension or in flexion was done. Thirty-one knees received a posterior cruciate ligament retaining prosthesis and 44 knees received a posterior stabilized prosthesis. Preoperatively, there was no significant difference between the groups, and patients were stratified by surgeon and type

1996 Clinical orthopaedics and related research Controlled trial quality: uncertain

5677. Effect of static stretching of muscles surrounding the knee on knee joint position sense. Full Text available with Trip Pro

Effect of static stretching of muscles surrounding the knee on knee joint position sense. Muscle stretching is widely used in sport training and in rehabilitation. Considering the important contribution of joint position sense (JPS) to knee joint stability and function, it is legitimate to question if stretching might alter the knee JPS.To evaluate if a stretch regimen consisting of three 30 s stretches alters the knee JPS.A blinded, randomised design with a washout time of 24 h was used.39 (...) healthy students (21 women, 18 men) volunteered to participate in this study.JPS was estimated by the ability to reproduce the two target positions (20 degrees and 45 degrees of flexion) in the dominant knee. The absolute angular error (AAE) was defined as the absolute difference between the target angle and the subject perceived angle of knee flexion. AAE values were measured before and immediately after the static stretch. Measurements were repeated three times. The static stretch comprised a 30 s

2007 British Journal of Sports Medicine Controlled trial quality: uncertain

5678. Use of a hinged external knee fixator after surgery for knee dislocation. (Abstract)

that underwent the same treatment and rehabilitation protocol except that an external brace was used rather than a CKH.Thirty-six patients with 39 knee dislocations underwent follow-up ranging from 14 to 41 months (mean, 24). Four patients with 4 knee dislocations were lost to follow-up (1 group A, 3 group B). Group A underwent 27 knee ligament procedures with 2 (7%) failures based on clinical examination. Group B underwent 102 ligament procedures with 30 (29%) failures (P <.05). Anterior cruciate ligament (...) Use of a hinged external knee fixator after surgery for knee dislocation. This study documents short-term clinical outcomes in patients with knee dislocations after blunt trauma and evaluates the compass knee hinge (CKH) external fixator for their treatment.Nonrandomized prospective functional outcome study.Forty patients with 43 knee dislocations were evaluated. Twelve knees underwent ligament reconstruction followed by placement of a CKH; this was group A. Group B included 27 knees

2003 Arthroscopy

5679. Quadriceps inhibition induced by an experimental knee joint effusion affects knee joint mechanics during a single-legged drop landing. (Abstract)

Quadriceps inhibition induced by an experimental knee joint effusion affects knee joint mechanics during a single-legged drop landing. Arthrogenic quadriceps muscle inhibition accompanies knee joint effusion and impedes rehabilitation after knee joint injury.We hypothesized that an experimentally induced knee joint effusion would cause arthrogenic quadriceps muscle inhibition and lead to increased ground reaction forces, as well as sagittal plane knee angles and moments, during a single-legged (...) drop landing.Controlled laboratory study.Nine subjects (4 women and 5 men) underwent 4 conditions (no effusion, lidocaine injection, "low" effusion [30 mL], and "high" effusion [60 mL]) and then performed a single-legged drop landing. Lower extremity muscle activity, peak sagittal plane knee flexion angles, net sagittal plane knee moments, and peak ground reaction forces were measured.Vastus medialis and lateralis activity were decreased during the low and high effusion conditions (P < .05

2007 American Journal of Sports Medicine

5680. Effects of a phase III cardiac rehabilitation program on physical status and lipid profiles in elderly patients with coronary artery disease: Juntendo Cardiac Rehabilitation Program (J-CARP). (Abstract)

). The intervention group participated in a phase III cardiac rehabilitation program consisting of exercise training, diet therapy, and weekly counseling for 6 months. In the control group, usual outpatient care was provided. In the intervention group, body mass index, waist size and fat weight significantly decreased; peak VO2 and anaerobic threshold VO2 were maintained; isokinetic peak torques of knee extensor and flexor muscles significantly increased; anterior trunk flexibility was significantly improved (...) Effects of a phase III cardiac rehabilitation program on physical status and lipid profiles in elderly patients with coronary artery disease: Juntendo Cardiac Rehabilitation Program (J-CARP). Limited data are available regarding the effects of phase III cardiac rehabilitation on the physical status and risk factors in elderly patients with coronary artery disease (CAD).Thirty-four male CAD patients (>65 years old) were randomly assigned to an intervention group (n=18) or a control group (n=16

2008 Circulation journal : official journal of the Japanese Circulation Society Controlled trial quality: uncertain

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