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knee rehabilitation

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5681. Responsiveness of the WOMAC osteoarthritis index as compared with the SF-36 in patients with osteoarthritis of the legs undergoing a comprehensive rehabilitation intervention Full Text available with Trip Pro

inpatients of a rehabilitation clinic was made. The patients included fulfilled the American College of Rheumatology criteria for knee or hip OA and underwent both passive and, particularly, active physical therapy for three to four weeks. Responsiveness assessment was performed using the standardised response mean (SRM), effect size, and Guyatt's responsiveness statistic between admission and discharge (end of rehabilitation) and then again between admission and three months later. For pain and function (...) for SF-36 at the end of rehabilitation; SRM=0.377 for WOMAC and SRM=0.468 for SF-36 at the three month follow up). In the measurement of function, the WOMAC was significantly more responsive than the SF-36 (SRMs, end of rehabilitation: 0.628 v 0.249; three month follow up: 0.235 v -0.001). Responsiveness tended to be higher in women and in knee OA than in men and hip OA.Both instruments, the WOMAC and the SF-36, capture improvement in pain in patients undergoing comprehensive inpatient rehabilitation

2001 Annals of the Rheumatic Diseases

5682. Strength training in the rehabilitation of cruciate ligament tears. (Abstract)

Strength training in the rehabilitation of cruciate ligament tears. Pure strength training will result in good functional results in most patients with anterior or posterior cruciate ligament injuries. In a randomised study it was shown that functional training without specific strength training will result in at least comparable results to isokinetic training. In order to increase compliance and to improve the results of training a new rehabilitation programme combines pure strength training (...) and functional training. The aim of this treatment is to restore the dynamic stability of the knee.

1990 Sports medicine (Auckland, N.Z.)

5683. Comparison of the effects of exercise in water and on land on the rehabilitation of patients with intra-articular anterior cruciate ligament reconstructions. (Abstract)

Comparison of the effects of exercise in water and on land on the rehabilitation of patients with intra-articular anterior cruciate ligament reconstructions. Exercises in water have been shown to be effective for improving strength and passive range of motion (PROM). Traditional rehabilitation following intra-articular anterior cruciate ligament (ACL) reconstruction has taken place on land. This study was designed to compare the effects of exercises in water on strength and girth of the thigh (...) musculature, knee PROM, joint laxity, effusion, and functional outcome with the effects of similar exercises on land in subjects following intra-articular reconstruction of the ACL.Twenty subjects were randomly assigned to either a group that exercised on land or a group that exercised in water.Thigh girth, joint effusion, and knee PROM measurements were recorded at 2-week intervals for the first 8 weeks postoperatively. Isokinetic and isometric peak torque measurements for the thigh musculature, knee

1994 Physical therapy Controlled trial quality: uncertain

5684. Can a regular leg extension bench be used in testing deficits of the quadriceps muscle during rehabilitation? (Abstract)

Can a regular leg extension bench be used in testing deficits of the quadriceps muscle during rehabilitation? Fifty-nine people, 31 healthy subjects with no previous knee injuries and 28 who had undergone an intra-articular anterior cruciate ligament reconstruction 6-12 months prior to testing took part in the study. The subjects were randomly tested bilaterally on a Cybex 6000 isokinetic testing device (ITD) and on an ordinary leg extension bench (LEB). Strength and endurance were tested

1995 Scandinavian journal of medicine & science in sports Controlled trial quality: uncertain

5685. Effects of stress inoculation training on athletes' postsurgical pain and rehabilitation after orthopedic injury. (Abstract)

Effects of stress inoculation training on athletes' postsurgical pain and rehabilitation after orthopedic injury. The efficacy of a cognitive-behavioral intervention (stress inoculation training; SIT) for postsurgical anxiety, pain, and physical rehabilitation in injured athletes was tested. Sixty male athletes who underwent arthroscopic surgery for miniscus injury in 1 knee were randomly assigned to either treatment (SIT and physical therapy) or control (physical therapy only) conditions (...) . Results showed that participants in the treatment group demonstrated significantly less postsurgical pain and anxiety during the rehabilitation process, compared with controls. Additionally, treated participants required fewer days to return to criterion physical functioning, compared with nontreated participants.

1996 Journal of Consulting and Clinical Psychology Controlled trial quality: uncertain

5686. The efficacy of perturbation training in nonoperative anterior cruciate ligament rehabilitation programs for physical active individuals. (Abstract)

The efficacy of perturbation training in nonoperative anterior cruciate ligament rehabilitation programs for physical active individuals. Treatment techniques involving perturbations of support surfaces may induce compensatory muscle activity that could improve knee stability and increase the likelihood of returning patients to high-level physical activity. The purpose of this study was to determine the efficacy of augmenting standard nonoperative anterior cruciate ligament (ACL) rehabilitation (...) , soccer, football, basketball) or level II activities (eg, racquet sports, skiing, construction work).Subjects were randomly assigned to either a group that received a standard rehabilitation program (standard group) or a group that received the standard program augmented with a perturbation training program (perturbation group). Treatment outcome was determined from scores on the Knee Outcome Survey's Activities of Daily Living Scale (ADLS) and Sports Activity Scale, a global rating of knee function

2000 Physical therapy Controlled trial quality: uncertain

5687. A prospective outcome study of rehabilitation programs and anterior cruciate ligament reconstruction. (Abstract)

received home-based physical therapy (number of visits determined by patient response). Knee ROM, Lysholm, Visual Analogy Scale, (VAS) pain rating, hop test, KT-1000, and Sickness Impact Profile (SIP) were evaluated preoperatively and postoperatively. All patients reported good satisfaction with the function of their knee at average follow-up of 21.6 months (range, 12 to 48). Patients managed by home rehabilitation averaged 2.85 visits as compared with 14.2 for clinic-centered patient (P < .05 (...) A prospective outcome study of rehabilitation programs and anterior cruciate ligament reconstruction. We evaluated the outcome of and compared two rehabilitation programs (clinic-based versus home) after a mid-third patellar autograft reconstruction of the anterior cruciate ligament. Thirty-seven patients (28 male, 9 female; average age, 24.1 years) completed the study. Fifteen of these patients received clinic-based rehabilitation (three visits per week for 6 weeks prescribed), and 22 patients

1997 Arthroscopy Controlled trial quality: uncertain

5688. One- versus two-incision technique for anterior cruciate ligament reconstruction with patellar tendon graft. Results on early rehabilitation and stability. (Abstract)

% of patients. ACL reconstruction reduced anterior translation of the knee significantly at the 6-month and 12-month follow-up with a slight increase of MMD values at 12 months in both groups. The arthroscopic single-incision technique did not differ from the mini-open technique in terms of postoperative pain medication, incidence of effusion, postoperative range-of-motion or any rehabilitation parameters. Stability was comparable in both groups at all time periods. We conclude that an arthroscopic single (...) One- versus two-incision technique for anterior cruciate ligament reconstruction with patellar tendon graft. Results on early rehabilitation and stability. Anterior cruciate ligament (ACL) reconstruction with patellar tendon graft has become a standard procedure. The graft can be inserted either using two tunnels and a lateral femoral incision or with a femoral half-tunnel drilled from the joint, thus avoiding the lateral incision. Advantages have been claimed for the single-incision technique

1997 Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Controlled trial quality: uncertain

5689. Early rehabilitation of acute anterior cruciate ligament injury--a randomized clinical trial. (Abstract)

after instruction.At the 6-week follow-up there was no difference between the groups with regard to pain at rest, pain during walking, or experience of giving-way episodes, Tegner activity level of Lysholm knee score. Only 2 of the 100 patients were observed without joint mobility restriction. The only significant difference between the groups was the improvement of muscle function in men in the supervised training group.Six weeks' rehabilitation is too short a time period from original injury (...) Early rehabilitation of acute anterior cruciate ligament injury--a randomized clinical trial. The efficacy of a 6-week rehabilitation program was evaluated in 100 consecutive patients, age 15-42 years, with acute anterior cruciate ligament (ACL) injury. Arthroscopy revealed associated lesions in 82% of the patients. Except for resections on menisci with large and unstable lesions, no surgery was performed. The patients were randomly assigned to supervised training or self-monitored training

1998 Scandinavian journal of medicine & science in sports Controlled trial quality: uncertain

5690. Effectiveness of lateral slide exercise in an anterior cruciate ligament reconstruction rehabilitation home exercise program. (Abstract)

exercise programs in knee ligament reconstruction rehabilitation. Few studies have been conducted to test the efficacy of specific exercises as part of a home-based treatment program on subjects who have undergone ACL reconstruction.Fourteen subjects who underwent patella tendon autograft reconstruction on one of their ACLs were studied. Testing consisted of the following 4 measurements: peak isometric knee extension torque, peak isometric knee flexion torque, maximum lateral step height, and lateral (...) Effectiveness of lateral slide exercise in an anterior cruciate ligament reconstruction rehabilitation home exercise program. Two-group repeated measures design using a sample of convenience of subjects with anterior cruciate ligament (ACL) reconstructive surgery.To determine the effect of incorporating one specific weight-bearing exercise (lateral slide exercise using a slide board) into an ACL reconstruction home exercise program.Reduced clinic visits have increased the importance of home

2000 The Journal of orthopaedic and sports physical therapy Controlled trial quality: uncertain

5691. Bracing versus nonbracing in rehabilitation after anterior cruciate ligament reconstruction: a randomized prospective study with 2-year follow-up. (Abstract)

Bracing versus nonbracing in rehabilitation after anterior cruciate ligament reconstruction: a randomized prospective study with 2-year follow-up. This study prospectively randomized 62 patients to rehabilitation programs either with or without postoperative brace for 6 weeks following bone-tendon-bone anterior cruciate ligament reconstruction. The nonbraced group had a smaller knee circumference 2 weeks after surgery. At 6-month follow-up the nonbraced group had a better Tegner score. At 2 (...) than the nonbraced group, indicating that the brace does not contribute to a more stable knee during rehabilitation or 2-year follow-up.

2001 Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Controlled trial quality: uncertain

5692. Zinc and rehabilitation from severe protein-energy malnutrition: higher-dose regimens are associated with increased mortality. Full Text available with Trip Pro

Zinc and rehabilitation from severe protein-energy malnutrition: higher-dose regimens are associated with increased mortality. A randomized, double-blind trial was undertaken to measure the effects of zinc supplementation on catch-up growth in severe protein-energy malnutrition, with particular reference to linear growth. One hundred forty-one children between the ages of 6 mo and 3 y were enrolled after admission to a nutritional rehabilitation unit in Dhaka, Bangladesh, and randomly assigned (...) to receive elemental zinc by mouth, 1.5 mg/kg for 15 d, 6.0 mg/kg for 15 d, or 6.0 mg/kg for 30 d, and thereafter they were followed for a total of 90 d. Anthropometric outcome measures included change in knee-heel length, midupper arm circumference, subscapular and triceps skinfold thicknesses, and change in height-for-age, weight-for-age, and weight-for-height z scores. Higher zinc doses were not associated with significant change in any anthropometric measurement, but mortality was significantly

1998 The American journal of clinical nutrition Controlled trial quality: predicted high

5693. Comparison of home versus physical therapy-supervised rehabilitation programs after anterior cruciate ligament reconstruction: a randomized clinical trial. (Abstract)

. All patients followed the same standardized rehabilitation program. Study outcome measures included active-assisted knee flexion and passive knee extension range of motion, knee range of motion during walking, KT computerized arthrometer results, and isokinetic quadriceps and hamstrings strength. Patient outcomes were dichotomized as either clinically acceptable or unacceptable. Rehabilitation programs were compared by the proportion of acceptable patients in each group.The home-based group had (...) a significantly higher percentage of patients with acceptable flexion and extension range of motion compared to the standard physical therapy group (flexion, 67% vs 47%; extension, 97% vs 83%). There were no significant differences between the groups in range of motion during walking, ligament laxity, and strength.A structured, minimally supervised rehabilitation program was more effective in achieving acceptable knee range of motion in the first 3 months after anterior cruciate ligament reconstruction than

2005 American Journal of Sports Medicine Controlled trial quality: uncertain

5694. Preliminary effects of hyaluronic acid on early rehabilitation of patients with isolated anterior cruciate ligament reconstruction. (Abstract)

surgery for all groups.Outcomes were measured at 4, 8, 12, and 16 weeks after reconstruction, and at follow-up 1 year later. These included the changes in Lysholm knee scoring scale, knee range of motion, ambulation speed (AS), and muscle peak torque (MPT) of knee flexion and extension.There were improvements in groups I-III shortly after receiving the HA, but not in the saline group (group IV). Patients in groups II and III showed more improvement in AS and MPT after rehabilitation program (...) Preliminary effects of hyaluronic acid on early rehabilitation of patients with isolated anterior cruciate ligament reconstruction. To investigate the effects of Hyaluronic acid (HA) on early rehabilitation of patients with isolated anterior cruciate ligament (ACL) reconstruction.Randomized, controlled clinical trial.A total 120 patients with isolated ACL injury who had received patellar tendon autograft reconstruction were randomly assigned to four groups (groups I-IV), with 30 subjects

2007 Clinical Journal of Sport Medicine Controlled trial quality: uncertain

5695. A double blind trial of NSAID versus placebo during rehabilitation. (Abstract)

of the operated knee; and efficacy of the medication. The mean values for all parameters, except for pain assessment, were in favor of the piroxicam group. This difference was most marked on day 7 and 11 and on these days highly significant. Our findings indicate that piroxicam may be able to improve early postoperative rehabilitation. (...) A double blind trial of NSAID versus placebo during rehabilitation. Forty patients participated in a randomized, parallel, double blind study of piroxicam, 20 mg daily, versus placebo, given orally for 10 days following open partial meniscectomy. On day 1, 3, 7, 11, and 21 after surgery the following parameters were studied: quadriceps torque measured isokinetically; patients' assessment of pain; active and passive range of motion measured with goniometer; degree of swelling and irritation

1987 Orthopedics Controlled trial quality: uncertain

5696. Biofeedback and functional electric stimulation in stroke rehabilitation. (Abstract)

Biofeedback and functional electric stimulation in stroke rehabilitation. The study examined the efficacy of functional electric stimulation (FES) and biofeedback (BFB) treatment of gait dysfunction in patients with hemiplegia after stroke. These two therapeutic modalities were tested alone and in combination in a prospective, controlled, randomized trial. The authors hypothesized that in concurrent use, these two modalities would complement one another. Thirty-six hemiplegic patients (...) undergoing rehabilitation after stroke were accepted for study and randomized into four groups to receive either control, FES, BFB, or combined therapies. Each patient received 30 minutes of treatment three times per week for six weeks, in addition to their general rehabilitation program. Quantitative gait analysis was performed biweekly on each subject during the experimental therapy and for four weeks afterward. Thirty-two subjects completed the study. Combined therapy with BFB and FES resulted

1988 Archives of physical medicine and rehabilitation Controlled trial quality: uncertain

5697. Acupuncture-like stimulation with codetron for rehabilitation of patients with chronic pain syndrome and osteoarthritis. (Abstract)

Acupuncture-like stimulation with codetron for rehabilitation of patients with chronic pain syndrome and osteoarthritis. Acupuncture is one of the oldest healing methods which is used in traditional medicine. In the modern medicine, we are witnessing a renaissance of this ancient treatment applied mainly in the management of chronic pain. A number of modern technological changes are being applied to replace, or modify, the classical needle treatment. Among many modalities used today (...) placebo controlled pilot trial of osteoarthritis of the hip/knee with CODETRON which was conducted later. The results were highly suggestive of the beneficial effect of this nonhabituating mode of therapy and confirmed our initial uncontrolled trial results.

1992 Acupuncture & electro-therapeutics research Controlled trial quality: uncertain

5698. Home based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD). Full Text available with Trip Pro

Home based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD). Passive training of specific locomotor muscle groups by means of neuromuscular electrical stimulation (NMES) might be better tolerated than whole body exercise in patients with severe chronic obstructive pulmonary disease (COPD). It was hypothesised that this novel strategy would be particularly effective in improving functional (...) impairment and the consequent disability which characterises patients with end stage COPD.Fifteen patients with advanced COPD (nine men) were randomly assigned to either a home based 6 week quadriceps femoris NMES training programme (group 1, n=9, FEV(1)=38.0 (9.6)% of predicted) or a 6 week control period before receiving NMES (group 2, n=6, FEV(1)=39.5 (13.3)% of predicted). Knee extensor strength and endurance, whole body exercise capacity, and health related quality of life (Chronic Respiratory

2002 Thorax Controlled trial quality: uncertain

5699. A randomized controlled trial of rehabilitation after hospitalization in frail older women: effects on strength, balance and mobility. (Abstract)

A randomized controlled trial of rehabilitation after hospitalization in frail older women: effects on strength, balance and mobility. When frail older people become acutely ill, they are at increased risk of further functional deterioration and rehabilitation is needed to restore functioning. The effects of an out-patient multicomponent training program including strength training after hospitalization were studied in a randomized controlled trial. Sixty-eight women (mean age 83.0 +/- 3.9 (...) years) who were hospitalized due to an acute illness and were mobility impaired at admission were randomized into training (N = 34) and home exercise (N = 34) groups. Maximal voluntary isometric strength of knee extension and hip abduction, dynamic balance, and maximal walking speed were measured before and after the 10-week training period, and 3 and 9 months after the end of the intervention. After the intervention, significant improvements were observed in the training group compared to the home

2002 Scandinavian journal of medicine & science in sports Controlled trial quality: uncertain

5700. [Gait disorders - assessment and rehabilitation supported by movement analysis]. (Abstract)

[Gait disorders - assessment and rehabilitation supported by movement analysis]. The present paper validates the use of two-dimensional pelvis and thorax translation data for the assessment of gait disturbances and evaluates the effects of a real-time visual feedback system based on thoracic spine kinematics for gait rehabilitation.To validate the use of two-dimensional gait kinematics, vertical and horizontal displacements of pelvis (S1) and thorax (T12) markers of the twelve healthy (...) individuals (25.9 +/- 2.7 years) were recorded during two gait perturbations: a brace constraining the knee to 30 degrees of flexure and a shoe lift of 3 cm. To investigate the effects of verbal instructions and additional real-time visual feedback on vertical and medial-lateral pelvis and trunk movements, gait kinematics were recorded during three randomized trials (verbal instruction, real-time visual kinematic feedback, free walking).Gait deviations did result in significant (p < 0.05) increases

2002 Zeitschrift für Orthopädie und ihre Grenzgebiete Controlled trial quality: uncertain

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