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knee rehabilitation

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5701. Pre-arthroplasty rehabilitation is effective in reducing hospital stay. (Abstract)

Pre-arthroplasty rehabilitation is effective in reducing hospital stay. The purpose of the trial was to evaluate the effect on length of stay of individually tailored rehabilitation for clients who were undergoing hip or knee arthroplasty.Clients (n = 133) with complex needs (comorbid conditions or limited social support) were randomly assigned to receive preoperative usual care (UC) or rehabilitation (R). Usual care clients received a single preoperative clinic visit. Rehabilitation clients (...) were individually assessed and received multi disciplinary rehabilitation to optimize functional capacity, education about the in-hospital phase and early discharge planning. All rehabilitation subjects received interdisciplinary counseling/education focused on preparation for discharge home. The intervention for approximately half the rehabilitation clients was a single, cost-effective session, while others received physical conditioning.Clients receiving rehabilitation achieved discharge criteria

2003 Canadian journal of occupational therapy. Revue canadienne d'ergothérapie Controlled trial quality: uncertain

5702. Rehabilitation after anterior cruciate ligament reconstruction: a prospective, randomized, double-blind comparison of programs administered over 2 different time intervals. Full Text available with Trip Pro

Rehabilitation after anterior cruciate ligament reconstruction: a prospective, randomized, double-blind comparison of programs administered over 2 different time intervals. There are adverse effects associated with immobilization of the knee after anterior cruciate ligament reconstruction, yet very little is known about how much activity will promote adequate rehabilitation without permanently elongating the graft, producing graft failure, or creating damage to articular (...) cartilage.Rehabilitation with either an accelerated or nonaccelerated program produces no difference in anterior-posterior knee laxity, clinical assessment, patient satisfaction, functional performance, and the synovial fluid biomarkers of articular cartilage metabolism.Randomized controlled clinical trial; Level of evidence, 1.Twenty-five patients who tore their anterior cruciate ligament were enrolled and underwent anterior cruciate ligament reconstruction. Patients were randomized to accelerated rehabilitation

2005 American Journal of Sports Medicine Controlled trial quality: uncertain

5703. 1994 Student Writing Contest Winner: Nonoperative Rehabilitation of an Isolated Posterior Cruciate Ligament Rupture Full Text available with Trip Pro

imaging. Rehabilitation from this injury is controversial because of the lack of documentation clearly showing the natural pathology of a PCL-deficient knee. There is research indicating that if chronic joint degeneration occurs, it will most likely be medial compartment or patellofemoral arthritis. Currently, the options are reconstructive surgery or participation in a nonoperative rehabilitation program. Because of this athlete's strength, age, and the nature of his sport, reconstructive surgery (...) was not chosen. The rehabilitation program was progressive and modeled after the five stages of rehabilitation as described by Prentice. It emphasized strengthening the quadriceps and increasing hamstring flexibility. The athlete experienced minimal pain and inflammation after the injury. Results of rehabilitation were outstanding. The athlete was released for return to full contact 4-1/2 weeks postinjury. He demonstrated excellent performance without any abnormal knee symptoms. The ratio of quadriceps

1995 Journal of athletic training

5704. Rehabilitation following anterior cruciate ligament reconstruction: what do we really know? Full Text available with Trip Pro

Orthop J 8908272 1541-5457 IM Animals Anterior Cruciate Ligament surgery Anterior Cruciate Ligament Injuries Biomechanical Phenomena Humans Knee Injuries physiopathology rehabilitation Treatment Outcome 38 1995 1 1 1995 1 1 0 1 1995 1 1 0 0 ppublish 7634032 PMC2329077 Clin Orthop Relat Res. 1985 Jun;(196):186-95 3888466 J Bone Joint Surg Am. 1981 Oct;63(8):1270-84 7287797 J Orthop Res. 1986;4(4):475-85 2946836 Am J Sports Med. 1986 Nov-Dec;14(6):436-48 3541655 Am J Sports Med. 1987 Mar-Apr;15(2):149 (...) Rehabilitation following anterior cruciate ligament reconstruction: what do we really know? 7634032 1995 09 14 2018 11 13 1541-5457 15 1995 The Iowa orthopaedic journal Iowa Orthop J Rehabilitation following anterior cruciate ligament reconstruction: what do we really know? 19-23 Johnson R J RJ Department of Orthopaedics & Rehabilitation, McClure Musculoskeletal Research Center, University of Vermont, Burlington, 05405-0084, USA. Beynnon B D BD eng Journal Article Review United States Iowa

1995 The Iowa orthopaedic journal

5705. Age-Related Differences in Predictors of Adherence to Rehabilitation After Anterior Cruciate Ligament Reconstruction Full Text available with Trip Pro

Age-Related Differences in Predictors of Adherence to Rehabilitation After Anterior Cruciate Ligament Reconstruction OBJECTIVE: To examine whether the relationships between psychological factors and rehabilitation adherence after knee surgery differ as a function of age. DESIGN AND SETTING: Participants completed inventories of self-motivation, social support, athletic identity, and psychological distress before anterior cruciate ligament (ACL) reconstruction. After surgery, participants (...) recorded their completion of home rehabilitation exercises and cryotherapy, and the sport rehabilitation professionals providing their treatment reported on the patients' attendance at, and adherence during, rehabilitation sessions. SUBJECTS: Sixty-one individuals with acute ACL tears. MEASUREMENTS: The Self-Motivation Inventory, Social Support Inventory, Athletic Identity Measurement Scale, Brief Symptom Inventory, and Sport Injury Rehabilitation Adherence Scale were used to measure self-motivation

2003 Journal of athletic training

5706. Bilateral lower limb amputee rehabilitation. A retrospective review. Full Text available with Trip Pro

Bilateral lower limb amputee rehabilitation. A retrospective review. We retrospectively reviewed 61 cases of bilateral lower limb amputations in patients admitted to a regional amputee rehabilitation program. Of the 61 cases, 41 were analyzed as to functional outcome on discharge, at 1 month, and at 3 months; 20 were not included owing to transfers to acute care or loss to follow-up. There were 41 men and 20 women, the average age was 61.5 years, and 47 patients (77%) were discharged to home (...) . There were 25 bilateral below-knee, 14 above-knee and below-knee, 12 bilateral above-knee, 5 below-knee and partial-foot, 3 above-knee and partial-foot, and 2 bilateral partial-foot amputations. The average length of stay for all levels was 24.2 days. Most of the patients at the time of discharge achieved a level of limited household walking with the exception of those with bilateral above-knee amputations. A significant improvement in function was noted for all patients at 3-month follow-up, with most

1991 Western Journal of Medicine

5707. The science of anterior cruciate ligament rehabilitation. (Abstract)

The science of anterior cruciate ligament rehabilitation. This review of the literature assessed what is known about the biomechanics of the normal anterior cruciate ligament during rehabilitation exercises, the biomechanical behavior of the anterior cruciate ligament graft during healing, and clinical studies of rehabilitation after anterior cruciate ligament replacement. After anterior cruciate replacement, immobilization of the knee, or restricted motion without muscle contraction, leads (...) an increase of anterior knee laxity and is beneficial because it lowers the incidence of patellofemoral pain. Rehabilitation with a closed kinetic chain program results in anteroposterior knee laxity values that are closer to normal, and earlier return to normal daily activities, compared with rehabilitation with an open kinetic chain program. This review revealed that more randomized, controlled trials of rehabilitation are needed. These should include the clinicians' and patients' perspective

2002 Clinical Orthopaedics and Related Research

5708. Effectiveness and practice variation of rehabilitation after joint replacement. (Abstract)

programs carried out at home or in groups. Knee arthroplasty possibly requires more rehabilitation than hip arthroplasty to achieve optimal outcomes. To enable firm conclusions on the effectiveness of rehabilitation after joint replacement, future studies have to consider methodological issues such as outcomes evaluated and number of patients included to ensure sufficient power. (...) Effectiveness and practice variation of rehabilitation after joint replacement. Early mobilization is the gold standard for achieving functional mobility after arthroplasty. The value of additional interventions to improve range of motion during the immediate inpatient period is not proven. Home is the preferred discharge destination and yields similar outcomes compared with inpatient rehabilitation. It is possible to improve outcomes related to physical activity by implementing exercise

2003 Current Opinion in Rheumatology

5709. Opening wedge high tibial osteotomy: an operative technique and rehabilitation program to decrease complications and promote early union and function. (Abstract)

injuries, alterations in tibial slope, or cases of patellar infera postoperatively. Full weightbearing was achieved at a mean of 8 weeks (range, 4-11 weeks) postoperatively.The operative technique including use of an autologous iliac crest bone graft in addition to a progressive rehabilitation program successfully prevented nonunion, change in tibial slope, and knee arthrofibrosis in this study. (...) Opening wedge high tibial osteotomy: an operative technique and rehabilitation program to decrease complications and promote early union and function. High tibial osteotomy has been associated with significant complications, including delayed union or nonunion, loss of correction, arthrofibrosis, and patella infera.A technique for opening wedge osteotomy that incorporates an autogenous iliac crest bone graft will prevent delayed union or nonunion, allow early rehabilitation and weightbearing

2006 American Journal of Sports Medicine

5710. Autologous chondrocyte implantation postoperative care and rehabilitation: science and practice. Full Text available with Trip Pro

Autologous chondrocyte implantation postoperative care and rehabilitation: science and practice. Autologous chondrocyte implantation is an advanced, cell-based orthobiological technology used for the treatment of chondral defects of the knee. It has been in clinical use since 1987 and has been performed on 12 000 patients internationally; but despite having been in clinical use for more than 15 years, the evidence base for rehabilitation after autologous chondrocyte implantation is notably (...) deficient. The authors review current clinical practice and present an overview of the principles behind autologous chondrocyte implantation rehabilitation practices. They examine the main rehabilitation components and discuss their practical applications within the overall treatment program, with the aim of facilitating the formulation of appropriate, individualized patient rehabilitation protocols for autologous chondrocyte implantation.

2006 American Journal of Sports Medicine

5711. Quantifying the functional rehabilitation of injured football players. Full Text available with Trip Pro

and the nature and location of injury. Benchmark functional rehabilitation curves (y = mln(x) + c) were developed for thigh (n = 15) and lower leg (n = 8) muscle strains and knee (n = 7) and ankle (n = 9) ligament sprains (R(2) = 0.95-0.98).A structured, quantified rehabilitation programme based on routine fitness and skills exercises and a graded subjective assessment of performance provides an auditable record of a player's functional recovery from a range of lower limb injuries and a transparent exit (...) Quantifying the functional rehabilitation of injured football players. To determine whether quantified, auditable records of functional rehabilitation can be generated using subjective assessments of players' performance in fitness tests routinely used in professional football.Ten sequential test elements grouped into three phases (fitness, ball and match skills, match pace football) were used to monitor players' functional recovery from injury. Physiotherapists subjectively assessed players

2006 British Journal of Sports Medicine

5712. 15-year follow-up of neuromuscular function in patients with unilateral nonreconstructed anterior cruciate ligament injury initially treated with rehabilitation and activity modification: a longitudinal prospective study. Full Text available with Trip Pro

% to 14.4%; P = .001). At the 15-year follow-up, between 69% and 85% of the patients had an LSI >or= 90%.Good functional performance and knee muscle strength can be achieved and maintained over time in the majority of patients with ACL injury treated with rehabilitation and early activity modification but without reconstructive surgery. (...) 15-year follow-up of neuromuscular function in patients with unilateral nonreconstructed anterior cruciate ligament injury initially treated with rehabilitation and activity modification: a longitudinal prospective study. It has been suggested that neuromuscular function is of importance in the overall outcome after anterior cruciate ligament (ACL) injury.Good neuromuscular function can be achieved and maintained over time in subjects with ACL injury treated with rehabilitation and activity

2007 American Journal of Sports Medicine

5713. Can neuromuscular strength and function in people with dementia be rehabilitated using resistance-exercise training? Results from a preliminary intervention study. (Abstract)

Can neuromuscular strength and function in people with dementia be rehabilitated using resistance-exercise training? Results from a preliminary intervention study. Neuromuscular weakness is a prominent symptom among people with central nervous system disorders, such as dementia, typically leading to disability in activities of daily life. We sought to evaluate the potential of resistance exercise to improve neuromuscular strength and function in the lower extremities among community-dwelling (...) people with dementia.Twenty-eight subjects, aged 70-88 years and with an average Mini-Mental State Examination score of 17.8 +/- 7.2, were recruited from a population of adult daycare facility users. Subjects underwent pre- and postintervention assessment of strength and physical function consisting of determination of bilateral maximum strength of the knee extensor, hip flexor, dorsiflexor muscles, and handgrip; and evaluation of lower-extremity function based on repeated chair stands and gait speed

2003 Biological Sciences and Medical Sciences

5714. Economic evaluation of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain. Full Text available with Trip Pro

Economic evaluation of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain. OBJECTIVE: To conduct an economic evaluation of the Enabling Self-Management and Coping with Arthritic Knee Pain through Exercise (ESCAPE-knee pain) program. METHODS: Alongside a clinical trial, we estimated the costs of usual primary care and participation in ESCAPE-knee pain delivered to individuals (Indiv-rehab) or groups of 8 participants (Grp-rehab (...) ). Information on resource use and informal care received was collected during face-to-face interviews. Cost-effectiveness and cost-utility were assessed from between-group differences in costs, function (primary clinical outcome), and quality-adjusted life years (QALYs). Cost-effectiveness acceptability curves were constructed to represent uncertainty around cost-effectiveness. RESULTS: Rehabilitation (regardless of whether Indiv-rehab or Grp-rehab) cost 224 pounds (95% confidence interval [95% CI] 184

2007 EvidenceUpdates Controlled trial quality: uncertain

5715. Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain: A cluster randomized trial. Full Text available with Trip Pro

Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain: A cluster randomized trial. OBJECTIVE: Chronic knee pain is a major cause of disability and health care expenditure, but there are concerns about efficacy, cost, and side effects associated with usual primary care. Conservative rehabilitation may offer a safe, effective, affordable alternative. We compared the effectiveness of a rehabilitation program (...) of 418 participants were recruited; 76 (18%) withdrew, only 5 (1%) due to adverse events. Rehabilitated participants had better functioning than participants continuing usual primary care (-3.33 difference in WOMAC-func score; 95% confidence interval [95% CI] -5.88, -0.78; P = 0.01). Improvements were similar whether participants received individual rehabilitation (-3.53; 95% CI -6.52, -0.55) or group rehabilitation (-3.16; 95% CI -6.55, -0.12). CONCLUSION: ESCAPE-knee pain provides a safe

2007 EvidenceUpdates Controlled trial quality: predicted high

5716. Inpatient compared with home-based rehabilitation following primary unilateral total hip or knee replacement: a randomized controlled trial Full Text available with Trip Pro

Inpatient compared with home-based rehabilitation following primary unilateral total hip or knee replacement: a randomized controlled trial Home-based rehabilitation is increasingly utilized to reduce health-care costs; however, with a shorter hospital stay, the possibility arises for an increase in adverse clinical outcomes. We evaluated the effectiveness and cost of care of home-based compared with inpatient rehabilitation following primary total hip or knee joint replacement.We randomized (...) 234 patients, using block randomization techniques, to either home-based or inpatient rehabilitation following total joint replacement. All patients followed standardized care pathways and were evaluated, with use of validated outcome measures (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC], Short Form-36, and patient satisfaction), prior to surgery and at three and twelve months following surgery. The primary outcome was the WOMAC function score at three months after

2008 EvidenceUpdates Controlled trial quality: predicted high

5717. Accelerated perioperative care and rehabilitation intervention for hip and knee replacement is effective: a randomized clinical trial involving 87 patients with 3 months of follow-up Full Text available with Trip Pro

Accelerated perioperative care and rehabilitation intervention for hip and knee replacement is effective: a randomized clinical trial involving 87 patients with 3 months of follow-up Approximately 12,000 hip and knee replacements were performed in Denmark in 2005. Accelerated perioperative interventions are currently implemented, but there is conflicting evidence regarding the effect. We therefore performed an efficacy study of an accelerated perioperative care and rehabilitation intervention (...) in patients receiving primary total hip replacement, and both total and unicompartmental knee replacement.A randomized clinical trial was undertaken in which 87 patients were randomized to either a control group receiving the current perioperative procedure, or an intervention group receiving a new accelerated perioperative care and rehabilitation procedure. Outcome measures were length of stay (LOS) in hospital, and gain in quality of life (QOL) using EQ-5D from baseline to 3-month follow-up.Mean LOS

2008 EvidenceUpdates Controlled trial quality: uncertain

5718. [The new "Marburg rehabilitation concept". "On the status of exercise equipment within the scope of rehabilitation of patients after surgery of the anterior cruciate ligament"]. (Abstract)

[The new "Marburg rehabilitation concept". "On the status of exercise equipment within the scope of rehabilitation of patients after surgery of the anterior cruciate ligament"]. The surgical treatment of acute and chronic injuries of the anterior cruciate ligament (ACL) is still incontinous. Different techniques and materials are used to reconstruct and repair this important structure. This causes that the kind of postoperative treatment is even inhomogeneous. Concepts of "early mobilization (...) " correspond to the results of basic research on pathobiomechanical effects of joint immobilization. There is a large variety on the information concerning method, success and length of rehabilitation. The final aim of our research was the development of a new rehabilitation strategy for patients in addition to out-patient physiotherapy. The reconstruction and repair of ACL is in our hospital done by an autograft of patellar tendon, "bone-tendon-bone", in augmentation with a "3-mm-Trevira cruciate ligament

1994 Aktuelle Traumatologie Controlled trial quality: uncertain

5719. The efficacy of continuous passive motion in the rehabilitation of anterior cruciate ligament reconstructions. (Abstract)

The efficacy of continuous passive motion in the rehabilitation of anterior cruciate ligament reconstructions. Seventy-five patients undergoing arthroscopically-assisted anterior cruciate ligament reconstruction by the same surgeon were divided into three random subgroups. All of the anterior cruciate ligament reconstructions used the middle third of the ipsilateral patellar tendon autograft. Patients undergoing meniscal repair, extraarticular procedures, or repair of other ligaments were (...) the procedure was completed, and 2 and 6 months after surgery), and range of motion. Radiographs and the International Knee Evaluation Form were also used to evaluate the results. No statistically significant differences were found between the three groups. Side-to-side anterior-posterior differences, stability, and restoration of full range of motion were similar in each subgroup at each evaluated interval. In this prospective study of motion, started immediately after anterior cruciate ligament

1992 American Journal of Sports Medicine Controlled trial quality: uncertain

5720. Postural control after anterior cruciate ligament reconstruction and functional rehabilitation. (Abstract)

Postural control after anterior cruciate ligament reconstruction and functional rehabilitation. Total sagittal knee laxity and postural control in the sagittal and frontal planes were measured in 25 patients at a mean of 36 months (range, 27 to 44) after anterior cruciate ligament reconstruction and in a control group consisting of 20 uninjured age- and activity-matched subjects. Body sway was measured in the sagittal plane on a stable and on a sway-referenced force plate in single-legged (...) , exhibited normal postural control except in two variables-the reaction time and the latency between the start of force movement to maximal sway in the sagittal plane perturbations. This supports the hypothesis that rehabilitation, with proprioceptive and agility training, is an important component in restoring the functional stability in the anterior cruciate ligament-reconstructed knee.

2001 American Journal of Sports Medicine Controlled trial quality: uncertain

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