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knee rehabilitation

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5721. Efficacy of stairclimber versus cycle ergometry in postoperative anterior cruciate ligament rehabilitation. (Abstract)

Efficacy of stairclimber versus cycle ergometry in postoperative anterior cruciate ligament rehabilitation. To examine the effective use of stair climbing as an alternative to cycling for knee rehabilitation in an actual injured sport population.Repeated-measures multivariate analyses with data collected during anterior cruciate ligament (ACL) rehabilitation.Clinical rehabilitation setting following ACL reconstruction.46 athletes with ACL reconstruction (32 males, 14 females; age 25.5 +/- 8.9 (...) yrs) were randomly assigned to either cycle or stairclimber programs previously matched by metabolic equivalents (METs) and heart rate.Isokinetic testing was performed at 4 and 12 weeks postoperatively on the uninjured knee to safely determine mean and peak concentric quadriceps, eccentric quadriceps, concentric hamstring, and eccentric hamstring peak torques. Pre/post leg girths were also measured bilaterally (+7.6, +15.2, +22.9, -7.6, -15.2, -22.9 cm) proximal/distal to the patella.Multivariate

2002 Clinical Journal of Sport Medicine Controlled trial quality: uncertain

5722. Effectiveness of Minimally Invasive Total Knee Replacement in Improving Rehabilitation and Function

Effectiveness of Minimally Invasive Total Knee Replacement in Improving Rehabilitation and Function Effectiveness of Minimally Invasive Total Knee Replacement in Improving Rehabilitation and Function - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. Effectiveness of Minimally Invasive Total Knee Replacement in Improving Rehabilitation and Function The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00710840 Recruitment Status : Completed First Posted : July 4, 2008 Results First Posted : May 15, 2015

2008 Clinical Trials

5723. The Effects of Home-Based Rehabilitation Treatments Among Persons With Symptomatic Knee Osteoarthritis

The Effects of Home-Based Rehabilitation Treatments Among Persons With Symptomatic Knee Osteoarthritis The Effects of Home-Based Rehabilitation Treatments Among Persons With Symptomatic Knee Osteoarthritis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. The Effects of Home-Based Rehabilitation Treatments Among Persons With Symptomatic Knee Osteoarthritis The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00735098 Recruitment Status : Completed First Posted : August 14, 2008 Last Update Posted : February 6

2008 Clinical Trials

5724. Pre-operative Rehabilitation Exercise Program for Total Knee Arthroplasty

Pre-operative Rehabilitation Exercise Program for Total Knee Arthroplasty Pre-operative Rehabilitation Exercise Program for Total Knee Arthroplasty - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Pre (...) -operative Rehabilitation Exercise Program for Total Knee Arthroplasty (PREP) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00493142 Recruitment Status : Unknown Verified September 2016 by University of Alberta. Recruitment status was: Active, not recruiting First Posted : June 28, 2007 Last Update

2007 Clinical Trials

5725. What I have learned about the ACL: utilizing a progressive rehabilitation scheme to achieve total knee symmetry after anterior cruciate ligament reconstruction Full Text available with Trip Pro

What I have learned about the ACL: utilizing a progressive rehabilitation scheme to achieve total knee symmetry after anterior cruciate ligament reconstruction Anterior cruciate ligament surgery and rehabilitation have changed drastically during the past 30 years. The patellar tendon autograft fixed with buttons provides tight bone-to-bone placement of the graft and quick bony healing, which allows accelerated rehabilitation to obtain full range of motion and strength. Although surgical (...) stability is easily reproducible, long-term patient satisfaction is difficult to guarantee. Full knee range of motion should be compared to that of the contralateral normal knee, including full hyperextension. We followed the progress of all patients to gauge the utility of our rehabilitation program. In order of importance, the lack of normal knee range of motion (within 2 degrees extension and 5 degrees of flexion compared with that of the normal knee), partial or total medial meniscectomy, partial

2006 Journal of Orthopaedic Science

5726. Low-tech rehabilitation of bilateral patellofemoral knee pain in a runner: a case study Full Text available with Trip Pro

Low-tech rehabilitation of bilateral patellofemoral knee pain in a runner: a case study Patellofemoral pain is a common ailment within both the running and general populations. Many of the structures of the anterior knee that comprise the patellofemoral joint can be the source of chronic pain and inflammation that is associated with this condition. Much of the evidence in the literature points to a delay in activation of the vastus medialis oblique muscle as compared to the vastus lateralis (...) , vastus medialis weakness, and ultimately faulty patellar tracking as the chief causative factors in the development of patellofemoral pain. This is a single case study of a 51-year-old recreational runner with an 18-month history of bilateral patellofemoral knee pain. Treatment included the use of low-tech in office rehabilitation strategies known to affect those causative factors responsible for patellofemoral pain. Evidence based treatment modalities were utilized in combination, which included

2004 The Journal of the Canadian Chiropractic Association

5727. Femoral nerve block using ropivacaine 0.025%, 0.05% and 0.1%: effects on the rehabilitation programme following total knee arthroplasty: a pilot study. (Abstract)

Femoral nerve block using ropivacaine 0.025%, 0.05% and 0.1%: effects on the rehabilitation programme following total knee arthroplasty: a pilot study. Femoral nerve blockade is recommended for analgesia following total knee arthroplasty. Following implementation of this type of postoperative analgesia in our hospital we found that active mobilization the day after surgery, may be difficult due to insufficient quadriceps muscle strength. We therefore designed a pilot study comparing the effect (...) of ropivacaine 0.1%, 0.05% or 0.025% on the patient's postoperative rehabilitation and analgesia. Three groups of 12 patients received bolus doses of ropivacaine via their femoral nerve catheters for postoperative analgesia. The ability to actively mobilize, quadriceps muscle strength, pain VAS-scores and patient's satisfaction were measured during in the first three postoperative days. There were no significant differences in the patient's ability to actively mobilize and the pain VAS-scores. The overall

2008 Anaesthesia Controlled trial quality: uncertain

5728. Effectiveness of accelerated perioperative care and rehabilitation intervention compared to current intervention after hip and knee arthroplasty. A before-after trial of 247 patients with a 3-month follow-up. Full Text available with Trip Pro

Effectiveness of accelerated perioperative care and rehabilitation intervention compared to current intervention after hip and knee arthroplasty. A before-after trial of 247 patients with a 3-month follow-up. In Denmark, approximately 12,000 hip and knee arthroplasties were performed in 2006, and the hospital costs were close to US$ 110,000,000. In a randomized clinical trial, we have recently demonstrated the efficacy of accelerated perioperative care and rehabilitation intervention after hip (...) and knee arthroplasty compared to current intervention under ideal circumstances. We do not, however, know whether these results could be reached under usual circumstances of healthcare practice. We therefore investigated whether length of stay after implementation of accelerated perioperative care and rehabilitation after hip and knee arthroplasty could be reduced in a normal healthcare setting, and how the achieved results matched those observed during the randomized clinical trial.An effectiveness

2008 BMC musculoskeletal disorders

5729. Epidural analgesia improves early rehabilitation after total knee replacement. (Abstract)

Epidural analgesia improves early rehabilitation after total knee replacement. To compare epidural anesthesia and analgesia with spinal anesthesia with intravenous morphine analgesia for its effect on range of motion (ROM) and early rehabilitation after total knee replacement.Randomized prospective study.Tertiary care, academic medical center.Thirty-eight patients scheduled for total knee replacement.Patients were randomized into 2 groups. One group received spinal anesthesia with 0.5 (...) in the epidural group compared with the spinal group after day 1. No DVT was detected on day 3 or 10 in either group. No patient in either group required reinsertion of bladder catheter for urinary retention.By using epidural analgesia in the first 7 days postoperatively, we achieved improved early rehabilitation due to excellent pain relief effect and an antithrombotic effect with an efficacy comparable to low molecular-weight heparin.

2005 Journal of clinical anesthesia Controlled trial quality: uncertain

5730. Comparison of early postoperative rehabilitation outcome following total knee arthroplasty using different surgical approaches and instrumentation. Full Text available with Trip Pro

Comparison of early postoperative rehabilitation outcome following total knee arthroplasty using different surgical approaches and instrumentation. To assess early postoperative rehabilitation outcome following computer-assisted total knee arthroplasty (TKA) or standard instrumentation TKA using a medial parapatellar or subvastus approach.A prospective controlled trial of 70 consecutive patients undergoing TKA with a low contact stress rotating platform prosthesis was conducted. Patients were (...) randomised to receive surgery with either computer navigation or standard instrumentation. A medial parapatellar or subvastus approach was used according to the surgeons' preference. Outcome measures included preoperative knee function, intra-operative factors, and postoperative rehabilitation.Duration of surgery was significantly longer when using computer navigation; however, operating time decreased with greater experience. A higher incidence and duration of early postoperative quadriceps dysfunction

2006 Journal of orthopaedic surgery (Hong Kong) Controlled trial quality: uncertain

5731. Effects of a preoperative femoral nerve block on pain management and rehabilitation after total knee arthroplasty. (Abstract)

Effects of a preoperative femoral nerve block on pain management and rehabilitation after total knee arthroplasty. The objective of this prospective, randomized, double-blind study was to determine if preoperative administration of a femoral nerve block reduces the amount of morphine needed for postoperative analgesia after total knee arthroplasty (TKA). Forty-two patients undergoing TKA were randomly assigned to receive either a femoral nerve block (0.50% bupivacaine hydrochloride (...) with epinephrine 1:200,000) or matching placebo. Results showed postoperative morphine use was significantly lower in patients who received the nerve block (25.5 vs 37.5 mg, P = .016); however, the 2 groups had similar pain scores and rehabilitative outcomes. In general, a preoperative femoral nerve block is a safe and effective adjunct for decreasing morphine use for post-TKA analgesia.

2007 American journal of orthopedics (Belle Mead, N.J.) Controlled trial quality: uncertain

5732. Effect of rehabilitation on hip and knee proprioception in older adults after hip fracture: a pilot study. (Abstract)

Effect of rehabilitation on hip and knee proprioception in older adults after hip fracture: a pilot study. Impaired proprioception may predispose patients with hip fracture to increased risk of future disability. The purpose of the study was to determine the effect of rehabilitation on proprioceptive changes in both the hip and knee joints of patients after hip fracture.Data were collected on 30 patients with hip fracture (mean age, 79.6 +/- 6.7 yrs) who attended physical and occupational (...) therapy sessions five times per week during a rehabilitation hospital stay of 24.8 +/- 8.1 days. Proprioception was assessed with an electrogoniometer within 48 hrs of admission to and discharge from the rehabilitation unit. The passive-to-active reproduction of joint angle technique determined absolute angular error in non-weight-bearing positions at 15, 30, and 60 degrees of hip flexion and knee extension in both injured and noninjured sides.Absolute angular error decreased significantly (P < 0.05

2004 American journal of physical medicine & rehabilitation / Association of Academic Physiatrists Controlled trial quality: uncertain

5733. Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: A single-blind randomized controlled trial. (Abstract)

Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: A single-blind randomized controlled trial. To evaluate the effectiveness of a new intensive functional rehabilitation (IFR) program on functional ability and quality of life (QOL) in persons who underwent a first total knee arthroplasty (TKA).Randomized controlled trial.Ambulatory care.Seventy-seven people with knee osteoarthritis.Two months after TKA, subjects were randomly (...) assigned to either a group with IFR (n=38), who received 12 supervised rehabilitation sessions combined with exercises at home between months 2 and 4 after TKA, or to a control group (n=39), who received standard care. All participants were evaluated by a blind evaluator at baseline (2mo after TKA), immediately after IFR (2mo later; POST1), and 2 and 8 months later (POST2 and POST3). Main outcome measures The primary outcome measure with respect to effectiveness was the 6-minute walk test (6MWT

2004 Archives of physical medicine and rehabilitation Controlled trial quality: predicted high

5734. Midvastus approach in total knee arthroplasty: a randomized, double-blinded study on early rehabilitation. (Abstract)

Midvastus approach in total knee arthroplasty: a randomized, double-blinded study on early rehabilitation. The medial parapatellar approach has become the standard technique in total knee arthroplasty (TKA). However, recent studies have reported superior results regarding functional recovery when using the midvastus approach. It was the aim of this study to evaluate the early functional outcome of both surgical techniques. In a prospective, double-blinded, randomized study, 50 patients for TKA (...) were consecutively operated on either by the medial parapatellar or the midvastus approach. Exclusion criteria were defined as previous open knee surgery and leg deformity of more than 10 degrees varus or valgus. TKA was performed in all patients by one surgeon using the same type of implants in both groups. Pain scores (VAS) were documented and follow-up data including quadriceps strength and proprioception were obtained 3 weeks and 6 weeks postoperatively. Both groups were comparable

2005 Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Controlled trial quality: uncertain

5735. Small-dose ketamine infusion improves postoperative analgesia and rehabilitation after total knee arthroplasty. Full Text available with Trip Pro

Small-dose ketamine infusion improves postoperative analgesia and rehabilitation after total knee arthroplasty. We designed this study to evaluate the effect of small-dose IV ketamine in combination with continuous femoral nerve block on postoperative pain and rehabilitation after total knee arthroplasty. Continuous femoral nerve block was started with 0.3 mL/kg of 0.75% ropivacaine before surgery and continued in the surgical ward for 48 h with 0.2% ropivacaine at a rate of 0.1 mL . kg(-1) . h (...) (-1). Patients were randomly assigned to receive an initial bolus of 0.5 mg/kg ketamine followed by a continuous infusion of 3 mug . kg(-1) . min(-1) during surgery and 1.5 mug . kg(-1) . min(-1) for 48 h (ketamine group) or an equal volume of saline (control group). Additional postoperative analgesia was provided by patient-controlled IV morphine. Pain scores and morphine consumption were recorded over 48 h. The maximal degree of active knee flexion tolerated was recorded daily until hospital

2005 Anesthesia and analgesia Controlled trial quality: uncertain

5736. Use of Knee Extension Device During Rehabilitation of a Patient with Type 3 Arthrofibrosis after ACL Reconstruction Full Text available with Trip Pro

Use of Knee Extension Device During Rehabilitation of a Patient with Type 3 Arthrofibrosis after ACL Reconstruction Arthrofibrosis is a frequent complication following rehabilitation of a patient with anterior cruciate ligament (ACL) reconstruction. Although prevention is the best treatment, little information exists within the literature regarding the management and rehabilitation intervention for arthrofibrosis. In this case report a rehabilitation program in the treatment of a patient (...) and manual therapy, the patient continued to complain of pain, stiffness, limited activities of daily living, and the inability to participate in competitive sports. This patient used a knee extension device as part of her rehabilitation program.The patient was able to obtain knee extension and flexion equal to her opposite normal knee. Upon completion of the rehabilitation program, the patient returned to full activities of daily living and competitive sports.Increasing and maintaining knee extension

2006 North American journal of sports physical therapy : NAJSPT

5737. Obesity and inpatient rehabilitation outcomes following knee arthroplasty: a multicenter study. (Abstract)

Obesity and inpatient rehabilitation outcomes following knee arthroplasty: a multicenter study. This multicenter study examined whether inpatient rehabilitation outcomes following total knee arthroplasty (TKA) were influenced by BMI.This was a retrospective, comparative study conducted using a computerized medical database and medical records derived from TKA patients, at 15 independent rehabilitation hospitals (N = 5,428). Patients were separated into four groups based on BMI: non-obese (BMI (...) < 25 kg/m(2)), overweight (25-29.9 kg/m(2)), moderately obese (30-40 kg/m(2)), severely obese (BMI > or = 40 kg/m(2)). All patients completed an interdisciplinary inpatient rehabilitation program post-TKA. Total and individual functional independence measure (FIM) scores, length of stay (LOS), FIM efficiency scores, itemized hospital charges, and discharge disposition location, were collected.The percentage of total FIM change was 7.5% greater by the time of discharge in the non-obese than

2008 Obesity

5738. Inpatient rehabilitation outcomes in primary and revision total knee arthroplasty patients. (Abstract)

Inpatient rehabilitation outcomes in primary and revision total knee arthroplasty patients. Inpatient rehabilitation is an effective means of improving physical function and independence following total knee arthroplasty (TKA). Revision TKA (TKAR) is becoming increasingly more prevalent and it is unclear if revision TKAR patients attain similar improvements following inpatient rehabilitation compared to primary TKA (TKAP) patients. This investigation compared functional outcomes following (...) interdisciplinary inpatient rehabilitation in 286 TKAP and 138 TKAR consecutive male and female patients. Functional Independence Measure (FIM) scores improved from admission to discharge for the TKAP (81.6 to 110.5) and TKAR (74.4 to 101.4) groups (p = 0.015). TKAP patients had shorter length of stay (LOS) compared to TKAR (9.2 and 11.3). FIM efficiency (FIM/LOS) was greater for the TKAP compared to TKAR (3.6 and 2.6). Total hospital charges were 11,399 dollars and 13,407 dollars for the TKAP and TKAR groups

2006 Clinical Orthopaedics and Related Research

5739. Thigh muscle weakness in ACL-deficient knees persists without structured rehabilitation. (Abstract)

Thigh muscle weakness in ACL-deficient knees persists without structured rehabilitation. We evaluated whether quadriceps and hamstrings weakness depended on chronicity in amateur athletes with anterior cruciate ligament deficiencies. We hypothesized that the weakness would not recover to the level of healthy control subjects without structured rehabilitation. Secondarily, we asked whether quadriceps and hamstrings side-to-side percent asymmetry in strength was consistent at different stages (...) % to 10%, whereas the hamstrings asymmetry ranged from 14% to almost 0%. Acquiring symmetric strength earlier than 1 year after injury only occurred in the hamstrings. It can be inferred that participation in organized rehabilitation would minimize the detrimental effects of anterior cruciate ligament rupture on thigh muscle strength.Prognostic Study, Level II.

2006 Clinical Orthopaedics and Related Research

5740. Incidences of frostbite in arthroscopic knee surgery postoperative cryotherapy rehabilitation. (Abstract)

Incidences of frostbite in arthroscopic knee surgery postoperative cryotherapy rehabilitation. A retrospective study of 4 cases of frostbite was undertaken to examine causes and to identify related contributory behaviors and circumstances. These patients underwent various surgical interventions before the onset of frostbite during similar postoperative care regimens. Surgical procedures included some of the following in each patient: lateral retinacular release, vastus medialis oblique muscle

2006 Arthroscopy

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