Single versus double plating for bicondylar tibia plateau fractures: Comparison of range of motion, muscle strength, clinical outcomes and accelerometer-measured physical activity levels

The Knee ◽  
2022 ◽  
Vol 34 ◽  
pp. 187-194
Author(s):  
Batuhan Gencer ◽  
Özgür Doğan ◽  
Emrah Çalışkan ◽  
Volkan İğdir ◽  
Ali Biçimoğlu
Keyword(s):  
Physical Activity ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Clinical Outcomes ◽  
Activity Levels ◽  
Physical Activity Levels ◽  
Tibia Plateau ◽  
Double Plating ◽  
Single Versus

scholarly journals No associations between physical activity and clinical outcomes among hospitalized patients with severe COVID-19

2020 ◽  
Author(s):  
Ana J. Pinto ◽  
Karla F. Goessler ◽  
Alan L. Fernandes ◽  
Igor H. Murai ◽  
Lucas P. Sales ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mechanical Ventilation ◽  
Length Of Stay ◽  
Clinical Outcomes ◽  
Hospital Length ◽  
Sao Paulo ◽  
Hospitalized Patients ◽  
Hospital Length Of Stay ◽  
Activity Levels ◽  
Physical Activity Levels

AbstractPurposeThis small-scale, prospective cohort study nested within a randomized controlled trial aimed to investigate the possible associations between physical activity levels and clinical outcomes among hospitalized patients with severe COVID-19.MethodsHospitalized patients with severe COVID-19 were recruited from Clinical Hospital of the School of Medicine of the University of Sao Paulo (a quaternary referral teaching hospital), and from Ibirapuera Field Hospital, both located in Sao Paulo, Brazil. Physical activity levels were assessed by Baecke Questionnaire of Habitual Physical Activity. The primary outcome was hospital length of stay. The secondary outcomes were: mortality, admission to the intensive care unit (ICU), and mechanical ventilation requirement.ResultsMean hospital length of stay was 8.5 ± 7.1 days; 3.3% of patients died, 13.8% were admitted to ICU, and 8.6% required mechanical ventilation. Linear regression models showed that physical activity indexes were not associated with hospital length of stay (work index: β=-0.57 [95%CI: −1.80 to 0.65], p=0.355; sport index: β=0.43 [95%CI: −0.94 to 1.80], p=0.536; leisure-time index: β=1.18 [95%CI: −0.22 to 2.59], p=0.099; total activity index: β=0.20 [95%CI: −0.48 to 0.87], p=0.563. Physical activity indexes were not associated with mortality, admission to ICU and mechanical ventilation requirement (all p>0.05).ConclusionsAmong hospitalized patients with COVID-19, physical activity did not associate with hospital length of stay or any other clinically-relevant outcomes. These findings suggest that previous physical activity levels may not change the prognosis of severe COVID-19.

scholarly journals Impairment-Based Rehabilitation With Patterned Electrical Neuromuscular Stimulation and Lower Extremity Function in Individuals With Patellofemoral Pain: A Preliminary Study

2019 ◽  
Vol 54 (3) ◽  
pp. 255-269 ◽  
Author(s):  
Neal R. Glaviano ◽  
Ashley N. Marshall ◽  
L. Colby Mangum ◽  
Joseph M. Hart ◽  
Jay Hertel ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lower Extremity ◽  
Range Of Motion ◽  
Patellofemoral Pain ◽  
Rehabilitation Program ◽  
Activity Level ◽  
Activity Levels ◽  
Neuromuscular Stimulation ◽  
Lower Extremity Muscle ◽  
Physical Activity Levels

Context Patellofemoral pain (PFP) is a chronic condition that presents with lower extremity muscle weakness, decreased flexibility, subjective functional limitations, pain, and decreased physical activity. Patterned electrical neuromuscular stimulation (PENS) has been shown to affect muscle activation and pain after a single treatment, but its use has not been studied in a rehabilitation trial. Objective To determine the effects of a 4-week impairment-based rehabilitation program using PENS on subjective function, pain, strength, range of motion, and physical activity in individuals with PFP. Design Randomized controlled trial. Setting Laboratory. Patients or Other Participants A total of 21 patients with PFP (5 males, 16 females; age = 23.4 ± 7.6 years, height = 168.0 ± 7.5 cm, mass = 69.0 ± 19.5 kg). Intervention(s) Participants completed a 4-week supervised rehabilitation program in conjunction with random assignment to receive PENS or sham treatments. Main Outcome Measure(s) Subjective function, pain, strength, range of motion, and physical activity levels were assessed prerehabilitation and postrehabilitation. Subjective function and pain were also assessed at 6 and 12 months postrehabilitation. Repeated-measures analyses of variance and Tukey post hoc testing were conducted with α ≤ .05. We calculated Cohen d effect sizes with 95% confidence intervals. Results Both groups had statistically and clinically meaningful differences in subjective function, pain, strength, range of motion, and activity level after 4 weeks of impairment-based rehabilitation. Improved subjective function was observed in both groups at 6 and 12 months after the interventions. The PENS group had improvements in current pain for all 3 postrehabilitation times compared with baseline measures. Conclusions An impairment-based intervention effectively improved subjective function, pain, strength, range of motion, and physical activity levels in individuals with PFP. Participants who received PENS in addition to the rehabilitation program had improved current pain at 6 and 12 months postrehabilitation compared with baseline scores. Trial Registration ClinicalTrials.gov identifier: NCT02441712

scholarly journals Support of Joint Function, Range of Motion, and Physical Activity Levels by Consumption of a Water-Soluble Egg Membrane Hydrolyzate

2015 ◽  
Vol 18 (9) ◽  
pp. 1042-1048 ◽  
Author(s):  
Gitte S. Jensen ◽  
Miki R. Lenninger ◽  
Joni L. Beaman ◽  
Robert Taylor ◽  
Kathleen F. Benson
Keyword(s):  
Physical Activity ◽  
Range Of Motion ◽  
Water Soluble ◽  
Activity Levels ◽  
Joint Function ◽  
Physical Activity Levels ◽  
Egg Membrane ◽  
Function Range

Modifiable Physical Factors Associated With Physical Functioning for Patients Receiving Dialysis: A Systematic Review

2020 ◽  
Vol 17 (4) ◽  
pp. 475-489 ◽  
Author(s):  
Brett D. Tarca ◽  
Thomas P. Wycherley ◽  
Paul Bennett ◽  
Anthony Meade ◽  
Katia E. Ferrar
Keyword(s):  
Physical Activity ◽  
Muscle Strength ◽  
Sedentary Behavior ◽  
Physical Function ◽  
International Classification Of Functioning ◽  
Cochrane Library ◽  
Physical Factors ◽  
Activity Levels ◽  
Factors Associated ◽  
Physical Activity Levels

Background: Patients receiving dialysis have reduced physical function, which is associated with unfavorable clinical outcomes and decreased quality of life. The authors aimed to identify and explore modifiable physical factors associated with physical function for patients receiving dialysis. Methods: Searches were performed in MEDLINE, Embase, Ovid Emcare, and The Cochrane Library in October 2018. Etiological studies involving dialysis populations that report association or predictive statistics between a modifiable physical factor and physical function were eligible for inclusion. Predictor variables were (1) modifiable via exercise and (2) considered an impairment in the International Classification of Functioning, Disability and Health. Results: Of 5384 titles screened, 23 studies were included. Thirteen studies focused on physical activity levels and muscle strength and the relationship with physical function while 2 studies investigated sedentary behavior. Twenty-one studies focused on hemodialysis populations. Studies related to physical activity levels displayed a moderately strong relationship with physical function, whereas muscle strength displayed a predominantly weak to moderate relationship. Conclusions: Physical activity levels, sedentary behavior levels, and muscle strength are related to physical function status for patients receiving dialysis. There is a need for robust longitudinal data to confirm the results of this investigation and for more focus on populations receiving peritoneal dialysis.

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