scholarly journals Effect of Intra-Articular Hyaluronic Injection on Postural Stability and Risk of Fall in Patients with Bilateral Knee Osteoarthritis

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Nafiseh Khalaj ◽  
Noor Azuan Abu Osman ◽  
Abdul Halim Mokhtar ◽  
John George ◽  
Wan Abu Bakar Wan Abas
Keyword(s):  
Hyaluronic Acid ◽  
Treatment Group ◽  
Knee Osteoarthritis ◽  
Fall Risk ◽  
Postural Stability ◽  
Risk Scores ◽  
Control Group ◽  
Timed Up And Go ◽  
Bilateral Knee ◽  
Risk Of Fall

Knee osteoarthritis is a common cause of disability which influences the quality of life. It is associated with impaired knee joint proprioception, which affects postural stability. Postural stability is critical for mobility and physical activities. Different types of treatment including nonsurgical and surgical are used for knee osteoarthritis. Hyaluronic acid injection is a nonsurgical popular treatment used worldwide. The aim of this study was to demonstrate the effect of hyaluronic acid injections on postural stability in individuals with bilateral knee osteoarthritis. Fifty patients aged between 50 and 70 years with mild and moderate bilateral knee osteoarthritis participated in our study. They were categorized into treatment(n=25)and control(n=25)groups. The treatment group received five weekly hyaluronic acid injections for both knees, whereas the control group did not receive any treatment. Postural stability and fall risk were assessed using the Biodex Stability System and clinical “Timed Up and Go” test. All the participants completed the study. The treatment group showed significant decrease in postural stability and fall risk scores after five hyaluronic acid injections. In contrast, the control group showed significant increase. This study illustrated that five intra-articular hyaluronic acid injections could significantly improve postural stability and fall risk in bilateral knee osteoarthritis patients. This trial is registered with:NCT02063373.

scholarly journals Effects of Rapid Maxillary Expansion on Head Posture, Postural Stability, and Fall Risk

2017 ◽  
Vol 7 ◽  
pp. 175-180
Author(s):  
Fatih Celebi ◽  
Feyza Hologlu ◽  
Sibel Akbulut ◽  
Ali Altug Bicakci
Keyword(s):  
Fall Risk ◽  
Postural Stability ◽  
Head Position ◽  
Rapid Maxillary Expansion ◽  
Risk Scores ◽  
Rank Test ◽  
Control Group ◽  
Maxillary Expansion ◽  
Head Posture ◽  
Paired Samples

Objective The aim of this study was to investigate the effects of rapid maxillary expansion (RME) on head posture, postural stability, and fall risk. Materials and Methods A sample of 51 adolescent patients was randomly divided into two groups. In the first group, which consisted of 28 patients (15 females and 13 males), RME was performed as a part of routine orthodontic treatment. The remaining 23 individuals (12 females and 11 males) served as the control group. Lateral cephalometric radiographs taken in natural head position, postural stability, and fall risk scores were obtained during the first visit. They were repeated on average 3.8 months and 3.5 months later for the study and control groups, respectively. The changes were analyzed using the Wilcoxon signed-rank test, paired samples t-test, Mann–Whitney U-test, and independent samples t-test. Results As a result of RME, a statistically significant decrease was detected in the fall risk score (P < 0.05) in the study group, while the head position and postural stability remained unchanged. For the control group, no significant changes were observed in all measurements. Conclusions The result of the present study suggests that RME has a capacity of improving fall risk.

scholarly journals The Effect of Aquatic and Non-aquatic Balance Training on the Fall Risk of Patients With Grade 2 and 3 Knee Osteoarthritis: A Randomized Clinical Trial

2021 ◽  
Vol 19 (4) ◽  
pp. 343-350
Author(s):  
Farzaneh Hajmohammadi ◽  
◽  
Mohammad Hosseinifar ◽  
Asghar Akbari ◽  
Fatemeh Ghiasi ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Fall Risk ◽  
Balance Training ◽  
Exercise Program ◽  
Training Group ◽  
Exercise Group ◽  
Risk Scores ◽  
Control Group ◽  
Knee Oa ◽  
Balance Exercise

Objectives: To compare the efficacy of balance exercises in the aquatic and Non-aquatic environments compared with control in patients with grade 2 or 3 knee Osteoarthritis (OA). Methods: For this single-blind, randomized control trial study, 43 women with mild to moderate knee OA were recruited through a simple non-probability sampling method. They were randomly assigned to the aquatic balance exercise group (n=15), Non-aquatic balance exercise group (n=15), and a control group (n=13). The intervention programs comprised aquatic and Non-aquatic balance training. Fall risk, the primary outcome, was measured by the Biodex balance system before and after the intervention. One-way ANOVA and paired sample t-test were used for analyzing data. Results: After 4 weeks training, the Mean±SD fall risk score significantly decreased from 3.49±1.14 to 2.59±1.22 (P<0.001) in the aquatic balance training group, from 3.21±0.62 to 2.19±0.62 (P<0.001) in the Non-aquatic balance training group, and from 3.77±1.13 to 3.17±1.22 (P<0.001) in the control group. Regarding between-group comparisons, we found significant differences between the Non-aquatic balance training group and the control group (P=0.03). Discussion: Despite the environment, the balance exercise program significantly improved fall risk scores among patients with grade 2 or 3 knee osteoarthritis.

scholarly journals Dry needling is effective in reducing acute pain in patients with severe knee osteoarthritis

2020 ◽  
Vol 7 (3) ◽  
pp. 154
Author(s):  
Amanda Machado Antonio ◽  
Thaina Cristina Vieira Gaspardi ◽  
Evelyn Regina Couto ◽  
Gustavo Constantino De Campos ◽  
João Batista De Miranda ◽  
...  
Keyword(s):  
Visual Analogue Scale ◽  
Knee Osteoarthritis ◽  
Acute Pain ◽  
Analogue Scale ◽  
Brief Pain Inventory ◽  
Trigger Points ◽  
Control Group ◽  
Static Stretching ◽  
Dry Needling ◽  
Timed Up And Go

<p class="abstract"><strong>Background:</strong> The objectives of the study was to evaluate the efficacy of dry needling inactivation of trigger points in acute pain relief and function improvement in patients with severe knee osteoarthritis.</p><p class="abstract"><strong>Methods:</strong> Thirty participants choose between dry needling or static stretching. It was analyzed the immediate effects of a single dry needling intervention, compared to a control group that received static stretching. Outcomes of the study was timed up and go test; visual analogue scale and brief pain inventory.</p><p class="abstract"><strong>Results:</strong> The group treated with dry needling had a better result on the visual analogue scale and on the brief pain inventory scale. There was no difference in time up and go performance in relation to the control group. The muscle group with the highest prevalence of trigger points was the thigh adductors (83.3%), despite valgus or varus frontal plane misalignment of the limb.</p><p class="abstract"><strong>Conclusions: </strong>The inactivation of trigger points by dry needling in patients with acute pain due to severe osteoarthritis of the knees obtained better relief compared to static stretching of the musculature.</p>

Effects of different foot progression angles and platform settings on postural stability and fall risk in healthy and medial knee osteoarthritic adults

2017 ◽  
Vol 232 (2) ◽  
pp. 163-171 ◽  
Author(s):  
Saad Jawaid Khan ◽  
Soobia Saad Khan ◽  
Juliana Usman ◽  
Abdul Halim Mokhtar ◽  
Noor Azuan Abu Osman
Keyword(s):  
Knee Osteoarthritis ◽  
Fall Risk ◽  
Postural Stability ◽  
Medial Knee ◽  
Medial Knee Osteoarthritis ◽  
Risk Levels ◽  
Balance System ◽  
Participant Group ◽  
Biodex Balance System ◽  
Healthy Participants

This study aims to investigate the effects of varying toe angles at different platform settings on Overall Stability Index of postural stability and fall risk using Biodex Balance System in healthy participants and medial knee osteoarthritis patients. Biodex Balance System was employed to measure postural stability and fall risk at different foot progression angles (ranging from −20° to 40°, with 10° increments) on 20 healthy (control group) and 20 knee osteoarthritis patients (osteoarthritis group) randomly (age: 59.50 ± 7.33 years and 61.50 ± 8.63 years; body mass: 69.95 ± 9.86 kg and 70.45 ± 8.80 kg). Platform settings used were (1) static, (2) postural stability dynamic level 8 (PS8), (3) fall risk levels 12 to 8 (FR12) and (4) fall risk levels 8 to 2 (FR8). Data from the tests were analysed using three-way mixed repeated measures analysis of variance. The participant group, platform settings and toe angles all had a significant main effect on balance ( p ≤ 0.02). Platform settings had a significant interaction effect with participant group F(3, 144) = 6.97, p < 0.01 and toe angles F(21, 798) = 2.83, p < 0.01. Non-significant interactions were found for group × toe angles, F(7, 266) = 0.89, p = 0.50, and for group × toe angles × settings, F(21, 798) = 1.07, p = 0.36. The medial knee osteoarthritis group has a poorer postural stability and increased fall risk as compared to the healthy group. Changing platform settings has a more pronounced effect on balance in knee osteoarthritis group than in healthy participants. Changing toe angles produced similar effects in both the participant groups, with decreased stability and increased fall risk at extreme toe-in and toe-out angles.

scholarly journals Relationship between Pain and Medial Meniscal Extrusion in Knee Osteoarthritis

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Hiroaki Kijima ◽  
Shin Yamada ◽  
Koji Nozaka ◽  
Hidetomo Saito ◽  
Yoichi Shimada
Keyword(s):  
Hyaluronic Acid ◽  
Knee Osteoarthritis ◽  
Cartilage Thickness ◽  
The Other ◽  
Control Group ◽  
Imaging Findings ◽  
Meniscal Extrusion ◽  
Knee Arthritis ◽  
Medial Condyle ◽  
Similar Imaging

Purpose. In knee osteoarthritis, the degree of pain varies despite similar imaging findings. If there were quantitative findings related to the pain of knee osteoarthritis, it could be used for diagnosis or screening. The medial meniscal extrusion was investigated as a candidate quantitative finding related to the pain of knee osteoarthritis.Methods. Seventy-six knees of 38 patients (mean age, 73 years) who received intra-articular injections of hyaluronic acid into unilateral knees at the time of diagnosis of knee arthritis were investigated. Cartilage thickness of the femoral medial condyle and medial meniscal extrusion of bilateral knees were measured by ultrasonography. Thirty-eight knees that had hyaluronic acid injections were compared with 38 other side knees from the same patients as the control group.Results. The average cartilage thicknesses of the knees with pain that received intra-articular injections and the knees without pain that received no injections were 1.02 and 1.05 mm, respectively (P=0.6394). On the other hand, the average medial meniscal extrusions of the knees with and without pain were 7.58 and 5.88 mm, respectively (P=0.0005); pain was associated with greater medial meniscal extrusions.Conclusion. Medial meniscal extrusion is a quantitative finding related to the pain of knee osteoarthritis.

scholarly journals Effectiveness of the quadriceps strengthening exercise on pain and functional ability of the women with Osteoarthritis (OA)

2021 ◽  
Vol 8 (9) ◽  
pp. 1-6
Author(s):  
Absar Ahmed Qureshi ◽  
◽  
Shadia Hamoud Alshahrani ◽  
Premalatha Paulsamy ◽  
Krishnaraju Venkatesan ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Functional Ability ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Exercise Group ◽  
Control Group ◽  
Timed Up And Go ◽  
Strengthening Exercise ◽  
Study Results ◽  
Numerical Rating

A Quasi experimental design was adopted for this study to find out the effectiveness of quadriceps strengthening exercise program on pain and functional ability of women with knee osteoarthritis (OA). Fifty women with OA were selected in which first 25 women were enrolled in the control group and second 25 women were allotted in the exercise group. Assessments were performed at baseline and at 8 weeks. The functional ability was assessed using the Timed Up and Go (TUG) test and Numerical Rating Scale (NRS) was used to assess the pain level .For the exercise group, quadriceps strengthening exercises were taught and asked the patients to follow the exercise schedule for 8 weeks. The study results show that the pain and functional abilty scores were improved in the exercise group and the difference was statistically significant (p<0.001). The study concluded that a simple quadriceps strengthening exercise programme can significantly improve self reported knee pain and functional ability among women with Knee osteoarthritis. Keywords: Osteoarthritis, Pain, Functional Ability, Exercise, Quadriceps strengthening, Timed Up and Go (TUG) test, Numerical Rating Scale (NRS)

scholarly journals EVALUATION OF CHONDROPROTECTIVE EFFECTS OF HYALURONIC ACID IN A RAT MODEL OF OSTEOARTHRITIS

2022 ◽  
Vol 71 (6) ◽  
pp. 2189-93
Author(s):  
Noaman Ishaq ◽  
Shabana Ali ◽  
Muhammad Waqar Aslam Khan ◽  
Kulsoom Farhat ◽  
Nausheen Ata ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Treatment Group ◽  
Rat Model ◽  
Cruciate Ligament ◽  
Gait Pattern ◽  
Control Group ◽  
P Value ◽  
Army Medical ◽  
Medical College ◽  
Group I

Objective: To evaluate the chondroprotective effects of hyaluronic acid in a rat model of osteoarthritis. Study Design: Laboratory based experimental study. Place and Duration of Study: Department of Pharmacology, Army Medical College, Rawalpindi, in alliance with National Institute of health, Islamabad and Department of Pathology, Army Medical College Rawalpindi, from Apr to Jun 2019. Methodology: Sixteen (16) rats of Sprague Dawley breed were procured in this study. Osteoarthritis was induced in right knee joint of rats by surgical resection of medial meniscus and anterior cruciate ligament. They were allocated into two (02) groups with eight (08) rats in both groups. Group-I was control group that was treated with 0.2 ml intra articular saline once weekly for four weeks. While group-II was treatment group that was intra particularly administered with 0.2ml hyaluronic acid once weekly for four weeks. One week after the last dosage, gait pattern of the animals was scored. Then animals were sacrificed and a part of proximal tibia was obtained for histopathologic analysis. Results: Mean gait score of control group and treatment group was 3.25 ± 0.707 and 1.00 ± 0.756 respectively with a statistically significant p-value of <0.001, while mean histopathological Modified Mankin score of control and treatment group was 11.5 ± 1.195 and 5.50 ± 1.195 respectively with a significant p-value of <0.001. Conclusion: Intra articular viscosupplementation of hyaluronic acid in rat model of osteoarthritis resulted in improved gait pattern and histopathology.

scholarly journals Pengaruh Latihan Penguatan Dengan Elastic Band Dalam Meningkatkan Kemampuan Pasien Osteoarthritis Knee Di Rumah Sakit Condong Catur Sleman

2021 ◽  
Vol 2 (2) ◽  
pp. 89-94
Author(s):  
Wahyuni Wahyuni ◽  
Ricky Fauzi Zakaria
Keyword(s):  
Treatment Group ◽  
Knee Osteoarthritis ◽  
Functional Ability ◽  
Cartilage Damage ◽  
Control Group ◽  
Pain Level ◽  
Elastic Band ◽  
Control Group Design ◽  
Functional Capabilities ◽  
Strengthening Exercises

Background: Osteoarthritis is a degenerative disease caused by joint cartilage damage. The main symptoms of osteoarthritis are pain and movement disorders that can affect the functional disorders. The prevalence of knee osteoarthritis in Indonesia is quite high, reaching 15.5% in men and 12.7% in women. It is estimated that 1 to 2 million older people in Indonesia suffer from disabilities due to osteoarthritis. Osteoarthritis treatment is intended to reduce pain, improve functional ability, and prevent deformity. Elastic band strengthening exercises are exercises that can be used to reduce pain, increase muscle strength and functional ability.Objective: This study aims at determining the effect of elastic band strengthening exercises in improving knee osteoarthritis functional capabilities.Method: The method used in this study was quasi-experimental with pre and post-test control group design. The number of respondents of this study was 20 respondents diagnosed with knee osteoarthritis in Condong Catur Hospital Sleman. Respondents were randomly divided into two groups, namely the treatment group that received elastic band strengthening exercise treatment and the control group that received standard treatment given at the hospital. The treatment was given twice a week for four weeks. Measurement of functional ability was done using WOMAC score.Results: There was a decrease in pain level in the treatment group, while in the control group, the pain level was still the same as before. In the functional ability, there was an increase in the treatment group. The statistical test showed that there was an influence between the treatment group and the control group.Conclusion: Elastic band strengthening exercises effectively improved functional capabilities in knee osteoarthritis in Condong Catur Hospital Sleman.Keywords: elastic band strengthening exercises, functional capabilities, knee osteoarthritis

scholarly journals Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults

2020 ◽  
pp. 073346482091266
Author(s):  
Sarah L. Szanton ◽  
Lindy Clemson ◽  
Minhui Liu ◽  
Laura N. Gitlin ◽  
Melissa D. Hladek ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Fall Risk ◽  
Pilot Trial ◽  
Balance Training ◽  
Community Dwelling ◽  
Control Group ◽  
Timed Up And Go ◽  
Daily Lives ◽  
Fall Risk Factors

Objectives: To evaluate whether a fall prevention intervention reduces fall risk in older adults who have previously fallen. Design: Randomized controlled pilot trial. Setting: Participants’ homes. Intervention: LIVE-LiFE, adapted from Lifestyle-Intervention Functional Exercise (LiFE) integrates strength and balance training into daily habits in eight visits over 12 weeks. The adaptations to LiFE were to also provide (a) US$500 in home safety changes, (b) vision contrast screening and referral, and (c) medication recommendations. Control condition consisted of fall prevention materials and individualized fall risk summary. Measurement: Timed Up and Go (TUG) and Tandem stand. Falls efficacy, feasibility, and acceptability of the intervention. Results: Sample ( N = 37) was 65% female, 65% White, and average 77 years. Compared with the control group, each outcome improved in the intervention. The LIVE-LiFE intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Conclusion: Simultaneously addressing preventable fall risk factors is feasible.

scholarly journals Effects of aquatic physiotherapy versus conventional physical therapy on the risk of fall in the elderly: a randomized clinical trial

2020 ◽  
Vol 21 (3) ◽  
pp. 253
Author(s):  
Christye Ramos Da Silva ◽  
Leonardo Farias Rodrigues Magalhães ◽  
Fernanda Manaia Gonçalves Chaves ◽  
Erica Cardaretti do Nascimento Vieira ◽  
Ana Paula Radies Adames ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Gait Speed ◽  
The Elderly ◽  
Individual Treatment ◽  
Control Group ◽  
Timed Up And Go ◽  
Motor Abilities ◽  
Risk Of Fall

Objective: To identify whether physiotherapy treatment in water is more effective than the treatment in land environment, aiming at improving the process of physical limitation or functional inability (gait speed, balance, motor abilities) caused by lack of balance in elderly with risk of fall. Methods: Randomized clinical trial, experimental study. The sample was composed of 35 senior individuals of both sexes, with average age of 65. Nineteen people composed the control Group /Conventional Physiotherapy, while the rest composed the experimental Group/Aquatic Physical therapy. Both groups were submitted to twenty sessions of physical therapy, twice a week, for 50 minutes in individual treatment. Aerobic activities were conducted for both groups separately. Exercises using water specific therapy, such as Halliwick rotation control and Bad Ragaz ring method, were used in the aquatic group and in the conventional group, physiotherapeutic techniques were applied, approaching the concepts of proprioceptive neuromuscular facilitation (PNF) and decubitus change training. The following tests were used to measure the risk of fall/balance: Timed Up and Go Test, Sit-to-Stand in 30 seconds and Functional Reach. Results: Both physiotherapeutic interventions, aquatic and conventional, showed to be greatly efficient however aquatic physiotherapy showed certain advantages compared to conventional physical therapy, promoting more beneficial effects in the gait speed, balance, motor abilities and, mainly, in the reduction of the risk of fall.Keywords: elderly, Halliwick, Bad Ragaz, Physical therapy, aquatic, risk of fall.

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