scholarly journals Gap balancing improve squat function and knee function: a randomized controlled trial comparing gap balancing and measured resection

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Qingfang Xiao ◽  
Bo Liu ◽  
Binghao Zhao
Keyword(s):  
Randomized Controlled Trial ◽  
Knee Osteoarthritis ◽  
Range Of Motion ◽  
Controlled Trial ◽  
Operation Time ◽  
Knee Function ◽  
Pain Severity ◽  
Gap Balancing ◽  
Randomized Controlled ◽  
Measured Resection

Abstract Objective We compared the measured resection (MR) technique and the gap balancing (GB) technique in patients with knee osteoarthritis after primary total knee arthroplasty (TKA) in China to understand the effects of the two techniques on knee function and squat function. Methods From March 2017 to September 2019, a prospective randomized controlled trial was conducted with 96 patients with knee osteoarthritis undergoing primary TKA from March 2017 to September 2019 randomized to GB group (n = 48) and MR group (n = 48). Intraoperative indicators (operation time, osteotomy volume of medial and lateral of posterior femoral condyles, external rotation angle) were recorded during operation. At 1, 3, 6, and 12 months after surgery, all the patients came to the hospital for review and underwent the pain severity, Western Ontario and McMaster University Osteoarthritis Index (WOMAC), knee joint range of motion, Oxford Knee Score (OKS), and American Knee Society Score (AKSS) tests. All patients were followed up for more than 1 year. Results The osteotomy volume of the medial femoral condyle in the GB group was higher than that in the MR group (P<0.05), and the operation time in the GB group was shorter than that in the MR group (P<0.05). At 1, 3, 6, and 12 months after surgery, the pain severity in the GB group was lower than that in the MR group (P<0.05), the knee range of motion in the GB group was larger than that in the MR group (P<0.05), the WOMAC of the GB group was lower than that of the MR group (P<0.05), the OKS of the GB group was higher than that of the MR group (P<0.05), the AKSS of the GB group was higher than that of the MR group. The incidence of postoperative complications in the GB group (4.17%) was significantly lower than that in the MR group (18.75%) (P<0.05). Conclusion The GB technique can effectively shorten the operation time, relieve pain, improve knee range of motion, improve squat function and knee function, reduce osteoarthritis index, and reduce the occurrence of complications, which is worthy of clinical popularization and application.

scholarly journals Effect of Electroacupuncture versus Sham Electroacupuncture in Patients with Knee Osteoarthritis: A Pilot Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Qi Wang ◽  
Hui Lv ◽  
Zhao-Tian Sun ◽  
Jian-Feng Tu ◽  
Yong-Wei Feng ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Range Of Motion ◽  
Controlled Trial ◽  
Dropout Rate ◽  
Flexor Muscle ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Pilot Randomized Controlled Trial

Objective. To explore the feasibility of evaluating the effectiveness and safety of electroacupuncture versus sham electroacupuncture for patients with knee osteoarthritis (KOA). Method. A pilot randomized controlled trial was conducted at a teaching hospital in Beijing. A total of 30 patients with KOA (Kellgren grade II or III) were randomly allocated to an eight-week treatment of either electroacupuncture or sham electroacupuncture. Patients and outcome assessors were blinded to group allocation. The primary outcome was the proportion of responders achieving at least 1.14 seconds decrease in the Timed Up and Go Test (TUG) at week eight compared with baseline. The secondary outcomes included the knee range of motion, the knee extensor and flexor muscle strength, Lequesne index, 9-step stair-climb test (9-SCT), and TUG. Results. Of 30 patients allocated to two groups, 27 (90%) completed the study. The proportion of responders was 53.3% (8 of 15) for electroacupuncture group and 26.7% (4 of 15) for sham electroacupuncture group by the intention-to-treat analysis (P=0.264). There was no statistically significant difference in TUG between the two groups at eight weeks (P=0.856). The compliance rate measured according to patients who conformed to the protocol and had received treatments ≥20 times was 93.3% (28 of 30). The dropout rate was 20% (3 of 15). Adverse effects were not reported in the study. Conclusion. Our research demonstrated that further evaluation of the effectiveness of electroacupuncture versus sham electroacupuncture was feasible and safe for patients with KOA. Whether or not the electroacupuncture can improve the physical functions of knee joint, expand the knee range of motion, and increase the extensor and flexor muscle strength more significantly than sham electroacupuncture, future studies can be designed with larger sample size, randomization design and less biases. This trial is registered with NCT03366363.

scholarly journals Effect of Warm Epsom Salt Pack over Knee Osteoarthritis-A Randomized Controlled Trial

2021 ◽  
pp. 7-15
Author(s):  
Ranjini Rajasekharan ◽  
Sujatha Dinesh ◽  
Prashanth Shetty
Keyword(s):  
Quality Of Life ◽  
Randomized Controlled Trial ◽  
Knee Osteoarthritis ◽  
Range Of Motion ◽  
Controlled Trial ◽  
Weight Bearing ◽  
Control Group ◽  
Randomized Controlled ◽  
Epsom Salt

Aims: Osteoarthritis, the most common form of arthritis which commonly affects weight-bearing joints like the knee, hip, spine, and joints.  Since the effectiveness of conventional medicine on severe types of osteoarthritis is surgical intervention, the patients are seeking alternative medicine. A warm Epsom salt pack is used commonly for pains over joints. Hence this study is undertaken. Study Design: Randomized Controlled Trial. Place and Duration of Study: Department of Naturopathy, SDM College of Naturopathy and Yogic Sciences, between November 2019 and January2020. Methodology: From the inpatient department of Shri Dharmasthala Yoga and Nature cure Hospital Shanthivana, hundred subjects diagnosed with osteoarthritis belonging to the age groupof35to75yearswererecruitedandwererandomlyallocated to case (Warm Epsom salt pack) and control group. Subjects were assessed for Goniometry, Visual analog scale (VAS), Shortform-12(SF-12), Western Ontario and McMaster Osteoarthritis Index Scale (WOMAC) before and after the intervention of 20 minutes. Results: The study was done to evaluate the effect of Warm Epsom salt on Knee Osteoarthritis. There were 100 subjects in the sample. Shapiro-Wilk’s test/Quantile-Quantile (QQ) plot was used to check the normality of variables. In study group there was a significant decrease in Goniometry (p=<0.0001), SF 12 (p=<0.0001), WOMAC (P=<0.0001).  In the control group, other than VAS there were no significant changes in other variables (Goniometry, WOMAC, SF-12). Conclusion: Our study indicates that a warm Epsom salt pack may reduce pain, stiffness, range of motion, and improves the quality of life. The study revealed that Warm Epsom salt reduced Range of motion from 172.94 to 134.5, WOMAC from 65.94 to 26.38, and Quality of life from 33.98 to 31.22. Results reveal with significant improvement (p<0.001) in pain, swelling, and quality of life.

scholarly journals Effects of global postural reeducation on postural control, dynamic balance, and ankle range of motion in patients with hallux abducto valgus. A randomized controlled trial

2021 ◽  
Author(s):  
Alejandro Estepa‐Gallego MSC ◽  
Alfonso Ibañez‐Vera ◽  
María Dolores Estudillo‐Martínez ◽  
Yolanda Castellote‐Caballero ◽  
Marco Bergamin ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Postural Control ◽  
Range Of Motion ◽  
Dynamic Balance ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Control Dynamic

scholarly journals Effects of the Suboccipital Muscle Inhibition Technique on the Range of Motion of the Ankle Joint and Balance According to Its Application Duration: A Randomized Controlled Trial

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 646
Author(s):  
Han-Sol Kang ◽  
Hyung-Wook Kwon ◽  
Di-gud Kim ◽  
Kwang-Rak Park ◽  
Suk-Chan Hahm ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Range Of Motion ◽  
Ankle Joint ◽  
Controlled Trial ◽  
Balance Test ◽  
Randomized Controlled ◽  
Active Range Of Motion ◽  
Before And After ◽  
Muscle Inhibition ◽  
Inhibition Technique

This study aimed to investigate the effects of suboccipital muscle inhibition technique (SMIT) on active range of motion (AROM) of the ankle joint, lunge angle (LA), and balance in healthy adults, according to the duration of its application. A total of 80 participants were randomly allocated to the 4-min suboccipital muscle inhibition (SMI) group (SMI_4M, n = 20), 8-min SMI group (n = 20), 4-min sham-SMI (SSMI) group (n = 20), and 8-min SSMI group (n = 20). Accordingly, the SMIT and sham SMIT were applied for 4 min or 8 min in the respective groups. AROM of dorsiflexion and LA were assessed, and a single leg balance test (SLBT) was performed before and after the intervention. AROM (4 min, p < 0.001; 8 min, p < 0.001), LA (4 min, p < 0.001; 8 min, p < 0.001), and SLBT (4 min, p < 0.001; 8 min, p < 0.001) significantly improved after SMI application. Compared with the SSMI group, the SMI group showed a significant increase in AROM (p < 0.001), LA (p < 0.001), and SLBT (p < 0.001). Except for SLBT (p = 0.016), there were no significant interactions between intervention and application duration. The results suggest that the SMIT, at durations of both 4 and 8 min, could be effective tools for improving AROM, LA, and balance.

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