scholarly journals Effect of ROM and Weight Bearing Exercise on the Degrees of Knee ROM and Muscle Strength of Post-Extremity of ACL Sprain Grade 1

2020 ◽  
Author(s):  
Fitriatul Aini ◽  
Mahmud Yunus ◽  
Olivia Andiana
Keyword(s):  
Muscle Strength ◽  
Weight Bearing

scholarly journals Comparison of Post-Operative Muscular Strength Between Gamma Nailing and Hemiarthroplasty System in Femoral Intertrochanteric Fractures

2017 ◽  
Vol 11 (1) ◽  
pp. 255-262 ◽  
Author(s):  
Mitsuaki Noda ◽  
Yasuhiro Saegusa ◽  
Masayasu Takahashi ◽  
Chisa Noguchi ◽  
Chihiro Yoshikawa ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Muscle Strength ◽  
Hip Joint ◽  
Muscular Strength ◽  
Weight Bearing ◽  
Control Group ◽  
Intertrochanteric Fractures ◽  
Early Weight Bearing ◽  
Abduction Strength ◽  
Flexion Strength

Background: The current study focuses on the comparison of postoperative muscular strength around the hip joint of patients with femoral intertrochanteric fractures treated either by cephalo-medullary (CM) nailing or a new bipolar hip prosthesis (BHP), an especially attached device to secure displaced greater trochanteric fragment. Methods: Twenty patients treated with CM nailing were age- and sex- matched with a control group of 20 patients treated with BHP. Maximum isometric forces at the bilateral hip joint were measured during the follow up period. Means of 3 measurements were represented. Results: The mean and standard deviation values (kg) of muscle strength at the non-operative/ operative side in the CM nailing group were as follows: flexion strength 9.5±4.7/8.5±4.9 (P=0.06), extension strength 6.2±3.5/5.5±3.7 (P=0.08), abduction strength at 0 degrees 7.7±3.5/6.2±2.8 (p=0.002), abduction strength at 10 degrees 5.5±2.0/4.2±2.0 (p=0.001). In the BHP group, mean and standard deviation values of muscle strength at the non-operative/ operative side were as follows: flexion strength 6.5±2.8/6.0±3.4 (P=0.08), extension strength 4.4±0.9/4.4±0.6 (P=0.83), abduction strength at 0 degrees 5.1±1.9/5.0±1.6 (p=0.12), and that at 10 degrees 4.7±1.4/4.6±1.3 (p=0.10). Conclusion: Our results demonstrate that CM nailing may cause a 25-30% decrease in postoperative muscle strength around the hip joint, particularly during hip abduction. With the new BHP, greater trochanter reduction is achieved allowing early weight bearing and maintaining strength in abduction. Surgeons should consider postoperative muscular strength as one of the necessary factors for selection of the appropriate surgical procedure. Level of Evidence: Therapeutic Level III.

scholarly journals Effect of recovery from muscle strength imbalance in lower limb using four point weight bearing reduction system

2014 ◽  
Vol 24 (6) ◽  
pp. 2475-2483
Author(s):  
Chang Ho Yu ◽  
Seung Rok Kang ◽  
Ho Choon Jeong ◽  
Kyung Kim ◽  
Tae Kyu Kwon
Keyword(s):  
Muscle Strength ◽  
Lower Limb ◽  
Weight Bearing ◽  
Reduction System

scholarly journals Association ankle function and balance in community-dwelling older adults

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247885
Author(s):  
David Hernández-Guillén ◽  
Catalina Tolsada-Velasco ◽  
Sergio Roig-Casasús ◽  
Elena Costa-Moreno ◽  
Irene Borja-de-Fuentes ◽  
...  
Keyword(s):  
Older Adults ◽  
Muscle Strength ◽  
Dynamic Balance ◽  
Weight Bearing ◽  
Community Dwelling ◽  
Plantar Flexor ◽  
Flexor Muscle ◽  
Ankle Mobility ◽  
Ankle Function ◽  
Community Dwelling Older Adults

Background and purpose Ankle function declines with age. The objective of this study was to investigate the association between ankle function and balance in older adults, with a focus on range of motion (ROM) and strength. Methods This was a cross-sectional study that included 88 healthy community-dwelling older adults. Ankle mobility was measured while bearing weight (lunge test) and not bearing weight. The plantar-flexor muscle strength was assessed using a hand-held dynamometer. Balance was measured in terms of dynamic balance and mobility (timed up and go test), monopodal and bipodal static balance with open and closed eyes (single-leg stand test and platform measures), and margins of stability (functional reach test). Linear correlation and multiple regression analyses were conducted with a 95% CI. Results and discussion Most participants had limited ankle mobility (n = 75, 86%). Weight-bearing ankle dorsiflexion ROM was the strongest predictor of dynamic balance and included general mobility and stability (Radj2 = [0.34]; β = [-0.50]). In contrast, plantar-flexor muscle strength was a significant predictor of static standing balance with open eyes (Radj2 = [0.16–0.2]; β = [0.29–0.34]). Overall, weight-bearing ankle dorsiflexion ROM was a more representative measure of balance and functional performance; however, a non-weight-bearing mobility assessment provides complementary information. Therefore, both measures can be used in clinical practice. Conclusion This study supports the concept that ankle mobility contributes to the performance of dynamic tasks, while the plantar-flexor muscle strength helps to develop a standing static balance. Identification of alterations in ankle function is warranted and may assist in the design of tailored interventions. These interventions can be used in isolation or to augment conventional balance training in order to improve balance performance in community-dwelling older adults.

scholarly journals The actual knee function was not influenced by joint line obliquity after open-wedge high tibial osteotomy

SICOT-J ◽  
2020 ◽  
Vol 6 ◽  
pp. 4 ◽  
Author(s):  
Mitsuaki Kubota ◽  
Youngji Kim ◽  
Taisuke Sato ◽  
Junichiro Yamaguchi ◽  
Ryuichi Ohno ◽  
...  
Keyword(s):  
Muscle Strength ◽  
High Tibial Osteotomy ◽  
Weight Bearing ◽  
Joint Line ◽  
Knee Function ◽  
Tibial Osteotomy ◽  
Open Wedge ◽  
Radiological Parameters ◽  
Joint Line Obliquity ◽  
Wedge High Tibial Osteotomy

Purpose: Excessive joint line obliquity (JLO) after open-wedge high tibial osteotomy (OWHTO) induces detrimental stress on the articular cartilage. The purpose of this article is to assess the correlation between JLO and the clinical results after OWHTO. Methods: 68 patients were followed up for more than 1 year. JLO was assessed using a long-leg standing anteroposterior radiograph. The knee osteoarthritis outcome score (KOOS) and KSS (Knee Society score) objective knee score were assessed as clinical scores. The Weight-bearing line ratio (WBLR), medial proximal tibial angle (MPTA), lateral distal femoral angle (LDFA), and joint line convergence angle (JLCA) were assessed as radiological parameters. The timed up-and-go (TUG) test and single-leg standing (SLS) test were performed, and the isometric muscle strength of the quadriceps and hamstrings was assessed to evaluate the knee function. The primary outcomes were the correlations between the JLO and the clinical score, radiological parameters and knee function after OWHTO. The secondary objective of this study was to detect the factor with the greatest influence on JLO. Results: There were significant correlations between the postoperative JLO and the KOOS in the subcategories of pain, activities of daily living (ADL), and sports and recreation (r = −0.311, −0.302, −0.282, p = 0.011, 0.014, 0.022, respectively). However, the postoperative JLO was not significantly correlated with the KSS, knee function, or muscle strength. The preoperative LDFA and postoperative MPTA were factors influencing increased JLO after OWHTO. Discussion: There was no significant correlation between the JLO and the actual knee function. The preoperative LDFA and postoperative MPTA were factors that influenced the increase in JLO after OWHTO.

scholarly journals Physiotherapy Management in Patient with Knee Osteoarthritis through Three Tract Reasoning: A Case Report

2019 ◽  
Vol 2 (3) ◽  
pp. 85-93
Author(s):  
Begum Rabea ◽  
◽  
Anwar Hossain Mohammad ◽  
Keyword(s):  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Weight Bearing ◽  
Evidence Based ◽  
Physiotherapy Treatment ◽  
Long Term Effect ◽  
Joint Disorder ◽  
Grading Scale ◽  
And Function ◽  
Improve Muscle Strength

Background: Knee Osteoarthritis is the most common joint disorder and one of the leading causes of disability. The main symptoms associated with osteoarthritis are pain, discomfort, limitation of activity and reduced participation. Physiotherapy management is evidence-based treatment approach that have short-term and long-term effect on reducing pain, improve muscle strength and function. Aim: The aim of this study was to find out evidence-based physiotherapy in patient with knee osteoarthritis through three tract reasoning on reducing pain, improve muscle strength and function. Method: A case-based study was conducted. The three tract reasoning: procedural, interactive and conditional were used during diagnosis and in management of knee osteoarthritis. Results: The patient respond well in physiotherapy treatment. The swelling was 100% reduced, reduced pain in VAS from 8/10 to 1/10, improved muscle strength by oxford muscle grading scale by grade V, weight bearing is more (90%) and only 25% remain limitation in functionally from 69%. Conclusion: Knee osteoarthritis is frequent musculoskeletal condition that affect person’s activities and restricted the participation. Using clinical reasoning physiotherapist diagnosed and managed the symptoms. After receiving physiotherapy treatment improved the patient’s status of health.

Femoroacetabular impingement in sports medicine: a narrative review

2015 ◽  
Vol 63 (2) ◽  
Keyword(s):  
Muscle Strength ◽  
Femoroacetabular Impingement ◽  
Hip Joint ◽  
Weight Bearing ◽  
Case Series ◽  
Hip Pain ◽  
Hip Surgery ◽  
Hip Muscle ◽  
Hip Function ◽  
Surgical Treatments

Femoroacetabular impingement (FAI) is a pathomechanical process of the hip, which can occur in every individual but has a higher prevalence in physically active subjects such as athletes. It is mainly due to bony deformities at the proximal femur and/or acetabulum in conjunction with rigorous or supraphysiological hip ranges of motion. FAI may lead to chondrolabral lesions, hip pain and development of early hip osteoarthritis. Symptomatic FAI patients may present functional limitations during daily activities and sports, reduced hip muscle strength as well as hip joint kinematic and kinetic alterations during weight-bearing activities. Hip surgery whether open or arthroscopic is currently the mainstay for the management of symptomatic FAI. It consists of the treatment of FAI-related intra-articular pathologies, such as acetabular labral tears and articular cartilage lesions, and the surgical correction of the underlying bony deformities. Hip surgery demonstrated to reduce hip pain and improve hip function of symptomatic FAI patients in most case series. In addition, relatively high rates of return to sport were reported for FAI athletes after hip surgery. Nevertheless, incomplete recovery of hip muscle strength and hip joint kinematics and kinetics during functional tasks were shown after hip surgery for FAI. Non-surgical treatments aimed at restoring normal hip muscle and physical function have not been considered as a valid alternative to hip surgery for the management of symptomatic FAI so far. Future research should propose standardized physical therapy protocols for the non-surgical management of symptomatic FAI, and investigate their effectiveness in reducing hip pain and improving hip function. In addition, randomized controlled trials should compare surgical with non-surgical treatments for FAI so as to provide knowledge about the optimal conditions and time point for hip surgery.

Effects of a Weight-Bearing Exercise Training on Bone Mineral Density and Neuromuscular Function of Osteopenic Women

2012 ◽  
Vol 10 (3) ◽  
pp. 427-435 ◽  
Author(s):  
D. Marchese ◽  
M. D'Andrea ◽  
V. Ventura ◽  
T. Montalcini ◽  
D. Foti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bone Mineral Density ◽  
Muscle Strength ◽  
Exercise Training ◽  
Bone Turnover ◽  
Bone Mineral ◽  
Weight Bearing ◽  
Neuromuscular Function ◽  
Mineral Density

This study was designed to evaluate whether a weight-bearing exercise training played 3 times a week can have benefits on bone mineral density and neuromuscular function in women with a diagnosis of osteopenia. The study enrolled 22 women aged between 45 and 65, with densitometric diagnosis of osteopenia. The participants were randomly assigned to a group of exercise (n=11) and a control group (n=11). The exercise program lasted for 45 min and consisted of a combination of strength exercises that seek to cause a mechanical osteoblastic stimulus by use of gravity, body weight, fall with antigravity reaction, in combination with exercises for the improvement of balance and coordination. The outcome measures used to assess the result on bone mass are the bone Mineralometric DEXA method for femoral head-neck region and lumbar spine and biochemical markers of bone turnover (resorption and neoformation) and for the evaluation of neuromuscular function was chosen to use surface electromyography (sEMG) as an indicator of overall activity and speed activation of lumbar paravertebral muscles and of the lower limbs antigravity muscles, stabilometric analysis and 6' Walk Test. In addition each person enrolled was given EuroQol and ICF core set of osteoporosis, respectively, to assess the quality of life, as well as activity limitations and participation restrictions associated. In the exercise group, mean values and changes in average rates for the balance, muscle strength, walking ability and quality of life, mean bone mineral content and bone turnover markers, corresponding to the assessments made at 0 (before rehabilitation intervention) and Time 1 (program ended), showed a statistically significant improvement. The results of this study demonstrate that a group rehabilitation program of exercises based on gravitational load, aimed to improve muscle strength and trophism, coordination and balance, can provide advantages of unquestionable importance, not only on the slope of increase bone mass of neuromuscular function and reducing risk of falling, but on health in general.

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