Effectiveness of hip abductor strengthening on health status, strength, endurance and six minute walk test in participants with medial compartment symptomatic knee osteoarthritis

2016 ◽  
Vol 29 (1) ◽  
pp. 65-75 ◽  
Author(s):  
Shreya Singh ◽  
Monalisa Pattnaik ◽  
Patitapaban Mohanty ◽  
G. Shankar Ganesh
Keyword(s):  
Health Status ◽  
Knee Osteoarthritis ◽  
Medial Compartment ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Symptomatic Knee Osteoarthritis ◽  
Symptomatic Knee ◽  
Hip Abductor ◽  
Minute Walk

Six-Minute Walk Test and Health Status Assessment in Sarcoidosis

CHEST Journal ◽  
2007 ◽  
Vol 132 (1) ◽  
pp. 207-213 ◽  
Author(s):  
Robert P. Baughman ◽  
Brian K. Sparkman ◽  
Elyse E. Lower
Keyword(s):  
Health Status ◽  
Walk Test ◽  
Health Status Assessment ◽  
Six Minute Walk Test ◽  
Status Assessment ◽  
Minute Walk

scholarly journals CHECK (Cohort Hip and Cohort Knee): similarities and differences with the Osteoarthritis Initiative

2008 ◽  
Vol 68 (9) ◽  
pp. 1413-1419 ◽  
Author(s):  
J Wesseling ◽  
J Dekker ◽  
W B van den Berg ◽  
S M A Bierma-Zeinstra ◽  
M Boers ◽  
...  
Keyword(s):  
Health Status ◽  
Knee Osteoarthritis ◽  
Functional Disability ◽  
Short Form ◽  
Follow Up Study ◽  
Symptomatic Knee Osteoarthritis ◽  
Symptomatic Knee ◽  
Study Population ◽  
Osteoarthritis Initiative

Objective:To describe the osteoarthritis study population of CHECK (Cohort Hip and Cohort Knee) in comparison with relevant selections of the study population of the Osteoarthritis Initiative (OAI) based on clinical status and radiographic parameters.Methods:In The Netherlands a prospective 10-year follow-up study was initiated by the Dutch Arthritis Association on participants with early osteoarthritis-related complaints of hip and/or knee: CHECK. In parallel in the USA an observational 4-year follow-up study, the OAI, was started by the National Institutes of Health, on patients with or at risk of symptomatic knee osteoarthritis. For comparison with CHECK, the entire cohort and a subgroup of individuals excluding those with exclusively hip pain were compared with relevant subpopulations of the OAI.Results:At baseline, CHECK included 1002 participants with in general similar characteristics as described for the OAI. However, significantly fewer individuals in CHECK had radiographic knee osteoarthritis at baseline when compared with the OAI (p<0.001). In contrast, at baseline, the CHECK cohort reported higher scores on pain, stiffness and functional disability (Western Ontario and McMaster osteoarthritis index) when compared with the OAI (all p<0.001). These differences were supported by physical health status in contrast to mental health (Short Form 36/12) was at baseline significantly worse for the CHECK participants (p<0.001).Conclusion:Although both cohorts focus on the early phase of osteoarthritis, they differ significantly with respect to structural (radiographic) and clinical (health status) characteristics, CHECK expectedly representing participants in an even earlier phase of disease.

scholarly journals Conservative management of symptomatic knee osteoarthritis: a flawed strategy?

2013 ◽  
Vol 5 (1) ◽  
pp. 2 ◽  
Author(s):  
Dennis C. Crawford ◽  
Larry E. Miller ◽  
Jon E. Block
Keyword(s):  
Side Effects ◽  
Minimally Invasive ◽  
Knee Osteoarthritis ◽  
Conservative Management ◽  
Symptom Relief ◽  
Contact Forces ◽  
Medial Compartment ◽  
Knee Oa ◽  
Symptomatic Knee Osteoarthritis ◽  
Symptomatic Knee

<em>Conservative</em> management of medial compartment knee osteoarthritis (OA) is a misleading term used to describe the application of medical, orthotic, and/or rehabilitative therapies exclusive of surgical interventions. The implication of this nomenclature is that these therapies offer satisfactory symptom relief, alter disease progression, and have limited side effects. Unfortunately, conservative therapeutic options possesses few, if any, characteristics of an ideal treatment, namely one that significantly alleviates pain, improves knee function, and reduces medial compartmental loading without adverse side effects. As uncompensated mechanical loading is a primary culprit in the development and progression of knee OA, we propose that the therapeutic perspective of <em>conservative treatment </em>should shift from pharmacological treatments, which have no influence on joint loading, minimal potential to alter joint function, substantial associated risks, and significant financial costs, towards minimally invasive load absorbing therapeutic interventions. A safe and effective minimally invasive medical device specifically engineered for symptomatic relief of medial knee OA by limiting joint contact forces has the potential to reduce the clinical and economic knee OA burden. This review characterizes the current standard of care recommendations for conservative management of medial compartment knee OA with respect to treatment efficacy, risk profile, and economic burden.

scholarly journals Impaired health status is independently associated with persistently elevated NT-proBNP levels despite medical therapy for heart failure with reduced ejection fraction

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
T Chaikijurajai ◽  
W.H.W Tang
Keyword(s):  
Heart Failure ◽  
Health Status ◽  
Medical Therapy ◽  
Functional Class ◽  
Walk Test ◽  
Reduced Ejection Fraction ◽  
Six Minute Walk Test ◽  
6Mwt Distance ◽  
Impaired Health ◽  
Minute Walk

Abstract Background Impaired health status as measured by standardized tools such as Kansas City Cardiomyopathy Questionnaire (KCCQ), Duke Activity Status Index (DASI) and six-minute walk test (6MWT) has been shown to predict hospitalization and mortality in patients with chronic heart failure. However, prognostic implications of these measurements in response to guideline-directed medical therapy for heart failure with reduced ejection fraction (HFrEF) remained to be elucidated. Purpose We hypothesized that impaired health status were predictive of persistently elevated N-terminal pro-B-type natriuretic peptide (NT-proBNP) after 6 and 12 months of therapeutic optimization in HFrEF. Methods Data on the GUIDE-IT trial that included protocolized HFrEF drug titration were analyzed. Patients who did not have NT-proBNP at 12 months were excluded. KCCQ overall and clinical summary scores, and DASI scores at baseline and 6 months were calculated. Six-minute walk test (6MWT) distance at baseline were also available. Response to medical therapy was defined as having NT-proBNP at 12 months of less than 1,000 pg/mL. Median value of each measurement was used as a cutoff. Multivariate logistic regression analysis was used to determine independent associations between different QOL scores and NT-proBNP response after adjustment for age, comorbidities, baseline EF, NYHA functional class, and NT-proBNP. Results There were 193 (43%) responders. Compared with those who responded to the medical therapy, non-responders were older, and more likely to have comorbidities including coronary artery disease, stroke, PAD, AF, hypertension, COPD, DM, CKD, and dyslipidemia, as well as lower EF, NHYA functional class and higher baseline NT-proBNP. After adjustment for baseline characteristics, lower KCCQ (either overall or summary) scores at baseline and 6 months, and lower DASI scores at 6 months (but not baseline) were independently associated with lower likelihood of response to GDMT (Table). In contrast, baseline 6MWT distance did not predict non-response to GDMT after adjustments. Conclusions Only impaired baseline KCCQ scores were predictive of persistently elevated NT-proBNP, while lower KCCQ and DASI scores at 6 month were predictive of persistently elevated NT-proBNP. FUNDunding Acknowledgement Type of funding sources: None. Health Status Score below Median and ORs

scholarly journals Hip Abductor Strengthening Improves Physical Function Following Total Knee Replacement: One-Year Follow-Up of a Randomized Pilot Study

2017 ◽  
Vol 11 (1) ◽  
pp. 30-42 ◽  
Author(s):  
Karvannan Harikesavan ◽  
Raj D. Chakravarty ◽  
Arun G Maiya ◽  
Sanjay P. Hegde ◽  
Shivakumar Y. Shivanna
Keyword(s):  
Total Knee Replacement ◽  
Physical Function ◽  
Knee Replacement ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Single Leg Stance ◽  
Hip Abductor ◽  
Total Knee ◽  
One Year ◽  
Minute Walk

Background: Total knee replacement (TKR) is the commonest surgical procedure for patients with severe pain and impaired physical function following end stage knee osteoarthritis. The hip abductors are well renowned in stabilization of the trunk and hip during walking, maintaining the lower limb position, and transferring the forces from the lower limbs to the pelvis. Objective: To assess the efficacy of hip abductor strengthening exercise on functional outcome using performance based outcome measures following total knee replacement. Methods: An observer blinded randomized pilot trial design was conducted at Manipal hospital, Bangalore, India. Participants designated for elective TKR were randomized to experimental group hip abductor strengthening along with standard rehabilitation (n=10) or control group standard rehabilitation alone (n=10). Participants followed for one year to assess physical function using performance based outcomes, such as timed up and go test, single leg stance test, six minute walk test, knee extensor strength and hip abductor strength. Result: Eighteen participants with a mean age of 63.1 ± 5.5 years (8 Males and 10 Females) completed the study. Improvement in hip abduction strength, single leg stand test was superior in hip abductor strengthening group at 3 months and 1 year when compared to standard rehabilitation alone. Conclusion: Hip abductor strengthening showed superior improvements in single leg stance test and six minute walk test. Hip abductor strengthening exercises has the potential to improve physical function following total knee replacement.

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