scholarly journals EFFICIENCY OF ORTHOPAEDIC BRACE WITH LASER ON KNEE JOINT FUNCTION, PAIN AND SWELLING

2015 ◽  
Vol 3 (98) ◽  
pp. 13-21
Author(s):  
Tomas Indriulionis ◽  
Juozas Raistenskis ◽  
Kęstutis Saniukas ◽  
Rūta Garšvienė ◽  
Viktorija Zacharenko ◽  
...  

Background. The effectiveness of outpatient mobile laser intervention on specific treatment goals has not been fully explored. Thus, the aim of the study was to examine the effect of orthopaedic knee brace with laser on knee joint function, pain and swelling. Methods. Volunteers were divided into two experimental groups: chronic pain (n = 20, knee pain > 6 months) and acute pain (n = 20, knee pain < 1 week), and one control (n = 20, placebo) group. Subjects in all groups were immobilized in a knee brace for 4 weeks. In addition, the experimental groups underwent low-intensity laser therapy, whereas control group underwent pseudo-laser therapy, every second day for 10 min. The sequences of the tests were as follows: (a) clinical assessments and evaluation of knee extension and flexion amplitude, swelling, Lysholm subjective assessment questionnaire, VAS pain scale, (b) evaluation of balance using Kistler platform, (c) muscle peak torque and isometric torque variability assessment using isokinetic dynamometry. All tests were performed twice - before and after intervention. Results. Knee brace with laser is effective treatment for the reduction of pain, swelling, and recovering of daily functions (p < .05). Operation of the complex device is particularly effective in treating knee pain in the acute period (p < .05). Conclusions. Knee brace with laser therapy in the rehabilitation period ensures faster healing of patients compared to wearing only knee brace, particularly in acute pain, while muscle strength and proprioception remains depressed.

Author(s):  
Shmaila Hanif ◽  
A R Salim ◽  
Sikiru Lamina ◽  
Usman L Isa

Objective: This randomized controlled clinical trial was designed to evaluate and compare the therapeutic efficacy of Low Laser Therapy (LLLT) and Therapeutic Ultrasound (TUS) in the symptomatic management of knee osteoarthritis.Methods: Twenty two subjects with chronic osteoarthritis of the knee were recruited, aged-matched and grouped into 3 (control, LLLT & TUS) groups. The control group received 18 sessions of standardized protocol care of exercise therapy (low intensity for 15 minutes and 3 times per week for 6 weeks). The LLLT and TUS groups, in addition to the standardized exercise therapy protocol received 18 LLLT (Laser class 3b, frequency of 5KHz, wave length of 810nm) treatments for 10 minutes and 18 TUS sessions (continuous, intensity: 0.5W/cm2, frequency: 1MHz) for 12 minutes respectively. Visual analogue scale (VAS) was used to measure knee pain and knee joint range of motion (ROM) was also assessed. Data was analyzed using ANOVA test to determine groups' significant difference.Results: Findings of the study revealed no significant contribution of LLLT and TUS over control (exercise) in VAS and ROM at p< 0.05.Conclusions: The study affirms and concluded that exercise therapy should form the basis and bulk adjunct physical therapy in the management of osteoarthritis over Laser therapy and TUS.


2014 ◽  
Vol 539 ◽  
pp. 904-907
Author(s):  
Yong Tang

In this study, effects of vertical vibration have been explored by means of comparative trial . Twenty two college male students participated in this trial, they were randomly divided into control group and vibration group. The experiment lasted 9 weeks, 3 sessions each week.Test has been performed after and before trial. After analyzing the test outcome,the finding showed that Vibration and convention exercise both can significantly increase the absolute peak torque (extensors:t=-3.919,p=0.02<0.05,flexor:t=-4.839, p=0.001<0.05) and relative peak torque (extensors: t=-2.379,p=.020; flexor : t=-5.285,p=0.000) of knee joint. The vibration exercise is better than the convention exercise.


2021 ◽  
Vol 5 (6) ◽  
pp. 1-6
Author(s):  
Xueqin Zeng ◽  
Baohui Wang ◽  
Liang Li ◽  
Tao Lei ◽  
Huajian Liu ◽  
...  

Objective: To observe therapeutic effect of sodium aescinate Tablets on knee osteoarthritis complicated with synovitis. Methods: 86 patients with knee osteoarthritis combined with synovitis treated in the Honghui Hospital Affiliated to Xi’an Jiaotong University from January 2018 to December 2019 were randomly divided into control group and intervention group, with 43 cases in each group. The control group was given routine treatment, and the intervention group was given sodium aescinate Tablets orally on the basis of routine treatment, twice a day, 2 tablets each time. The curative effect was evaluated after 2 weeks of treatment. The knee pain and joint function of the two groups were evaluated by Visual Analogue Scale (VAS) and Western Ontario and McMaster Universities Arthritis Index (WOMAC), and the clinical effects of the two groups were compared. Results: Before treatment, there was no significant difference in general information, VAS and WOMAC scores between the two groups (P > 0.05). After treatment, the VAS and WOMAC scores of the two groups were both lower than those before treatment, and the difference was statistically significant (P < 0.05). The vas and WOMAC scores of the intervention group were lower than those of the control group (VAS, 1.87 ± 0.79 vs 3.38 ± 0.81. In this study, sodium aescinate tablets were applied to the treatment of KOA combined with synovitis. The results showed that the intervention group was better than the control group in alleviating knee pain, improving joint function and improving clinical efficacy, and the difference was statistically significant. The total effective rate of the intervention group was higher than that of the control group (100% vs 86.05%), and the difference was statistically significant (P < 0.05). Conclusion: Sodium aescinate tablet in the treatment of knee osteoarthritis combined with synovitis can effectively alleviate knee pain, improve joint function and improve clinical efficacy.


2021 ◽  
Author(s):  
Zainulabedin Saiyed ◽  
Shane Durkee ◽  
James Bowman ◽  
Vijaya Juturu

Abstract BackgroundUC-II® is a unique joint health ingredient derived from chicken sternum. In a previous study, UC-II® improved knee extension range of motion and extend exercise time before the onset of knee pain in healthy participants. MethodsThe current exploratory post hoc analyses sought to assess items from the Knee Injury and Osteoarthritis Outcome Score (KOOS) in healthy participants aged ≥50 years who previously participated in a randomized controlled trial. All participants reported knee pain following a standardized stepmill test and were randomized to receive placebo or 40 mg UC-II® supplementation containing ≥ 3% (≥ 1.2 mg) undenatured type II collagen for 120 days. For the current post hoc analyses, 17 participants (UC-II® = 9, placebo = 8) met the acceptance criteria (age ≥ 50 years). Analysis was carried out for the KOOS survey results with modified intent-to-treat analysis (mITT). P-values ≤0.05 were considered statistically significant. ResultsAfter 120 days of supplementation, participants in the UC-II® supplementation group exhibited statistically significant improvements versus the placebo in select KOOS items including reduced pain during standing upright and going up or down stairs, decreased discomfort in climbing ascending stairs or bending to floor to pick an object, or squatting during physical activity (p<0.05). ConclusionUC-II® supplementation has the potential to improve knee joint function, mobility, flexibility, free movements and performance of daily activities in healthy participants ≥ 50 years old with exercise-induced knee pain.


2021 ◽  
Vol 30 (3) ◽  
pp. 295-302
Author(s):  
Seung-Ri Kim ◽  
Hyun-Joo Kang

PURPOSE: This study aimed to examine the effects on the hamstring/quadriceps ratio (H/Q ratio) and H/Q ratio fatigue index (H/Q FI) of the knee joint of an 8-week weight training to improve the hamstring muscles of male college students.METHODS: Twenty male college students were divided into two groups: an exercise group (EG) and a control group (CG). The EG participated in an 8-week hamstring weight training program, working out twice a week, 60 min per session, with a 60–80% 1RM and 12–16 RPE intensity. The peak torque, H/Q ratio, and H/Q FI were measured, and a t-test was used to verify the statistical significance of the difference between the pre- and post-intervention results.RESULTS: The right flexor peak torque at 60°/sec increased by 14.10±9.60%BW in the EG and decreased by −9.00±16.55%BW in the CG, showing a significant difference between the groups (<i>p</i><0.01). The left flexor peak torque increased by 6.60±12.31%BW in the EG and decreased by −5.10±10.68%BW in the CG, showing a significant difference between the groups (<i>p</i><0.05). The left extensor peak torque decreased by −5.40±19.53%BW in the EG and by −28.40±25.70%BW in the CG, showing a significant difference between the groups (<i>p</i><0.05). The H/Q ratios tended to increase, but the difference was not significant.CONCLUSIONS: To prevent injuries and stabilize the knee joint, the central joint of the lower extremity that plays an important role in daily life and sports activities, hamstring weight training can be performed to maintain the H/Q ratio within the normal range.


2021 ◽  
Vol 27 (8) ◽  
pp. 807-809
Author(s):  
Aona Chen ◽  
Shuhua Qu ◽  
Xuejun Ma ◽  
Wenjiang Zhao ◽  
Chenggen Guo

ABSTRACT Introduction: The knee joint is a complex and important joint in the human body. It plays an active role in maintaining posture balance of the human body in sports, allowing one to bear a larger load and complete various complex technical movements. Objective: To investigate the stability and influence of kinemechanics in knee joint rehabilitation training. Methods: A total of 80 patients with anterior cruciate ligament injury who received treatment in Henan Provincial People's Hospital were selected and divided into control group and observation group according to the random number table method, with 40 cases in each group. Results: Six months after surgery, the peak torque (PT), peak torque to body weight ratio (PT/BWT), total work (TWT), Lysholm score and Tegner score, and knee circumference of the two groups were significantly improved compared with those before surgery (P <0.01). The degree of improvement was greater in the observation group:compared with the control group, the difference was highly statistically significant (P<0.01). Conclusions: Professional exercise rehabilitation has a definite effect on patients after anterior cruciate ligament reconstruction. It can significantly improve the muscle strength of quadriceps and hamstring, improve the function of knee joint and promote its recovery. Level of evidence II; Therapeutic studies - investigation of treatment results.


2020 ◽  
Author(s):  
chao liang ◽  
YueHua Liu ◽  
PengFei Shi ◽  
wei cui ◽  
JunWei Li ◽  
...  

Abstract Objective To explore the clinical application of Ilizarov stretcher in the treatment of traumatic knee joint stiffness, and to compare the efficacy of soft tissue release around knee joint with CPM machine exercise. Methods In this study, 36 patients with ankylosis after operation for periarticular fracture from March 2012 to March 2017 were treated with Ilizarov stretcher after soft tissue lysis. The therapeutic effect was excellent. Results According to Judet method, the knee joint function was evaluated in the experimental group: excellent in 22 cases, good in 12 cases, fair in 2 cases, the excellent and good rate was 94.4%; in the control group, excellent in 3 cases, good in 18 cases, fair in 12 cases, the excellent and good rate was 63.6% Conclusions Ilizarov stretcher is an effective method for the treatment of traumatic knee joint stiffness, which has the advantages of short treatment time and good function of knee joint after operation.


Author(s):  
VARSHA PALLED ◽  
DR. JITENDRA RAO ◽  
DR. RAGHUWAR DAYAL SINGH ◽  
DR. SHUCHI TRIPATHI ◽  
DR. KALPANA SINGH ◽  
...  

The purpose of this study was to evaluate whether Low-Level Laser Therapy (LLLT) improves the healing of the implant surgical site with clinical and biochemical parameters.Thirty patients with an edentulous space spanning a single tooth were selected. The patients were randomly allocated to two groups - the control group and the test group. The test group received laser energy at a power of 2J/cm 2 with a total of 4-6J energy over each implant. Clinical parameters (Implant Stability Quotient, probing index, modified sulcus bleeding index)and osteoprotegerin (OPG) were assessed at baseline and follow-up intervals (2 weeks, 6 weeks, and 3 months).The test group showed significantly higher implant stability quotient compared to thecontrol group at 2 weeks(57.93±3.95 and 35.67±3.08; p&lt;0.01) and 3months(58.86±3.75 and 67.06±3.78; p&lt;0.01). A significant rise in OPG levels of the test group(686.30±125.36pg/ml at baseline and 784.25±108.30pg/ml at 3months;p&lt;0.01) was seen contrary to significant decline in the control group (839.50±249.08pg/ml at baseline,415.30±78.39pg/ml at 3months;p&lt;0.01). Within the limitations of the study, the study suggests that the healing of peri-implant hard and soft tissues may be enhanced with the use of LLLT as an explicit modality during the post-operative period.


2018 ◽  
Vol 69 (8) ◽  
pp. 2081-2088 ◽  
Author(s):  
Alin Alexandru Odor ◽  
Edwin Sever Bechir ◽  
Deborah Violant ◽  
Victoria Badea

Moderate and severe periodontitis represents a challenge in the non-surgical periodontal therapy. Due to the lack of evidence regarding the antimicrobial effectiveness of 940 nm diode laser in periodontal treatment, this study aimed to evaluate the antimicrobial effect of hydrogen peroxide (H2O2) photolysis performed with 940 nm diode laser in the treatment of moderate and severe periodontitis. Twenty-five patients with 100 teeth were selected for this pilot study. The test teeth were randomly assigned to one of the four treatment groups: Group 1: scaling and root planning (SRP) (control group); and the following experimental groups: Group 2: H2O2; Group 3: 940 nm diode laser therapy; Group 4: 940 nm diode laser therapy and H2O2. Clinical examinations, like probing depth (PD), clinical attachment level (CAL) and bleeding on probing (BOP) were performed before and after the treatment. The microbiological evaluation, effectuated before and after the treatment, included nine periodontal bacteria species and investigated by means of real-time PCR assay. The clinical and bacterial differences in the tested groups, was assessed between control group and the other three experimental groups, as well as between the experimental groups. The total bacteria load was reduced for all four studied groups. Group 4 (diode laser + H2O2) showed significant bacterial reduction of the major periodontal bacteria like Pg., Tf., Td., Pi., Pm., Fn (p[0.001) than the other 3 groups (p]0.001). Also the periodontal clinical parameters, like PD, CAL and BOP showed a significant reduction after the photolysis of H2O2 with the 940 nm diode laser (p[0.001). Differences between tested groups showed a significant beneficial results in regard to Group 4.It is suggested that the photoactivation of H2O2 with the 940 nm diode laser can be used successfully in adjunctive to the non-surgical periodontal treatment as a bactericidal tool.


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