scholarly journals PENGARUH GRASTON TECHNIQUE DAN CLOSED KINETIC CHAIN EXERCISE PADA OSTEOARTHRITIS KNEE DEXTRA

2020 ◽  
Vol 4 (1) ◽  
pp. 64-71
Author(s):  
Kuswardani . ◽  
Fitratun Najizah ◽  
Nurma Oktaviani
Keyword(s):  
Knee Osteoarthritis ◽  
Osteoarthritis Of The Knee ◽  
Functional Abilities ◽  
Kinetic Chain ◽  
Physiotherapy Treatment ◽  
Graston Technique ◽  
Osteoarthritis Knee ◽  
Closed Kinetic Chain ◽  
Pre Treatment ◽  
And Function

Background : The prevalence of osteoarthritis in Indonesia increases with age. The highest prevalence is at age <75 years. The incidence of osteoarthritis in Indonesia from 1990 to 2010 has increased. Per 100,000 men and women reach their peak at the 80 years old. Women reached a peak at 1,327.4 compared to men who were only 907.7. Osteoarthritis of the knee has problems such as pain, decreased ROM, edema, and decreased muscle strength, to overcome the problems  in the case of knee osteoarthritis can be given physiotherapy treatment such as Graston Technique and Closed Kinetic Chain Exercise. Objective : The purpose of this study was to determine the effect of graston technique and closed kinetic chain exercise on knee dextra osteoarthritis to overcome body and function. Results : After being given physiotherapy management with a combination of graston technique and closed kinetic chain exercise in patients with knee osteoarthritis, there was a decrease in pain so that the increase in functional ability is known from the reduction of the diagram from the results of filling the WOMAC index form pre treatment with the score being post treatment in six meetings. Conclusion : The combination of graston technique and closed kinetic chain exercise has effect on reducing pain so that it can improve the functional abilities of patients with knee osteoarthritis.

scholarly journals Effects of Open Versus Closed Kinetic Chain Exercises in Patients with Knee Osteoarthritis

2020 ◽  
Vol 23 (3) ◽  
pp. 167-173
Author(s):  
Nuray GİRGİN ◽  
Arzu ATICI ◽  
Pınar AKPINAR ◽  
İlknur AKTAŞ ◽  
Fatma YÜKSEK
Keyword(s):  
Knee Osteoarthritis ◽  
Kinetic Chain ◽  
Closed Kinetic Chain ◽  
Open Versus

scholarly journals Two-Year Results of the PHANTOM High Flex Trial: A Single-Arm Study on the Atlas Unicompartmental Knee System Load Absorber in Patients With Medial Compartment Osteoarthritis of the Knee

2019 ◽  
Vol 12 ◽  
pp. 117954411987717
Author(s):  
Konrad Slynarski ◽  
Jacek Walawski ◽  
Robert Smigielski ◽  
Willem van der Merwe
Keyword(s):  
Knee Osteoarthritis ◽  
Invasive Surgery ◽  
Young Patients ◽  
Osteoarthritis Of The Knee ◽  
Normal Range ◽  
Medial Knee ◽  
Medial Compartment Osteoarthritis ◽  
Knee Oa ◽  
And Function ◽  
Post Implantation

The Atlas Knee System was designed to fill the gap between no longer effective conservative treatments and more invasive surgery for young patients with medial knee osteoarthritis (OA). This article reports on the 2-year results of a single-arm study of 26 subjects who previously reported favorable clinical outcomes 1 year post implantation. Western Ontario and McMaster Universities Osteoarthritis Index pain and function scores improved by a clinically meaningful amount relative to baseline, and subjects had a return to normal range of motion. This study confirmed that the benefit of a joint unloading device in the management of young patients with medial knee OA is maintained over 2 years. This trial was registered with ClinicalTrials.gov (NCT02711254).

scholarly journals Intraarticular Injection of a Cross-Linked Sodium Hyaluronate Combined with Triamcinolone Hexacetonide (Cingal) to Provide Symptomatic Relief of Osteoarthritis of the Knee: A Randomized, Double-Blind, Placebo-Controlled Multicenter Clinical Trial

Cartilage ◽  
2017 ◽  
Vol 9 (3) ◽  
pp. 276-283 ◽  
Author(s):  
Laszlo Hangody ◽  
Robert Szody ◽  
Piotr Lukasik ◽  
Wojciech Zgadzaj ◽  
Endre Lénárt ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Knee Osteoarthritis ◽  
Sodium Hyaluronate ◽  
Intraarticular Injection ◽  
Controlled Clinical Trial ◽  
Osteoarthritis Of The Knee ◽  
Womac Pain ◽  
Double Blind ◽  
Triamcinolone Hexacetonide ◽  
And Function

Objective: To evaluate the efficacy and safety of an intraarticular injection of Cingal (Anika Therapeutics, Inc., Bedford, MA) compared with Monovisc (Anika Therapeutics, Inc., Bedford, MA) or saline for the treatment of knee osteoarthritis. Design: This multicenter, double-blind, saline-controlled clinical trial randomized subjects with knee osteoarthritis (Kellgren-Lawrence grades I-III) to a single injection of Cingal (4 mL, 88 mg hyaluronic acid [HA] plus 18 mg triamcinolone hexacetonide [TH]), Monovisc (4 mL, 88 mg HA), or saline (4 mL, 0.9%). The primary efficacy outcome was change in WOMAC (Western Ontario and McMaster Universities Arthritis Index) Pain Score through 12 weeks with Cingal versus saline. Secondary outcomes included Patient and Evaluator Global Assessments, OMERACT-OARSI Responder index, and WOMAC Total, Stiffness, and Physical Function scores through 26 weeks. Results: A total of 368 patients were treated (Cingal, n = 149; Monovisc, n = 150; saline, n = 69). Cingal improvement from baseline was significantly greater than saline through 12 weeks ( P = 0.0099) and 26 weeks ( P = 0.0072). WOMAC Pain was reduced by 70% at 12 weeks and by 72% at 26 weeks with Cingal. Significant improvements were found in most secondary endpoints for pain and function at most time points through 26 weeks. At 1 and 3 weeks, Cingal was significantly better than Monovisc for most endpoints; Cingal and Monovisc were similar from 6 weeks through 26 weeks. A low incidence of related adverse events was reported. Conclusions: Cingal provides immediate and long-term relief of osteoarthritis-related pain, stiffness, and function, significant through 26 weeks compared to saline. Cingal had similar immediate advantages compared with HA alone, while showing benefit comparable to HA at 6 weeks and beyond.

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.

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