scholarly journals Analysis of Physical Therapy in Knee Osteoarthritis

2020 ◽  
Vol 62 (4) ◽  
pp. 203-208
Author(s):  
Włodzisław Kuliński ◽  
Agnieszka Siołek

1,2, 1 1,2 1Department of Rehabilitation, Military Institute of Medicine, Warsaw, Poland Introduction: Osteoarthritis (OA) is the most common disorder of the musculoskeletal system. It is characterised by the destruction of joint cartilage and the presence of lesions in the subchondral bone, synovial membrane, joint capsule, and periarticular structures. OA damages the anatomical joint structure and impairs joint function. Aim: To analyse the effects of physical therapy procedures used during a two-week rehabilitation cycle on patients with OA. M aterial and Methods: The study involved 25 patients (19 women and 6 men aged 51 to 83 years) treated with electrotherapy, laser therapy, low-frequency alternating magnetic fields, ultrasound therapy, and kinesiotherapy. Rehabilitation outcomes were assessed with a survey questionnaire created by the authors and a VAS scale. Results: All study patients experienced pain reduction or elimination and an improvement in physical fitness after physical therapy. Conclusion: 1.Knee osteoarthritis is a clinical and social problem. 2. The physical therapy procedures used in the study considerably reduced pain in OA patients, both at rest and during movement, and resulted in improved physical fitness. 3. Seeing that a very large group of study patients with gonarthrosis declares no physical activity and avoids exercise due to pain, it is important to highlight the benefits of physical activity in OA prevention. 4. Seeing that the mean BMI in the study group usually indicated overweight or obesity, it is important to highlight the effects of a healthy lifestyle and diet in OA prevention.

2019 ◽  
Vol 33 (6) ◽  
pp. 1088-1097 ◽  
Author(s):  
Amanda Williams ◽  
Hopin Lee ◽  
Steven J Kamper ◽  
Kate M O’Brien ◽  
John Wiggers ◽  
...  

Purpose: To assess the causal mechanisms of a healthy lifestyle intervention for patients with chronic low back pain and knee osteoarthritis, who are overweight or obese. Methods: We conducted causal mediation analyses of aggregated data from two randomized controlled trials (RCTs); which included 160 patients with chronic low back pain, and 120 patients with knee osteoarthritis. The intervention consisted of brief advice and referral to a six-month telephone-based healthy lifestyle coaching service. We used causal mediation to estimate the indirect, direct and path-specific effects of hypothesized mediators including: self-reported weight, diet, physical activity, and pain beliefs. Outcomes were pain intensity, disability, and quality of life (QoL). Results: The intervention did not reduce weight, improve diet or physical activity or change pain beliefs, and these mediators were not associated with the outcomes. Sensitivity analyses showed that our estimates were robust to the possible effects of unknown and unmeasured confounding. Conclusions: Our findings show that the intervention did not cause a meaningful change in the hypothesized mediators, and these mediators were not associated with patient-reported outcomes.


2013 ◽  
Vol 16 (3) ◽  
pp. 615-631
Author(s):  
Julimara Gomes dos Santos ◽  
Larissa Pires de Andrade ◽  
Jessica Rodrigues Pereira ◽  
Angelica Miki Stein ◽  
Renata Valle Pedroso ◽  
...  

A prática regular de atividade física é indicada como uma terapia não farmacológica ao tratamento da doença de Alzheimer por promover benefícios cognitivos, comportamentais e funcionais. Pouco se sabe, porém, sobre os protocolos com intervenção motora domiciliar para essa população. Pensando nisso, esta revisão teve como objetivo investigar e analisar os protocolos de intervenção motora domiciliar para idosos com doença de Alzheimer descritos em artigos científicos. Realizou-se busca sistemática, sem limite de data, nas seguintes bases de dados: Web of Science, PubMed, PsycINFO e Scopus. Utilizaram-se os seguintes operadores booleanos e palavras-chave: "home-based exercise" OR "home-based physical exercise" OR "home-based physical fitness" OR "home-based rehabilitation" OR "home-based physical therapy" OR "home-based physical activity" OR "home-based motor intervention" and "AD" OR "Alzheimer's disease" OR "Alzheimer" OR "Alzheimer's dementia". Realizou-se também uma busca manual nas listas de referência dos artigos selecionados. Dos cinco artigos que atenderam aos critérios de inclusão adotados, três realizaram um protocolo de intervenção motora domiciliar, conseguindo boa adesão ao programa, melhora geral da saúde e diminuição de sintomas depressivos. Os outros dois estudos limitaram-se a descrever os protocolos. Apesar de serem necessários mais estudos, com protocolos mais detalhados, esta revisão permitiu mostrar que protocolos de intervenção motora domiciliar também podem produzir efeitos positivos tanto para pacientes quanto para cuidadores.


2020 ◽  
Vol 2 (117) ◽  
Author(s):  
Tomas Vainauskas ◽  
Laurynas Dilys ◽  
Saulius Šukys ◽  
Brigita Miežienė ◽  
Arūnas Emeljanovas ◽  
...  

Background. Healthy lifestyle skills instilled in childhood remain into adulthood. Parental physical activity skills are directly related to their children’s physical activity which strengthens their children’s physical fitness. The aim of the study was to determine and evaluate the relationship between parents’ and children’s physical activity and to evaluate the links between children’s physical activity and physical fitness.Methods. The study involved 486 primary school children aged 7 to 10 years (240 boys and 241 girls) and their parents from Kaunas district. The study was conducted in 2018 in Kaunas district schools. Parental physical activity was assessed using Godin Leisure-Time Exercise Questionnaire-GLTEQ (Godin & Shephard, 1985). Physical activity of primary school children was assessed by submitting a questionnaire to parents developed by researchers Bacardi-Gascón, Reveles-Roy, Woodward-Lopez, Crawford, and Jiménez-Cruz (2012). Schoolchildren’s physical fitness was assessed by 9 physical fitness tests (Fjørtoft, Pedersen, Sigmundsson, & Vereijken, 2011).Results. Having assessed the physical activity of children according to WHO (2010) recommendations, we found that the vast majority of the surveyed children (93.6% of boys and 86.3 of girls) were physically active, i.e. they engaged in physical activity for more than 1 hour during the day. Comparing the schoolchildren’s physical fitness by gender we found that boys were more physically fit than girls when performing long jumps, two-legged jumps, throwing a tennis ball, and running for six minutes (p < .05). Comparing the results of schoolchildren’s physical fitness by grades (Table 3), we observed that the older children were, the more physically fit they were. Correlation analysis of the research results showed a statistically significant direct relationship between father’s and mother’s physical activity (r = .487, p = .0001). A significant relationship was found between the results of children’s physical activity and tennis ball throwing (r = .170, p = .018) and the results of 10 * 5m running tests (r = –.150, p = .019). Higher physical activity was directly associated with better scores on these tests.Conclusion. Schoolchildren’s and their parents’ physical activity has no relation with schoolchildren’s physical fitness.Keywords: healthy, lifestyle, physical activity, physical fitness.


2008 ◽  
Vol 11 (3) ◽  
pp. 288-299 ◽  
Author(s):  
LA Moreno ◽  
M González-Gross ◽  
M Kersting ◽  
D Molnár ◽  
S de Henauw ◽  
...  

AbstractObjectivesTo identify the main knowledge gaps and to propose research lines that will be developed within the European Union-funded ‘Healthy Lifestyle in Europe by Nutrition in Adolescence’ (HELENA) project, concerning the nutritional status, physical fitness and physical activity of adolescents in Europe.DesignReview of the currently existing literature.ResultsThe main gaps identified were: lack of harmonised and comparable data on food intake; lack of understanding regarding the role of eating attitudes, food choices and food preferences; lack of harmonised and comparable data on levels and patterns of physical activity and physical fitness; lack of comparable data about obesity prevalence and body composition; lack of comparable data about micronutrient and immunological status; and lack of effective intervention methodologies for healthier lifestyles.ConclusionsThe HELENA Study Group should develop, test and describe harmonised and state-of-the-art methods to assess the nutritional status and lifestyle of adolescents across Europe; develop and evaluate an intervention on eating habits and physical activity; and develop and test new healthy food products attractive for European adolescents.


2018 ◽  
Vol 14 (3) ◽  
pp. e49-e60
Author(s):  
Yong Hwan Kim ◽  
Wi-Young So

Background and Objective Metabolic syndrome (MetS) can be effectively prevented and treated by following healthy lifestyle practices. Healthy lifestyle management not only includes regulation of drinking and smoking, and regular physical activity but also health medical examinations. However, health medical examinations at private medical facilities involve high cost, limiting continuous and regular examination. The aim of this study is to analyze the prevalence of MetS and health management behavior according to the number of health medical examinations conducted in 14 years. Material and Methods According to the number of health medical examinations undertaken each year from 1999 to 2012, in 2012, 21,803 visitors (14,511 men and 7,292 women) from a health medical examination center at a private medical facility were assigned to low- (3–5 health examinations in 14 years), middle- (6–10 health examinations in 14 years), and high-frequency groups (11–14 health examinations for 14 years) and were classified by sex. Namely, they were divided into three groups: those who underwent 3–5 examinations, as low-frequency group, 6–10 examinations, as middle-frequency group, and 11-14 examinations, as high-frequency group. MetS was evaluated according to the criteria of the National Cholesterol Education Program and Adult Treatment Panel III and waist circumference was measured according to the standard for Asians by the World Health Organization. Odds ratio (OR) was calculated by logistic regression analysis. Results Systolic blood pressure tended to decrease to 124.5 versus 123.9 versus 123.5 mmHg in the low-, middle-, and high-frequency groups in men, respectively. In addition, the middle- and high-frequency groups demonstrated better total cholesterol, high-density lipoprotein, low-density lipoprotein, and systolic blood pressure compared with the low-frequency group. The prevalence of MetS demonstrated no significance before adjusting for variables in men, and high-frequency examinees demonstrated 18% low OR values (0.823, p < 0.001) after adjusting for age. OR was 0.868 (p = 0.015) when adjusted for age, other socio-economic factors, and health behavior. In women, the prevalence of MetS demonstrated significantly high OR of 1.205 (p = 0.007) and 1.300 (p = 0.008) in the middle- and high-frequency groups, respectively, but OR value decreased by 21% (0.791, p = 0.026) after adjusting for age. However, OR remained significant when adjusting for socioeconomic variables, physical activity, drinking, and smoking. For income and education, high-frequency examinees belonged to the high socioeconomic status group among men and women, but there were significant differences in walking among men with regard to physical activity (p < 0.001). Smoking was well-managed in the high-frequency group among men and women, and drinking showed a significant difference only in women (p < 0.001). Conclusion The high frequency of health medical examinations demonstrated low prevalence of MetS in men and women, and high socioeconomic status was associated with healthy behavior.


2021 ◽  
pp. 245-249
Author(s):  
E. S. Kalukova ◽  
◽  
A. Y. Lushchaev ◽  
M. A. Sidelnikova ◽  
◽  
...  

This article examines the problem of organizing a healthy lifestyle in conditions of selfisolation and distance learning. The article contains research material, including an assessment of one’s own state of health, the level of physical fitness, as well as the characteristics of physical activity. Based on the results of this study, an individual set of physical exercises was compiled, which is indicated for diseases of the musculoskeletal system. The article provides an example of self-assessment of one’s own health, the development of an individual set of exercises, and focuses on the regularity of performing the assigned tasks of physical self-education. This complex includes exercises in several positions; the technique for performing each exercise is described in detail.


2013 ◽  
Vol 17 (10) ◽  
pp. 2226-2236 ◽  
Author(s):  
Magdalena Cuenca-García ◽  
Jonatan R Ruiz ◽  
Francisco B Ortega ◽  
Idoia Labayen ◽  
Marcela González-Gross ◽  
...  

AbstractObjectiveTo examine the association of breakfast consumption with objectively measured and self-reported physical activity, sedentary time and physical fitness.DesignThe HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Cross-Sectional Study. Breakfast consumption was assessed by two non-consecutive 24 h recalls and by a ‘Food Choices and Preferences’ questionnaire. Physical activity, sedentary time and physical fitness components (cardiorespiratory fitness, muscular fitness and speed/agility) were measured and self-reported. Socio-economic status was assessed by questionnaire.SettingTen European cities.SubjectsAdolescents (n2148; aged 12·5–17·5 years).ResultsBreakfast consumption was not associated with measured or self-reported physical activity. However, 24 h recall breakfast consumption was related to measured sedentary time in males and females; although results were not confirmed when using other methods to assess breakfast patterns or sedentary time. Breakfast consumption was not related to muscular fitness and speed/agility in males and females. However, male breakfast consumers had higher cardiorespiratory fitness compared with occasional breakfast consumers and breakfast skippers, while no differences were observed in females. Overall, results were consistent using different methods to assess breakfast consumption or cardiorespiratory fitness (allP≤ 0·005). In addition, both male and female breakfast skippers (assessed by 24 h recall) were less likely to have high measured cardiorespiratory fitness compared with breakfast consumers (OR = 0·33; 95 % CI 0·18, 0·59 and OR = 0·56; 95 %CI 0·32, 0·98, respectively). Results persisted across methods.ConclusionsSkipping breakfast does not seem to be related to physical activity, sedentary time or muscular fitness and speed/agility as physical fitness components in European adolescents; yet it is associated with both measured and self-reported cardiorespiratory fitness, which extends previous findings.


2020 ◽  
Vol 62 (3) ◽  
pp. 139-144
Author(s):  
Włodzisław Kuliński ◽  
Sebastian Smoleń

Introduction: Back pain is one of the most common disorders of the 21st century. Back pain is usually associated with degenerative disease and discopathy and affects 50-70% of the population at some point in their lives. It leads to work absence in 20% of cases and is the fifth most common cause of hospitalisation. Aim: To assess the condition of patients with lumbosacral discopathy before and after physical therapy. Material and Methods: The study assessed 33 patients aged 25-58 years diagnosed with lumbosacral discopathy who were referred to the Rehabilitation Clinic in Połaniec. The following research tools were used: a questionnaire designed by the authors and the Quebec Back Pain Disability Scale. Patients were treated with the following physical therapy procedures: diadynamic currents, interferential current therapy, Trabert’s currents, ultrasound therapy, laser therapy, low-frequency alternating magnetic fields, and kinesiotherapy. Results: Following 3-week physical therapy, elimination or considerable reduction of pain and improved physical fitness were found in study patients; the need for pharmacotherapy was eliminated. Conclusions: 1. Lumbosacral discopathy is a difficult clinical and social problem. 2. The disorder restricts or prevents the ability to perform activities of daily living. 3. Physical therapy procedures reduce pain associated with discopathy, improve physical fitness, and eliminate the use of pharmacotherapy. 4. Physical therapy and rehabilitation are a basic part of treatment in this group of patients.


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