scholarly journals Incline walking and isometric quadriceps strengthening exercises in a patient with knee osteoarthritis. A case study.

2018 ◽  
Vol 14 (2) ◽  
pp. 47-52
Author(s):  
CHRYSANTHI TSAGKARAKI ◽  
◽  
DIMITRIOS STASINOPOULOS ◽  
2008 ◽  
Vol 17 (1) ◽  
pp. 76-83
Author(s):  
Thomas G. Bowman ◽  
Riann Palmieri-Smith

Objective:To present the case of an 18-year-old collegiate decathlete with a Salter-Harris type I epiphyseal plate fracture of the proximal humerus.Background:A collegiate decathlete was playing flag football and fell on an outstretched arm. He was taken to the emergency room and diagnosed with a type I epiphyseal plate fracture.Differential Diagnosis:AC sprain, dislocation or subluxation, rotator cuff tear, labral tear.Treatment:Active and passive range of motion exercises were completed after two days of immobilization. He then started strengthening exercises and returned to competitive activity in 10 weeks.Uniqueness:Proximal humeral epiphyseal plate fractures are uncommon injuries, especially in athletes over the age of 15.Conclusions:If an accurate diagnosis is made, an appropriate conservative rehabilitation program can be implemented to safely return an athlete to participation without permanent deformity following a type I Salter-Harris fracture.


2020 ◽  
Author(s):  
fenglan wang ◽  
Xiaoli Zhang ◽  
Xiao Tong ◽  
Min Zhang ◽  
Fengmei Xing ◽  
...  

Abstract BackgroundExercise is recommended as a core treatment for individuals with KOA. However, the optimal exercise program to promote long-term compliance for KOA patients is not clear. The aim of this study is to compare the effects of the combination exercise program (quadriceps strengthening exercises (QSE) plus Baduanjin qigong) versus QSE alone on older adults with knee osteoarthritis (KOA). MethodsA two-arm, quasi-experimental trial with repeated measurements was used. As a cluster randomized trial, participants from one community center were assigned to combination exercise group while participants from the other center were assigned to QSE group. We assessed pain intensity, physical function, self-efficacy, and HRQoL with standardized instruments at baseline, 3 and 6 months. Results87 participants with KOA who aged above 60 completed the study. Over the 6 months, There were significant time by group interaction effects on pain intensity (F = 44.419, p < 0.001), physical function (F = 46.904, p < 0.001) and self-efficacy (F = 49.754, p < 0.001), as well as in the physical component summary (F = 15.205, p < 0.001) and mental component summary of SF-12 (F = 19.205, p < 0.001), with the combination exercise group exhibiting significantly greater improvements in all outcomes than QSE group. ConclusionsCombination exercise treatment is more effective than QSE for relieving pain, increasing physical functioning, and improving self-efficacy, and quality of life in community-dwelling KOA older adults. Also, it could promote long-term compliance for KOA community patients.Trial registrationChinese Clinical Trails Registry number ChiCTR2000033387 (retrospectively registered). Registered 30 May 2020


2021 ◽  
Vol 2 (2) ◽  
pp. 89-94
Author(s):  
Wahyuni Wahyuni ◽  
Ricky Fauzi Zakaria

Background: Osteoarthritis is a degenerative disease caused by joint cartilage damage. The main symptoms of osteoarthritis are pain and movement disorders that can affect the functional disorders. The prevalence of knee osteoarthritis in Indonesia is quite high, reaching 15.5% in men and 12.7% in women. It is estimated that 1 to 2 million older people in Indonesia suffer from disabilities due to osteoarthritis. Osteoarthritis treatment is intended to reduce pain, improve functional ability, and prevent deformity. Elastic band strengthening exercises are exercises that can be used to reduce pain, increase muscle strength and functional ability.Objective: This study aims at determining the effect of elastic band strengthening exercises in improving knee osteoarthritis functional capabilities.Method: The method used in this study was quasi-experimental with pre and post-test control group design. The number of respondents of this study was 20 respondents diagnosed with knee osteoarthritis in Condong Catur Hospital Sleman. Respondents were randomly divided into two groups, namely the treatment group that received elastic band strengthening exercise treatment and the control group that received standard treatment given at the hospital. The treatment was given twice a week for four weeks. Measurement of functional ability was done using WOMAC score.Results: There was a decrease in pain level in the treatment group, while in the control group, the pain level was still the same as before. In the functional ability, there was an increase in the treatment group. The statistical test showed that there was an influence between the treatment group and the control group.Conclusion: Elastic band strengthening exercises effectively improved functional capabilities in knee osteoarthritis in Condong Catur Hospital Sleman.Keywords: elastic band strengthening exercises, functional capabilities, knee osteoarthritis


Author(s):  
Sojwal Nandanwar ◽  
Medhavi V. Joshi ◽  
Deepali Patil

Peri-trochanteric femoral fractures are among the most prevalent fractures in the aged population. Injury and trauma are the leading causes of intertrochanteric fractures. The intertrochanteric aspect of the femur is made up of dense trabecular bone and lies between the greater and lesser trochanters. The female to male ratio for sustaining these fractures is seen between 2:1 and 8:1.Patients with femoral neck fractures are usually in geriatric age group. The dynamic screw approach is used to treat intertrochanteric fractures surgically. An 88year old male patient with left intertrochanteric fracture, diagnosed on x-ray after a fall in toilet was operated and was referred immediately for physical therapy, which included strengthening exercises, balance retrainig, and breathing exercises. According to the case study, a physiotherapy treatment technique resulted in considerable and gradual improvement of functional goals.


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