scholarly journals Correlation between hamstring tightness and time duration of disease in knee osteoarthritis: an observational cross-sectional study.

2021 ◽  
Vol 3 (2) ◽  
pp. 89-92
Author(s):  
Dr. Muskan Mahant (PT) ◽  
Dr. Yagna Shukla (PT)
Keyword(s):  
Knee Osteoarthritis ◽  
Range Of Motion ◽  
Soft Tissues ◽  
Weight Bearing ◽  
Compressive Force ◽  
Time Duration ◽  
Keywords Knee ◽  
Cross Sectional ◽  
Active Range Of Motion ◽  
Duration Of Disease

Background: Osteoarthritis (OA) is gradually developing articular diseases that originate in the cartilage and affects the underlying bone, soft tissues as well as synovial fluid. OA usually occurs late in life and mainly it affects the hand and large weight-bearing joints such as the knee and hip. The knee joint is largely affected due to its weight-bearing nature. In many studies, this functional loss is related to muscular weakness caused by OA in particular the quadriceps and hamstring muscles. Flexibility is the ability of a muscle to lengthen and allow one joint [or more than one joint in a series] to move through a range of motion. The hamstring muscle group have tendency to shorten and the tightening results in increased patello-femoral compressive force, which may eventually lead to patello-femoral syndrome often associated with osteoarthritis. Method: Seventeen patients with knee osteoarthritis matched with the inclusion criteria were included in the study. Sit and Reach test was used to evaluate the hamstring tightness. Goniometer was used to evaluate knee active range of motion Spearman’s correlation was used to determine the relationship between hamstring tightness and duration of disease in knee osteoarthritis. Result: The present study found significant inverse correlation (r = -0.07) between hamstring tightness and duration of disease such that the hamstring flexibility decreases with increase in the duration of knee osteoarthritis. However, the correlation between duration of disease and knee active range of motion was negligible (r = 0.25). Conclusion: The results states that hamstring tightness and duration of the disease in knee osteoarthritis are correlated. Further research is indicated with a larger sample size. Keywords: Knee osteoarthritis, hamstring tightness, osteoarthritis.

scholarly journals Effect of unicompartmental knee arthroplasty and high tibial osteotomy with tomofix internal fixation in the treatment of unicompartmental knee osteoarthritis

2020 ◽  
Vol 8 (9_suppl7) ◽  
pp. 2325967120S0054
Author(s):  
Yingzhou Hou ◽  
Shaohua Wang ◽  
Aiguo Wang
Keyword(s):  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Internal Fixation ◽  
Range Of Motion ◽  
High Tibial Osteotomy ◽  
Knee Arthroplasty ◽  
Unicompartmental Knee Arthroplasty ◽  
Tibial Osteotomy ◽  
Unicompartmental Knee ◽  
Active Range Of Motion

Introduction: Knee osteoarthritis is a common degenerative disease in the elderly clinically. Cartilage damage, osteophyte formation, joint space narrowing and bone exposure are the main pathological changes, mainly manifested as joint cartilage degeneration [1]. Since the knee joint load of normal people is mainly conducted through the medial side of the knee joint, it is easy to cause degeneration of the medial compartment and then narrow the joint space, which leads to the medial deviation of the lower limb line and the varus deformity of the knee joint. For patients aged 55-65 years with unilateral ventricular osteoarthritis of the knee, the current surgical methods are mostly high tibial osteotomy (HTO) or unicomartmental knee arthroplasty (UKA)[2,3]. HTO always thought to improve lower limb power line to correct deformities, effectively relieve pain and improve function, is an effective method for treatment of osteoarthritis knee inside, high cut bone is typically used in younger patients and patients from physical activity, can effectively reduce the load and delay of knee joint cartilage lesion replacement time, while UKA is more suitable for old age is not active, activity, and patients needs more intense in terms of pain relief. Hypotheses: To investigate the clinical effect of unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO) with tomofix internal fixation in the treatment of unicompartmental knee osteoarthritis. Methods: 60 patients with unicompartmental knee osteoarthritis and varus deformity of the knee joint were randomly divided into two groups: the UKA group (30 cases) and the HTO group (30 cases). The average follow-up time was 6 months, Scores preoperative and postoperative knee joint function, postoperative complications and postoperative pain satisfaction were compared. Results: The scores of HSS, VAS, femorotibial angle(FTA) and active range of motion(ROM) were 82.6 ± 12.9, 1.9 ± 0.8,173.2 ± 1.4,135.2 ± 1.6 in the group of unicompartmental knee arthroplasty (UKA);The scores of HSS, VAS(Visual Analogue Score), femorotibial angle(FTA) and active range of motion(ROM) after tomofix internal fixation used in the group of high tibial osteotomy (HTO)were 81.9 ± 14.3, 1.8 ± 0.9, 174.5 ± 1.8 and 121.1 ± 2.7 . There was no significant difference between the UKA group and HTO group in the scores of HSS, VAS and femorotibial angle(FTA) (P > 0.05). The active range of motion(ROM) of the HTO group was better than that of UKA group (P < 0.05). Conclusion: Both unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO) with tomofix internal fixation can improve the knee joint function and symptoms in the treatment of medial compartment osteoarthritis, but the active range of motion(ROM) in HTO group is better than UKA group.

scholarly journals Ankle Taping Effectiveness for the Decreasing Dorsiflexion Range of Motion in Elite Soccer and Basketball Players U18 in a Single Training Session: A Cross-Sectional Pilot Study

2020 ◽  
Vol 10 (11) ◽  
pp. 3759
Author(s):  
Carlos Romero-Morales ◽  
Carlos López-Nuevo ◽  
Carlos Fort-Novoa ◽  
Patricia Palomo-López ◽  
David Rodríguez-Sanz ◽  
...  
Keyword(s):  
Pilot Study ◽  
Range Of Motion ◽  
Elite Athletes ◽  
Weight Bearing ◽  
Training Session ◽  
Ankle Dorsiflexion ◽  
Ankle Sprains ◽  
Basketball Players ◽  
Cross Sectional ◽  
The Right

Ankle sprains have been defined as the most common injury in sports. The aim of the present study was to investigate the ankle taping for the reduction of ankle dorsiflexion range of motion (ROM) and inter-limb in elite soccer and basketball players U18 in a single training session. Methods: A cross-sectional pilot study was performed on 38 male healthy elite athletes divided into two groups: a soccer group and a basketball group. Ankle dorsiflexion ROM and inter-limb asymmetries in a weight-bearing lunge position were assessed in three points: with no-tape, before the practice and immediately after the practice. Results: For the soccer group, significant differences (p < 0.05) were observed for the right ankle, but no differences for the asymmetry variable. The basketball group reported significant differences (p < 0.05) for the right ankle and symmetry. Conclusions: Ankle taping decreased the ankle dorsiflexion ROM in youth elite soccer and basketball players U18. These results could be useful as a prophylactic approach for ankle sprain injury prevention. However, the ankle ROM restriction between individuals without taping and individuals immediately assessed when the tape was removed after the training was very low.

scholarly journals Effect of Warm Epsom Salt Pack over Knee Osteoarthritis-A Randomized Controlled Trial

2021 ◽  
pp. 7-15
Author(s):  
Ranjini Rajasekharan ◽  
Sujatha Dinesh ◽  
Prashanth Shetty
Keyword(s):  
Quality Of Life ◽  
Randomized Controlled Trial ◽  
Knee Osteoarthritis ◽  
Range Of Motion ◽  
Controlled Trial ◽  
Weight Bearing ◽  
Control Group ◽  
Randomized Controlled ◽  
Epsom Salt

Aims: Osteoarthritis, the most common form of arthritis which commonly affects weight-bearing joints like the knee, hip, spine, and joints.  Since the effectiveness of conventional medicine on severe types of osteoarthritis is surgical intervention, the patients are seeking alternative medicine. A warm Epsom salt pack is used commonly for pains over joints. Hence this study is undertaken. Study Design: Randomized Controlled Trial. Place and Duration of Study: Department of Naturopathy, SDM College of Naturopathy and Yogic Sciences, between November 2019 and January2020. Methodology: From the inpatient department of Shri Dharmasthala Yoga and Nature cure Hospital Shanthivana, hundred subjects diagnosed with osteoarthritis belonging to the age groupof35to75yearswererecruitedandwererandomlyallocated to case (Warm Epsom salt pack) and control group. Subjects were assessed for Goniometry, Visual analog scale (VAS), Shortform-12(SF-12), Western Ontario and McMaster Osteoarthritis Index Scale (WOMAC) before and after the intervention of 20 minutes. Results: The study was done to evaluate the effect of Warm Epsom salt on Knee Osteoarthritis. There were 100 subjects in the sample. Shapiro-Wilk’s test/Quantile-Quantile (QQ) plot was used to check the normality of variables. In study group there was a significant decrease in Goniometry (p=<0.0001), SF 12 (p=<0.0001), WOMAC (P=<0.0001).  In the control group, other than VAS there were no significant changes in other variables (Goniometry, WOMAC, SF-12). Conclusion: Our study indicates that a warm Epsom salt pack may reduce pain, stiffness, range of motion, and improves the quality of life. The study revealed that Warm Epsom salt reduced Range of motion from 172.94 to 134.5, WOMAC from 65.94 to 26.38, and Quality of life from 33.98 to 31.22. Results reveal with significant improvement (p<0.001) in pain, swelling, and quality of life.

The immediate effect of patellar tendon strap on weight-bearing asymmetry during squatting in patients with unilateral knee osteoarthritis: A pilot study

2016 ◽  
Vol 40 (6) ◽  
pp. 682-688 ◽  
Author(s):  
İlkşan Demirbüken ◽  
Seher Özyürek ◽  
Salih Angın
Keyword(s):  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Patellar Tendon ◽  
Healthy Subjects ◽  
Weight Bearing ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Functional Activities ◽  
Clinical Benefits ◽  
Larger Sample

Background: Knee osteoarthritis has commonly been associated with a symptom of pain resulting in an inter-limb weight-bearing asymmetry during functional tasks. Patellar tendon strap is one of the non-pharmacologic interventions to alleviate knee pain. Objectives: To investigate the immediate effect of a patellar tendon strap on weight-bearing asymmetry during squatting in people with unilateral knee osteoarthritis. Study design: Cross-sectional study. Methods: Ten patients with unilateral knee osteoarthritis and 10 healthy subjects were included in the study. Weight-bearing asymmetry of patients was assessed using a weight-bearing squat test during squatting at 30° and 60° both with and without patellar tendon strap. Pain intensity was assessed during squatting in unstrapped and strapped conditions with Visual Analog Scale. Results: The decrease in weight-bearing asymmetry values immediately after wearing patellar tendon strap during 30° ( p = 0.006) and 60° ( p = 0.011) of squatting tests was significantly higher in knee osteoarthritis patients than in healthy subjects. Reported pain intensity was similar in unstrapped and strapped conditions ( p = 0.066). Conclusion: The results of this study showed improved inter-limb weight-bearing symmetry during squatting. Further research with larger sample sizes investigating the effect of patellar tendon strap on weight-bearing asymmetry during functional activities in people with knee osteoarthritis is warranted. Clinical relevance Patellar tendon straps (easily fit and cheap unlike knee braces) had more improvements in inter-limb weight-bearing symmetry during squatting in people with knee osteoarthritis compared to healthy subjects. This study is a new insight for future studies to investigate clinical benefits of wearing patellar tendon straps in this population.

scholarly journals The Study On Range Of Motion Of Hip And Knee In Prayer By Adult Muslim Males. A Preliminary Report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Ariff MS ◽  
Arshad AA ◽  
Johari MH ◽  
Rahimin Affandi MAS ◽  
Fadzli AS ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Range Of Motion ◽  
Body Mass ◽  
Preliminary Report ◽  
Weight Bearing ◽  
Negative Relationship ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Unit Increase ◽  
The Difference

Introduction: Praying represents a fundamental activity of daily living in Muslim community. Muslims need to adopt several postures that require deep flexion of the knee and hip to perform this daily obligation. This is a preliminary report of the study on hip and knee range of motion conducted to obtain normative passive and functional range of flexion data during Muslim prayers in both weight-bearing joints of normal Muslim adults. Methods: A cohort of Malay men aged between 20 to 30 years was recruited in this cross-sectional study. Passive range of motion and flexion angles of the joints in various postures during prayer were measured using a standard goniometer. The difference against existing normative range of motion database available and the influence of various factors were analysed. Factors analysed include body mass index and other anthropometric measurements. Results: Sixty participants recruited for the preliminary phase of this study. The mean (SD) of passive hip and knee flexions were higher compared to other existing normative range of motion database. A unit increase in body mass index will have 0.782 units lower of knee range of motion. The hip and knee flexion arc were from 74.1° to 119.0° and from 3.3° to 119.7° respectively. Conclusion: The range of motion involved for prayers was more for the knee but less for the hip as compared to the measured passive range of motion. Body mass index has a significant linear negative relationship with the passive range of motion of the knee, but not the hip.

scholarly journals Association Between Non-Alcoholic Fatty Liver Disease and Osteoarthritis

2021 ◽  
Author(s):  
A Lum Han ◽  
Youngjon Kim
Keyword(s):  
Liver Disease ◽  
Knee Osteoarthritis ◽  
Fatty Liver ◽  
Fatty Liver Disease ◽  
Weight Bearing ◽  
Nutrition Survey ◽  
Excessive Alcohol Consumption ◽  
Cross Sectional ◽  
Alcoholic Fatty Liver ◽  
Alcoholic Fatty Liver Disease

Abstract Background: The prevalence of knee osteoarthritis is increasing due to population aging and an increase in obesity. Besides the mechanical stress caused by weight-bearing and age, osteoarthritis is associated with obesity and metabolic syndrome. Aim: We analyzed the association between non-alcoholic fatty liver disease and knee osteoarthritis.Methods: This cross-sectional, retrospective study was conducted among adults aged >50 years that were enrolled from the 5th National Health and Nutrition Survey (2010–2012). After excluding those diagnosed with chronic diseases, liver diseases, and a history of excessive alcohol consumption, 2,193 individuals were included. A hepatic steatosis index >36 and <30 was considered to indicate the presence and absence of non-alcoholic fatty liver disease, respectively. Knee osteoarthritis was diagnosed according to the Kellgren–Lawrence grade based on knee radiography findings. Results: The risk of non-alcoholic fatty liver disease was 3.653 times higher in the mild osteoarthritis group than in the normal group, and 11.969 and 6.331 times higher in patients with moderate osteoarthritis and severe osteoarthritis, respectively.Conclusions: We found that non-alcoholic fatty liver disease was significantly associated with knee osteoarthritis, and that different odds ratios for non-alcoholic fatty liver disease were observed depending on the severity of the knee osteoarthritis.

scholarly journals Risk Factors for Radiographic Tibiofemoral Knee Osteoarthritis: The Wuchuan Osteoarthritis Study

2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Jianhao Lin ◽  
Rujun Li ◽  
Xiaozheng Kang ◽  
Hu Li
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Knee Osteoarthritis ◽  
Weight Bearing ◽  
Lateral Compartment ◽  
Activity Level ◽  
Medial Compartment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Knee Oa

Objective. To investigate the risk factors of radiographic tibiafemoral knee osteoarthritis (OA).Methods. A population-based cross-sectional survey was conducted in Wuchuan County. A questionnaire and bilateral weight-bearing posterior-anterior semi-flexed knee radiographs were completed and read for Kellgren and Lawrence (K/L) grade and joint space narrowing (JSN; 0–3 scale) in each compartment. An logistic regression analysis was performed for radiographic tibiafemoral, lateral compartment, and medial compartment knee OA, respectively. Adjusted odds ratios (OR) and 95% confidence intervals (CI) were calculated.Results. Age, sex, and knee injury were strongly associated with tibiafemoral, lateral and medial compartment knee OA. BMI also had a dose-response relationship with them. Physical activity level, and physical activity exposure at work, not significantly though, were associated with an elevated risk for this three kinds of knee OA.Conclusions. Physical activity exposure increased the risk of knee OA. It was likely to be the heavier physical activity in Wuchuan osteoarthritis study that counteracted the BMI gap compared with the Beijing and the Framingham OA study. We verified that Chinese had a more valgus alignment of the knee compared with Caucasian population, and this provide a possible explanation why Chinese have a higher prevalence of lateral compartment OA.

scholarly journals Hubungan Indeks Massa Tubuh dengan Derajat Kerusakan Sendi pada Pasien Osteoartritis Lutut di RSUP Dr. M. Djamil Padang

2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Endang Mutiwara ◽  
Najirman Najirman ◽  
Afriwardi Afriwardi
Keyword(s):  
Knee Osteoarthritis ◽  
Joint Damage ◽  
Joint Disease ◽  
P Value ◽  
Chi Square ◽  
Keywords Knee ◽  
Cross Sectional ◽  
American College Of Rheumatology ◽  
Chi Square Test ◽  
Kellgren And Lawrence

AbstrakOsteoartritis lutut adalah salah satu penyakit sendi degeneratif  yang sering ditemukan di Indonesia. Pada pemeriksaan radiologi sendi lutut penderita osteoartritis terdapat kelainan yang dapat dinilai berdasarkan kriteria Kellgren dan Lawrence. Salah satu faktor resiko utama yang mengakibatkan kerusakan sendi pada penderita osteoartritis lutut adalah kegemukan. Tujuan penelitian ini adalah menentukan hubungan Indeks Massa Tubuh (IMT) dengan derajat kerusakan sendi pada penderita osteoatritis lutut di RSUP Dr M Djamil. Penelitian ini menggunakan desain potong lintang dengan jumlah sampel 24 pasien. Subjek yang memenuhi kriteria inklusi  menurut American College of Rheumatology 1997 di Poli Rematik RSUP Dr M Djamil, dilakukan penghitungan IMT dan penilaian derajat kerusakan sendi berdasarkan pemeriksaan Rontgen dengan menggunakan kriteria Kellgren dan Lawrence. Analisis statistik dilakukan dengan menggunakan uji chi-square. Pada penelitian ini didapatkan sebanyak 88,9% pasien yang bertubuh gemuk memiliki derajat osteoartritis yang lebih berat. Analisis uji chi-square terhadap  IMT dengan derajat kerusakan sendi pada pasien osteoartritis lutut memperlihatkan hubungan yang bermakna dengan nilai p = 0,003 (p<0,05). Kesimpulan penelitian ini adalah terdapat hubungan antara Indeks Massa Tubuh dan derajat kerusakan sendi pada pasien osteoartritis lutut.Kata kunci: osteoartritis lutut, IMT, derajat kerusakan sendi AbstractKnee osteoarthritis is a common degenerative joint disease in Indonesia. The radiograph of knee osteoarthritis shows changes of knee joint which assessed based on Kellgren and Lawrence criteria. One of the major risk factor that lead joint damage in patient with knee osteoarthritis is obesity. The objective of this study was to determine association between Body Mass Index (BMI) and degree of joint damage in knee osteoarthritis patient at DR. M. Djamil hospital. This was a cross sectional study on 24 knee osteoarthritis patients that fulfilled American College of Rheumatology 1997 criteria. These patients  came to Rheumatic Poly in DR. M. Djamil hospital, then were measured the BMI and described the degree of joint demage based of Kellgren and Lawrence criteria. Statistical analysis was performed using chi-square test. The result showed 88.9% patients who were obese have a higher degree of joint damage. Chi-square test for BMI and degree of knee osteoarthritis showed significant association with p value 0.003 (p<0.05). The conclusion in this study, there is a significant association between BMI and degree of joint damage in knee osteoarthritis patients. Keywords:  knee osteoarthritis, BMI, degree of joint damage

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