Objective To summarize factors that are associated with a better treatment outcome after post-ope... more Objective To summarize factors that are associated with a better treatment outcome after post-operative physical therapy in patients with shoulder arthroplasty. Data sources PubMed, Cochrane, and Web of Science. Review methods Studies examining factors that are associated with a better outcome after post-operative physical therapy interventions in patients with shoulder arthroplasty were included. Two independent reviewers performed screening, extracted data, and assessed the risk of bias and level of evidence, using the Quality In Prognosis Studies tool and Evidence-Based Guideline Development checklist. PRISMA guidelines were followed. Results In total, 460 articles were found and 14 studies were included. Two of the included articles had a moderate risk of bias, 12 high. The overall number of patients in the included studies varied from 20 to 2053. Patients had either a reverse ( N = 1863), an anatomic total shoulder arthroplasty ( N = 1029) or, a hemiarthroplasty ( N = 133). Ana...
Varus thrust, defined as an abrupt increase of the knee varus angle during weight-bearing in gait... more Varus thrust, defined as an abrupt increase of the knee varus angle during weight-bearing in gait, has been shown to be present in patients with moderate to severe knee osteoarthritis and is considered to be one of the risk factors for progression of symptomatic medial knee osteoarthritis. We evaluated the presence and magnitude of varus thrust and its relation with the Knee Adduction Moment in women with early medial knee osteoarthritis, and compared it to that in a group of controls and in a group of subjects with established medial knee osteoarthritis. Twenty-seven women with early medial knee osteoarthritis, 20 women with established medial knee osteoarthritis and 24 asymptomatic controls were evaluated. Varus thrust was estimated as an increase of the knee varus angle during the weight-bearing phase of gait at self-selected speed, assessed by 3D motion analysis. Varus thrust was significantly higher in both early and established osteoarthritis groups compared to the control gro...
Dynamic and static varus alignment, both, have been reported as risk factors associated with stru... more Dynamic and static varus alignment, both, have been reported as risk factors associated with structural progression of knee osteoarthritis. However the association of none of the static and dynamic alignment with structural, clinical, and functional progression associated with knee osteoarthritis has not been assessed yet in a longitudinal study. Forty-seven women with early and established medial knee osteoarthritis were evaluated. Static and dynamic alignment as well as MRI detected structural features, clinical, and functional characteristics of patients were assessed at baseline and at 2 years follow-up. Associations between baseline static and dynamic alignment with structural, functional, and clinical characteristics at the time of entry, as well as the changes over 2 years were evaluated. Both static and dynamic varus alignment at baseline were significantly associated with osteoarthritis related tibio-femoral joint structural abnormalities detected on MRI, at the time of ent...
Expanded distribution of pain is considered a sign of central sensitization (CS). The relationshi... more Expanded distribution of pain is considered a sign of central sensitization (CS). The relationship between recording of symptoms and CS in people with knee osteoarthritis (OA) has been poorly investigated. To examine whether the area of pain assessed using pain drawings relates to CS and clinical symptoms in people with knee OA. Cross-sectional study. Fifty-three subjects with knee OA scheduled to undergo primary total knee arthroplasty were studied. All participants completed pain drawings using a novel digital device, self-administration questionnaires and were assessed by quantitative sensory testing. Pain frequency maps were generated separately for women and men. Spearman's correlation coefficients were computed to reveal possible correlations between the area of pain and quantitative sensory testing and clinical symptoms. Pain frequency maps revealed enlarged areas of pain, especially in women. Enlarged areas of pain were associated with higher knee pain severity (rs= .325...
Background:Osteoarthritis (OA) is the leading cause of chronic disability in the elderly1,2. Abno... more Background:Osteoarthritis (OA) is the leading cause of chronic disability in the elderly1,2. Abnormal central pain processing (CPP) is present in around 30% of the knee OA patients3 and can be partly induced by peripheral nociception through long term potentiation4. An attempt to resolve abnormal CPP can be to eliminate this nociception5. Myofascial trigger points (MTrPs) are often present in knee OA6, can lead to nociception7 and therefore abnormal CPP if prolonged present8. These are usually defined as hypersensitive tender spots within taut bands of a muscle9. Additionally, both MTrPs and knee OA can induce disturbed motor control, increased co-antagonist activation and modified gait pattern10,11. Dry needling (DN) is often used to deactivate the MTrP and thus resolve the source of nociception, which normally results in reducing pain and restoring muscle dysfunction12. However, studies about the effect of DN on CPP and other outcomes than pain are very limiting. Therefore, more h...
CONTEXT Lateral ankle sprains (LAS) are among the most common injuries in sports, with a poor lon... more CONTEXT Lateral ankle sprains (LAS) are among the most common injuries in sports, with a poor long - term prognosis due to high chronicity and recurrence rates. Chronic ankle instability (CAI) results up to 40% of people that endured a first - time LAS. OBJECTIVE The aim of this study was to compare ankle stability between groups characterised by the use of different types of footwear during their sport activities. DESIGN Cross-sectional study. SETTING Firm training surface, local sport clubs. PARTICIPANTS Fifty - one male subjects were recruited, distributed in four groups based on the type of footwear they use during their sport activities. MAIN OUTCOME MEASURES All subjects performed four clinical ankle stability tests, and completed the Dutch version of the Cumberland Ankle Instability Tool (CAIT) and Profile of Mood States (POMS). All clinical ankle stability tests were performed barefoot. RESULTS Subjects performing their sport activities barefoot scored better than subjects p...
BACKGROUND The therapeutic value of proprioceptive-based exercises in knee osteoarthritis (KOA) m... more BACKGROUND The therapeutic value of proprioceptive-based exercises in knee osteoarthritis (KOA) management warrants investigation of proprioceptive testing methods easily accessible in clinical practice. OBJECTIVE To estimate inter- and intrarater reliability of the knee joint position sense (KJPS) test and knee force sense (KFS) test in subjects with and without KOA. DESIGN Cross-sectional test-retest design. METHOD Two blinded raters performed independently repeated measures of the KJPS and KFS test, using an analogue inclinometer and handheld dynamometer, respectively, in eight KOA patients (12 symptomatic knees) and 26 healthy controls (52 asymptomatic knees). Intraclass correlation coefficients (ICCs; model 2,1), standard error of measurement (SEM) and minimal detectable change with 95% confidence bounds (MDC95) were calculated. RESULTS For KJPS, results showed good to excellent test-retest agreement (ICCs 0.70-0.95 in KOA patients; ICCs 0.65-0.85 in healthy controls). A 2° mea...
Objective To summarize factors that are associated with a better treatment outcome after post-ope... more Objective To summarize factors that are associated with a better treatment outcome after post-operative physical therapy in patients with shoulder arthroplasty. Data sources PubMed, Cochrane, and Web of Science. Review methods Studies examining factors that are associated with a better outcome after post-operative physical therapy interventions in patients with shoulder arthroplasty were included. Two independent reviewers performed screening, extracted data, and assessed the risk of bias and level of evidence, using the Quality In Prognosis Studies tool and Evidence-Based Guideline Development checklist. PRISMA guidelines were followed. Results In total, 460 articles were found and 14 studies were included. Two of the included articles had a moderate risk of bias, 12 high. The overall number of patients in the included studies varied from 20 to 2053. Patients had either a reverse ( N = 1863), an anatomic total shoulder arthroplasty ( N = 1029) or, a hemiarthroplasty ( N = 133). Ana...
Varus thrust, defined as an abrupt increase of the knee varus angle during weight-bearing in gait... more Varus thrust, defined as an abrupt increase of the knee varus angle during weight-bearing in gait, has been shown to be present in patients with moderate to severe knee osteoarthritis and is considered to be one of the risk factors for progression of symptomatic medial knee osteoarthritis. We evaluated the presence and magnitude of varus thrust and its relation with the Knee Adduction Moment in women with early medial knee osteoarthritis, and compared it to that in a group of controls and in a group of subjects with established medial knee osteoarthritis. Twenty-seven women with early medial knee osteoarthritis, 20 women with established medial knee osteoarthritis and 24 asymptomatic controls were evaluated. Varus thrust was estimated as an increase of the knee varus angle during the weight-bearing phase of gait at self-selected speed, assessed by 3D motion analysis. Varus thrust was significantly higher in both early and established osteoarthritis groups compared to the control gro...
Dynamic and static varus alignment, both, have been reported as risk factors associated with stru... more Dynamic and static varus alignment, both, have been reported as risk factors associated with structural progression of knee osteoarthritis. However the association of none of the static and dynamic alignment with structural, clinical, and functional progression associated with knee osteoarthritis has not been assessed yet in a longitudinal study. Forty-seven women with early and established medial knee osteoarthritis were evaluated. Static and dynamic alignment as well as MRI detected structural features, clinical, and functional characteristics of patients were assessed at baseline and at 2 years follow-up. Associations between baseline static and dynamic alignment with structural, functional, and clinical characteristics at the time of entry, as well as the changes over 2 years were evaluated. Both static and dynamic varus alignment at baseline were significantly associated with osteoarthritis related tibio-femoral joint structural abnormalities detected on MRI, at the time of ent...
Expanded distribution of pain is considered a sign of central sensitization (CS). The relationshi... more Expanded distribution of pain is considered a sign of central sensitization (CS). The relationship between recording of symptoms and CS in people with knee osteoarthritis (OA) has been poorly investigated. To examine whether the area of pain assessed using pain drawings relates to CS and clinical symptoms in people with knee OA. Cross-sectional study. Fifty-three subjects with knee OA scheduled to undergo primary total knee arthroplasty were studied. All participants completed pain drawings using a novel digital device, self-administration questionnaires and were assessed by quantitative sensory testing. Pain frequency maps were generated separately for women and men. Spearman's correlation coefficients were computed to reveal possible correlations between the area of pain and quantitative sensory testing and clinical symptoms. Pain frequency maps revealed enlarged areas of pain, especially in women. Enlarged areas of pain were associated with higher knee pain severity (rs= .325...
Background:Osteoarthritis (OA) is the leading cause of chronic disability in the elderly1,2. Abno... more Background:Osteoarthritis (OA) is the leading cause of chronic disability in the elderly1,2. Abnormal central pain processing (CPP) is present in around 30% of the knee OA patients3 and can be partly induced by peripheral nociception through long term potentiation4. An attempt to resolve abnormal CPP can be to eliminate this nociception5. Myofascial trigger points (MTrPs) are often present in knee OA6, can lead to nociception7 and therefore abnormal CPP if prolonged present8. These are usually defined as hypersensitive tender spots within taut bands of a muscle9. Additionally, both MTrPs and knee OA can induce disturbed motor control, increased co-antagonist activation and modified gait pattern10,11. Dry needling (DN) is often used to deactivate the MTrP and thus resolve the source of nociception, which normally results in reducing pain and restoring muscle dysfunction12. However, studies about the effect of DN on CPP and other outcomes than pain are very limiting. Therefore, more h...
CONTEXT Lateral ankle sprains (LAS) are among the most common injuries in sports, with a poor lon... more CONTEXT Lateral ankle sprains (LAS) are among the most common injuries in sports, with a poor long - term prognosis due to high chronicity and recurrence rates. Chronic ankle instability (CAI) results up to 40% of people that endured a first - time LAS. OBJECTIVE The aim of this study was to compare ankle stability between groups characterised by the use of different types of footwear during their sport activities. DESIGN Cross-sectional study. SETTING Firm training surface, local sport clubs. PARTICIPANTS Fifty - one male subjects were recruited, distributed in four groups based on the type of footwear they use during their sport activities. MAIN OUTCOME MEASURES All subjects performed four clinical ankle stability tests, and completed the Dutch version of the Cumberland Ankle Instability Tool (CAIT) and Profile of Mood States (POMS). All clinical ankle stability tests were performed barefoot. RESULTS Subjects performing their sport activities barefoot scored better than subjects p...
BACKGROUND The therapeutic value of proprioceptive-based exercises in knee osteoarthritis (KOA) m... more BACKGROUND The therapeutic value of proprioceptive-based exercises in knee osteoarthritis (KOA) management warrants investigation of proprioceptive testing methods easily accessible in clinical practice. OBJECTIVE To estimate inter- and intrarater reliability of the knee joint position sense (KJPS) test and knee force sense (KFS) test in subjects with and without KOA. DESIGN Cross-sectional test-retest design. METHOD Two blinded raters performed independently repeated measures of the KJPS and KFS test, using an analogue inclinometer and handheld dynamometer, respectively, in eight KOA patients (12 symptomatic knees) and 26 healthy controls (52 asymptomatic knees). Intraclass correlation coefficients (ICCs; model 2,1), standard error of measurement (SEM) and minimal detectable change with 95% confidence bounds (MDC95) were calculated. RESULTS For KJPS, results showed good to excellent test-retest agreement (ICCs 0.70-0.95 in KOA patients; ICCs 0.65-0.85 in healthy controls). A 2° mea...
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