Knee

Patellofemoral Joint Stress During Weight-Bearing and Non—Weight-Bearing Quadriceps Exercises

A common component of rehabilitation for patients with patellofemoral paint (PFP) includes strengthening of the quadriceps, performed both in an open- and closed-kinetic chain manner (non-weight-bearing and weight-bearing respectively). Clinicians must consider exercise prescription with respect to minimising patellofemoral joint (PFJ) loading. The aim of the following study was to compare patellofemoral joint (PFJ) stress […]

Web-based therapeutic exercise resource center as a treatment for knee osteoarthritis

A prospective cohort pilot study BMC Musculoskeletal Disorders, 05/19/2014  Evidence Based Medicine Clinical Article Brooks MA, et al. – Although beneficial effects of exercise in the management of knee osteoarthritis (OA) have been established, only 14 –18% of patients with knee OA receive an exercise from their primary care provider. Patients with knee OA cite […]

Yoga for managing knee osteoarthritis in older women

A pilot randomized controlled trial BMC Complementary and Alternative Medicine, 05/19/2014 Clinical Article Story Source Journal Reference Cheung C, et al. – This study’s aims were to assess the feasibility and potential efficacy of a Hatha yoga exercise program in managing osteoarthritis (OA)–related symptoms in older women with knee OA. A weekly yoga program with […]

Posterolateral Hip Muscle Strengthening Versus Quadriceps Strengthening for Patellofemoral Pain: A Comparative Control Trial

Archives of Physical Medicine & Rehabilitation May 2014 Volume 95, Issue 5, Pages 900–907 Khalil Khayambashi, PT, PhD Abstract Objective To compare the efficacy of posterolateral hip muscle strengthening versus quadriceps strengthening in reducing pain and improving health status in persons with patellofemoral pain (PFP). Design Comparative control trial. Setting Rehabilitation facility. Participants Persons with […]

Anterior knee pain: Remember to look up and be aware of structural anomalies

Patellofemoral Update focuses on the causes, prevention and treatment of patellofemoral disorders. The blog is sponsored by The Patellofemoral Foundation whose mission is to improve the care of individuals with anterior knee pain through targeted education and research. The Patellofemoral Foundation offers additional online education resources on its website.   Thursday, May 8, 2014 Unfortunately, when an orthopedic surgeon sees a […]

PERSPECTIVES FOR PATIENTS – Knee Pain: Safely Strengthening Your Thigh Muscles

Journal of Orthopaedic & Sports Physical Therapy, 2014, Volume: 44 Issue: 5 Pages: 328-328 Abstract Quadriceps are the muscles on the front of your thigh that help you straighten your knee. When these muscles are not strong, you may feel pain under your kneecap. Quadriceps can be strengthened by performing squats and leg extensions. However, […]

Malalignment: a possible target for prevention of incident knee osteoarthritis in overweight and obese women

Runhaar J, et al. Rheumatology (Oxford). 2014 Apr 4. [Epub ahead of print] Abstract Objectives. The present study aims to investigate the associations between malalignment and incident knee OA after 2.5 years in a high-risk group of 333 middle-aged overweight women (BMI ≥ 27 kg/m(2)) free of clinical and radiological knee OA at baseline.Methods. The […]

Study finds OA more frequent later in life for children who have ACL reconstruction

March 19, 2014 Full Story Children who undergo ACL repair are more likely to develop osteoarthritis later in life, according to research presented at the American Orthopaedic Society for Sports Medicine Specialty Day. “Often these procedures do allow individuals to return to the playing field and continue an active lifestyle. However, it is still important […]

Glucosamine: No cure for knee pain or deterioration, study says

March 11, 2014 by Monte Morin A daily glucosamine drink supplement failed to prevent deterioration of knee cartilage, reduce bone bruises or ease knee pain, according to a recent short-term study of the popular, if controversial, dietary product. In a paper published Tuesday in the journal Arthritis & Rheumatology, authors studied the effects of glucosamine […]

Comparative Effectiveness of Platelet-Rich Plasma Injections for Treating Knee Joint Cartilage Degenerative Pathology

Systematic Review and Meta-Analysis Ke-Vin Chang, MD Archives of Physical Medicine and Rehabilitation Volume 95, Issue 3 , Pages 562-575, March 2014 Abstract Objective To explore the effectiveness of platelet-rich plasma (PRP) in treating cartilage degenerative pathology in knee joints. Data Sources Electronic databases, including PubMed and Scopus, were searched from the earliest record to […]

Effects of non-surgical joint distraction in the treatment of severe knee osteoarthritis

Khosro Khademi-Kalantari, PhD, PT Received: September 19, 2013; Received in revised form: November 29, 2013; Accepted: December 3, 2013; Published Online: February 21, 2014 DOI: http://dx.doi.org/10.1016/j.jbmt.2013.12.001 Effects of non-surgical joint distraction in the treatment of severe knee osteoarthritis Khosro Khademi-Kalantari, PhD, PT, Somayeh Mahmoodi Aghdam, MSc, PTemail, Alireza Akbarzadeh Baghban, PhD, Mehdi Rezayi, PhD, Abbas […]

Patellar taping for patellofemoral pain

A systematic review and meta-analysis to evaluate clinical outcomes and biomechanical mechanisms Christian Barton Br J Sports Med doi:10.1136/bjsports-2013-092437 Journal Reference Abstract Objective Patellar taping is frequently used to treat patellofemoral pain (PFP). This systematic review and meta-analysis (1) evaluates the efficacy of patellar taping for patients with PFP, (2) compares the efficacy of various taping […]

Effects of Functional Stabilization Training on Pain, Function, and Lower Extremity Biomechanics in Women With Patellofemoral Pain: A Randomized Clinical Trial

Authors: Rodrigo De Marche Baldon, PT, MS Journal of Orthopaedic & Sports Physical Therapy, 2014 Volume:44 Issue:4 Pages:240–A8 DOI: 10.2519/jospt.2014.4940 Study Design Randomized clinical trial. Objectives To compare the effects of functional stabilization training (FST) versus standard training on knee pain and function, lower-limb and trunk kinematics, trunk muscle endurance, and eccentric hip and knee […]

Stem cell knee injection shown to regenerate meniscus, reduce pain

Vangsness C. J Bone Joint Surg. 2014;doi: 10.2106/JBJS.M.00058 Full Story Results of a randomized, double-blind controlled study in the Journal of Bone and Joint Surgery supported the use of human mesenchymal stem cell for meniscal regeneration and the control of knee pain. “There was evidence of meniscus regeneration and improvement in knee pain following treatment with allogeneic […]

Efficacy of Exercise Intervention as Determined by the McKenzie System of Mechanical Diagnosis and Therapy for Knee Osteoarthritis: A Randomized Controlled Trial

Authors: Richard Rosedale, PT, Dip MDT Study Design Randomized controlled trial. Objectives To examine the efficacy of exercise intervention in patients with knee osteoarthritis (OA), as directed by Mechanical Diagnosis and Therapy (MDT) assessment, and, secondarily, to explore outcomes between MDT assessment-defined subgroups within the exercise group. Background Due to the high physical and economic […]

Glucosamine and chondroitin for knee osteoarthritis

A double-blind randomised placebo-controlled clinical trial evaluating single and combination regimens Fransen M,et al. Ann Rheum Dis. 2014 Jan 6. doi: 10.1136/annrheumdis-2013-203954. [Epub ahead of print] Abstract OBJECTIVE: To determine if the dietary supplements, glucosamine and/or chondroitin, result in reduced joint space narrowing (JSN) and pain among people with symptomatic knee osteoarthritis. METHODS: A double-blind […]

A systematic review and meta-analysis of medical leech therapy for osteoarthritis of the knee

The Clinical Journal of Pain, 12/09/2013 Lauche R, et al. .This paper presents a systematic review and meta–analysis of the effectiveness of medical leech therapy for osteoarthritis of the knee. This systematic review found moderate to strong evidence for the reduction of pain, functional impairment, and joint stiffness after medical leech therapy in patients with […]

The American Academy of Orthopedic Surgeons Approve Criteria for Non-Surgical Treatment of Knee Osteoarthritis

“The background for this AUC comes from the 2013 AAOS evidence-based clinical practice guideline on OA of the knee, a comprehensive review of all the available evidence,” said Michael Heggenness, MD, an orthopaedic surgeon who served as a non-voting moderator during the voting panel process. “This AUC is a tool that takes that guideline one step further; it marries the available evidence with expert medical opinion and is available at the touch of a web and mobile-based app.”

Coexisting Lumbar Spondylosis in Patients Undergoing TKA

How Common and How Serious? Chang, CB Clinical orthopaedics and related research : 2013 Sep 25 pg CONCLUSIONS Radiographic lumbar spine degeneration and lumbar spine symptoms are common among patients with advanced knee OA undergoing TKA. Severe lumbar spine symptoms (visual analog scale score of ≥ 7) were likely to adversely affect the preoperative clinical […]

Metabolic Syndrome Increases Risk For Severe Knee—But Not Hip—OA

Full Story Clinical Pain Medicine ISSUE: NOVEMBER 2013 | VOLUME: 11 Madrid—The presence of metabolic syndrome and its components is associated with an increased risk for severe osteoarthritis (OA) of the knee, leading in many cases to joint replacement, according to new research. However, this connection was not true of hip OA. The association with […]