Feasibility of neuromuscular training in patients with severe hip or knee OA: the individualized goal-based NEMEX-TJR training program. (FREE full text)

Although improvements are achieved by general exercise, training to improve sensorimotor control may be needed for people with osteoarthritis (OA). The aim was to apply the principles of neuromuscular training, which have been successfully used in younger and middle-aged patients with knee injuries, to older patients with severe hip or knee OA. We hypothesized that [...]

Functional benchmarking of rehabilitation outcomes following anterior cruciate ligament reconstruction

The aim of the study was to use selected functional benchmarks (FBs) to assess the level of physical fitness in patients undergoing rehabilitation following anterior cruciate ligament (ACL) reconstruction surgery. The study involved 115 patients (51 women) after ACL reconstruction surgery. The patients (aged 18-43) were monitored by an orthopedist during their rehabilitation. In order [...]

Increased external hip-rotation strength relates to reduced dynamic knee control in females: paradox or adaptation?

The purpose of the present study was to examine the relationship between hip muscle strength (abduction and external rotation) and frontal-plane knee control during drop jumping in recreational female athletes. Thirty-three healthy young recreational female athletes were included. Maximal isometric hip abduction and external rotation torque were measured using hand-held dynamometry, and frontal-plane knee control [...]

A 2-year follow-up of rehabilitation after ACL reconstruction using patellar tendon or hamstring tendon grafts: a prospective randomised outcome study.

Sixty-eight patients were clinically evaluated preoperatively, 3, 5, 7, 9 months, 1 and 2 years after ACL reconstruction, 34 with patellar tendon graft, 34 with hamstring graft. Outcome regarding graft choice and anterior knee laxity (P = 0.04) was in favour of patellar tendon graft. Hamstring graft led to a larger laxity, 2.4 mm compared [...]

A meta-analysis of the effect of neuromuscular training on the prevention of the anterior cruciate ligament injury in female athletes.

Female athletes are more prone to anterior cruciate ligament (ACL) injury than their male counterparts, presumably because of anatomical, hormonal, and neuromuscular differences. Of these three, only the neuromuscular component can be modified by preventive exercise. We aimed to evaluate the effect of a neuromuscular protocol on the prevention of ACL injury by performing meta-analysis, [...]

Manual for guided home exercises for osteoarthritis of the knee.

The objective of this prospective case series was to assess the efficiency of a guidance manual for patients with osteoarthritis of the knee in relation to pain, range of movement , muscle strength and function, active goniometry, manual strength test and function. Thirty-eight adults with osteoarthritis of the knee (> 45 years old) who were [...]

Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial

The objective of this study was to determine whether hip abductor and adductor muscle strengthening reduces medial compartment knee load and improves symptoms in people with medial tibiofemoral OA and varus malalignment. In a randomised controlled trial, 89 participants were randomly allocated to a hip strengthening group or to a control group with no intervention. [...]

Implementing one standardized rehabilitation protocol following autologous chondrocyte implantation or microfracture in the knee results in comparable physical therapy management

The major aim of the study was (1) to compare the physiotherapy management in patients treated with autologous chondrocyte implantation (ACI) versus microfracture (MF) at the knee using a standardized rehabilitation protocol; and (2) to investigate the effect of activities in low-load conditions after surgery on the functional recovery was explored.  95 physiotherapists received a [...]

Use of foot orthoses and calf stretching for individuals with medial tibial stress syndrome.

Use of orthotics and calf stretching may alleviate symptoms in runners with medial tibial stress syndrome (MTSS). The objective of this study was to determine which patients with MTSS have a positive response to off-the-shelf foot orthoses and calf stretching based on selected clinical tests to establish a clinical prediction rule. This prospective cohort/predictive validity [...]

Warming-up before sporting activity improves knee position sense.

The objective of this study was to evaluate the effects of a warm-up program on knee joint position sense in karatekas. Participants: Ten young amateur karatekas (17.6 +/- 4.0 years of age). Knee joint position sense evaluated before and immediately after a warm-up program through active repositioning in open kinetic chain (OKC) and closed kinetic [...]

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