Download or read book The Effect of Obesity in Self reported Disability Knee Pain and Isokinetic Quadriceps Strength in Knee Osteoarthritis written by and published by . This book was released on 2014 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: Osteoarthritis (OA) of the knee is one of the most common musculoskeletal conditions resulting in disability. The incidence of knee OA increases with age and will likely increase further as the population becomes more obese and less physically active. Therefore, the objectives of this thesis were 1) to observe whether self-reported disability should be obtained before or after performance-based tests, 2) to assess changes in knee pain and observe whether symptoms of depression predict worsening of knee pain, quality of life (QoL) and increased need for surgery and, 3) to examine changes in quadriceps muscle strength and knee pain after isokinetic muscle testing. In the first study, disability was measured using the WOMAC scores. Results indicated that all WOMAC scores were significantly higher after as compared to before the completion of performance-based tests and a physiologic test (VO2Peak). Obese individuals with knee OA were significantly worse compared to non-obese individuals with knee OA on all WOMAC scores. In the second study, the WOMAC pain subscale and VAS pain were significantly higher after as compared to before the completion of performance-based tests. The VAS ratings captured a significant increase in pain in both groups, but the WOMAC pain subscale only captured a significant change in the obese OA group. Depressive symptoms and BMI explained a significant proportion of variance in knee pain, quality of life and perceived need for surgery. The third study indicated that isokinetic quadriceps muscle strength was significantly different between obese and non-obese individuals with knee OA and compared to a healthy control group at all angular velocities of 60°/s, 90°/s and 120°/s, with the obese OA group demonstrating the lowest peak torque at all angular velocities. However, it was only at 60°/s that the isokinetic peak torque showed a statistically significant difference between the obese and the non-obese groups with knee OA. Likewise, knee pain increased from before to after isokinetic muscle strength testing, but only at the angular velocity of 60°/s. This thesis provides new information regarding the effect of obesity on self-reported disability, knee pain, depressive symptoms and quadriceps muscle strength in knee OA.
Download or read book The Severity of Obesity and Knee Osteoarthritis written by Benjamin D. Pierce and published by . This book was released on 2009 with total page 75 pages. Available in PDF, EPUB and Kindle. Book excerpt: PURPOSE: The purposes of this investigation were to examine the relationships between severity of obesity (defined by BMI) and radiographic evidence of knee OA and their associations with abnormal joint loading, muscular weakness, knee pain, and function in older adults. METHODS: Baseline data from participants (n= 30) enrolled in the Fatty acids, Arthritis, and inflaMmation in the Elderly clinical trial were utilized for this study. Presence of knee OA was confirmed by a K-L score>̲ 1, and participants had to have a BMI>̲ 27.0 kg/m2. Internal knee moments, knee joint forces, and quadriceps and compressive forces were calculated using 3-D gait analysis with a 37-reflective marker set arranged in a Cleveland Clinic full-body configuration, a 6-Camera Motion Analysis System set to sample data at 60 Hz, and a torque-driven musculoskeletal model. Quadriceps and hamstrings strength were assessed using an isokinetic dynamometer. Pair-wise Pearson correlations were computed between the outcome and explanatory variables. Generalized linear modeling was used to look for associations between the outcome and explanatory measures controlling for gender, race, and weight. RESULTS: Significant associations were found such that tall, heavy males were associated with greater internal knee extension moments and greater compressive forces and quadriceps forces. Height and weight were associated with increased quadriceps strength; however, only height was associated with increased hamstring strength. We also found a K-L score> 1 to be associated with an increased internal knee abduction moment. After adjusting for race, gender, and weight, increased pain and decreased function explained a significant amount of the variance with quadriceps force, while walking speed explained a significant amount of the variance with compressive and quadriceps force. CONCLUSION: It is well known that obesity is a major risk factor for knee OA. These data confirm associations between the internal knee extension moment and compressive forces which may accelerate disease progression. Other associations confirmed previous relationships identified in the literature.
Download or read book Pain Symptoms and Self reported Physical Function in Older Overweight and Obese Knee Osteoarthritis Patients written by Kathryn Smith and published by . This book was released on 2011 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Knee osteoarthritis (OA) is one of the leading causes of chronic pain, functional limitation, and physical disability among older adults. Being overweight or obese may exacerbate pain symptoms and the risk of functional decline among knee OA patients (5, 7, 14). However, it has yet to be determined if risk of functional decline and inactivity differs as a function of weight status among older, knee OA patients. PURPOSE: The purpose of this investigation was to examine differences in self-reported pain symptoms and physical function among overweight, obese, and morbidly obese older adults with knee OA. METHODS: Seventy-one (58 women and 13 men; M age = 63 years) knee OA patients classified as overweight (n=21), obese (n=36) or morbidly obese (n=14) completed assessments of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis scale. RESULTS: Results of univariate ANCOVA analyses controlling for age revealed that morbidly obese participants reported worse pain (p
Download or read book Combined Effects of Diet and Exercise Intervention on Self reported Knee Pain Associated with Osteoarthritis written by and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Osteoarthritis ranks among the top three health care problems in the developed world. It is a leading cause of disability in the elderly population and the relative economic impact of this condition has reached 2.5 percent of the gross national product. Lifestyle changes including nutrition and physical activity are now recommended as the first line of treatment for osteoarthritis. Vitamin A, C, D, and E have shown beneficial effects because of their anti-oxidant capacity and role in the metabolism of bone and cartilage. The American College of Rheumatology recommends moderate intensity exercise as it helps to decrease pain, increase muscle strength and improve physical function. However, the combined impact of dietary and exercise intervention needs to be investigated further. Methods: A total of 60 subjects were randomly assigned to either the dietary modification only group or the dietary modification/exercise regimen group for a period of three months. They made two visits to the assessment laboratory where anthropometric measurements were taken, five questionnaires were administered, and subjects received relevant counseling. Results: After three months of intervention, the nutrition and exercise intervention had a significant effect on extension (P= 0.041). There was no difference in flexion from baseline to final in either of the treatments groups or between the treatment groups. The nutrition and exercise intervention in comparison to nutrition alone was also associated with a greater reduction in pain from baseline to follow up (p= 0.02). Conclusion: In summary, the findings of this study suggest that lifestyle modifications which focus on changes in dietary and exercise behaviors can improve joint mobility via positive changes in the range of motion and pain of the knee afflicted with osteoarthritis.
Download or read book State of the Art Imaging of Osteoarthritis written by Ali Guermazi and published by Clinics: Internal Medicine. This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue takes a multimodality approach to imaging of osteoarthritis. Clinical issues including an overview of the disease and imaging as an aid to evaluate patient functionality are also reviewed. Not only are current standards for imaging covered, but also newer techniques under development.
Download or read book Return to Sport after ACL Reconstruction and Other Knee Operations written by Frank R. Noyes and published by Springer Nature. This book was released on 2019-11-05 with total page 709 pages. Available in PDF, EPUB and Kindle. Book excerpt: The wealth of information provided in this unique text will enable orthopedic surgeons, medical practitioners, physical therapists, and trainers to ensure that athletes who suffer anterior cruciate ligament (ACL) injuries, or who require major knee operations for other reasons, have the best possible chance of safely resuming sporting activity at their desired level without subsequent problems. Divided into seven thematic sections, the coverage is wide-ranging and encompasses common barriers to return to sport, return to sport decision-based models, and the complete spectrum of optimal treatment for ACL injuries, including preoperative and postoperative rehabilitation. Advanced training concepts are explained in detail, with description of sports-specific programs for soccer, basketball, and tennis. Readers will find detailed guidance on objective testing for muscle strength, neuromuscular function, neurocognitive function, and cardiovascular fitness, as well as validated assessments to identify and manage psychological issues. In addition, return to sport considerations after meniscus surgery, patellofemoral realignment, articular cartilage procedures, and knee arthroplasty are discussed. Generously illustrated and heavily referenced, Return to Sport after ACL Reconstruction and Other Knee Operations is a comprehensive resource for all medical professionals and support staff working with athletes and active patients looking to get back in the game with confidence.
Download or read book Science Theory and Clinical Application in Orthopaedic Manual Physical Therapy Applied Science and Theory written by Ola Grimsby and published by Lulu.com. This book was released on 2008-09-16 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: This long awaited textbook from The Ola Grimsby Institute provides decades of clinical experience and reasoning, with both historical and current evidence, with rationale for both passive and active treatments in orthopaedic manual therapy. Practical guidelines for joint mobilization and exercise rehabilitation are presented with this logical and exciting work. Incorporating experience and science, this book provides new approaches and treatment principles to make what you already do more effective. Extensive Content: Over 535 pages and 275 illustrations, photographs and tables Ola Grimsby and his co-authors have compiled a significant resource for the practicing physical therapist, manual therapist or osteopath.
Download or read book Exercise to Prevent and Manage Chronic Disease Across the Lifespan written by Jack Feehan and published by Academic Press. This book was released on 2022-04-30 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exercise to Prevent and Manage Chronic Disease Across the Lifespan provides evidence-based insights into the clinical utility of exercise in the management of disease across a broad range of specialties and diseases. The book offers research informed strategies for the integration of exercise into standard practice in fields such as neurology, endocrinology, psychiatry and oncology, as well as decision-making pathways and clinical scenarios to advance patient care. The book is divided by specialty and includes clinical scenarios to allow for the integration of information within practice. The book's synthesized research evidence allows practitioners to safely and effectively begin to capitalize on the benefits of exercise in their patients. - Provides broad insights into the evidence-based underpinnings of the use of exercise in a range of common diseases - Coverage includes the immune system, musculoskeletal disease, oncology, endocrinology, cardiology, respiratory diseases, and more - Includes a glossary, bibliography and summary figures for quick reference of information
Download or read book The Patella written by Giles R. Scuderi and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt: The problems of the patellofemoral joint remain a challenge to the orthopaedic surgeon. In spite of many articles in scientific journals, an outstanding monograph, and several excellent textbook chapters, the patella is still an enigma in many respects. The etiology of patellar pain is controversial, and there is no completely satisfying explanation for its cause or its relationship to chondromalacia. Curiously, neither the widespread use of arthroscopy nor the advent of newer diagnostic tests such as CT scanning and magnetic resonance imaging have cast much light. Without a better understanding of why patellar disorders occur it is not surprising that there is no consensus on how to fix them. Arthros copy has contributed little except to the patient's psyche. The currently most popular surgical treatment for recurrent dislocation of the patella was first described 50 years ago. One concrete advance, albeit a small one, is a better understanding of the role of anatomical abnormalities and patellofemoral dysplasia in patellar instabilities. It gives me great pleasure that many of the contributors are, like Dr.
Download or read book Recent Advances in Physiotherapy written by Cecily Partridge and published by John Wiley & Sons. This book was released on 2007-04-04 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Like Partridge: Neurological Physiotherapy: Bases of Evidence for Practice, each chapter in Recent Advances in Physiotherapy features a case report provided by a team of clinicians based on details from a real patient. This book of recent advances provides readers with a way of keeping up-to-date with recent work in the discipline of physiotherapy, based on the evidence for current practice.
Download or read book Therapeutic Exercise written by Carolyn Kisner and published by F.A. Davis. This book was released on 2022-10-17 with total page 3368 pages. Available in PDF, EPUB and Kindle. Book excerpt: The premier text for therapeutic exercise Here is all the guidance you need to customize interventions for individuals with movement dysfunction. You’ll find the perfect balance of theory and clinical technique—in-depth discussions of the principles of therapeutic exercise and manual therapy and the most up-to-date exercise and management guidelines.
Download or read book Handbook of Sports Medicine and Science written by Dennis J. Caine and published by John Wiley & Sons. This book was released on 2013-07-18 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new volume in the Handbook of Sports Medicine and Science series, published in conjunction with the Medical Commission of the International Olympic Committee, offers comprehensive and practical guidance on the training and medical care of competitive gymnasts. Written and edited by leading trainers, team doctors, coaches and other professionals with unparalleled experience in elite gymnastics, this book covers all the key aspects of caring for gymnasts, minimizing the unique risks these athletes face, and treating injuries when they happen. The book is organized into 4 sections covering: The evolution of gymnastics Growth and development Training and performance Sports medicine Individual chapters cover key topics such as energy needs and body weight management; biomechanics; psychology; the epidemiology of gymnastic injuries; treatment and rehabilitation of common injuries; injury prevention; and more. Endorsed by the International Gymnastics Federation (FIG), no other book offers such an in-depth look at the unique considerations and challenges that affect the growth, performance, training, and medical care of athletes in this demanding sport.
Download or read book Osteoarthritis written by Roland W. Moskowitz and published by Lippincott Williams & Wilkins. This book was released on 2007 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by the foremost experts, this text is a comprehensive clinical reference on osteoarthritis. Chapters review current information on the epidemiology, etiopathogenesis, and pathology of osteoarthritis, the biochemistry and molecular and cell biology of articular cartilage, and experimental models of osteoarthritis. Major sections focus on clinical presentations, roentgenologic and laboratory diagnosis, and treatment, including pharmacologic treatment, intra-articular therapy, surgery, arthroscopy, and complementary and alternative medicine. The authors discuss the indications, outcomes, and complications of various orthopaedic procedures. Chapters present orthopaedic approaches to osteoarthritis of various joints—the shoulder, hand, wrist, elbow, hip, knee, foot, ankle, and cervical, thoracic, and lumbar spine.
Download or read book Physical Exercise for Human Health written by Junjie Xiao and published by Springer Nature. This book was released on 2020-04-27 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book shares the latest findings on exercise and its benefits in preventing and ameliorating numerous diseases that are of worldwide concern. Addressing the role of exercise training as an effective method for the prevention and treatment of various disease, the book is divided into eleven parts: 1) An Overview of the Beneficial Effects of Exercise on Health and Performance, 2) The Physiological Responses to Exercise, 3) Exercise and Metabolic Diseases, 4) Exercise and Cardiovascular Diseases, 5) Exercise and Musculoskeletal Diseases, 6) Exercise and Neurological and Psychiatric Diseases, 7) Exercise and the Respiration System, 8) Exercise and Immunity, 9) Exercise and HIV/AIDS, 10) Exercise and Neuropsychiatric Disorders, and 11) Future Prospects. Given its scope, the book will be particularly useful for researchers and students in the fields of physical therapy, physiology, medicine, genetics and cell biology, as well as researchers and physicians with a range of medical specialties.
Download or read book Atlas of Osteoarthritis written by Nigel Arden and published by Springer. This book was released on 2015-01-19 with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Atlas provides an up-to-date and comprehensive overview of the historical and current perspectives on osteoarthritis, including the pathophysiology and epidemiology of the disease. Written by leading authors in the field of osteoarthritis, the book discusses classification, etiology and risk factors for osteoarthritis, the disease course and determinants of osteoarthritis progression, clinical features and diagnosis as well as imaging methods to assess joint damage. The Atlas of Osteoarthritis concludes with the latest treatment updates including both nonpharmacological and pharmacological treatments, as well as surgical recommendations for patients with the disease. Osteoarthritis is the most common form of joint disease causing joint pain, stiffness, and physical disability among adults. It is an important issue for both the individual and society with its impact on public health continuing to grow as a result of the aging population, the rising prevalence of obesity, and the lack of definitive treatments to prevent or halt the progress of the disease.
Download or read book Physical Therapies in Sport and Exercise written by Gregory Kolt and published by Elsevier Health Sciences. This book was released on 2007-08-22 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical Therapies in Sport and Exercise provides a truly comprehensive source of the latest evidence-based approaches to the assessment, management, rehabilitation and prevention of injuries related to sport and exercise. Written by an international, multidisciplinary team of contributors, all of whom are leaders in their fields, it has been expertly compiled and edited by two experienced and well-respected practitioners from Australia/New Zealand and the USA. Fully referenced and research based International team of experts are contributors Applied/practical approach New chapters on Cartilage, Prevention of Injury, and Rehabilitation of lower limb muscle and tendon injuries Authors are world leading experts in their fields representing 10 countries
Download or read book Anatomical Guide for the Electromyographer written by Aldo Perotto and published by Charles C Thomas Publisher. This book was released on 2005 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt:
