Knee

Comorbidities in Patients With End-Stage Knee OA: Prevalence and Effect on Physical Function

Archuves of Physical Medicine and Rehabilitation November 2019 Volume 100, Issue 11, Pages 2063–2070 Abstract Objective To investigate the prevalence of comorbidities and their effect on physical function, quality of life (QOL), and pain, in patients with end-stage knee osteoarthritis (OA). Design A cross-sectional study. Setting A rehabilitation facility at university hospital. Participants Patients (N=577; […]

Effects of Knee Osteoarthritis on Hip and Ankle Gait Mechanics – Full Text Article

Advances in Orthopedics Volume 2019, Article ID 9757369, 6 pages https://doi.org/10.1155/2019/9757369 Du Hyun Ro Abstract Introduction. Knee osteoarthritis (OA) can affect the hip and ankle joints, as these three joints operate as a kinetic/kinematic chain while walking. Purpose. This study was performed to compare (1) hip and ankle joint gait mechanics between knee OA and […]

Prevalence of knee osteoarthritis features on magnetic resonance imaging in asymptomatic uninjured adults: a systematic review and meta-analysis

British Journal of Sports Medicine Volume 53, Issue 20 Adam G Culvenor Abstract Background Knee MRI is increasingly used to inform clinical management. Features associated with osteoarthritis are often present in asymptomatic uninjured knees; however, the estimated prevalence varies substantially between studies. We performed a systematic review with meta-analysis to provide summary estimates of the prevalence […]

Clinical Practice Guidelines – Patellofemoral Pain – Full Text

Published: Journal of Orthopaedic & Sports Physical Therapy, 2019 Volume:49 Issue:9 Pages:CPG1–CPG95DOI: 10.2519/jospt.2019.0302 Patellofemoral pain (PFP) is a common musculoskeletal-related condition that is characterized by insidious onset of poorly defined pain, localized to the anterior retropatellar and/or peripatellar region of the knee. The onset of symptoms can be slow or acutely develop with a worsening of pain accompanying lower-limb loading […]

A Randomized Controlled Trial on the Effects of Low-Dose Extracorporeal Shockwave Therapy in Patients With Knee Osteoarthritis

Archives of Physical Medicine and Rehabilitation September 2019 Volume 100, Issue 9, Pages 1695–1702 Abstract Objective To test the efficacy of low-dose extracorporeal shockwave therapy (ESWT) on osteoarthritis knee pain, lower limb function, and cartilage alteration for patients with knee osteoarthritis. Design Randomized controlled trial with placebo control. Setting Outpatient physical therapy clinics within a […]

Early Intervention in Osteoarthritis Has Potential to Help Control Pain and Disability, Reduce Work Loss

06.13.2019 by Julie Maurer Contributing Writer, MedPage Today When a patient is diagnosed with osteoarthritis (OA), his or her first instincts might be to reach for their medicine cabinet or wonder if surgery is in their future, but researchers say that early intervention with exercise and education is important. Canadian researchers have published a study about possible […]

Largest Study Yet Links Obesity to Knee Osteoarthritis

Research should now focus on the role of inflammation in the two conditions, experts say by Scott Harris Contributing Writer, MedPage Today 05.30.2019 A new study provides evidence linking obesity with knee osteoarthritis. With obesity and knee-replacement surgery rates both continuing to rise, experts called for deeper dives into the underlying mechanisms through which obesity […]

Effects of Physical Activity in Knee and Hip Osteoarthritis: A Systematic Umbrella Review.

Med Sci Sports Exerc. 2019 Jun;51(6):1324-1339. doi: 10.1249/MSS.0000000000001944. Kraus VB Abstract INTRODUCTION: We conducted a systematic umbrella review to evaluate the literature relating to effects of physical activity on pain, physical function, health-related quality of life, comorbid conditions and osteoarthritis (OA) structural disease progression in individuals with lower-extremity OA. METHODS: Our primary search encompassed 2011 […]

Low back pain precedes the development of new knee pain in the elderly population; A novel predictive score from a longitudinal cohort study

Arthritis Research & Therapy — Ito H, et al. | April 18, 2019 Researchers examined how knee and low back pain/disabilities are correlated in this longitudinal cohort study. They also developed a predictive score that may assist in the identification of people who are likely to develop new knee pain within 5 years. At the first […]

Proprioceptive Training and Outcomes of Patients With Knee Osteoarthritis: A Meta-Analysis of Randomized Controlled Trials

J Athl Train. 2019 Apr;54(4):418-428. doi: 10.4085/1062-6050-329-17. Epub 2019 Apr 17. Proprioceptive Training and Outcomes of Patients With Knee Osteoarthritis: A Meta-Analysis of Randomized Controlled Trials. Jeong HS. Abstract OBJECTIVE: To describe the effects of proprioceptive training on pain, stiffness, function, and functional test outcomes among patients with knee osteoarthritis (OA). DATA SOURCES: All studies […]

Acupuncture-Analgesia-Mediated Alleviation of Central Sensitization

Evid Based Complement Alternat Med. 2019 Mar 7;2019:6173412. doi: 10.1155/2019/6173412. eCollection 2019. Lai HC Abstract Pain can trigger central amplification called central sensitization, which ultimately results in hyperalgesia and/or allodynia. Many reports have showed acupuncture has an analgesic effect. We searched the related article on PubMed database and Cochrane database to discover central sensitization pathway […]

Knee Arthritis Pain Relief Peaks Early With Non-Steroidal Anti-inflammatory Drugs

Don’t expect relief to last beyond a few months by Nancy Walsh, Senior Staff Writer, MedPage Today March 29, 2019 Pain relief from nonsteroidal anti-inflammatory drugs (NSAIDs) in knee osteoarthritis (OA) was rapid but declined over time, a large meta-analysis demonstrated. Data from 72 randomized controlled trials found that statistically significant reductions in pain peaked […]

Cross-over Effect of Balance Training After Knee Surgery: A Pilot Study

Layci J. Harrison, PhD, LAT, ATC; Lindsey K. Lepley, PhD, ATC; Dana K. Fuller, PhD; Jennifer L. Caputo, PhD, CSCS, MX Athletic Training and Sports Health Care. https://doi.org/10.3928/19425864-20181107-01 Abstract PURPOSE:To evaluate cross-over effect balance training after knee surgery. METHODS:Individuals with a history of knee surgery (N = 10) were randomized to balance training or control […]

Two Knees at Once: More Clarity on Pluses and Minuses

Surgeons say it’s feasible in even severely obese patients, but beware of complications by Randy Dotinga, Contributing Writer, MedPage Today March 19, 2019 LAS VEGAS — Simultaneous bilateral total knee arthroplasty (SBTKA) is a feasible option for many patients, including those who are severely obese, according to authors of a pair of new studies that […]

Mechanical loading inhibits cartilage inflammatory signalling via an HDAC6 and IFT-dependent mechanism regulating primary cilia elongation.

Osteoarthritis Cartilage. 2019 Jul;27(7):1064-1074. doi: 10.1016/j.joca.2019.03.003. Epub 2019 Mar 25. Fu S, Thompson C2, Ali A, Wang W, Chapple JP, Mitchison HM, Beales PL, Wann AKT, Knight MM. Abstract OBJECTIVE: Physiological mechanical loading reduces inflammatory signalling in numerous cell types including articular chondrocytes however the mechanism responsible remains unclear. This study investigates the role of […]

Effects of Core Neuromuscular Training on Pain, Balance, and Functional Performance in Women With Patellofemoral Pain Syndrome: A Clinical Trial – Full Text

Journal of Chiropractic Medicine Volume 18, Issue 1, March 2019, Pages 9-18 Alireza Motealleh PhD, PT Abstract Objective The purpose of this study was to determine the effects of core neuromuscular training on pain, balance, and performance in women with patellofemoral pain syndrome (PFPS). Methods This randomized single-blind trial was based on a convenience sample […]

Limited guidance available on use of corticosteroid injections for knee arthritis

March 25, 2019 LAS VEGAS — Although corticosteroid injections appear to offer short-term benefits regarding pain and function for patients with knee arthritis, a presenter here noted no guidance is available in the terms of frequency and dosage. In his presentation at The Knee Society Specialty Day at the American Academy of Orthopedic Surgeons Annual […]

Weight loss regimen in obese and overweight individuals is associated with reduced cartilage degeneration: 96-month data from the osteoarthritis initiative

Osteoarthritis and Cartilage — Gersing AS, et al. | March 01, 2019 In this investigation, researchers studied changes in the composition of knee cartilage in overweight and obese participants with constant weight vs those with weight loss over 96 months, and evaluated how different weight loss regimens are associated with these changes. The study sample […]

Lower Trunk Muscle Thickness Is Associated With Pain in Women With Patellofemoral Pain

J Ultrasound Med. 2019 Feb 27. doi: 10.1002/jum.14973. [Epub ahead of print] Briani RV Abstract OBJECTIVES: To compare trunk muscle thickness of women with and without patellofemoral pain (PFP) and to assess the association of trunk muscle thickness with self-reported pain of women with PFP. METHODS: Forty-four women were recruited and divided into 2 groups: […]

Questions Linger About Steroid Injections and Knee Arthritis

Janis C. Kelly February 08, 2019 Patients with mild to moderate knee osteoarthritis (KOA) who used intra-articular corticosteroids (IACs) experienced substantially faster disease progression than those in a matched group who had not received IACs. However, experts caution that the difference in progression rates might reflect underlying differences that influenced the decision to treat with IACs. Thus, […]