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7 résultat(s) recherche sur le mot-clé 'Knee osteoarthritis'
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Active video games for knee osteoarthritis improve mobility but not WOMAC score : A randomized controlled trial / Yu-Ting Lin in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)
[article]
Titre : Active video games for knee osteoarthritis improve mobility but not WOMAC score : A randomized controlled trial Type de document : texte imprimé Auteurs : Yu-Ting Lin ; Wen-Chung Lee ; Ru-Lan Hsieh Année de publication : 2020 Article en page(s) : p. 458-465 Note générale : doi.org/10.1016/j.rehab.2019.11.008 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis Active video games Therapeutic exercise Effect Résumé : Background
Active video games (AVGs) have become popular and have been investigated for their therapeutic purposes. However, the effect of AVGs on patients with knee osteoarthritis (OA) remains uncertain.
Objective
We aimed to compare the effects of AVGs with those of traditional therapeutic exercise on patients with knee OA.
Method
This was a prospective single-blind, randomized controlled trial. Participants (n = 80) with knee OA were allocated to the AVGs group (n = 40) or therapeutic exercise group (n = 40). Both groups received treatment 3 times a week for 4 weeks. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and secondary outcome measures were the World Health Organization Quality of Life-Brief Vision, Hospital Anxiety and Depression Scale, Multidimensional Fatigue Inventory, physical functional performance (including time for 10-m walking and for ascending and descending stairs), Biodex Stability System, Chronic Pain Grade Questionnaire, and Work Ability Index. The patients were evaluated at baseline, 2 and 4 weeks after treatment, and 1 and 3 months after treatment completion.
Results
Both groups showed significant time effect in the pain subcategory of the WOMAC (P = 0.047). However, we found no significant group × time interaction effect between the groups at any follow-up assessments for pain (P = 0.066), stiffness (P = 0.284), or physical function (P = 0.179) for the WOMAC. Among the secondary outcomes, we found significant group × time effects favoring the AVG group in dynamic balance (P = 0.020), and physical functional performance including 10-m walking time (P = 0.002) and stair ascent time (P = 0.005), and the physical domain of health (P = 0.032).
Conclusions
Therapeutic exercises and playing AVGs similarly improved the pain of patients with knee OA; however, playing AVGs improved dynamic balance, physical functional performance, and physical health more than therapeutic exercises did.Permalink : ./index.php?lvl=notice_display&id=91321
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 458-465[article] Active video games for knee osteoarthritis improve mobility but not WOMAC score : A randomized controlled trial [texte imprimé] / Yu-Ting Lin ; Wen-Chung Lee ; Ru-Lan Hsieh . - 2020 . - p. 458-465.
doi.org/10.1016/j.rehab.2019.11.008
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 458-465
Mots-clés : Knee osteoarthritis Active video games Therapeutic exercise Effect Résumé : Background
Active video games (AVGs) have become popular and have been investigated for their therapeutic purposes. However, the effect of AVGs on patients with knee osteoarthritis (OA) remains uncertain.
Objective
We aimed to compare the effects of AVGs with those of traditional therapeutic exercise on patients with knee OA.
Method
This was a prospective single-blind, randomized controlled trial. Participants (n = 80) with knee OA were allocated to the AVGs group (n = 40) or therapeutic exercise group (n = 40). Both groups received treatment 3 times a week for 4 weeks. The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and secondary outcome measures were the World Health Organization Quality of Life-Brief Vision, Hospital Anxiety and Depression Scale, Multidimensional Fatigue Inventory, physical functional performance (including time for 10-m walking and for ascending and descending stairs), Biodex Stability System, Chronic Pain Grade Questionnaire, and Work Ability Index. The patients were evaluated at baseline, 2 and 4 weeks after treatment, and 1 and 3 months after treatment completion.
Results
Both groups showed significant time effect in the pain subcategory of the WOMAC (P = 0.047). However, we found no significant group × time interaction effect between the groups at any follow-up assessments for pain (P = 0.066), stiffness (P = 0.284), or physical function (P = 0.179) for the WOMAC. Among the secondary outcomes, we found significant group × time effects favoring the AVG group in dynamic balance (P = 0.020), and physical functional performance including 10-m walking time (P = 0.002) and stair ascent time (P = 0.005), and the physical domain of health (P = 0.032).
Conclusions
Therapeutic exercises and playing AVGs similarly improved the pain of patients with knee OA; however, playing AVGs improved dynamic balance, physical functional performance, and physical health more than therapeutic exercises did.Permalink : ./index.php?lvl=notice_display&id=91321 Exemplaires (1)
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Exclu du prêtArthroscopy in knee osteoarthritis : a systematic review of the literature / Timothy Barlow in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Arthroscopy in knee osteoarthritis : a systematic review of the literature Type de document : texte imprimé Auteurs : Timothy Barlow, Auteur ; Christopher Downham, Auteur ; Damian Griffin, Auteur Année de publication : 2015 Article en page(s) : p. 1-8 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis Arthroscopy Résumé : Knee arthroscopy has historically been a common treatment for knee osteoarthritis. A Cochrane review of the literature up to 2006 has resulted in guidance that arthroscopy is not effective in knee osteoarthritis. It cited that deficiencies in the evidence base prevented widespread acceptance of the recommendations. The aim of this review is to update the evidence base for the efficacy of arthroscopy in knee osteoarthritis. The authors searched CINHAL, EMBASE, MEDLINE, and CENTRAL for randomised controlled trials that compared arthroscopic surgery in knee osteoarthritis with a control group (e.g. lavage, best medical care). The primary outcome measure was patient reported functional outcome. The study methodology was registered on Prospero, a systematic review register ; Registration number CRD42012002891. Five randomised controlled trials included 516 patients, almost double the 271 episodes contained in previous reviews. Two high quality studies, according to the Jadad classification, published since the Cochrane review, addressed many of the methodological flaws criticised in previous reviews. However, certain subgroup analyses (e.g. patients with meniscal tears and mechanical symptoms) are still underpowered. Permalink : ./index.php?lvl=notice_display&id=35990
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 1-8[article] Arthroscopy in knee osteoarthritis : a systematic review of the literature [texte imprimé] / Timothy Barlow, Auteur ; Christopher Downham, Auteur ; Damian Griffin, Auteur . - 2015 . - p. 1-8.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 1-8
Mots-clés : Knee osteoarthritis Arthroscopy Résumé : Knee arthroscopy has historically been a common treatment for knee osteoarthritis. A Cochrane review of the literature up to 2006 has resulted in guidance that arthroscopy is not effective in knee osteoarthritis. It cited that deficiencies in the evidence base prevented widespread acceptance of the recommendations. The aim of this review is to update the evidence base for the efficacy of arthroscopy in knee osteoarthritis. The authors searched CINHAL, EMBASE, MEDLINE, and CENTRAL for randomised controlled trials that compared arthroscopic surgery in knee osteoarthritis with a control group (e.g. lavage, best medical care). The primary outcome measure was patient reported functional outcome. The study methodology was registered on Prospero, a systematic review register ; Registration number CRD42012002891. Five randomised controlled trials included 516 patients, almost double the 271 episodes contained in previous reviews. Two high quality studies, according to the Jadad classification, published since the Cochrane review, addressed many of the methodological flaws criticised in previous reviews. However, certain subgroup analyses (e.g. patients with meniscal tears and mechanical symptoms) are still underpowered. Permalink : ./index.php?lvl=notice_display&id=35990 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtAtrophy of individual thigh muscles measured by MRI in older adults with knee osteoarthritis : A cross-sectional study / Koun Yamauchi in Annals of physical and rehabilitation medicine, Vol. 63, n°1 (Janvier 2020)
[article]
Titre : Atrophy of individual thigh muscles measured by MRI in older adults with knee osteoarthritis : A cross-sectional study Type de document : texte imprimé Auteurs : Koun Yamauchi ; Shigetoshi Suzuki ; Chisato Kato ; Takayuki Kato Année de publication : 2020 Article en page(s) : p. 38-45 Note générale : doi.org/10.1016/j.rehab.2019.06.018 Langues : Anglais (eng) Mots-clés : Magnetic resonance imaging Quadriceps muscle Hamstring Muscle cross-sectional area Knee osteoarthritis Résumé : Background
The characteristics of thigh-muscle cross-sectional area (CSA) in older adults with knee osteoarthritis (KOA) remain controversial.
Objectives
This study aimed to evaluate atrophy of individual thigh muscles in older adults with KOA and to determine which muscle CSA should be measured to detect KOA-related muscle atrophy of the thigh.
Methods
In older adults, individual thigh-muscle CSA measured by 1.5 Tesla MRI was analyzed at 5% intervals of the femoral length (FL) around the mid-thigh between the proximal 25% of the FL and the distal 25%. Participants with KOA grade ≤ 1 and grade ≥ 2 were compared for ratios of quadriceps muscle (QM) CSA to total thigh, individual QM CSA to QM, and individual hamstring (HAM) CSA to HAM at 5% intervals.
Results
We included 40 older adults [20 males; mean (SD) age 73.3 (4.7) years; 20 with KOA grade ≤ 1 and 20 with KOA grade ≥ 2]. The ratio of vastus medialis (VM) CSA to QM from the proximal 25% to distal 15% and the ratio of semi-membranosus (SM) CSA to HAM at the distal 10% to 25% were significantly lower with KOA grade ≥ 2 than grade ≤ 1; the effect sizes were 0.34 to 0.67 for VM and 0.40 to 0.60 for SM. The effect sizes were greatest for the ratios of VM CSA to QM at the mid-thigh with 5% intervals and the ratio of SM CSA to HAM at the distal 25%.
Conclusions
The ratio of VM CSA to QM and/or that of SM CSA to HAM were low and were the best indicators to detect KOA-related muscle atrophy of the thigh. However, to detect KOA-related muscle atrophy, the VM CSA ratio should be analyzed in the thigh region around the mid-thigh, whereas the SM CSA ratio should be analyzed in the thigh region at the muscle belly.Permalink : ./index.php?lvl=notice_display&id=90686
in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 38-45[article] Atrophy of individual thigh muscles measured by MRI in older adults with knee osteoarthritis : A cross-sectional study [texte imprimé] / Koun Yamauchi ; Shigetoshi Suzuki ; Chisato Kato ; Takayuki Kato . - 2020 . - p. 38-45.
doi.org/10.1016/j.rehab.2019.06.018
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°1 (Janvier 2020) . - p. 38-45
Mots-clés : Magnetic resonance imaging Quadriceps muscle Hamstring Muscle cross-sectional area Knee osteoarthritis Résumé : Background
The characteristics of thigh-muscle cross-sectional area (CSA) in older adults with knee osteoarthritis (KOA) remain controversial.
Objectives
This study aimed to evaluate atrophy of individual thigh muscles in older adults with KOA and to determine which muscle CSA should be measured to detect KOA-related muscle atrophy of the thigh.
Methods
In older adults, individual thigh-muscle CSA measured by 1.5 Tesla MRI was analyzed at 5% intervals of the femoral length (FL) around the mid-thigh between the proximal 25% of the FL and the distal 25%. Participants with KOA grade ≤ 1 and grade ≥ 2 were compared for ratios of quadriceps muscle (QM) CSA to total thigh, individual QM CSA to QM, and individual hamstring (HAM) CSA to HAM at 5% intervals.
Results
We included 40 older adults [20 males; mean (SD) age 73.3 (4.7) years; 20 with KOA grade ≤ 1 and 20 with KOA grade ≥ 2]. The ratio of vastus medialis (VM) CSA to QM from the proximal 25% to distal 15% and the ratio of semi-membranosus (SM) CSA to HAM at the distal 10% to 25% were significantly lower with KOA grade ≥ 2 than grade ≤ 1; the effect sizes were 0.34 to 0.67 for VM and 0.40 to 0.60 for SM. The effect sizes were greatest for the ratios of VM CSA to QM at the mid-thigh with 5% intervals and the ratio of SM CSA to HAM at the distal 25%.
Conclusions
The ratio of VM CSA to QM and/or that of SM CSA to HAM were low and were the best indicators to detect KOA-related muscle atrophy of the thigh. However, to detect KOA-related muscle atrophy, the VM CSA ratio should be analyzed in the thigh region around the mid-thigh, whereas the SM CSA ratio should be analyzed in the thigh region at the muscle belly.Permalink : ./index.php?lvl=notice_display&id=90686 Exemplaires (1)
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Exclu du prêtA decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis / Emmanuel Coudeyre in Annals of physical and rehabilitation medicine, Vol. 61, n°2 (Mars 2018)
[article]
Titre : A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis Type de document : texte imprimé Auteurs : Emmanuel Coudeyre ; Christelle Nguyen ; Aurore Chabaud ; Bruno Pereira ; Johann Beaudreuil ; Jean-Marie Coudreuse ; Philippe Déat ; Frédéric Sailhan ; Alain Lorenzo ; François Rannou Année de publication : 2018 Article en page(s) : p. 92-98 Note générale : Doi : 10.1016/j.rehab.2018.01.001 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis Orthosis Braces Decision-making tool Guidelines Résumé : Objective
To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice.
Methods
A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA. A first DMT draft was presented to the task force in a 1-day meeting in January 2016. The first version of the DMT was criticized and discussed regarding everyday practice issues. Every step was discussed and amended until consensus agreement was achieved within the task force. Then 4 successive consultation rounds occurred by electronic communication, first with primary- and secondary-care physicians, then with international experts. All corrections and suggestions by each member were shared with the rest of the task force and included to reach final consensus. The final version was validated by the steering committee.
Results
The definition and indication of several types of knee orthoses (sleeve, patello-femoral, hinged or unicompartmental offloading braces) were detailed. Orthoses may be proposed in addition to first-line non-pharmacological treatment if patient acceptance is considered good. At every step, a specific clinical assessment is needed.
Discussion/conclusion
Based on the latest high-level evidence, practice guidelines, and an expert panel, a DMT to facilitate daily practice prescription of knee orthoses for OA patients was designed. An evaluation of DMT implementation in a wide range of health professionals is still needed.Permalink : ./index.php?lvl=notice_display&id=80452
in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 92-98[article] A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis [texte imprimé] / Emmanuel Coudeyre ; Christelle Nguyen ; Aurore Chabaud ; Bruno Pereira ; Johann Beaudreuil ; Jean-Marie Coudreuse ; Philippe Déat ; Frédéric Sailhan ; Alain Lorenzo ; François Rannou . - 2018 . - p. 92-98.
Doi : 10.1016/j.rehab.2018.01.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 92-98
Mots-clés : Knee osteoarthritis Orthosis Braces Decision-making tool Guidelines Résumé : Objective
To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice.
Methods
A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA. A first DMT draft was presented to the task force in a 1-day meeting in January 2016. The first version of the DMT was criticized and discussed regarding everyday practice issues. Every step was discussed and amended until consensus agreement was achieved within the task force. Then 4 successive consultation rounds occurred by electronic communication, first with primary- and secondary-care physicians, then with international experts. All corrections and suggestions by each member were shared with the rest of the task force and included to reach final consensus. The final version was validated by the steering committee.
Results
The definition and indication of several types of knee orthoses (sleeve, patello-femoral, hinged or unicompartmental offloading braces) were detailed. Orthoses may be proposed in addition to first-line non-pharmacological treatment if patient acceptance is considered good. At every step, a specific clinical assessment is needed.
Discussion/conclusion
Based on the latest high-level evidence, practice guidelines, and an expert panel, a DMT to facilitate daily practice prescription of knee orthoses for OA patients was designed. An evaluation of DMT implementation in a wide range of health professionals is still needed.Permalink : ./index.php?lvl=notice_display&id=80452 Exemplaires (1)
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Exclu du prêtEfficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis / Siew-Li Goh in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)
[article]
Titre : Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Siew-Li Goh ; Monica S.M. Persson ; Joanne Stocks ; Yunfei Hou ; Jianhao Lin ; Michelle C. Hall ; Michael Doherty ; Weiya Zhang Année de publication : 2019 Article en page(s) : p. 356-365 Note générale : doi.org/10.1016/j.rehab.2019.04.006 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis Exercise Meta-analysis Determinants Physical therapy Pain Function Quality of Life Résumé : Background
Exercise is an effective treatment for osteoarthritis. However, the effect may vary from one patient (or study) to another.
Objective
To evaluate the efficacy of exercise and its potential determinants for pain, function, performance, and quality of life (QoL) in knee and hip osteoarthritis (OA).
Methods
We searched 9 electronic databases (AMED, CENTRAL, CINAHL, EMBASE, MEDLINE Ovid, PEDro, PubMed, SPORTDiscus and Google Scholar) for reports of randomised controlled trials (RCTs) comparing exercise-only interventions with usual care. The search was performed from inception up to December 2017 with no language restriction. The effect size (ES), with its 95% confidence interval (CI), was calculated on the basis of between-group standardised mean differences. The primary endpoint was at or nearest to 8 weeks. Other outcome time points were grouped into intervals, from < 1 month to ≥ 18 months, for time-dependent effects analysis. Potential determinants were explored by subgroup analyses. Level of significance was set at P ≤ 0.10.
Results
Data from 77 RCTs (6472 participants) confirmed statistically significant exercise benefits for pain (ES 0.56, 95% CI 0.44–0.68), function (0.50, 0.38–0.63), performance (0.46, 0.35–0.57), and QoL (0.21, 0.11–0.31) at or nearest to 8 weeks. Across all outcomes, the effects appeared to peak around 2 months and then gradually decreased and became no better than usual care after 9 months. Better pain relief was reported by trials investigating participants who were younger (mean age < 60 years), had knee OA, and were not awaiting joint replacement surgery.
Conclusions
Exercise significantly reduces pain and improves function, performance and QoL in people with knee and hip OA as compared with usual care at 8 weeks. The effects are maximal around 2 months and thereafter slowly diminish, being no better than usual care at 9 to 18 months. Participants with younger age, knee OA and not awaiting joint replacement may benefit more from exercise therapy. These potential determinants, identified by study-level analyses, may have implied ecological bias and need to be confirmed with individual patient data.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300624 Permalink : ./index.php?lvl=notice_display&id=84153
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 356-365[article] Efficacy and potential determinants of exercise therapy in knee and hip osteoarthritis: A systematic review and meta-analysis [texte imprimé] / Siew-Li Goh ; Monica S.M. Persson ; Joanne Stocks ; Yunfei Hou ; Jianhao Lin ; Michelle C. Hall ; Michael Doherty ; Weiya Zhang . - 2019 . - p. 356-365.
doi.org/10.1016/j.rehab.2019.04.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 356-365
Mots-clés : Knee osteoarthritis Exercise Meta-analysis Determinants Physical therapy Pain Function Quality of Life Résumé : Background
Exercise is an effective treatment for osteoarthritis. However, the effect may vary from one patient (or study) to another.
Objective
To evaluate the efficacy of exercise and its potential determinants for pain, function, performance, and quality of life (QoL) in knee and hip osteoarthritis (OA).
Methods
We searched 9 electronic databases (AMED, CENTRAL, CINAHL, EMBASE, MEDLINE Ovid, PEDro, PubMed, SPORTDiscus and Google Scholar) for reports of randomised controlled trials (RCTs) comparing exercise-only interventions with usual care. The search was performed from inception up to December 2017 with no language restriction. The effect size (ES), with its 95% confidence interval (CI), was calculated on the basis of between-group standardised mean differences. The primary endpoint was at or nearest to 8 weeks. Other outcome time points were grouped into intervals, from < 1 month to ≥ 18 months, for time-dependent effects analysis. Potential determinants were explored by subgroup analyses. Level of significance was set at P ≤ 0.10.
Results
Data from 77 RCTs (6472 participants) confirmed statistically significant exercise benefits for pain (ES 0.56, 95% CI 0.44–0.68), function (0.50, 0.38–0.63), performance (0.46, 0.35–0.57), and QoL (0.21, 0.11–0.31) at or nearest to 8 weeks. Across all outcomes, the effects appeared to peak around 2 months and then gradually decreased and became no better than usual care after 9 months. Better pain relief was reported by trials investigating participants who were younger (mean age < 60 years), had knee OA, and were not awaiting joint replacement surgery.
Conclusions
Exercise significantly reduces pain and improves function, performance and QoL in people with knee and hip OA as compared with usual care at 8 weeks. The effects are maximal around 2 months and thereafter slowly diminish, being no better than usual care at 9 to 18 months. Participants with younger age, knee OA and not awaiting joint replacement may benefit more from exercise therapy. These potential determinants, identified by study-level analyses, may have implied ecological bias and need to be confirmed with individual patient data.En ligne : https://www.sciencedirect.com/science/article/pii/S1877065719300624 Permalink : ./index.php?lvl=notice_display&id=84153 Exemplaires (1)
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Exclu du prêtPerceived barriers to and facilitators of physical activity in people with knee osteoarthritis : Development of the Evaluation of the Perception of Physical Activity questionnaire / N. Coste in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)
PermalinkPhysical activity level and association with behavioral factors in knee osteoarthritis / Chloé Gay in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)
Permalink