Up to a third of patients with total knee arthroplasty (TKA) experience a fall within 6 months to a year after surgery, but a new study suggests that physical therapists (PTs) can reduce this risk by targeting specific deficits for intervention.
Researchers followed 134 individuals at a Hong Kong hospital for 6 months after TKA to determine falls frequency, circumstances, and risk factors. All patients had been referred for outpatient rehabilitation. The individuals were all between the ages of 50 and 85 with a primary diagnosis of knee osteoarthritis (OA). Results were published in the September issue of PTJ(Physical Therapy).
Participants attended physical therapy 1-2 times per week for 8-10 weeks, beginning 2 weeks after surgery. Sessions included electrotherapy, mobilizing and strengthening exercises, and gait and balance training. At 4 weeks postsurgery, PTs evaluated knee proprioception, balance, knee pain, knee extension and flexion muscle strength, range of motion, and balance confidence. Patients also were given a log book to record any falls. After the evaluation, authors followed up monthly to ask participants about any falls they may have experienced.
Rheumatoid arthritis can affect the ankle joints in a similar way to other joints, causing stiffness, swelling, and pain.
Most often, rheumatoid arthritis or RA affects the hands and feet, but, less commonly, it can also affect the ankles.
The condition typically impacts on smaller joints first, such as the toe joints in the foot. It may then move to larger joints, such as the ankles. RA in the ankles can impede walking and cause considerable discomfort.
In this article, we take a close look at how RA affects the ankles, including the symptoms, and how people can relieve pain and swelling.
Exercise is safe for people with Multiple Sclerosis (MS) and is necessary to combat the secondary deconditioning resulting from MS-related weakness and fatigue. The goals of this CEU course include reviewing the importance of physical fitness in persons with MS, examining if self-efficacy and physical activity have relationships with quality of life (QOL) in individuals with MS, investigating the perception of barriers and facilitators to exercise for those with MS, and comparing the effects of Pilaties, static stretching, and elastic bands resistance training.
Childhood obesity is one of the most serious public health challenges of the 21st century. Problems during the childhood and adolescence phases of the human development, during which the adult bone mass density is determined, could compromise bone health in adulthood. The goal of this CEU course is to analyze the relationship between abdominal adipose tissue and bone mineral density (BMD) in obese children and adolescents.
The major objectives of rehabilitation after total knee arthroplasty (TKA) are the early regain of range of motion (ROM) and mobilization of the patient. The goals of this CEU course are to investigate the effect of the knee position during wound closure on early knee function recovery after TKA and the validity and effectiveness of rehabilitation techniques and physical therapies before and after TKA.
Coccydynia is a painful and incapacitating condition in the early post-partum period. The goal of this CEU course is to determine the effect of Muscle Energy Technique (MET) in treating post-partum coccydynia. This course is based off of an open access article from the Journal of Physical Therapy and Rehabilitation.
The goal of this CEU course is to establish the physiotherapy treatment of Patellofemoral Pain Syndrome and examine the barriers that stop physiotherapists from increasing strength and flexibility and the contradictions of physiotherapists beliefs regarding their practice.
Cerebral palsy (CP) is the most common lifelong disability affecting motor development in children. The goals of this CEU course are to investigate spastic hemiparesis recovery after intensive technology-enhanced physical rehabilitation; the effects of manipulating object shape, size, and weight combined with hand-arm bimanual intensive training; the effects of modified Constraint Induced Movement Therapy (CIMT); and the effects of repetitive Transcranial magnetic stimulation (rTMS).
Limitations in ankle dorsiflexion have been associated with balance dysfunction and the development of altered gait patterns. The goal of this CEU course is to investigate the relationship of ankle dorsiflexion, measured in non-weight bearing and weight bearing positions, to balance and gait performance in healthy young and older adults.
Parents and coaches need to be educated on the risks and signs of overuse injuries common in children who specialize in a single sport at a young age, say authors of a recent research review published in the American Journal of Sports Medicine. Surgery, they concur, should not be the first-line treatment for such injuries.
An increasing number of children are focusing on 1 sport early, often because parents and coaches are enticed by the possibility of scholarships and professional participation, “increasing emphasis on sports accomplishment,” and perceived value of elite competition, authors note. But the evidence, say authors, suggests that children who wait until age 12 or older to specialize in 1 sport or begin intense training reach higher levels of athletic achievement than those who specialize at a younger age.
In general, say authors, young athletes’ “underdeveloped musculature” and still-growing bones make them prone to overuse injuries such as rotator cuff tendinitis, shoulder instability, humeral epiphysiolysis, knee and elbow ligament injuries, hip impingement, and stress fractures, among others. The strain to a developing body also may increase their risk of injury as adults.
Rett syndrome (RTT) is a rare disease but still one of the most abundant causes for intellectual disability in females. The goals of this CEU course are to explore the known changes in metabolite levels, gene expression, and biological pathways in RTT, as well as examine the developmental skills in classic RTT vs. atypical RTT. This course is based on an articles by BioMed Central Ltd.
Difficulties in walking of Diabetes Neuropathy (DN) patients results in higher risk of falling and injuries. The goal of this CEU course is to investigate the recruitment of Task-Oriented (TO) motor training to determine influences on the gait characteristics of DN patients as an alternative to the traditional gait training. This course is based on an article by BioMed Central Ltd.
Authors of a new meta-analysis say there’s little doubt that exercise and psychological interventions, used alone or in combination, are superior to pharmacological approaches in the treatment of cancer-related fatigue (CRF). But evidence pinpointing just what kind of exercise, the specific psychological approach, and the right combination of the 2 is much harder to come by.
The analysis, originally published in JAMA Oncology but recently released for public access by the US Department of Health and Human Services, evaluated 113 studies involving 11,525 participants in research that evaluated the effectiveness of treatment approaches to CRF. Authors of the JAMA report limited their review to what they described as the 4 most common approaches: exercise, psychological interventions, a combination of exercise and psychological interventions, and pharmacologic interventions. The studies, all of which authors say were of “good quality,” were conducted between 1999 and 2016.
What is your immediate response to the word: fibromyalgia?
Perhaps there’s a subconscious bias? Leaning for, against, or on the fence, regards this divisive condition.
Throughout my time as a healthcare professional I’ve seen a clear divide in opinions on Fibromyalgia Syndrome (FMS); both from diagnosed patients and clinicians. Receiving a formal diagnosis can take a long time (Macfarlane et al., 2016) and often sufferers are bounced to and from specialities, as the intricacies of their symptoms don’t quite fit into the linear moulds a healthcare system would possibly find easier to manage.
Work-related symptoms in the neck and shoulders are common among occupational computer users and other sedentary occupations. The goals of this CEU course are to understand the impact of neck pain and the strategies office workers use to manage their pain, and to investigate the effect of workplace neck / shoulder strength training on neck / shoulder pain and headache among office workers.
Plantar fasciitis is the most common cause of heal pain and many treatment options are available. This CEU course provides an overview on the physical and medical definitions of shock waves, as well as gives a detailed assessment of the quality and significance of studies on extracorporeal shock wave therapy (ESWT) in patients with plantar fasciopathy (PF).