Knee

Publication Title: 
Journal of Traditional and Complementary Medicine

To evaluate whether the use of traditional Chinese medicine (TCM; zh?ng y?) influences symptoms or functional outcomes in patients with osteoarthritis (OA) of the knee ( x? gu?n jié yán). A systematic review of randomized control trials was conducted. Searches for studies in PubMed that were performed between 1965 and August 2013, and retrieved studies were subjected to reference screening.

Author(s): 
Hou, Pu-Wei
Fu, Pin-Kuei
Hsu, Hsin-Cheng
Hsieh, Ching-Liang
Publication Title: 
Osteoarthritis and Cartilage

OBJECTIVE: To compare the effectiveness of acupuncture with other relevant physical treatments for alleviating pain due to knee osteoarthritis. DESIGN: Systematic review with network meta-analysis, to allow comparison of treatments within a coherent framework. Comprehensive searches were undertaken up to January 2013 to identify randomised controlled trials in patients with osteoarthritis of the knee, which reported pain. RESULTS: Of 156 eligible studies, 114 trials (covering 22 treatments and 9,709 patients) provided data suitable for analysis.

Author(s): 
Corbett, M. S.
Rice, S. J. C.
Madurasinghe, V.
Slack, R.
Fayter, D. A.
Harden, M.
Sutton, A. J.
Macpherson, H.
Woolacott, N. F.
Publication Title: 
Physiotherapy Theory and Practice

BACKGROUND: Knee osteoarthritis (OA) is a leading cause of disability in older adults (?60) in the UK. If nonsurgical management fails and if OA severity becomes too great, knee arthroplasty is a preferred treatment choice. Preoperative physiotherapy is often offered as part of rehabilitation to improve postoperative patient-based outcomes. OBJECTIVES: Systematically review whether preoperative physiotherapy improves postoperative, patient-based outcomes in older adults who have undergone total knee arthroplasty (TKA) and compare study interventions to best-practice guidelines.

Author(s): 
Chesham, Ross Alexander
Shanmugam, Sivaramkumar
Publication Title: 
Journal of Traditional and Complementary Medicine

To evaluate whether the use of traditional Chinese medicine (TCM; zh?ng y?) influences symptoms or functional outcomes in patients with osteoarthritis (OA) of the knee ( x? gu?n jié yán). A systematic review of randomized control trials was conducted. Searches for studies in PubMed that were performed between 1965 and August 2013, and retrieved studies were subjected to reference screening.

Author(s): 
Hou, Pu-Wei
Fu, Pin-Kuei
Hsu, Hsin-Cheng
Hsieh, Ching-Liang
Publication Title: 
British Journal of Sports Medicine

IMPORTANCE: Patellofemoral pain (PFP) is both chronic and prevalent; it has complex aetiology and many conservative treatment options. OBJECTIVE: Develop a comprehensive contemporary guide to conservative management of PFP outlining key considerations for clinicians to follow. DESIGN: Mixed methods. METHODS: We synthesised the findings from six high-quality systematic reviews to September 2013 with the opinions of 17 experts obtained via semistructured interviews.

Author(s): 
Barton, Christian John
Lack, Simon
Hemmings, Steph
Tufail, Saad
Morrissey, Dylan
Publication Title: 
The Journal of Bone and Joint Surgery. American Volume

BACKGROUND: The experience of undergoing surgery is known to induce a short-term, fight-or-flight physiological stress response. As an optimum immune response at the site of surgery would enhance tissue repair, we examined surgical stress-induced immune cell redistribution profiles as predictors, and potential mediators, of short and long-term postoperative recovery. We tested the a priori hypothesis that predefined adaptive immune cell redistribution profiles observed during surgery will predict enhanced postoperative recovery.

Author(s): 
Rosenberger, Patricia H.
Ickovics, Jeannette R.
Epel, Elissa
Nadler, Eric
Jokl, Peter
Fulkerson, John P.
Tillie, Jean M.
Dhabhar, Firdaus S.
Publication Title: 
Anesthesia and Analgesia

In 21 patients given sevoflurane anesthesia, we simultaneously compared the abilities of Bispectral Index (BIS) and rapidly extracted auditory evoked potentials index (AAI) to display the effect of an increasing cerebral concentration of sevoflurane, with and without noxious stimulation. In addition to BIS/AAI, hemodynamic variables were monitored. After titrating sevoflurane to BIS = 50-55 during 15 min, the end-tidal concentration of sevoflurane (1.46% +/- 0.20%) was doubled followed by a noxious stimulus, laryngoscopy, applied at random time points within the following 15 min.

Author(s): 
Ekman, A.
Brudin, L.
Sandin, R.
Publication Title: 
International Journal of Dermatology

BACKGROUND: Prayer marks (PMs) are asymptomatic, chronic skin changes that consist mainly of thickening, lichenification, and hyperpigmentation, and develop over a long period of time as a consequence of repeated, extended pressure on bony prominences during prayer. METHODS: Three hundred and forty-nine Muslims and 24 non-Muslims were examined for the appearance of PMs at different body sites.

Author(s): 
Abanmi, Abdullah A.
Al Zouman, Abdulrahman Y.
Al Hussaini, Husa
Al-Asmari, Abdulrahman
Publication Title: 
International Journal of Dermatology

BACKGROUND: Prayer marks (PMs) are asymptomatic, chronic skin changes that consist mainly of thickening, lichenification, and hyperpigmentation, and develop over a long period of time as a consequence of repeated, extended pressure on bony prominences during prayer. METHODS: Three hundred and forty-nine Muslims and 24 non-Muslims were examined for the appearance of PMs at different body sites.

Author(s): 
Abanmi, Abdullah A.
Al Zouman, Abdulrahman Y.
Al Hussaini, Husa
Al-Asmari, Abdulrahman
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVE: The objective of this study was to determine whether prolotherapy, an injection-based complementary treatment for chronic musculoskeletal conditions, improves pain, stiffness, and function in adults with symptomatic knee osteoarthritis (KOA) compared to baseline status. DESIGN: This was a prospective, uncontrolled study with 1-year follow-up. SETTING: The study was conducted in an outpatient setting. PARTICIPANTS: Adults with at least 3 months of symptomatic KOA, recruited from clinical and community settings, participated in the study.

Author(s): 
Rabago, David
Zgierska, Aleksandra
Fortney, Luke
Kijowski, Richard
Mundt, Marlon
Ryan, Michael
Grettie, Jessica
Patterson, Jeffrey J.

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