Search Results for: osteoarthritis

April 2013

Bone bruises and risk of knee osteoarthritis

Bone bruises are commonly associated with anterior cruciate ligament (ACL) tears, but researchers are only beginning to understand the potential clinical significance of these chondral lesions with regard to knee osteoarthritis (OA) and preventing ACL injury recurrence.

By Cary Groner

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March 2013

OSTEOARTHRITIS: Knee braces and wedged insoles both alter gait in patients with knee OA

A Taiwanese study offers more evidence that offloading knee braces and wedged foot orthoses are both associated with significant biomechanical improvements in patients with knee osteoarthritis (OA).

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March 2013

The role of varus thrust in knee osteoarthritis

Varus thrust is a characteristic of dynamic alignment that has been shown to be predictive of medial tibiofemoral structural progression. Treatments aimed at minimizing varus thrust may reduce structural progression and symptoms related to knee osteoarthritis.

By Grace Hsiao-Wei Lo, MD, MSc

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January 2013

Whole body vibration for knee osteoarthritis

Whole body vibration may help improve strength and function in patients with knee osteoarthritis and may even slow disease progression. But contradictory findings, a lack of consensus on optimal parameters, and safety issues have even WBV advocates proceeding with caution.

By Cary Groner

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June 2012

Hip strength deficits characterize both patellofemoral pain and osteoarthritis

Patellofemoral osteoarthritis (PFOA) is associated with deficits in hip abduction strength, a similarity to patellofemoral pain syndrome (PFPS) that appears to support the theory that the two conditions lie on the same continuum, according to research from the University of Calgary presented in late May at the ACSM meeting.

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March 2012

Connecting instability and ankle osteoarthritis

Not all patients with chronic ankle in­stability develop ankle osteoarthritis, but evidence suggests the two con­ditions are related, which in turn sug­gests that ankle sprain prevention and management could help reduce ankle replacement rates.

By Larry Hand

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October 2011

FUTURE SHOCK: Youth sports and osteoarthritis risk

There’s no question that exercise is good for kids. But the trauma asso­ciated with some youth sports can dramatically increase the risk that those kids will develop knee or ankle oste­oarthritis by the time they reach adult­hood. The key next step is to determine what can be done about it.

By Yvonne M. Golightly, PT, PhD, Stephen W. Marshall, PhD, and Dennis J. Caine, PhD

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March 2011

Plantar loads influence knee osteoarthritis risk

Research suggests that redirecting ground reaction forces relative to the knee joint’s rotational center can be achieved by repositioning the foot through a number of different mechanisms.

By Roy H. Lidtke, DPM, CPed

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March 2011

Limited ROM after ACL reconstruction linked to radiographic osteoarthritis

Radiographic evidence of osteoarthritis five years after anterior cruciate ligament reconstruction is significantly more likely in patients with limited range of motion—even by just a few degrees—in the operated knee, according to research presented at the AAOS meeting. Investigators from … Continue reading

September 2010

Offloading strategies for knee osteoarthritis

Altering joint alignment is associated with decreased pain and improved function. Researchers are working to explain the mechanisms underlying these effects, particularly with respect to bracing.

By Yatin Kirane, D.Orth, PhD; Rebecca Zifchock, PhD; and Howard Hillstrom, PhD

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September 2014

FDA OKs low-dose NSAID for OA pain

The US Food and Drug Administration (FDA) in August approved Iroko Pharmaceuticals’ low-dose nonsteroidal anti-inflammatory drug (NSAID) for management of osteoarthritis pain. Continue reading

September 2014

Vibration intervention helps counteract induced arthrogenic muscle inhibition

Both direct local muscle vibration (LMV) and whole body vibration (WBV) improve quadriceps arthrogenic muscle inhibition (AMI), according to a study from neuromuscular researchers at the University of North Carolina at Chapel Hill. The findings suggest vibratory stimuli can enhance …

By Emily Delzell Continue reading

September 2014

Internal vs external focus: Effects on motor learning

A growing body of research is demonstrating that the focus of actions or movements is critical to how well athletes and patients respond to feedback from instructors or clinicians, and one of the central issues is the distinction between internal focus and external focus.

By Cary Groner Continue reading

September 2014

Knee OA, BMI, and pain: A complex relationship

Excess body weight is considered by many experts to be the primary modifiable etiological factor in knee osteo­arthritis (OA) development. However, the relationship among body mass index (BMI), the anatomical manifestations of knee OA, and knee pain is not clear-cut.

By Elizabeth Weiss, PhD Continue reading

August 2014

BMI does not drop after surgical realignment for Blount disease

Surgical correction of the varus alignment that is characteristic of Blount disease does not lead to greater patient activity or reduction in body mass index (BMI), according to a recent study.

By Hank Black Continue reading

August 2014

Incline walking: An offloading option for patients with knee OA

Incline walking on a treadmill results in less frontal plane knee loading and more gluteus, hamstrings, quadriceps, and triceps surae muscle activation than level walking, and therefore may benefit patients with knee osteoarthritis or those who have undergone knee replacement.

By Henry Wang, PhD, Mason Haggerty, MS, Clark Dickin, PhD, and Jennifer Popps, PhD Continue reading

August 2014

Flexible flatfoot: Foot orthoses and outcomes

Many studies have shown an effect of foot orthoses on biomechanical function in patients with flexible flatfoot, but few studies have focused on patient-centered outcomes. There is a need to investigate the effect of foot orthoses on pain and fatigue in these individuals over time.

By Sarah A. Curran, PhD Continue reading

August 2014

Outcome studies continue to support Ponseti method

Clubfoot researchers have begun to report long-term data that continue to solidify the superiority of the conservative method over surgical intervention in most cases. But variations to the traditional Ponseti method are arising, particularly in developing countries, and may alter outcomes.

By Larry Hand Continue reading

July 2014

out on a limb: Five-year milestones

In the five years since the launch of Lower Extremity Review, some things about lower extremity healthcare haven’t changed much. Diabetes is still an epidemic. Stem cells are still the next big…

Jordana Bieze Foster, Editor Continue reading

July 2014

Studies explore statin use for lower limb indications

A growing body of research suggests that statins may help improve not just cardiovascular outcomes but also those associated with lower extremity conditions such as peripheral arterial disease and knee…

By Larry Hand Continue reading

June 2014

Biomarkers suggest link between OA, stiff landing after ACL reconstruction

Knee stiffness during landing in patients who have had anterior cruciate ligament (ACL) reconstruction is associated with biomarkers for cartilage degeneration, suggesting that a stiff landing technique may increase the risk of knee osteoarthritis…

By Jordana Bieze Foster Continue reading

June 2014

Cost-benefit data support reconstruction of ACL tears

In both the short term and the long term, anterior cruciate ligament reconstruction produced greater quality of life improvements at a lower cost compared with rehabilitation only, suggesting that limiting access to ACL reconstruction may be harmful to patients and costly to society.

By Richard C. Mather III, MD, and Lane Koenig, PhD Continue reading

June 2014

Effects of targeted exercise on chronic ankle instability

Clinicians and researchers are increasingly utilizing exercise protocols focused on improving proprioception, range of motion, and strength to influence the more active and functional deficits that have been associated with chronic ankle instability in the literature.

By Mark A. Feger, MEd, ATC, and Jay Hertel, PhD, ATC Continue reading

May 2014

Cell games: Clinical use of stem cell therapy is starting to outpace the evidence

Stem cell therapy is rapidly gaining momentum as a clinical option for indi­ca­tions including meniscal injury, wound healing, and osteoarthritis. But high-level research on the tech­nol­ogy’s efficacy and long-term safe­ty is hard to come by.

By Emily Delzell Continue reading

May 2014

Elastic therapeutic tape: Applications at the ankle

Research on the use of elastic therapeutic tape in patients with chronic ankle instability is limited, but recent findings do suggest that leaving the elastic tape on for several days is associated with improvements in…

By Janet Simon, MS, ATC; Emily Hall, MS, ATC; and Carrie Docherty, PhD, ATC Continue reading