Biomechanical Footwear for Osteoarthritic Knee Pain —Reply

In Reply Dr Lei and colleagues correctly state that the positioning of the external pods of the biomechanical footwear in our trial was individually adjusted. The treatment protocol for adjusting the pods was described in detail in Supplement 3 in the article. This is considerably more detail than most physical therapy or exercise intervention trials provide. Adjustments were done according to this protocol by experienced and trained technicians based on gait patterns and patient-reported symptoms. The attempt to shift the center of pressure in the shoe and foot laterally in patients with medial knee osteoarthritis has been a central principle of most shoe modifications and wedge insoles tested for medial knee osteoarthritis. Independent groups aiming to replicate our findings should follow the treatment protocol but will additionally need to ensure appropriate training of therapists by the manufacturer of the footwear.
Source: JAMA - Category: General Medicine Source Type: research

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CONCLUSIONS: The use of therapeutic US may provide additional benefits to physical therapy regimens in terms of symptom relief in individuals with KOA. However, it is not possible to make any meaningful recommendations for clinical practice due to the small number of applicable RCTs and the low methodological quality of the RCTs deemed eligible for this study.PMID:34535411 | DOI:10.1016/j.bjpt.2021.07.003
Source: Physical Therapy - Category: Physiotherapy Authors: Source Type: research
J Knee Surg DOI: 10.1055/s-0041-1735160This prospective randomized clinical trial assessed a novel device for initial management of knee range of motion (ROM), pain, and function after total knee arthroplasty (TKA). Primary TKA patients with preoperative ROM of at least 5° to 115° were randomized to initial knee motion management: Mizzou BioJoint Flex—novel motion-assistive device with prescribed physical therapy or standard physical therapy—prescribed physical therapy. ROM, pain score, and knee injury and osteoarthritis score for joint replacement (KOOSjr) were obtained preoperatively and 2 weeks, 6 we...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research
CONCLUSION: Based on these explorative analyses it can be concluded that sex and preoperative pain measures may influence the effectiveness of preoperative PNE for some specific outcome measures in people scheduled to undergo TKA.IMPACT: Although further research on this topic is needed, the potential influence of sex and preoperative pain measures on the effectiveness of preoperative PNE should be considered when implementing this intervention in people undergoing TKA.PMID:34459493 | DOI:10.1093/ptj/pzab197
Source: Physical Therapy - Category: Physiotherapy Authors: Source Type: research
Aging Clin Exp Res. 2021 Aug 27. doi: 10.1007/s40520-021-01963-3. Online ahead of print.ABSTRACTHypertonic dextrose prolotherapy (HDP) is an injection of a concentrated dextrose solution for the purpose of local treatment of musculoskeletal pain and possible enhancement of repair mechanisms. This systematic review and meta-analysis examines the clinical utility of HDP injection for treatment of knee osteoarthritis (OA). Randomized controlled trials (RCTs) utilizing HDP to treat knee OA were retrieved from MEDLINE, EMBASE, and Cochrane Library (CENTRAL). Identification and inclusion of RCTs utilizing intra-articular and ext...
Source: Aging Clinical and Experimental Research - Category: Geriatrics Authors: Source Type: research
J Back Musculoskelet Rehabil. 2021 Jul 30. doi: 10.3233/BMR-200287. Online ahead of print.ABSTRACTBACKGROUND: Physical therapy and exercise programs are frequently used in the treatment of knee osteoarthritis (OA). However, it is not known at what stage of knee OA it is more effective.OBJECTIVE: The purpose of this work was to determine the relationship between the effectiveness of the physical therapy and exercise programs and the radiological findings presence/grade of knee OA.MATERIAL AND METHODS: Overall, 92 patients (65F, 27M) with knee OA were enrolled in the retrospective study. Standard knee radiographs were graded...
Source: Journal of Back and Musculoskeletal Rehabilitation - Category: Orthopaedics Authors: Source Type: research
CONCLUSION: The results of this study demonstrate that the current exercise recommendations can improve function and kinesiophobia and reduce pain and AMI in individuals with PFP. There is a need for reconsideration of the current exercise guidelines in stronger individuals with PFP.PMID:34303900 | DOI:10.1016/j.ptsp.2021.05.013
Source: Physical Therapy - Category: Physiotherapy Authors: Source Type: research
This article summarizes the top 20 research studies of 2020 identified as POEMs (patient-oriented evidence that matters), including the two most highly rated guidelines of the year on gout and chronic obstructive pulmonary disease (COPD). Regarding COVID-19, handwashing and social distancing through stay-at-home orders or quarantine measures are effective at slowing the spread of illness. Use of proper face masks (not gaiters or bandanas) is also effective at preventing trans- mission. This is important because the virus can infect others during the presymptomatic phase. Aspirin can no longer be recommended for the primary...
Source: American Family Physician - Category: Primary Care Authors: Source Type: research
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