A comparative study on the influence of kinesio taping® and laser therapy on knee joint position sense, pain intensity, and function in individuals with knee osteoarthritis

زمینه و هدف: روش های توانبخشی محافظه کارانه بخش مهمی از درمان مبتلایان به استئوآرتریت زانو محسوب می شوند. هدف از این مطالعه بررسی تأثیر کینزیوتیپینگ و لیزر کم توان بر شدت درد، عملکرد و حس وضعیت زانو در این بیماران بود. روش بررسی: در این مطالعه نیمه تجربی، تعداد 26 بیمار (میانگین ± انحراف معیار سن: 6/4±5/48 سال) مرد مبتلا به استئوآرتریت یکطرفه زانو به صورت تصادفی به 2 گروه کینزیوتیپینگ (13 نفر) و لیزر کم توان (13 نفر) تقسیم شدند. هر 2 گروه در مدت زمان 10 جلسه علاوه بر درمان معمول فیزیوتراپی، پروتکل درمانی مخصوص به خود را دریافت نمودند. برای ارزیابی شدت درد، عملکرد و حس وضعیت زانو به ترتیب از مقیاس بصری سنجش درد، آزمون برخاستن و راه رفتن و روش بازسازی زاویه هدف در ابتدا و پس از اعمال مداخله درمانی استفاده شد. یافته ها: هر 2 روش به طور معنی داری باعث کاهش شدت درد، کاهش مدت زمان انجام آزمون برخاستن و راه رفتن و کاهش خطای بازسازی زاویه 60 درجه فلکشن زانو شدند (001/0P<). تغییرات میانگین خطای بازسازی زاویه هدف به طور معنی داری در گروه کینزیوتیپینگ بیشتر از گروه لیزر درمانی بود (001/0P<)، در حالی که تفاوت میانگین سایر متغیرها بین 2 گروه معنی دار نبود (05/0P>). نتیجه گیری: کینزیوتیپینگ و لیزر کم توان می توانند باعث بهبود درد، حس وضعیت زانو و عملکرد افراد مبتلا به استئوآرتریت زانو شوند؛ اگرچه اثر کینزیوتیپینگ در بهبود حس وضعیت زانو بیشتر است

Non-Aggressive Treatment in Knee Osteoarthritis Patients: A Literature Review

Introduction: High prevalence of knee osteoarthritis (OA) in Iran and the subsequent disability have resulted in representing multifarious non-aggressive interventions with distinct influences on the disease. The aim of this study was to review previous domestic studies about the effects of conservative therapeutic options on patients with knee OA. Materials and Methods: Using search engines involving IranMedex, MedLib, ISC, Google Scholar, Magiran, SID, rehabilitation, and medical journals based on defined keywords, 98 Persian language articles were found, and 37 studies were finally included in our study after applying the exclusion criteria. The type of study, the pattern of choosing subjects, patient information, the measurements, interventions, and the results were exploited from each article, and the physiotherapy evidence database (PEDro) scale was administrated to evaluate the studies. Results: Based on analysis of PEDro scale results (Mean±SD for articles score: 5.89±1.29), the quality of most articles was as fair and good. The focus of conservative treatments was on exercise therapy methods, assistive devices, and physical therapy management. From a clinical perspective, the evidence indicates the appropriate effects of such treatment choices on alleviating pain, enhancing function, and improving quality of life in individuals with knee OA. Conclusion: Most conservative methods can reduce pain, and improve quality of life and physical performance in patients with knee OA. However, further high-quality studies with larger sample sizes and long-term follow-ups are required to determine whether knee OA can be managed by conservative methods

The Effects of Resistance Exercises and Yoga on the Life Quality and the Muscle Strength of Patients with Knee Osteoarthritis: A Systemic Review of the Previous Literatures

Background & Objective: Knee osteoarthritis (OA) is a common musculoskeletal disorder in elderly population leading to pain, disability, muscle weakness, and decreasing quality of life (QOL). The objective of the present study was to investigate the effects of land-based exercise therapy intervention on QOL and muscle strength in patients with knee OA in previous researches. Materials & Methods: English literature associated with the effects of land-based therapeutic exercise methods were extracted from Medline, PubMed, CINAHL, Medlib, IrMedex, Magiran, Spring link, Scopus, Cochrane, and Science Direct databases since 2000 to 2016. After applying inclusion and exclusion criteria, 11 articles remained to be reviewed. Results: There were 1200 patients (Mean ± Standard deviation 64.5±4.7 years of old) with knee OA in those eleven studies. Generally, two interventions were administrated for such patients including exercise therapy and Yoga. The most common treatment outcome measurements involved Western Ontario and McMaster Universities Arthritis Index (WOMAC), Short Form 36 (SF-36), and strength. Conclusion: Although it was impossible to compare the results of the eleven studies due to inconsistency in outcome measurements and their units to introduce the most effective therapeutic intervention for improvement of QOL in individuals with knee OA, the positive effect of land-based exercise therapy on signs and symptoms of such disorder was confirmed

The Comparison of Actual and Sham Kinesio Taping on Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial

Background and Objectives: In clinical conditions, it has been shown that Kinesio Taping (KT) is effective for many musculoskeletal disorders, but its effect on chronic low back pain (CLBP) has not been well studied. The purpose of this study was to compare the effects of sham and actual KT in patients with non-specific CLBP. Methods: In this single-blind controlled clinical trial, the statistical sample size was 40 patients with non-specific CLBP. The subjects of experimental group (N=20; mean age, 48.6 years) received KT for paravertebral muscles with 10-15% tension in 8 sessions (during 4 weeks); while in control group (N=20, mean age, 50.3 years), KT was applied without tension in the same period of time. The primary variables included pain intensity and CLBP-related disability following a 4-week intervention; however, secondary variables were intensity of pain and disability, 12 weeks after the end of intervention. The data analysis was performed using descriptive statistical tests and linear analysis of variance. Results: In this study, KT application with tension caused no significant change in pain intensity and disability (4 weeks after intervention) (p>0.05). Also, no significant between-group difference was observed for the measured variables (p>0.05). Conclusion: Based on the results of this study, application of KT with tension to generate skin convolutions was not more effective compared to its application without tension. These results may challenge the suggested mechanisms for effectiveness of KT. Therefore, further researches are required to resolve this challenge. &nbsp

Comparison of the Effects of Vibration Technique and Resistive Exercise on Knee Pain and Proprioception in Patients with Chondromalacia Patellae

Abstract: Background & Aims: Chondromalacia patella is one of the chronic dysfunctions of the patella femoral joint which is the most common anterior knee syndrome especially among the youth. Muscle weakness and proprioception deficit are the subsequent problems of this dysfunction. Thus, the aim of this study was the investigation and comparison of the effects of vibration training and resistive exercise on this disorder. Methods: In the present study, 35 men (mean ± standard deviation of: age = 22.6±2.9 years, height = 175.5±8.3 cm, and weight =77.6±9.3 kg) were selected via convenience sampling and randomly assigned to three groups, including the vibration technique (n=12), resistive exercise (n=12), and control (n=11). The first two groups followed their own specific protocol 3 days per week for 8 weeks, and were forbidden from participating in any sport or physical activity. Pain intensity and active angle reproduction error (AARE) for 45? knee flexion were assessed using Visual Analogue Scale (VAS) and the Biodex system. Results: The pain and AARE were decreased significantly in both experimental groups in comparison to the control group (P<0.001). However, in patients who performed vibration training, pain (P<0.001) and AARE (P?0.001) decreased more significantly than those treated with resistive exercise. Conclusion: It can be concluded that both therapeutic interventions can reduce pain and improve proprioception in patients with chondromalacia patella; however, the vibration technique has more suitable effects. Keywords: Chondromalacia patella, Vibration technique, Resistive exercise, Proprioceptio

Comparison of the Effects of Therapeutic exercise and Pilates Training on Function and Proprioception in Patients with Knee Osteoarthritis: A Randomized Controlled Trial

Objective: Knee Osteoarthritis (OA) as one of the most prevalent musculoskeletal disorders, leads to joint degeneration and consequent deterioration of function and proprioception. The aim of this study was to investigate the effects of Pilates exercise on knee OA. Materials & Methods: Forty-one male individuals were randomly categorized into three groups, including Pilates, conventional exercise therapy, and control. Proprioception, objective assessment of functional performance, and patients’ pain and disability were examined using Biodex system, aggregate time of four activities of daily living, and Lequesne Index. Descriptive statistical, One-Way ANOVA, and Scheffe test were utilized to analyze the data (P<0.05). Results: The result of descriptive analysis of demographic data was as follow: (Mean±SD: Age 52.1±8.9 years, Time of knee OA involvement 23.3±11.2 months). While there was no significant (P>0.05) difference between the experimental groups in improving of functional status and angle reproduction error, they both resulted in more significant (P<0.001) influence than the control. However, significant improvement (P<0.001) in Lequesne Index was gained by participants who followed the exercise protocols, but the Pilates technique had more significant (P<0.05) effects. Conclusion: Pilates training can improve functional ability and proprioception in patients with knee OA. Further studies are required to find out the mechanism

The Effects of Various Exercise-Based Interventions on Non-Specific Chronic Low Back Pain: A Systemic Review on Persian Studies

Introduction: Conservative treatment of patients with non-specific chronic low back pain (NCLBP); especially as exercise-based interventions, is a main part of rehabilitation program for such patients. This review study was designed to investigate the influences of exercise-based therapeutic intervention on patients with NCLBP in Persian studies. Materials and Methods: ISC (Islamic World Science Citation Center), Magiran, IranMedex, SID, and MedLib were selected as searching motor engines by using keywords including NCLBP, exercise-based therapy, Therapeutic exercise, Exercise therapy, and Corrective exercise training. Studies which used patients with acute or specific low back pain as subjects were excluded from the review process. Results: From 35 articles found, ten articles included in our study. They mainly concentrated on the effects of core stabilizing exercises and Pilates training on pain intensity, disability, function, balance, lumbar flexor and extensor muscles’ endurance, and electrical activity of abdominal and spinal muscles in individuals with NCLBP. Positive effect of core stabilizing exercises and Pilates training method on above-mentioned variables is confirmed in the literature. Conclusion: Exercise-based therapeutic interventions; especially as core stabilizing exercises or Pilates training can lead to reducing pain and improving function in patients with NCLBP; although designing and implementing clinical trials studies is essential due to relative poor quality of present articles to achieve more valid results

مطالعه تأثیر ماساژ سوئدی و حرکت درمانی بر سندرم درد کشککی- رانی

مقدمه: سندرم درد کشککی- رانی یکی از شایع‌ترین اختلالات مفصلی است که با درد جلوی زانو و ضعف عضله پهن داخلی مایل شناخته می‌شود. هدف از این مطالعه، بررسی و مقایسه تأثیر ماساژ سوئدی و تمرینات کششی- تقویتی بر علایم این بیماران بود. مواد و روش‌ها: تعداد 36 بیمار مرد مبتلا به سندرم درد کشککی- رانی به صورت تصادفی در سه گروه ماساژ، حرکت درمانی و شاهد قرار گرفتند. دو گروه تجربی اول به مدت 8 هفته پروتکل درمانی مربوط به خود را دریافت نمودند، در حالی که گروه شاهد هیچ گونه برنامه درمانی را دنبال نکرد. از مقیاس بصری سنجش درد در حالت استراحت و آزمون 6 دقیقه راه رفتن به ترتیب جهت اندازه‌گیری میزان درد و ارزیابی عملکرد آزمودنی‌ها پیش و پس از اعمال مداخله درمانی استفاده شد. یافته‌ها: میزان درد در دو گروه تحت درمان با ماساژ سوئدی و تمرینات تقویتی– کششی نسبت به گروه شاهد به طور معنی‌داری کاهش یافت (0/001 > P)، در حالی که این میزان کاهش درد در آزمودنی‌های گروه ماساژ درمانی به طور معنی‌داری بیشتر از گروه حرکت درمانی بود (0/001 > P). هم چنین مسافت طی شده در مدت زمان 6 دقیقه، در بیماران هر دو گروه ماساژ سوئدی و تمرین درمانی به طور معنی‌داری نسبت به گروه شاهد افزایش پیدا کرد (0/001 > P)، ولی تفاوت معنی‌داری بین گروه ماساژ درمانی و گروه حرکت درمانی وجود نداشت (0/05 < P).  نتیجه گیری: بر اساس یافته‌های پژوهش حاضر می‌توان نتیجه گرفت که ماساژ سوئدی و تمرینات تقویتی– کششی اثرات مشابهی بر علایم سندرم درد کشککی- رانی دارند، اگر چه ماساژ نسبت به حرکت درمانی بیشتر باعث کاهش درد این بیماران می‌شود. کلید واژه‌ها: سندرم درد کشککی– رانی، ماساژ سوئدی، تمرینات کششی- تقویتی، عضله پهن داخلی مای

The comparison of the effects of neuromuscular electrical stimulation and Kinesio Taping on ankle swelling in athletes with lateral ankle sprain

Abstract Purpose Ankle swelling (AS) is one of the main complaints in athletes with a lateral ankle sprain (LAS) in the acute phase. Reducing AS may help the athlete to return to training faster. The purpose of this study was to evaluate the efficacy of Kinesio Taping® (KT) and neuromuscular electrical stimulation (NMES) in reducing AS in athletes with a LAS. Methods Thirty‐one athletes with a unilateral ankle sprain from various sports were allocated to either KT (N = 16; mean age of 24.1 years) or NMES (N = 15; mean age of 26.4 years) groups. KT was applied over the medial and lateral ankle surfaces in the Fan cut pattern for five consecutive days; however, NMES was applied to the tibialis anterior and gastrocnemius muscles for 30 min. Outcome measures to assess the extent of AS included volumetry, perimetry, relative volumetry, and the difference in both ankles’ volumetry and perimetry at baseline, after the interventions, and 15 days following the treatment completion. Results The results of the mixed model repeated measures ANOVA demonstrated no significant difference between the two groups in mean changes in outcomes over pre‐ and post‐interventions as well as follow‐up periods (P > 0.05). Conclusions None of the KT and NMES methods could reduce acute AS in athletes with LAS. Further studies are needed in this area of research that consider changes in treatment protocol given the variety of NMES approaches and KT applications that can be used in recovery from an ankle sprain