Effect of isometric quadriceps exercise on local microcirculation of the infrapatellar fat pad in female patients with knee osteoarthritis.

OBJECTIVE: To elucidate the local microcirculation of the infrapatellar fat pad (IFP) in patients with knee osteoarthritis (KOA) by determining the changes in IFP hardness and hemoglobin concentration during isometric quadriceps exercise (IQE). DESIGN: In this observational cross-sectional study, patients diagnosed with bilateral KOA were included in the KOA group (30 knees), healthy older adults in the control group (20 knees), and younger adults in the young group (20 knees). Ultrasonography was performed at rest and during IQE to measure IFP hardness based on shear wave velocity. Near-infrared spectroscopy was performed to measure oxygenated hemoglobin (O2Hb), deoxygenated hemoglobin (HHb), and total hemoglobin (cHb) in the IFP before (Baseline), during (IQE task), and after IQE (Post). IFP hardness and O2Hb, HHb, and cHb concentration were analyzed using a linear mixed model for the groups and measurement points. RESULTS: During IQE, IFP hardness changes were significantly less in the KOA group than in the other groups (KOA: 95 % confidence intervals (CIs) [-0.854, 0.028]; control: 95 % CI [-0.941, -0.341]; and young: 95 % CI [-2.305, -1.706]). In the KOA group, O2Hb concentration exhibited no significant changes at Post compared with Baseline; however, significant changes were observed in the other groups (KOA: 95 % CI [-1.176, 0.423]; control: 95 % CI [-1.452, -0.276]; and young: 95 % CI [-4.062, -2.102]). CONCLUSIONS: During IQE, changes in hardness and hemoglobin concentration in the IFP were not significant in the KOA group, suggesting impaired local microcirculation of the IFP.

Effectiveness of prehabilitation during neoadjuvant therapy for patients with esophageal or gastroesophageal junction cancer: a systematic review.

Progression of the physical weakness during neoadjuvant therapy (NAT) in patients with esophageal or gastroesophageal junction cancer is a serious problem; however, prehabilitation during NAT has the potential to overcome the unmet need. Nevertheless, systematic reviews on this topic have not been summarized. Therefore, this systematic review aimed to determine prehabilitation's effectiveness, acceptability, and safety during NAT for patients with esophageal or gastroesophageal junction cancer. An electronic search was performed in the MEDLINE, Web of Science, CENTRAL, CINAHL, and PEDro databases. A meta-analysis was conducted to assess the effectiveness of prehabilitation during NAT, along with a descriptive analysis of acceptance and safety. This study analyzed data from three randomized controlled trials (RCTs) and nine non-RCTs involving 664 patients. The meta-analysis of two RCTs demonstrated that prehabilitation during NAT may be more effective than usual care in enhancing tolerance to NAT and grip strength; moreover, one RCT and three non-RCTs revealed that prehabilitation may reduce the risk of postoperative complications. The adherence rates for exercise programs in two RCTs and seven non-RCTs were 55-76%. Additionally, two studies reported a 76% adherence rate for multimodal prehabilitation programs, including exercise, dietary, and psychological care. Six studies reported no serious prehabilitation-related adverse events during NAT. Prehabilitation during NAT may be a safe and beneficial intervention strategy for patients with esophageal or gastroesophageal junction cancer. However, the investigation of strategies to enhance adherence is essential. Furthermore, additional high-quality RCTs are needed to examine the effect of prehabilitation during NAT.

Pre-treatment methods for stable oxygen and carbon isotope analyses of structural carbonates of bones in marine teleost fishes.

RATIONALE: Although the proportion of structural carbonates in vertebrate bones is low, the values of isotopes, namely stable oxygen (δ18 O) and carbon (δ13 C), in structural carbonates provide environmental and physiological information, which can be beneficial for estimating the palaeontological and ecological parameters of vertebrates. However, a few studies have analysed the isotopes of structural carbonates in modern teleost fishes, and a well-developed protocol for sample preparation is lacking. METHODS: We examined different pre-treatment methods of preparing bone samples of three marine teleost fishes (Japanese flounder, Pacific bluefin tuna and yellowtail) and investigated the effects of the cleaning methods on the stable isotope values of structural carbonates among vertebrae in the same individual. Isotope values were analysed using isotope ratio mass spectrometry. RESULTS: Physical cleaning was the most promising pre-treatment method and resulted in δ18 O values that were comparable to those of otoliths. Chemical treatments with NaOH and H2 O2 changed the percentage of structural carbonates in the bone and affected δ18 O and δ13 C values. High-temperature treatments, such as boiling and roasting, altered δ18 O values due to the exchange of oxygen with environmental water or vapour. CONCLUSIONS: Our results suggest that chemical cleaning methods used to prepare bone phosphate or collagen samples for isotope analyses are not suitable for structural carbonates. Physical cleaning is the appropriate pre-treatment method for analysing the isotopes of structural carbonates. Also, we emphasise that standardising the vertebral number is necessary to make δ13 C values comparable between specimens in the same species.

mHealth for the Self-management of Knee Osteoarthritis: Scoping Review.

BACKGROUND: Educating patients on the self-management of knee osteoarthritis (OA) reportedly reduces pain, improves activities of daily living, and even reduces health care costs. OBJECTIVE: This scoping review will summarize the current evidence on mobile health (mHealth) and smartphone app-based disease self-management for patients with knee OA. METHODS: PubMed, Web of Science, the Cochrane Central Register of Controlled Trials, and CINAHL were systematically searched in May 2021 using the keywords "knee osteoarthritis," "mobile health," and "self-management." Studies that investigated patients with knee OA based on radiography or clinical diagnosis were included. The following criteria were applied to the mobile phone apps included in the search-derived studies: the ability to (1) record and manage symptoms, (2) provide patient education, and (3) guide and record activities of daily living. Studies eligible for inclusion in this scoping review were interventional trials or observational studies published in English. RESULTS: This scoping review included 8 reports, of which 3 were randomized controlled trials and 1 was a conference abstract. Most studies provided data on the outcomes of pain, physical function, and quality of life. CONCLUSIONS: An increasing number of reports are addressing the effectiveness of mHealth in patients with knee OA, and the data suggest that mHealth efficacy is similar to conventional management of health. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.17504/protocols.io.buuxnwxn.

Effect of lumbar lordosis angle on the development of lumbar spondylolysis in adolescent baseball players: A cross-sectional study.

BACKGROUND: Lumbar spondylolysis (LS) is a lumbar vertebral arch stress fracture that often occurs in adolescent athletes, especially baseball players. An increase in lumbar lordosis angle (LLA) increases the compressive stress on the vertebral arch, influencing the development of LS. However, the effect of LLA on LS development in adolescent baseball players is unknown. Therefore, it is necessary to elucidate the risk factors that influence the development of LS. This cross-sectional study aimed investigate the effect of LLA on LS development in adolescent baseball players. METHODS: Patients were male baseball players aged 11-18 years who visited an orthopedic clinic with a chief complaint of lumbar pain and underwent a magnetic resonance imaging (MRI) examination between January 1, 2018, and October 31, 2021. LLA was defined as the angle formed by the line parallel to the superior endplate of the L1 and S1. A person other than the data analyst measured LLA three times from the MRI, and the average value was used for data analysis. Logistic regression analysis was performed, with the presence or absence of LS as the objective variable and LLA, age, and previous pitching experience as explanatory variables. RESULTS: Of the 112 subjects included, 79 were in the LS group and 33 in the non-LS group. The LLA was 45.42 ± 8.19° in the LS group and 36.68 ± 8.26° in the non-LS group, with significant differences between the groups. Logistic regression analysis showed that LLA significantly differed with an odds ratio of 1.140 (95% confidence interval: 1.070-1.21), even after adjusting for age and previous pitching experience. CONCLUSIONS: LLA in adolescent baseball players was significantly greater in the LS group than in the non-LS group, which may influence the development of LS.

Significance of sea entry pathway of chum salmon Oncorhynchus keta fry, inferred from the differential expressions of Na+,K+-ATPase α-subunit genes in the gills.

Na+,K+-ATPase (NKA) α-subunit 1a (α1a) and 1b (α1b) gene expressions in the gills are changeable in response to ambient salinity in a few salmonids. In this study, the expressions were compared among ambient salinities and used to infer sea entry migration of chum salmon Oncorhynchus keta fry. The expression of α1a decreased from the 2 days after seawater (SW) transfer from freshwater (FW) and was significantly lower in SW-acclimated fry than that in FW-fry. On the other hand, the expression of α1b peaked on the first to second day after SW transfer and then settled to a level 2-fold higher than in FW-fry. In fry caught in the waterfronts of the beaches, the expression levels were quite similar to those on the first and second days after SW transfer, whereas, in fry caught off beach, the expressions were identical to those of SW-acclimated fry. These suggest that fry adapt to SW with moving along the shoal in the bay, and move to off beach after completing SW adaptation. One of the physiological significances in a usage of waterfront may be to transform the gills to SW type. Only fry on the 2 days after SW transfer failed to exhibit condition factor-dependency of burst swimming, probably due to physiological perturbation, which may be related to poor predation avoidance. The physiological approach used in this study inferred sea entry migration of fry; furthermore, it shows the possible significance of adaptation to SW in the shoal is to reduce predation risk.

Relationship between Tissue Gliding of the Lateral Thigh and Gait Parameters after Trochanteric Fractures.

Trochanteric fractures lead to severe functional deficits and gait disorders compared to femoral neck fractures. This study aims to investigate gait parameters related to gliding between tissues (gliding) after trochanteric fracture (TF) surgery. This study implemented a cross-sectional design and was conducted amongst patients who underwent TF surgery (n = 94) approximately three weeks post-trochanteric fracture surgery. The following parameters were evaluated: (1) gliding between tissues; (2) lateral femoral pain during loading; (3) maximum gait speed; (4) stride time variability and step time asymmetry as measures of gait cycle variability; (5) double stance ratio and single stance ratio for assessment of stance phase, (6) jerk; and (7) Locomotor rehabilitation index as a measure of force changes during gait. The gliding coefficient was significantly correlated with lateral femoral pain (r = 0.517), jerk root mean square (r = -0.433), and initial contact-loading response jerk (r = -0.459). The jerk of the force change value during gait was also effective in understanding the characteristics of the gait in the initial contact-loading response in patients with trochanteric fractures. Additionally, gliding is related not only to impairments such as pain but also to disabilities such as those affecting gait.

Straightforward upriver migration to spawning sites by chum salmon Oncorhynchus keta homing to coastal short rivers in the Sanriku region.

In chum salmon (Oncorhynchus keta) homed to the Sanriku region, Japan, most of the fish are matured in bays and spawn near river mouths in coastal short rivers; therefore, their upriver migration is extremely short, but their behavioural characteristics have remained unknown. Upriver migration in the Otsuchi River, a typical coastal river, was evaluated from behavioural and physiological aspects. Homing salmon tracked in Otsuchi Bay held in the inner bay for less than 1 day to more than 10 days before river entry. The varied holding duration was negatively correlated with plasma 17α, 20ß-dihydroxy-4-pregnen-3-one (DHP) concentration, an indicator of maturation. After river entry, however, most fish were captured in weirs near the river mouths within 2 days regardless of the DHP concentration. Of the 34 fish released in the river, on the contrary, eighteen and five fish were seen next day in the main spawning sites located at c. 1.5 km upstream and in the branch creek, respectively, and 85% of the fish held position there until their death. The mean survival time of released fish was 5.8 days. Plasma DHP level suggested that preparations for spawning were already completed at the timing of the release. Taken together, homing salmon completed spawning preparation in the bay, and then they moved to their spawning sites immediately after river entry and spawned there during their short remaining life. This upriver migration contrasts with those of other populations, such as early migrants and long river migrants, whose maturation is completed during upriver migration.

Relationships between maturational status and migration behavior of homing chum salmon Oncorhynchus keta in inner bays of the Sanriku coast.

The correlations among gonad maturity and various homing behaviors of chum salmon, Oncorhynchus keta, were evaluated using acoustic tracking of tagged fish in Otsuchi Bay, Japan. There was a negative correlation between the time duration from release of tagged fish until river entry and the plasma 17α, 20ß-dihydroxy-4-pregnen-3-one (DHP) levels, an indicator of final maturation. Females with high DHP entered the rivers soon after the release, whereas females with low DHP (<10 ng/ml) took a few days to more than one week until river entry. Similar correlation was also found in males. A pattern of river entry correlated with maturational conditions was also observed in fish entering the rivers of neighboring bays. DHP concentrations of fish caught in the rivers were consistently higher. On the other hand, more than half of released salmon departed from the bay regardless of their plasma DHP level, suggesting that maturational status does not force homing adults to enter the most available nearest rivers. Fish entering the rivers experienced ambient temperatures less than 8 °C, which is approximately 5 °C lower than that of the bay. These results indicate that homing salmon hold their position in the bay until just before spawning, which may be attributable to low temperature avoidance. This characteristic type of river entry may be suitable to geographical features and thermal regimes of this region.

Chum salmon migrating upriver adjust to environmental temperatures through metabolic compensation.

Ectotherms adjust their thermal performance to various thermal ranges by altering their metabolic rates. These metabolic adjustments involve plastic and/or genetic traits and pathways depend on species-specific ecological contexts. Chum salmon (Oncorhynchus keta) are ecologically unique among the Pacific salmonids as early-run and late-run populations are commonly observed in every part of their range. In the Sanriku coastal area, Japan, early-run adults experience high water temperatures (12-24°C) during their migration, compared with those of the late-run adults (4-15°C), suggesting that the two populations might have different thermal performance. Here, we found population-specific differences in the thermal sensitivities of metabolic rates [resting metabolic rate, RMR, and maximum (aerobic) metabolic rate, MMR] and critical temperature maxima. Using these parameters, we estimated thermal performance curves of absolute aerobic scope (AAS). The populations had different thermal performance curves of AAS, and in both populations high values of AAS were maintained throughout the range of ecologically relevant temperatures. However, the populations did not vary substantially in the peak (AAS at optimal temperature, ToptAAS) or breadth (width of sub-optimal temperature range) of the performance curves. The AAS curve of early-run fish was shifted approximately 3°C higher than that of late-run fish. Furthermore, when the data for RMR and MMR were aligned to the thermal differences from ToptAAS, it became clear that the populations did not differ in the temperature dependence of their metabolic traits. Our results indicate that chum salmon thermally accommodate through compensatory alterations in metabolic rates. Our results imply that metabolic plasticity and/or the effect of genetic variance on plasticity might play a pivotal role in their thermal accommodation.

Spreading of River Water Guides Migratory Behavior of Homing Chum Salmon Oncorhynchus keta in Otsuchi Bay, a Narrow Inlet with Multiple River Flows.

The Sanriku-ria coast of Japan, a homing area for chum salmon, Oncorhynchus keta, is characterized by a large number of small closed bays into which one or multiple short rivers flow. The present behavioral investigation of chum salmon in this region was designed to gain deeper insight into the migration of chum salmon to their natal rivers. Eighty-three fish caught at the middle part of Otsuchi Bay were tracked using an acoustic transmitter in the narrow inlet into which flow three rivers: the Otsuchi, Koduchi, and Unosumai. The majority of 18 fish that entered the Unosumai River, which flows into the southwest side of the bay, directly approached the river along the southern coast. More than half of fish that entered the Otsuchi and Koduchi Rivers, which flow into the northwest side, also migrated into the inner bay via the southerly route, and then entered these rivers frequently after passing the mouth of the Unosumai River. In the inner bay, the salinity of sea surface water suggested that water from the three rivers circulates in a counterclockwise direction at a depth of less than 1.0 m, flowing eastwardly along the southern coast. The observed migratory paths of homing salmon in Otsuchi Bay thus correspond well with the counterflow of surface river water in the bay. The present results suggest that homing migration of salmon in the Sanriku narrow inlet is guided by natal river flows.

Impact of combination of therapeutic exercise and psychological intervention for a patient with first-time traumatic shoulder dislocation.

[Purpose] A young female with first-time traumatic shoulder dislocation showed a good outcome at the 1 year follow-up in returning to work and sports after undergoing a combination of exercise therapy and psychological intervention. [Participant and Methods] A 24-year-old female who worked as an occupational therapist and played badminton for recreation had dislocated her shoulder in a fall. We evaluated her compliance with home-exercise, range of motion, return to work, fear of movement, sports activity level, and instability of shoulder joint using the modified Rowe score at each timepoint necessary. During early sessions of the physical therapy, the range of motion and instability score for the shoulder joint were poor. We treated her using a phase-based approach, and subsequently, added the Watson program to restore normal kinematics. Because of a psychological problem during middle sessions of the physical therapy, we provided psychological education and support. [Results] At the final session of the therapy, her compliance with home-exercise was good. She had achieved almost a full range of motion. The fear of movement decreased, and she could play sports again. The modified Rowe score improved from 5 to 85. [Conclusion] As a conservative treatment for patients with first-time traumatic shoulder instability, a combination of therapeutic exercise and psychological intervention may be useful.

Range of motion of the ankle joint in male Japanese patients undergoing hemodialysis: influence of diabetes and hemodialysis.

[Purpose] The purpose of this study was to analyze ankle range of motion in patients undergoing hemodialysis and those with diabetes. [Participants and Methods] Eight male kidney disease patients without diabetes undergoing hemodialysis and 10 male kidney disease patients with diabetes undergoing hemodialysis were enrolled in this study. For comparison, 27 patients with diabetes not undergoing hemodialysis and 10 healthy participants were included. All participants were divided into 4 groups: patients without diabetes undergoing hemodialysis, patients with diabetes undergoing hemodialysis, patients with diabetes not undergoing hemodialysis, and control group. The measured parameter was the passive range of motion of the ankle joint. [Results] Patients with diabetes not undergoing hemodialysis demonstrated the greatest joint restriction, followed by patients with diabetes undergoing hemodialysis. The main effect of diabetes was observed in ankle range of motion, rather than hemodialysis. There was a significant difference between both the diabetes undergoing hemodialysis and the diabetes not undergoing hemodialysis groups and the other groups. [Conclusion] Limited joint mobility of the ankle in patients undergoing hemodialysis may be affected by diabetes rather than hemodialysis.

Relationship between range of motion of foot joints and amount of physical activity in middle-aged male diabetic patients.

[Purpose] This study aimed to verify the relationship between foot range of motion and the amount of physical activity in diabetic patients. [Participants and Methods] There were twenty-eight male patients with diabetes (age ranged from 50 to 69 years old) and 10 healthy, non-diabetic male individuals within the same age range in the diabetes group and control group, respectively. The passive ranges of motion of the following joints were measured in the right foot of each participant: the ankle joint, the first metatarsophalangeal joint, and the subtalar joint. The amount of daily physical activity was estimated using the short Japanese version of the International Physical Activity Questionnaire. [Results] The mean range of motion of the ankle joints in the diabetic and control groups was 55.4 ± 8.4° and 69.1 ± 9.2°, respectively, whereas the mean range of motion of the first metatarsophalangeal joints in the diabetic and control groups was 82.9 ± 9.6° and 96.3 ± 8.9°, respectively. The diabetic group showed a significantly higher restriction in joint range of motion than did the control group. The amount of physical activity was a contributing factor toward the ankle range of motion according to multiple regression analysis. [Conclusion] We determined that the range of motion in the ankle joints of diabetic patients was affected by their level of physical activity.

Relationship between the deep flexion of the knee joint and the dynamics of the infrapatellar fat pad after anterior cruciate ligament reconstruction via ultrasonography.

[Purpose] A sufficient flexion angle of the knee joint after knee surgery leads to higher quality of their life; therefore, here we investigated the relationship between the dynamics of the infrapatellar fat pad and seiza-style sitting via ultrasonography. [Participants and Methods] Twenty-eight patients were enrolled 3 months post-operatively after anterior cruciate reconstruction. They were divided into a "possible" group and "impossible" group, according to whether they could sit in the seiza style. The thickness of the superficial part of the infrapatellar fat pad was measured at 10° and 90° knee flexion on reconstructed knees in the sitting position via ultrasound evaluation. Images were taken to capture the patella apex and tibial tuberosity. The thickness of the superficial part of the infrapatellar fat pad was measured, and the thickness change ratio was calculated. The characteristics of each group were compared. [Results] The superficial part of the infrapatellar fat pad was significantly thinner in the possible group at a 10° knee flexion. The thickness change ratio of the infrapatellar fat pad was significantly greater in the possible group. [Conclusion] The thickness of the infrapatellar fat pad at a 10° knee flexion and the thickness change ratio of the infrapatellar fat pad could affect the possibility of sitting in the seiza style.

Comparison of Egg Envelope Thickness in Teleosts and its Relationship to the Sites of ZP Protein Synthesis.

Teleost egg envelope generally consists of a thin outer layer and a thick inner layer. The inner layer of the Pacific herring egg envelope is further divided into distinct inner layers I and II. In our previous study, we cloned four zona pellucida (ZP) proteins (HgZPBa, HgZPBb, HgZPCa, and HgZPCb) from Pacific herring, two of which (HgZPBa and HgZPCa) were synthesized in the liver and two (HgZPBb and HgZPCb) in the ovary. In this study, we raised antibodies against these four proteins to identify their locations using immunohistochemistry. Our results suggest that inner layer I is constructed primarily of HgZPBa and Ca, whereas inner layer II consists primarily of HgZPBa. HgZPBb and Cb were minor components of the envelope. Therefore, the egg envelope of Pacific herring is primarily composed of liver-synthesized ZP proteins. A comparison of the thickness of the fertilized egg envelopes of 55 species suggested that egg envelopes derived from liver-synthesized ZP proteins tended to be thicker in demersal eggs than those in pelagic eggs, whereas egg envelopes derived from ovarian-synthesized ZP proteins had no such tendency. Our comparison suggests that the prehatching period of an egg with a thick egg envelope is longer than that of an egg with a thin egg envelope. We hypothesized that acquisition of liver-synthesized ZP proteins during evolution conferred the ability to develop a thick egg envelope, which allowed species with demersal eggs to adapt to mechanical stress in the prehatching environment by thickening the egg envelope, while pelagic egg envelopes have remained thin.

Factors affecting the range of motion of the ankle and first metatarsophalangeal joints in patients undergoing hemodialysis who walk daily.

[Purpose] Increased plantar pressure during walking is a risk factor for foot ulcers because of reduced range of motion at the ankle and first metatarsophalangeal joints. However, the range of motion in patients undergoing hemodialysis has not yet been determined. A cross-sectional study was performed to investigate the factors affecting the range of motion of the ankle and first metatarsophalangeal joints in patients undergoing hemodialysis who walk daily. [Subjects and Methods] Seventy feet of 35 patients receiving hemodialysis therapy were examined. Measurements included the passive range of motion of plantar flexion and dorsiflexion of the ankle joint, and flexion and extension of the first metatarsophalangeal joint. [Results] Hemodialysis duration was not associated with ankle and first metatarsophalangeal joint range of motion in patients undergoing hemodialysis. Diabetes duration was significantly associated with limited ankle joint mobility. Finally, blood hemoglobin levels, body mass index, and age were associated with first metatarsophalangeal joint range of motion. [Conclusion] The present study identified age, diabetes, and decreased physical activity, but not hemodialysis duration, to be risk factors for limited joint mobility of the ankle and first metatarsophalangeal joints in patients undergoing hemodialysis.

Effect of Low-Intensity Pulsed Ultrasound on Macrophage Properties and Fibrosis in the Infrapatellar Fat Pad in a Carrageenan-Induced Knee Osteoarthritis Rat Model.

BACKGROUND: In the progression of knee osteoarthritis (KOA), fibrosis of the infrapatellar fat pad (IFP) is a key pathological change. Low-intensity pulsed ultrasound (LIPUS) inhibits IFP fibrosis by decreasing the gene expression and activity of hypoxia-inducible factor (HIF-1α), which is a protein involved in IFP fibrosis in KOA rat models. On the other hand, macrophages play an important role in the progression of fibrosis in various tissues, and LIPUS irradiation suppresses macrophage infiltration and inflammatory cytokine secretion. However, whether LIPUS suppresses macrophage polarity and IFP fibrosis in KOA remains unclear. Therefore, we investigated the effect of LIPUS on macrophage polarity and IFP fibrosis. MATERIALS AND METHODS: A KOA model was created by injecting carrageenin into the bilateral knee joints of Wistar rats (eight weeks old). Tissues were harvested over time for histological and molecular biological analysis. The KOA model was also subjected to LIPUS irradiation for two weeks following the injection of carrageenin. RESULTS: RM-4-positive cells were widely distributed in IFP two weeks after carrageenin administration, but M2 macrophages were significantly increased, and the Sirius red area was decreased in the LIPUS-irradiated group compared with those in the non-irradiated group. The gene expression of M1 macrophage markers was significantly decreased and that of M2 macrophage markers was significantly increased in the LIPUS-irradiated group. The expression of transforming growth factor-ß (TGF-ß) and type 1 collagen was also significantly decreased. CONCLUSION: These results suggest that LIPUS may serve as a novel approach for the treatment of KOA through its effect on M1 macrophages and suppression of TGF-ß expression.

Effectiveness of Rehabilitation for Osteoarthritis of the Knee: A Scoping Review of Network Meta-Analyses.

BACKGROUND:  Although an increasing number of network meta-analyses have been conducted on the effectiveness of conservative therapy for knee osteoarthritis, these may have been poorly planned and executed.We aimed to review the qualities of a comprehensive set of network meta-analyses on rehabilitation therapies for knee osteoarthritis and provide an overview of the effectiveness of each therapy. METHODS: The eligibility criteria were as follows: (i) conservative rehabilitation was the primary treatment in the intervention group, (ii) included patients were diagnosed with knee osteoarthritis, and (iii) patient groups were aged ≤75 years, and rehabilitation interventions comprised exercise, orthotic, or physical therapies or patient education. Two independent reviewers screened the titles and abstracts of the identified records and selected the eligible reviews; their full texts were further assessed for eligibility. Then, a checklist derived from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension statement for the reporting of systematic reviews incorporating network meta-analyses of healthcare Interventions was used to validate the completeness of the reporting of each network meta-analysis. Furthermore, the statistical and outcome data regarding the quality of life, knee joint function and pain, adverse events, and physical functions were extracted using a customized spreadsheet. RESULTS: Overall, 2701 titles and abstracts were screened, and eight network meta-analyses were ultimately selected. Nearly all reviews adequately addressed the PRISMA extension checklist, and the completeness of reporting was adequate; therefore, all expected information could be extracted. However, the methodology used to confirm the transitivity assumption was insufficient in many reviews. The following interventions were effective in reducing pain and improving physical function: (i) strengthening, flexibility, aerobic, and mind-body exercises, (ii) pulsed ultrasound, (iii) focused and radial extracorporeal shockwave therapy, and (iv) continuous ultrasound. The following interventions were effective in improving the quality of life: (i) strengthening, (ii) mixed, and (iii) mind-body exercises. CONCLUSIONS: Our results suggested that exercise therapies, including muscle-strengthening, aerobic, flexibility, and mind-body exercises, are likely to be effective for pain relief and functional improvement in knee osteoarthritis. This may be the first review to provide a comprehensive perspective for considering priorities for future rehabilitation interventions for knee osteoarthritis.

Effects of 6 weeks of whole-body vibration training on ankle motor control: a randomized controlled trial.

BACKGROUND: Interventions on ankle motor control are important to prevent recurrent ankle sprains. Training using whole-body vibration may easily and effectively improve ankle motor control, but the effects have not been investigated. Therefore, this study aimed to clarify the effects of 6 weeks of training with whole-body vibration on ankle motor control in a dynamic movement task among healthy participants. METHODS: Twenty healthy university students (6 males and 14 females) were randomly allocated to whole-body vibration training and control groups, with 10 participants in each group. The training was performed twice a week for 6 weeks in both groups. Primary outcome was mean ankle angular jerk cost in the star excursion balance test. Secondary outcomes were maximum ankle motion angle and maximum reach distance in the star excursion balance test, ankle proprioception, and range of ankle dorsiflexion motion in the loaded position. RESULTS: There was a significant group × period (pre- and postintervention) interaction for mean ankle angular jerk cost in the direction of ankle abduction/adduction during posterolateral reaching, which was significantly lower at postintervention than that at preintervention in the whole-body vibration group In the whole-body vibration group, the maximum ankle dorsiflexion motion angle during anterior and posterolateral reaching was significantly higher at postintervention than that at preintervention. CONCLUSIONS: Training with whole-body vibration improves ankle motor control in dynamic movement tasks, although the direction of reach and plane of motion are limited. Additionally, training with whole-body vibration is also effective in increasing the ankle dorsiflexion angle during dynamic movement tasks.