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1.
Artigo em Inglês | MEDLINE | ID: mdl-35675252

RESUMO

Motor developmental delay (MDD) usually affects the inter-joint coordination for limb movement. However, the mechanism between the abnormal inter-joint coordination and MDD is still unclear, which poses a challenge for clinical diagnosis and motor rehabilitation of MDD in infant's early life. This study aimed to explore whether the joint activities of limbs during infant crawling are represented with kinematic synergies of joint angles, and evaluate the impacts of MDD on the inter-joint coordination using those synergies. 20 typically developing infants, 16 infants at risk of developmental delay, 11 infants at high risk of developmental delay and 13 infants with confirmed developmental delay were recruited for self-paced crawling on hands and knees. A motion capture system was employed to trace infants' limbs in space, and angles of shoulder, elbow, hip and knee over time were computed. Kinematic synergies were derived from joint angles using principal component analysis. Sample entropy and Spearman's rank correlation coefficients were calculated among those synergies to evaluate the crawling complexity and the symmetry of bilateral limbs, respectively. We found that the first two synergies with different contributions to the crawling movements sufficiently represented the joint angular profiles of limbs. MDD further delayed the development of motor function for lower limbs and mainly increased the crawling complexity of joint flexion/extension to some extent, but did not obviously change the symmetry of bilateral limbs. These results suggest that the time-varying kinematic synergy of joint angles is a potential index for objectively evaluating the abnormal inter-joint coordination affected by MDD.


Assuntos
Joelho , Movimento , Fenômenos Biomecânicos , Mãos , Humanos , Lactente , Ombro
2.
J Bodyw Mov Ther ; 31: 146-152, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35710212

RESUMO

INTRODUCTION: The knee extension prone test (KEPT) can be a low-cost and affordable alternative for this assess knee hyperextension deficit. OBJECTIVE: To analyze concurrent validity and reliability of a new method for assessing knee extension prone (knee extension prone test; KEPT). METHODS: Participants were divided into two groups: Group 1 comprised healthy participants (HG) and Group 2 comprised participants with a history of knee injury (IG). Two examiners performed the following evaluations: (1) lateral knee goniometry, (2) anterior tibial inclinometry, (3) lateral photogrammetry in supine, (4) lateral photogrammetry in prone, and (5) KEPT. Concurrent validity was analyzed by Pearson's linear correlation coefficient (r), and intra- and inter-examiner reliability were analyzed by intraclass correlation coefficient (ICC). RESULTS: KEPT demonstrated good intra-examiner (ICC = 0.85, 95% CI = 0.75-0.89) and excellent inter-examiner (ICC = 0.92, 95% CI = 0.88-0.94) reliability. The standard error of measurement was 0.47° and 1.30° and the minimum detectable change was 2.35° and 6.5° for intra- and inter-examiner agreement, respectively. Concurrent validity of KEPT ranged from moderate to good (r = 0.54-0.78, p < 0.01). CONCLUSION: KEPT is a valid and reliable method for assessing knee hyperextension deficit in both healthy individuals and patients with knee injuries.


Assuntos
Articulação do Joelho , Joelho , Humanos , Extremidade Inferior , Amplitude de Movimento Articular , Reprodutibilidade dos Testes
3.
J Fam Pract ; 71(4): 181-184, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35730713

RESUMO

The patient found it hard to climb stairs-and to complete a particular task when getting dressed. Difficulty with that task provided a useful diagnostic clue.


Assuntos
Articulação do Joelho , Joelho , Humanos , Dor
4.
PLoS One ; 17(6): e0270371, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35737667

RESUMO

BACKGROUND: The aim of this study was to characterize three regions of interest (ROI) around the knee with a portable 3D scanner (Artec 3D scanner EVA). Soft tissue topography assessment with an optimized, precise, and reproducible method may assist surgeons when managing soft tissue swelling in the post traumatic setting. METHODS: 12 healthy volunteers (24 legs, 7 women, 5 man) were included in this study. The patient cohort showed a mean age of 27.1 years (SD±3), a mean weight of 70 kg (SD±13) and a mean height of 171 cm (SD±8.8). All scans were recorded by the same examiner in the same room and with the same scanner (Artec, 3 D scanner EVA). Three volume regions of interest (ROI) were defined: the distal femur (circumference measured between the of superior extent of the patella to 10 cm proximal), the knee joint (measured from the top of the patella to the tibial tuberosity) and the proximal tibia (tibial tuberosity to 10 cm distal). RESULTS: The mean volume of the right leg was 3.901 l (I. distal femur: 1.63 l, knee joint: 1.33 l, proximal tibia: 1.10 l) and mean volume of the left leg was 3.910 l (I. distal femur: 1.66 l, knee joint: 1.34 l, proximal tibia: 1.12 l). The volume difference between the right and left leg was 0.094 l (SD ± 0.083 l) The Wilcoxon-Mann-Whitney test showed no significant differences of the volumes between the right and left leg. CONCLUSIONS: This study demonstrates that portable 3D scanning could be an accurate and reliable tool for orthopedics and trauma surgeons. Based on the ROIs of this pilot study, further studies are needed to test the significance for clinical applications for patients with an injured knee.


Assuntos
Ortopedia , Adulto , Feminino , Fêmur/cirurgia , Humanos , Joelho , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/cirurgia , Projetos Piloto , Tíbia/diagnóstico por imagem , Tíbia/cirurgia
5.
Sensors (Basel) ; 22(12)2022 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-35746413

RESUMO

To give people more specific information on the quality of their daily motion, it is necessary to continuously measure muscular activity during everyday occupations in an easy way. The traditional methods to measure muscle activity using a combination of surface electromyography (sEMG) sensors and optical motion capture system are expensive and not suitable for non-technical users and unstructured environment. For this reason, in our group we are researching methods to estimate leg muscle activity using non-contact wearable sensors, improving ease of movement and system usability. In a previous study, we developed a method to estimate muscle activity via only a single inertial measurement unit (IMU) on the shank. In this study, we describe a method to estimate muscle activity during walking via two IMU sensors, using an original sensing system and specifically developed estimation algorithms based on ANN techniques. The muscle activity estimation results, estimated by the proposed algorithm after optimization, showed a relatively high estimation accuracy with a correlation efficient of R2 = 0.48 and a standard deviation STD = 0.10, with a total system average delay of 192 ms. As the average interval between different gait phases in human gait is 250-1000 ms, a 192 ms delay is still acceptable for daily walking requirements. For this reason, compared with the previous study, the newly proposed system presents a higher accuracy and is better suitable for real-time leg muscle activity estimation during walking.


Assuntos
Marcha , Caminhada , Fenômenos Biomecânicos , Marcha/fisiologia , Humanos , Joelho , Articulação do Joelho/fisiologia , Extremidade Inferior , Caminhada/fisiologia
6.
Sensors (Basel) ; 22(12)2022 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-35746432

RESUMO

During lower-extremity rehabilitation training, muscle activity status needs to be monitored in real time to adjust the assisted force appropriately, but it is a challenging task to obtain muscle force noninvasively. Mechanomyography (MMG) signals offer unparalleled advantages over sEMG, reflecting the intention of human movement while being noninvasive. Therefore, in this paper, based on MMG, a combined scheme of gray relational analysis (GRA) and support vector regression optimized by an improved cuckoo search algorithm (ICS-SVR) is proposed to estimate the knee joint extension force. Firstly, the features reflecting muscle activity comprehensively, such as time-domain features, frequency-domain features, time-frequency-domain features, and nonlinear dynamics features, were extracted from MMG signals, and the relational degree was calculated using the GRA method to obtain the correlation features with high relatedness to the knee joint extension force sequence. Then, a combination of correlated features with high relational degree was input into the designed ICS-SVR model for muscle force estimation. The experimental results show that the evaluation indices of the knee joint extension force estimation obtained by the combined scheme of GRA and ICS-SVR were superior to other regression models and could estimate the muscle force with higher estimation accuracy. It is further demonstrated that the proposed scheme can meet the need of muscle force estimation required for rehabilitation devices, powered prostheses, etc.


Assuntos
Joelho , Músculo Esquelético , Algoritmos , Eletromiografia/métodos , Humanos , Joelho/fisiologia , Articulação do Joelho/fisiologia , Movimento , Músculo Esquelético/fisiologia
7.
BMC Musculoskelet Disord ; 23(1): 517, 2022 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-35642051

RESUMO

BACKGROUND: Articular surface size is traditionally considered to be a relatively stable trait throughout adulthood. Increased joint size reduces bone and cartilage tissue strains. Although physical activity (PA) has a clear association with diaphyseal morphology, the association between PA and articular surface size is yet to be confirmed. This cross-sectional study aimed to clarify the role of moderate-to-vigorous PA (MVPA) in knee morphology in terms of tibiofemoral joint size. METHODS: A sample of 1508 individuals from the population-based Northern Finland Birth Cohort 1966 was used. At the age of 46, wrist-worn accelerometers were used to monitor MVPA (≥3.5 METs) during a period of two weeks, and knee radiographs were used to obtain three knee breadth measurements (femoral biepicondylar breadth, mediolateral breadth of femoral condyles, mediolateral breadth of the tibial plateau). The association between MVPA and knee breadth was analyzed using general linear models with adjustments for body mass index, smoking, education years, and accelerometer weartime. RESULTS: Of the sample, 54.8% were women. Most individuals were non-smokers (54.6%) and had 9-12 years of education (69.6%). Mean body mass index was 26.2 (standard deviation 4.3) kg/m2. MVPA was uniformly associated with all three knee breadth measurements among both women and men. For each 60 minutes/day of MVPA, the knee breadth dimensions were 1.8-2.0% (or 1.26-1.42 mm) larger among women (p < 0.001) and 1.4-1.6% (or 1.21-1.28 mm) larger among men (p < 0.001). CONCLUSIONS: Higher MVPA is associated with larger tibiofemoral joint size. Our findings indicate that MVPA could potentially increase knee dimensions through similar biomechanical mechanisms it affects diaphyseal morphology, thus offering a potential target in reducing tissue strains and preventing knee problems. Further studies are needed to confirm and investigate the association between articulation area and musculoskeletal health.


Assuntos
Acelerometria , Joelho , Acelerometria/métodos , Adulto , Pré-Escolar , Estudos Transversais , Exercício Físico , Feminino , Finlândia/epidemiologia , Humanos , Lactente , Masculino , Pessoa de Meia-Idade
8.
J Pediatr Orthop ; 42(6): 327-334, 2022 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-35667054

RESUMO

BACKGROUND: Predicting ultimate lower extremity length is important in the treatment of lower limb length discrepancy (LLD), congenital limb deficiency, and other etiologies. Utilizing skeletal age over chronological age improves the prediction of ultimate lower extremity length. The recently described modified Fels knee skeletal maturity system allows for skeletal age estimation via imaging always available in LLD patients. We sought to compare the accuracy of the modified Fels knee skeletal maturity system versus chronological age in ultimate limb length prediction of a modern adolescent clinical population. METHODS: The medical records of all patients treated at our institution over a 20-year period with unilateral lower extremity pathology and available lower extremity imaging before and after reaching skeletal maturity were reviewed. Skeletal maturity was defined radiographically by closed distal femoral, proximal tibial, and proximal fibular physes. The femoral, tibial, and lower extremity length was measured in all radiographs. The modified Fels knee skeletal maturity system was applied to all radiographs obtained before maturity to estimate skeletal age. The accuracy of 3 widely utilized lower extremity length prediction systems was compared when utilizing estimated Fels skeletal age versus chronological age inputs. RESULTS: A total of 245 radiographs (109 before maturity) from 43 patients were eligible for inclusion. On cross-sectional analysis, linear modeling using Fels skeletal ages was uniformly associated with higher (improved) R2 values than chronological age-based models. On longitudinal analysis, skeletal age mixed-effects models had significantly lower (improved) Akaike information criterion and Bayesian information criterion values than chronological age models in all cases. Cohen d values were also significantly different (P<0.05) for the skeletal age models compared with chronological age models in all cases. CONCLUSIONS: In the treatment of LLD, the modified Fels knee skeletal maturity system can be readily applied to available imaging to improve the prediction of ultimate femoral, tibial, and lower extremity length. This skeletal maturity system may have significant utility in the estimation of ultimate LLD and determination of appropriate timing of epiphysiodesis. LEVEL OF EVIDENCE: Level III.


Assuntos
Joelho , Extremidade Inferior , Adolescente , Teorema de Bayes , Estudos Transversais , Humanos , Desigualdade de Membros Inferiores/diagnóstico por imagem , Desigualdade de Membros Inferiores/etiologia , Tíbia/diagnóstico por imagem
9.
Artigo em Inglês | MEDLINE | ID: mdl-35657834

RESUMO

Trajectory planning of the knee joint plays an essential role in controlling the lower limb prosthesis. Nowadays, the idea of mapping the trajectory of the healthy limb to the motion trajectory of the prosthetic joint has begun to emerge. However, establishing a simple and intuitive coordination mapping is still challenging. This paper employs the method of experimental data mining to explore such a coordination mapping. The coordination indexes, i.e., the mean absolute relative phase (MARP) and the deviation phase (DP), are obtained from experimental data. Statistical results covering different subjects indicate that the hip motion possesses a stable phase difference with the knee, inspiring us to construct a hip-knee Motion-Lagged Coordination Mapping (MLCM). The MLCM first introduces a time lag to the hip motion to avoid conventional integral or differential calculations. The model in polynomials, which is proved more efficient than Gaussian process regression and neural network learning, is then constructed to represent the mapping from the lagged hip motion to the knee motion. In addition, a strong linear correlation between hip-knee MARP and hip-knee motion lag is discovered for the first time. By using the MLCM, one can generate the knee trajectory for the prosthesis control only via the hip motion of the healthy limb, indicating less sensing and better robustness. Numerical simulations show that the prosthesis can achieve normal gaits at different walking speeds.


Assuntos
Membros Artificiais , Fenômenos Biomecânicos , Marcha , Humanos , Joelho , Articulação do Joelho , Extremidade Inferior , Movimento (Física) , Caminhada
11.
Curr Med Sci ; 42(3): 577-583, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35678910

RESUMO

OBJECTIVE: This study aimed to investigate the correlation between the surface area ratio of medial tibial plateau (MTP) to lateral tibial plateau (LTP) and the mechanical tibiofemoral angle (mTFA). METHODS: Lower limb computed tomography (CT) images were collected at our hospital. Then, the original CT data were analyzed and reconstructed using medical image processing software. The proximal and distal centres of the femur and tibia were marked. The surface areas of MTP and LTP were identified using image processing software. GraphPad Prism 8.0.2 was used to perform the statistical analysis. RESULTS: The surface area ratio of MTP to LTP was significantly correlated with the mTFA in all patients (P<0.0001), male group (P<0.0001), female group (P<0.0001), varus group (P<0.0001), and valgus group (P=0.002). Furthermore, the surface area of MTP and LTP was significantly greater in the male group than in the female group (P<0.0001). There was significant difference in the surface area of the MTP between the varus and valgus groups (P<0.0001). Significant difference was also observed in the surface area ratio of MTP to LTP between the varus and valgus groups (P<0.0001). CONCLUSION: The surface area ratio of MTP to LTP was correlated with the mTFA. Within a certain range, the smaller the mTFA, the greater the surface area ratio of MTP to LTP. For patients undergoing total knee arthroplasty, of whom the surface area of the MTP was basically equal to that of the LTP, it is recommended that the osteotomy should be performed in accordance with mechanical alignment standards, and that a symmetrical tibial plateau prosthesis should be used. For patients whose surface area of MTP is significantly greater than that of the LTP, it is recommended that the osteotomy should be performed in accordance with kinematic alignment standards, and that an anatomical tibial plateau prosthesis should be used.


Assuntos
Articulação do Joelho , Tíbia , Adulto , Feminino , Fêmur/diagnóstico por imagem , Humanos , Joelho , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/cirurgia , Extremidade Inferior , Masculino , Tíbia/diagnóstico por imagem , Tíbia/cirurgia
12.
Curr Sports Med Rep ; 21(6): 192-195, 2022 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-35703745

RESUMO

ABSTRACT: Ultrasound-guided genicular nerve block can provide excellent pain control for patients with knee OA. This procedure has the advantage of providing sensory blockade with concomitant sparing of motor compromise, which is observed when the femoral and its lateral femoral cutaneous branches are blocked. Once the geniculate nerve of interest is identified, the operator can use ultrasound guidance to surround nerve fascicles with an injectate mixture of anesthetic and corticosteroid, yielding decreased pain sensation at the joint capsule. Given the role of the geniculate nerve in providing sensory innervation to the joint capsule and knee ligaments, blockade of this nerve can serve as a useful tool for managing patients with acute knee pain secondary to OA.


Assuntos
Bloqueio Nervoso , Ultrassonografia de Intervenção , Humanos , Joelho , Articulação do Joelho/diagnóstico por imagem , Bloqueio Nervoso/métodos , Dor , Ultrassonografia de Intervenção/métodos
13.
Curr Sports Med Rep ; 21(6): 205-212, 2022 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-35703747

RESUMO

ABSTRACT: Knee extensor mechanism tendinopathy, including patellar and quadriceps tendinopathy, is common among athletes and those involved in jumping sports. It is largely a clinical diagnosis that presents as anterior knee pain and stiffness with associated tenderness over the affected tendon. Imaging modalities, including ultrasound and/or magnetic resonance imaging, may be helpful with the diagnosis of difficult cases or in the planning of interventional procedures. Focused and structured rehabilitation using eccentric or heavy slow resistance exercise in conjunction with load management is important for recovery. Adjuvant therapies (e.g., injections or surgery) may be necessary in recalcitrant cases or those with insufficient response to rehabilitation efforts. Prevention strategies focus on improving biomechanics, landing mechanism and lower-extremity balance, flexibility, and strength.


Assuntos
Ligamento Patelar , Tendinopatia , Humanos , Joelho , Articulação do Joelho , Extremidade Inferior , Tendinopatia/diagnóstico , Tendinopatia/prevenção & controle
14.
Artigo em Inglês | MEDLINE | ID: mdl-35682301

RESUMO

This study aimed to examine the relationship between knee valgus in the frontal plane projection angle (FPPA) during single-leg squat (SLS), single-leg landing (SLL), and other selected clinical tests in young athletes. Forty-three young healthy elite football players (age: 13.2 (1.7) years) that were regularly training in a local sports club participated in the study. The FPPA was assessed using 2D video analysis. The screening tests included the passive single-leg raise (PSLR), hip external and internal rotation (hip ER and IR), sit and reach test, weight-bearing lunge test (WBLT), modified star excursion balance test (mSEBT), countermovement jump (CMJ), single-leg hop for distance (SLHD), and age peak height velocity (APHV). There was a significant positive relationship between the knee valgus angles in the SLS test and the sit and reach test (r = 0.34) and a negative relationship with the hip ER ROM (r = -0.34) (p < 0.05). The knee valgus angles in the SLL were negatively associated with the hip IR (r = -0.32) and ER ROM (r = -0.34) and positive associated with the WBLT (r = 0.35) and sit and reach test (r = 0.33) (p < 0.05). Linear regression analysis showed that the results of the hip ER ROM and sit and reach tests were independent predictors of the FPPA in the SLS test (r2 = 0.11, p = 0.03 and r2 = 0.12, p = 0.02, respectively). The conducted study showed that individuals with more hip range of motion, more spine flexion extensibility, and less ankle dorsiflexion ROM may be more likely to experience high degrees of knee valgus in FPPA.


Assuntos
Futebol Americano , Adolescente , Fenômenos Biomecânicos , Humanos , Joelho , Articulação do Joelho , Perna (Membro) , Amplitude de Movimento Articular
15.
PLoS One ; 17(6): e0269695, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35749438

RESUMO

The presence of inter-limb asymmetries can influence strength performance and represent an injury risk factor for team sport athletes. The present study aimed to investigate the effects of changes in resistance loads using different assessment modalities on the magnitude and the direction of inter-limb asymmetry within the same leg. Fifteen young elite soccer players from the same professional academy performed rear-foot-elevated-split-squat-test at different loading conditions (body mass with no overload, 25% of body mass, 50% of body mass 50%), isokinetic knee flexor (concentric 30°·s-1, concentric 60°·s-1, eccentric 90°·s-1) and extensor (concentric 60°·s-1, eccentric 60°·s-1). The outcomes from the agreement analyses suggested moderate level agreement between body mass vs body mass 25% (Kappa = 0.46), with no agreement or fair agreement for the other between-assessment comparison. Our results demonstrated that the magnitude and direction of within-limb strength imbalances were inconsistent when compared within the same assessment under different resistance load conditions.


Assuntos
Futebol , Adolescente , Atletas , Humanos , Joelho , Articulação do Joelho , Extremidade Inferior , Força Muscular , Futebol/lesões
16.
Artigo em Inglês | MEDLINE | ID: mdl-35564363

RESUMO

The effect of a specific Chinese swimmer's trunk oscillation on dolphin kick was investigated in order to optimize competitive swimming movement. Using a numerical simulation method based on multi-body motion, different swimmer's trunk oscillation during a dolphin kick was analyzed. The simulation was conducted using 3D incompressible Navier-Stokes equations and renormalization group k-ε turbulence model, combined with the Volume of Fluid method to capture the water surface. The simulation's results were evaluated by comparing them with experimental data and with previous studies. The net streamwise forces, mean swimming velocity, and joint moments were also investigated. There was a positive correlation between the mean swimming velocity and the amplitudes of the swimmer's trunk oscillation, where the Pearson correlation coefficient was 0.986 and the selected model was statistically significant (p < 0.05). In addition, as the mean swimming velocity increased from 1.42 m/s in Variant 1 to 2 m/s in Variant 5, the maximum positive moments of joints increased by about 24.7% for the ankles, 27.4% for the knees, -3.9% for the hips, and 5.8% for the upper waist, whereas the maximum negative moments of joints increased by about 64.5% for the ankles, 28.1% for the knees, 23.1% for the hips, and 10.1% for the upper waist. The relationship between the trunk oscillation and the vortices was also investigated. Therefore, it is recommended that swimmers should try to increase the amplitudes of trunk oscillation to increase their swimming velocity. In order to achieve this goal, swimmers should increase strength training for the ankles, knees, and upper waist during the upkick. Moreover, extra strength training is warranted for the ankles, knees, hips, and upper waist during the downkick.


Assuntos
Movimento , Natação , Fenômenos Biomecânicos , Simulação por Computador , Humanos , Joelho
17.
Sports Med Arthrosc Rev ; 30(2): 102-110, 2022 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-35533062

RESUMO

Osteoarthritis of the knee generally affects individuals from the fifth decade, the typical age of middle-age athletes. In the early stages, management is conservative and multidisciplinary. It is advisable to avoid sports with high risk of trauma, but it is important that patients continue to be physically active. Conservative management offers several options; however, it is unclear which ones are really useful. This narrative review briefly reports the conservative options for which there is no evidence of effectiveness, or there is only evidence of short-term effectiveness.


Assuntos
Osteoartrite do Joelho , Esportes , Atletas , Humanos , Joelho , Articulação do Joelho , Pessoa de Meia-Idade , Osteoartrite do Joelho/terapia
18.
J Orthop Surg Res ; 17(1): 258, 2022 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-35526039

RESUMO

BACKGROUND: Studies have given some pieces of evidence for the effect of total knee arthroplasty (TKA) on knee proprioception of patients with knee osteoarthritis (KOA), but their results were conflicting. This review was performed to provide an updated evidence-based meta-analysis investigating the influence of TKA on knee proprioception. METHODS: The electronic databases including PubMed, Google Scholar, and the Cochrane Library were accessed from their inception to March 2020. Two reviewers identified the studies that met the selection criteria for this review. Information on study type, participants, follow-up time, and outcome measures was extracted. Methodological quality was independently assessed by two reviewers using the Cochrane Handbook 5.1.0. Eleven studies with 475 participants were included in the meta-analysis. RESULTS: The I2 index assessed the heterogeneity between studies. The results showed that the pooled standard mean difference of mean angle of error was - 0.58° (95% CI - 1 to - 0.16; P = 0.007; I2 = 69%), and the joint position sense of KOA patients was better after TKA surgery than that before surgery. Pooled standard mean difference of displacement of center of pressure (COP) was - 0.39 (95% CI - 0.72 to - 0.06; P = 0.02; I2 = 51%), and KOA patients had better static balance after TKA surgery than before surgery. CONCLUSIONS: To conclude, no standardized comprehensive evaluation protocol presently exists though different assessment tools are available to measure proprioception. Contrasting results were found in the literature since some studies found that TKA improves proprioception in KOA patients, while others found no difference in proprioception. These differences are seen whether the proprioception was assessed by joint position sense (JPS), or it was indirectly assessed by static balance. However, the lack of sufficient data on the threshold to detect passive movement (TTDPM) and dynamic balance made it difficult to draw a conclusion about whether or not the sense of motion improved after surgery. The method for measuring and evaluating knee joint force sense is worth paying attention, which will make progress with knee proprioception on TKA patients.


Assuntos
Artroplastia do Joelho , Osteoartrite do Joelho , Humanos , Joelho/cirurgia , Articulação do Joelho/cirurgia , Osteoartrite do Joelho/cirurgia , Propriocepção
19.
Magn Reson Imaging Clin N Am ; 30(2): 215-226, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35512886

RESUMO

The posteromedial and posterolateral corners of the knee are important areas to consider when assessing the patient with a possible knee injury. An understanding of the anatomy, associated biomechanics, and typical injury patterns in these regions will improve the value that the radiologist interpreting the MRIs brings to this patient population.


Assuntos
Traumatismos do Joelho , Imageamento por Ressonância Magnética , Fenômenos Biomecânicos , Humanos , Joelho/diagnóstico por imagem , Traumatismos do Joelho/diagnóstico por imagem , Articulação do Joelho/anatomia & histologia , Articulação do Joelho/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos
20.
Magn Reson Imaging Clin N Am ; 30(2): 325-338, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35512893

RESUMO

Accurate diagnosis and management of pediatric patients undergoing magnetic resonance (MR) imaging necessitates familiarity with the normal changes of skeletal maturation and the spectrum of normal variation seen in children. This article reviews key patterns of normal bone and cartilage development. The most common and important variants of bone, cartilage, and soft tissue structures encountered on pediatric MR studies are discussed. Emphasis is placed on those variants that can be mistaken for pathology and those that may predispose to the development of symptoms.


Assuntos
Articulação do Joelho , Imageamento por Ressonância Magnética , Osso e Ossos , Criança , Humanos , Joelho , Articulação do Joelho/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Espectroscopia de Ressonância Magnética , Meniscos Tibiais
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