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Therapeutic effects following extracorporeal shock wave therapy for insertional and non-insertional Achilles tendinopathy 体外冲击波治疗插入性和非插入性跟腱病的疗效。
IF 2.1 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.asmart.2023.09.001
Hong Li , Wei Yao , Xiao'ao Xue , Yunxia Li , Yinghui Hua

Background

The treatment for Achilles tendinopathy varies widely, and there is no consensus regarding the optimal treatment for both non-insertional and insertional Achilles tendinopathy. The purpose of this study was to evaluate the clinical efficacy of extracorporeal shock wave therapy (ESWT) in the treatment of insertional and non-insertional Achilles tendinopathy (AT).

Methods

Sixty patients with AT were invited to participate in this study. Patients were allocated to one of two groups according to the site of the AT, including an insertional AT (IAT) group and a non-insertional AT (NIAT) group. ESWT was performed once a week for five weeks for both groups. The Victorian Institute of Sport Assessment-Achilles questionnaire (VISA-A) score and the visual analog scale (VAS) were used five times to evaluate the clinical outcomes, including before treatment, immediately after treatment, as well as one month, three months, and five years after treatment.

Results

At three months after treatment, the IAT group exhibited a significantly higher VISA-A score (82 ± 6 vs. 76 ± 11; p = 0.01) and a significantly lower VAS score (1 ± 1 vs. 2 ± 1; p < 0.001) when compared with the NIAT group. At the five-year assessment, the IAT group (1 ± 1) had a significantly lower VAS score than the NIAT group (2 ± 1) (p = 0.02), while no significant difference for the VISA-A score was observed between the groups (84 ± 8 vs. 84 ± 10; p = 0.98).

Conclusions

Extracorporeal shock wave treatment can improve the symptoms of both insertional and non-insertional AT. The IAT patients experienced better clinical outcomes compared with the NIAT patients.

背景:跟腱病的治疗方法差异很大,对于非插入性和插入性跟腱病的最佳治疗方法没有达成共识。本研究旨在评价体外冲击波治疗(ESWT)治疗插入性和非插入性跟腱病(AT)的临床疗效。根据AT的部位,患者被分为两组中的一组,包括插入性AT(IAT)组和非插入式AT(NIAT)组。两组患者每周进行一次ESWT,共5周。维多利亚运动评估研究所阿喀琉斯问卷(VISA-A)评分和视觉模拟量表(VAS)用于评估临床结果五次,包括治疗前、治疗后以及治疗后一个月、三个月和五年。结果:在治疗后三个月,IAT组表现出显著较高的VISA-a评分(82±6 vs.76±11;p=0.01)和显著较低的VAS评分(1±1 vs.2±1;p=0.02),而VISA-A评分在两组之间没有显著差异(84±8 vs.84±10;p=0.098)。结论:体外冲击波治疗可以改善插入性和非插入性AT的症状。与NIAT患者相比,IAT患者的临床结果更好。
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引用次数: 0
Effect of moxibustion on knee joint stiffness characteristics in recreational athletes pre- and post-fatigue 艾灸对休闲运动员疲劳前后膝关节僵硬特性的影响。
IF 2.1 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.asmart.2023.08.004
Yufeng Zhang , Zirong Bai , Zhiye Zhang , Peng Yuan , Yilin Xu , Zun Wang , David Sutton , Jun Ren , Eamonn Delahunt , Dan Wang

Objective

Joint stiffness results from the coupling of the nervous system and joint mechanics, and thus stiffness is a comprehensive representation of joint stability. It has been reported that moxibustion can alleviate general weakness and fatigue symptoms and subsequently may influence joint stiffness. This study investigated whether moxibustion could enhance knee joint stiffness in recreational athletes pre- and post-fatigue.

Methods

Eighteen participants were randomized into intervention (5 males: 20.6 ± 1.5 yr; 4 females: 20.8 ± 1.5 yr) and control groups (5 males: 19.4 ± 0.9 yr; 4 females: 20.5 ± 0.6 yr). The intervention group received indirect moxibustion applied to acupoints ST36 (bilateral) and CV4 for 30 min every other day for 4 consecutive weeks. The control group maintained regular exercise without moxibustion. Peak torque (PT) of right knee extensor, relaxed and contracted muscle stiffness (MS) of vastus lateralis, and knee extensor musculoarticular stiffness (MAS) was assessed with an isokinetic dynamometer (IsoMed 2000), myometer, and free oscillation technique, respectively. Measurements were taken at three time points: pre-intervention, post-intervention/pre-fatigue, and post-fatigue.

Results

MAS (P = 0.006) and PT (P = 0.007) in the intervention group increased more from pre-to post-intervention compared with the control group. Post-fatigue MAS (P = 0.016) and PT (P = 0.031) increased more in the intervention group than in the control group.

Conclusion

Moxibustion enhanced PT and knee MAS, suggesting that this intervention could be used in injury prevention and benefit fatigue resistance in young recreational athletes.

目的:关节刚度是神经系统和关节力学耦合的结果,因此刚度是关节稳定性的综合表征。据报道,艾灸可以缓解全身虚弱和疲劳症状,随后可能影响关节僵硬。方法:将18名运动员随机分为干预组(5名男性:20.6±1.5岁;4名女性:20.8±1.5年)和对照组(5例男性:19.4±0.9岁;4例女性:20.5±0.6岁)ST36穴(双侧)和CV4穴,隔日30min,连续4周。对照组在不艾灸的情况下保持规律的运动。分别用等速测功机(IsoMed 2000)、肌张力计和自由振荡技术评估右膝伸肌的峰值扭矩(PT)、股外侧肌的松弛和收缩肌肉硬度(MS)以及膝伸肌关节硬度(MAS)。在干预前、干预后/疲劳前和疲劳后三个时间点进行测量。结果:与对照组相比,干预组的MAS(P=0.006)和PT(P=0.007)在干预前后增加更多。与对照组相比,干预组疲劳后MAS(P=0.016)和PT(P=0.031)增加更多。结论:艾灸可增强PT和膝关节MAS,提示该干预措施可用于预防损伤,有利于青少年休闲运动员的抗疲劳能力。
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引用次数: 0
Validity and reliability of the Thai functional internal rotation scale for shoulder arthroplasty 泰国功能性内旋量表在肩关节置换术中的有效性和可靠性。
IF 2.1 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.asmart.2023.08.007
Nattha Kulkamthorn , Tharit Inkaratana , Pattanaket Cheewakongkiat

Background

The Functional Internal Rotation Scale is an excellent clinical tool for evaluating patients with shoulder arthroplasty, but it has not been adapted to the Thai version. The objectives of this study were to translate the English version and culturally adapt the Functional Internal Rotation Scale to the Thai version and to examine the psychometric properties of the Thai Functional Internal Rotation Scale among Thai participants having shoulder arthroplasty.

Methods

The Functional Internal Rotation Scale was translated to Thai, including cross-cultural adaptations, following standard guidelines. Psychometric properties were evaluated with shoulder arthroplasty patients. Content validity was evaluated using the content validity index (CVI). Criterion validity was assessed using the Pearson correlation coefficient. An Independent t-test was used to evaluate construct validity. Internal consistency reliability was assessed using Cronbach's alpha coefficient. Intraclass correlation coefficient (ICC) was used to determine test-retest reliability over a 14-day interval.

Results

Of 45 participants, 20 total shoulder arthroplasty (TSA) patients and 25 reverse shoulder arthroplasty (RSA) patients, the majority of participants were female (69%) and retired (91%) with a mean age of 72.9 years (SD 9.1). CVI evaluation was acceptable, with a total CVI of 0.92. The correlation of the Thai Functional Internal Rotation Scale with the Thai version of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (Thai ASES) and the internal rotation subscale (IR subscale) of the Thai ASES was 0.73 (P < 0.001) and 0.75 (P < 0.001), respectively. For construct validity, TSA patients scored, on average, 10.8 points higher than RSA patients (43.7 vs. 32.9, P < 0.001, 95% confidence interval 6.3–15.3). Cronbach's alpha coefficient of the Thai Functional Internal Rotation Scale was 0.95. The test-retest reliability revealed excellent reliability (ICC 0.99).

Conclusion

The Thai Functional Internal Rotation Scale has good validity and excellent reliability in assessing internal rotation function in Thai shoulder arthroplasty patients.

背景:功能性内旋量表是评估肩关节置换术患者的优秀临床工具,但尚未适用于泰国版本。本研究的目的是翻译英文版,并将功能性内旋量表从文化上改编为泰语版,并在接受肩部关节成形术的泰国参与者中检验泰语功能性内旋转量表的心理测量特性。方法:按照标准指南,将功能性内旋量表翻译成泰语,包括跨文化适应。对肩关节置换术患者的心理测量特性进行评估。使用内容有效性指数(CVI)评估内容有效性。使用Pearson相关系数评估标准的有效性。使用独立t检验来评估结构的有效性。使用Cronbachα系数评估内部一致性可靠性。组内相关系数(ICC)用于确定14天间隔内的重测可靠性。结果:在45名参与者、20名全肩关节置换术(TSA)患者和25名反肩关节置换手术(RSA)患者中,大多数参与者是女性(69%)和退休(91%),平均年龄为72.9岁(SD 9.1)。CVI评估是可接受的,总CVI为0.92。泰国功能性内旋量表与泰国版美国肩肘外科医生标准化肩部评估表(泰国ASES)和泰国ASES的内旋分量表(IR分量表)的相关性为0.73(P结论:泰式功能性内旋量表在评估泰式肩关节置换术患者内旋功能方面具有良好的有效性和可靠性。
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引用次数: 0
Comparison between the effect of immersive virtual reality training versus conventional rehabilitation on limb loading and functional outcomes in patients after anterior cruciate ligament reconstruction: A prospective randomized controlled trial 沉浸式虚拟现实训练与传统康复对前交叉韧带重建后患者肢体负荷和功能结果的影响比较:一项前瞻性随机对照试验。
IF 2.1 Q2 Medicine Pub Date : 2023-10-01 DOI: 10.1016/j.asmart.2023.09.002
Muhindra Rao Gsangaya , Ohnmar Htwe , Amaramalar Selvi Naicker , Badrul Akmal Hisham Md Yusoff , Norlelawati Mohammad , Elaine Zi Fan Soh , Murugeaswaran Silvaraju

Purpose

Anterior cruciate ligament injury (ACL) commonly occurs during sporting events. It causes pain, instability and reduction in range of movement of the knee which results in altered balance, reduced strength as well as loading to the involved knee. The challenge to get the patient back to competitive sports level much depends on the rehabilitation process. Post ACLR rehabilitation is challenging due to the long rehabilitation time as well as boring repetitive exercises. The aim of this study is to compare between the effectiveness of using immersive virtual reality (PlayStation VR) in addition to the conventional rehabilitation as an aid in rehabilitation of patients after ACLR in terms of objective functional assessment and pain and subjective knee function scoring.

Methods

This randomised controlled trial was undertaken in a tertiary hospital in Malaysia from July 2019 until July 2020. Thirty patients were randomised into a group undergoing purely conventional rehabilitation (Group 1) and a group undergoing both conventional rehabilitation and immersive virtual reality assisted rehabilitation (Group 2). The immersive virtual reality assisted rehabilitation was started at 3 months post operatively for 3 months duration. Limb loading, balance, range of motion, functional hop tests of the knee, pain and subjective scoring of the knee with the International Knee Documentation Committee (IKDC) Scores were measured preoperatively and at 6 months.

Results

There were significant differences in terms of improvement of pain scores (p = 0.012) as well as IKDC Scores (p = 0.024) in Group 2 as compared to Group 1. However, there were no significant differences with regards to limb loading, balance, range of motion and functional hop tests of the knee (p > 0.05). No adverse events were observed during the study period.

Conclusion

Immersive virtual reality can be used as an adjunct in rehabilitation of patients after ACL reconstruction in terms of improving their pain as well as their subjective knee evaluation. Large randomised control trial is recommended to further investigate the efficacy.

目的:前交叉韧带损伤(ACL)常见于体育赛事中。它会导致疼痛、不稳定和膝盖活动范围的减少,从而导致平衡改变、力量下降以及相关膝盖的负荷。让患者恢复竞技体育水平的挑战很大程度上取决于康复过程。ACLR后的康复具有挑战性,因为康复时间长,重复练习也很无聊。本研究的目的是在客观功能评估、疼痛和主观膝关节功能评分方面,比较除传统康复外,使用沉浸式虚拟现实(PlayStation VR)辅助ACLR后患者康复的有效性。方法:这项随机对照试验于2019年7月至2020年7月在马来西亚的一家三级医院进行。30名患者被随机分为一组接受纯常规康复(第1组)和一组接受常规康复和沉浸式虚拟现实辅助康复(第2组)。沉浸式虚拟现实辅助康复在术后3个月开始,持续3个月。术前和6个月时测量肢体负荷、平衡、活动范围、膝关节功能跳跃测试、疼痛和国际膝关节文献委员会(IKDC)对膝关节的主观评分。结果:与第1组相比,第2组的疼痛评分(p=0.012)和IKDC评分(p=0.024)的改善存在显著差异。然而,在肢体负荷、平衡、运动范围和膝关节功能跳跃测试方面没有显著差异(p>0.05)。在研究期间没有观察到不良事件。结论:沉浸式虚拟现实可以作为ACL重建后患者康复的辅助手段,改善患者的疼痛和主观膝关节评估。建议进行大型随机对照试验以进一步研究疗效。
{"title":"Comparison between the effect of immersive virtual reality training versus conventional rehabilitation on limb loading and functional outcomes in patients after anterior cruciate ligament reconstruction: A prospective randomized controlled trial","authors":"Muhindra Rao Gsangaya ,&nbsp;Ohnmar Htwe ,&nbsp;Amaramalar Selvi Naicker ,&nbsp;Badrul Akmal Hisham Md Yusoff ,&nbsp;Norlelawati Mohammad ,&nbsp;Elaine Zi Fan Soh ,&nbsp;Murugeaswaran Silvaraju","doi":"10.1016/j.asmart.2023.09.002","DOIUrl":"10.1016/j.asmart.2023.09.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Anterior cruciate ligament injury (ACL) commonly occurs during sporting events. It causes pain, instability and reduction in range of movement of the knee which results in altered balance, reduced strength as well as loading to the involved knee. The challenge to get the patient back to competitive sports level much depends on the rehabilitation process. Post ACLR rehabilitation is challenging due to the long rehabilitation time as well as boring repetitive exercises. The aim of this study is to compare between the effectiveness of using immersive virtual reality (PlayStation VR) in addition to the conventional rehabilitation as an aid in rehabilitation of patients after ACLR in terms of objective functional assessment and pain and subjective knee function scoring.</p></div><div><h3>Methods</h3><p>This randomised controlled trial was undertaken in a tertiary hospital in Malaysia from July 2019 until July 2020. Thirty patients were randomised into a group undergoing purely conventional rehabilitation (Group 1) and a group undergoing both conventional rehabilitation and immersive virtual reality assisted rehabilitation (Group 2). The immersive virtual reality assisted rehabilitation was started at 3 months post operatively for 3 months duration. Limb loading, balance, range of motion, functional hop tests of the knee, pain and subjective scoring of the knee with the International Knee Documentation Committee (IKDC) Scores were measured preoperatively and at 6 months.</p></div><div><h3>Results</h3><p>There were significant differences in terms of improvement of pain scores (p = 0.012) as well as IKDC Scores (p = 0.024) in Group 2 as compared to Group 1. However, there were no significant differences with regards to limb loading, balance, range of motion and functional hop tests of the knee (p &gt; 0.05). No adverse events were observed during the study period.</p></div><div><h3>Conclusion</h3><p>Immersive virtual reality can be used as an adjunct in rehabilitation of patients after ACL reconstruction in terms of improving their pain as well as their subjective knee evaluation. Large randomised control trial is recommended to further investigate the efficacy.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/bf/main.PMC10570631.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical outcomes after repair of an isolated radial tear in the middle segment of the lateral meniscus - All-inside suture repair vs trans-capsular suture repair – 外侧半月板中段孤立性径向撕裂修复后的临床结果——全内缝合修复与囊内缝合修复——
IF 2.1 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.asmart.2023.08.002
Ryohei Uchida , Shuji Horibe , Yoshinari Tanaka , Akira Tsujii , Yuta Tachibana , Kazutaka Kinugasa , Konsei Shino

Background/objective

For radial tears, all-inside suture (AIS) repair was clearly biomechanically superior, compared to conventional trans-capsular suture (TCS) repairs. However, clinical comparative studies of these two repairs techniques have not to be performed. Therefore, the aim of this study was to compare the clinical outcomes after AIS repair and TCS repairs for isolated radial tear at middle segment of lateral meniscus (RTMLM) in stable knees of young athletes.

Methods

Twenty-six athletes (mean age, 19.1 years) underwent AIS repair with the double horizontal suture technique, using SutureLasso™ (Arthrex, Naples, FL) for isolated RTMLM (AIS group), and 20 athletes (mean age, 19.0 years) underwent inside-out repair, one of TCS repairs, with tie-grip suture technique (TCS group). All athletes were assessed for preoperative and two-year postoperative Knee injury and Osteoarthritis Outcome Score (KOOS). At six-month after repair, the lateral meniscal extrusion on mid-coronal plane on MRI and healing status on second-look arthroscopy were also evaluated in all patients.

Results

In both groups, KOOS improved to either good or excellent postoperatively, while complete healing was found in only 23 and 25% at second-look arthroscopy. We identified no group-dependent differences in KOOS or healing status on arthroscopy. However, a close examination of failure rates revealed significant lower rates in AIS group relative to that of TCS group (p = 0.048). Moreover, the change from preoperative to postoperative lateral meniscal extrusion in AIS group was significantly smaller than that in TCS group (p = 0.038).

Conclusions

AIS and TCS repairs for RTMLM were comparable in providing satisfactory clinical results with low rates of complete healing on arthroscopy. However, AIS repair could have lower failure rate of healing on arthroscopy and minimize postoperative lateral meniscal extrusion more effectively than TCS repair on MRI.

背景/目的对于桡骨撕裂,与传统的经囊缝线(TCS)修复相比,全内缝线(AIS)修复在生物力学方面明显优越。然而,尚未对这两种修复技术进行临床比较研究。因此,本研究的目的是比较年轻运动员稳定膝外侧半月板中段(RTMLM)孤立性桡骨撕裂的AIS修复和TCS修复后的临床结果。方法对26名运动员(平均年龄19.1岁)采用SutureLasso双水平缝合技术进行AIS修复™ (Arthrex,Naples,FL)进行孤立RTMLM(AIS组),20名运动员(平均年龄19.0岁)接受了由内而外修复,这是TCS修复之一,采用系带缝合技术(TCS组)。对所有运动员进行术前和术后两年的膝关节损伤和骨关节炎结果评分(KOOS)评估。在修复后6个月,对所有患者的MRI中冠状面半月板外侧挤压和复视关节镜下的愈合状态进行了评估。结果两组患者术后KOOS均改善至良好或优良,而第二次关节镜检查时,KOOS的完全愈合率分别为23%和25%。我们在关节镜检查中没有发现KOOS或愈合状态的组依赖性差异。然而,仔细检查失败率发现,AIS组的失败率明显低于TCS组(p=0.048)。此外,AIS组从术前到术后半月板外侧挤压的变化明显小于TCS组(p=0.038)。然而,与MRI上的TCS修复相比,AIS修复在关节镜下的愈合失败率较低,并能更有效地减少术后半月板外侧挤压。
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引用次数: 0
Posterior circumflex humeral artery pathological lesions with digital ischemia in an elite volleyball player: A case report and literature review 优秀排球运动员肱骨旋后动脉病变伴手指缺血1例报告并文献复习
IF 2.1 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.asmart.2023.08.005
Tomofumi Nishino , Daigo Hiraya , Yuki Yamamoto , Tomomi Suzu , Yusuke Nishida , Masashi Yamazaki

The posterior circumflex humeral artery, a branch of the axillary artery, is compressed by the humeral head during repeated abduction and external rotation of the shoulder joint owing to its anatomical structure. This damages the vascular endothelium, resulting in thrombi, arterial dissection, and aneurysms, a condition known as posterior, circumflex humeral artery pathological lesions. A thrombus may form at the site and becomes a peripheral embolus, resulting in peripheral arterial occlusion.A 21-year-old right-handed elite man college volleyball player noticed coldness and pain in his right hand during a game. Cyanosis was present except in the middle finger, and the beating radial artery was palpable; however, the ulnar artery was not. Doppler ultrasound examination revealed thrombus occlusion of the ulnar artery and common palmar artery of the index finger. Peripheral arterial occlusion was diagnosed due to embolization of a thrombus from this site. The patient stopped practicing volleyball immediately after the onset of symptoms and was started on cilostazol 200 mg and rivaroxaban 15 mg. Subjective coldness of the fingers improved one week after the start of treatment. The patient resumed practice four weeks after the start of treatment and participated in a game by the seventh week.Posterior circumflex humeral artery pathological lesions are caused by overhead motions such as pitching. They are most commonly reported in athletes playing volleyball, although rare, and many cases of aneurysm formation have been reported.Observing a cold sensation in the periphery after practice is necessary for screening.

旋肱骨后动脉是腋窝动脉的一个分支,由于其解剖结构,在肩关节反复外展和外旋时受到肱骨头的压迫。这会损害血管内皮,导致血栓、动脉夹层和动脉瘤,这种情况被称为后旋肱动脉病理性病变。血栓可能在该部位形成并成为外周栓子,导致外周动脉闭塞。一位21岁的右撇子精英大学男子排球运动员在比赛中发现他的右手寒冷和疼痛。除中指外有发绀,可触及跳动的桡动脉;然而,尺动脉却没有。多普勒超声检查显示食指尺动脉及掌总动脉血栓闭塞。外周动脉闭塞的诊断是由于栓塞血栓从这个地方。患者在出现症状后立即停止练习排球,并开始服用西洛他唑200 mg和利伐沙班15 mg。治疗开始后1周手指主观冷感明显改善。患者在开始治疗四周后恢复训练,并在第七周参加了一场比赛。旋肱骨后动脉病变是由俯仰等头顶运动引起的。虽然罕见,但最常见于打排球的运动员,也有许多动脉瘤形成的病例报道。练习后观察外周的冷感是筛查的必要条件。
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引用次数: 0
Relationships of cross-sectional area of the thigh muscles before or after total knee arthroplasty with postoperative pain or patient satisfaction: A retrospective, exploratory study 全膝关节置换术前后大腿肌肉截面积与术后疼痛或患者满意度的关系:一项回顾性、探索性研究
IF 2.1 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.asmart.2023.08.006
Yoshihiro Akatsuka , Atsushi Teramoto , Hiroyuki Takashima , Yohei Okada , Kota Watanabe , Toshihiko Yamashita

Background

It has been suggested that lower limb strength related to persistent postsurgical pain. The aim of the present study was to investigate the relationships of pre-operative or postoperative cross-sectional area (CSA) of the thigh muscles with knee pain or patient satisfaction after total knee arthroplasty (TKA).

Methods

Twenty patients who had undergone TKA (3 men and 17 women; mean age 75.2 ± 8.7 years) were included. CSAs of the thigh muscle (THIGH) and quadriceps muscle (QUAD) were retrospectively measured at the CT slice 10-cm superior to the quadriceps tendon insertion at the proximal pole of the patella. THIGH CSA and QUAD CSA to body weight ratios (mm2/kg), THIGH/W and QUAD/W ratios, respectively, were calculated. Knee pain and patient satisfaction postoperatively were also quantified by patient-reported measurements based on the 2011 Knee Society Score (KSS). The correlations between the THIGH/W and QUAD/W ratios and the KSS were evaluated using Spearman's rank correlation coefficient.

Results

The preoperative THIGH/W ratio was positively correlated with KSS-pain, (r = 0.58, p < 0.05). The preoperative QUAD/W ratio was positively correlated with KSS-pain (r = 0.52, p < 0.05) and KSS-satisfaction (r = 0.44, p < 0.05). The postoperative THIGH/W ratio was positively correlated with KSS-pain (r = 0.45, p < 0.05). The postoperative QUAD/W ratio was positively correlated with KSS-pain (r = 0.49, p < 0.05) and KSS-satisfaction (r = 0.48, p < 0.05).

Conclusion

There were significant correlations between quadriceps or thigh muscle CSA and pain or patient satisfaction after TKA. This research may help relieve pain and increase patient satisfaction after TKA in the future.

背景:有研究表明,下肢力量与术后持续疼痛有关。本研究的目的是探讨术前或术后大腿肌肉横截面积(CSA)与全膝关节置换术(TKA)后膝关节疼痛或患者满意度的关系。方法20例经TKA的患者(男3例,女17例;平均年龄(75.2±8.7岁)。在髌骨近端股四头肌肌腱止点上10 cm的CT片上回顾性测量大腿肌(thigh)和股四头肌(QUAD)的csa。分别计算大腿CSA和QUAD CSA与体重的比值(mm2/kg)、大腿/体重和QUAD/体重。膝关节疼痛和术后患者满意度也通过患者报告的基于2011年膝关节社会评分(KSS)的测量进行量化。采用Spearman等级相关系数评价大腿/W和四脚/W比率与KSS之间的相关性。结果术前THIGH/W比值与KSS-pain呈正相关(r = 0.58, p <0.05)。术前QUAD/W比值与KSS-pain呈正相关(r = 0.52, p <0.05)和kss满意度(r = 0.44, p <0.05)。术后THIGH/W比值与KSS-pain呈正相关(r = 0.45, p <0.05)。术后QUAD/W比值与KSS-pain呈正相关(r = 0.49, p <0.05)和kss满意度(r = 0.48, p <0.05)。结论股四头肌及大腿肌CSA与TKA术后疼痛及患者满意度有显著相关性。本研究可能有助于缓解术后疼痛,提高患者满意度。
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引用次数: 0
Incidence of anterior cruciate ligament injury patterns in Japanese judo players from a nationwide insurance database 来自全国保险数据库的日本柔道运动员前交叉韧带损伤模式的发生率
IF 2.1 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.asmart.2023.08.011
Eiji Sasaki , Takeshi Kamitani , Shotaro Kinouchi , Nobuhiro Kamiya , Akira Ikumi , Tomohiko Tateishi , Seiji Miyazaki , Yasuyuki Ishibashi , Shinji Nagahiro

Objective

This study aimed to characterize the age- and sex-specific Anterior cruciate ligament (ACL) injury rates and related injury patterns in judo players in Japan using the nationwide insurance database.

Methods

This was a descriptive epidemiological study. We examined a total of 2142 adolescents with anterior cruciate ligament injuries registered in the insurance system of the Japan Sports Council between January 2009 and December 2018. The age- and sex-specific incidences were estimated for the levels of 7th, 8th, and 9th grades of junior high school and 10th, 11th, and 12th grades of high school. The anterior cruciate ligament injury circumstances were classified into three patterns based on the impact to the involved knee: high-impact valgus force, low-impact trunk displacement, or no-impact knee twisting.

Results

The incidence of anterior cruciate ligament injury from the 7th to 12th grades were 0.5, 0.9, 0.9, 6.9, 8.6, and 6.1 per 1000 athlete-years in male players and 1.3, 3.8, 3.4, 16.8, 19.5, and 13.6 per 1000 athlete-years in female players. The most prevalent injury pattern was a low-impact contact injury (42.6%) with Osoto-gari, followed by a high-impact contact injury (29.8%). The concomitant medial collateral ligament (MCL) injury rate was 18.1%, which was correlated with a high-impact contact injury (p = 0.005) by multiple regression analysis.

Conclusions

The highest incidence of age- and sex-specific anterior cruciate ligament injury was 19.5 per 1000 athlete-years in female high school students in the 11th grade. The most frequent injury pattern was low-impact contact injury with trunk displacement, indicating that trunk stabilization training could help prevent anterior cruciate ligament injury in judo.

本研究旨在利用全国保险数据库来描述日本柔道运动员的年龄和性别特异性前交叉韧带(ACL)损伤率及其相关损伤模式。方法采用描述性流行病学研究。我们对2009年1月至2018年12月期间在日本体育协会保险系统登记的2142名前交叉韧带损伤青少年进行了检查。对初中7年级、8年级和9年级以及高中10年级、11年级和12年级的年龄和性别特异性发病率进行了估计。根据对受累膝盖的影响,前交叉韧带损伤情况分为三种模式:高冲击外翻力、低冲击躯干移位或无冲击膝盖扭转。结果7~12年级男运动员前交叉韧带损伤的发生率分别为0.5、0.9、0.9、6.9、8.6和6.1‰,女运动员为1.3、3.8、3.4、16.8、19.5和13.6‰。最常见的损伤模式是Osoto gari的低冲击接触损伤(42.6%),其次是高冲击接触伤(29.8%)。伴随的内侧副韧带(MCL)损伤率为18.1%,通过多元回归分析,这与高冲击接触损伤相关(p=0.005)。结论11年级女生前交叉韧带损伤发生率最高,为19.5/1000运动员年。最常见的损伤模式是躯干移位的低冲击接触损伤,这表明躯干稳定训练有助于预防柔道前交叉韧带损伤。
{"title":"Incidence of anterior cruciate ligament injury patterns in Japanese judo players from a nationwide insurance database","authors":"Eiji Sasaki ,&nbsp;Takeshi Kamitani ,&nbsp;Shotaro Kinouchi ,&nbsp;Nobuhiro Kamiya ,&nbsp;Akira Ikumi ,&nbsp;Tomohiko Tateishi ,&nbsp;Seiji Miyazaki ,&nbsp;Yasuyuki Ishibashi ,&nbsp;Shinji Nagahiro","doi":"10.1016/j.asmart.2023.08.011","DOIUrl":"10.1016/j.asmart.2023.08.011","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to characterize the age- and sex-specific Anterior cruciate ligament (ACL) injury rates and related injury patterns in judo players in Japan using the nationwide insurance database.</p></div><div><h3>Methods</h3><p>This was a descriptive epidemiological study. We examined a total of 2142 adolescents with anterior cruciate ligament injuries registered in the insurance system of the Japan Sports Council between January 2009 and December 2018. The age- and sex-specific incidences were estimated for the levels of 7th, 8th, and 9th grades of junior high school and 10th, 11th, and 12th grades of high school. The anterior cruciate ligament injury circumstances were classified into three patterns based on the impact to the involved knee: high-impact valgus force, low-impact trunk displacement, or no-impact knee twisting.</p></div><div><h3>Results</h3><p>The incidence of anterior cruciate ligament injury from the 7th to 12th grades were 0.5, 0.9, 0.9, 6.9, 8.6, and 6.1 per 1000 athlete-years in male players and 1.3, 3.8, 3.4, 16.8, 19.5, and 13.6 per 1000 athlete-years in female players. The most prevalent injury pattern was a low-impact contact injury (42.6%) with Osoto-gari, followed by a high-impact contact injury (29.8%). The concomitant medial collateral ligament (MCL) injury rate was 18.1%, which was correlated with a high-impact contact injury (<em>p</em> = 0.005) by multiple regression analysis.</p></div><div><h3>Conclusions</h3><p>The highest incidence of age- and sex-specific anterior cruciate ligament injury was 19.5 per 1000 athlete-years in female high school students in the 11th grade. The most frequent injury pattern was low-impact contact injury with trunk displacement, indicating that trunk stabilization training could help prevent anterior cruciate ligament injury in judo.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/07/main.PMC10470359.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10149858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tranexamic acid has no effect on postoperative pain control after arthroscopic rotator cuff repair: A prospective, double-blind, randomized controlled trial 氨甲环酸对关节镜下肩袖修复术后疼痛控制无影响:一项前瞻性、双盲、随机对照试验
IF 2.1 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.asmart.2023.08.003
Ryosuke Takahashi , Yukihiro Kajita , Yusuke Iwahori , Yohei Harada

Background

The purpose of this study was to compare the efficacies of tranexamic acid (TXA) versus placebo after arthroscopic rotator cuff repair (ARCR).

Methods

This prospective, double-blind, and randomized study was conducted in 70 patients who underwent ARCR from 2021 to 2022 at our hospital. Thirty-four shoulders were randomly assigned to the TXA group, and 36 to the control group; TXA (10 mL) and normal saline (10 mL) were administered locally after surgery and in the control group, respectively. We evaluated visual analog scale pain scores at rest, during activity, and at night and the circumference and diameter of the shoulder joint in both groups preoperatively and at 1, 2, and 3 days, and 1 week after the surgery. We compared and analyzed the results between the groups. Statistical significance was set at a p-value of <0.05.

Results

There was no significant difference in the visual analog scale scores at rest, during activity, and at night between the groups (p > 0.05). The circumference and diameter of the shoulder joint were not also significantly different between both groups (p > 0.05).

Conclusion

Local TXA administration in patients who undergo ARCR does not significantly impact postoperative pain levels and the circumference and diameter of the shoulder joint.

本研究的目的是比较氨甲环酸(TXA)与安慰剂在关节镜下肩袖修复(ARCR)后的疗效。方法本前瞻性、双盲、随机研究纳入了2021 - 2022年在我院接受ARCR治疗的70例患者。34个肩关节随机分配到TXA组,36个肩关节随机分配到对照组;术后和对照组分别局部给予TXA (10 mL)和生理盐水(10 mL)。我们评估了两组患者术前、术后1、2、3天和1周休息时、活动时和夜间的视觉模拟疼痛评分,以及肩关节的周长和直径。我们比较和分析了两组之间的结果。p值为<0.05,具有统计学意义。结果两组患者休息时、活动时和夜间的视觉模拟量表评分差异无统计学意义(p >0.05)。两组肩关节周长和直径差异无统计学意义(p >0.05)。结论局部给药对术后疼痛程度和肩关节周长、直径无明显影响。
{"title":"Tranexamic acid has no effect on postoperative pain control after arthroscopic rotator cuff repair: A prospective, double-blind, randomized controlled trial","authors":"Ryosuke Takahashi ,&nbsp;Yukihiro Kajita ,&nbsp;Yusuke Iwahori ,&nbsp;Yohei Harada","doi":"10.1016/j.asmart.2023.08.003","DOIUrl":"10.1016/j.asmart.2023.08.003","url":null,"abstract":"<div><h3>Background</h3><p>The purpose of this study was to compare the efficacies of tranexamic acid (TXA) versus placebo after arthroscopic rotator cuff repair (ARCR).</p></div><div><h3>Methods</h3><p>This prospective, double-blind, and randomized study was conducted in 70 patients who underwent ARCR from 2021 to 2022 at our hospital. Thirty-four shoulders were randomly assigned to the TXA group, and 36 to the control group; TXA (10 mL) and normal saline (10 mL) were administered locally after surgery and in the control group, respectively. We evaluated visual analog scale pain scores at rest, during activity, and at night and the circumference and diameter of the shoulder joint in both groups preoperatively and at 1, 2, and 3 days, and 1 week after the surgery. We compared and analyzed the results between the groups. Statistical significance was set at a p-value of &lt;0.05.</p></div><div><h3>Results</h3><p>There was no significant difference in the visual analog scale scores at rest, during activity, and at night between the groups (p &gt; 0.05). The circumference and diameter of the shoulder joint were not also significantly different between both groups (p &gt; 0.05).</p></div><div><h3>Conclusion</h3><p>Local TXA administration in patients who undergo ARCR does not significantly impact postoperative pain levels and the circumference and diameter of the shoulder joint.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10571204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toe-out gait inhibits medial meniscus extrusion associated with the second peak of knee adduction moment during gait in patients with knee osteoarthritis 在膝骨关节炎患者的步态中,脚趾向外的步态抑制内侧半月板挤压与膝关节内收力矩的第二峰相关
IF 2.1 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1016/j.asmart.2023.08.001
Takato Hashizume , Yosuke Ishii , Masakazu Ishikawa , Yuko Nakashima , Goki Kamei , Yoshitaka Iwamoto , Saeko Okamoto , Kaoru Okada , Kazuya Takagi , Makoto Takahashi , Nobuo Adachi

Background

A medial meniscus extrusion (MME) gradually expands during activities of daily living according to the mechanical stress on the medial compartment of the knee. Increase in MME occurs during the stance phase of the gait cycle, which is key for its expand. The knee adduction moment (KAM) represents the mechanical stress on the medial compartment; however, the relationship between the increase in MME and KAM is still unknown. Therefore, the present study aimed to investigate the relationship between MME during gait and KAM.

Methods

Twenty-one patients with medial knee osteoarthritis and 11 healthy middle-aged adults were recruited. Three-dimensional motion analysis system and ultrasonography were used to measure the KAM and MME in the stance phase. The increase in MME was identified as the difference in MME between the maximum and minimum (ΔMME). Patients with knee osteoarthritis performed two conditions as normal and toe-out gait. The difference in KAM and ΔMME between conditions were evaluated.

Results

ΔMME was correlated with the KAM second peak in normal gait of knee osteoarthritis patients (r = 0.51, p < 0.05). Toe-out gait reduced the KAM second peak and the ΔMME, and these reductions were correlated (r = 0.50, p < 0.05).

Conclusions

Toe-out gait immediately inhibited the expansion of MME associated with the KAM second peak.

背景内侧半月板挤压(MME)是在日常生活活动中,根据膝内侧区的机械应力而逐渐扩大的。MME的增加发生在步态周期的站立阶段,这是其扩展的关键。膝盖内收力矩(KAM)表示内侧隔室上的机械应力;然而,MME的增加与KAM之间的关系仍然未知。因此,本研究旨在探讨步态MME与KAM之间的关系。方法招募20例膝内侧骨关节炎患者和11名健康的中年人。采用三维运动分析系统和超声技术测量站立阶段的KAM和MME。MME的增加被确定为最大值和最小值之间的MME差异(ΔMME)。膝关节骨性关节炎患者有两种情况,即正常步态和脚趾向外步态。评估了不同条件下KAM和ΔMME的差异。结果膝关节骨性关节炎患者步态正常时,ΔMME与KAM第二峰值呈正相关(r=0.51,p<;0.05),趾外步态使KAM第二峰和ΔMME降低,且呈相关(r=0.50,p&lgt;0.05)。
{"title":"Toe-out gait inhibits medial meniscus extrusion associated with the second peak of knee adduction moment during gait in patients with knee osteoarthritis","authors":"Takato Hashizume ,&nbsp;Yosuke Ishii ,&nbsp;Masakazu Ishikawa ,&nbsp;Yuko Nakashima ,&nbsp;Goki Kamei ,&nbsp;Yoshitaka Iwamoto ,&nbsp;Saeko Okamoto ,&nbsp;Kaoru Okada ,&nbsp;Kazuya Takagi ,&nbsp;Makoto Takahashi ,&nbsp;Nobuo Adachi","doi":"10.1016/j.asmart.2023.08.001","DOIUrl":"10.1016/j.asmart.2023.08.001","url":null,"abstract":"<div><h3>Background</h3><p>A medial meniscus extrusion (MME) gradually expands during activities of daily living according to the mechanical stress on the medial compartment of the knee. Increase in MME occurs during the stance phase of the gait cycle, which is key for its expand. The knee adduction moment (KAM) represents the mechanical stress on the medial compartment; however, the relationship between the increase in MME and KAM is still unknown. Therefore, the present study aimed to investigate the relationship between MME during gait and KAM.</p></div><div><h3>Methods</h3><p>Twenty-one patients with medial knee osteoarthritis and 11 healthy middle-aged adults were recruited. Three-dimensional motion analysis system and ultrasonography were used to measure the KAM and MME in the stance phase. The increase in MME was identified as the difference in MME between the maximum and minimum (ΔMME). Patients with knee osteoarthritis performed two conditions as normal and toe-out gait. The difference in KAM and ΔMME between conditions were evaluated.</p></div><div><h3>Results</h3><p>ΔMME was correlated with the KAM second peak in normal gait of knee osteoarthritis patients (r = 0.51, p &lt; 0.05). Toe-out gait reduced the KAM second peak and the ΔMME, and these reductions were correlated (r = 0.50, p &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>Toe-out gait immediately inhibited the expansion of MME associated with the KAM second peak.</p></div>","PeriodicalId":44283,"journal":{"name":"Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/14/main.PMC10474330.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10149859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology
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