A review of systematic reviews on anterior cruciate ligament reconstruction rehabilitation

RECONSTRUCTION

The anterior cruciate ligament (ACL) is the primary stabilising structure within the knee, limiting anterior translation of tibia on the femur as well as tibial internal rotation. Injuries are more common in high demand sports and usually follow non- contact trauma such as landing incorrectly from a jump, pivoting or decelerating suddenly, but can occur [read the full story…]

Does exercise reduce pain and improve physical function before hip or knee replacement surgery?

skeleton exercises

We are continuing our theme this week of exercise and physical activity as the  5×50 worldwide exercise flash-mob challenge starts on Friday 23rd November (see earlier post) Do you know anyone who is waiting for a knee or hip joint replacement? They typically experience pain, reduced muscle strength and function. So how can they prepare [read the full story…]

A Hierarchy of Patient-Reported Outcomes for Meta-Analysis of Knee Osteoarthritis Trials

Apples and oranges

Have you ever tried to compare the results of different clinical trials only to find that different outcome measures have been used in each and often in each study more than one outcome measure is reported. This is a common problem for systematic reviewers. When faced with more than one outcome measure which should be [read the full story…]

Risk Factors for Patellofemoral Pain Syndrome

anterior knee pain

When the keep-fit Elf was on holiday recently her replacement introduced us to a new exercise. We all enthusiastically participated in the ‘power lunges’ (more like wobbling really) but over the next few days the front of my knee hurt climbing stairs, kneeling or bending down. What was wrong? Would exercising make it worse? How [read the full story…]

Small but potential benefits of cryotherapy following total knee replacement surgery

ice

Osteoarthritis of the knee is a common condition and typically presents with painful and restricted function and sometimes varus (bow legs) and valgus (knock knees) deformity of the knee. Once the condition and pain worsens knee joint replacement surgery is a treatment option. Patients typically improve in terms of pain and function but there is [read the full story…]

Osteoarthritis of the hip or knee and work participation: a systematic review

All stakeholders should be involved using a worker support approach

Osteoarthritis (OA) of the hip or knee joints is a very common condition amongst the elderly; however, what is often forgotten is that its onset is often while people are still in paid employment, which may lead to perceived difficulties in performing work tasks. We Elves are very hard-working individuals, so I asked myself, in [read the full story…]

Knee and/or ankle osteoarthritis in former elite soccer players

football tackle

In this series of blogs with a London 2012 Olympic flavour we have discussed the evidence on the main running related injuries, neuromuscular warm up strategies and tape for patellofemoral pain syndrome.  I’m going to London to watch the women’s Olympic football semi finals at Wembley Stadium this week. I hope that I will be [read the full story…]