Background: The benefits of exercise in patients with knee osteoarthritis are well documented, but the optimal exercise dose remains unknown.
Objective: To compare high-dose versus low-dose exercise therapy with regard to knee function, pain, and quality of life (QoL) in patients with long-term symptomatic knee osteoarthritis.
Design: A Swedish and Norwegian multicenter randomized controlled superiority trial with multiple follow-ups up to 12 months after the intervention.
Purpose: High repetition high dose medical exercise therapy (MET) is a promising treatment for patients with musculoskeletal pain. However, little is known regarding the feasibility of MET in patients with symptomatic knee osteoarthritis (OA). The aim of this study was to investigate the feasibility of MET in patients with symptomatic knee pain with radiographic verified OA.
View Article and Find Full Text PDFIntroduction: Arthroscopic partial meniscectomy (APM) after degenerative meniscus tears is one of the most frequently performed surgeries in orthopaedics. Although several randomised controlled trials (RCTs) have been published that showed no clear benefit compared with sham treatment or non-surgical treatment, the incidence of APM remains high. The common perception by most orthopaedic surgeons is that there are subgroups of patients that need APM to improve, and they argue that each study sample of the existing trials is not representative for the day-to-day patients in the clinic.
View Article and Find Full Text PDFIntroduction: While continued research into pain and exercise may address the underlying mechanisms, the mechanisms through which exercise may act are still poorly understood. The purpose of this study was to examine the effects of medical exercise therapy on pressure sensitivity in knee osteoarthritis patients, and to assess whether the decreased pain perception after medical exercise therapy can be explained by changes in pressure sensitivity.
Methods: We adopted acohort design in which 16 patients with long term pain were tested before and after 3 months of medical exercise therapy intervention.
Introduction: Osteoarthritis (OA) of the knee is characterised by knee pain, disability and degenerative changes, and places a burden on societies all over the world. Exercise therapy is an often-used modality, but there is little evidence of what type of exercise dose is the most effective, indicating a need for controlled studies of the effect of different dosages. Thus, the aim of the study described in this protocol is to evaluate the effects of high-dose versus low-dose medical exercise therapy (MET) in patients with knee OA.
View Article and Find Full Text PDFBackground & Aims: There is no consensus regarding what type of exercises, combination of exercises or exercise dosage is most effective in patients with long-term hip arthrosis. The goal of this study was to evaluate the effects of two different exercise programs related to dose-response relationships.
Method: Prospective randomized controlled clinical trial with 6 months follow where 33 participants were randomly assigned to either high repetitive, high dosage medical exercise therapy (MET) (n = 16) or low dosage exercise therapy (ET) (n = 17).
Background: Excessively high stresses are applied to the shoulder joint of handball players, mainly caused by overhead throwing. Shoulder pain is a significant problem among junior female team handball players and both male and female top-level team handball players in Norway.
Method: A randomized selection was performed among the best female junior teams (J 16) in the Trøndelag region of Norway in the 2014-2015 season.
There is no consensus in the postoperative rehabilitation regimen for patients who have undergone surgery for medial meniscus damage. The aim of this study was to examine whether it is necessary to undergo postoperative physiotherapy treatment these patients. A prospective randomized controlled clinical trial was performed.
View Article and Find Full Text PDFOpen Access J Sports Med
December 2013
The purpose was to examine musculoskeletal disorders in Norwegian female biathlon athletes (age ≥ 16), both juniors and seniors. The design was a retrospective cross-sectional study. In all, 148 athletes (79.
View Article and Find Full Text PDFObjectives: To evaluate the long-term effect of high-dose, high-repetition medical exercise therapy (MET) in patients with patellofemoral pain syndrome (PFPS).
Design: Follow-up study one year after completion of a randomized, controlled trial.
Setting: Follow-up testing in the primary healthcare physiotherapy clinics, where intervention was undertaken.
Knee Surg Sports Traumatol Arthrosc
January 2014
Purpose: There is no consensus on a postoperative rehabilitation regimen for patients who have undergone surgery for medial meniscus damage. The aim of this investigation was to evaluate two rehabilitation approaches after arthroscopic surgery in patients with degenerative meniscus: supervised medical exercise therapy versus no treatment.
Methods: A prospective randomized controlled clinical trial.
Background: There is no consensus in postoperative rehabilitation regimen for people who had undergone surgery for degenerative medial meniscus damage. The aim of this study was to examine whether it is beneficial to undergo postoperative physiotherapy after surgery for these patients.
Methods: A prospective randomized controlled clinical trial.
Objectives: To evaluate two different therapeutic exercise regimens in patients with patellofemoral pain syndrome (PFPS).
Design: Multicentre, randomised controlled clinical trial.
Setting: Three primary healthcare physiotherapy clinics.
The purpose of this pilot study was to compare the effectiveness of conservative therapy involving medical exercise therapy (MET) versus arthroscopic surgery in patients with knee pain, with MRI-verified degenerative meniscus. The patients were randomly assigned either to MET (n = 9) or to arthroscopic surgery (n = 8). Patients receiving MET had 3 treatments a week for 3 months, a total of 36 treatments.
View Article and Find Full Text PDFBackground And Purpose: Exercise therapy is a commonly used conservative therapy for long-term subacromial pain. However, there is no consensus regarding what type of exercises and dosage is most effective. The aim of this study was to compare the effect of two exercise programmes: 1) high-dosage (HD) medical exercise therapy versus 2) low-dosage (LD) exercise therapy programme for subjects with long-term subacromial pain.
View Article and Find Full Text PDFUnlabelled: SUMMARY BACKGROUND AND PURPOSE: The primary aim of this case series was to investigate the effect of a high dosage medical exercise therapy program on shoulder pain in patients with subacromial pain syndrome.
Subjects: Six subjects were assigned to a medical exercise therapy group.
Methods: They received three treatments a week over three months.
Objectives: The primary aim of this study was to investigate the effect of medical exercise therapy in shoulder impingement patients, along with possible correlations between impairment variables.
Study Design: A prospective unblended randomized clinical trial.
Methods: Over four months, 61 participants were randomly assigned into a high-graded exercise therapy group (HD) (n=31) and into a low-graded exercise therapy group (LD) (n=30).
Background: There are no studies on economic issues concerning rehabilitation exercises for shoulder pain.
Objective: The aim of the study was to investigate sick leave and the associated costs after a medical exercise therapy programme in patients with longstanding subacromial pain/impingement.
Methods: A randomised controlled trial in which 61 patients were randomly assigned either to a high-dosage medical exercise therapy group (HD) (n=31) or to a low dosage exercise therapy group (LD) (n=30).