ABSTRACT
Abstract Objective To compare the effectiveness of the early accelerated rehabilitation and delayed conservative rehabilitation protocols after arthroscopic anterior cruciate ligament reconstruction, in terms of the International Knee Documentation Committee (IKDC) score, pain (according to the Visual Analog Scale), laxity, and stiffness one year postoperatively to determine the best outcome. Materials and Methods A total of 80 subjects were divided into 2e groups (early accelerated group and delayed conservative group), which were analyzed by the Pearson Chi-squared and Wilcoxon rank-sum tests. Results One year postoperatively, knee laxity was significantly higher (p = 0.039) in the early accelerated group compared with the delayed conservative group. Regarding postoperative pain (according to the Visual Analogue Scale) and IKDC scores, both groups presented similar results. The postoperative range of motion was better in the early accelerated group, but this was not statistically significant (p = 0.36). Conclusion One year postoperatively, the early accelerated rehabilitation protocol was associated with significant knee laxity compared to the delayed conservative rehabilitation protocol.
Resumo Objetivo Comparar a eficácia dos protocolos de reabilitação acelerada precoce e de reabilitação conservadora retardada após reconstrução artroscópica do ligamento cruzado anterior, em termos da escala do International Knee Documentation Committee (IKDC), da dor (segundo a Escala Visual Analógica), da frouxidão e da rigidez no pós-operatório de um ano para determinar o melhor desfecho. Materiais e Métodos Um total de 80 participantes foram divididos em dois grupos (grupo da acelerada precoce e grupo da conservadora retardada), que foram analisados pelos testes do Qui-quadrado de Pearson e da soma dos postos de Wilcoxon. Resultados A frouxidão do joelho no pós-operatório de 1 ano foi significativamente mais alta (p = 0,039) no grupo da acelerada precoce do que no grupo da conservadora retardada. Em termos de dor pós-operatória (pela Escala Visual Analógica) e pontuações no IKDC, ambos os grupos apresentaram resultados similares. A amplitude de movimento pós-operatória foi melhor no grupo da acelerada precoce, mas isso não foi estatisticamente significativo (p = 0,36). Conclusão O protocolo de reabilitação acelerada precoce foi associado com uma frouxidão significativa do joelho em um ano de pós-operatório em comparação com o protocolo de reabilitação conservadora retardada.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Outcome and Process Assessment, Health Care , Anterior Cruciate Ligament Reconstruction/rehabilitation , Anterior Cruciate Ligament Injuries/rehabilitationABSTRACT
Background: The available treatments for frozen shoulder yield variable results. Physical therapy andanalgesics are considered as the first-line treatment for this disorder, but the effects are not uniform.There is some evidence to support that alternative medicine may have a role in its management.Objective(s): This study was designed to examine the short-term effects of yoga therapy in patients withfrozen shoulder of mild to moderate severity.Materials and methods: A prospective randomized controlled trial was conducted on patients with frozenshoulder between 30 and 60 years of age. They were divided into two groups: yoga (Y) and control (NY).A set of Asana exercises called “Standing Group of Asana” was practiced by the yoga group in addition tothe conventional therapy as received by the control group. The patients were reviewed at 1, 2 and 4weeks. The pain and functional assessment were done at baseline and at each review using the ShoulderPain and Disability Index (SPADI).Results: There were 16 male and 20 female participants in the Y group, and 15 males and 21 females inthe NY group. There was no statistically significant difference in age, sex, and pre-treatment SPADI scorebetween the groups. At the end of the four weeks, the SPADI pain scores in the Y and NY group were20.47 and 20.14, respectively (p ¼ 0.666). The SPADI disability scores in the Y and NY group were 20.4 and19.7, respectively (p ¼ 0.599). Overall SPADI scores were 40.67 and 40.03 in the Y and NY group,respectively (p ¼ 0.736). Both groups had a significant reduction in SPADI pain and disability scores.However, there was no significant difference between the groups in terms of SPADI scores.Conclusion: The effect of the Standing Group of Asana has no added advantage relative to standard frozenshoulder treatment when practiced for one month.© 2019 Transdisciplinary University, Bangalore and World Ayurveda Foundation. Publishing Services byElsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).