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Objective To observe the effects of electroacupuncture on genu recurvatum after stroke. Methods 80 stroke patients with genu recurvatum were randomly assigned to treatment group (n=40) and control group (n=40). The control group accepted routine rehabilita-tion, and the treatment group accepted electroacupuncture at Yanglingquan (GB34), Futu (ST32), Weizhong (BL40), Chengshan (BL57) and Zusanli (ST36) in addition, for 30 days. The incidence of effectiveness was compared between groups. All the patients were assessed with range of motion (ROM) of knee and Fugl-Meyer Assessment of lower limbs (FMA) before and after treatment. Results The incidence of ef-fectiveness was 72.5%in the treatment group, which was more than 55%in the control group (P<0.05). The ROM and score of FMA im-proved more in the treatment group than in the control group (P<0.05). Conclusion The electroacupuncture can promote the recovery of genu recurvatum after stroke.
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Aim: To compare between the effects of rebounding exercises and whole body vibration on functional capacity, genu recurvatum angles and bone mineral density in children with Down syndrome. Study Design: Prospective, randomized controlled study. Place and Duration of Study: National Institute for Neuro-Motor System, Egypt, between June 2014 and September 2014. Methodology: Thirty children with Down syndrome (16 boys and 14 girls) whose age ranged from 6 to 8 years. They were assigned randomly into two equal study groups (n=15). Study group I received rebounding exercise and study group II received whole body vibration. In addition, both groups received the same designed exercise program. Functional capacity via 6-minute walk test, genu recurvatum angles and bone mineral density were evaluated before and after 3 successive months of treatment. Results: Significant differences were observed in both groups when comparing their pre and posttreatment mean values of all measuring variables (p<0.05). Six minute walk test was changed from (300±9.258, 294.667±9.904) meters to (350±8.451, 357.333±13.741) meters for study group I and II respectively. Right genu recurvatum angles were changed from (20.330±1.543, 19.730±1.534) degrees to (17.800±1.699, 16.130±1.885) degrees for study groups I and II, respectively while left genu recurvatum angles were changed from (19.930±1.486, 19.870±1.407) degrees to (17.600±1.549, 15.067±1.223) degrees for study groups I and II, respectively. Bone mineral density of femoral neck was changed from (0.576±0.015, 0.580±0.016) g/cm2 to (0.805±0.042, 0.831±0.066) g/cm2; distal tibia changed from (0.335±0.085, 0.339±0.089) g/cm2 to (0.485±0.095, 0.549±0.083) g/cm2; proximal tibia from (0.557±0.017, 0.565±0.017) g/cm2 to (0.781±0.053, 0.827±0.076) g/cm2 for study groups I and II, respectively. No significant differences were recorded between both groups when comparing their post-treatment mean values of six minute walk test and bone mineral density while significant differences were recorded in genu recurvatum angles in favor of the study group II (p < 0.05). Conclusion: Both rebounding exercises and whole body vibration are effective in correcting genu recurvatum, increasing low bone mineral density and functional capacity for the children with Down syndrome. The whole body vibration in correction of genu recurvatum angle is more effective in comparison to rebounding exercises.
ABSTRACT
@#Objective To observe the effects of electroacupuncture on genu recurvatum after stroke. Methods 80 stroke patients with genu recurvatum were randomly assigned to treatment group (n=40) and control group (n=40). The control group accepted routine rehabilitation, and the treatment group accepted electroacupuncture at Yanglingquan (GB34), Futu (ST32), Weizhong (BL40), Chengshan (BL57) and Zusanli (ST36) in addition, for 30 days. The incidence of effectiveness was compared between groups. All the patients were assessed with range of motion (ROM) of knee and Fugl-Meyer Assessment of lower limbs (FMA) before and after treatment. Results The incidence of effectiveness was 72.5% in the treatment group, which was more than 55% in the control group (P<0.05). The ROM and score of FMA improved more in the treatment group than in the control group (P<0.05). Conclusion The electroacupuncture can promote the recovery of genu recurvatum after stroke.
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Larsen syndrome was first described in 1950 by Larsen, Schottstaedt and Bost. This rare inherited disorder is characterized by congenital dislocation of multiple joints along with other anomalies of heart, face, hands and bones. Awareness of this condition and assosciated complications helps in better follow up and management of these patients.
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Objective To investigate the efficacy of playing games for improving the angle of genu recurvatum in children with spastic cerebral palsy. MethodsFifty children with spastic cerebral palsy were randomly assigned into a control group (25 cases) and an experimental group (25 cases).The children in both groups were treated using conventional comprehensive rehabilitation and guided family rehabilitation.The children in the experimental group also played games in addition to the conventional rehabilitation practices.The angle of genu recurvatum was assessed using a protractor before and after treatment. ResultsNo significant difference in any item was observed between the two groups before treatment.There was a significant difference in the angle of genu recurvatum after 6 months of treatment. ConclusionPlaying games has evident clinical efficacy in improving the angle of genu recurvatum of children with spastic cerebral palsy.
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Genu recurvatum has commonly treated by Ilizarov devices, and treatment with an orthosis has rarely been reported. A 54 month old girl visited our hospital because of left knee hyperextension. The overall imbalance of the quadriceps with the hamstring muscles created 25 degrees of hyperextension. So we applied a knee-ankle-foot orthosis (KAFO) for treatment. After six months, the plain radiograph show 2 degrees hyperextension and stabilization of the knee. Genu recurvatum can be treated with an orthosis in a patient with imbalanced quadriceps and a hamstring muscle problem.
Subject(s)
Humans , Knee , Muscles , Orthotic DevicesABSTRACT
Although a closing wedge high tibial osteotomy can decrease the posterior tibial slope, there are no reports of severe genu recurvatum after a closing wedge osteotomy that required corrective surgery. A 54-year-old male with medial compartment osteoarthritis and genu varum was treated with a closing wedge high tibial osteotomy in another hospital, which led to severe recurvatum because of surgical failure. He complained of knee pain and a severe deformity, but of which were corrected by an open wedge corrective osteotomy, a two-wedge bicortical autograft reconstruction, and double plate fixation. Surgeons should pay close attention to both varus deformity correction and changes in the posterior tibial slope during a closing wedge high tibial osteotomy.
Subject(s)
Humans , Male , Middle Aged , Congenital Abnormalities , Genu Varum , Knee , Osteoarthritis , OsteotomyABSTRACT
Ten opening-wedge callotasis through the proximal tibia just below the tuberosity were performed using the Ilizarov apparatus in ten patients who had premature asymmetrical closure of the proximal tibial physis and subsequent genu recurvatum. In 4 knees, the genu recurvatum was due entirely to osseous deformity. In the remaining 6 knees, it was due to a combination of ossseous and soft-tissue (ligament and capsule) deformity. In the 6 knees that had combined deformity, the osseous deformity was predominant in all knees. The average age of the patients at surgery was 16.3 years (range, 11.0-20.5 years). Before operation, the average angle of recurvatum was 19.6 degree (range, 15-26 degree) with an average of 76.6 degrees of abnormal tilt of the tibial plateau. The average shortening of the ipsilateral limb in ten patients was 2.7 cm (range, 0.5-8.7 cm). The average duration of correction was 49 days (23-85 days), and the average fixation time was 150 days for management of genu recurvatum and associated limb-length discrepancy. In 3 patients, there were complications including patella infera, pin track infection and transient peroneal nerve palsy. After a mean follow-up of 4.2 years (range, 1.1-5.9 years), most patients had an excellent or good radiographic and functional results without any recurrence. We have found the Ilizarov method to be valid in the management of genu recurvatum with or without concomitant shortening, with relatively few complications, but full understanding of the basic principles and strict adherence to the details of the method must be carefully followed.
Subject(s)
Humans , Congenital Abnormalities , Extremities , Follow-Up Studies , Ilizarov Technique , Knee , Osteogenesis, Distraction , Paralysis , Patella , Peroneal Nerve , Recurrence , TibiaABSTRACT
Genu recurvatum deformity of the knee can be due to the deformity of the bone of the proximal end of the tibia or to the changes in the soft tissues, or both. The causes of acquired genu recurvatum include trauma, wire traction of the tibia, operative procedures involving the proximal tibial physis, Osgood-Schlatter's disease, osteomyelitis and prolonged immobilization. The most frequent symptoms of genu recurvatum are weakness, pain and instability of the knee, genu valgus, and shortening of the affected lower extremity. Operative treatment consists of tibial osteotomy and soft tissue procedures performed on the capsule and ligaments, and recently percutaneous corticotomy of the proximal tibia and gradual correction by the Ilizarov external fixator became one of the treatment modalities. From Nov. 1990 to June 1993, the authors have performed gradual correction by the Ilizarov external fixator in 6 patients of genu recurvatum and the results were as follows. 1. The mean age was 14 years ranging from 11 to 21. And there were 2 males and 4 females. 2. In the past history, there were ipsilateral femur fractures in 5 cases in which 4 cases were treated with skeletal pin traction on the proximal tibia, and one case had ipsilateral open tibiofibular fracture. 3. After Ilizarov external fixation, proximal tibial corticotomy just inferior to the tibial tuberosity were performed in all 6 cases. 4. The follow up period was 19 months in average. 5. The results were evaluated according to a scoring system that was suggested by Lecuire et al.: 2 cases were excellent, 3 cases were good and 1 case was fair. 6. Ilizarov gradual correction was very effective not only in the treatment of genu recurvatum but also in the concurrent correction of limb length inequality and mechanical axis deviation of the lower extermity.