ABSTRACT
Individuals who have undergone knee arthroplasty may still want to run, but no study has reported a progression to guide patients and clinicians. The objective of this case report is to document the process of returning to running after total knee arthroplasty with a 1-year follow-up. The client was a 55-year-old woman, former triathlete, who underwent unilateral knee arthroplasty 1 year prior to consultation. She alternated slow running with walking and increased based on symptoms. She also performed a lower limb exercise programme. The client was a low-impact forefoot striker, ran with a high step rate and wore minimalist shoes. During the 1-year follow-up, she reported no knee pain but experienced minor episodes of calf strains. Towards the end, her comfort level was best when alternating running and walking for 3-4 km, three to four times per week. The client reached her objective of finishing an olympic distance triathlon. The exercise programme also helped to increase lower limb strength and improve physical performance. This case report suggests that it is possible to return to running up to 1 year after total knee arthroplasty. Future research should study bigger samples and monitor implant wear to provide better guidance to patients and physiotherapists.
Certains individus désirent reprendre la course à pied après une arthroplastie du genou. Cependant, aucune étude n'a exploré une progression sécuritaire. L'objectif de cette étude de cas est de documenter un retour à la course avec un suivi d'un an. La cliente était une femme triathlète de 55 ans, ayant subi une arthroplastie unilatérale du genou. Un an après sa chirurgie, elle a alterné la course à vitesse lente avec la marche et a progressé en fonction des symptômes, en plus d'effectuer un programme d'exercices. La cliente courait avec une attaque avant-pied, à faible impact, avec une cadence de pas élevée et portait des chaussures minimalistes. Pendant le suivi d'un an, elle n'a ressenti aucune douleur au genou mais a subi des blessures musculaires mineures aux mollets. Vers la fin du suivi, un régime hebdomadaire de 3-4 entraînements alternant course-marche pour 34 km était confortable. La cliente a atteint son objectif de compléter un triathlon de distance Olympique. Le programme de renforcement a permis d'augmenter la force du membre inférieur et d'améliorer les résultats aux tests fonctionnels. Cette étude de cas suggère qu'il est possible de retourner à la course après une arthroplastie du genou, jusqu'à un suivi d'un an.
ABSTRACT
Asthma and cough are two common chronic conditions whose incidence could be reduced with appropriate prevention and treatment measures. Practice tools can be effective in helping to translate emerging research evidence into clinical practice. This study assesses the extent to which two asthma and cough practice tools are used in primary care. Thirty-six primary care physicians completed a questionnaire on the use, usefulness, and relevance of the two tools, and identified barriers to their use. Results show that the tools are seldom used, even though physicians find them useful and adapted to their practice. Time constraints are the primary barrier to use, followed by a lack of organizational resources. Findings from the study will inform the continued development of effective knowledge transfer tools that are aligned with the specific practice contexts of primary care physicians.
