Kolinger D, Stastny P, Pisz A, Krzysztofik M, Wilk M, Tsoukos A, and Bogdanis GC. High-intensity conditioning activity causes localized postactivation performance enhancement and nonlocalized performance reduction. J Strength Cond Res 38(1): e1-e7, 2024-This study aimed to examine whether a conditioning activity (CA) performed by the legs (barbell back squat) may cause postactivation performance enhancement (PAPE) on muscle groups other than leg extensors in isokinetic (eccentric [ECC] and concentric [CON]) and dynamic movement. Twelve male basketball players (age: 21.3 ± 3.2, body mass: 89.6 ± 14.1 kg, height: 187.4 ± 4.6 cm, and 1 repetition maximum (1RM) barbell back squat: 113 ± 21 kg) with previous resistance-training experience of at least 2 years, performed 3 sets of 3-4 repetitions of back-squats with submaximal load (60, 90, and 90% 1RM) as CA. Before and after the CA, they performed pretest and post-test in the form of countermovement jumps (CMJs) (localized) or explosive push-ups (EPUs) (nonlocalized) along with isokinetic flexion and extension at the knee (localized) or at the elbow (nonlocalized). The localized and nonlocalized protocols were divided into 2 days in a randomized order. The back squat as CA significantly increased peak torque (PT) (p < 0.05) in all CON and ECC muscle actions and average power per repetition (APPR) (p < 0.05) (all muscle actions except ECC flexion) of the localized isokinetic tests with large (>0.8) and medium (0.4-0.79) effect sizes and significantly decreased (p < 0.01) the PT and APPR (p < 0.01) of the nonlocalized isokinetic test in the ECC flexion. The CMJ and EPU tests showed no significant differences (p > 0.05) between premeasures and postmeasures of take-off height. The effect of PAPE seems to be specific to the muscles most involved in the CA, and the CA inhibits PT of subsequent muscle ECC contractions in muscles not involved in the CA.
- MeSH
- dospělí MeSH
- kolenní kloub MeSH
- koleno MeSH
- kosterní svaly fyziologie MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- odporový trénink * metody MeSH
- svalová síla * fyziologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
In this dynamic scanning protocol, ultrasound examination of the knee is described using various maneuvers to assess different conditions. Real-time patient examination and scanning videos are used for better simulation of the daily clinical practice. The protocol is prepared by several/international experts in the field of musculoskeletal ultrasound and within the umbrella of European Musculoskeletal Ultrasound Study Group in Physical and Rehabilitation Medicine/Ultrasound Study Group of the International Society of Physical and Rehabilitation Medicine.
- MeSH
- fyziatrie * MeSH
- kolenní kloub diagnostické zobrazování MeSH
- koleno MeSH
- lidé MeSH
- muskuloskeletální nemoci * rehabilitace MeSH
- svaly MeSH
- ultrasonografie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Patients with hemophilia (PWH) develop hemophilic arthropathy of the major joints due to recurrent hemarthrosis. This study retrospectively estimated the age at which PWH may expect to develop hemophilic arthropathy and undergo joint replacement surgery. RESEARCH DESIGN AND METHODS: Using retrospective data from PWH at a Czech orthopedic center, Kaplan Meier analyses were used to estimate the cumulative proportions of patients with hemophilic arthropathy and undergoing joint replacement surgery as a function of age. RESULTS: Based on 1028 joint examinations in 167 PWH, hemophilic arthropathy of the knees, elbows, ankles and hips was estimated to develop by a median age of 48, 51, 52 and 61 years, respectively, with ≈80% of patients having such damage by ≈70 years of age. Hemophilic arthropathy of the shoulder occurred much later (median >80 years). In patients undergoing knee or hip replacement surgery, hemophilic arthropathy of the knee and hip occurred at a median age of ≈50 and ≈60 years, respectively, with replacement surgery occurring at a median of ≈70 and >75 years. CONCLUSIONS: In PWH, the risk of developing hemophilic arthropathy accumulates continuously over the patient's lifetime, allowing predictions about the ages at which such damage and joint replacement surgery may occur.
- MeSH
- hemartróza diagnóza etiologie MeSH
- hemofilie A * komplikace MeSH
- kolenní kloub MeSH
- lidé středního věku MeSH
- lidé MeSH
- loketní kloub * MeSH
- retrospektivní studie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVES: Compare overall Landing Error Scoring System (LESS) scores, risk categorisation, specific LESS errors, and double-leg jump-landing jump heights between overhead goal and no goal conditions. DESIGN: Randomised cross-over. SETTING: Laboratory. PARTICIPANTS: 76 (51% male). MAIN OUTCOME MEASURES: Participants landed from a 30-cm box to 50% of their body height and immediately jumped vertically for maximum height. Participants completed three trials under two random-ordered conditions: with and without overhead goal. Group-level mean LESS scores, risk categorisation (5-error threshold), specific landing errors, and jump heights were compared between conditions. RESULTS: Mean LESS scores were greater (0.3 errors, p < 0.001) with the overhead goal, but this small difference was not clinically meaningful. Similarly, although the number of high-risk participants was greater with the overhead goal (p = 0.039), the 9.2% difference was trivial. Participants jumped 2.7 cm higher with the overhead goal (p < 0.001) without affecting the occurrence of any specific LESS errors. DISCUSSION: Performing the LESS with an overhead goal enhances sport specificity and elicits greater vertical jump performances with minimal change in landing errors and injury-risk categorisation. Adding an overhead goal to LESS might enhance its suitability for injury risk screening, although the predictive value of LESS with an overhead goal needs confirmation.
PURPOSE OF THE STUDY The competence of the anterior translation of tibia (ATT), posterior cruciate ligament angle (PCLA), and femorotibial rotation angle (FTRA) measured on MR images in predicting anterior cruciate ligament (ACL) injury was evaluated in this study. MATERIAL AND METHODS 266 patients who underwent diagnostic arthroscopy between 2015-2020 were included in this study. Age, gender, radiological fi ndings included ATT, PCLA, and FTRA were measured on preoperative MR images of all patients. RESULTS ACL tear was detected in 143 of patients and most of them were younger males. In ACL-R group, the ATT was 7 mm (-4-17 mm), PCLA value was 110o (52o-157o), and FTRA value was 5.8o (-5o-18o), while in ACL-I group, the ATT was approximately 5 mm (-4-12 mm), PCLA value was 122o (82o-162o) and FTRA value was 1.6o (-10.9o-10o) (p<0.001). ROCCurve test results showed that if ATT value was >6.05 mm (63% sensitivity, 65% specifi city) if PCLA value was <116.5o (65% sensitivity, 70% specifi city) and if FTRA value was >3.45o (73% sensitivity, 72% specifi city), these parameters could predict the probability of ACL tear, preoperatively. The Logistic Regression test results revealed that the PCLA and FTRA values could be the best markers to predict the probability of ACL tear, preoperatively. CONCLUSIONS This study results showed that the ATT, PCLA, and FTRA values could be used as predictive markers in diagnosis of ACL tear, preoperatively. Among these three values, it was concluded that the FTRA could have the highest sensitivity and specifi city ratios and the best predictive value. Key words: anterior cruciate ligament tear, magnetic resonance imaging, arthroscopy, rotational instability, femorotibial rotation angle, anterior translation of the tibia, posterior cruciate ligament angle.
- MeSH
- biologické markery MeSH
- izotopy kyslíku MeSH
- kolenní kloub MeSH
- lidé MeSH
- ligamentum cruciatum anterius diagnostické zobrazování MeSH
- magnetická rezonanční tomografie MeSH
- poranění předního zkříženého vazu * diagnostické zobrazování chirurgie MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Background: Lower limb injuries are widely recognized as the most prevalent injuries among female soccer players. Joint position sense plays a vital role in muscle reflexes, joint stability dynamics, and movement planning for neuromuscular control. Decreased accuracy in joint position sense can be considered an internal injury risk factor.Objective: The current study aims to investigate the immediate effect of a short-term balance protocol with a wobble board on knee and ankle joint position sense. Methods: Forty female participants were recruited and then randomly allocated into two groups: balance training (BTR; n = 20, age 23.50 ± 1.50 years) and control (CON; n = 20, age 23.10 ± 1.77 years). Knee and ankle joint reconstruction errors were measured using a gyroscope at 60° of knee flexion and 30° of ankle plantarflexion. Following this, the BTR group participated in a short-term balance protocol (one session). Immediately following training and then one hour later, the reconstruction error was measured in both groups. Results: A mixed-repeated measures analysis of variance demonstrated that for the BTR group, the absolute angular error (AAE) before and after intervention decreased by 2.14° and 2.95° in the knee (p = .001) and ankle (p = .001) joints, respectively. In addition, an hour after intervention, the AAE remained below the initial value in the two joints (p = .001). Specifically, in the CON group, the AAE in the knee joint did not show a significant decrease, and similarly, no significant change was observed in the AAE in the ankle joint, and also an hour after the intervention. Conclusions: A wobble board training session may stimulate the sensory receptors of the knee and ankle joints of female amateur soccer players and increased joint position sense accuracy and is present one hour post intervention.
- MeSH
- cvičení MeSH
- fotbal * zranění MeSH
- hlezenní kloub MeSH
- kolenní kloub MeSH
- lidé MeSH
- mladý dospělý MeSH
- nestabilita kloubu prevence a kontrola rehabilitace MeSH
- poranění dolní končetiny * klasifikace rehabilitace MeSH
- posturální rovnováha MeSH
- rozsah kloubních pohybů MeSH
- Check Tag
- lidé MeSH
- mladý dospělý MeSH
- ženské pohlaví MeSH
- Publikační typ
- klinická studie MeSH
- MeSH
- COVID-19 * prevence a kontrola MeSH
- kolenní kloub MeSH
- lidé MeSH
- synovitida * diagnóza MeSH
- vakcinace škodlivé účinky MeSH
- vakcíny proti COVID-19 škodlivé účinky MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- komentáře MeSH
OBJECTIVE: Colchicine, an approved treatment for gout, has been trialed in many diseases including osteoarthritis (OA) due to its anti-inflammatory effects. However, its efficacy and safety remain unclear in OA. This systematic review and meta-analysis evaluated the efficacy and safety of colchicine for the treatment of OA. METHODS: PubMed, Web of Science, Scopus, and Cochrane Central were searched from inception through September 2022. Two reviewers independently screened for randomized controlled trials (RCTs) comparing colchicine with placebo or other active comparators for the treatment of OA (knee, hand, or hip OA), extracted data, and performed Cochrane risk of bias assessments. RESULT: Nine RCTs for the knee OA and one for the hand OA were identified, consisting of 847 patients (429 in colchicine arms, 409 in control arms). The studies were conducted between 2002 and 2021 with follow-up periods ranging from 2 to 12 months, in India, Iran, Turkey, Australia, Singapore, and Iraq. Moderate-quality evidence showed no clinically important pain reduction with colchicine compared to control (standardized mean difference [SMD], 0.17; 95% confidence interval [CI], - 0.55, 0.22). Moderate-quality evidence showed no improvement in function with colchicine compared to control in knee OA patients (SMD, - 0.37; 95% CI, - 0.87, 0.13). Colchicine showed an acceptable safety profile with AEs/SAEs comparable to control. CONCLUSION: Current evidence does not suggest a benefit of colchicine in reducing pain and improving physical function in the overall cohort of hand/knee OA patients. Future trials should focus on the subgroups of OA patients with local or systemic inflammation and/or mineralization who might benefit from colchicine.
OBJECTIVE: An increase in the number of neutrophils (NEUs) has long been associated with infections in the knee joints; however, their impact on knee osteoarthritis (KOA) pathophysiology remains largely unexplored. DESIGN: This study compared the phenotypic and functional characteristics of synovial fluid (SF)-derived NEUs in KOA and knee infection (INF). RESULTS: KOA NEUs were characterised by a lower expression of CD11b, CD54, and CD64 and higher expression of CD62L, TLR2, and TLR4 compared with INF NEUs. Except for CCL2, lower levels of inflammatory mediators and proteases were detected in KOA SF than in INF SF. Functionally, KOA NEUs displayed increased reactive oxygen species production and phagocytic activity compared with INF NEUs. Moreover, KOA and INF NEUs differed in cell sizes, histological characteristics of the surrounding synovial tissues, and their effects on the endothelial cells assessed by human umbilical vein endothelial cells. When KOA patients were subdivided based on the SF NEU abundance, patients with high NEUs (10%-60%) were characterised by i) elevated SF protein levels of TNF-α, IL-1RA, MMP-9, sTREM-1, VILIP-1 and ii) lower CD54, CD64, TLR2 and TLR4 expression compared to patients with low NEUs (<10%). Analysis of paired SF samples suggests that low or high NEU percentages, respectively, persist throughout the course of disease. CONCLUSIONS: Our findings suggest that NEU may play a significant role in KOA pathophysiology. Further studies should explore the mechanisms that contribute to the increased number of NEUs in SF and the clinical consequences of neutrophilic phenotype in KOA.
- MeSH
- artróza kolenních kloubů * MeSH
- endoteliální buňky metabolismus MeSH
- fenotyp MeSH
- kolenní kloub patologie MeSH
- lidé MeSH
- neutrofily MeSH
- synoviální tekutina * metabolismus MeSH
- toll-like receptor 2 metabolismus MeSH
- toll-like receptor 4 metabolismus MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
PURPOSE OF THE STUDY A global bibliometric comparison of the level of scientific interest and output in the two research areas hip and knee arthroscopy (H-ASC and K-ASC) was carried out. In addition, the different degrees of publication activity in the countries and institutes performing this research were investigated. MATERIAL AND METHODS Publications from 1945-2020 listed in the Web of Science Core Collection were included in the study. Using the web application Science Performance Evaluation (SciPE), quantitative and qualitative aspects were evaluated. Subsequently, the date of publication, author information, and other metadata were analysed. RESULTS Since 1945, 3,924 studies have been published on K-ASC and 2,163 on H-ASC. The majority of the publications which have appeared since 2016 dealt with the topic of H-ASC (H-ASC: 241.2 publications/year; K-ASC: 217.4 publications/year). The USA published the most on both topics (H-ASC: 1,123 publications; K-ASC: 1,078 publications). More countries and institutes participated in K-ASC (3,008 institutes, 82 countries) than in H-ASC (103 institutes, 57 countries). The ten institutes with the most publications accounted for 36.71% and 12.34% of all publications on H-ASC and K-ASC, respectively. H-ASC received 78.12% of its funding from private sponsors while K-ASC was supported mainly by governmental/nonprofit sponsors (70.92%). CONCLUSIONS This study provides the first scientific comparison between H-ASC and K-ASC. Measured by qualitative and quantitative aspects, K-ASC was the most flourishing research area overall. In the last ten to five years, interest has shifted towards HASC with an increasing number of publications and a higher rate of citations. Key words: knee arthroscopy, hip arthroscopy, bibliometric comparison.
- MeSH
- artroskopie * MeSH
- dolní končetina * MeSH
- kolenní kloub MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
