The aim of this study was to investigate the effects of kinesio taping (KT) in combination with moderate adapted exercise on the functional outcome of patients with knee osteoarthritis. We included 66 patients who presented pain and functional impairment with osteoarthritis. At the end of the treatment, only 57 patients remained because nine patients were excluded. Patients were randomly allocated to three treatment groups: (1) exercise group; (2) exercise KT with tension application (stabilizing effect) group; (3) exercise KT without tension application (draining effect) group. We used different methods of investigation: the Western Ontario and McMaster Universities Arthritis Index, the Visual Analogue Scaling Score for Pain, the Timed Up and Go test and analgesic consumption. Our results showed a reduction in knee pain, improvement in knee function and also less need for medication in patients with knee osteoarthritis treated with kinesio taping in combination with exercise for, at least, a period of three months. In conclusion, we can assert that therapeutic knee kinesio taping in association with a moderate adapted training is an effective method for the management of pain and disability limitations in patients with knee osteoarthritis.
PurposeUnrecognized posterior shoulder dislocation with a concomitant humeral head fracture affects joint function and no consensus exists regarding treatment. The present study analyses clinical and radiographic outcomes of a novel arthroscopic technique for reducing chronic locked posterior shoulder dislocation associated with subscapularis remplissage.
MethodsThe study comprises a retrospective analysis of consecutive chronic posterior locked shoulders (CPLS) with minimum 2‐years follow‐up of patients who had undergone McLaughlin technique arthroscopic modification for the treatment of CPLS with a reverse Hill–Sachs lesion. Active range of motion (ROM), Western Ontario (WOSI) and Constant Score (CS), were evaluated pre‐ and postoperatively. Plain radiographs and magnetic resonance imaging (MRI) scans were collected pre‐ and post‐operatively, recording bone defect, osteoarthritis, cuff integrity/fatty infiltration, and the grade of filling of the reverse Hill‐Sachs.
ResultsTwelve male patients with a mean follow‐up of 37.3 months ± 10.5 (range, 24–58) were included. Mean WOSI and CS scores improved from 41 to 92 and 28 to 94 points, respectively. ROM measurements all had significantly increased at final follow‐up, with no significant differences in arm rotation. No defects were left unfilled at final MRI examination.
ConclusionThe results of this uncontrolled study with a limited number of patients confirm that arthroscopic reduction and subscapularis remplissage is a highly effective and satisfactory treatment method resulting in no shoulder rotation deficits.
Level of evidenceLevel IV.
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