Knee
Arthritis
Exercise
Comparing Different Stretching Exercises on Pain, Stiffness, and Physical Function Disability in Older Adults with Knee Osteoarthritis
Guan-Cheng Zhu 1 , Kuei-Min Chen 2 , Frank Belcastro 3 Objective: To assess and compare the effects of different stretching exercise programs on pain, stiffness, and physical function disability in older adults with knee osteoarthritis (KOA).…
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Patellofemoral pain
Sex Differences in Knee Extensor Neuromuscular Function in Individuals With and Without Patellofemoral Pain
Sungwan Kim, MS, ATC, Neal R. Glaviano, PhD, ATC, and Jihong Park, PhD, AT, CSCS Background: Impaired knee extensor neuromuscular function has been frequently observed in individuals with patellofemoral pain (PFP); however, few researchers have…
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Strengthening
Clinical practice guidelines, Exercise
Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention
Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy and the American Academy of Sports Physical Therapy Amelia J.H. Arundale, DPT, PhD, Mario Bizzini, PT, PhD, Celeste…
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ACL injury and rehabilitation, Strengthening
Exercise
The effect of progressive resistance exercise on knee muscle strength and function in participants with persistent hamstring deficit following ACL reconstruction – a randomized controlled trial.
Bo Bregenhof, MD, PhD, , Per Aagaard, MSc, PhD, Nis Nissen, MD, PhD, Mark W. Creaby, BSc, PhD, Jonas Bloch Thorlund, MSc, PhD, Carsten Jensen, MSc, PhD, Trine Torfing, MD, Anders Holsgaard-Larsen, MSc, PhD OBJECTIVE: To investigate…
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Patellofemoral pain, Strengthening
Exercise
How do hip exercises improve pain in individuals with patellofemoral pain? Secondary mediation analysis of strength and psychological factors as mechanisms.
J Orthop Sports Phys Ther. 2021 Dec;51(12):602-610. Holden S, Matthews M, Rathleff MS, Kasza J, Group F, Vicenzino B. Purpose: To determine whether the effect of hip exercise on patellofemoral pain is mediated through changes…
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Arthritis
Exercise
Stepped exercise program for patients with knee osteoarthritis: A randomized controlled trial.
Ann Intern Med. 2021 Mar;174(3):298-307. Allen KD, Woolson S, Hoenig HM, et al. Background: Evidence-based models are needed to deliver exercise-related services for knee osteoarthritis efficiently and according to patient needs. Purpose: To examine a…
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Patellofemoral pain
Exercise
Effects of static and dynamic stretching with strengthening exercises in patients with patellofemoral pain who have inflexible hamstrings: A randomized controlled trial.
Sports Health. Jan/Feb 2021;13(1):49-56. doi: Lee JH, Jang K, Kim E, Rhim HC, Kim H. Background: Patellofemoral pain (PFP) syndrome is closely associated with muscle tightness. However, studies regarding the effects of stretching exercises on…
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Arthritis
Exercise
Concentric and eccentric resistance training comparison on physical function and functional pain outcomes in knee osteoarthritis: A randomized controlled trial.
Am J Phys Med Rehabil. 2020 Oct;99(10):932-940. Vincent KR, Vincent HK. Purpose: To compare the effectiveness of concentrically-focused resistance training (CNCRT) to eccentrically-focused resistance training (ECCRT) on physical function and functional pain in knee osteoarthritis…
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Joint replacement
Clinical practice guidelines
Physical therapist management of total knee arthroplasty.
Phys Ther. 2020 Aug 31;100(9):1603-1631. Jette DU, Hunter SJ, Burkett L, et al. Background: A clinical practice guideline on total knee arthroplasty was developed by an American Physical Therapy (APTA) volunteer guideline development group that…
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Arthritis
Modalities
New guidelines for electrical stimulation parameters in adult patients with knee osteoarthritis based on a systematic review of the current literature.
Am J Phys Med Rehabil. 2020 Aug;99(8):682-688. Novak S, Guerron G, Zou Z, Cheung G, Berteau JP. Purpose: The goal of this systematic review is to provide guidelines for treatment parameters regarding electrical stimulation by…
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Arthritis
Splinting / supports / taping
Effectiveness of elastic taping in patients with knee osteoarthritis: a systematic review and meta-analysis.
Am J Phys Med Rehabil. 2020 Jun;99(6):495-503. Ye W, Jia C, Jiang J, Liang Q, He C. Purpose: To assess the effects of elastic taping on pain, physical function, range of motion (ROM), muscle strength…
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Arthritis
Exercise
Does adding hip exercises to quadriceps exercises result in superior outcomes in pain, function and quality of life for people with knee osteoarthritis? A systematic review and meta-analysis.
Br J Sports Med. 2020 Mar;54(5):263-271. Hislop AC, Collins NJ, Tucker K, Deasy M, Semciw AI. Purpose:To determine, in people with knee osteoarthritis (KOA): i) the effectiveness of adding hip strengthening exercises to quadriceps exercises…
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Patellofemoral pain
Clinical practice guidelines
Patellofemoral pain.
J Orthop Sports Phys Ther. 2019 Sep;49(9):CPG1-CPG95. Willy RW, Hoglund LT, Barton CJ, et al. Background: Patellofemoral pain (PFP) is a common musculoskeletal-related condition that is characterized by insidious onset of poorly defined pain, localized…
Read MoreHip / pelvic girdle, Knee
Arthritis
Clinical practice guidelines
Identifying and prioritizing clinical guideline recommendations most relevant to physical therapy practice for hip and/or knee osteoarthritis.
J Orthop Sports Phys Ther. 2019 Jul;49(7):501-512. Teo PL, Hinman RS, Egerton T, Dziedzic KS, Bennell KL. Background: Physical therapists are key providers of conservative management for hip and/or knee osteoarthritis (OA), yet not all…
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ACL injury and rehabilitation, Teens and adolescents
Clinical practice guidelines
Evidence-based best-practice guidelines for preventing anterior cruciate ligament injuries in young female athletes: a systematic review and meta-analysis.
Am J Sports Med. 2019 Jun;47(7):1744-1753. Petushek EJ, Sugimoto D, Stoolmiller M, Smith G, Myer GD. Background: Injury prevention neuromuscular training (NMT) programs reduce the risk for anterior cruciate ligament (ACL) injury. However, variation in…
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Sprains and strains
Exercise
Pain-free versus pain-threshold rehabilitation following acute hamstring strain injury: A randomized controlled trial.
J Orthop Sports Phys Ther. 2019 Jun 28;1-35. Hickey JT, Timmins RG, Maniar N, et al. Purpose: The primary aim was to compare time from acute hamstring strain injury (HSI) to return-to-play (RTP) clearance following…
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Patellofemoral pain, Teens and adolescents
Exercise
Activity modification and load management of adolescents with patellofemoral pain: A prospective intervention study including 151 adolescents.
Am J Sports Med. 2019 Jun;47(7):1629-1637. doi: 10.1177/0363546519843915. Rathleff MS, Graven-Nielsen T, Hölmich P, et al. Background: Patellofemoral pain (PFP) affects 7% of adolescents, especially those who are highly active. Exercise-focused treatments show limited effect…
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Arthritis
Clinical practice guidelines, Exercise
Conservative management and rehabilitation in the older runner with knee osteoarthritis: An evidence-based review.
Am J Phys Med Rehabil. 2019 May;98(5):416-421. Castillo B1, Sepúlveda F, Micheo W. Background: Osteoarthritis is an age-related condition that commonly affects the middle-aged and elderly population including individuals who continue to pursue an active…
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Clinical practice guidelines, Exercise
Exercise for knee injury prevention: a summary of clinical practice guideline recommendations — using the evidence to guide physical therapist practice.
J Orthop Sports Phys Ther. 2018 Sep;48(9):732-733. Background: Knee ligament injuries can be debilitating, costly, and negatively impact an athlete's ability to return to the sport he or she loves. Published and anecdotal evidence has…
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ACL injury and rehabilitation
Clinical practice guidelines
Exercise-based knee and anterior cruciate ligament injury prevention.
J Orthop Sports Phys Ther. 2018 Sep;48(9):A1-A42. Arundale AJH, Bizzini M, Giordano A, et al. Purpose: The Academy of Orthopaedic Physical Therapy and the American Academy of Sports Physical Therapy have an ongoing effort to…
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ACL injury and rehabilitation
Clinical practice guidelines
Knee injury prevention: Exercises to keep you from getting sidelined.
J Orthop Sports Phys Ther. 2018 Sep;48(9):734. Background: Knee and anterior cruciate ligament (ACL) injuries have the potential to sideline an athlete for an entire season or even more than a year. Purpose: The goal…
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Balance / dizziness
Exercise
Acute effects of two hip flexor stretching techniques on knee joint position sense and balance.
Int J Sports Phys Ther. 2018 Aug;13(5): 846-59. Younis Aslan HI, Buddhadev HH, Suprak DN, San Juan JG. Background: Tightness of hip flexor muscles has been recognized as a risk factor for various musculoskeletal injuries…
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ACL injury and rehabilitation
Modalities
Neuromuscular electrical stimulation superimposed on movement early after ACL surgery.
Med Sci Sports Exerc. 2018 Mar;50(3):407-416. Labanca L, Rocchi JE, Laudani L, et al. Purpose: Quadriceps weakness and asymmetrical loading of lower limbs are two major issues following anterior cruciate ligament reconstruction (ACLR). The aim…
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Patellofemoral pain
Exercise
Hip and knee strengthening is more effective than knee strengthening alone for reducing pain and improving activity in individuals with patellofemoral pain: a systematic review with meta-analysis.
J Orthop Sports Phys Ther. 2018 Jan;48(1):19-31. Nascimento LR, Teixeira-Salmela LF, Souza RB, Resende RA. Background: The addition of hip strengthening to knee strengthening for persons with patellofemoral pain has the potential to optimize treatment…
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Sprains and strains
Clinical practice guidelines
Knee stability and movement coordination impairments: knee ligament sprain revision 2017.
J Orthop Sports Phys Ther. 2017 Nov; 47(11):A1-A47. Logerstedt DS, Scalzitti D, Risberg MA, et al. Background: The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice…
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ACL injury and rehabilitation
Exercise
Associations of isokinetic and isotonic knee strength with knee function and activity level after anterior cruciate ligament reconstruction: a prospective cohort study.
Knee. 2017 Oct;24(5):1067-74. Pua YH, Ho JY, Chan SA, Khoo SJ, Chong HC. Background: Although isokinetic dynamometry often serves as a reference to assess the concurrent validity of weight-machine isotonic strength testing, it is unknown…
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Joint replacement
Exercise
Influence of hip abductor strength on functional outcomes before and after total knee arthroplasty: post hoc analysis of a randomized controlled trial.
Phys Ther. 2017 Sep 1;97(9):896-903. Loyd BJ, Jennings JM, Judd DL, Kim RH, Wolfe P, Dennis DA, Stevens-Lapsley JE. Background: Total knee arthroplasty (TKA) is associated with declines in hip abductor (HA) muscle strength; however,…
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Arthritis
Manipulation / manual therapy
Joint mobilization enhances mechanisms of conditioned pain modulation in individuals with osteoarthritis of the knee.
J Orthop Sports Phys Ther. 2016 Mar;46(3):168-76. Courtney CA, Steffen AD, Fernández-de-las-Peñas C, Kim J, Chmell SJ. Background: Treatment effects of joint mobilization may occur in part by decreasing excitability of central nociceptive pathways. Impaired…
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Arthritis, Patellofemoral pain
Exercise, Splinting / supports / taping
The effect of knee braces on quadriceps strength and inhibition in subjects with patellofemoral osteoarthritis.
J Orthop Sports Phys Ther. 2016 Jan;46(1):19-25. Callaghan MJ, Parkes MJ, Felson DT. Background: The use of external supports has been questioned because they may lead to weakness in the surrounding muscles. To our knowledge,…
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Arthritis
Exercise, Manipulation / manual therapy
The incremental effects of manual therapy or booster sessions in addition to exercise therapy for knee osteoarthritis: A randomized clinical trial.
J Orthop Sports Phys Ther. 2015 Dec;45(12):975-83. Abbott JH, Chapple CM, Fitzgerald GK, Fritz JM, Childs JD, Harcombe H, Stout K. Objectives: To investigate the addition of manual therapy to exercise therapy for the reduction…
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ACL injury and rehabilitation
Exercise
Quadriceps strength muscle activation failure, and patient-reported function at the time of return to activity in patients following anterior cruciate ligament reconstruction: A cross-sectional study.
J Orthop Sports Phys Ther. 2015 Dec;45(12):1017-25. Lepley LK, Palmieri-Smith RM. Background: Quadriceps activation failure (QAF) may impair the recovery of physical function post ACL reconstruction, given that QAF reduces strength, and strength is related…
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Arthritis, Balance / dizziness, Joint replacement
Exercise
Functional outcomes of outpatient balance training following total knee replacement in patients with knee osteoarthritis: a randomized controlled trial.
Clin Rehabil. 2015 Sep;29(9):855-67. Liao CD, Lin LF, Huang YC, Huang SW, Chou LC, Liou TH. Purpose: To evaluate whether balance training after total knee replacement surgery improves functional outcomes and to determine whether postoperative…
Read MoreHip / pelvic girdle, Knee
Joint replacement
Exercise
Effectiveness of balance exercises in the acute post-operative phase following total hip and knee arthroplasty: a randomized clinical trial.
SAGE Open Med. 2015 Feb 11;3:2050312115570769. Jogi P, Overend TJ, Spaulding SJ, Zecevic A, Kramer JF. Purpose: To determine the effectiveness of balance exercises in the acute post-operative phase following total hip arthroplasty or total…
Read MoreKnee
Patellofemoral pain
Exercise
Sagittal plane trunk posture influences patellofemoral joint stress during running.
J Orthop Sports Phys Ther. 2014 Oct;44(10):785-92. Teng H, Powers CM. Purpose: To examine the association between sagittal plane trunk posture and patellofemoral joint (PFJ) stress, and to determine whether modifying sagittal plane trunk posture…
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Arthritis, Balance / dizziness, Joint replacement
Exercise
Effects of balance training on functional outcome after total knee replacement in patients with knee osteoarthritis: a randomized controlled trial.
Clin Rehabil. 2013 Aug;27(8):697-709. Liao CD, Liou TH, Huang YY, Huang YC Purpose: To evaluate the effectiveness of additional balance training on mobility and function outcome in patients with knee osteoarthritis after total knee replacement.…
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Arthritis
Exercise, Modalities
Does neuromuscular electrical stimulation enhance the effectiveness of an exercise programme in subjects with knee osteoarthritis? A randomized controlled trial.
Clin Rehabil. 2013 Mar;27(3):246-57. Elboim-Gabyzon M, Rozen N, Laufer Y. Purpose: To determine whether neuromuscular electrical stimulation applied to the quadriceps femoris muscle will enhance the effectiveness of an exercise programme in patients with knee…
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Joint replacement
Evaluations
Single-step test for unilateral limb ability following total knee arthroplasty.
J Orthop Sports Phys Ther. 2013 Feb;43(2):66-73. Marmon AR, McClelland JA, Stevens-Lapsley JE, Snyder-Mackler L. Purpose: The single-step test (SST) was evaluated to assess its intertester reliability, validity as a test of activity limitation, and…
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ACL injury and rehabilitation
Evaluations
Rate of force development as an adjunctive outcome measure for return-to-sport decisions after anterior cruciate ligament reconstruction.
J Orthop Sports Phys Ther. 2012 Sep;42(9):772-80. Angelozzi M, Madama M, Corsica C, et al. Purpose: To investigate the rate of force development to 30% (RFD30), 50% (RFD50), and 90% (RFD90) of maximal voluntary isometric…
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