Title: Case Study of a Two Years follow up on a Subject Receiving Physiotherapy with Obesity, Movement Disorder, Hemiparesis and Bilateral Osteoarthritis Knee
Author: Dr S.S.Subramanian
DOI: http://dx.doi.org/10.18535/jmscr/v4i10.29
Obesity remains a major predisposing factor for osteoarthritis, this subject with left hemiparesis and dyskinesia. Physiotherapy, resisted exercises using Physioball and inversion therapy in a two year follow up with a drop in obesity, improved quality of life and the need to undergo total knee replacements are avoided remains the major outcome of this case study. Keywords: TKA – Total Knee Arthroplasty, OA – Osteoarthrosis, ROM – Range of Motion. 1. Lauren K King, Lyn March and Ananthila Ananda Coomarasamy obesity and osteoarthritis 2013, Indian J Med Res 138, PP 185-193. 2. Ananda Coomarasamy A, Fransen in, March Obesity and the Musculo Skeletal System cur opi Rheumatology 2009: 21:71-7. 3. Brooks PM. Impact of osteoarthritis on individuals and society: how much disability? Social consequences and health economic implications curr opi rheumatology. Curr Opin Rheumatol. 2002 Sep; 14(5):573-7. 4. Szoeke C, Dennerstein L, Guthrie J, Clark M, Cicuttini F. The relationship between prospectively assessed body weight and physical activity and prevalence of radiological knee osteoarthritis in postmenopausal women. J Rheumatol. 2006; 33:1835–40. 5. Anandacoomarasamy A, Leibman S, Smith G, Caterson, Giuffer B, Fransen M etal. Weight loss in people has structure modifying effects on medial but not on lateral knee articular cartilage. Ann Rheum dis 2012:71:26-32. 6. Farr JN, Going SB, Lohman TG, Rankin L, Kasle S, Cornett M, Cussler E. Physical activity levels in patients with early knee osteoarthritis measured by accelerometry. Arthritis Rheum. 2008 Sep 15;59(9):1229-36. 7. Messier S, Loesser R, miller G etal. Exercise and dietary weight loss in over weight and obese older adults which osteoarthritis knee: Arthritis Rheum 2008 59 (9): 1229-36. 8. Lai PP, Leung AK, Lian, Z Hang M. Three dimensional Gait Analysis of Obese Adults. Cli Bio Mech (Bristol AV on) 2008: 23 (Suppl 1):s2-6. 9. Holliday KL, MC Williams DF, Maciewicz RA, Muir KR, Zhang W, Doherty M, Lifetime body mass index, other anthropometric measures of obesity and risk of knee or hip osteoarthritis in the goal. Case control study osteoarthritis cartilage 2011:19:37-43. 10. Gud Bergson H, Boesen M, Lohmander LS, Christensen R, Henriksen M, Bartels EM etal weight loss is effective for symptomatic relief in obese subjects with osteoarthritis knee independently of joint damage severity assessed by high field MRI and radiography osteoarthritis cartilage 2012: 20:495-502. 11. Christensen R, Bartels EM, Astrup A, etal. Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: A systematic review and Meta analysis. Ann Rheum dis 2007: 66 (4): 433-9. 12. Australian Orthopaedic Association 2013. https://aoanrrrr.dmac Adelide.edu au/annual reports 2013. 13. Katz JN, Barrett J, Mahomed NN, Baron JA, Wright RJ, Losina E. Association between hospital and surgeon procedure volume and the outcomes of total knee replacement. J Bone Joint Surg Am.2004; 86(9):1909–1916. [Pub Med]. 14. B. Bourne, MD, FRCSC, Bert M. Chesworth, PhD, Aileen M. Davis, PhD, Nizar N. Mahomed, MD, MPH, FRCSC, and Kory D. J. Charron, Dipl. Patient Satisfaction after Total Knee Arthroplasty: Who is Satisfied and Who is Not?. Clin Orthop Relat Res. 2010 Jan; 468(1): 57–63. Published online 2009 Oct 21. 15. Md. Salah Uddin, Muhammad Millat Hossain, Md. Shofiqul Islam, Md. Obaidul Haque , Umma Kulsum, Ehsanur Rahman, Mohammad Habibur Rahman, Md. Fazlul Karim Patwary. Prevalence of Obesity among Musculoskeletal Patients. International Journal of Physiotherapy and Research, Int J Physiother Res 2015, Vol 3(1):889-93. 16. Toda. Y. The effect of energy restriction, walking and exercise on lower extremity lean body mass in obese women with osteoarthritis knee. J ortho sci 2001: Vol- 6, Pages: 148-154. 17. Lange A k, Vanwanseele B, Sing MAF. Strength training for treatment of osteoarthritis of knee: A systematic review; Arthritis Rheum 2008, Vol – 59: Pages: 1488-1494 18. Hinman, R. S, Hunt MA, Creaby M. W etal medical knee osteoarthritis. Arthritis care, 2010: Vol.62 (8) Pages: 1190-1193. 19. Dr.S.S.Subramanian. Case Study Report on a Parkinson’s disease Patient with Inversion Therapy Using Physioball and Inversion Based Yoga Postures. IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS) Volume 10, Issue 6 Ver. I (Nov - Dec. 2015), PP 73-76. 20. Filson PI, Anderson JJ, Naimark A, Walker AM, Meenan RF: Obesity and Knee osteoarthritis: the Framingham study. Ann Intern Med 1992:116:539-9. 21. March LM and Bagga. NP. Epidemiology of osteoarthritis in Australia Med J. Australia 2004:180(5 Suppl) S6-S10. 22. Coggon D, Reading I, Croff P, MC Laren M, Barret D, Cooper C, Knee Osteoarthritis and Obesity Int J. Obesity 2001: 25(5): 622-627.Abstract
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