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Background: Knee Osteoarthritis (KOA) is a frequent type of degenerative joint disease, which results in a gradual loss of function, discomfort, and stiffness. KOA can be effectively treated with oral drugs such as corticosteroids and nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs may raise the dangers of renal, gastrointestinal, and other systemic toxicities. Compared with oral NSAIDs, topical gels are an alternative therapeutic option with fewer side effects, with less therapeutic efficacy. Studies on ultrasound (US) as a therapeutic method go back a long time in KOA. US not only relieves symptoms but may also provide potential cartilage repair effects, and regulates inflammatory responses. Widely used as a physical enhancer of drug absorption is ultrasonic phonophoresis. By making the skin more permeable to topical pharmaceuticals, it improves the absorption of drugs used topically. (2) Material and method: A monocentric study was conducted in the Center of Physical Therapy and Rehabilitation - "Dunărea de Jos" University of Galați on 20 patients, diagnosed with bilateral and unilateral moderate KOA. The experimental group (EG) included 10 patients who received 10 sessions of PT (Physical Therapy), transcutaneous electrical nerve stimulation (TENS), and Ultrasound (US) phonophoresis therapy with hydrocortisone 10mg/g. The control group (CG) included 10 patients who received 10 sessions of TENS and US with neutral gel. (3) Results: All patients were clinically assessed with The "timed up and go test" (TUG), pain scale (VAS), and WOMAC. The t-test was used to calculate the statistical differences between the means of the EG and CG. (4) Conclusion: Hydrocortisone therapy combined with PT had a beneficial effect on pain and functional mobility in patients with KOA form EG. Furthermore, significantly greater improvement was observed among the intervention group with hydrocortisone.
Background: Knee Osteoarthritis (KOA) is a frequent type of degenerative joint disease, which results in a gradual loss of function, discomfort, and stiffness. KOA can be effectively treated with oral drugs such as corticosteroids and nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs may raise the dangers of renal, gastrointestinal, and other systemic toxicities. Compared with oral NSAIDs, topical gels are an alternative therapeutic option with fewer side effects, with less therapeutic efficacy. Studies on ultrasound (US) as a therapeutic method go back a long time in KOA. US not only relieves symptoms but may also provide potential cartilage repair effects, and regulates inflammatory responses. Widely used as a physical enhancer of drug absorption is ultrasonic phonophoresis. By making the skin more permeable to topical pharmaceuticals, it improves the absorption of drugs used topically. (2) Material and method: A monocentric study was conducted in the Center of Physical Therapy and Rehabilitation - "Dunărea de Jos" University of Galați on 20 patients, diagnosed with bilateral and unilateral moderate KOA. The experimental group (EG) included 10 patients who received 10 sessions of PT (Physical Therapy), transcutaneous electrical nerve stimulation (TENS), and Ultrasound (US) phonophoresis therapy with hydrocortisone 10mg/g. The control group (CG) included 10 patients who received 10 sessions of TENS and US with neutral gel. (3) Results: All patients were clinically assessed with The "timed up and go test" (TUG), pain scale (VAS), and WOMAC. The t-test was used to calculate the statistical differences between the means of the EG and CG. (4) Conclusion: Hydrocortisone therapy combined with PT had a beneficial effect on pain and functional mobility in patients with KOA form EG. Furthermore, significantly greater improvement was observed among the intervention group with hydrocortisone.
Figure skating is associated with a high prevalence of sport-specific injuries and overuse symptoms. Impacts are of greater magnitude in jumps with more revolutions that are thus connected to a greater risk of injury. While figure skating programs seem to have recently increased in difficulty, performance trends have not yet been reported in the literature. We hypothesized increasing performance and decreasing age trends of the best athletes who competed at international level in recent years. Furthermore, we aimed to identify and analyse objective performance parameters and to assess a potential link between age and the risk of injury. The development of the number of double, triple and quadruple jumps in the singles figure skating events at the World and European Championships since the introduction of the new ISU Judging System in the 2004/2005 season was analysed using regression statistics and Student’s T-Tests. In all groups, the numbers of jumps with fewer rotations significantly decreased in the favour of jumps with more rotations. Women only started to perform jumps with four rotations in 2019. In the men, the number of quadruple jumps increased from an average of less than one to more than three in recent years (European and World Championships, both p < 0.001). In the European, but not in the World Championships, the average age increased in the men and decreased in the women (European Championships, men and women p = 0.006). Our study was the first to assess performance trends in elite figure skating. The incidence of injuries and overuse syndromes in figure skating needs to be monitored cautiously, as increases can be expected following recent gains in performance and jump complexity.
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