Patient assessment of treatment following knee injury.

Kernohan, George; Dodd, F. J.; Dowey, K E; McConnell, L A

doi:10.1136/bjsm.27.2.131

Cited by 3 publications

(5 citation statements)

References 4 publications

(1 reference statement)

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“…Exacerbation of pain while ascending and descending stairs is one common clinical symptom of AKP; descending stairs tends to be more painful than ascending stairs [11, 16]. Grelsamer and McConnell suggest [7] utilizing a mirror for visual feedback of the pelvis with shorter step heights, so that patients can maintain a level pelvis while ascending and descending these low height stairs.…”

Section: Introductionmentioning

confidence: 99%

Electromyographic changes in the gluteus medius during stair ascent and descent in subjects with anterior knee pain

Brindle

Mattacola

McCrory

2003

Knee Surgery, Sports Traumatology, Arthroscopy

150

126

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Ascending and descending stairs is a provocative activity for anterior knee pain (AKP) patients. The gluteus medius (GM) acts on the lower extremity in the frontal plane and can affect forces at the knee. Determining activation patterns of the GM in patients with AKP can help identify efficacy of training the GM in this population. This study examined electromyographic (EMG) firing patterns in lower extremity muscles in subjects with AKP while ascending and descending stairs. Subjects in the AKP group ( n=16) demonstrated general AKP for at least 2 months compared to the control group ( n=12); neither group had any history of knee trauma. Subjects were instrumented with EMG electrodes on the vastus medialis oblique (VMO), vastus lateralis (VL), and GM. Retroreflective markers were placed on lower extremities to determine knee flexion angle, and frontal plane pelvis orientation at toe contact. Subjects then performed a series of five stair (height=18 cm) ascent and descent trials. Repeated measures analyses of variance were performed on EMG and kinematic variables, between the two groups and between the symptomatic and asymptomatic sides. In the AKP group the GM demonstrated delayed onset and shorter durations for stair ascent and shorter duration during descent. There were no significant differences between sides in the AKP group. Consistent with previous studies, subjects in the AKP group demonstrated no difference in the VMO onsets relative to VL onsets compared to the control group. Changes in neuromuscular activity patterns may be a result of a compensations strategy due to AKP. Training of GM and other hip muscles is warranted during rehabilitation of AKP patients.

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Section: Introductionmentioning

confidence: 99%

Electromyographic changes in the gluteus medius during stair ascent and descent in subjects with anterior knee pain

Brindle

Mattacola

McCrory

2003

Knee Surgery, Sports Traumatology, Arthroscopy

150

126

View full text Add to dashboard Cite

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“…The normative data indicated that 38% were generally dissatisfied, 29% were undecided, Patient Satisfaction and Patient Compliance and 35% were generally satisfied with the treatment received. However, a large number (62%) gave up the sport entirely after having received an injury specifically to the knee (Kernohan et al, 1993). The results from this study indicate a less favorable satisfaction with the treatment received compared to other sport related studies (Albohm & Wilkerson, 1999).…”

Section: Patient Satisfaction and Patient Compliance 56contrasting

confidence: 56%

“…Yet, patient satisfaction is best thought as a multidimensional concept. Ratings have been obtained only once, typically after the completion of the rehabilitation process, or questions have been phrased more as to whether the athlete "agreed" or "disagreed" with the behaviors of the athletic trainer rather than how satisfied they were with the care they received (Albohm & Wilkerson, 1999;Kernohan, Dodd, Dowey, & McConnell, 1993;Taylor & May, 1995;Unruh, 1998). The limitations mentioned, detract from the ability to determine whether athletes were satisfied at the onset of injury or became more or less satisfied as they spent more time with the health care provider.…”

Section: Athletic Trainers As Health Care Providersmentioning

confidence: 99%

“…To benefit the sports medicine departments, clinics, and injured athletes, the quality of care injured athletes have received from their athletic trainer should be measured. Few studies have evaluated injured athletes' satisfaction with certified athletic trainers (ATC), physiotherapists, or physical therapists (Albohm & Wilkerson, 1999;Fick, Xakellis, & Gjerde, 1992;Kernohan et al, 1993;Taylor & May, 1995;Unruh, 1998). Similar to other patient satisfaction studies, investigations with ATCs as treatment providers have used a variety of measurements and definitions of patient satisfaction, but most have reported favorable satisfaction ratings of ATCs (Albohm & Wilkerson, 1999;Kernohan et al, 1993;Unruh, 1998).…”

Section: Variables Associated With Patient Satisfactionmentioning

confidence: 99%

“…Similar to the medical literature, the reported athletic injury studies that have assessed patient satisfaction ratings have used varying measurements all reporting favorable results (Albohm & Wilkerson, 1999;Kernohan et al, 1993;Unruh, 1998).…”

Section: Patient Satisfaction and Patient Compliancementioning

confidence: 99%

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Patient satisfaction among injured high school and college athletes and its association with rehabilitation adherence and compliance

Roh¹,

Joni²

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Based on theory, patient satisfaction has been suggested to be a means for patient attendance and quality of effort during rehabilitation, which would then impact the recovery rate (DiPalo, 1997; Press, 1994). Recently, patient satisfaction athletes received from their sports medicine professional (i.e., athletic trainer, physiotherapist) in the athletic training rooms and clinics have also been explored (Albohm & Wilkerson, 1999; Taylor & May, 1995; Unruh, 1998). However, the sample selection, instrumentation, and methodology used were questionable. The primary focus of this study was to investigate the sociodemographic variables associated with patient satisfaction. A secondary focus was to investigate concurrent and prospective relationships between patient satisfaction and rehabilitation adherence (attendance) and compliance (quality of effort). Prior to any patient satisfaction analyses, alpha and test-retest reliabilities and concurrent and construct validities were completed which demonstrated acceptable psychometric levels for the Medical Interview Satisfaction Scale for Athletic Trainers (MISSAT). Thirty-seven acutely injured high school and college athletes completed the MISSAT for the respective athletic trainer one-week and one-month post injury. Each respective athletic trainer completed the Sport Injury Rehabilitation Adherence Scale (SIRAS) for each injured athlete one-week and one-month post injury. In general, injured athletes reported relatively high patient satisfaction ratings. Patient satisfaction ratings remained relatively stable over time. Two way (gender x injury severity) ANOVA revealed female injured athletes were significantly more satisfied with their athletic trainer than their male counterparts regardless of injury severity. Chi square analysis indicated that female injured athletes were more likely to be treated by female athletic trainers (gender concordant). Multiple regression analyses indicated greater patient satisfaction scores one-week post injury did predict greater patient compliance, but not patient adherence scores one-month post injury. Further, after controlling for injury severity, regression analyses indicated that the affective subscale and the behavior subscale scores one-week post injury were related to rehabilitation compliance one-month post injury, which accounted for 33% and 47%, respectively.

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The vastus medialis oblique:vastus lateralis electromyographic intensity ratio does not differ by gender in young participants without knee pathology

et al. 2008

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Patient assessment of treatment following knee injury.

Cited by 3 publications

References 4 publications

Electromyographic changes in the gluteus medius during stair ascent and descent in subjects with anterior knee pain

Electromyographic changes in the gluteus medius during stair ascent and descent in subjects with anterior knee pain

Patient satisfaction among injured high school and college athletes and its association with rehabilitation adherence and compliance

The vastus medialis oblique:vastus lateralis electromyographic intensity ratio does not differ by gender in young participants without knee pathology

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