Physiotherapist-designed aquatic exercise programme for community-dwelling elders with osteoarthritis of the knee: a Hong Kong pilot study

Lau, Mary C K; Lam, Joseph K S; Siu, Eva; Fung, Carmen S W; Li, Kevin T Y; Lam, Margaret W F

doi:10.12809/hkmj133931

Cited by 19 publications

(37 citation statements)

References 12 publications

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“…Articular cartilage injury does not heal instantly, unfortunately, and the methods for articular cartilage repair are few. Slight cartilage damage can be treated by strengthening the surrounding muscles by physiotherapy, and pain and swelling can be reduced by anti-inflammatory drugs [30][31][32]. However, if the cartilage injury is more serious, surgical treatment may be considered.…”

Section: Different Treatments For Articular Cartilage Damage (Healingmentioning

confidence: 99%

Hydrogels for the Application of Articular Cartilage Tissue Engineering: A Review of Hydrogels

Chuang

Chiang

Wong

et al. 2018

Advances in Materials Science and Engineering

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e treatment of articular cartilage damage is a major task in the medical science of orthopedics. Hydrogels possess the ability to form multifunctional cartilage grafts since they possess polymeric swellability upon immersion in an aqueous phase. Polymeric hydrogels are capable of physiological swelling and greasing, and they possess the mechanical behavior required for use as articular cartilage substitutes. e chondrogenic phenotype of these materials may be enhanced by embedding living cells. Artificial hydrogels fabricated from biologically derived and synthesized polymeric materials are also used as tissue-engineering scaffolds; with their controlled degradation profiles, the release of stimulatory growth factors can be achieved. In order to make use of these hydrogels, cartilage implants were formulated in the laboratory to demonstrate the bionic mechanical behaviors of physiological cartilage. is paper discusses developments concerning the use of polymeric hydrogels for substituting injured cartilage tissue and assisting tissue growth. ese gels are designed with consideration of their polymeric classification, mechanical strength, manner of biodegradation, limitations of the payload, cellular interaction, amount of cells in the 3D hydrogel, sustained release for the model drug, and the different approaches for incorporation into adjacent organs. is article also summarizes the different advantages, disadvantages, and the future prospects of hydrogels.

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Section: Different Treatments For Articular Cartilage Damage (Healingmentioning

confidence: 99%

Hydrogels for the Application of Articular Cartilage Tissue Engineering: A Review of Hydrogels

Chuang

Chiang

Wong

et al. 2018

Advances in Materials Science and Engineering

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“…It is important that whichever treatment is used, the joint must maintain the freedom of movement that would be expected [40]. When the cartilage damage or arthritis is mild, physiotherapy can be used to strengthen the surrounding muscles, in conjunction with anti-inflammatory drugs to reduce pain and swelling [39,41,42]. Regular exercise has also been observed to control mild symptoms [43].…”

Section: Current Strategies For Cartilage Defect Repairmentioning

confidence: 99%

Hydrogels as a Replacement Material for Damaged Articular Hyaline Cartilage

et al. 2016

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Hyaline cartilage is a strong durable material that lubricates joint movement. Due to its avascular structure, cartilage has a poor self-healing ability, thus, a challenge in joint recovery. When severely damaged, cartilage may need to be replaced. However, currently we are unable to replicate the hyaline cartilage, and as such, alternative materials with considerably different properties are used. This results in undesirable side effects, including inadequate lubrication, wear debris, wear of the opposing articular cartilage, and weakening of the surrounding tissue. With the number of surgeries for cartilage repair increasing, a need for materials that can better mimic cartilage, and support the surrounding material in its typical function, is becoming evident. Here, we present a brief overview of the structure and properties of the hyaline cartilage and the current methods for cartilage repair. We then highlight some of the alternative materials under development as potential methods of repair; this is followed by an overview of the development of tough hydrogels. In particular, double network (DN) hydrogels are a promising replacement material, with continually improving physical properties. These hydrogels are coming closer to replicating the strength and toughness of the hyaline cartilage, while offering excellent lubrication. We conclude by highlighting several different methods of integrating replacement materials with the native joint to ensure stability and optimal behaviour.

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“…Seven out of the nine studies included in this review involved both male and female participants. (15,(17)(18)(19)(20)(21)(22) In all but one of these seven studies, (20) the number of female participants were greater than male participants. Of the remaining two studies, one (14) included only female participants while the other (23) The nature of the pathologies investigated were diverse.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Of the remaining two studies, one (14) included only female participants while the other (23) The nature of the pathologies investigated were diverse. Four studies looked specifically at CLBP (14,17,18,20), four studies looked specifically at knee OA (15,19,21,22) and one study looked at CLBP, OA and chronic neck pain. (23) All hydrotherapy interventions were 40 to 60 minutes in length, with the exception of one study, which did not specify session duration.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

The impact of hydrotherapy on a patient’s perceived well-being: a critical review of the literature

Carere

Orr

2016

Physical Therapy Reviews

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Background: Physiotherapists commonly use hydrotherapy as a treatment approach for various types of conditions. As hydrotherapy utilizes the hydrodynamic properties of water to promote relaxation and decrease pain perception, previous research has suggested that hydrotherapy may help to decrease the health burden of musculoskeletal conditions. The aim of this review was to critically examine literature investigating (a) the benefits of hydrotherapy on reducing pain and disability associated with chronic musculoskeletal conditions, and (b) report on literature findings regarding the perceived benefit of hydrotherapy on the wellbeing of adults with chronic musculoskeletal conditions. Methods: Select electronic databases were searched to identify relevant articles. Studies meeting the inclusion criteria were critically analyzed using the Downs and Black protocol with agreement between raters assessed via Kappa analysis. Results: Nine original articles addressing the benefits of hydrotherapy on adult populations with chronic musculoskeletal conditions were analysed. The mean critical appraisal score was 73% (Kappa = 0.87) with the evidence suggesting that hydrotherapy had a positive effect on pain, quality of life, condition related disability and functional exercise capacity. It was also noted that following hydrotherapy, the perceived benefit of wellbeing was superior to land-based exercise protocols in cases where water temperature was within a thermoneutral range (33.5°C to 35.5°C). Conclusion: Hydrotherapy helps to reduce the health burden of musculoskeletal conditions. Improvements in the perception of wellbeing are likely to occur following hydrotherapy that is conducted in water within the thermoneutral range.

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Physiotherapist-designed aquatic exercise programme for community-dwelling elders with osteoarthritis of the knee: a Hong Kong pilot study

Cited by 19 publications

References 12 publications

Hydrogels for the Application of Articular Cartilage Tissue Engineering: A Review of Hydrogels

Hydrogels for the Application of Articular Cartilage Tissue Engineering: A Review of Hydrogels

Hydrogels as a Replacement Material for Damaged Articular Hyaline Cartilage

The impact of hydrotherapy on a patient’s perceived well-being: a critical review of the literature

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