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Efficacy of McConnell’s Medial Patellar Taping Application for Pain Management and Walking Velocity of Osteoarthritis Patients Wahju Hidajati1,; Angela BM Tulaar; Yoga Iwanoff Kasjmir; Sumariyono; Surjanto M.A
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1282.443 KB) | DOI: 10.36803/ijpmr.v2i01.224

Abstract

Objectives: to evaluate the efficacy of medial patellar taping in addition to exercise for pain relief and 15 meters walking time, and to find any correlation between the pain improvement and functional outcome.Methods: This study was a randomized controlled trial of knee patellar taping in combination with the isometric and stretching exercise in comparison to taping free- exercise. The inclusion criteria includesknee osteoarthritis patients with VAS score ranges four to eight of each knee, with or without tolerable pain on the other knee. The treatment group received knee tapping and isometric and stretching exercise of thequadriceps, iliotibial band, hamstring and gastrocnemius muscles. Both treatment and control group were assessed for about three weeks (day 1/week 0, day 2, day 28/week 4, and day 49/week 7). A visual analoguescale (VAS) was used to assess knee pain severity whereas 15 m walking time assessed to measure functional gait performance. On day 2, both measurements were done for study group only, with assumption the resultwould be the same with 1 day exercise only. A Lequesne index measured functional outcome.Results: There were 24 participants, twelve patients were in the tapped group while the remaining twelve were in the control group. Significant pain differences were visible during the treatment period at day 1, day2 and at the beginning of week 7. At day 2 and week 4, the study group showed significant pain reduction in comparison to the control group (p < 0.007).The walking time also showed significant improvement in the study group at day 2 (p < 0.000) but there were no significant difference at week 4 and week 7. At week 7, the study group experienced pain (p < 0.037) andoutcome improvement significantly. In addition, for about 75% of them had none to moderate disability post intervention. Meanwhile, from the total of eight patients in the control group who had severe to very severedisability, four of them had moderate (50%) and the rest had mild disability (50%). There was significant correlation between the pain and functional outcome on day two.Conclusions: Medial Patellar Taping in addition to isometric and stretching exercise of quadriceps, iliotibial band, hamstrings and gastrocnemius muscles showed significant improvement of disability superior to theuntapped group. Benefits of Medial Patellar Taping remained three weeks after removal.Keywords: Osteoarthritis, Knee Pain Severity, exercise, Medial Patellar Taping, Visual Analogue Scale, 15 Meter Walking Time, Functional Gait Performance, Lequesne Index.
Efficacy of McConnell’s Medial Patellar Taping Application for Pain Management and Walking Velocity of Osteoarthritis Patients Wahju Hidajati1,; Angela BM Tulaar; Yoga Iwanoff Kasjmir; Sumariyono; Surjanto M.A
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1282.443 KB) | DOI: 10.36803/ijpmr.v2i01.224

Abstract

Objectives: to evaluate the efficacy of medial patellar taping in addition to exercise for pain relief and 15 meters walking time, and to find any correlation between the pain improvement and functional outcome.Methods: This study was a randomized controlled trial of knee patellar taping in combination with the isometric and stretching exercise in comparison to taping free- exercise. The inclusion criteria includesknee osteoarthritis patients with VAS score ranges four to eight of each knee, with or without tolerable pain on the other knee. The treatment group received knee tapping and isometric and stretching exercise of thequadriceps, iliotibial band, hamstring and gastrocnemius muscles. Both treatment and control group were assessed for about three weeks (day 1/week 0, day 2, day 28/week 4, and day 49/week 7). A visual analoguescale (VAS) was used to assess knee pain severity whereas 15 m walking time assessed to measure functional gait performance. On day 2, both measurements were done for study group only, with assumption the resultwould be the same with 1 day exercise only. A Lequesne index measured functional outcome.Results: There were 24 participants, twelve patients were in the tapped group while the remaining twelve were in the control group. Significant pain differences were visible during the treatment period at day 1, day2 and at the beginning of week 7. At day 2 and week 4, the study group showed significant pain reduction in comparison to the control group (p < 0.007).The walking time also showed significant improvement in the study group at day 2 (p < 0.000) but there were no significant difference at week 4 and week 7. At week 7, the study group experienced pain (p < 0.037) andoutcome improvement significantly. In addition, for about 75% of them had none to moderate disability post intervention. Meanwhile, from the total of eight patients in the control group who had severe to very severedisability, four of them had moderate (50%) and the rest had mild disability (50%). There was significant correlation between the pain and functional outcome on day two.Conclusions: Medial Patellar Taping in addition to isometric and stretching exercise of quadriceps, iliotibial band, hamstrings and gastrocnemius muscles showed significant improvement of disability superior to theuntapped group. Benefits of Medial Patellar Taping remained three weeks after removal.Keywords: Osteoarthritis, Knee Pain Severity, exercise, Medial Patellar Taping, Visual Analogue Scale, 15 Meter Walking Time, Functional Gait Performance, Lequesne Index.
Formulation of mice diet with low cholecalciferol content Sumariyono; Handayani, Dian; Setiati, Siti; Amalialjinan, Nadia; Abellia, Gaby; Anindyanti, Risma Debby; Dienillah, Syifa Sarah; Ernawati; Tanadi, Caroline
Medical Journal of Indonesia Online First
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.257859

Abstract

BACKGROUND Vitamin D deficiency has been linked to autoimmune diseases, cancer, and cardiovascular diseases. Although 1 study attempted to elucidate the ingredients required to make this diet, the process remained unclear. Hence, this study aimed to customize a low cholecalciferol diet with good tolerability in mice. METHODS We customized a diet containing a normal cholecalciferol content (1 IU/g diet) and another with a low cholecalciferol content (0.05 IU/g diet). Samples from both diets were sent to an independent laboratory to ensure that the levels of cholecalciferol, phosphorus, and calcium present in the custom diets matched our calculations. 5 mice were fed the customized normal cholecalciferol diet for 1 week to assess tolerability. Tolerability was assessed by measuring the amount of food consumed, weight gained, and the presence of any adverse events. RESULTS Cholecalciferol, phosphorous, and calcium levels in both diets satisfactorily matched our calculations. The diet was well tolerated without any adverse events or mortalities. The mice consumed an adequate amount of food (mean: 5.34 [0.08] g diet/day, 95% confidence interval [CI]: 5.12–5.56; 19.38 kcal, fat: 0.43 g, protein: 0.14 g, carbohydrates: 3.16 g, and cholecalciferol: 0.007 mg) and gained a slight amount of weight by the end of the experiment (mean: 1.86 [0.46] g, 95% CI: 0.58–3.14). CONCLUSIONS This study successfully created 2 custom diets with quantified cholecalciferol contents. This animal model may prove valuable for studies involving vitamin D.