SUMMARY
Background. Post-traumatic joint contracture (PTJC), characterized by loss of motion and permanent stiffness, affects up to 50% of patients following elbow joint dislocation or fracture. Mechanisms governing successful conservative treatment methods aimed at preventing elbow PTJC and avoiding operative treatments (e.g., physical therapy) are poorly understood. Using a previously established rat model of elbow PTJC, the purpose of this study was to explore the effect of varying timing, intensity and duration of active, functional exercise on joint motion outcomes.
Methods. Following a surgically-induced unilateral elbow dislocation in rats, injured limbs were immobilized in bandages for 42 days followed by free mobilization for 42 additional days producing long-term PTJC. This work summarizes several studies (Phases I-III) that investigated the effects of early versus delayed therapy (timing), free mobilization versus forced treadmill walking (intensity), and limited-time versus unlimited use (duration) on elbow PTJC.
Results. Joint motion outcomes in therapy groups showed no improvements compared to non-treated injured animals when therapy began day 14 post-injury or later regardless of timing, intensity or duration. Improved joint range-of-motion was only achieved when bandages were permanently removed at day 3 post-injury, regardless of whether added treadmill walking was performed.
Conclusions. Early motion is essential to preserving range-of-motion following traumatic elbow injury in a rat model.
Investigating the Effects of Physical Therapy Timing, Intensity and Duration on Post-Traumatic Joint Contracture in a Rat Elbow Model
A. J. Reiter, R. M. Castile, H. R. Schott, G. J. Kivitz, A. M. Chamberlain, S. P. Lake
Original Article, 547-553
Keywords: elbow, joint contracture, physical therapy., range of motion, rat model, treadmill walking,
Table of Content: Vol. 11 (No.3) 2021 July/September
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Postural Stability in Men with Anterior Cruciate and Bicruciate Ligament Knee Injury
E. Kamińska, T. Piontek, M. Wiernicka, M. Goliwąs, J. Lewandowski, K. AdamczewskaOriginal Article, 367-375 -
Demographic and Clinical Factors Predict Focused Shockwave Therapy Results on Patients With Plantar Fasciitis. A Multilevel Analysis
A. Vertuccio, D. Perugia, R. M. Lanzetti, A. Massimiani, A. Lacopo, S. M. Nusca, R. Baldini, F. Santoboni, E. Latini, M. Vetrano, M. C. VulpianiOriginal Article, 376-382 -
Diagnostic Accuracy of Physical Tests and Imaging Techniques in Patients with Shoulder Impingement Syndrome
M. Lorusso, E. Mastrangelo, G. Garofalo, D. Ristori, F. BrindisinoReview, 383-408 -
The Immediate Effect of Muscle Energy Technique and Whole Body Vibration on Hamstring Muscle Flexibility and Stiffness in Healthy Young Females
M. Azizi, A. Shadmehr, K. Malmir, N. Qotbi, Z. Khazaei PourOriginal Article, 409-415 -
A Single-blind Randomised Trial of Intra-Articular Hyaluronic Acid, Hypertonic Saline, and Physiotherapy in Knee Osteoarthritis
E. Taftian, S. Azizi, A. Dadarkhah, N. Maghbouli, S. Najafi, Z. Reza Soltani, A. KhavandegarOriginal Article, 416-426 -
Osseous Ankle Morphology and Recurrent Lateral Sprains: a Case-Control Study
V. Nabi, M. N. Doral, O. Bilge, G. Huri, F. Familiari, J. NylandOriginal Article, 427-432 -
Clinical and Functional Comparison between Anatomical and Non-Anatomical Acute Repair of Tears of the Distal Tendon of Biceps Brachii
A. De Carli, E. Gaj, S. M. Pagnotta, O. Picconi, A. FerrettiOriginal Article, 433-438 -
Immediate Effects of a Novel Lumbar Support Device on Pain Modulation and Core Muscle Function in Patients with Chronic Non-Specific Low Back Pain: a Randomized Controlled Trial
D. Dissanguan, P. Sitilertpisan, L. H. Joseph, A. PaungmaliOriginal Article, 439-448 -
Association of Regional Bioelectrical Phase Angle with Physical Performance: a Pilot Study in Elite Rowers
F. Campa, G. Mascherini, G. Polara, D. Chiodo, L. StefaniOriginal Article, 449-456 -
Neutrophil-Reduced Platelet Rich Plasma with Optimal Platelets Concentrations for Epicondylitis of the Elbow
M. Yoshida, M. SaitoCase report, 457-462 -
Photobiomodulation in Temporomandibular Dysfunction: a Systematic Review
A. M. Pimentel de França, A. Gonçalves Borges, R. Boff Daitx, R. M. Ferrer, M. Baptista Dohnert, J. L. Q. DuriganReview, 463-474 -
The 2019 Cameroon University Games: Prevention Strategies for Musculoskeletal Injuries
D. Maurice, L. Giordani, S. Sobze Martin, B. Yagaï, V. Colizzi, C. FotiOriginal Article, 475-483 -
Combining Platelet Rich Plasma and Concentrated Bone Marrow with a Demineralized Bone Matrix Scaffold Enhances Growth Factor Release Over Time
J. M. Brewer, M. B. McCarthy, L. Pauzenburger, M. P. Cote, A. D. MazzoccaOriginal Article, 484-493 -
Post-Activation Potentiation Effect after Acute Plyometric Exercises on the Performance of Long Jumpers
D. dos Santos Silva, A. R. P. Ferreira, F. J. Aidar, D. Gama de Matos, E. Kalinine, M. E. Da Silva-Grigoletto, R. F. de SouzaOriginal Article, 494-499 -
Arthroscopic Management of Tibial Spine Avulsion in Children: a Retrospective Study with a Minimum Four Year Follow-Up
G. F. Trinchese, A. Oliviero, F. Oliva, N. MaffulliOriginal Article, 500-506 -
Between-Day Reliability of DIERS Formetric 4D® Measurements and the Effects of Prolonged Sitting on Five Standing Positions in Healthy University Students
A. Arumugam, A. M. Javed, S. F. Mohammad, R. M. Mallash, L. A. Aoni, M. K. Aljannan, M. Alkandri, T. M. ShoushaOriginal Article, 507-516 -
Short-Term Outcome of Focused Shock Wave Therapy for Sural Myofascial Pain Syndrome associated with Plantar Fasciitis: a Randomized Controlled Trial
E. Carlisi, F. Manzoni, G. Maestri, L. M. R. Boschi, C. LisiOriginal Article, 517-524 -
Impact of the Location of Myometric Measurement Points on Skeletal Muscle Mechanical Properties Outcomes
J. Mencel, J. Marusiak, A. Jaskólska, A. Jaskólski, K. Kisiel-SajewiczOriginal Article, 525-535 -
Static Stretching at Pain-Tolerated Intensity Is Not Necessary to Increase Knee Range of Motion in Amateur Soccer Players: a Randomized Trial
R. R. V. Melo, M. S. Cerqueira, G. M. Barbosa, A. L. B. A. Laurentino, I. M. Franca, T. O. Souza, W. H. Brito VieiraOriginal Article, 536-546 -
Investigating the Effects of Physical Therapy Timing, Intensity and Duration on Post-Traumatic Joint Contracture in a Rat Elbow Model
A. J. Reiter, R. M. Castile, H. R. Schott, G. J. Kivitz, A. M. Chamberlain, S. P. LakeOriginal Article, 547-553 -
The Efficacy of Intra-Articular Botulinum-Toxin Injection in Knee Osteoarthritis: A Systematic Review and Meta-analysis
M. Hosseini, M. Azadvari, E. Kargozar, S. Z. Emami Razavi, S. Rahimi-Dehgolan, N. MaghbouliReview, 554-568 -
Coordination of the Sub-Regions of the Supraspinatus and Deltoid Muscles During Shoulder Scaption: a Shear Wave Elastography Study
K. Hoshikawa, T. Yuri, N. Mura, H. Giambini, Y. KiyoshigeOriginal Article, 569-576 -
No Effect of Intra-Articular Platelet-Rich Plasma Injections after Arthroscopic Repair of Rotator Cuff Tears: a Prospective Randomized Study
J. R. Almoguera Sánchez-Villacañas, A. Almoguera-Martinez, G. H. Seoane, Á. Sutil Blanco, C. I. Godinho-Soares, F. García De LucasOriginal Article, 577-583 -
Factors Associated to Return to Sport after Surgical Repair of Achilles Tendon Ruptures. A Clinical and Functional Retrospective Study
R. Tanaka, T. Imaya, S. Katsuki, T. Sanada, A. Fukai, E. Honda, H. YoshitomiOriginal Article, 584-591 -
Injury Risk and Maturity Status in Italian Elite Young Football Player
S. Toselli, L. Benedetti, R. Di Miceli, P. Aiello, G. NanniOriginal Article, 592-599