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Part 3 – Managing knee osteoarthritis: Systemic pharmacotherapy and intra-articular treatments

Systemic treatments for patients with osteoarthritis (OA) have been shown to have significant positive effects on biomarkers that may be associated with OA disease progression. What does active aging mean to you? CHHM is working to … READ MORE

Part 2 – Managing knee osteoarthritis: Self-help and non-pharmacological interventions

Early intervention for osteoarthritis (OA) of the knee is important for ameliorating the long-term effects of disease. Current treatment goals are focused on symptom relief, but effort is being directed toward the development of … READ MORE

Part 1 – Managing knee osteoarthritis: Rationale for early treatment

Attention to early diagnosis and intervention in patients with osteoarthritis (OA) has increased, but which treatments may have the greatest benefit in slowing or potentially reversing disease progression is unclear. Many … READ MORE

Colleen Parsons, Certified Exercise Physiologist

Colleen is a professional fitness and nutrition coach with extensive experience helping people achieve a healthier and more active lifestyle with custom-designed programs – while also improving outcomes of treatment for those … READ MORE

Spooking up wheelchairs for Hallowe’en

One Irish dad in Donegal has made the most incredible Hallowe’en costume for his son. by samedifference1 October 30, 2015 Oisin Roberts was seven when he first talked about wanting a Halloween costume that incorporated his … READ MORE

Ambling modifiers: Finding a patient-friendly gait for knee OA

In the interest of improving compliance, studies of gait modifications to reduce moments and forces at the knee in patients with knee osteoarthritis (OA) are increasingly focusing on gait alterations that will not make patients … READ MORE

New phone app for patients with spina bifida

Use of the iMHere system in spina bifida is feasible and was associated with short term, self-reported improvements in self-management skill. This system holds promise for use in many diverse chronic care models to support and … READ MORE

Kamik Kids ‘Manatee’ Sport Sandal

Parents recommend Manatee Sport Sandal by Kamik® Kids for $39.99. Children’s sizes 2-12, assorted colours. Available online at sears.ca Ask about these at your local shoe store or shop … READ MORE

The 2015 Nike Mag

Almost 30 years ago, Nike was asked to collaborate on a movie that would feature scenes set in the futuristic world of 2015. The brand was challenged to imagine sneakers that would suit the inhabitants of the advanced era. The … READ MORE

Knee replacement surgery works, but so can non-surgical techniques

Knee replacement more effective than alternative care but risks are higher, too. OssKin Evoke™ Nonsurgical treatments are effective for some patients with knee osteoarthritis, and the approach carries less risk of adverse … READ MORE

Paralyzed people regain movement using brain interfaces

After doctors bridge his spinal injury with electronics, a paralyzed man can control his arm with his thoughts. On the ceiling of Michelangelo’s Sistine Chapel, God reaches out to touch Adam. The eye locks on the small gap … READ MORE

Osteoarthritis in the XXIst century: Risk factors and behaviours that influence onset and progression

Paddling with Evoke™ brace Musumeci G, Aiello FC, Szychlinska MA, Di Rosa M, Castrogiovanni P, Mobasheri A. International Journal of Molecular Sciences, 2015 Mar 16 Abstract Osteoarthritis (OA) is a growing public health … READ MORE

Keep moving to prevent osteoarthritis, say physicists

Osteoarthritis in the knee is a painful condition affecting nearly half of all Americans at some time – and two thirds of obese adults. Research suggesting that physical activity could help prevent it has been presented this … READ MORE

Delivering healthcare services to children with cerebral palsy and their families

Children with cerebral palsy have complex healthcare needs and often require complex multidisciplinary care. It is important for clinicians to understand which approaches to healthcare service delivery for this population are … READ MORE

Exercise recommendations after total joint replacement

A review of the current literature and proposal of scientifically based guidelines. This article presents a literature review of the current recommendations regarding sports after total joint replacement and also suggests … READ MORE

Are a third of knee replacements inappropriate?

One third of total knee replacement surgeries in the United States may be “inappropriate,” according to an article published in Arthritis & Rheumatology. The findings point to the need for the development of consensus … READ MORE

Pre-operative exercise boosts TKA outcomes

An evidence-based exercise regimen, designed to enhance knee strength and the ability to complete functional tasks, may speed recovery following total knee arthroscopy, TKA, in patients with knee osteoarthritis. Evoke unloading knee … READ MORE

OA bracing may bolster prehabilitation protocols

Pre-operative exercise has been shown to improve total knee arthroplasty outcomes, but may not be feasible in patients with severe pain. Bracing and other offloading methods can help decrease that pain, potentially improving the … READ MORE

Physiotherapy for functional motor disorders: a consensus

Background Patients with functional motor disorder (FMD) including weakness and paralysis are commonly referred to physiotherapists. There is growing evidence that physiotherapy is an effective treatment, but the existing literature … READ MORE

OA knee bracing for lateral, severe cases respond positively

OssKin Evoke™ by Jordana Bieze Foster, Lower Extremity Review April 2010 Two studies presented in March suggest that bracing for knee osteoarthritis may be effective in two patient populations that are not well represented in … READ MORE

Knee braces activate brain

A prototype ‘mini’ MRI scanner, developed by Imperial College London, that could be used for diagnosing knee injuries by Jordana Bieze Foster, Lower Extremity Review January 2010 fMRI confirms proprioceptive effects. Functional … READ MORE

Helping the world to grow old more gracefully

Ageing, says Richard Suzman, is “reshaping our world.” Like climate change, “it seems inexorable, and is gradual”, he says; but the global impact of ageing on health, disability, wellbeing, and poverty might eventually turn … READ MORE

Arthritis has an impact on the daily lives of Canadians young and old

Results from a population-based survey. Background There is a perception that the impacts of arthritis are greatest among older adults. However, the effect of age on health-related outcomes in individuals with arthritis has not been … READ MORE

Development of the arch: functional implications

Contrary to the conclusions of early research, recent studies suggest that arch height does indeed affect lower extremity function. The biomechanics associated with different arch heights may provide a basis for treatment and … READ MORE

Footwear and risk of knee OA: The search for meaning in moments

Although footwear may in fact play a role in the development of knee osteoarthritis and its clinical management, those relationships are turning out to be much more complicated than once thought. Want a helping hand? Try wearing … READ MORE

Women with knee osteoarthritis experience greater pain sensitivity

Among patients with osteoarthritis of the knee, women experienced greater sensitivity to various pain modalities – such as lower tolerance to heat, cold, and pressure – and greater widespread pain than men. The findings … READ MORE

Paraplegic man walks with own legs again

American man, 26, completes 3.5-metre course thanks to computer system that reroutes signals from his brain to electrodes on his knees. Fig. 1. Partial picture of the overground walking course, depicting the BCI-Parastep system, the … READ MORE

Knee OA, biomechanics, and progression to TKA

Findings related to muscle activity during gait and progression to TKA may explain why interventions to improve joint stability can impact symptoms but not knee adduction moment (KAM). By Cheryl Hubley-Kozey PhD, and Gillian Hatfield … READ MORE

Double bonus – AFOs improve dual-task gait in two ways

Ankle foot orthoses intervene at the level of the body and at the level of activity. But they might also have effects at the level of participation. – Nikta Pirouz CPO By Jordana Bieze Foster, Lower Extremity Review March 2015 … READ MORE

Great systematic review on pediatric supported standing

Supported standing programs have been used in various settings for more than 50 years in an effort to reduce and prevent complications and to optimize various aspects of function. In spite of widespread clinical use, we lack … READ MORE

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