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Tytuł:
Getting athletes back in the game: A comprehensive rehabilitation assessment of knee injuries
Autorzy:
Arsovski, Denis
Domazeti, Erblin
Jovanovska, Tanja
Ristevska-Dimitrovska, Gordana
Powiązania:
https://bibliotekanauki.pl/articles/13102428.pdf
Data publikacji:
2023
Wydawca:
Akademia Tarnowska
Tematy:
knee rehabilitation
physical activity
athletes
physical therapy
knee pain
Opis:
Movement is an essential characteristic that has developed over the course of human evolution. With the inclusion of various populations in sports activities, sports have become an important part of people’s daily lives. Knee injuries are common among athletes, with knee joint being the most vulnerable to various injuries. Knee injuries require appropriate treatment to allow the athlete to return to their sports activities. Additionally, this study aimed to increase awareness of the importance of preventing knee injuries in sports and to highlight the potential impact of such injuries on an athlete’s ability to participate in their sport.A cross-sectional study was conducted to evaluate the functional outcomes of athletes with knee injuries. The study included 38 patients with knee injuries (ACL, meniscal injuries, collateral ligament injuries) out of which 21 were physically active athletes, 9 were not, but they were athletes who were not involved in sports at the time of the testing and 8 were recreational athletes. The majority of respondents (76%) reported that they sustained the injury during sports activities. Knee pain was reported as at least once a week by most respondents. The study highlights the importance of proper knee injury prevention measures during sports activities and the need for prompt and effective rehabilitation for those who do suffer injuries. Overall, these findings have important implications for the treatment and management of knee injuries among athletes and individuals seeking to maintain an active lifestyle.
Źródło:
Health Promotion & Physical Activity; 2023, 22, 1; 8-17
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Comparison of results of ACL reconstruction using LARS method and autogenous ST/GR graft
Autorzy:
Płocki, Jędrzej
Pelikan, Piotr
Bejer, Agnieszka
Granek, Arkadiusz
Krawczyk-Suszek, Marlena
Kotela, Ireneusz
Powiązania:
https://bibliotekanauki.pl/articles/306843.pdf
Data publikacji:
2019
Wydawca:
Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
Tematy:
kolano
wiązadło
LARS
artroskopia
knee
ACL reconstruction
knee function
arthroscopy
Opis:
The objective of the study was assessment of the function of the knee joint after ACL reconstruction using the LARS method and autogenous graft. The study was of a retrospective character and included 96 patients who had undergone reconstruction of the torn ACL. The study was conducted within 36–48 months after surgery. Methods: In order to compare the results of the ACL reconstruction performed with 2 types of grafts, the following instruments were used: Lysholm Knee Scoring Scale, SF 36v2 questionnaire for assessment of health-related quality of life, and Biodex System 4 for isokinetic muscle testing. Results: No differences in the evaluation of the quality of life measured using SF 36v2 questionnaire were observed between the LARS and ST GR groups. Using the Lysholm Scale, the distribution of knee function scores was compared according to the type of surgery. There are no grounds to confirm the differences in the distribution of knee function scores considering the type of graft ( p = 0.756). Isokinetic test showed a significant weakening of muscle strength in the operated limb, compared to the strength of the healthy limb. Conclusions: The type of graft used for ACL reconstruction does not exert an effect on the quality of life of patients or the level of their knee joint function. Extensor and flexor muscles strength of the knee joint was lower in the operated limb, irrespective of the type of graft used. Weak relationships were observed between the level of knee joint function and extensor muscle strength of this joint.
Źródło:
Acta of Bioengineering and Biomechanics; 2019, 21, 1; 113-119
1509-409X
2450-6303
Pojawia się w:
Acta of Bioengineering and Biomechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A Novel Method for Calculation of Knee Deformation Angles in Clinical and Sport Biomechanics
Autorzy:
Haddas, Ram
Powiązania:
https://bibliotekanauki.pl/articles/1054895.pdf
Data publikacji:
2016
Wydawca:
Uniwersytet Szczeciński. Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
Tematy:
Cutting Maneuver
Joint Architecture
Kinematic
Knee Deformation
Knee Injuries
Orthopaedic Surgery
Opis:
Biomechanical analyses seek to improve understanding of the mechanisms of knee injury and to find ways to reduce knee injury incidence. Many clinical biomechanics researchers use a standard kinematic adopted from Newington Children’s Hospital. Biomechanical studies include the knee joint configurations, where joint architecture immutably constrains and guides movement outcomes. Investigators will default to reporting resultant joint deformation without considering the influence of joint architectural configurations on kinematic responses. The purpose of this study was to develop a new joint angular kinematic method that accounts for influence of dynamic joint architectural configuration on deformation values. Twenty subjects performed unloaded dynamic flexion/ extension and 45° cutting maneuver. The knee deformation angles obtained with the new method proposed were compared with the values that obtained using the standard method. One way repeated measurement ANOVA’s was used to compare knee deformation angles values from the standard method that uses a static trial and the new method that uses a dynamic trial. The proposed method distinguishes between dynamic joint architectural configuration and joint deformation. Loaded standard abduction/adduction (β) and rotation (γ) angles were 3.4 ±1.8° and 11.2 ±3.8°, respectively. Using the new method, the β and γ angles decrease to 1.5 ±1.4° (<0.05) and 7.1 ±1.8° (<0.05) during cutting. The new method accounted for dynamic joint architectural configuration produced loaded β and γ angles that had smaller magnitudes than the standard method, suggesting that previous studies may have overestimated β and γ angles. Injury management strategies could be influenced by a consideration for dynamic joint architectural configuration. Such a consideration could influence ligament repair strategies. Future studies should account for dynamic configuration when establishing the influence of joint deformation on graft design and appropriate isometry values during reconstruction.
Źródło:
Central European Journal of Sport Sciences and Medicine; 2016, 13, 1; 5-13
2300-9705
2353-2807
Pojawia się w:
Central European Journal of Sport Sciences and Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The morphology of the articular surfaces of biological knee joints provides essential guidance for the construction of functional knee endoprostheses
Autorzy:
Nagerl, H.
Dathe, H.
Fiedler, Ch.
Gowers, L.
Kirsch, S.
Kubein-Meesenburg, D.
Dumont, C.
Wachowski, M. M.
Powiązania:
https://bibliotekanauki.pl/articles/307060.pdf
Data publikacji:
2015
Wydawca:
Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
Tematy:
kolano
kinematyka
biomechanika
endoproteza
knee arthroplasty
kinematics
biomechanics
knee
endoprosthesis
pig
Opis:
Purpose: In comparative examinations of kinematics of the knees of humans and pigs in flexional/extensional motion under compressive loads, the significant differential geometric essentials of articular guidance are elaborated to criticise the shaping of the articular surfaces of conventional knee-endoprostheses and to suggest constructional outlines that allow the endoprosthesis to adopt natural knee kinematics. Implantation is discussed with regard to the remaining ligamentous apparatus. Methods: Twelve fresh pig knee joints and 19 preserved human knee joints were moved into several flexional/extensional positions. In each joint, the tibia and femur were repeatably caught by metal plates. After removing all ligaments, the tibia and femur were again caught in these positions, and their points of contact were marked on both articular surfaces. Along the marker points, a thin lead wire was glued onto each surface. The positions and shapes of the four contact lines were mapped by teleradiography. Results: All contact lines were found to be plane curves. The medial and lateral planes were parallel, thus defining the joint’s sagittal plane. In the human knee, as compared to the lateral, the medial femoral contact line was always shifted anteriorly by several millimetres. The tibial contact curve was laterally convex and medially concave. In the pig knees, the lateral and medial contact lines were asymmetrically placed. Both tibial curves were convex. Conclusions: Both knees represent cam mechanisms (with one degree of freedom) that produce rolling of the articular surfaces during the stance phase. Implantation requires preservation of the anterior cruciate ligament, and ligamentous balancing is disadvantageous.
Źródło:
Acta of Bioengineering and Biomechanics; 2015, 17, 2; 45-53
1509-409X
2450-6303
Pojawia się w:
Acta of Bioengineering and Biomechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Molecular correlates of joint pain intensity in osteoarthritis
Autorzy:
Mlost, J.
Bryk, M.
Chwastek, J.
Korostynski, M.
Starowicz, K.
Powiązania:
https://bibliotekanauki.pl/articles/283966.pdf
Data publikacji:
2018
Wydawca:
Akademia Górniczo-Hutnicza im. Stanisława Staszica w Krakowie. Polskie Towarzystwo Biominerałów
Tematy:
osteoarthritis
pathology
knee cartilage
Źródło:
Engineering of Biomaterials; 2018, 21, 148; 107
1429-7248
Pojawia się w:
Engineering of Biomaterials
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Modelowanie dynamiki stawu kolanowego
Numerical simulation of the human knee joint
Autorzy:
Głowiński, S.
Powiązania:
https://bibliotekanauki.pl/articles/251576.pdf
Data publikacji:
2013
Wydawca:
Instytut Naukowo-Wydawniczy TTS
Tematy:
staw kolanowy
dynamika stawu kolanowego
human knee joint
human knee joint dynamics
Opis:
W artykule przedstawiono budowę i scharakteryzowano liczbę stopni swobody stawu kolanowego. Na podstawie modelu rzeczywistego opracowano model komputerowy stawu z zaimplementowanymi parametrami charakteryzującymi układ mięśniowy. W modelu uwzględniono oddziaływania mięśni oraz wiązadeł na układ szkieletowy, zjawiska kontaktu pomiędzy udem i podudziem, a także pomiędzy udem i rzepką. Model został wykorzystany do przeprowadzenia symulacji ruchu kolana. Zaproponowany model przestrzenny stawu kolanowego umożliwił dokonanie analizy rozkładu sił i momentów oddziaływujących na poszczególne części stawu. Przeanalizowano deformację ścięgien mięśniowych i uzyskane wyniki zobrazowano na wykresach.
In this paper the results of the research based on dynamic simulation of human knee virtual model were presented. Starting from the parts, virtual models (tibia, femur and patella) are realized by using Computational Aided Design software. The coefficients of stiffness and damping were implemented to the model. The model takes into account the impact of the muscles and ligaments in the skeletal system, the phenomenon of contact between the thigh and the lower thigh and between the thigh and the kneecap. The model was used to simulate the movement of the knee. The proposed threedimensional model of the knee has allowed to analyze the distribution of forces and moments acting on the parts of the joint. The results are illustrated in the graphs and discussed.
Źródło:
TTS Technika Transportu Szynowego; 2013, 10; 603-608, CD
1232-3829
2543-5728
Pojawia się w:
TTS Technika Transportu Szynowego
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Assessment of postural stability in patients after reconstruction of the anterior cruciate ligament with LARS and autogenous graft
Autorzy:
Plocki, J.
Kotela, I.
Bejer, A.
Pelikan, P.
Granek, A.
Krawczyk-Suszek, M.
Powiązania:
https://bibliotekanauki.pl/articles/307030.pdf
Data publikacji:
2018
Wydawca:
Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
Tematy:
postural stability
knee
ACL reconstruction
LARS
knee function
stabilność postawy
kolano
ACL
Opis:
The aim of the study was to assess static balance after reconstruction of the anterior cruciate ligament (ACL), using gracialis tendons graft (GR) or semi-tendinosus (ST), compared to patients treated with the Ligament Advanced Reinforcement System (LARS). The study was performed within 36 to 48 months after the surgery. Methods: The study included 96 patients. The LARS group consisted of 44 patients, control group operated with ST/GR tendons included 52 patients. The stabilometric platform Alpha was used to assess the static balance. Two 30-second trials in the double-leg stance position with eyes opened and closed were performed. The distribution of loads in a free standing was also assessed. Results: In the test with open eyes the subjects from the LARS group had a significantly longer center of pressure (COP) path, a higher mean velocity, a greater mean COP sway in foot in the lateral direction and a larger path area occupied by the COP graph. During the tests with eyes closed, a significant difference occurred in the mean displacement of COP in lateral direction – greater in the LARS group. In addition, all parameters deteriorated during the tests with eyes closed in both groups. Conclusions: In static balance assessed with eyes closed, more proprioceptive deficits may appear in the LARS group.
Źródło:
Acta of Bioengineering and Biomechanics; 2018, 20, 4; 9-14
1509-409X
2450-6303
Pojawia się w:
Acta of Bioengineering and Biomechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The description of the human knee as four-bar linkage
Autorzy:
Dathe, H.
Gezzi, R.
Fiedler, Ch.
Kubein-Meesenburg, D.
Nägerl, H.
Powiązania:
https://bibliotekanauki.pl/articles/307351.pdf
Data publikacji:
2016
Wydawca:
Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
Tematy:
staw kolanowy
anatomia
kinematyka kolana
human knee
anatomy
knee kinematics
four-bar linkage
analytical description
Opis:
Purpose: We investigate the dependence of the kinematics of the human knee on its anatomy. The idea of describing the kinematics of the knee in the sagittal plane using four-bar linkage is almost as old as kinematics as an independent discipline. We start with a comparison of known four-bar linkage constructions. We then focus on the model by H. Nägerl which is applicable under form closure. Methods: We use geometry and analysis as the mathematical methods. The relevant geometrical parameters of the knee will be determined on the basis of the dimensions of the four-bar linkage. This leads to a system of nonlinear equations. Results: The four-bar linkage will be calculated from the limits of the constructively accessible parameters by means of a quadratic approximation. Conclusions: By adapting these requirements to the dimensions of the human knee, it will be possible to obtain valuable indications for the design of an endoprosthesis which imitates the kinematics of the natural knee.
Źródło:
Acta of Bioengineering and Biomechanics; 2016, 18, 4; 107-115
1509-409X
2450-6303
Pojawia się w:
Acta of Bioengineering and Biomechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Computer Aided Design and Structural Analysis of the Endoprosthesis of the Knee Joint
Autorzy:
Zubrzycki, J.
Karpiński, R.
Górniak, B.
Powiązania:
https://bibliotekanauki.pl/articles/118225.pdf
Data publikacji:
2016
Wydawca:
Polskie Towarzystwo Promocji Wiedzy
Tematy:
knee joint
endoprosthesis
finite elements analysis
Opis:
The paper presents results of the preliminary structural analysis of model of the endoprosthesis of the knee joint. Basics of anatomy and biomechanics of the knee joint were introduced. Based on data from computed tomography, the model of knee joint was constructed. The prototype of the endoprosthesis of the knee joint was designed. After determining physical properties of structural materials, the Finite Elements Analysis of the model was conducted under various load conditions. Finally the results of analysis are presented.
Źródło:
Applied Computer Science; 2016, 12, 2; 84-95
1895-3735
Pojawia się w:
Applied Computer Science
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
BIomechanical aspects of artificial joint implantation in a lower limb
Autorzy:
Będziński, R.
Bernakiewicz, M.
Ścigała, K.
Powiązania:
https://bibliotekanauki.pl/articles/280285.pdf
Data publikacji:
1999
Wydawca:
Polskie Towarzystwo Mechaniki Teoretycznej i Stosowanej
Tematy:
biomechanics
implantation
hip joint
knee joint
Opis:
One of the most important trends in engineering biomechanics is experimental and numerical analysis of the stress and strain state existing in organs subject to a heavy load; e.g., the knee and hip joints. Clinical tests experimental and numerical studies on design of implants replacing damaged organs are also of crucial importance in development of biomechanics. The research is focused on determination of loads, experimental techniques as well as on simplifications assumed in measurements and applied models. The conducted investigations were concerned with estimation of mechanical behaviour of hip and knee implants after arthoplasty. The experimental tests on both the real objects and models were performed. Numerical simulation was made by using the finite element method. The tests have proved that from the biomechanical point of view proper selection of endoprothesis is of crucial importance for achieving positive long-term results of alloplasty.
Jednym z najważniejszych kierunków badań w dziedzinie biomechaniki inżynierskiej jest doświadczalna i numeryczna analiza stanu odkształceń i naprężeń w organach ludzkich poddanych znacznym obciążeniom, jak chociażby staw biodrowy i kolanowy. Badania kliniczne, doświadczalne i numeryczne poświęcone konstrukcji elementów zastępujących uszkodzone elementy ciała ludzkiego stanowią jeden z najważniejszych kierunków biomechaniki. Dyskusje na tym tle skoncentrowane są na problemach beterminacji występującego stanu obciążenia, stosowanych technik pomiarowych oraz uproszczeń warunków pomiaru i przyjmowanych modeli. Przeprowadzone badania poświęcone zostały ocenie mechanicznej współpracy sztucznych elementów stawu biodrowego i kolanowego w warunkach modelowych, jak i metodą symulacji numerycznej, metodą elementów skończonych. Badania udowodniły duże znaczenie prawidłowej selekcji endoprotez z punktu widzenia biomechaniki układu na długoterminowe powodzenie alloplastyk.
Źródło:
Journal of Theoretical and Applied Mechanics; 1999, 3; 455-479
1429-2955
Pojawia się w:
Journal of Theoretical and Applied Mechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Histological aspects of whole-body vibration in the knee remobilization of Wistar rats
Autorzy:
da Costa, Juliana Roncini Gomes
Tavares, Alana Ludemila de Freitas
Bertolini, Gladson Ricardo Flor
Wutzke, Maria Luiza Serradourada
Boaro, Carolina De Toni
Rodriguez, Diego Francis Saraiva
Costa, Rose Meire
Ribeiro, Lucinéia de Fátima Chasko
Powiązania:
https://bibliotekanauki.pl/articles/2054522.pdf
Data publikacji:
2022-06-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
articular cartilage
knee
synovial membrane
vibration
Opis:
Introduction and aim. The knee is one of the joints where immobilization is most used, however, it can cause morphological changes in the joint tissues and is a challenge to be overcome during rehabilitation. Whole-body vibration (WBV) is capable of generating repetitive oscillatory movements, which cause mechanical stimuli that interfere with tissue plasticity. The aim of this study was to analyze the knee morphology of Wistar rats submitted to remobilization with WBV. Material and methods. 32 male rats were used, divided into four groups (n=8): Control Group (G1), Immobilization Group (G2), Immobilized Group and Free Remobilization (G3), Remobilized Group with WBV (G4). For immobilization, a plastered apparatus was used for 15 days. G3 and G4 carried out free remobilization or with WBV, respectively, for 2 weeks. The knee joints were processed for light microscopy. Results. The WBV led to a reduction in the inflammatory infiltrate in the articular cavity and greater presence of adipocytes in the subintima of the synovial membrane. Conclusion. Remobilization with WBV induced a better tissue response in the synovial membrane when compared to free remobilization.
Źródło:
European Journal of Clinical and Experimental Medicine; 2022, 2; 159-166
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Symulacje komputerowe rozkładu naprężeń w polietylenowej wkładce endoprotezy stawu kolanowego w zależności od zmiany jej grubości w efekcie zużycia i wytarcia
Computer simulations of stress distribution in the tibial insert of endoprosthesis knee joint the results of the decline thickness in the effect of wear
Autorzy:
Jurkojc, J.
Gąsiorek, D.
Iwaniak, A.
Wojciechowski, P.
Kusz, D.
Powiązania:
https://bibliotekanauki.pl/articles/284091.pdf
Data publikacji:
2007
Wydawca:
Akademia Górniczo-Hutnicza im. Stanisława Staszica w Krakowie. Polskie Towarzystwo Biominerałów
Tematy:
endoprotezy stawu kolanowego
endoprosthesis knee joint
Opis:
W pracy wyznaczono przestrzenny rozkład stanu naprężeń w polietylenowej wkładce endoprotezy stawu kolanowego. Do obliczeń wykorzystano model wkładki uzyskany w wyniku zeskanowania z użyciem skanera 3-D, standardowej endoprotezy kolana używanej do implantacji. W obliczeniach założono, że wkładka jest równomiernie obciążana na obie części: prawą i lewą, a wartość przyłożonego obciążenia została określona dla osoby o masie całkowitej 85 kg. Symulacje rozkładu naprężeń przeprowadzono dla różnych grubości wkładki.
The paper presents three-dimensional stress distribution in the tibial insert endoprothesis knee joint. For simulations was used a model of tibial insert scanned with the use of a 3D scanner, a standard knee endoprothesis knee joint used in implantations. It was assumed in calculation that the tibial insert is distributed on both: right and left sides, and applied load was determined fora person of 85 kg. Simulations of stress distribution was done for different thickness of the tibial insert.
Źródło:
Engineering of Biomaterials; 2007, 10, no. 65-66; 42-45
1429-7248
Pojawia się w:
Engineering of Biomaterials
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effects of Integrated Therapeutic Exercises on Pain and Disability in Medial Knee Osteoarthritis
Autorzy:
Raghav, Sumit
Singh, Anshika
Mani, Suresh
Srivastava, Anirudh
Kumar, Mukul
Powiązania:
https://bibliotekanauki.pl/articles/28761968.pdf
Data publikacji:
2023
Wydawca:
Uniwersytet Szczeciński. Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
Tematy:
knee osteoarthritis
integrated exercises
pain
disability
Opis:
The purpose of this study was to compare the effect of quadriceps isometric exercises along with hip abductors isometric exercises as integrated exercise with quadriceps exercises in reducing pain, disability in medial knee osteoarthritis. The Total of 54 patients (both male and female) were recruited in this study but on the basis of inclusion and exclusion criteria, only 32 were included in this study. Womac index was opted as outcome measures to collect the data of pain, disability and functional limitation. Participants were randomly assigned to integrated exercise group; (n = 16) (mean age 52) who performed exercises [Quadriceps isometric along with hip abductor isometric exercises] and quadriceps isometric exercises group (n = 16) (mean age 49) performed for 3 weeks. 32 patients were analyzed and the effect of integrated exercises [Quadriceps isometric along with hip abductor isometric exercises] showed a statistically significant difference in pain, disability and functional limitation (p < 0.000). Total duration to collect the pre and post data of pain, disability and functional limitation was 3 weeks. 3 weeks of exercise protocol was effective in both groups in terms of reducing pain and disability but integrated exercises were found to be more effective than quadriceps exercise in improving the pain, disability and functional limitation over the time at the level of significance.
Źródło:
Central European Journal of Sport Sciences and Medicine; 2023, 44; 55-62
2300-9705
2353-2807
Pojawia się w:
Central European Journal of Sport Sciences and Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Comparative efficacy of kneading massage and pulsed mode ultrasound in the management of chronic knee osteoarthritis
Autorzy:
O. Ojoawo, Adesola
Abiodun Fatai, Wasiu
Powiązania:
https://bibliotekanauki.pl/articles/2040133.pdf
Data publikacji:
2020-12-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
kneading massage
knee osteoarthritis
pulsed ultrasounds
Opis:
Introduction. Osteoarthritis of the knee is the most common presentation of osteoarthritis with prevalence between 12% and 35% of general population and is considered the leading cause of musculoskeletal disability in the elderly population worldwide. Aim. The study compared efficacy of kneading massage and pulsed ultrasound on pain, joint stiffness and difficulty in knee osteoarthritis (KOA). Material and methods. Fifty subjects with radiological evidence of KOA participated in the study. They were randomly allocated into kneading massage group (KMG) (25) and Ultrasound group (USG) (25). KMG received kneading massage for 7 minutes while USG received pulsed mode ultrasound for 15 minutes. Treatment was twice in a week for six weeks. Pain intensity (PI), joint stiffness and difficulty were assessed pre, 3rd and 6th weeks of treatment session with semantic differential scale and WOMAC. The data were analyzed using descriptive and inferential statistics, alpha level was set at 0.05 Results. There was a significant difference in present PI (F=11.45,P=0.001) and stiffness (F= 11.32, P=0.003) in USG. There was a significant reduction in PI (F=7.95, P=0.001) and joint stiffness (F=8.86, P=0.003) in KMG. At the 6th week, there was a significant differences in PI (t=12.23,P=0.000) and stiffness (t=8.08, P=0.000) when USG (3.00+0.4, vs 7.14+ 1.49) was compared with KMG (3.16+0.5 vs 7.50+1.5). Conclusion. Ultrasound (US) and kneading massage (KM) reduced PI and joint stiffness of KOA effectively; however US reduced PI than KM while KM reduces joint stiffness than US.
Źródło:
European Journal of Clinical and Experimental Medicine; 2020, 4; 275-280
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Anatomical knee endoprostheses – does a better-fit lead to better outcomes? A review article
Endoprotezy anatomiczne stawu kolanowego – czy lepsze dopasowanie to lepsze wyniki? Praca przeglądowa
Autorzy:
Maciąg, Bartosz Michał
Budzińska, Martyna
Żarnovsky, Krystian
Adamska, Olga
Stolarczyk, Artur
Powiązania:
https://bibliotekanauki.pl/articles/2186040.pdf
Data publikacji:
2023-03-31
Wydawca:
Wydawnictwo Exemplum
Tematy:
total knee arthroplasty
anatomic knee prosthesis
morphometric implants
całkowita endoprotezoplastyka stawu kolanowego
implanty anatomiczne
implanty morfometryczne
Opis:
Introduction. Total knee replacement is the most efficient method of treating end-stage osteoarthritis of the knee joint. The surgery aims to relieve patients of pain, restore range of motion and improve patients’ quality lives. Prostheses design is still being modified and improved through cooperation between orthopaedic surgeons and engineers. Some of the most modern solutions aimed to fit native patients’ anatomy as much as possible are anatomic knee systems. Materials and methods. The literature was reviewed, and articles related to the subject were researched. Therefore, publications including keywords such as total knee replacement, anatomic implants and morphometric implants were searched in the PubMed, Cochrane and Google Scholar databases. All data was selected and verified individually. Analysis and synthesis of studies were prepared separately. Results. Many studies describe the advantages of anatomic prostheses over standard prostheses. Anatomical prostheses have a broader range of available sizes, thus providing better coverage of the distal end of the femur and the proximal tibia, allowing for the resection of less bone tissue, which is beneficial in the event of a possible need for a future revision of the endoprosthesis, enabling better selection of the tibial element rotation by better matching to the tibial plateau, which affects the alignment and patellar movement, and the structure of the trochlear geometry that also affects the patellar movement and reduces the risk of trochlear dysplasia. Conclusions. Anatomical implants enable better alignment of the prosthesis elements and the native femoral and tibial bone. Using these models makes it possible to obtain a greater range of motion and, consequently, improved functional outcomes compared to non-anatomical ones. It also enables less bone resection and better radiological outcomes.
Wstęp. Endoprotezoplastyka całkowita stawu kolanowego jest uznawana za najskuteczniejszą metodę leczenia zaawansowanej choroby zwyrodnieniowej stawu kolanowego. Celem operacji jest zmniejszenie bólu kolan, przywrócenie zakresu ruchu i poprawa jakości życia pacjentów. Projekt protez jest wciąż modyfikowany i udoskonalany dzięki współpracy ortopedów i inżynierów. Jednymi z najnowocześniejszych rozwiązań mających na celu maksymalne dopasowanie do anatomii pacjentów są anatomiczne systemy kolanowe. Materiał i metody. Dokonano przeglądu literatury i przeanalizowano artykuły związane z tą tematyką. W bazach PubMed, Cochrane i Google Scholar przeszukano publikacje zawierające słowa kluczowe takie jak całkowita endoprotezoplastyka stawu kolanowego, implanty anatomiczne, implanty morfometryczne. Wszystkie dane zostały dobrane i zweryfikowane indywidualnie. Analizę i syntezę badań przygotowano osobno. Wyniki. Wiele artykułów opisuje przewagę protez anatomicznych nad modelami protez standardowych. Protezy anatomiczne posiadają szerszy wachlarz dostępnych rozmiarów przez co oferują lepsze pokrycie dalszego końca kości udowej oraz bliższego piszczelowej, pozwalają na resekcję mniejszej ilości tkanki kostnej co jest korzystne w przypadku możliwej w przyszłości konieczności rewizji endoprotezy, umożliwiają lepsze dobranie rotacji elementu piszczelowego przez lepsze dopasowanie do plateau piszczeli co wpływa na alignment i tor ruchu rzepki, a także budowa bruzdy dla rzepki wpływa korzystnie na tor ruchu rzepki i zmniejsza ryzyko rozwoju dysplazji. Wnioski. Implanty anatomiczne umożliwiają lepsze dopasowanie elementów protezy do natywnej struktury kości. Dzięki zastosowaniu tych modeli możliwe jest uzyskanie większego zakresu ruchu w stawie, a w rezultacie lepszych wyników funkcjonalnych. Implanty anatomiczne pozwalają także na mniejszą resekcję tkanki kostnej.
Źródło:
Chirurgia Narządów Ruchu i Ortopedia Polska; 2023, 88, 1; 13-16
0009-479X
2956-4719
Pojawia się w:
Chirurgia Narządów Ruchu i Ortopedia Polska
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The return to professional activity patients treated surgically due to advanced gonarthrosis
Autorzy:
Drobniewski, Marek
Synder, Marek
Krasińska, Magdalena
Sibiński, Marcin
Borowski, Andrzej
Powiązania:
https://bibliotekanauki.pl/articles/2095506.pdf
Data publikacji:
2021-09-03
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
total knee arthroplasty
gonarthrosis
return to work
clinical and radiological outcome
Knee Society Score
Kellgren-Lawrence classification
Opis:
ObjectivesThe goal of this work is to analyze the issue of return to professional activity by working-age patients who have been treated surgically with total knee arthroplasty (TKA) due to gonarthrosis.Material and MethodsOverall, 88 working-age patients were examined, with a total of 91 TKA procedures performed due to advanced gonarthrosis. The average age of the patients was 54.2 years for women and 58.1 years for men. A modified Knee Society Score scale was used to compile the results of the clinical trial. The Kellgren-Lawrence classification was used to assess preoperative radiographs. Postoperative radiographs evaluated the position of the endoprosthesis of both the femoral and tibial components in the anteriorposterior and lateral upright projections. The obtained results were subjected to statistical analysis.ResultsIn the preoperative assessment, both the clinical and radiological results obtained were unfavorable in all cases. Throughout the observation period of approximately over 3.8 years, a very good result was noted in 65 cases (71.4%), a good result in 20 cases (22%), and a satisfactory result in 6 cases. There were no bad results. The average improvement on the Visual Analogue Scale was 6.5 pts. The radiological assessment did not reveal any radiological symptoms of the aseptic loosening of the endoprosthesis, simultaneously concluding that each time the endoprosthesis components were properly seated. Only 53 (58.3%) of the examined patients were professionally active before the surgery. After completing the treatment, 46 (50.5%) of all patients returned to work, in favor of intellectual workers. The average duration of sick leave was 136.2 days, and rehabilitation allowance was granted in 19 cases.ConclusionsFirstly, in working-age patients, TKA is a valuable method for surgical treatment of advanced gonarthrosis of varying etiology. Secondly, most of the patients who worked before the surgery returned to performing work in the position held and on the same full-time equivalent basis.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2021, 34, 5; 617-628
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Numerical analysis of stress distribution generated in spherical polyethylene inserts by knee joint endoprotheses’ sleds
Autorzy:
Nabrdalik, Marcin
Sobociński, Michał
Powiązania:
https://bibliotekanauki.pl/articles/779682.pdf
Data publikacji:
2019
Wydawca:
Zachodniopomorski Uniwersytet Technologiczny w Szczecinie. Wydawnictwo Uczelniane ZUT w Szczecinie
Tematy:
polyethylene UHMWPE
FEM
endoprosthesis of knee joint
Opis:
The paper presents analysis of stress distribution in the friction node of knee joint endoprosthesis where sleds are made of various titanium alloys and CoCrMo cooperate with spherical polyethylene inserts. Currently used titanium alloys consists of Nb, Ta, Zr or Mo and with lesser value of Young’s modulus than Ti6Al4V alloy, or steel CoCrMo, which significantly varies from other metal materials. The obtained results make it possible to indicate the “weak points” of the accepted solution, and thus counteract the subsequent effects resulting from premature wear of endoprosthesis elements. The analysis was conducted with numerical method of ADINA System 8.6. The Finite Elements Method allowed to compute and present stress distribution quickly in all elements of the model.
Źródło:
Polish Journal of Chemical Technology; 2019, 21, 2; 1-5
1509-8117
1899-4741
Pojawia się w:
Polish Journal of Chemical Technology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effect of clinic-based and telemonitored home-based intervention on pain intensity, functioning and quality of life in patients with knee osteoarthritis
Autorzy:
Ojoawo, Adesola Ojo
Odesanya, Oluwaseun
Kunuji, Kayode
Mbada, Chidozie Emmanuel
Adedeji, Oluwafemi Olusesan
Powiązania:
https://bibliotekanauki.pl/articles/38695724.pdf
Data publikacji:
2024-03-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
clinical-based
knee osteoathritis
telemonitored
tera-band
Opis:
Introduction and aim. The study assessed and compared the effects of clinic-based and telemonitored home-based interventions on pain intensity, functioning and quality of life in patients with knee osteoarthritis (KOA). Material and methods. Forty-two patients were recruited purposely and randomly allocated into clinic-based (CBG) and telemonitored home-based group (THG) equally. The CBG and THG received isometric exercises to strengthen the quadriceps and hamstring muscles using theraband. THG received the exercise at home they were monitored on phone thrice in a week, while the CBG did the exercise in the hospital. The subjects performed four sets of eight repetitions three days in a week for eight weeks. Pain intensity, functioning and health related quality of life (HRQoL) were assessed at pretreatment, 6th and 8th week of intervention. Data was analyzed with descriptive and inferential statistics. Alpha level was set at 0.05. Results. There was a significant reduction (p<0.001) among pre-treatment, 6th and 8th week intervention in pain intensity, functional pain intensity and quality of life of CBG and THG. CBG showed significant reduction (p<0.001) in pain intensity, function and increase in HRQoL than THG at 8th week. Conclusion. Clinic-based and telemonitored home-based interventions were both effective in the management of KOA but clinic-based intervention was better than telemonitored home-based intervention.
Źródło:
European Journal of Clinical and Experimental Medicine; 2024, 22, 1; 73-81
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Balance evaluation after Russian current on the femoral rectus of healthy individuals118-122
Autorzy:
Czarnobaj, Carina Casiraghi
Folarosso, Hellen Cristina
Picagevicz, Maria Gabriela
Lima, Natália de
Nakayama, Gustavo Kiyosen
Bertolini, Gladson Ricardo Flor
Powiązania:
https://bibliotekanauki.pl/articles/454838.pdf
Data publikacji:
2019
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
knee
physical therapy
proprioception
range of motion
Opis:
Introduction. A technique used in physiotherapy, but still underinvestigated, is the use of the Russian current as an aid in the improvement of balance. Aim. To verify the influence of the Russian current applied to the rectus femoris on balance in healthy and sedentary individuals. Material and methods. A cross-sectional clinical trial was performed at the Universidade Estadual do Oeste do Paraná – Unioeste, in the city of Cascavel – PR. The sample consisted of 20 healthy female subjects aged between 18 and 25 years, equally divided into two groups where group 1 was placebo and group 2 treatment. Initially, the proprioceptive evaluation was performed by means of a functional test (the Star Excursion Balance Test (SEBT)) and stabilometry using a baropodometer. Russian current was then applied to the femoral rectum of both limbs simultaneously for 2 weeks, 5 days a week. Results. No significant differences were found analyzing the variables, but the elevated effect size points to clinical relevance of Russian Current in functional assessment. Conclusion. The use of the Russian current in the rectus femoris did not present significant alteration on balance.
Źródło:
European Journal of Clinical and Experimental Medicine; 2019, 2; 118-122
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Plantar pressure analysis of above-knee amputee with a developed microprocessor-controlled prosthetic knee
Autorzy:
Cao, W.
Yu, H.
Meng, Q.
Li, S.
Powiązania:
https://bibliotekanauki.pl/articles/306983.pdf
Data publikacji:
2018
Wydawca:
Politechnika Wrocławska. Oficyna Wydawnicza Politechniki Wrocławskiej
Tematy:
ciśnienie podeszwowe
proteza stawu kolanowego
analiza chodu
plantar pressure
above-knee amputee
microprocessor-controlled
prosthetic knee
gait analysis
Opis:
Human gait motion analysis was one useful method for lower limb prosthesis study. The most often measured parameters were plantar pressure, kinetic and kinematic parameters. It was indispensable for prosthetic knee design and performance assessment. The aim of this study was to analysis the plantar pressure in traumatic above-knee amputee equipped with a developed microprocessor-controlled prosthetic knee. Methods: The maximum force of forefoot and rearfoot, the average vertical reaction force and pressure and the centre of pressure (COP) offset trajectories of ten above-knee amputees under different walking speeds were obtained. Results: Both forefoot and rearfoot force were bigger in intact leg than prosthetic leg. As the speed increased, the pressure increased in both sides. Forefoot bore more pressure than rearfoot in both legs. The average vertical pressure and force both increased along with the increase of speed. The force and pressure of intact side were always bigger than the prosthetic side. The trend of COP and gait line of the prosthetic and intact side had no significant difference. The length of the gait line of prosthetic side was greater than the intact side. Conclusions: The results of this study exhibited reduced plantar pressure in the prosthetic side. The typical butterfly diagrams were produced during different walking speeds. It indicated that the stability of the microprocessor-controlled prosthetic knee could be guaranteed.
Źródło:
Acta of Bioengineering and Biomechanics; 2018, 20, 4; 33-40
1509-409X
2450-6303
Pojawia się w:
Acta of Bioengineering and Biomechanics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Assessment of the function of the knee after rehabilitation in patients with gonarthrosis - the KOOS scale
Autorzy:
Krawczyk – Suszek, Marlena
Martowska, Blanka
Cygan, Natalia
Mierzwińska, Aleksandra
Maciejewski, Ryszard
Bednarski, Jerzy
Powiązania:
https://bibliotekanauki.pl/articles/1071322.pdf
Data publikacji:
2019
Wydawca:
Przedsiębiorstwo Wydawnictw Naukowych Darwin / Scientific Publishing House DARWIN
Tematy:
KOOS scale
Osteoarthritis (OA)
VAS scale
knee
rehabilitation
Opis:
Osteoarthritis (OA) of the knee joints is nowadays a significant medical and economic problem in the world. The percentage of people diagnosed with degeneration of the knee joint is increasing rapidly. Not only does it cause negative social consequences, but also generates large treatment costs. The treatment consists in taking preventative measures and educating patients, as well as pharmacological therapy, physiotherapy and, as a last resort – surgery. Suitable and comprehensive measures can decrease symptoms of gonarthrosis. The research was conducted among 110 patients diagnosed with OA of the knee joints in one of the rehabilitation clinics in Podkarpacie voivodeship. A self-construction questionnaire, the KOOS scale and the VAS scale were the research tools. The respondents were informed about the anonymity of the survey. The research was carried out twice before and after the rehabilitation. Among the respondents, the highest percentage of people with gonarthrosis involved women (74.5%). Overweight and obesity were important factors correlating with the occurrence of gonarthrosis. The cryotherapy (66.4%), exercise in relief (42.7%), followed by laser therapy, magnetronics and individual exercises were considered the most helpful treatments. Electrotherapy and massage were considered as the least effective. Having analysed the result of the KOOS questionnaire and the VAS scale provided to the patients before and after the treatment, the positive effects of physiotherapy have been noted. The patients have noticed improvement in daily activities, quality of life, severity of symptoms and pain relief (p <0.05). The research indicates that physiotherapy is an effective measure, therefore it should be included in the treatment of patients diagnosed with OA.
Źródło:
World Scientific News; 2019, 122; 1-11
2392-2192
Pojawia się w:
World Scientific News
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Kinesio Taping and Patellofemoral Pain Syndrome: A Systematic Review
Autorzy:
López Aguilar, Beatriz
Merino-Marbán, Rafael
Powiązania:
https://bibliotekanauki.pl/articles/1055080.pdf
Data publikacji:
2015
Wydawca:
Uniwersytet Szczeciński. Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
Tematy:
chondromalacia patella
elastic tape
kinesio tape
knee pain
Opis:
Patellofemoral pain syndrome occurs when there is a degeneration of the patellar cartilage between both bone surfaces of the femur and the patella. Its characteristic symptom is anterior knee pain that worsens when this joint is moved. The aim of the study was to determine the effectiveness of kinesio taping on patellofemoral pain syndrome through the analysis of published scientific studies up until June 2014. A literature search was carried out in the following electronic databases: Scopus, Sport Discus, PEDro, Cochrane Library Plus, Embase, Web of Science and Science Direct to locate studies that were relevant to this review. Out of 159 articles examined, after eliminating duplicates and upon completion of reading them, the review was finally reduced to 12 articles. After reviewing the literature regarding the effectiveness of kinesio taping on the improvement of knee pain, we concluded there is insufficient scientific evidence to support this theory. It is an inexpensive technique that can be combined with other therapies and has no side effects, but there is controversy in the analyzed studies on its possible benefits on the patellofemoral pain syndrome. For this reason, it is essential to carry out further methodologically sound research regarding the usefulness of kinesio taping in the treatment of this syndrome.
Źródło:
Central European Journal of Sport Sciences and Medicine; 2015, 9, 1; 47-54
2300-9705
2353-2807
Pojawia się w:
Central European Journal of Sport Sciences and Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The Incidence of Knee Pain Among Healthy People Engage in Tai Chi and Jogging as Measured by the Western Ontario Osteoarthritis and McMaster Universities Arthritis Index (WOMAC)
Autorzy:
Sutjiadi, Shelly
Haryono, Ignatio Rika
Powiązania:
https://bibliotekanauki.pl/articles/2036809.pdf
Data publikacji:
2020-08-15
Wydawca:
Fundacja Edukacji Medycznej, Promocji Zdrowia, Sztuki i Kultury Ars Medica
Tematy:
Jogging
Knee Pain
Osteoarthritis
OA index
Tai Chi
Opis:
Background. Exercise has been recognized to improve functional limitation and pain in knee osteoarthritis (OA). However, exercise has also been reported to induce exercise-related knee pain. This study aimed to compare the effect of Tai Chi and jogging on knee pain in healthy and related factors. Material and methods. This cross-sectional study involved male and female 180 participants aged 40-60-years. The participant consisted of Tai Chi (n=60), jogging (n= 60), and sedentary (n=60) as control. Weight height and body mass index (BMI) were measured. The pain was evaluated using The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Risk factors of knee OA were included. ANOVA followed with post hoc test, Chi-square, Pearson and Spearman correlation, and logistic regression were applied to compute statistical analysis tests. Results. There are 4 participants (2.5%) with the WOMAC score index at high risk of knee OA. Seventy-six participants (63%) engaged in Tai Chi and jogging had knee pain. The possible risk factors of knee pain, which significantly correlated with knee pain were age, weight, BMI, family history of rheumatoid arthritis, and spine alignment. A linear regression indicated both Tai Chi and jogging did not significant different compared to control (OR 1.23, CI 95% 0.59-2.25, p=0.58 and OR 0.69, CI 95% 0.32-1.47, p=0.34, respectively) Conclusion. The incidence of knee pain in Tai Chi and jogging is quite high. However, the WOMAC score index is mostly normal. Tai Chi tends to aggravate knee pain than jogging in people with risk factors.
Źródło:
Polish Journal of Sports Medicine; 2020, 36(1); 1-6
1232-406X
2084-431X
Pojawia się w:
Polish Journal of Sports Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Modelowanie endoprotezy stawu kolanowego
Designing total knee endoprosthesis
Autorzy:
Chruścicka, N.
Ciepielowski, D.
Łagan, S.
Powiązania:
https://bibliotekanauki.pl/articles/98716.pdf
Data publikacji:
2012
Wydawca:
Politechnika Śląska. Katedra Biomechatroniki
Tematy:
staw kolanowy
endoproteza
modelowanie
knee joint
endoprosthesis
modelling
Źródło:
Aktualne Problemy Biomechaniki; 2012, 6; 15-20
1898-763X
Pojawia się w:
Aktualne Problemy Biomechaniki
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Correlations among plasma silicon, magnesium and calcium in patients with knee osteoarthritis - analysis in consideration of gender
Autorzy:
Musik, I.
Kurzepa, J.
Luchowska-Kocot, D.
Kocot, J.
Paździor, M.
Polz-Dacewicz, M.
Kiełczykowska, M.
Powiązania:
https://bibliotekanauki.pl/articles/2082056.pdf
Data publikacji:
2018
Wydawca:
Instytut Medycyny Wsi
Tematy:
osteoarthritis of knee
silicon
calcium
magnesium
males
females
Opis:
Introduction and objective. Osteoarthrits (OA) is a complex, chronic disorder of cartilage and bone, related to homeostasis of bioelements. The current study aimed at evaluation of correlations between plasma silicon, magnesium and ionized calcium in OA patients in consideration to gender. Materials and method. The study comprised 59 patients aged 69.5±9.0 years (18 males aged 66.8±9.2; 41 females aged 70.7±8.8), admitted to the Trauma and Orthopaedic Ward of the Independent Public Health Care Centre in Łęczna, Poland, due to OA and qualified to surgery. Control group consisted of 19 subjects without OA (54.5±8.6 years; 10 males aged 41.3±9.3; 9 females aged 69.1±14.9). Plasma concentrations of silicon and magnesium (spectrophotometric methods) and ionized calcium (potentiometric method) were determined. Results. Silicon in OA patients was significantly increased vs. control. In OA males and OA females, silicon was enhanced vs. the respective controls, but it was statistically significant only in males. Magnesium in OA patients was not significantly different from control group. In females, a significant decrease vs. the respective control was observed. No significant differences were observed in the case of ionized calcium. Positive correlations between silicon and magnesium in healthy control, both in the whole group and in male and female subgroups, were noted, while no such effect was observed in OA subjects. Conclusions. The results might suggest some connection between higher OA incidence in women and the depleted magnesium in the organism. Silicon increase in OA patients, especially in men, may indicate its intense metabolism during the articular inflammatory process, likely dependent on sex hormones. It remains open whether the plasma Si increase is the effect or cause of OA.
Źródło:
Annals of Agricultural and Environmental Medicine; 2019, 26, 1; 97-102
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-25 z 106

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