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Showing 3 results for Jamebozorgi

Comparing Unilateral and Bilateral Total Knee Replacement Based on the Functional Approach

Ali Asghar Jamebozorgi, Ladan Zakeri, Amir Hossein Kahlaee, Hamed Ghomashchi, Ashkan Irani,
Volume 4, Issue 4 (Winter 2015)

Abstract

Purpose: Total Knee Replacement (TKR) is the treatment of choice for severe osteoarthritis with acceptable outcomes regarding pain management, function and quality of life enhancement. Because many patients require TKR procedure for their both knees, there has always been a challenge in the choice of simultaneous or consecutive operations. The aim of the present study was to compare the two protocols based on functional capabilities of patients with osteoarthritis (OA).

Methods: In this quasi-experimental study, twenty five severe patients with OA candidates for bilateral TKR (sampled by simple convenient method) were assigned into unilateral (3 men, 9 women) and bilateral (3 men, 10 women) groups based on the preference of the patients for the surgery procedure. Knee Injury and Osteoarthritis Outcome Score (KOOS) was used to evaluate functional capabilities of the patients prior to and 6 weeks after the operation and rehabilitation program. Repeated measures analysis of variance was used for the statistical analysis by SPSS 21 software.

Results: The findings indicated that the KOOS scores of the 2 groups were not significantly different before or after the interventions. Besides, patients in both groups showed significant improvement after TKR and the following rehabilitation program (P<0.01 for both groups and all KOOS subscales).

Conclusion: TKR and the post-operative rehabilitation program could significantly enhance function of the severe OA patients but no priority for either unilateral or simultaneous bilateral methods was recognized.

The Effect of Early Progressive Isotonic Exercise Therapy on Static Balance Control of Patients with Total Knee Replacement

Amir Hossein Kahlaee, Heidar Sadeghi, Aliasghar Jamebozorgi, Razieh Yousefian Molla,
Volume 5, Issue 1 (Spring 2015)

Abstract

Purpose: Knee osteoarthritis (OA) is believed to be an important risk factor for falling. Total knee replacement (TKR) is a commonly used choice when other methods are not satisfactory. Proprioception impairment, risk of falling and balance disorder are within the main complications of this method. While multiple protocols have been suggested for TKR, efficacy of early
isotonic exercise therapy aimed at improving body balance after TKR has not been thoroughly investigated.
Methods: In this quasi-experimental study, ten female patients with severe OA, sampled by nonrandomized convenient method were randomly assigned into either “routine”or “early isotonic exercise” groups. The subjects were undergone TKR surgery. The rehabilitation process (being the same for both groups until the second week) was initiated the day after surgery and lasted for 6 weeks. From the second week, the experimental group received progressive, isotonic exercises, in addition to the routine rehabilitation protocol. Static balance was assessed prior to surgery and after the rehabilitation process in both groups by Sharpened Romberg tests.
Results: In both groups, static balance was significantly enhanced after surgery and rehabilitation (P<0.000). Prior to surgery the groups were indifferent according to their static balance scores (P=0.423) but, after surgery and rehabilitation, the patients receiving early isotonic exercise in addition to routine physical therapy, were significantly in better balance condition comparing the control group (P=0.000).
Conclusion: Routine physical therapy with and without early isotonic exercise therapy enhances static balance but, the balance improvement was more pronounced with this type of exercise. Early administration of isotonic exercise therapy in addition to the routine physical therapy program may enhance balance and prevent fall in patients with TKR.

Comparing the Quality of Life Before and After Total Hip Arthroplasty Operation in Patients With Developmental Dysplasia of the Hip

Fatemeh Sanei, Ali Asghar Jamebozorgi, Ashkan Irani, Alireza Akbarzade Baghban, Mohammad Qoreishi,
Volume 5, Issue 4 (Winter 2016)

Abstract

Purpose: Developmental dysplasia of the hip (DDH) increases the risk of secondary degenerative changes and subsequent total hip arthroplasty. The postoperative quality of life in patients with DDH who have been born and grown with this disability and adapted to it during the life, is one of the most challenging issues. This study aimed to compare the quality of life of patients with DDH before and after total hip arthroplasty (THA) operation.
Methods: This research has a quasi-experimental/interventional design. A group of 20 patients with DDH, who underwent THA operation in Akhtar and Shafaya Hyaiyan hospitals, were evaluated before operation and 6 months after it using SF36 quality of life questionnaire.
Results: Findings showed significant improvement in all SF-36 subscales scores, including physical function, role physical, role emotional, vitality, mental health, social function, bodily pain, general function, and general health as well as total score (P=0.002). SF-36 mean(SD) scores before and after surgery was 27.41(22.75) and 79.12(28.03), respectively.
Conclusion: THA operation improves the quality of life of patients with DDH

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