Daily and short-term application of joint movement for the prevention of infrapatellar fat pad atrophy due to immobilization
| Autor: | Satoshi Kojima, Eisuke Takeshima, Keisuke Takeda, Masanori Watanabe, Masahiro Hoso, Taro Matsuzaki |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Infrapatellar fat pad business.industry Prevention Therapeutic effect Joint movement Adipose tissue Physical Therapy Sports Therapy and Rehabilitation 030229 sport sciences Knee Joint medicine.disease Normal group Surgery 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Atrophy medicine Original Article Contracture medicine.symptom 0305 other medical science business |
| Zdroj: | Journal of Physical Therapy Science |
| ISSN: | 2187-5626 0915-5287 |
| DOI: | 10.1589/jpts.31.873 |
| Popis: | [Purpose] To mobilize the knee joint during cast fixation and to determine whether infrapatellar fat pad changes can be prevented. [Materials and Methods] We randomly allocated Wistar rats into 3 groups as follows: normal group, raised in normal conditions (n=5); contracture group, immobilized with cast fixation (n=5); and prevention group, treated with joint movement during immobilization (n=5). We immobilized the right hindlimb using cast fixation. Joint movement in the prevention group was accomplished by repeatedly pulling the right hindlimb caudally and then returning the leg to the bent position for 10 minutes every day for 2 weeks. We used a metronome to maintain a constant speed, with one set lasting 2 seconds (1-second traction and 1-second return). [Results] The contracture group had adipose cells of various sizes and fibrosis in the infrapatellar fat pad. These changes were also found in milder forms in the prevention group. We found significant differences in the cross section of adipose cells and in knee extension restriction between the groups. [Conclusion] Promoting joint movement may not only have a therapeutic effect on adipose cells but also a preventative effect. |
| Databáze: | OpenAIRE |
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