Rhonda Haley is a Clinical Assistant Professor and Director of Clinical Education in the Doctor of Physical Therapy program at Wheeling Jesuit University in Wheeling, West Virginia, USA and a staff physical therapist for Wheeling Hospital. She is a Clinical Specialist in Geriatric Physical Therapy and a certified Athletic Trainer. Rhonda presented Cardiorespiratory Rehabilitation, an International Training Workshop, at Universidad Autonoma de Yucatan in Merida, Yucatan, Mexico, a concurrent session at the APTA Combined Sections National Conference in San Diego, California, USA, and a research paper roundtable discussion at the 5th International Symposium Service-Learning at Stellenbosch University, Stellenbosch, South Africa.
Background: The prevalence of knee pain has increased substantially over the last 20 years, independent of age and body mass index. Safe, effective, and inexpensive treatments are increasingly desirable due to this rising incidence. Although copper and compression therapies have been researched exclusively, the use of copper therapy in conjunction with compression therapy has not been examined in the literature. Objective: The purpose of this pilot study was to examine the effects of a Tommie Copper knee sleeve on pain, function, and confidence for individuals experiencing chronic knee pain. Methods: Ten subjects who met inclusion criteria were fitted with a Tommie Copper knee sleeve and instructed to wear the sleeve continuously for one week. Baseline and final measurements of pain, function, and confidence were obtained using the Numerical Rating Scale (NRS) and American Physical Therapy Association (APTA) Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL) form for function and confidence. Results: Dependent t-tests demonstrated a significant difference for pain (P<0.003) and function (P<0.015), indicating improvement after wearing the sleeve for one week. No significance for confidence was found (P<0.150). Conclusion: This pilot study demonstrates the potential for a Tommie Copper knee sleeve to improve subjective ratings for both knee pain and functional abilities for individuals with chronic knee pain and urges additional research to further study the effects of the combination of compression with copper.
Ketki Rana has completed her Bachelors in Physical Therapy at the age of 23 years from Maharashtra University of Health Sciences, India. She was keen to have a deep understanding of joint biomechanics and to study how external and internal forces affect the skeletal system of the human body. She completed her Master’s program in Kinesiology with Biomechanics specialization at the age of 25 years from Texas Woman's University. She gave local paper and posters presentations in her research project. She strongly believes in evidenced based practice and currently working as a Senior Physical Therapist in an orthopedic outpatient clinical setting.
The purpose of this study was to compare the peak moments and peak power at hip, knee and ankle joints between the walk approaches and stand approach. The walk approach included components of level walking and stair walking whereas the stand approach included only stair walking component. Fourteen young, healthy adults (6 males; 8 females) participated in the study. A three step customized stairway with an additional walkway (~2.4m) was used for the motion trials. For both the approaches, the limb striking the second step was lead limb and the limb striking the topmost step (step 1) was trail limb. Walk approach showed a significantly higher hip abductor moment (p=0.006), knee extensor moment (p=0.049) and knee eccentric power (p=0.003) for the trail limb during controlled lowering phase compared to stand approach. No significant difference was found in any variable for the lead limb between the two approaches. The results imply that the effects of velocity during stair descent initiation from a walk approach diminish on the second step and maximum balance control occurs when transitioning from level walk to stair walk. This study highlights the necessary adjustments made by the healthy young adults to achieve a safe stair descent, which might help reduce the risk of fall in older adults.