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EDUCATIONAL ARTICLES
We have put together a selection of evidence based articles written by Karen Hambly for patients and health care professionals. |
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Osteoarthritis (OA) is not an inevitable consequence of human aging but age-associated sarcopenia is. Loss of strength in healthy men and women begins around the fourth decade initially proceeding at a rate of loss of around 1% per year before accelerating from the seventh decade onwards. This loss of skeletal muscle mass and strength can result in decreased mobility and an increased potential for disability. >> more on strength training and OA
Mention knee cartilage to most people and they will tend to think about the wedge shaped shockabsorbers of the knee - the menisci. However, there is another form of cartilage in the knee that causes knee problems – the articular cartilage - the white gristle covering the adjacent surfaces of 'articulations' or 'joints'. Articular cartilage has been known to be a potential problem for quite a while and thousands of people each year experience symptoms related to chondral (joint cartilage) and osteochondral (joint cartilage and bone) defects. We are in the 21st century now so why does articular cartilage damage continue to be such a ‘troublesome thing’? Well to give you a better insight into why that is the case it is useful for you to know a bit more about the structure of articular cartilage, the role that it performs and how it gets damaged. >> more on articular cartilage repair
Glucosamine and chondroitin sulphate are widely taken, alone or in combination, for knee pain attributed to osteoarthritis. They are expensive and joint health is MEGA business. Since 2000 forty-eight percent of new joint health supplements in the US contained glucosamine and twenty-four percent chondroitin (Mintel Global New Products Database). This makes glucosamine the biggest selling US dietary supplement. No one can question that glucosamine and chondroitin sulphate supplements are big business - but do they work? >> more on glucosamine and chondroitin sulphate
Water is the most abundant, yet possibly the most overlooked, substance in the body. The body's fluid status is a truly delicate balance, so much so that experts rank water second only to oxygen as essential for life. Water plays a vital role in all bodily processes by providing a universal medium for chemical reactions, lubrication, nutrient delivery, waste disposal, heat dispersion and temperature regulation. In order to consider what fluids to drink, when to drink and how much to drink, it is first necessary to consider the basis of fluid regulation >> more on fluid regulation and hydration
Injuries to muscle and tendon are some of the most common injuries seen in the doctor’s office. A large majority of these injuries are as a result of sporting participation but they are also common in everyday activities especially when the activity isn’t part of a persons normal routine. Despite the fact that muscle and tendon injuries make up a reasonable proportion of a doctor’s case load physicians receive relatively limited training in musculoskeletal injury diagnosis and management. In fact quite a few doctors feel happier treating a general medical condition than a muscle or tendon injury. >> more on understanding acute muscle and tendon injuries about the knee
Exercise bikes, static bikes, stationary cycles, bicycle ergometers - these are all names for the bicycles that you find in virtually every physiotherapy clinic, gym or health club across the world. Many knee rehabilitation protocols include cycling so why is this exercise modality so popular for knee rehabilitation? >> more on understanding cycling for knee rehabilitation
In December 2005 the KNEEguru community was invited to participate in an online survey on ‘Return to activity after autologous chondrocyte implantation’. This survey was designed to provide an opportunity for KNEEguru bulletin board members to share their experiences of returning to sports and exercise activities after autologous chondrocyte implantation (ACI). >> more on return to activity after ACI survey
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