ROLE OF WEIGHT REDUCTION VERSUS PHYSICAL THERAPY IN MANAGEMENT OF OBESE PATIENTS WITH KNEE OSTEOARTHRITIS.
Bibliographic record
Abstract
Objective: the aim of our work was to study the effects of physical therapy versus weight reduction and their combined effects in obese patients with knee OA.Methods: 156 obese patients (137 females and 19 males) with knee OA were recruited.their BMIs ranged from 30.2 to 50.8.Patients were randomized to three groups: Group I: underwent physical therapy only.Group II: underwent weight reduction only.Group III: underwent combined physical therapy and weight reduction.Changes in body weight and body composition were examined as independent predictors of changes in knee OA symptoms.Symptoms were monitored by the Western Ontario and McMaster Universities' (WOMAC) OA index.Results: the mean changes of group II and III (-16.9 ±2.7 and -15.7 ±2) were highly significant respectively while mean change of group I (-0.6 ±0.4) was non significant.Group II had the best improvement of BMI with mean change of (-6.6 ±0.8) followed by group III (-4.9 ±0.7 ) while group I had the worst (-0.3 ±0.2) .The total WOMAC index improved within each group after two and four months from baseline (p < 0.001), The best mean change of WOMAC score was found in group III (-14.8 ±49).Conclusion: Combination of both weight reduction and physical therapy gives better results as regard improving knee pain and function in patients with OA, reduces disability and improves quality of life compared to each method alone Copy Right, IJAR, 2016,.All rights reserved. …………………………………………………………………………………………………….... Introduction:-OA is the most common cause of musculoskeletal disability in the elderly, and it places an enormous economic burden on society (1).Osteoarthritis (OA) of the knee is a degenerative joint disease with progressive degradation of articular cartilage and subchondral bone.Clinical manifestations may include joint pain, tenderness, stiffness, locking and joint effusion depending on the stage of the disease (2).Obesity is one of the most significant and potentially most preventable risk factor for the development of OA and numerous studies have shown a strong association between body mass index and OA of the knee (3).
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".