Studies have reported that the prevalence of detectable lower-extremity weakness ranges from 48% among community-living older persons, 25 to 57% among residents of an intermediate care facility, 26 to more than 80% of residents of a skilled nursing facility.
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Patients were permitted progressive weight bearing with crutches and physical therapy was utilized when needed to address abductor and quadriceps weakness and range of motion.
All 4 had symptoms listed in Table 1 before weakness onset (range 2 12 days), 2 had meningitis before onset of weakness, and 2 had tremors.
For example, the severity of pain, muscle weakness, restricted range of motion, and the presence or not of intra-articular joint effusion or synovitis in combination with a symptomatic flare might all influence the effects of different doses or types of pain medication, anti-inflammatory treatment, and exercise treatment or manual therapy.
Two of the more popular conceptual models of myofascial pain syndrome described in the literature are the MTrP and radiculopathy models. 1 4 11 Active MTrPs can spontaneously trigger pain in the local area, or produce referred pain or paraesthesia at distant sites. 1 Additional symptoms of MTrPs include muscle weakness, limited range of motion and autonomic dysfunction.
Knee osteoarthritis (OA) is characterised by the degeneration of articular cartilage, morphological changes in the subchondral bone and damage to the surrounding soft tissue. 1 2 These structural changes lead to joint pain, quadriceps muscle weakness, reduced range of motion and joint instability.
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