Wednesday, June 29, 2011
Tuesday, April 12, 2011
Glucosamine and Chondronitin Fail in Research Trial
Abstract
Objective To determine the effect of glucosamine, chondroitin, or the two in combination on joint pain and on radiological progression of disease in osteoarthritis of the hip or knee.
Design Network meta-analysis. Direct comparisons within trials were combined with indirect evidence from other trials by using a Bayesian model that allowed the synthesis of multiple time points.
Main outcome measure Pain intensity. Secondary outcome was change in minimal width of joint space. The minimal clinically important difference between preparations and placebo was prespecified at −0.9 cm on a 10 cm visual analogue scale.
Data sources Electronic databases and conference proceedings from inception to June 2009, expert contact, relevant websites.
Eligibility criteria for selecting studies Large scale randomised controlled trials in more than 200 patients with osteoarthritis of the knee or hip that compared glucosamine, chondroitin, or their combination with placebo or head to head.
Results 10 trials in 3803 patients were included. On a 10 cm visual analogue scale the overall difference in pain intensity compared with placebo was −0.4 cm (95% credible interval −0.7 to −0.1 cm) for glucosamine, −0.3 cm (−0.7 to 0.0 cm) for chondroitin, and −0.5 cm (−0.9 to 0.0 cm) for the combination. For none of the estimates did the 95% credible intervals cross the boundary of the minimal clinically important difference. Industry independent trials showed smaller effects than commercially funded trials (P=0.02 for interaction). The differences in changes in minimal width of joint space were all minute, with 95% credible intervals overlapping zero.
Conclusions Compared with placebo, glucosamine, chondroitin, and their combination do not reduce joint pain or have an impact on narrowing of joint space. Health authorities and health insurers should not cover the costs of these preparations, and new prescriptions to patients who have not received treatment should be discouraged.
References
1. IDEA Fitness Journal (Ed.). ( Mar 2011). Glucosamine and chondroitin fail in research trial, p56.
2. Simon Wandel, P. J., Britta Tendal, Eveline NĂ¼esch, Peter M Villiger, Nicky J Welton, Stephan
Reichenbach, Sven Trelle. (2010). Effects of glucosamine, chondroitin, or placebo in patients with
osteoarthritis of hip or knee: network meta-analysis. British Medical Journal, 1-9.
Thursday, May 20, 2010
Basic Postural Education and Treatment
The self-treatment will mobilise the stiff and often immobile thoracic spine and lower back, alleviate headaches, aches and pains and ultimately improve performance. The process involved postural assessment in 3 planes (saggital, frontal and transverse) and techniques (3 ilterations) of treatment; these may involve some corrective exercises and soft tissue work.
The rack can be purchased (refer to ordering section) and is specifically designed to achieve mobility.
■ It allows you to stretch the anterior muscles of the chest and shoulders that are deemed short and often inflexible due to poor posture.
■ It mobilises the thoracic spine, increasing your ability to extend and rotate through this important area.
■ Mobilising the thoracic region helps increase the available movement in the shoulder and pelvic region, allowing us to move more freely and efficiently.
■ Serves as treatment equipment and later as fitness equipment during the maintenance phasse. Enhance quality of life over life cycle
Many good results and testimontials have been received from Sedentary adults, Yoga, Pilates and Tai Chi practioners / instructors, cyclists, runners, swimmers, golfers, tennis players, badminton players, dancers, scoliosis clients, clients with low back pain / hand numbness / nerves impingement etc.
Thoracic Extension Rack - The perfect posture tool
Thoracic Extension Rack - The perfect posture tool
Poor posture is becoming a real problem in modern day life. Without the correct amount of thoracic extension, the spine is restricted, ultimately contributing to injuries and areas of greater stress. Even the accumulative effects of sitting poorly, or some would say sitting at all, can contribute to postural related injuries, and often effect the efficiency of the way the body responds to work loads.
The racks shape is designed to reverse the poor postures we find ourselves in from day to day. These postures are worsened when we drive the car, sit at the computer, and lounge around at home.
What does it do?
Stretches the anterior muscles of the chest and shoulders, that are deemed short and often inflexible due to poor posture
Mobilises the thoracic spine, hence increasing your ability to extend through this crucial area.
Helps to increase flexibility in the pelvic region, allowing anterior rotation. This improves the upper body’s ability to achieve a mechanically efficient posture.
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