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Occupational Therapy Interventions for Orthopedics

https://read.qxmd.com/read/38282478/risk-factors-for-stiffness-after-surgical-treatment-of-pediatric-humeral-lateral-condyle-fractures-results-of-a-multicenter-study
#1
MULTICENTER STUDY
Abhishek Tippabhatla, Beltran Torres-Izquierdo, Daniel E Pereira, Rachel Goldstein, Julia Sanders, Kevin Neal, Laura Bellaire, Jaime Denning, Pooya Hosseinzadeh
INTRODUCTION: Pediatric humeral lateral condyle fractures are the second most common elbow fractures. Their treatment presents challenges due to physeal and intra-articular involvement. Postoperative stiffness is a common concern that can limit limb functionality. This study aims to identify risk factors for postoperative stiffness in a large cohort of these fractures across multiple institutions. METHODS: A large, multicenter retrospective review of medical records from 6 level I trauma centers was conducted...
April 1, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37956633/safety-promoting-interventions-for-the-older-person-with-hip-fracture-on-returning-home-a-systematic-review
#2
REVIEW
Paula Rocha, Cristina Lavareda Baixinho, Andrea Marques, Maria Adriana Henriques
BACKGROUND: Older adults with a prior history of falls that results in hip fractures have difficulties in regaining pre-fracture functional capacity. Scientific evidence has shown benefits of the implementation of multidimensional rehabilitation programs, but this evidence is not systematized with regard to continuity of care after hospital discharge. OBJECTIVE: To identify interventions that promote safety and functional recovery of older adults with hip fractures after hospital discharge...
November 8, 2023: International Journal of Orthopaedic and Trauma Nursing
https://read.qxmd.com/read/37930692/changes-induced-by-early-hand-arm-bimanual-intensive-therapy-including-lower-extremities-in-young-children-with-unilateral-cerebral-palsy-a-randomized-clinical-trial
#3
JOURNAL ARTICLE
Rodrigo Araneda, Daniela Ebner-Karestinos, Julie Paradis, Anne Klöcker, Geoffroy Saussez, Josselin Demas, Rodolphe Bailly, Sandra Bouvier, Astrid Carton de Tournai, Herman Enimie, Aghiles Souki, Grégoire Le Gal, Emmanuel Nowak, Stephane V Sizonenko, Christopher J Newman, Mickael Dinomais, Inmaculada Riquelme, Andrea Guzzetta, Sylvain Brochard, Yannick Bleyenheuft
IMPORTANCE: Intensive interventions are provided to young children with unilateral cerebral palsy (UCP), classically focused on the upper extremity despite the frequent impairment of gross motor function. Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) effectively improves manual dexterity and gross motor function in school-aged children. OBJECTIVE: To verify if HABIT-ILE would improve manual abilities in young children with UCP more than usual motor activity...
November 6, 2023: JAMA Pediatrics
https://read.qxmd.com/read/37824723/interinstrument-reliability-between-the-squegg%C3%A2-smart-dynamometer-and-hand-grip-trainer-and-the-jamar%C3%A2-hydraulic-hand-dynamometer-a-pilot-study
#4
JOURNAL ARTICLE
Andreea Stamate, Jonathan Bertolaccini, Michel Deriaz, Saket Gunjan, Mircea-Dan Marzan, Luiza Spiru
IMPORTANCE: Occupational therapists need dependable and accurate instruments for remote assessments and monitoring of hand functionality. These assessments monitor progress, evaluate interventions, and guide independence goals. OBJECTIVE: To assess the interinstrument reliability and concurrent validity of the Squegg® Smart Dynamometer and Hand Grip Trainer and the Jamar® Hydraulic Hand Dynamometer. DESIGN: Repeated-measures design...
September 1, 2023: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://read.qxmd.com/read/37731864/a-rare-complication-of-a-rare-pediatric-injury-transient-drop-foot-following-a-floating-knee-injury
#5
Sharon Eylon, Simon-Henri Schless, Michal Lieberman, Michal Frankl, Naum Simanovsky
Floating Knee is a rare injury caused by high velocity, and has rarely been described in children. The purpose of this report is to present a case of a six-year-old female after a fall down three and a half flights of stairs, suffering from this rare injury and a rare complication, and her rehabilitation. She suffered fractures of the femur and tibia (Floating Knee type), and was operated on the day of the injury with closed reduction and internal fixation (CRIF). Following the operation, painful drop-foot was evident, related to the fractured bone pressure on the sciatic nerve and a very high level of anxiety...
December 2023: Trauma Case Reports
https://read.qxmd.com/read/37330767/effects-of-exercises-performed-in-the-work-environment-on-occupational-stress-a-systematic-review
#6
REVIEW
Patrícia Nascimento de Almeida Oliveira, José Nunes da Silva Filho, Jonas Lírio Gurgel, Thais Russomano, Flávia Porto
INTRODUCTION: Technological advances stimulate labor transformations in such a way that the search for productivity, goals and market competitiveness leads industries and companies to neglect the health and safety of their workers. There is a gap in the literature regarding means of intervention using physical exercises (PE), with details remaining unknown in terms of appropriate exercise prescriptions or types that minimize the effects of occupational stress. OBJECTIVE: to verify the effects on workers' stress of PE performed in the work environment...
July 2023: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/37322998/peripartum-pubic-symphysis-diastasis
#7
REVIEW
Mary Katherine Anastasio, Albert T Anastasio, Jeffrey A Kuller
IMPORTANCE: Peripartum separation of the pubic symphysis is a rare but potentially severe complication of childbirth, which may lead to prolonged immobilization. Thus, prompt diagnosis and treatment are paramount. OBJECTIVE: The purpose of this review is to define peripartum separation of the pubic symphysis and provide a thorough review of its etiology, clinical manifestations, diagnostic imaging techniques, management, and prognosis. EVIDENCE ACQUISITION: This was a literature review using PubMed and Google Scholar...
June 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36346734/how-do-orthopaedic-providers-conceptualize-good-patient-outcomes-and-their-barriers-and-facilitators-after-acute-injury-a-qualitative-study
#8
JOURNAL ARTICLE
James D Doorley, Nathan S Fishbein, Jonathan Greenberg, Mira Reichman, Ellie A Briskin, Jafar Bakhshaie, Ana-Maria Vranceanu
BACKGROUND: Good clinical outcomes in orthopaedics are largely dictated by the biomedical model, despite mounting evidence of the role of psychosocial factors. Understanding orthopaedic providers' conceptualizations of good clinical outcomes and what facilitates and hinders them may highlight critical barriers and opportunities for training providers on biopsychosocial models of care and integrating them into practice. QUESTIONS/PURPOSES: (1) How do orthopaedic trauma healthcare providers define good clinical outcomes for their patients after an acute orthopaedic injury? (2) What do providers perceive as barriers to good outcomes? (3) What do providers perceive as facilitators of good outcomes? For each question, we explored providers' responses in a biopsychosocial framework...
June 1, 2023: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/36180545/cerebral-palsy-current-concepts-and-practices-in-musculoskeletal-care
#9
JOURNAL ARTICLE
Jonathan Sheu, Dorian Cohen, Ted Sousa, Kelly L D Pham
Cerebral palsy is a neurologic disorder characterized by a spectrum of motor and cognitive deficits resulting from insults to the developing brain. The etiologies are numerous and likely multifactorial; an increasing portion of cases may be attributable to genetic causes, although the exact mechanisms responsible remain poorly understood. Major risk factors include intrauterine stroke and prematurity and neonatal infection, trauma, and hypoxia, which may occur in the prenatal, perinatal, or postnatal period...
October 1, 2022: Pediatrics in Review
https://read.qxmd.com/read/36078339/impact-of-different-isokinetic-movement-patterns-on-shoulder-rehabilitation-outcome
#10
JOURNAL ARTICLE
Martin Missmann, Katrin Gollner, Andrea Schroll, Michael Pirchl, Vincent Grote, Michael J Fischer
Shoulder pain is regularly associated with limited mobility and limitations in activities of daily living. In occupational therapy, various interventions, including active isokinetic training with a Baltimore Therapeutic Equipment (BTE) Work Simulator, help the patient improve shoulder mobility and alleviate pain. This randomized controlled cohort study aims to evaluate the impact of different isokinetic movement patterns on the DASH score, pain, and objective performance measures, such as range of motion (ROM) and hand grip strength...
August 25, 2022: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/35844346/rehabilitation-management-of-transcervical-neck-femur-fracture-and-segmental-tibia-fracture-a-case-report
#11
Vishnu R Bhure, Shivani R Uttamchandani, Pratik Phansopkar
In the elderly population, the proximal femoral fracture is a major health concern. Surgical treatment of this fracture, combined with postoperative physical therapy, is used to reduce morbidity. The primary goal of this study was to investigate tibial and femoral neck fractures. It was managed by physiotherapy post-operatively and had the patient perform activities of daily living with no resistance. In this case, a 45-year-old male patient was traveling when he was involved in a traffic accident, causing injury to his left lower limb...
June 2022: Curēus
https://read.qxmd.com/read/35450804/traumatic-subcutaneous-emphysema-of-the-hand-forearm-a-case-report
#12
Stephen Saela, Alexander Decilveo, Roman Isaac, Deepak V Patel
Subcutaneous emphysema is commonly associated with infection caused by gas-producing organisms. In this case report, we describe a rare instance of traumatic subcutaneous emphysema of the hand and forearm caused by a puncture injury to the first web space of the hand. Our objective is to increase awareness of the potential for seemingly minor trauma to cause entrapment of significant air in subcutaneous tissues, thereby decreasing the likelihood that a clinically benign-appearing patient will be started down an unnecessarily aggressive treatment pathway...
April 4, 2022: Chinese Journal of Traumatology
https://read.qxmd.com/read/35148434/an-m-health-telerehabilitation-and-health-education-program-on-physical-performance-in-patients-with-hip-fracture-and-their-family-caregivers-study-protocol-for-the-activehip-randomized-controlled-trial
#13
JOURNAL ARTICLE
Marta Mora-Traverso, Pablo Molina-Garcia, Rafael Prieto-Moreno, Milkana Borges-Cosic, Victor Cruz Guisado, Rogelio Del Pino Algarrada, Paz Moreno-Ramírez, Gema Gomez-Jurado, Consuelo Gomez Tarrias, Margarita Hidalgo Isla, Patricia Jimenez Andrés, Marta Linares Gago, Ana Lirola-Liebanas, Antonio Mesa-Ruiz, Araceli Muñoz-Garach, Susana Salazar-Graván, Fernando Estevez-Lopez, Miguel Martín-Matillas, Patrocinio Ariza-Vega
Telerehabilitation interventions administered via a smartphone may provide new feasible and effective rehabilitation options at home for patients with hip fracture. However, to date, no such interventions have been shown to be effective in the recovery key health outcomes of these patients. The present multicentre randomized controlled trial (RCT) aims to test the effect of the ActiveHip+ m-Health system in the recovery of physical performance, functional level, quality of life, and other health-related outcomes in both patients with hip fracture and their family caregivers...
February 11, 2022: Research in Nursing & Health
https://read.qxmd.com/read/34781343/differences-in-hospital-based-care-for-patients-with-intellectual-and-developmental-disabilities
#14
JOURNAL ARTICLE
Molly Bathje, Samantha Conrad, Matthew Medick, Molly Ross, Lou Fogg
IMPORTANCE: The number of adults with intellectual and developmental disabilities (IDD) seeking treatment in non-IDD-specific health care settings is growing. Little is known about how adults with IDD use health care services in specialty settings, including occupational therapy services. OBJECTIVE: To describe adults with IDD in hospitals and identify differences in utilization patterns compared with patients without IDD. DESIGN: Descriptive and correlational designs were used...
May 1, 2021: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://read.qxmd.com/read/34391264/the-effects-of-an-8-week-knitting-program-on-osteoarthritis-symptoms-in-elderly-women-a-pilot-randomized-controlled-trial
#15
JOURNAL ARTICLE
Guillaume Leonard, Nicole Paquet, Paulette Guitard, Karine Toupin-April, Sabrina Cavallo, Gail Paterson, Sibel Z Aydin, Sibel Bakirci, Alexia Coulombe-Lévêque, Lucie Brosseau
BACKGROUND: Exercise therapy is effective in reducing symptoms and disability associated with hand osteoarthritis (HOA) but often has low adherence. An intervention consisting in a meaningful occupation, such as knitting, may improve adherence to treatment. This pilot randomized controlled trial (RCT) studied the adherence and clinical effectiveness of a knitting program in older females suffering from HOA to evaluate the acceptability of this intervention and assess the feasibility of a larger-scale RCT...
July 2021: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/34009423/-manual-medicine-manual-treatment-principles-mode-of-action-indications-and-evidence
#16
REVIEW
Hermann Locher
Manual medicine is the medical discipline that comprehensively deals with the diagnosis, treatment and prevention of reversible functional disorders of the musculoskeletal system and other related organ systems. The article illustrates the neuroanatomical and neurophysiological basic elements and mechanisms of manual medical diagnostics and treatment. Based on the most recent literature and in consideration of various scientific guidelines, the evidence-based effectiveness of manual medical procedures is presented...
June 2021: Der Unfallchirurg
https://read.qxmd.com/read/33705274/physical-and-occupational-therapist-rehabilitation-of-lower-extremity-fractures-in-veterans-with-spinal-cord-injuries-and-disorders
#17
JOURNAL ARTICLE
Marylou Guihan, Kayla Roddick, Tomas Cervinka, Cara Ray, Christopher Sutton, Laura Carbone, Frances M Weaver
CONTEXT/OBJECTIVE: The risk of lower extremity (LE) fractures in persons with spinal cord injury or disorders (SCI/D) is double that of the able-bodied population. LE fractures are the most common fracture location in SCI/D. Physical therapists (PTs) and occupational therapists (OTs) play an important role in rehabilitating LE fractures in Veterans with SCI/D. This paper describes their role in assisting persons with SCI/D and LE fractures to return to previous function and levels of participation...
March 11, 2021: Journal of Spinal Cord Medicine
https://read.qxmd.com/read/32113620/clinical-effectiveness-of-decision-support-for-prescribing-opioids-for-chronic-noncancer-pain-a-prospective-cohort-study
#18
JOURNAL ARTICLE
Eboni G Price-Haywood, Jeffrey Burton, Todd Burstain, Jewel Harden-Barrios, John Lefante, Lizheng Shi, Robert N Jamison, Alessandra Bazzano, Lydia Bazzano
OBJECTIVES: This prospective cohort study examines the clinical effectiveness of electronic medical record clinical decision support (EMR CDS) for opioid prescribing. METHODS: Data analysis included primary care patients with chronic opioid therapy for noncancer pain seen within an integrated health delivery system in Louisiana between January 2017 and October 2018. EMR CDS incorporated an opioid health maintenance tool to display the status of risk mitigation, and the medication order embedded the morphine equivalent daily dose (MEDD) calculator and a hyperlink to the Louisiana pharmacy drug monitoring program...
February 2020: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://read.qxmd.com/read/32096616/robot-assisted-arm-training-for-treating-adult-patients-with-distal-radius-fracture-a-proof-of-concept-pilot-study
#19
JOURNAL ARTICLE
Alessandro Picelli, Daniele Munari, Angela Modenese, Mirko Filippetti, Gabriele Saggioro, Marialuisa Gandolfi, Massimo Corain, Nicola Smania
BACKGROUND: Fracture of the distal radius is a common wrist injury. As to its management after orthopedic (conservative or surgical) treatment, there is weak evidence for conventional rehabilitation interventions. Despite the increasing interest for robot-assisted arm therapy as to neurological disabilities and its growing diffusion in rehabilitation facilities, no previous study investigated the feasibility of robotic training on arm orthopedic impairment. AIM: To evaluate the feasibility in terms of efficacy of robot-assisted arm training on upper limb impairment in patients with fracture of the distal radius...
February 25, 2020: European Journal of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/31621606/how-to-evaluate-effects-of-occupational-therapy-lessons-learned-from-an-exploratory-randomized-controlled-trial
#20
JOURNAL ARTICLE
E Schaeffer, S Streich, I Wurster, R Schubert, R Reilmann, S Wolfram, D Berg
BACKGROUND: Although occupational therapy (OT) is frequently prescribed in clinical practice, there is still insufficient evidence regarding its efficacy to improve Parkinson's Disease (PD)-related activity limitations. OBJECTIVES: To evaluate the efficacy of OT and the validity of different outcome-parameters to reflect efficacy, including gold-standard clinical rating scales and quantitative motor assessments. METHODS: 40 patients were included in an exploratory, randomized-controlled, single-blinded trial, receiving either (I) ten weeks of OT, with a main focus on motor aspects of activity limitations and a ten-week follow-up assessment or (II) no intervention...
September 19, 2019: Parkinsonism & related Disorders
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