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"rehabilitation" "shoulder" "knee"

Brian Horsak, Marion Kiener, Andreas Pötzelsberger, Tarique Siragy
OBJECTIVES: Push-up plus variations are commonly prescribed to clients during shoulder rehabilitation. The purpose of this study was to compare electromyographic (EMG) activities of the serratus anterior (SA), upper (UT), and lower trapezius (LT) during a knee push-up plus and knee-plus exercise performed on various surfaces. STUDY DESIGN: Within-subjects Repeated-Measure Design. PARTICIPANTS: 19 healthy, young female participants performed both exercises on a stable and unstable surface and during sling-suspension...
August 5, 2016: Physical Therapy in Sport
Maryne Cozette, Stéphane Delanaud, Pierre-Marie Lepretre, Thierry Weissland
OBJECTIVE: Shoulder internal (IR) and external rotator (ER) muscles play an important role in the stability of glenohumeral joint. The ratio between the peak torque of ER and IR in concentric (ER/IRPT) and mixed (ER-ECC/IR-CONPT) are usually measured to evaluate the effects of muscle weakness, sport activities, injury and treatment (Greenfield et al., 1990; Scoville et al., 1997). However, ER/IRPT and ER-ECC/IR-CONPT failed to provide some indication on the evolution of the ER/IR torque ratio (ER/IRTorque) and mixed torque ratio (ER-EC/IR-COTorque) during the range of motion (ROM)...
September 2016: Annals of Physical and Rehabilitation Medicine
Karima Belhaj, Soumia Meftah, Hicham Elhyaoui, Laila Mahir, Amine Tahir, Mohamed Rahmi, Mohamed Rafai, Abdelhak Garch, Mohamed Nechad, Fatima Lmidmani, Abdellatif Elfatimi
OBJECTIVE: Originally developed for the purpose of muscle strengthening, mainly for knee muscles, the isokinetic has gradually seen its scope expand to other joints, especially in muscle testing, becoming one of reference. Son methods applied to the pathology of the shoulder is relatively recent and, to date, the rules for implementing the tests and rehabilitation remain unclear. The aim of study is to define the contribution of the isokinetic evaluation in the management of shoulder tendon...
September 2016: Annals of Physical and Rehabilitation Medicine
Sana Salah, Mariem Rekik, Iheb Bel Haj Youssef, Soumaya Boudokhane, Houda Migaou, Anis Jellad, Zohra Ben Salah Frih
OBJECTIVE: The objective of this study was to assess the musculoskeletal disorders (MSD) of diabetes mellitus (DM) patients in a Physical Medicine and Rehabilitation (PMR) department. MATERIAL/PATIENTS AND METHODS: We carried out a retrospective study (January-December 2013) in which we enrolled 193 patients with DM. General (epidemic and clinical) characteristics were measured. Statistical analysis was performed using the statistical software SPSS 16. RESULTS: The participants' median age was 58 years (20-86), 98 men (50...
September 2016: Annals of Physical and Rehabilitation Medicine
James S Thomas, Christopher R France, Megan E Applegate, Samuel T Leitkam, Peter E Pidcoe, Stevan Walkowski
BACKGROUND: Virtual reality (VR) interventions hold great potential for rehabilitation as commercial systems are becoming more affordable and can be easily applied to both clinical and home settings. OBJECTIVE: In this study, we sought to determine how differences in the VR display type can influence motor behavior, cognitive load, and participant engagement. METHODS: Movement patterns of 17 healthy young adults (8 female, 9 male) were examined during games of Virtual Dodgeball presented on a three-dimensional television (3DTV) and a head-mounted display (HMD)...
2016: JMIR Serious Games
Huan Deng, Jian Chen, Frank Li, Cecilia W P Li-Tsang, Qiushi Liu, Xiaohong Ma, Ming Ao, Nan Chen, Yaqin Zhou, Xiaoyun Zhong, Zhiyu Chen, Lei Cao, Guiyang He, Jun Wu
PURPOSE: To assess the effects of mobility training on severe burn patients in the Burn Intensive Care Unit (BICU). METHODS: This was a retrospective cohort study. Severe burn patients with equal to or more than 50% Total Body Surface Area (TBSA) burns who received early rehabilitation in the BICU were included in this study. Based on the different early rehabilitation strategies during the two periods, patients admitted to the BICU from January 2011 to April 2013 were identified as the passive training cohort (n=49) while patients admitted to the BICU from May 2013 to December 2013 were identified as the mobility training cohort (n=24)...
November 2016: Burns: Journal of the International Society for Burn Injuries
John Prodromo, Justin Rackley, Mary K Mulcahey
Obesity represents a unique challenge in orthopaedic surgery, the impact of which is seen through all phases of injury: in the development of disease, during the operative procedure, and throughout the rehabilitation period. Given the high prevalence of obesity in the United States and around the world, this patient population represents a substantial proportion of patients in need of orthopedic care. The effects of this disease constrain both medical and financial resources. For obese patients undergoing orthopedic procedures, adequate steps must be taken to minimize the risks that occur before, during, and after surgical intervention...
September 2016: Physician and Sportsmedicine
Marwin Gutierrez, Cristina Hernandez-Diaz, Lucio Ventura-Rios, Lina María Saldarriaga-Rivera, Santiago Ruta, Magaly Alva, Claudia Mora -Trujillo, Wilkerson Pérez, Henry Terrazas, Rodolfo Del Carmen Arape Toyo, Maritza Quintero, Carla Solano, Oscar Sedano Santiago, Janet Grisel Huamán Sotomayor, Cesar Cefferino, Guillermo E Py, Marcelo J Audisio, Walter Javier Spindler, Horacio Berman, Carla Airoldi, Rómulo Wong, Ana Laura Álvarez Del Castillo Araujo, Mario E Díaz, Carmen Cerón Villaquiran, Rubén Darío Mantilla, José Alexandre Mendonça, Inês Guimarães da Silveira, Aline Defaveri do Prado, Melissa Cláudia Bisi, Violeta Rosario, Jeannette Medrano-Sánchez, Roberto Muñoz-Louis, Ana Cecilia Lozada-Navarro, Araceli Bernal, Maribel Lozano, Carlos Pineda
This study aimed to perform an overview of how ultrasound (US) is being used, implemented, and applied in rheumatologic centers in Latin America (LA). A retrospective, multicenter 1-year experience study was undertaken. Eighteen centers from eight countries were involved. The following information were collected: demographic data, indication to perform an US examination, physician that required the examination, and the anatomical region required for the examination. A total of 7167 patients underwent an US examination...
August 30, 2016: Clinical Rheumatology
Michael J Battistone, Andrea M Barker, Marissa P Grotzke, J Peter Beck, Jeffery T Berdan, Jorie M Butler, Caroline K Milne, Tim Huhtala, Grant W Cannon
BACKGROUND: Musculoskeletal (MSK) problems are common, and a recent US Bone and Joint Initiative calls for new models of education and professional collaboration. Evidence of feasibility and acceptability of innovative methods are needed. OBJECTIVE: We assessed if an experimental immersion interdisciplinary MSK curriculum would be acceptable to residents from different specialties, be feasible within existing rotations, and be effective in strengthening clinical skills...
July 2016: Journal of Graduate Medical Education
Jeremy Goverman, Katie Mathews, Richard Goldstein, Radha Holavanahalli, Karen Kowalske, Peter Esselman, Nicole Gibran, Oscar Suman, David Herndon, Colleen M Ryan, Jeffrey C Schneider
As the overall survival rate for burn injury has improved, increased emphasis is placed on postburn morbidity and the optimization of functional and cosmetic outcomes. One major cause of morbidity and functional deficits is that of joint contractures. The true incidence of postburn contractures and their associated risk factors remains unknown. This study examines the incidence and severity of contractures in a large, multicenter, burn population. The associated risk factors for the development of contractures are determined...
June 29, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Jeremy Goverman, Katie Mathews, Richard Goldstein, Radha Holavanahalli, Karen Kowalske, Peter Esselman, Nicole Gibran, Oscar Suman, David Herndon, Colleen M Ryan, Jeffrey C Schneider
Joint contractures are a major cause of morbidity and functional deficit. The incidence of postburn contractures and their associated risk factors in the pediatric population has not yet been reported. This study examines the incidence and severity of contractures in a large, multicenter, pediatric burn population. Associated risk factors for the development of contractures are determined. Data from the National Institute on Disability and Rehabilitation Research Burn Model System database, for pediatric (younger than 18 years) burn survivors from 1994 to 2003, were analyzed...
June 22, 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
Igor Larrañaga, Myriam Soto-Gordoa, Arantzazu Arrospide, María Luz Jauregi, Jesús Millas, Ricardo San Vicente, Jabier Aguirrebeña, Javier Mar
INTRODUCTION: The chronic nature of musculoskeletal diseases requires an integrated care which involves the Primary Care and the specialities of Rheumatology, Traumatology and Rehabilitation. The aim of this study was to assess the implementation of an integrated organizational model in osteoporosis, low back pain, shoulder disease and knee disease using Deming's continuous improvement process and considering referrals and resource consumption. MATERIAL AND METHODS: A simulation model was used in the planning to predict the evolution of musculoskeletal diseases resource consumption and to carry out a Budget Impact Analysis from 2012 to 2020 in the Goierri-Alto Urola region...
June 16, 2016: Reumatología Clinica
V A Selionov, I A Solopova, D S Zhvansky
We studied the effect of arm movements and movements of separate arm joints on the electrophysiological and kinematic characteristics of voluntary and vibration-triggered stepping-like leg movements under the conditions of horizontal support of upper and lower limbs. The horizontal support of arms provided a significantly increase in the rate of activation of locomotor automatism by non-invasive impact on tonic sensory inputs. The addition of active arm movements during involuntary rhytmic stepping-like leg movements led to an increase in EMG activity of hip muscles and was accompanied by an increase in the amplitude of hip and shin movements...
January 2016: Fiziologiia Cheloveka
Summer Allen
Forty years ago, Les Baugh lost both of his arms in an electrical accident. With bilateral shoulder-level amputations, his options for prosthetic arms were limited. That changed two years ago, when Baugh underwent a surgical procedure at Johns Hopkins Hospital in Baltimore that allowed him to control state-of-the-art robotic arms using nerves that had been rerouted to his chest. Within ten days of training, he was able to control both arms simultaneously and move a cup from a lower shelf to a higher shelf-a task that previously had been impossible-just by thinking about how he wanted to move his arm...
May 2016: IEEE Pulse
Philip Alexander Carvil, Julia Attias, Simon Evetts, James Waldie, David Andrew Green
INTRODUCTION: Effective countermeasures against musculoskeletal de-conditioning induced by microgravity and disuse are required. A simple alternative to provision of artificial gravity by centrifugation, is compressive axial loading, the Russian "Pingvin" suit was the first wearable suit to apply this concept, using bungee cords, tethered, around the shoulders and feet. However, poor loading characteristics, severe thermal and movement discomfort were reported. The gravity loading countermeasure skinsuit (GLCS) uses a bidirectional weave to generate staged axial loading from shoulders to feet, better mimicking how Earth's gravity induces progressive loading head to foot...
April 21, 2016: Journal of Strength and Conditioning Research
Dongliang Shi, Nannan Li, Yubin Wang, Shuyun Jiang, Jianping Lin, Wenhui Zhu
This study aimed to investigate the gait modification strategies of trunk over right stance phase in patients with right anterior cruciate ligament deficiency (ACL-D). Thirty-six patients with right chronic ACL-D were recruited, as well as 36 controls. A 3D optical video motion capture system was used during gait and stair ambulation. Kinematic variables of the trunk and kinematic and kinetic variables of the knee were calculated. Patients with chronic right ACL-D exhibited many significant abnormalities compared with controls...
May 2016: Gait & Posture
S Sammito, N Gundlach, I Böckelmann
BACKGROUND: Physical demands on soldiers in mission have increased in the past decades. Physical fitness training is included into duty schedules in most armies in order to achieve and maintain a high physical fitness level, but at the same time involving the risk of sport injuries and subsequent sick days. OBJECTIVE: Due to missing data concerning soldiers' sport injuries during duty and leisure time, epidemiology data is required for adequate prevention and therapy...
April 8, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Adolph V Lombardi, John W Barrington, Keith R Berend, Michael E Berend, Lawrence D Dorr, William Hamilton, Jason M Hurst, Michael J Morris, Giles R Scuderi
Substantial advances have been made in arthroplasty to minimize surgical trauma and maximize perioperative pain control, which has enabled patients to regain mobility within hours of surgical intervention and be safely discharged to home the same day. Surgeons should understand the indications and contraindications for the safe performance of outpatient arthroplasty in a hospital and ambulatory surgical center setting as well as know how to optimize, medically manage, prepare, and rehabilitate patients. To undertake outpatient arthroplasty, surgeons must be knowledgeable in multimodal anesthesia techniques, effective venous thromboembolism prophylaxis, blood management, and wound management...
2016: Instructional Course Lectures
Birgit Castelein, Barbara Cagnie, Thierry Parlevliet, Ann Cools
BACKGROUND: The Serratus Anterior (SA) has a critical role in stabilizing the scapula against the thorax. Research has linked shoulder and neck disorders to impairments in the SA activation. Exercises that target the SA are included in the rehabilitation of shoulder or neck pain and mostly include a protraction component. The Pectoralis Minor (PM) functions as a synergist of the SA. From the literature it is unclear to what extent PM is activated during SA exercises. OBJECTIVES: To determine the activity of SA and PM during different protraction exercises...
April 2016: Manual Therapy
Jeffrey J Parr, Nicholas C Clark, John P Abt, Julie Y Kresta, Karen A Keenan, Shawn F Kane, Scott M Lephart
BACKGROUND: Musculoskeletal injuries are a significant burden to United States Army Special Operations Forces. The advanced tactical skill level and physical training required of Army Special Operators highlights the need to optimize musculoskeletal characteristics to reduce the likelihood of suffering a recurrent injury. PURPOSE: To identify the residual impact of previous injury on musculoskeletal characteristics. STUDY DESIGN: Cross-sectional study; Level of evidence, 3...
November 2015: Orthopaedic Journal of Sports Medicine
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