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Preoperative physiotherapy

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https://www.readbyqxmd.com/read/29319769/impact-of-an-early-physiotherapy-program-after-kidney-transplant-during-hospital-stay-a-randomized-controlled-trial
#1
Tatiana Onofre, Julio Flavio Fiore Junior, César Ferreira Amorim, Suzana Tanni Minamoto, Denise de Moraes Paisani, Luciana Dias Chiavegato
INTRODUCTION: Cardiorespiratory and musculoskeletal dysfunctions are common in the postoperative period of kidney transplant patients and are often accompanied by low exercise tolerance. OBJECTIVE: The purpose of this study was to evaluate the impact of an early physiotherapy program during hospital stay on functional capacity and peripheral and respiratory muscle strength after kidney transplant. METHODS: An open, randomized clinical trial was conducted in patients undergoing living donor kidney transplant...
October 2017: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
https://www.readbyqxmd.com/read/29301765/patient-journey-following-lumbar-spinal-fusion-surgery-lsfs-protocol-for-a-multicentre-qualitative-analysis-of-the-patient-rehabilitation-experience-fujourn
#2
Alison Rushton, J Bart Staal, Martin Verra, Andrew Emms, Michael Reddington, Andrew Soundy, Ashley Cole, Paul Willems, Lorin Benneker, Annabel Masson, Nicola R Heneghan
INTRODUCTION: There has been a 65% increase in lumbar spinal fusion surgery (LSFS) worldwide over the last 13 years, with costs of £26 million to the UK National Health Service annually. Patient dissatisfaction with outcome and persistent pain and disability incurs further costs. Three trials provide low-quality evidence for the role of physiotherapy. Our UK surveys investigating physiotherapy/surgeon practice concluded rehabilitation should be tailored to the individual patient owing to considerable clinical heterogeneity...
January 3, 2018: BMJ Open
https://www.readbyqxmd.com/read/29290492/-prognostic-factors-in-pleuropulmonary-decortications-for-tuberculous-pyothorax
#3
I Issoufou, M Lakranbi, L Belliraj, F Z Ammor, H Harmouchi, Y Ouadnouni, M Smahi
INTRODUCTION: Tuberculous pyothorax or empyema is one of the serious forms of tuberculosis and still poses public health problems. Through a series of patients who undergone pleuropulmonary decortication, we propose our model of management and determine the main factors prognostic. METHOD: We retrospectively retrieved for 8 years 93 cases of patients with pleuropulmonary decortication for tuberculous pyothorax confirmed by histological examination pre- or postoperatively...
December 28, 2017: Revue de Pneumologie Clinique
https://www.readbyqxmd.com/read/29231044/a-systematic-review-of-exercise-and-psychosocial-rehabilitation-interventions-to-improve-health-related-outcomes-in-patients-with-bladder-cancer-undergoing-radical-cystectomy
#4
Elke Rammant, Karel Decaestecker, Renée Bultijnck, Nora Sundahl, Piet Ost, Nele S Pauwels, Benedicte Deforche, Ronny Pieters, Valérie Fonteyne
OBJECTIVE: Summarizing the evidence on the effects of pre- and postoperative exercise and psychosocial rehabilitation interventions on patient-reported outcomes (PROs) and physical fitness in bladder cancer patients undergoing radical cystectomy. DATA SOURCES: The Cochrane Central Register of Controlled Trials, MEDLINE, Embase, Web of Science and the Physiotherapy Evidence Database were searched independently by two authors from inception until 10 November 2017...
December 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29066939/prevalence-of-neuro-musculoskeletal-pain-and-dysfunction-in-open-heart-surgical-patients-preoperatively-and-at-6-and-12-weeks-postoperatively-a-prospective-longitudinal-observation-study
#5
R Nicole Bellet, Rhonda L Lamb, Tonya D Gould, Harold J Bartlett
Chronic neuro-musculoskeletal pain is an important complication of open-heart surgery (OHS). To better understand the development and natural course of neuro-musculoskeletal pain in the immediate post-OHS period, this prospective longitudinal study assessed the prevalence and degree of pain and shoulder disability, and areas of pain pre- and post-OHS. Usual medical, nursing, and physiotherapy care was provided including early extubation, education, walking, sitting out of bed, and upper, lower limb, and trunk exercises from day 1 post-operation...
2017: Pragmatic and Observational Research
https://www.readbyqxmd.com/read/29040354/commentary-on-preoperative-respiratory-physiotherapy-in-abdominoplasty-patients
#6
Lorne K Rosenfield
No abstract text is available yet for this article.
August 18, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29040352/preoperative-respiratory-physiotherapy-in-abdominoplasty-patients
#7
Maria Amélia Rodrigues, Lydia Masako Ferreira, Eliziane Nitz de Carvalho Calvi, Fábio Xerfan Nahas
Background: After abdominoplasty, patients experience decreased ventilatory function and increased intra-abdominal pressure (IAP). Breathing exercises are used during the pre- and postoperative periods of several abdominal surgeries to prevent or minimize postoperative complications. Objectives: The aim of this study was to assess the effect of preoperative respiratory physiotherapy on the outcome of abdominoplasty patients. Methods: Thirty-three patients were divided into 2 groups...
June 28, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29037918/monitoring-of-incremental-changes-in-maximum-interincisal-opening-after-gap-arthroplasty-omits-the-risk-of-re-ankylosis
#8
Ghada Amin Khalifa
PURPOSE: The aim of this clinical study was to prospectively measure the incremental changes in the maximum interincisal opening (MIO) after 1 cm gap arthroplasty, compare these changes between unilateral and bilateral cases, and emphasize the importance of the monitoring of the MIO for at least 24 months. MATERIALS AND METHODS: This prospective study enrolled 26 patients with TMJ ankylosis either unilateral or bilateral. The fingers assessment method was used to measure the MIO preoperatively, intraoperatively, and monthly postoperatively up to 24 months...
September 19, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28901118/randomized-controlled-trial-of-maximal-strength-training-vs-standard-rehabilitation-following-total-knee-arthroplasty
#9
Vigdis S Husby, Olav A Foss, Otto S Husby, Siri B Winther
BACKGROUND: Total knee arthroplasty (TKA) alleviates pain, but muscle strength and function is reduced for a long period postoperatively. AIM: To investigate whether maximal strength training (MST) is more effective in improving muscle strength than standard rehabilitation (SR) after TKA. DESIGN: A randomized, controlled study. SETTING: Community physical therapy centers and University hospital research department. POPULATION: Forty-one adults <75 years with primary, unilateral osteoarthritis of the knee scheduled for TKA...
September 13, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28888715/acute-traumatic-rupture-of-the-patellar-tendon-in-pediatric-population-case-series-and-review-of-the-literature
#10
Mohamed Abdelhamid Ali Yousef, Scott Rosenfeld
BACKGROUND: Intact knee extensor mechanism is required for the normal function of the lower extremity. Patellar tendon rupture is a relatively rare injury with peak age incidence around 40 years and usually occurs midsubstance. The occurrence of pure patellar tendon rupture without bony avulsion is an extremely rare injury in the pediatric population with few cases reported in the literature with limited information regarding frequency, complications, and outcomes in children. However, due to increased participation in sports and high-energy recreational activities during childhood, the frequency of such injuries has progressively increased...
November 2017: Injury
https://www.readbyqxmd.com/read/28885297/spinal-surgeons-opinions-on-pre-and-postoperative-rehabilitation-in-patients-undergoing-lumbar-spinal-fusion-surgery-a-survey-based-study-in-the-netherlands-and-sweden
#11
Reni M A van Erp, Jetse Jelsma, Ivan P J Huijnen, Mari Lundberg, Paul C Willems, Rob J E M Smeets
STUDY DESIGN: A cross-sectional survey in the Netherlands and Sweden. OBJECTIVE: To investigate Dutch and Swedish spinal surgeons' opinions on spinal fusion pre- and postoperative rehabilitation. SUMMARY OF BACKGROUND DATA: Lumbar spinal fusion surgery is increasingly provided in patients with chronic low back pain. No guidelines however exist for pre- and postoperative rehabilitation and it is unknown what opinions spinal surgeons currently have about pre- and postoperative rehabilitation...
September 6, 2017: Spine
https://www.readbyqxmd.com/read/28863885/a-new-indication-for-barbed-threads-static-reanimation-of-the-paralyzed-face
#12
Victor Vlad Costan, Eugenia Popescu, Daniela Sulea, Ioan Sorin Stratulat
PURPOSE: The objective of this study was to present the authors' experience in static facial reanimation using a straightforward incisionless procedure adapted from techniques commonly used for performing minimally invasive facelifts. MATERIALS AND METHODS: Seventeen patients were treated by static suspension using barbed sutures and all resulting changes were reviewed. The technique used for suture placement is described in detail, as are the author's tips for achieving the best esthetic and functional results...
August 5, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28862315/effectiveness-of-postoperative-home-exercise-compared-with-usual-care-on-kinesiophobia-and-physical-activity-in-spondylolisthesis-a-randomized-controlled-trial
#13
Outi Ilves, Arja Häkkinen, Joost Dekker, Marko Wahlman, Sami Tarnanen, Liisa Pekkanen, Jari Ylinen, Hannu Kautiainen, Marko Neva
OBJECTIVE: To study the effectiveness of a 12-month exercise therapy on kinesiophobia and physical activity in patients with spondylolisthesis after lumbar spine fusion. DESIGN: Randomized controlled trial. SUBJECTS: Patients (n = 98) with spondylolisthesis who had undergone lumbar spine fusion. METHODS: All patients (mean age 59 years) had received lumbar spine fusion surgery and identical postoperative instructions...
September 1, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28844197/functional-outcome-of-extra-articular-distal-humerus-fracture-fixation-using-a-single-locking-plate-a-retrospective-study
#14
Vivek Trikha, Prabhat Agrawal, Saubhik Das, Sahil Gaba, Arvind Kumar
PURPOSE: The optimal method for fixation of extra-articular distal humerus factures poses a management dilemma. Although various plate configurations have been proposed, anatomic shaped extra-articular distal humerus locking plates have emerged as a viable solution for these complex injuries. We assessed clinico-radiologic outcome in our retrospective case series of extra-articular distal humerus fractures managed with these plates. METHODS: Forty-five patients of extra-articular distal humerus fractures, who were operated at our level 1 trauma centre between January, 2012 and December, 2016, were identified...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28813550/drug-free-interventions-to-reduce-pain-or-opioid-consumption-after-total-knee-arthroplasty-a-systematic-review-and-meta-analysis
#15
REVIEW
Dario Tedesco, Davide Gori, Karishma R Desai, Steven Asch, Ian R Carroll, Catherine Curtin, Kathryn M McDonald, Maria P Fantini, Tina Hernandez-Boussard
Importance: There is increased interest in nonpharmacological treatments to reduce pain after total knee arthroplasty. Yet, little consensus supports the effectiveness of these interventions. Objective: To systematically review and meta-analyze evidence of nonpharmacological interventions for postoperative pain management after total knee arthroplasty. Data Sources: Database searches of MEDLINE (PubMed), EMBASE (OVID), Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Database of Systematic Reviews, Web of Science (ISI database), Physiotherapy Evidence (PEDRO) database, and ClinicalTrials...
October 18, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28795035/aortopulmonary-fistula-presenting-without-an-endoleak-after-thoracic-endovascular-aortic-repair
#16
Giacomo Sica, Gaetano Rea, Giorgio Bocchini, Romilda Lombardi, Massimo Muto, Tullio Valente
Herein, we report the case of a 60-year-old man, a smoker with a history of arterial hypertension and diabetes mellitus. After computed tomography (CT) for an episode of hemoptysis, the patient underwent elective thoracic endovascular aortic repair (TEVAR) because of a degenerative aneurysm of the descending thoracic aorta. The area of perianeurysmal pulmonary atelectasis reported on the CT scan was not considered. Three months later, he developed an aortopulmonary fistula without endoleaks. Although TEVAR is a relatively safe procedure, no detail should be overlooked in the preoperative evaluation in order to avoid life-threatening complications...
August 2017: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28768430/multi-and-univariate-analyses-of-the-weekend-effect-for-elective-lower-limb-joint-replacements
#17
Wte Briggs, Blt Guevel, A W McCaskie, S M McDonnell
Introduction The weekend effect is a perceived difference in outcome between medical care provided at the weekend when compared to that of a weekday. Clearly multifactorial, this effect remains incompletely understood and variable in different clinical contexts. In this study we analyse factors relevant to the weekend effect in elective lower-limb joint replacement at a large NHS multispecialty academic healthcare centre. Materials and Methods We reviewed the electronic medical records of 352 consecutive patients who received an elective primary hip or knee arthroplasty...
August 3, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28761524/selective-dorsal-rhizotomy-a-multidisciplinary-approach-to-treating-spastic-diplegia
#18
Hussam Abou Al-Shaar, Muhammad Tariq Imtiaz, Hazem Alhalabi, Shara M Alsubaie, Abdulrahman J Sabbagh
BACKGROUND: Spasticity is a motor disorder that interferes with mobility and affects the quality of life. Different approaches have been utilized to address patients with spastic diplegia, among which is selective dorsal rhizotomy (SDR). Although SDR has been shown to be efficacious in treating spastic patients, many neurologists and neurosurgeons are not well aware of the procedure, its indications, and expected outcomes due to the limited number of centers performing this procedure...
July 2017: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/28760151/pureair-protocol-randomized-controlled-trial-of-intensive-pulmonary-rehabilitation-versus-standard-care-in-patients-undergoing-surgical-resection-for-lung-cancer
#19
Stefania Fugazzaro, Stefania Costi, Carlotta Mainini, Besa Kopliku, Cristian Rapicetta, Roberto Piro, Roberta Bardelli, Patricia Filipa Sobral Rebelo, Carla Galeone, Giorgio Sgarbi, Filippo Lococo, Massimiliano Paci, Tommaso Ricchetti, Silvio Cavuto, Domenico Franco Merlo, Sara Tenconi
BACKGROUND: Non-small cell lung cancer is the most common type of lung cancer. Surgery is proven to be the most effective treatment in early stages, despite its potential impact on quality of life. Pulmonary rehabilitation, either before or after surgery, is associated with reduced morbidity related symptoms and improved exercise capacity, lung function and quality of life. METHODS: We describe the study protocol for the open-label randomized controlled trial we are conducting on patients affected by primary lung cancer (stages I-II) eligible for surgical treatment...
July 31, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28750725/hydroxyapatite-collagen-scaffold-with-autologous-bone-marrow-aspirate-for-mandibular-condylar-reconstruction
#20
Debraj Howlader, U Vignesh, Dichen P Bhutia, Rahul Pandey, Sumit Kumar, Tulika Chandra, Divya Mehrotra
PURPOSE: This study was designed with the aim to assess the efficiency of hydroxyapatite/collagen (HA/Col) bio-scaffold with bone marrow aspirate (BMA) to reconstruct mandibular condyle in patients with temporomandibular joint (TMJ) ankylosis. MATERIALS AND METHODS: Seven pediatric patients with TMJ ankylosis, who visited our outpatient clinic and whose parents opted for this procedure, were included in this study. After a history and clinical examination for TMJ movements, computed tomography (CT) scans were obtained...
September 2017: Journal of Cranio-maxillo-facial Surgery
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