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https://www.readbyqxmd.com/read/30100314/effect-of-postural-insoles-on-gait-pattern-in-individuals-with-hemiparesis-a-randomized-controlled-clinical-trial
#1
Luiz Alfredo Braun Ferreira, Veronica Cimolin, Hugo Pasini Neto, Luanda André Colange Grecco, Roberta Delasta Lazzari, Arislander Jonathan Lopes Dumont, Manuela Galli, Claudia Santos Oliveira
INTRODUCTION: Recovering the ability to walk is an important goal of physical therapy for patients who have survived cerebrovascular accident (stroke). Orthotics can provide a reduction in plantar flexion of the ankle, leading to greater stability in the stance phase of the gait cycle. Postural insoles can be used to reorganize the tone of muscle chains, which exerts an influence on postural control through correction reflexes. The aim of the present study was to perform kinematic and spatiotemporal analyses of gait in stroke survivors with hemiparesis during postural insole usage...
July 2018: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/30042629/timing-of-initiating-manual-therapy-and-therapeutic-exercises-in-the-management-of-patients-after-hindfoot-fractures-a-randomized-controlled-trial
#2
Stephanie R Albin, Shane L Koppenhaver, Drew H Van Boerum, Thomas G McPoil, James Morgan, Julie M Fritz
Study design: Randomized clinical trial. Background: Patients with fractures to the talus and calcaneus report decreased functional outcomes and develop long-term functional limitations. Although physical therapy is typically not initiated until six weeks after fixation, there's little research on the optimal time to initiate a formal physical therapy program. Objectives: To assess whether initiating physical therapy including range of motion (ROM) and manual therapy two weeks post-operatively (EARLY) vs...
July 2018: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29996734/additive-effect-of-therapeutic-ultrasound-in-the-treatment-of-plantar-fasciitis-a-randomized-controlled-trial
#3
Yigal Katzap, Michael Haidukov, Olivier M Berland, Ron Ben Itzhak, Leonid Kalichman
Study Design A prospective, randomized, double-blinded, placebo-controlled clinical trial. Background Plantar fasciitis is the main cause of pain in the plantar surface of the heel. One of the most common conservative treatment modalities used by physical therapists worldwide is therapeutic ultrasound, despite the scarce evidence of its efficacy in the treatment of plantar fasciitis. Objective To evaluate the additive effect of therapeutic ultrasound in the treatment of plantar fasciitis in terms of pain, function, and quality of life...
July 11, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29963593/falls-and-physical-inactivity-in-patients-with-gastrointestinal-cancer-and-hand-foot-syndrome
#4
Hiroko Komatsu, Kaori Yagasaki, Yasuo Hamamoto, Toru Takebayashi
Objective: This study aims to ascertain the incidence and association of falls and physical inactivity in patients with gastrointestinal cancer and hand-foot syndrome (HFS) after receiving chemotherapy or targeted therapy. Methods: The present cross-sectional study was conducted on 50 outpatients with HFS of Grade 1 or above, according to the National Cancer Institute Common Terminology Criteria for Adverse Events, following the receipt of chemotherapy or targeted therapy for gastrointestinal cancer in Japan between November 2016 and February 2017...
July 2018: Asia-Pacific Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29925502/2018-consensus-statement-on-exercise-therapy-and-physical-interventions-orthoses-taping-and-manual-therapy-to-treat-patellofemoral-pain-recommendations-from-the-5th-international-patellofemoral-pain-research-retreat-gold-coast-australia-2017
#5
Natalie J Collins, Christian J Barton, Marienke van Middelkoop, Michael J Callaghan, Michael Skovdal Rathleff, Bill T Vicenzino, Irene S Davis, Christopher M Powers, Erin M Macri, Harvi F Hart, Danilo de Oliveira Silva, Kay M Crossley
Patellofemoral pain affects a large proportion of the population, from adolescents to older adults, and carries a substantial personal and societal burden. An international group of scientists and clinicians meets biennially at the International Patellofemoral Research Retreat to share research findings related to patellofemoral pain conditions and develop consensus statements using best practice methods. This consensus statement, from the 5th International Patellofemoral Research Retreat held in Australia in July 2017, focuses on exercise therapy and physical interventions (eg, orthoses, taping and manual therapy) for patellofemoral pain...
June 20, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29862844/treatment-of-bone-marrow-edema-of-the-foot-and-ankle-with-the-prostacyclin-analog-iloprost
#6
Hubert Hörterer, Sebastian Felix Baumbach, Johanne Gregersen, Stefanie Kriegelstein, Oliver Gottschalk, Ulrike Szeimies, Markus Walther
BACKGROUND: Bone marrow edema (BME) of the foot and ankle is challenging to treat. One approach is intravenous Iloprost treatment, which is a vasoactive prostacyclin analog. The aim of this study was to evaluate the early and intermediate outcome of intravenous Iloprost therapy on BME of the foot and ankle and to analyze the influence of its etiology and Association Research Circulation Osseous (ARCO) stage on the outcome. METHODS: This was a retrospective study with prospective follow-up...
June 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29782305/tatami-mats-a-source-of-pitted-keratolysis-in-a-martial-arts-athlete
#7
Anamaria Balić, Zrinka Bukvić Mokos, Branka Marinović, Daniela Ledić Drvar
Dear Editor, Pitted keratolysis (PK), also known as keratosis plantaris sulcatum, is a non-inflammatory, bacterial, superficial cutaneous infection, characterized by many discrete superficial crateriform ''pits'' and erosions in the thickly keratinized skin of the weight-bearing regions of the soles of the feet (1). The disease often goes unnoticed by the patient, but when it is noticed it is because of the unbearable malodor and hyperhidrosis of the feet, which are socially unacceptable and cause great anxiety to many of the patients...
April 2018: Acta Dermatovenerologica Croatica: ADC
https://www.readbyqxmd.com/read/29763252/charcot-foot-clinical-clues-diagnostic-strategies-and-treatment-principles
#8
Valerie S Marmolejo, Jonathan F Arnold, Mario Ponticello, Charles A Anderson
Acute Charcot neuroarthropathy of the foot and ankle is often difficult to diagnose because of limited findings in the patient history, physical examination, imaging, and laboratory studies. Delay in treatment results in the development of rigid foot and ankle deformities, increasing the risk of ulceration, infection, and major lower extremity amputation. Acute Charcot neuroarthropathy should be suspected in any patient 40 years or older with obesity and peripheral neuropathy who presents with an acutely swollen foot following minimal or no recalled trauma and who reports minimal to no pain, particularly if radiography and laboratory markers of infection are normal...
May 1, 2018: American Family Physician
https://www.readbyqxmd.com/read/29755852/high-frequency-generator-in-wound-healing-of-marjolin-s-ulcer-after-carcinoma-resection
#9
Pascale Mutti Tacani, Rogério Eduardo Tacani, Aline Fernanda Perez Machado, Débora Montezello, João Carlos Guedes Sampaio Góes, Angela Gonçalves Marx, Richard Eloin Liebano
Marjolin's ulcers (MU) are skin malignancies that form over burn injuries. These very aggressive ulcers can result in functional and wound healing impairment, and require a well thought out treatment plan. Physiotherapy offers resources to help promote recovery of these patients, as described in this case report, in which the patient with a history of burn in the lower limbs evolved to malignancy 32 years later. This patient underwent tumor resection of the left foot, with recurrence and lymphadenectomy . Physical therapy included the application of high-frequency generator (HFG) for wound healing and exercises for functional recovery...
May 1, 2018: Advances in Wound Care
https://www.readbyqxmd.com/read/29752911/validation-of-the-work-disability-physical-functional-assessment-battery
#10
Christine M McDonough, Pengsheng Ni, Kara Peterik, Judith D Hershberg, Lesli R Bell, Leighton Chan, Diane E Brandt, Alan M Jette
OBJECTIVE: To examine the validity of the self-report Work-Disability Functional Assessment Battery (WD-FAB) physical function scales relative to clinician ratings of function and a performance-based functional capacity evaluation called the Physical Work Performance Evaluation (PWPE). DESIGN: Cross-sectional. SETTING: Outpatient rehabilitation. PARTICIPANTS: Adults (N=50) participating in physical therapy for musculoskeletal conditions...
May 9, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29735196/protons-vs-photons-for-brain-and-skull-base-tumors
#11
REVIEW
Safia K Ahmed, Paul D Brown, Robert L Foote
The physical characteristics of proton therapy result in steeper dose gradients and superior dose conformality compared to photon therapy. These properties render proton therapy ideal for skull base tumors requiring dose escalation for optimal tumor control, and may also be beneficial for brain tumors as a means of mitigating radiation-related adverse effects. This review summarizes the literature regarding the role of proton therapy compared to photon therapy in the treatment of adult brain and skull base tumors...
April 2018: Seminars in Radiation Oncology
https://www.readbyqxmd.com/read/29718811/a-total-offloading-foot-brace-for-treatment-of-diabetic-foot-ulcers-results-from-a-halted-randomized-controlled-trial
#12
David J Johnson, Barbara J Saar, Andrew J Shevitz, Ann H Kim, Lori Hammer, Daniel E Kendrick, Pamela Moorehead, Vikram S Kashyap
INTRODUCTION: Foot offloading is the mainstay treatment for plantar diabetic foot ulcers (DFUs). OBJECTIVE: This multicenter, single-blinded, randomized controlled trial evaluates the efficacy of a total offloading foot brace for healing plantar DFUs. MATERIALS AND METHODS: Seventeen patients were randomized to standard therapy (ie, reducing stress and pressure via mechanical offloading) or offloading foot brace. Comparison of plantar pressures was performed using digital pressure sensing films...
April 18, 2018: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29709335/us-ethnic-group-differences-in-self-management-in-the-2nd-diabetes-attitudes-wishes-and-needs-dawn2-study
#13
Mark Peyrot, Leonard E Egede, Martha M Funnell, William C Hsu, Laurie Ruggiero, Linda M Siminerio, Heather L Stuckey
AIMS: Understanding the relationship between ethnicity and self-management is important due to disparities in healthcare access, utilization, and outcomes among adults with type 2 diabetes from different ethnic groups in the US. METHODS: Self-reports of self-management and interest in improving self-management from US people with diabetes (PWD) in the 2nd Diabetes Attitudes, Wishes and Needs (DAWN2) study, a multinational, multi-stakeholder survey, were analyzed, including 447 non-Hispanic White, 241 African American, 194 Hispanic American, and 173 Chinese American PWD (>18 years)...
June 2018: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/29673797/non-invasive-multi-modality-approach-to-treating-plantar-fasciitis-a-case-study
#14
Tamsin Lee
Plantar fasciitis, also referred to as plantar heel pain, is a common foot pathology among runners and other athletes. The clinical guidelines of the 2014 Orthopedic Section of the American Physical Therapy Association states, non-invasive therapies including manual therapy, stretching, taping, foot orthoses and night splints are recommended as primary interventions. Recent studies suggest acupuncture may be an effective treatment compared to standard treatment for long-term relief. This case study reports the effects of a multi-modality approach including massage, gua sha, bleeding, acupuncture and moxibustion to treat acute plantar heel pain...
April 16, 2018: Journal of Acupuncture and Meridian Studies
https://www.readbyqxmd.com/read/29619094/foot-osteoarthritis-latest-evidence-and-developments
#15
REVIEW
Edward Roddy, Hylton B Menz
Foot osteoarthritis (OA) is a common problem in older adults yet is under-researched compared to knee or hand OA. Most existing studies focus on the first metatarsophalangeal joint, with evidence relating to midfoot OA being particularly sparse. Symptomatic radiographic foot OA affects 17% of adults aged 50 years and over. The first metatarsophalangeal joint is most commonly affected, followed by the second cuneometatarsal and talonavicular joints. Epidemiological studies suggest the existence of distinct first metatarsophalangeal joint and polyarticular phenotypes, which have differing clinical and risk factor profiles...
April 2018: Therapeutic Advances in Musculoskeletal Disease
https://www.readbyqxmd.com/read/29571089/long-term-gait-outcomes-following-conservative-management-of-idiopathic-toe-walking
#16
Karen Davies, Alec Black, Michael Hunt, Liisa Holsti
BACKGROUND: Idiopathic toe walking is a diagnosis of exclusion characterized by a persistent toe-toe gait pattern after three years of age. Treatment for toe walking includes physical therapy, orthotics, casting, Botulinum Toxin A injection into gastrocnemius/soleus muscles, and/or surgery; yet, little evidence exists regarding long-term treatment effects. RESEARCH QUESTION: The objective of this study was to explore the differences in longer-term gait outcomes and severity of idiopathic toe walking between children treated actively with casting or inactively following recommendations for stretching...
May 2018: Gait & Posture
https://www.readbyqxmd.com/read/29527468/primary-care-providers-discussion-of-fall-prevention-approaches-with-their-older-adult-patients-docstyles-2014
#17
Elizabeth R Burns, Yara K Haddad, Erin M Parker
Falls are the leading cause of fatal and non-fatal injuries among older adults. The American and British Geriatric Societies recommend a fall risk assessment to identify risk factors and guide interventions to prevent these falls. This study describes the self-reported discussion of fall prevention approaches used by primary care providers (PCPs)-family practitioners, internists and nurse practitioners-who treat older adults. Results are described overall and by PCP type. We analyzed a sample of 1210 U.S. PCPs who participated in the 2014 DocStyles survey...
March 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29484236/efficacy-of-the-stretch-band-ankle-traction-technique-in-the-treatment-of-pediatric-patients-with-acute-ankle-sprains-a-randomized-control-trial
#18
Kathryn Iammarino, James Marrie, Mitchell Selhorst, Linda P Lowes
Background: Ankle injuries account for up to 40% of all sport related injuries. These injuries can result in weeks to months of missed sport or work. The PRICE (Protection, Rest, Ice, Compression, Elevation) treatment is standard care for most acute ankle sprains. Recently, early mobilization in adults has been shown to decrease time off from sport or work, and the likelihood of developing chronic instability. To date, no research has been performed assessing the effectiveness of early mobilization in pediatric patients (<18 years)...
February 2018: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29482418/physical-therapy-for-nocturnal-lower-limb-cramping-a-case-report
#19
Addison Williams Andrews, Richard Pine
BACKGROUND AND PURPOSE: Nocturnal lower limb cramps are sudden, intensely painful, and can decrease sleep, increase anxiety, and reduce quality of life. The purpose of this case report is to describe the effectiveness of an evidence-based physical therapy intervention for a person with lower limb cramps. CASE DESCRIPTION: The patient was a 34-year-old female who presented with idiopathic bilateral lower limb foot pain and cramps. INTERVENTION: Rehabilitation addressed muscle strength, joint mobility, soft tissue extensibility, and biomechanical influences during functional movement, for a total of seven sessions over seven weeks...
February 26, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29449772/differential-examination-diagnosis-and-management-for-tingling-in-toes-fellow-s-case-problem
#20
Cody J Mansfield, Jake Bleacher, Paul Tadak, Matthew S Briggs
Background: The diagnosis of chronic exertional compartment syndrome can be challenging as other pathologies involving bone, muscle, nerve and vascular structures can mimic the syndrome. The purpose of this Fellow's Case Problem is to describe the clinical decision-making and physical therapy differential diagnosis regarding a 25-year-old patient with un-resolved neurovascular complaints following chronic exertional compartment syndrome surgical release. Diagnosis: After surgery, the patient's previous complaint of numbness and tingling in the plantar surfaces of her first and second toes of right foot was still present...
December 2017: Journal of Manual & Manipulative Therapy
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