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Joint restriction

Wing Sum Li, Sze Ying Chan, Wai Wang Chau, Sheung-Wai Law, Kai Ming Chan
BACKGROUND: The 2008 Sichuan Earthquake resulted in many amputees, yet due to the rare incidence, few studies have explored the rehabilitation outcomes and quality of life of bilateral lower limb amputees after major natural disasters. OBJECTIVES: To evaluate rehabilitation outcomes of 17 young and adult bilateral lower limb amputees under the StandTall rehabilitation programme and to identify factors associated with successful functional recovery of bilateral amputees after large-scale disasters...
August 16, 2018: Prosthetics and Orthotics International
Weiqing Ge, Brittany Hians, Alison Sfara
Background: Existing variation has been identified in the rehabilitation programs for patients following cardiac surgery. Sternal precautions are believed to be overly restrictive and detrimental to patient recovery both physically and psychologically. Objective: The objective of this study was to determine the deformation of sternal skin during shoulder movements and upper extremity activities using a non-contact approach. Design: This study was a cross-sectional, nonexperimental observational study...
August 13, 2018: Physical Therapy
Thomas Stein, Daniel Müller, Marc Blank, Yana Reinig, Tim Saier, Reinhard Hoffmann, Frederic Welsch, Uwe Schweigkofler
BACKGROUND: The stabilization strategy for acute high-grade acromioclavicular (AC) joint separations with AC-stabilizing clavicular hook plate (cHP) or coracoclavicular (CC)-stabilizing double double-button suture (dDBS) is still under consideration. HYPOTHESIS: The CC-stabilizing dDBS is superior to the cHP according to an AC-specific radiologic assessment and score system. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Seventy-three consecutive patients with acute high-grade AC joint separation were prospectively followed in 2 treatment groups (64...
August 14, 2018: American Journal of Sports Medicine
Sze Huey Tan, Keith R Abrams, Sylwia Bujkiewicz
In health technology assessment, decisions are based on complex cost-effectiveness models that require numerous input parameters. When not all relevant estimates are available, the model may have to be simplified. Multiparameter evidence synthesis combines data from diverse sources of evidence, which results in obtaining estimates required in clinical decision making that otherwise may not be available. We demonstrate how bivariate meta-analysis can be used to predict an unreported estimate of a treatment effect enabling implementation of a multistate Markov model, which otherwise needs to be simplified...
August 13, 2018: Medical Decision Making: An International Journal of the Society for Medical Decision Making
Glenn Isaacson, Elizabeth T Drum
Objective: To review current evidence and experience with anesthesia and airway management issues in children and young adults with arthrogryposis. Data sources: Review of existing world literature and description of personal experience at a center for children's orthopedic surgery and rehabilitation over 2 decades. Methods: Description of common problems and their solutions in this unusual and diverse group of patients. Results: Arthrogryposis multiplex congenital includes more than 400 conditions that lead to congenital joint contractures affecting more than one body area...
June 2018: World Journal of Otorhinolaryngology—Head and Neck Surgery
Kyoung-Soub Lee, Jeong-Ho Park, Jaewon Beom, Hyung-Soon Park
As the number of people suffering from shoulder movement disabilities increases, there is a rising demand for shoulder rehabilitation. The natural motion of the shoulder joint [glenohumeral (GH) joint] includes not only three-degrees-of-freedom (DOF) rotation but also three-DOF translation of the joint center due to simultaneous motion of the shoulder girdle. If the motion of the shoulder girdle is restricted, then the arm cannot be raised above a certain posture. This paper presents a passive shoulder joint tracking device that allows three-DOF translation of the shoulder joint while compensating for gravity...
2018: Frontiers in Neurorobotics
L Y Mak, C W Lau, Y T Hui, C Ng, E Shan, M Kk Li, J Yw Lau, P Wy Chiu, H T Leong, J Ho, J Cy Wu, C K Lee, W K Leung
The demand for blood products continues to grow in an unsustainable manner in Hong Kong. While anaemia associated with gastrointestinal bleeding (GIB) is the leading indication for transfusion, there is no local recommendation regarding best practices for transfusion. We aimed to provide evidence-based recommendations regarding management of anaemia in patients with acute and chronic GIB. We reviewed all original papers, meta-analyses, systematic reviews, or guidelines that were available in PubMed. For acute GIB, a restrictive transfusion strategy, targeting a haemoglobin threshold of 7 to 8 g/dL, should be adopted because overtransfusion is associated with significantly higher all-cause mortality and re-bleeding...
August 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Jerin Mathew, Kavitha Raja, Febin P Baby, Basima Barikkal
BACKGROUND: In most developing countries, accessibility for people using walking aids is limited due to architectural and environmental barriers. As observed from anecdotal accounts, even a minor orthopaedic injury/disorder may restrict a person's ambulation due to fatigue associated with using walking aids. Hence this study was undertaken with the following objective. OBJECTIVE: to estimate the magnitude of energy consumption using energy expenditure index (EEI) during gait under different conditions...
July 2018: Journal of Bodywork and Movement Therapies
Parikshaa Gupta, Gurwinder Kaur, Arvind Rajwanshi, Sandeep Bansal, Rajeev Kamble, R Ranjini
16-year-old male child. Presented with bilateral proptosis (more on right than left) over the last 8 years, which was painless and gradually increasing in size. He had slight blurring of vision in right eye with restriction of eye movements. In addition, he had difficulty in breathing from nose. There was no history of fever, fatigue, weight loss, night sweats or joint pains. The clinical suspicion was of a lymphoma or an invasive fungal infection. On examination, there was no significant cervical, axillary or inguinal lymphadenopathy or hepatosplenomegaly...
August 12, 2018: Cytopathology: Official Journal of the British Society for Clinical Cytology
M Dienst, L Goebel, S Birk, D Kohn
OBJECTIVE: Reorientation of the acetabulum to normalize load transfer or avert femoroacetabular pincer impingement to prevent osteoarthritis of the hip. INDICATIONS: Persisting acetabular dysplasia after closure of growth plates or acetabular malrotation. CONTRAINDICATIONS: High dislocation of hip, secondary acetabulum, increased misalignment on functional X‑ray, high-grade mobility restriction. Relative: degenerative changes, advanced age...
August 10, 2018: Operative Orthopädie und Traumatologie
András Inotai, Huong Thanh Nguyen, Budi Hidayat, Talgat Nurgozhin, Pham Huy Tuan Kiet, Jonathan D Campbell, Bertalan Németh, Nikos Maniadakis, Diana Brixner, Kalman Wijaya, Zoltán Kaló
Multiple Criteria Decision Analysis (MCDA) is increasingly used in health care mainly because it moves decision-making from ad hoc to an evidence-based and comprehensive process. Developing countries with more restricted financial and human research capacities, however, should consider their own methods of MCDA development and implementation. Areas Covered: An MCDA framework to improve procurement decisions of off-patent pharmaceuticals was developed for developing countries and adapted to Indonesia, Kazakhstan and Vietnam during three policy workshops...
August 9, 2018: Expert Review of Pharmacoeconomics & Outcomes Research
Peter E Fischer, Debra G Perina, Theodore R Delbridge, Mary E Fallat, Jeffrey P Salomone, Jimm Dodd, Eileen M Bulger, Mark L Gestring
The American College of Surgeons Committee on Trauma (ACS-COT), American College of Emergency Physicians (ACEP), and the National Association of EMS Physicians (NAEMSP) have previously offered varied guidance on the role of backboards and spinal immobilization in out-of-hospital situations. This updated consensus statement on spinal motion restriction in the trauma patient represents the collective positions of the ACS-COT, ACEP and NAEMSP. It has further been formally endorsed by a number of national stakeholder organizations...
August 9, 2018: Prehospital Emergency Care
Yusuke Suzuki, Hirotaka Iijima, Yuto Tashiro, Yuu Kajiwara, Hala Zeidan, Kanako Shimoura, Yuichi Nishida, Tsubasa Bito, Kengo Nakai, Masataka Tatsumi, Soyoka Yoshimi, Tadao Tsuboyama, Tomoki Aoyama
This study aimed to develop a self-questionnaire index relevant to lower limb functional assessment reflecting clinical symptoms and activity restrictions associated with activities of daily living (ADL) for patients with knee osteoarthritis. This cross-sectional study enrolled patients with knee osteoarthritis (Kellgren/Lawrence grade ≥ 1). Participants evaluated clinical symptoms and activity restrictions using self-reported questionnaires. Radiographic evaluation, knee joint range of motion (ROM), and lower limb muscle strength were assessed...
August 8, 2018: Clinical Rheumatology
Samuel Iddi, Dan Li, Paul S Aisen, Michael S Rafii, Irene Litvan, Wesley K Thompson, Michael C Donohue
Parkinson's disease is the second most common neurological disease and affects about 1% of persons over the age of 60 years. Due to the lack of approved surrogate markers, confirmation of the disease still requires postmortem examination. Identifying and validating biomarkers are essential steps toward improving clinical diagnosis and accelerating the search for therapeutic drugs to ameliorate disease symptoms. Until recently, statistical analysis of multicohort longitudinal studies of neurodegenerative diseases has usually been restricted to a single analysis per outcome with simple comparisons between diagnostic groups...
August 8, 2018: Neuro-degenerative Diseases
Christoph Werner, Tim Bedford, John Quigley
Modeling dependence probabilistically is crucial for many applications in risk assessment and decision making under uncertainty. Neglecting dependence between multivariate uncertainties can distort model output and prevent a proper understanding of the overall risk. Whenever relevant data for quantifying and modeling dependence between uncertain variables are lacking, expert judgment might be sought to assess a joint distribution. Key challenges for the use of expert judgment for dependence modeling are over- and underspecification...
August 8, 2018: Risk Analysis: An Official Publication of the Society for Risk Analysis
Yixiong Feng, Yong Wang, Hao Zheng, Shanghua Mi, Jianrong Tan
Energy provisioning is always a crucial problem restricting the further development and application of smart industrial wireless sensor networks in smart factories. In this paper, we present that it is necessary to develop smart industrial wireless rechargeable sensor networks (SIWRSNs) in a smart factory environment. Based on the complexity and time-effectiveness of factory operations, we establish a joint optimization framework named J-EPMS to effectively coordinate the charging strategies of wireless sensors and the scheduling plans of machines running...
August 7, 2018: Sensors
O Lesens, T Ferry, E Forestier, E Botelho-Nevers, P Pavese, E Piet, B Pereira, E Montbarbon, B Boyer, S Lustig, S Descamps
To evaluate factors associated with failure in patients treated with DAIR (debridement, antibiotic therapy, and implant retention) for Staphylococcus aureus prosthetic joint infections (PJIs). We retrospectively analyzed consecutive patients with stable PJI due to S. aureus treated with DAIR at six hospitals between 2010 and 2014. Cox proportional hazards regression was used to study factors associated with treatment failure at 2 years. Of 154 eligible patients, 137 were included (mean age 73 ± 13 years; male 56%)...
August 7, 2018: European Journal of Clinical Microbiology & Infectious Diseases
Suxia Duan, Guixia Li, Fangzhou Qiu, Li Zhao, Mengchuan Zhao, Le Wang, Zhishan Feng, Xuejun Ma
OBJECTIVE: To investigate the association between single nucleotide polymorphisms( SNPs) of 5, 10-methylenetetrahydrofolate reductase( MTHFR) C677T, A1298C, methionine synthase( MS) A2756G, methionine synthase reductase( MTRR) A66G and the risk of congenital heart disease( CHD). METHODS: By restricting the corresponding conditions, a case-control study was performed. We collected 200 congenital heart disease children as case group and 200 normal children as control group admitted to the Department of cardiac surgery, Children 's Hospital of Hebei Province from January 2016 to April 2017...
July 2018: Wei Sheng Yan Jiu, Journal of Hygiene Research
David A Jobes, Mariam J Gregorian, Victoria A Colborn
Despite the enormous humanitarian and economic toll of suicide, mental health systems of care are largely underprepared to work effectively with suicidal individuals and suicide is a leading "Sentinel Event" in U.S. health care settings (The Joint Commission, 2016). In response to these concerns, a recent policy initiative called "Zero Suicide" has advocated a systems-level response to the suicidal risk within health care and this policy initiative is yielding positive results (Hogan & Goldstein Grumet, 2016)...
August 2018: Psychological Services
Ravi Gupta, Munish Sood, Anubhav Malhotra, Gladson David Masih, Tanu Khanna, Mukta Raghav
Background: The debate about the ideal surgical procedure for acromioclavicular joint (ACJ) dislocation is still unresolved and newer techniques are being evolved continuously. The present study evaluates functional outcome of ACJ reconstruction using the modified Weaver Dunn procedure. Materials and Methods: 35 patients (26 males, 9 females) with ACJ dislocation, between the age group of 18-48 years (mean age 31 years), were operated using modified Weaver Dunn procedure at our center from May 2005 to June 2010...
July 2018: Indian Journal of Orthopaedics
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