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Motion management

Giuseppe Rollo, Michele Bisaccia, Javier Cervera Irimia, Giuseppe Rinonapoli, Andrea Pasquino, Alessandro Tomarchio, Lorenzo Roca, Valerio Pace, Paolo Pichierri, Marco Giaracuni, Luigi Meccariello
Introduction: The SNAC wrist (Scaphoid nonunion advanced collapse) is one of the complications following scaphoid fractures treated conservatively and one of the causes of wrist arthritis that the hand surgeon has to face most frequently. In these cases surgical management is usually warranted. Materials and Methods: In the set time frame of 6 years we treated 15 SNAC wrist cases. On average patients underwent surgery five years after the trauma. All patients were treated via dorsal incision with partial carpal arthrodesis and total scaphoidectomy, associated with denervation of the posterior interosseous nerves...
October 2018: Medical Archives
Yousuke Sakakura, Masataka Kamei, Ryota Sakamoto, Hideyuki Morii, Asami Itoh-Masui, Eiji Kawamoto, Hiroshi Imai, Masayuki Miyabe, Motomu Shimaoka
BACKGROUND: Tracheal intubation (TI) is a key medical skill used by anesthesiologists and critical care physicians in airway management in operating rooms and critical care units. An objective assessment of dexterity in TI procedures would greatly enhance the quality of medical training. This study aims to investigate whether any biomechanical parameters obtained by 3D-motion analysis of body movements during TI procedures can objectively distinguish expert anesthesiologists from novice residents...
December 4, 2018: BMC Medical Education
Esther C Nolton, Jatin P Ambegaonkar
BACKGROUND: Snapping hip syndrome (SHS) is a common hip pathology in dancers. SHS can be either internal or external, resulting from muscle tendon tightness from repetitive hip flexion and extension, accompanied with hip abduction and/or external rotation. Muscular tightness may cause the tendon to become taut and snap over a bony prominence during hip movement, leading to muscular weakness and reduced range of motion from pain. Because SHS is poorly identified and can present similarly to other hip pathologies, many SHS incidences are underreported or misdiagnosed...
December 2018: Medical Problems of Performing Artists
Reiji Nishimura, Lauren Wright, William H Seitz
Ulnar-sided carpometacarpal (CMC) joint fracture dislocations are relatively uncommon, frequently associated with fractures of the metacarpal base and/or hamate, and often sustained by young male individuals secondary to striking a hard object. The complexity of ulnar-sided CMC fracture dislocations necessitates careful restitution of anatomic alignment and joint congruency for mobility and stability. Miniaturization of the external fixation device has allowed application to the hand. Spanning external fixation utilizes the principles of "ligamentotaxis"-indirect reduction through distraction forces of capsule-ligamentous structures...
November 30, 2018: Techniques in Hand & Upper Extremity Surgery
Emrah Caliskan, Evrim Karadag Saygi, Zeynep Kardelen Gencer, Hizir Kurtel, Bulent Erol
Background: Advances in surgical techniques, implant technology, radiotherapy, and chemotherapy have increased the recovery chances of patients with bone sarcomas. Accordingly, patients' expectations on life quality have also increased, highlighting the importance of objective evaluation of the functional results of reconstruction. Methods: Thirteen patients with distal femoral endoprosthesis, who had been followed for an average of 2.9 years were evaluated. Postural stability, daily energy expenditure, muscle power, and range of motion were the four parameters analyzed in this study...
December 2018: Clinics in Orthopedic Surgery
Pablo Young, Melissa Castillo-Bustamante, Carlos J Almirón, Julio E Bruetman, Bárbara C Finn, María A Ricardo, Ana C Binetti
Vertigo is defined as an abnormal sensation of body motion or of its surrounding objects. It is a common chief complaint in emergency departments comprising 2 to 3% of these consultations worldwide. Vertigo is classified as peripheral or central, according to its origin, and can also be occasionally mixed, the most common cause of peripheral involvement being benign paroxysmal positional vertigo. The initial findings on clinical evaluation of patients are the clues for making a correct diagnosis. The differentiation between central and peripheral vertigo can be optimized by analysing nystagmus, by using the skew test and the head impulse test (HINTS), as also by performing the appropriate tests to evaluate the integrity of the vestibular-cerebellar pathway...
2018: Medicina
Nicola R Heneghan, S Gormley, C Hallam, Alison Rushton
BACKGROUND: The thoracic spine (TS) is relatively under-researched compared to the neck and low back. As the challenge of managing spinal pain persists, understanding current physiotherapy clinical practice for TS pain and dysfunction is necessary to inform future research in this area. OBJECTIVE: To investigate physiotherapy practice for managing thoracic spine pain and dysfunction (TSPD) in the UK, with a secondary focus on examining differences across settings and expertise...
November 22, 2018: Musculoskeletal Science & Practice
Thomas Schmalz, Bjoern Altenburg, Michael Ernst, Malte Bellmann, Dieter Rosenbaum
BACKGROUND: For demanding activities in daily life, such as negotiating stairs, ramps and uneven ground, the functionality of conventional prosthetic feet ("Daily Life Feet" - DLF) is often limited. With the introduction of microprocessor-controlled feet (MPF) it was expected that the functional limitations of DLF might be reduced. The purpose of the present study was to investigate biomechanical gait parameters with DLF and MPF when walking on a specifically designed ramp involving abruptly changing inclination angles as a scenario reflecting typical situations related to walking on uneven ground...
November 16, 2018: Gait & Posture
Yan-Yan Bian, Long-Chao Wang, Wen-Wei Qian, Jin Lin, Jin Jin, Hui-Ming Peng, Xi-Sheng Weng
OBJECTIVE: Total knee arthroplasty (TKA) is an established surgical technique and is the standard treatment for degenerative knee joint diseases. However, severe pain after TKA makes it difficult for many patients to perform early postoperative rehabilitation and functional exercise, which might result in subsequent unsatisfactory recovery of knee joint function and great reduction in patients' satisfaction and quality of life. Orthopaedic surgeons have tried a large variety of analgesics and analgesic modes to relieve patients' pain after TKA...
November 2018: Orthopaedic Surgery
Alexandra Roy, Julia Colpitts, Kara Becker, Judson Brewer, Remko van Lutterveld
INTRODUCTION: "Lean" is a set of management principles which focus on increasing value and efficiency by reducing or avoiding waste (e.g., overproduction, defects, inventory, transportation, waiting, motion, over processing). It has been applied to manufacturing, education, and health care, leading to optimized process flow, increased efficiency and increased team empowerment. However, to date, it has not been applied to neuroimaging research. METHODS: Lean principles, such as Value stream mapping (e...
2018: PloS One
Josephine M Canceri, Rachael Brown, Shaun R Watson, Cherylea J Browne
Introduction: Mal de Debarquement Syndrome (MdDS) is a neurological disorder which affects the vestibular system pathways, manifesting as a constant sensation of movement in the form of rocking, bobbing, or swaying. The mechanism of MdDS is poorly understood and there is a lack of awareness amongst medical professionals about the condition. This study aimed to examine treatments and symptom management strategies used by MdDS patients and evaluate their self-reported effectiveness. Method: Motion-Triggered and Spontaneous/Other onset MdDS patients responded to a set of comprehensive questions as a retrospective survey regarding epidemiological details, diagnostic procedures, onset, and symptom triggers, hormonal influences as well as treatments and symptom management strategies used to reduce symptoms...
2018: Frontiers in Neurology
Shrikant J Chinchalkar, Juliana Larocerie-Salgado, Jeremy Cepek, Marie-Lyne Grenier
Therapeutic management of brachial plexus injuries remains complex. The impact of brachial plexus injuries on everyday human functioning should not be underestimated. Early active-assisted range of motion following such injuries may prevent myostatic contractures, minimize muscle atrophy, facilitate muscle fiber recruitment, and enable a faster return to baseline strength levels. The dynamic assist elbow flexion orthosis proposed is designed to provide patients with a graded system for muscle reeducation and function...
December 2018: Journal of Hand and Microsurgery
Anne Mucha, Sheri Fedor, Danielle DeMarco
The assessment and treatment of sport-related concussion (SRC) often requires a multifaceted approach. Vestibular dysfunction represents an important profile of symptoms and pathology following SRC, with high prevalence and association with prolonged recovery. Signs and symptoms of vestibular dysfunction may include dizziness, vertigo, disequilibrium, nausea, and visual impairment. Identifying the central and peripheral vestibular mechanisms responsible for pathology can aid in management of SRC. The most common vestibular disturbances after SRC include benign paroxysmal positional vertigo, vestibulo-ocular reflex impairment, visual motion sensitivity, and balance impairment...
2018: Handbook of Clinical Neurology
Joshua Mattock, Julie R Steele, Karen J Mickle
Background: Medial tibial stress syndrome (MTSS) is a lower leg injury with a reported incidence rate of up to 35% in active individuals. Although numerous prospective studies have tried to identify risk factors for developing MTSS, managing the syndrome remains difficult. One risk factor yet to be extensively explored in MTSS development is reduced lower leg girth. Further investigation of reduced lower leg girth is required due to the important role lower leg musculature plays in attenuating ground reaction forces during the gait cycle...
2018: BMC Sports Science, Medicine and Rehabilitation
Ali Bani-Ahmed
BACKGROUND: As clinicians, muscles stretching approaches are one of the most commonly used interventions in rehabilitation. However, there is a need for an in-depth evaluation of research on prolonged stretching in terms of the features of the stretching approaches, such as duration and frequency, as well as the compatible measures of a successful stretching approach. OBJECTIVE: This review is an effort to synthesize findings from studies on "prolonged" stretching approaches in patients with UMNs including stroke, spinal cord injuries, and traumatic brain injuries...
November 26, 2018: Topics in Stroke Rehabilitation
Kichun Jo, Sungjin Cho, Chansoo Kim, Paulo Resende, Benazouz Bradai, Fawzi Nashashibi, Myoungho Sunwoo
Nowadays, many intelligent vehicles are equipped with various sensors to recognize their surrounding environment and to measure the motion or position of the vehicle. In addition, the number of intelligent vehicles equipped with a mobile Internet modem is increasing. Based on the sensors and Internet connection, the intelligent vehicles are able to share the sensor information with other vehicles via a cloud service. The sensor information sharing via the cloud service promises to improve the safe and efficient operation of the multiple intelligent vehicles...
November 23, 2018: Sensors
Louis W Catalano, O Alton Barron, Steven Z Glickel, Shobhit V Minhas
The stiff digit may be a consequence of trauma or surgery to the hand and fingers and can markedly affect a patient's level of function and quality of life. Stiffness and contractures may be caused by one or a combination of factors including joint, intrinsic, extensor, and flexor tendon pathology, and the patient's individual biology. A thorough understanding of the anatomy, function, and relationship of these structures on finger joint range of motion is crucial for interpreting physical examination findings and preoperative planning...
November 20, 2018: Journal of the American Academy of Orthopaedic Surgeons
Marc R Safran
The hip has generally been considered an inherently stable joint. However, the femoral head moves relative to the acetabulum. Although the bones are primarily important in hip stability, the importance of the soft tissues has recently been demonstrated. Symptomatic microinstability of the hip is defined as extraphysiologic hip motion that causes pain with or without symptoms of hip joint unsteadiness and may be the result of bony deficiency and/or soft-tissue damage or loss. Recent work has helped improve the ability to identify microinstability patients preoperatively...
November 20, 2018: Journal of the American Academy of Orthopaedic Surgeons
Fabíola Cristina Brandini da Silva, Jonathas José da Silva, Almir José Sarri, Carlos Eduardo Paiva, René Aloisio da Costa Vieira
INTRODUCTION: When evaluating a quality-of-life questionnaire (QLQ), many validation studies do not correlate quality-of-life scores with objective measurements of complications associated with treatment. PATIENTS AND METHODS: We performed a cross-sectional observational study with 300 patients submitted to breast-conserving therapy. The patients answered the European Organization for Research and Treatment of Cancer (EORTC) QLQs C-30 and BR23, as well as the Brazilian Portuguese version of the Breast Cancer Treatment Outcome Scale (BCTOS) questionnaire...
October 27, 2018: Clinical Breast Cancer
Junya Katayanagi, Takahiro Iida, Atsuki Hayamizu, Kazuyuki Matsumoto, Yasumasa Ohyama, Ken Mine, Satoru Ozeki
BACKGROUND: Spinal sagittal malalignment is managed by long spinal fusion including the pelvis, which reduces lumbar spine range of motion and impairs the activities of daily living. This study aimed to evaluate the changes in activities of daily living after long spinal fusion in adults with spinal deformity, and clarify the improvement or deterioration in the specific activities of daily living postoperatively. METHODS: We retrospectively reviewed 40 adults who underwent long spinal fusion in a single institution between 2014 and 2016 (female/male, 39/1; mean age, 68...
November 21, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
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