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Motion management

Niveditha Devasenapathy, Ralph Maddison, Rajesh Malhotra, Sanjay Zodepy, Saket Sharma, Daniel L Belavy
Background: One-third of individuals report limitations in activities of daily living even 6 months after total knee arthroplasty (TKA). Moderate-quality evidence exists for several sociodemographic and clinical predictors of patient-reported outcome measures of perceived functionality. Objectively measured performance-based measures (PBMs) provide a less subjective approach to informing patient treatment after TKA; however, there is a dearth of information on predictors of functionally relevant PBMs...
October 17, 2018: Physical Therapy
Mohamed Shehata Draz, Kamyar Mehrabi Kochehbyoki, Anish Vasan, Dheerendranath Battalapalli, Aparna Sreeram, Manoj Kumar Kanakasabapathy, Shantanu Kallakuri, Athe Tsibris, Daniel R Kuritzkes, Hadi Shafiee
HIV-1 infection is a major health threat in both developed and developing countries. The integration of mobile health approaches and bioengineered catalytic motors can allow the development of sensitive and portable technologies for HIV-1 management. Here, we report a platform that integrates cellphone-based optical sensing, loop-mediated isothermal DNA amplification and micromotor motion for molecular detection of HIV-1. The presence of HIV-1 RNA in a sample results in the formation of large-sized amplicons that reduce the motion of motors...
October 16, 2018: Nature Communications
Chloe Gay, Candy Guiguet-Auclair, Bruno Pereira, Anna Goldstein, Loïc Bareyre, Nicolas Coste, Emmanuel Coudeyre
BACKGROUND: Osteoarthritis (OA) is not limited to joint pain and stiffness, which can lead to disability; it is also linked to comorbidities such as overweight, obesity and fears and beliefs related to the pathology. The knee OA population appears more affected by these risk factors and has a lower physical activity (PA) level than the general population. The key challenge for OA treatment is increasing the PA level to decrease the risk factors. METHODS: We aim to perform a prospective, multicentric, quasi-randomized controlled trial with an alternate-month design (1-month periods)...
October 16, 2018: BMC Complementary and Alternative Medicine
Jonathan E Miller, Aparajit Naram, BaiJing Qin, Douglas M Rothkopf
BACKGROUND: Distal radius fractures represent some of the most common injuries to the upper extremity, yet current evidence demonstrates great variability in the management of this injury. Elderly patients, in particular, stand to benefit from the early mobilization provided by operative fixation with a volar bearing plate. METHODS: We conducted a retrospective chart review on all patients 65 years or older who underwent unilateral open reduction internal fixation of distal radius fractures using a volar bearing plate at a single institution between January 2014 and January 2016...
October 15, 2018: Annals of Plastic Surgery
Mahmoud Jabalameli, Hossein A Hadi, Abolfazl Bagherifard, Mohammad Rahbar, Mohammadreza Minator Sajjadi
Background: Presentation of proximal tibia stress fracture is not infrequent among elderly patients due to their poor bone stock. Optimal management of patients with severe gonarthrosis of the knee and concurrent tibial stress fracture is not known yet. In this study we report the outcome of primary total knee arthroplasty (TKA) using stemmed components in elderly patients. Methods: Between 2009 and 2014, a total of 16 elderly patients with proximal tibial stress fractures and concurrent gonarthrosis were treated with TKA using long stemmed components...
September 2018: Archives of Bone and Joint Surgery
Najeeb Alqarni, Ran D Goldman
Question A 2-year-old boy presented to my office 2 days after he started limping. The history, physical examination, and radiology assessment revealed a toddler's fracture (TF). I understand that there is considerable variation in practice regarding management of TF. What is the best method to confirm the diagnosis? What method should be used to immobilize the affected limb and for how long? Is follow-up with a pediatric orthopedic surgeon needed? Answer Toddler's fracture, also called childhood accidental spiral tibial fracture or CAST fracture , is a fracture unique to ambulatory infants and young children...
October 2018: Canadian Family Physician Médecin de Famille Canadien
Keshav Poonit, Chenglun Yao, Xijie Zhou, Zhipeng Wu, Damu Lin, Hede Yan
INTRODUCTION: Elbow stiffness is a common condition that affects the quality of life of patients. Melorheostosis of the elbow associated with elbow stiffness is extremely rare. PRESENTATION OF CASE: We report the case of a 28 yr old male who presented with elbow stiffness which occurred within one year without prior history of trauma or infection. The patient had decrease in range of motion together with progressive worsening pain that forced him to seek medical attention...
September 14, 2018: International Journal of Surgery Case Reports
Dayana P Rosa, Paula R Camargo, John D Borstad
OBJECTIVES: To assess the influence of posterior capsule tightness and humeral retroversion on shoulder motion measurements. DESIGN: Cross-Sectional study. SETTING: Controlled university laboratory. PARTICIPANTS: 75 asymptomatic individuals were assigned to one of 4 groups: control (n = 28); posterior capsule tightness only (n = 17); humeral retroversion only (n = 15); and combined posterior capsule tightness and retroversion (n = 15)...
October 4, 2018: Physical Therapy in Sport
Lei Tang, Xiaohong Joe Zhou
Following its success in early detection of cerebral ischemia, diffusion-weighted imaging (DWI) has been increasingly used in cancer diagnosis and treatment evaluation. These applications are propelled by the rapid development of novel diffusion models to extract biologically valuable information from diffusion-weighted MR signals, and significant advances in MR hardware that has enabled image acquisition with high b-values. This article reviews recent technical developments and clinical applications in cancer imaging using DWI, with a special emphasis on high b-value diffusion models...
October 12, 2018: Journal of Magnetic Resonance Imaging: JMRI
Axel Öhlin, Olufemi R Ayeni, Leif Swärd, Jón Karlsson, Mikael Sansone
Purpose: The purpose of this case report is to present the successful management of symptomatic bilateral femoroacetabular impingement (FAI) syndrome in a patient who underwent surgical treatment on one side and non-surgical treatment on the other side. Methods: We evaluated the treatment outcome of a young female presenting with bilateral FAI syndrome of cam morphology. A follow-up was performed at 5 years following surgical treatment on the right hip and 2 years following non-surgical treatment on the left hip...
2018: Open Access Journal of Sports Medicine
Vasanth Seker, Lisa Hackett, Patrick H Lam, George A C Murrell
BACKGROUND: Massive and irreparable rotator cuff tears are difficult to manage surgically. One technique is to use a synthetic polytetrafluoroethylene (PTFE) patch to bridge the tear. However, there is little information regarding the outcomes of this procedure. PURPOSE: To determine the ≥2-year outcomes of patients for whom synthetic patches were used as tendon substitutes to bridge irreparable rotator cuff defects. STUDY DESIGN: Case series; Level of evidence, 4...
October 11, 2018: American Journal of Sports Medicine
Matt Wentzell
Objective: To describe the successful conservative management of a chronic recurrent flexor hallucis longus (FHL) stenosing tenosynovitis. Clinical Features: A 20-year-old female pre-professional ballet dancer presented with medial ankle and mid-foot pain of 7.5 months duration. Pain was constant but exacerbated with training and assuming the en pointe and demi-pointe dance positions. Plantar flexion of the great toe was pain provoking. Triggering of the great toe and audible and palpable crepitus were noted with active and passive great toe range of motion...
August 2018: Journal of the Canadian Chiropractic Association
Koichiro Nakajima, Hiromitsu Iwata, Hiroyuki Ogino, Yukiko Hattori, Shingo Hashimoto, Toshiyuki Toshito, Kensuke Hayashi, Kenji Akita, Fumiya Baba, Katsumi Nakamae, Jun-Etsu Mizoe, Yuta Shibamoto
BACKGROUND: Two prospective phase II trials were designed to assess the efficacy and safety of image-guided proton therapy (IGPT) for either medically inoperable or operable stage I non-small cell lung cancer (NSCLC). The present study reports the interim results of these trials. METHODS: Fifty-five patients with histologically confirmed stage I NSCLC (IA in 33 patients and IB in 22 patients; inoperable in 21 patients and operable in 34 patients) who received IGPT between July 2013 and February 2017 were analyzed...
October 11, 2018: Radiation Oncology
Thomas R Porter
In a study, published in this issue of Echo Research and Practice, Ntoskas et al. retrospectively analyzed the safety of a cardiac physiologist performing, and interpreting, Dobutamine stress echocardiography (DSE) in of 300 patients undergoing DSE for the detection of inducible reversible ischemia, myocardial viability and valvular heart disease. While safety during the tests themselves did not appear to be compromised with this unsupervised approach, the interpretation of these DSEs causes concerns regarding broad patient safety relative to misread results...
September 1, 2018: Echo Research and Practice
Mitchell S Fourman, Justin W Arner, Steve Bayer, Dharmesh Vyas, James P Bradley
PURPOSE: To evaluate and compare midterm outcomes and return to play (RTP) of throwers and nonthrowers who underwent type VIII SLAP repair. METHODS: With 4-year minimum follow-up, stability, pain, range of motion (ROM), Kerlan-Jobe Orthopaedic Clinic (KJOC), and American Shoulder and Elbow Surgeons (ASES) scores; surgical satisfaction; and RTP were compared between throwing and nonthrowing athletes who underwent repair of type VIII SLAP lesions between 2003 and 2014...
October 6, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
Jill M Cancio, Peter Rhee
Arthrofibrosis is an inevitable consequence of elbow trauma that oftentimes requires surgical release to restore range of motion and function. Although the surgical procedure for elbow osteocapsular release can result in marked improvement in elbow motion, postrelease rehabilitation is paramount to maintaining and even improving the gains achieved in surgery. There are a variety of rehabilitation protocols and modalities that can be implemented that can be divided into an early versus late stage of rehabilitation after surgery...
October 8, 2018: Techniques in Hand & Upper Extremity Surgery
Erich M Gauger, Peter C Rhee
Posttraumatic elbow stiffness is common with the primary indication for contracture release being limited motion that affects functional activities which has not adequately improved after intensive therapy and rehabilitation. Preoperative evaluation focuses on the history of previous nonoperative and/or operative treatment, physical exam with particular attention paid to the status of the ulnar nerve, and imaging consisting of radiographs and computed tomography. There are multiple intrinsic and extrinsic causes of posttraumatic contracture...
October 8, 2018: Techniques in Hand & Upper Extremity Surgery
Amira Hassan Bekhet, Vanesa Bochkezanian, Ibtissam M Saab, Ashraf S Gorgey
Controversial findings about the effects of neuromuscular electrical stimulation (NMES) and functional electrical stimulation (FES) in managing spasticity have been raised after spinal cord injury (SCI). A systematic review was conducted to identify the range of the stimulation parameters that may alleviate spasticity. Three independent reviewers searched Medline (PubMed), web of knowledge, Scopus, Cochrane Central, Virtual Health Library and Physiotherapy Evidence Database until January 2018. Inclusion criteria were applications of NMES/FES on the lower extremity muscles, stimulation parameters (frequency, pulse duration and amplitude of current) and measures of spasticity after SCI...
October 8, 2018: American Journal of Physical Medicine & Rehabilitation
Zeke J Walton, Robert E Holmes, Shane K Woolf
Os acromiale is a failure of fusion between 1 or more ossification centers of the scapula and the acromion process. Pain can be caused by motion and impingement of the unfused segment. Several methods for the management of os acromiale have been described. Internal fixation is the most common surgical technique, followed by excision and acromioplasty. We present a novel technique for treatment of symptomatic os acromiale using arthroscopically-guided headless compression screws. This is a viable technique in the management of symptomatic os acromiale due to preservation of the periosteal blood supply and less concern for symptomatic hardware...
September 2018: American Journal of Orthopedics
Ping Yu, Liying Song, Siyu Qian, Xing Yao, Jue Huang, Lingtong Min, Xudong Lu, Huilong Duan, Ning Deng
AIM: To investigate nursing work patterns in a neurology department in a Chinese hospital. BACKGROUND: Knowledge of nursing work patterns is important for nursing management and work design, and for the evaluation of organizational process change associated with the introduction of an innovation. METHODS: A time-and-motion method was used to observe 14 registered nurses' (RNs') work patterns in a neurology department in a Chinese hospital...
September 17, 2018: Journal of Nursing Management
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