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JOURNAL ARTICLE
Steven J Obst, Samantha Randall, Emily Kunst, Bronwyn Reeves, Kate Bielenberg, Darren Li, Luke Heales
OBJECTIVES: This study assessed the immediate effect of unilateral posterior-anterior lumbar mobilisations on trunk and lower limb flexibility in asymptomatic individuals. STUDY DESIGN: Randomised cross-over trial. PARTICIPANTS: Twenty-seven participants (age = 26.0 years ±6.4) with no current or recent history of lower back or leg pain/surgery completed the study. MAIN OUTCOME MEASURES: Participants attended two sessions, receiving either grade 3 ('treatment') or grade 1 ('sham') unilateral spinal mobilisations...
April 2023: Journal of Bodywork and Movement Therapies
#22
JOURNAL ARTICLE
M P Kgagudi, M G Mogane, M T Ramokgopa, M Jingo
BACKGROUND: Infective arthritis is an orthopaedic surgical emergency. Staphylococcus aureus remains the commonest causative bacteria across all age groups. Prevotella spp. as a cause of infective arthritis is extremely rare. CASE REPORT: We present our case of a 30-year-old African male patient who presented with mild signs of infective arthritis of the left hip. His risk factors were his background retroviral disease, intravenous drug abuse, and a previous episode of left hip arthrotomy which healed expectantly with intervention...
June 10, 2023: Journal of Medical Case Reports
#23
REVIEW
Jonas P Sina, Shiraz A Sabah, Daniel Schrednitzki, Andrew J Price, Thomas W Hamilton, Abtin Alvand
INTRODUCTION: Prosthetic joint infection (PJI) is a destructive complication of knee replacement surgery (KR). In two-stage revision a spacer is required to maintain limb length and alignment and provide a stable limb on which to mobilise. Spacers may be articulating or static with the gold standard spacer yet to be defined. The aims of this scoping review were to summarise the types of static spacer used to treat PJI after KR, their indications for use and early complication rates. METHODS: We conducted a scoping review based on the Joanna Briggs Institute's "JBI Manual for Evidence Synthesis" Scoping review reported following Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist...
May 9, 2023: Archives of Orthopaedic and Trauma Surgery
#24
JOURNAL ARTICLE
Aaron F Bochner, Issa Makumbi, Olaolu Aderinola, Aschalew Abayneh, Ralph Jetoh, Rahel L Yemanaberhan, Jenom S Danjuma, Francis T Lazaro, Hani J Mahmoud, Trokon O Yeabah, Lydia Nakiire, Aperki K Yahaya, Renato A Teixeira, Mohammed Lamorde, Immaculate Nabukenya, John Oladejo, Ifedayo M O Adetifa, Wanderson Oliveira, Amanda McClelland, Christopher T Lee
BACKGROUND: Suboptimal detection and response to recent outbreaks, including COVID-19 and mpox (formerly known as monkeypox), have shown that the world is insufficiently prepared for public health threats. Routine monitoring of detection and response performance of health emergency systems through timeliness metrics has been proposed to evaluate and improve outbreak preparedness and contain health threats early. We implemented 7-1-7 to measure the timeliness of detection (target of ≤7 days from emergence), notification (target of ≤1 day from detection), and completion of seven early response actions (target of ≤7 days from notification), and we identified bottlenecks to and enablers of system performance...
June 2023: Lancet Global Health
#25
RANDOMIZED CONTROLLED TRIAL
Bushra Mehwish, Syed Shahzad Ali, Aftab Ahmed Mirza Baig
OBJECTIVE: To determine the effects of hip joint mobilisations and strengthening exercises on pain, physical function and dynamic balance in patients with knee osteoarthritis. METHODS: The single-blind three-arm parallel randomised controlled trial was conducted at Sindh Institute of Physical Medicine and Rehabilitation, the outpatient department of Dow University of Health Sciences' Ojha Campus, Rabia Moon Memorial Welfare Trust and the Civil Hospital, Karachi, from January to July 2021...
April 2023: JPMA. the Journal of the Pakistan Medical Association
#26
JOURNAL ARTICLE
Kristina Traxler, Eva Baum, Edith Klotz, Markus Reindl, Franz Schinabeck, Barbara Seebacher
PURPOSE: In absence of existing studies, to describe changes in balance and mobility, following specific task-oriented training (TOT), its combination with talocrural manual therapy (MT-TOT) or no intervention, in chronic stroke patients. To explore the feasibility of a full-scale randomised controlled trial (RCT) based on criteria of recruitment, retention and adherence rates, adverse events, falls and acceptability of the intervention. MATERIALS AND METHODS: Using an assessor-blinded pilot RCT, 36 stroke patients were allocated to either MT-TOT, TOT, or controls...
April 13, 2023: Disability and Rehabilitation
#27
MULTICENTER STUDY
D-Yin Lin, Anthony J Samson, Freeda D'Mello, Brigid Brown, Matthew G Cehic, Christopher Wilson, Hidde M Kroon, Ruurd L Jaarsma
INTRODUCTION: The current opioid epidemic poses patient safety and economic burdens to healthcare systems worldwide. Postoperative prescriptions of opioids contribute, with reported opioid prescription rates following arthroplasty as high as 89%. In this multi-centre prospective study, an opioid sparing protocol was implemented for patients undergoing knee or hip arthroplasty. The primary outcome is to report our patient outcomes in the context of this protocol, and to examine the rate of opioid prescription on discharge from our hospitals following joint arthroplasty surgery...
March 29, 2023: BMC Anesthesiology
#28
JOURNAL ARTICLE
Barbara Schröter, Sarah Gottwald, Karina Castro-Arce, Eva Hartkopf, Bernardo Aguilar-González, Christian Albert
Co-design processes are of key importance in planning and implementing Nature-based Solutions (NBS), but require boundary management between diverse holders of local, practical and scientific knowledge. Participatory and map-based planning tools, such as Geodesign workshops, can facilitate such boundary management through mobilising knowledge holders, and translating and negotiating between different perspectives. The COVID-19 pandemic hindered physical mobility, but offered an, albeit unintended, opportunity to explore new ways of virtual mobility for facilitating boundary management in NBS co-design through digital participatory tools...
February 11, 2023: Science of the Total Environment
#29
JOURNAL ARTICLE
Sizhong Wang, Cathy M Chapple, Dusty Quinn, Steve Tumilty, Daniel C Ribeiro
INTRODUCTION: Rotator cuff-related shoulder pain is the most common diagnosis of shoulder pain, which ranks as the third most common musculoskeletal disorder. The first-line treatment for patients with rotator cuff-related shoulder pain is physiotherapy, and joint mobilisation is widely used in conjunction with other modalities. The type and dosage of joint mobilisations could influence treatment outcomes for patients with rotator cuff-related shoulder pain, although research evidence is inconclusive...
June 3, 2022: BMJ Open
#30
JOURNAL ARTICLE
Weiming Wang, Chang Ji, Lars Louis Andersen, Yafei Wang, Yangyang Lin, Li Jiang, Shuwei Chen, Yangfan Xu, Ziping Zhang, Le Shi, Yuling Wang
BACKGROUND: Work-related neck pain (WRNP) is a leading cause of disability and absenteeism. Patients with neck pain often have neck muscle tenderness and decreased cervical mobility, which are sometimes combined with psychosocial issues, such as pain catastrophising, thereby reducing their work ability. Whilst multidisciplinary treatments, including pharmacological interventions, manual therapy and specific neck exercises, have produced positive outcomes, effective personalised treatment modalities are still needed...
December 22, 2022: BMC Musculoskeletal Disorders
#31
JOURNAL ARTICLE
Somasekhara Reddy Nallamilli, Rajyalakshmi N Reddy, Mohan Krishna Althuri
This is a study to see if improvised 'articulating antibiotic cement spacers' work in two-stage revisions for infected TKRs with bone defects in the condyles. The second objective is to see if adhesions can be prevented between intra-articular bone and soft tissue around it after the first stage to make exposure of the joint easy and quick in the second stage. Six cases were selected which had moderate defects of femoral or tibial condyles and a modified technique was used to prepare articulating cement spacers...
December 2022: Indian Journal of Orthopaedics
#32
REVIEW
Neophytos Christodoulou, Dimitrios Asimakopoulos, Konstantinos Kapetanos, Matthew Seah, Wasim Khan
The optimal management of hand fractures requires a multidisciplinary approach. Initial assessment should include a thorough medical history and clinical examination, followed by appropriate radiological imaging. These are crucial in determining the appropriate management. Following joint stabilisation to allow fractures to unite, early mobilisation is needed to maximise the functional restoration of the hand. In this review, the principles of operative and non-operative management of these injuries are discussed...
November 19, 2022: Journal of Perioperative Practice
#33
JOURNAL ARTICLE
Soorya Siva, Quintin Liao, Ammar Abbas, Kumar Periasamy
A woman in her mid-30s presented to the orthopaedic team, unable to mobilise, shortly after her caesarean section. On questioning, she reported 10 weeks of atraumatic right hip pain. A radiograph revealed a displaced right subcapital neck of femur fracture. An MRI confirmed this, as well as identifying a minimally displaced left subcapital neck of femur fracture. She underwent a right total hip replacement and internal fixation of the left hip. A dual energy X-ray absorptiometry (DEXA) scan showed severe osteoporosis, and a diagnosis of transient osteoporosis of the hip was made...
October 17, 2022: BMJ Case Reports
#34
T Watanabe, K Kamimura, M Shirahata, K Moriya
A 63-year-old woman had sustained a subcutaneous rupture of the flexor digitorum profundus tendon of the little finger due to osteoarthritis of the pisotriquetral joint. She underwent excision of the pisiform bone and reconstruction of the flexor digitorum profundus tendon of the little finger using an autogenous palmaris longus tendon graft. After surgery, a continuous ulnar nerve block was performed at the forearm under ultrasound and nerve stimulator guidance. During rehabilitation, she could not actively extend her little finger independently due to the block; however, she could actively extend it when the dorsum of the metacarpophalangeal joint was pressed by the occupational therapist, resulting in successful early active mobilisation...
2022: Anaesthesia reports
#35
JOURNAL ARTICLE
A Stefanie Mikolaizak, Lynn Rochester, Walter Maetzler, Basil Sharrack, Heleen Demeyer, Claudia Mazzà, Brian Caulfield, Judith Garcia-Aymerich, Beatrix Vereijken, Valdo Arnera, Ram Miller, Paolo Piraino, Nadir Ammour, Mark Forrest Gordon, Thierry Troosters, Alison J Yarnall, Lisa Alcock, Heiko Gaßner, Jürgen Winkler, Jochen Klucken, Christian Schlenstedt, Henrik Watz, Anne-Marie Kirsten, Ioannis Vogiatzis, Nikolaos Chynkiamis, Emily Hume, Dimitrios Megaritis, Alice Nieuwboer, Pieter Ginis, Ellen Buckley, Gavin Brittain, Giancarlo Comi, Letizia Leocani, Jorunn L Helbostad, Lars Gunnar Johnsen, Kristin Taraldsen, Hubert Blain, Valérie Driss, Anja Frei, Milo A Puhan, Ashley Polhemus, Magda Bosch de Basea, Elena Gimeno, Nicholas S Hopkinson, Sara C Buttery, Jeffrey M Hausdorff, Anat Mirelman, Jordi Evers, Isabel Neatrour, David Singleton, Lars Schwickert, Clemens Becker, Carl-Philipp Jansen
BACKGROUND: The development of optimal strategies to treat impaired mobility related to ageing and chronic disease requires better ways to detect and measure it. Digital health technology, including body worn sensors, has the potential to directly and accurately capture real-world mobility. Mobilise-D consists of 34 partners from 13 countries who are working together to jointly develop and implement a digital mobility assessment solution to demonstrate that real-world digital mobility outcomes have the potential to provide a better, safer, and quicker way to assess, monitor, and predict the efficacy of new interventions on impaired mobility...
2022: PloS One
#36
JOURNAL ARTICLE
Bruno Mazuquin, Marcus Bateman, Alba Realpe, Steve Drew, Jonathan Rees, Chris Littlewood
BACKGROUND: We investigated clinical equipoise across surgical members of the British Elbow and Shoulder Society (BESS) in relation to rehabilitation following rotator cuff repair. METHOD: An online survey explored clinical equipoise regarding early patient-directed versus standard rehabilitation after rotator cuff repair to inform the design of a national randomised controlled trial (RCT). It described different clinical scenarios relating to patient age, tear size, location and whether other patient-related and intra-operative factors would influence equipoise...
October 2022: Shoulder & Elbow
#37
Fátima Frade, Lurdes Neves, Fátima Florindo-Silva, Juan Gómez-Salgado, Lia Jacobsohn, João Frade
This paper presents a case report of a child with Neonatal Brachial Plexus Palsy on the right arm, with C5, C6, and C7 nerve injuries. The symptoms presented at birth and at the time of diagnosis were absence of movement in the right arm but with mobility of the fingers; internal rotation of the injured limb with elbow extension; active flexion of the wrist and fingers; and ulnar deviation of the hand. The rehabilitation plan followed the conservative approach and included different intervention strategies (passive and active mobilisation, kinesio tape, use of splints, bimanual stimulation, etc...
August 26, 2022: Children
#38
REVIEW
Shahbaz Malik, Jess K Osan, Randeep Aujla, Nadim Aslam, Peter D'Alessandro, Peter B MacDonald
BACKGROUND: Irreducible knee dislocations (IKD) are rare and can often be missed or mis-daignosed. The incidence of knee dislocation is quoted between 0.01% and 0.2% of all orthopaedic injuries, with up to 4% of these dislocations sub-classified as irreducible. The primary aim of this systematic review was to analyse cases of IKD described in the literature, with a secondary aim of producing a streamlined approach for managing these patients. PATIENTS & METHODS: A systematic review of the literature was conducted on 1st September 2021 in accordance with the PRISMA guidelines using the online databases Medline and EMBASE...
September 17, 2022: Orthopaedics & Traumatology, Surgery & Research: OTSR
#39
JOURNAL ARTICLE
Moses Asori, Robert Kwame Jumah Mpobi, Anthony Kwame Morgan, Truus Abuosi Apoanaba, Daniel Katey, Solomon Twum Ampofo, Odei Julius, Divine Odame Appiah
Gold mining has been the backbone of Ghana's development since pre-colonial times. It has been essential in revenue mobilisation and the provision of employment to many people. However, in recent times the sector has received severe public backlash due to its inability to effect appropriate socioeconomic change; and the consequential destruction to forests, croplands and water bodies that has accompanied the livelihood activity. While the need to curb this menace has been hyper-crucial in recent times, these attempts have failed cyclically...
August 8, 2022: GeoJournal
#40
JOURNAL ARTICLE
Giovanni Zoccali, Adam Blackburn, Francesca Ruccia, Alexandra Molina, Jian Farhadi
BACKGROUND: The transverse upper gracilis (TUG) flap is easily harvested to recruit a fair volume of tissue from the inner upper thigh region, making it the second choice of certain authors. Hip replacement is deemed prohibitive due to positional requirements that predispose to anterior dislocation of prosthetic femoral heads. In this report, we describe a simple and safe way to raise TUG flap in patients with existing hip prostheses, detailing patient assessments, and technical variations in a limited case series...
June 20, 2022: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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