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Shoulder rehabilitation

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https://www.readbyqxmd.com/read/29933305/presurgery-and-postsurgery-quality-of-life-and-associated-factors-in-patients-with-malignant-neoplasms-of-the-head-and-neck-a-6-month-follow-up-study
#1
Zhiping Hu, Xiaoling Zhou, Weiwei Duan, Wenge Lei, Min Zhang, Lingxia Zeng
BACKGROUND: Maintenance of good functional status and improvement of quality of life (QOL) in patients with head and neck cancer help to determine the efficacy of anticancer therapies. OBJECTIVE: The aims of this study were to describe the profile of QOL changing over time and evaluate the correlation between anxiety, pain severity, and shoulder and neck function with QOL in patients. METHODS: A prospective cohort study was conducted. Quality of life, neck and shoulder function, anxiety, and pain were assessed at the time of presurgery, 1 week, and 3 and 6 months postsurgery...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29913870/treatment-of-post-traumatic-pain-and-autonomic-and-muscular-dysfunction-by-ganglion-impar-block-and-medial-branch-block-of-the-facet-joints-a-case-report
#2
Johan Hambræus, Hans Westergren
Introduction Patients exposed to whiplash trauma are at risk of developing pain and dysfunction of the neck and shoulder. Although rarely discussed in the literature, some patients also develop autonomic dysfunction. Case presentation A previously healthy 41-year-old woman was involved in a "head-on" car crash. During the following 3 years she developed severe and complex post-traumatic pain syndrome, which consisted of neck pain, lumbar pain, sensory-motor dysfunction, and myoclonic muscular contractions...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913651/effectiveness-of-multidisciplinary-rehabilitation-treatment-for-patients-with-chronic-pain-in-a-primary-health-care-unit
#3
Klaus Felix Stein, Adriana Miclescu
Background In recent years, multidisciplinary rehabilitation (MDR) became an alternative treatment option for chronic non-cancer pain. MDR is mostly available in specialized pain units, usually at rehabilitation centers where the level of knowledge and therapeutically options to treat pain conditions are considered to be high. There is strong evidence that MDR in specialized pain units is affecting pain and improves the quality of life in a sustainable manner. There are few studies about MDR outcome in primary health care, especially in those units situated in rural areas and with a different population than that encountered in specialized hospitals...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29901587/quantitative-analysis-of-shoulder-function-and-strength-after-breast-reconstruction-a-retrospective-cohort-study
#4
Yujin Myung, Bomi Choi, Heeyeon Kwon, Chan Yeong Heo, Eun-Kyu Kim, Eunyoung Kang, Jae Hoon Jeong, Eun Joo Yang
Immediate breast reconstruction (IBR) after mastectomy has been proven to affect patient quality of life, psychological well-being, and functional capacities. In the present study, we aimed to investigate the effect of breast reconstruction on postoperative shoulder function and muscle performance by evaluating isokinetic muscle performance tests.A retrospective chart review to collect data on shoulder function analysis with isokinetic muscle performance testing was performed among patients who received mastectomy with IBR from July 2013 to March 2015...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29897032/provision-of-physiotherapy-rehabilitation-following-neck-dissection-in-the-uk
#5
M Robinson, L Ward, H Mehanna, V Paleri, S C Winter
BACKGROUND: Neck dissection is associated with post-operative shoulder dysfunction in a substantial number of patients, affecting quality of life and return to work. There is no current UK national practice regarding physiotherapy after neck dissection. METHOD: Nine regional centres were surveyed to determine their standard physiotherapy practice pre- and post-neck dissection, and to determine pre-emptive physiotherapy for any patients. RESULTS: Eighty-nine per cent of centres never arranged any pre-emptive physiotherapy for any patients...
June 13, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29895090/-arthroscopically-assisted-minimally-invasive-fixation-of-a-type-d2c-scapular-fracture
#6
Patrick Kornherr, Christiane Konerding, Mark Kovacevic, Klaus Wenda
Fractures of the scapula are rare and have an incidence of 1% of all fractures. Publications highlight glenoid rim fractures. Classification by Ideberg and Euler and Rüdi are accepted. Euler and Rüdi describe three extra-articular and two intra-articular fracture patterns. The indications for surgery are displaced glenoid fractures, scapula tilt of more than 40° and injuries to the superior shoulder suspensory complex. We describe a case of a 22 year old man, who while cycling collided with a moving car due to wet roads...
June 12, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29880827/post-stroke-kinematic-analysis-in-rats-reveals-similar-reaching-abnormalities-as-humans
#7
Gustavo Balbinot, Clarissa Pedrini Schuch, Matthew S Jeffers, Matthew W McDonald, Jessica M Livingston-Thomas, Dale Corbett
A coordinated pattern of multi-muscle activation is essential to produce efficient reaching trajectories. Disruption of these coordinated activation patterns, termed synergies, is evident following stroke and results in reaching deficits; however, preclinical investigation of this phenomenon has been largely ignored. Furthermore, traditional outcome measures of post-stroke performance seldom distinguish between impairment restitution and compensatory movement strategies. We sought to address this by using kinematic analysis to characterize reaching movements and kinematic synergies of rats performing the Montoya staircase task, before and after ischemic stroke...
June 7, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29876495/biplanar-fixation-of-acromio-clavicular-joint-dislocation-associated-with-coracoid-process-fracture-case-report
#8
Radwan G Metwaly, Kareem Edres
Introduction: Acromioclavicular (AC) joint injury associated with coracoid process (CP) fracture is a rare injury and only case reports had been published in the literature. Although AC joint injury is not uncommon, there is controversy as regard the best stabilization method whether to use wires, hook plate, arthroscopic reconstruction or the recently described techniques of anatomic restoration of both the coracoclavicular (CC) and acromioclavicular (AC) ligaments to add stability in both the vertical as well as the horizontal plane for the AC joint...
June 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29872663/os-acromiale-in-professional-tennis-players
#9
Geoffroy Nourissat, Michel Calò, Bernard Montalvan, Jacques Parier
Background: Os acromiale is a rare condition mostly reported in the literature through case reports, imaging studies, or reports of surgical treatment. This condition is the result of nonunion of growth plates of the acromion during the natural developmental process that occurs between 15 and 25 years of age. Its incidence is low, and few studies are available in the literature on athletes with high functional demands, and particularly on athletes within a specific sport. Purpose: To collect epidemiological data and to report the amount of time out of play as well as the type of treatment and its efficiency in professional tennis players...
May 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29850004/dynamic-modeling-and-interactive-performance-of-parm-a-parallel-upper-limb-rehabilitation-robot-using-impedance-control-for-patients-after-stroke
#10
Hui Guang, Linhong Ji, Yingying Shi, Berno J E Misgeld
The robot-assisted therapy has been demonstrated to be effective in the improvements of limb function and even activities of daily living for patients after stroke. This paper presents an interactive upper-limb rehabilitation robot with a parallel mechanism and an isometric screen embedded in the platform to display trajectories. In the dynamic modeling for impedance control, the effects of friction and inertia are reduced by introducing the principle of virtual work and derivative of Jacobian matrix. To achieve the assist-as-needed impedance control for arbitrary trajectories, the strategy based on orthogonal deviations is proposed...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29847233/case-studies-in-neuroscience-evidence-of-motor-thalamus-reorganization-following-bilateral-forearm-amputations
#11
Benjamin P Whatley, Jeremy W Chopek, Ron Hill, Robert M Brownstone
Following injury, functional improvement can result from central nervous system plasticity. Use-dependent plasticity of motor systems is evident, for example, in recovery of function resulting from rehabilitative interventions. Here, we present a single patient who underwent bilateral microelectrode-guided stereotactic implantation of deep brain stimulating leads for the treatment of essential tremor 52 years following bilateral arm amputations. The tremor affected his upper extremities, and had rendered him unable to perform fine motor tasks with his prostheses, significantly reducing his independence...
May 30, 2018: Journal of Neurophysiology
https://www.readbyqxmd.com/read/29843276/effects-of-robot-assisted-training-on-upper-limb-functional-recovery-during-the-rehabilitation-of-poststroke-patients
#12
Kristina Daunoraviciene, Ausra Adomaviciene, Agne Grigonyte, Julius Griškevičius, Alvydas Juocevicius
BACKGROUND: The study aims to determine the effectiveness of robot-assisted training in the recovery of stroke-affected arms using an exoskeleton robot Armeo Spring. OBJECTIVE: To identify the effect of robot training on functional recovery of the arm. METHODS: A total of 34 stroke patients were divided into either an experimental group (EG; n= 17) or a control group (n= 17). EG was also trained to use the Armeo Spring during occupational therapy...
May 18, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29793756/contribution-of-patient-advisors-during-rehabilitation-for-replantation-of-digits-improves-patient-reported-functional-outcomes-a-presentation-of-concept
#13
J I Efanov, C Papanastasiou, J Arsenault, M Moreau, M P Pomey, J Higgins, M A Danino
Clinical approach to surgical patients has evolved to include previous patients as part of the treating team in the role of "patient-advisors". Knowing that compliance to rehabilitation protocols is significant for a successful functional hand replantation, we set out to quantify functional patient-reported outcomes in individuals enrolled in a Patient-Advisor Program (PAP). We performed a prospective cohort pilot study of all patients admitted for a finger replantation between July 2015 to January 2016...
May 21, 2018: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29789946/outcome-of-arthroscopic-slap-repair-using-knot-tying-suture-anchors-compared-with-knotless-suture-anchors-in-athletes
#14
Y Reinig, F Welsch, R Hoffmann, D Müller, K F Schüttler, E Zimmermann, Thomas Stein
INTRODUCTION: Arthroscopic repair is one option for the surgical treatment of type II superior labrum tears from anterior to posterior (SLAP) lesions in athletes' shoulders. MATERIALS AND METHODS: Sixty-one of 78 (78.2%) athletes were retrospectively examined after isolated arthroscopic SLAP repair (group 1/G1: 28x knot-tying anchors; group 2/G2: 33 knotless anchors; follow-up 24 months) and compared to two specific, separate matched volunteer athlete control groups (group 3/G3: 28 athletes matched to G1; group 4/G4: 33 athletes matched to G2)...
May 22, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29785524/a-9-year-follow-up-study-of-quantitative-muscle-strength-changes-in-myotonic-dystrophy-type-1
#15
Cynthia Gagnon, Émilie Petitclerc, Marie Kierkegaard, Jean Mathieu, Élise Duchesne, Luc J Hébert
Myotonic dystrophy type 1 (DM1) is a neuromuscular disorder presenting with major muscle impairments. However, few studies have addressed muscle strength progression using quantitative methods. The aims of this study were to document muscle strength changes in eight muscle groups among adults with DM1 over a 9-year period, and to compare this progression between phenotypes (adult and late-onset) and sex. Patients with a genetic diagnosis of DM1 with the late-onset or the adult phenotype were recruited at baseline through the clinical registry of the Saguenay Neuromuscular Clinic...
May 21, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29785225/bipolar-dislocation-of-the-arm-shoulder-and-elbow-about-one-case-in-an-african-teaching-hospital
#16
D A Songahir Christophe, Korsaga Alexandre, Tinto Sayouba, Sawadogo Mamoudou, Kafando Hamado, Ouedraogo Anatole Jean Innocent, Zeida Charles, Keita Namori, Tall Mohamed
We report an exceptional clinical case of an ipsilateral dislocation fracture of the shoulder and right elbow, realizing a "swinging arm". Following a violent road accident, patient S.I, a 43-year-old left-handed sports educator, presented with an antero-medial shoulder dislocation fracture and a posterolateral ipsilateral elbow fracture-dislocation. The reduction in urgency, followed by the orthopedic compression by Mayo Clinic and functional rehabilitation, allowed obtaining a good result after seven months...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29781596/conservative-treatment-of-rotator-cuff-tear-in-older-patients-a-role-for-the-cycloergometer-a-randomized-study
#17
Bernardo Gialanella, Laura Comini, Marta Gaiani, Adriana Olivares, Simonetta Scalvini
BACKGROUND: To date, there are no published data on the use of devices in the management of rotator cuff tear (RCT). AIM: To evaluate the effect of supervised arm cycloergometer training on pain during activities and shoulder functionality in patients with symptomatic full-thickness RCT. DESIGN: This is a prospective randomized controlled pilot study. SETTING: Outpatients of our Rehabilitation Unit. POPULATION: In this pilot study, 40 elderly outpatients (>70 years) with RCT were randomized to two groups: Cycloergometer (CYC) vs...
May 18, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29781048/sonographic-sequential-change-of-the-anteroinferior-labrum-following-arthroscopic-bankart-repair-quantitative-and-qualitative-assessment
#18
Masaki Fukuyoshi, Tetsuya Takenaga, Tetsuya Ono, Norio Hayashi, Atsushi Tsuchiya, Hideyuki Goto, Katsumasa Sugimoto
OBJECTIVE: Although arthroscopic Bankart repair is widely performed, little is known concerning the healing process of the Bankart lesion. This study aimed to describe the sonographic sequential change of the anteroinferior labrum following arthroscopic Bankart repair, both quantitatively and qualitatively. MATERIALS AND METHODS: Twenty-five subjects who had undergone arthroscopic Bankart repair were investigated using a sonographic diagnostic device equipped with shear-wave elastographic technology...
May 21, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29780821/a-role-for-postoperative-negative-pressure-wound-therapy-in-multitissue-hand-injuries
#19
Hyung Sup Shim, Ji Seon Choi, Sang Wha Kim
In this study, we compared outcomes in patients with acute hand injury, who were managed with or without negative pressure wound therapy (NPWT) after reconstructive surgery. All of the patients who sustained acute and multitissue injuries of the hand were identified. After reconstructive surgery, a conventional dressing was applied in Group 1 and NPWT was applied in Group 2. The dressing and NPWT were changed every 3 days. The mean age and Hand Injury Severity Scoring System score of both groups were not significantly different...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29777714/efficiency-of-neuromuscular-electrical-stimulation-and-transcutaneous-nerve-stimulation-on-hemiplegic-shoulder-pain-a-prospective-randomized-controlled-trial
#20
Meimei Zhou, Fang Li, Weibo Lu, Junfa Wu, Song Pei
OBJECTIVE: To compare the efficacy of neuromuscular electrical stimulation (NMES) and transcutaneous nerve stimulation (TENS) on hemiplegic shoulder pain (HSP). DESIGN: This is a prospective randomized controlled trial (RCT). SETTING: A total of 184 HSP patients, aged 18-80 years, were recruited in the Rehabilitation Hospital from February 2014 to July 2016. The Ethics approval was obtained from the Institutional Review Board of the Hospital...
May 16, 2018: Archives of Physical Medicine and Rehabilitation
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