#1
JOURNAL ARTICLE
Theodore P van Iersel, Eric D Tutuhatunewa, Ithri Kaman, Bas A Twigt, Sigrid Nw Vorrink, Michel Pj van den Bekerom, Derek Fp van Deurzen
BACKGROUND: Little evidence is available regarding patient perceptions of the treatment of shoulder instability. The aim of this study is to investigate patient perceptions regarding the operative and nonoperative treatment of anterior shoulder instability. METHODS: Patients who presented to the emergency department or outpatient clinic between 2016 and 2020 were retrospectively selected using diagnosis and procedure codes. Online focus groups and semistructured interviews were conducted, systematically recorded and subsequently transcribed to MaxQDA 2007 for qualitative analysis...
October 2023: Shoulder & Elbow
#2
JOURNAL ARTICLE
Hong Shao, Shurong Zhang, Jun Chen, Aizhen Wen, Ziying Wu, Mingru Huang, Wei Yao, Zifan Lin, Chang Liu, Zhengbiao Jin, Yunxia Li
BACKGROUND: Extracorporeal shockwave therapy (ESWT) is widely used to treat soft tissue disorders, but evidence for its application after rotator cuff (RC) repair is lacking. OBJECTIVES: To investigate the effect of ESWT on short-term functional and structural outcomes after RC repair. METHODS: Thirty-eight individuals were randomly assigned to the ESWT group (n = 19) or control group (n = 19) 3 months after RC repair. Both groups underwent 5 weeks of advanced rehabilitation and participants in the ESWT group additionally received 2000 pulses of shockwave therapy every week for 5 weeks...
April 5, 2023: Annals of Physical and Rehabilitation Medicine
#3
Trevor Shaw, Shawn Lacourt, Donald Lorentz
INTRODUCTION: Kettlebell snatches are an efficient and effective exercise. If the kettlebell being utilized is too heavy or too many repetitions are executed, this can lead to an overuse injury such as a tendinopathy. Multiple orthopedic tests exist to evaluate for a distal biceps tendon rupture. At present, there are no publications utilizing shockwave and active rehabilitation to treat distal bicipital tendinopathy with Lateral Antebrachial Cutaneous Nerve (LABCN) entrapment. Currently, no published manuscripts are reporting distal bicipital tendinopathy with LABCN nerve entrapment being treated successfully with shockwave and active rehabilitation over the course of 5 weeks...
January 2023: Journal of Bodywork and Movement Therapies
#4
REVIEW
Yu-Chi Su, Yao-Hong Guo, Pei-Chun Hsieh, Yu-Ching Lin
BACKGROUND: Previous studies have investigated the role of botulinum neurotoxin (BoNT) in lateral epicondylalgia, with controversial results. We hypothesized that BoNT would be effective and safe for the treatment of lateral epicondylalgia. OBJECTIVE: To investigate the effectiveness and safety of different doses of BoNT in participants with lateral epicondylalgia. METHODS: PubMed, Embase, and Cochrane Library were searched up to August 27, 2022, for randomized controlled trials (RCTs) of BoNT treatment for epicondylalgia...
April 2023: Annals of Physical and Rehabilitation Medicine
#5
RANDOMIZED CONTROLLED TRIAL
Maxime Térémetz, Alicia Garcia Alvarez, Sylvain Hanneton, Agnès Roby-Brami, Nicolas Roche, Djamel Bensmail, Påvel Lindberg, Johanna V G Robertson
BACKGROUND: Commercial gaming systems are increasingly being used for stroke rehabilitation; however, their effect on upper-limb recovery versus compensation is unknown. OBJECTIVES: We aimed to compare the effect of upper-limb rehabilitation using interactive gaming (Nintendo Wii) with dose-matched conventional therapy on elbow extension (recovery) and forward trunk motion (compensation) in individuals with chronic stroke. Secondary aims were to compare the effect on (1) clinical tests of impairment and activity, pain and effort, and (2) trajectory kinematics...
May 2022: Annals of Physical and Rehabilitation Medicine
#6
JOURNAL ARTICLE
Daniel E Goltz, Robert A Burnett, Jay M Levin, John R Wickman, Claire B Howell, J Alan Simmons, Gregory P Nicholson, Nikhil N Verma, Oke A Anakwenze, Tally E Lassiter, Grant E Garrigues, Christopher S Klifto
BACKGROUND: As bundled payment models continue to spread, understanding the primary drivers of cost excess helps providers avoid penalties and ensure equal health care access. Recent work has shown discharge to rehabilitation and skilled nursing facilities (SNFs) to be a primary cost driver in total joint arthroplasty, and an accurate preoperative risk calculator for shoulder arthroplasty would not only help counsel patients in clinic during shared decision-making conversations but also identify high-risk individuals who may benefit from preoperative optimization and discharge planning...
April 2022: Journal of Shoulder and Elbow Surgery
#7
RANDOMIZED CONTROLLED TRIAL
William D Marley, Amy Barratt, Tim Pigott, Malcolm Granat, James D Wilson, Bibhas Roy
BACKGROUND: Gamification has become increasingly popular in rehabilitation and is viewed as a tool to improve patient activation, motivation, and engagement. The aim of this study was to compare the efficacy of validated exergames played through a system using "depth sensor" and bespoke software against standard physiotherapy in patients treated with arthroscopic shoulder surgery. This included the following common conditions: subacromial impingement syndrome, calcific tendinopathy, and rotator cuff tear...
January 2022: Journal of Shoulder and Elbow Surgery
#8
JOURNAL ARTICLE
Robert A Burnett, Daniel E Goltz, Jay M Levin, John R Wickman, Claire B Howell, Gregory P Nicholson, Nikhil N Verma, Oke A Anakwenze, Tally E Lassiter, Christopher S Klifto, Grant E Garrigues
BACKGROUND: Anatomic total shoulder arthroplasty (TSA) and reverse TSA are the standard of care for end-stage shoulder arthritis. Advancements in implant design, perioperative management, and patient selection have allowed shorter inpatient admissions. Unplanned readmissions remain a significant complication. Identification of risk factors for readmission is prudent as physicians and payers prepare for the adoption of bundled care reimbursement models. The purpose of this study was to identify characteristics and risk factors associated with readmission following shoulder arthroplasty using a large, bi-institutional cohort...
February 2022: Journal of Shoulder and Elbow Surgery
#9
JOURNAL ARTICLE
Lotte Verstuyft, Pieter Caekebeke, Roger van Riet
Postoperative rehabilitation plays a crucial role in the treatment of elbow pathology. Depending on the type of surgery, the elbow may need to be protected. As a general rule, the elbow should not be immobilized for a prolonged period after surgery. A removable splint can be used to protect the soft-tissues immediately postoperative and the patient is encouraged to remove the splint several times daily to mobilize the elbow. Dynamic articulated braces can be used to encourage movement while ligament or tendon repairs are being protected...
September 2021: Journal of Clinical Orthopaedics and Trauma
#10
REVIEW
Christopher P Jukes, Margo Dirckx, Joideep Phadnis
Multi-fragmentary intra-articular fractures of the distal humerus remain a challenge for both patients and surgeons. Open Reduction internal fixation remains the gold standard, however in older patients with comminuted fractures this might not be feasible. There is a growing interest in hemi-arthroplasty as a solution for these cases. However the current experience and follow-up in limited. This review article intends to describe the current concepts in elbow hemiarthroplasty in dept. we will discuss the historical use of these implants, as well as the intricacies of more modern devices...
August 2021: Journal of Clinical Orthopaedics and Trauma
#11
MULTICENTER STUDY
Etienne M Flamant, Daniel E Goltz, Robert A Burnett, John R Wickman, Elshaday S Belay, Eliana B Saltzman, Gregory P Nicholson, Grant E Garrigues, Tally Lassiter, Oke A Anakwenze, Christopher S Klifto
BACKGROUND: Malnutrition is associated with poor postoperative outcomes after knee, hip, and spine surgery. However, whether albumin labs should be part of the routine preoperative workup for shoulder arthroplasty remains understudied. This study investigated the role of preoperative albumin levels in predicting common postoperative adverse outcomes in patients undergoing shoulder arthroplasty. METHODS: All shoulder arthroplasty cases performed at 2 tertiary referral centers between July 2013 and May 2019 (institution 1) and between June 2007 and Feb 2020 (institution 2) were reviewed...
November 2021: Journal of Shoulder and Elbow Surgery
#12
JOURNAL ARTICLE
Tony Szturm, Zoya Imran, Sepideh Pooyania, Anuprita Kanitkar, Bhuvan Mahana
BACKGROUND: There is a need for innovation to improve compliance and accessibility of rehabilitation programs for individuals with acquired brain injuries. A computer game-assisted tele-rehabilitation platform (GTP) has been developed to address this need. With the novel application of a miniature inertial computer mouse and taking advantage of the wide variety of computer games, the GTP can provide engaging exercises for rehabilitation of upper extremity motor skills. OBJECTIVE: To determine the feasibility and acceptability of the game-assisted home exercise program for upper extremity rehabilitation for people with stroke...
January 2021: PM & R: the Journal of Injury, Function, and Rehabilitation
#13
JOURNAL ARTICLE
Michael J Sandow, Christine R Schutz
BACKGROUND: This article reviews the clinical and radiographic outcomes in a noninferiority trial use of a transosseous knotless anchor to perform arthroscopic rotator cuff repairs in a patient cohort that have an increased incidence of osteoporosis. METHODS: Patients aged over 60 with a documented rotator cuff tear and who failed a rehab program underwent repair using an arthroscopic transosseous knotless (ATOK) anchor. Patients were prospectively reviewed using shoulder functional assessments (age-adjusted Constant score, Oxford Shoulder Score, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form [ASES], visual analog scale [VAS] pain scores), and underwent preoperative as well as 1-, 3-, and 12-month postoperative magnetic resonance imaging...
March 2020: Journal of Shoulder and Elbow Surgery
#14
RANDOMIZED CONTROLLED TRIAL
Patrícia P B Henrique, Eliane L Colussi, Ana C B De Marchi
BACKGROUND: Stroke is a major cause of motor incapacity in adults and the elderly population, requiring effective interventions capable of contributing to rehabilitation. Different interventions such as use of exergames are being adopted in the motor rehabilitation and balance area, as they act as motivating instruments, making therapies more pleasurable. OBJECTIVE: The aim of this study was to investigate the effects of exergame on patients' balance and upper limb motor function after stroke...
August 2019: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
#15
REVIEW
Terrance A Sgroi, John M Zajac
PURPOSE OF REVIEW: Throwing places high demands on the human body, and specific characteristics are developed over time unique to these athletes. When returning to throw after injury, it is important to follow a criterion-based progression that allows the body to be prepared appropriately for the stresses that throwing will require. There is currently a void in the literature for criteria-based progression that helps these athletes return to the highest level of play. RECENT FINDINGS: As injury rates continue to rise in baseball, there is increased evidence showing contributions of the core and lower extremity to the baseball pitch...
March 2018: Current Reviews in Musculoskeletal Medicine
#16
JOURNAL ARTICLE
Mateus Trombetta, Patrícia Paula Bazzanello Henrique, Manoela Rogofski Brum, Eliane Lucia Colussi, Ana Carolina Bertoletti De Marchi, Rafael Rieder
BACKGROUND AND OBJECTIVE: Recent researches about games for post-stroke rehabilitation have been increasing, focusing in upper limb, lower limb and balance situations, and showing good experiences and results. With this in mind, this paper presents Motion Rehab AVE 3D, a serious game for post-stroke rehabilitation of patients with mild stroke. The aim is offer a new technology in order to assist the traditional therapy and motivate the patient to execute his/her rehabilitation program, under health professional supervision...
November 2017: Computer Methods and Programs in Biomedicine
#17
MULTICENTER STUDY
Bakr Mohamed El-Zawahry, Samia Esmat, Dalia Bassiouny, Naglaa Sameh Zaki, Rehab Sobhi, Marwah A Saleh, Dalia Abdel-Halim, Rehab Hegazy, Heba Gawdat, Nesrin Samir, Marwa El-Hawary, Zeinab El Maadawi, Heba Gouda, Mervat Khorshied
BACKGROUND: Melanocyte-keratinocyte suspension (M-K susp) is gaining popularity for vitiligo treatment. Few studies have addressed procedure-related variables. OBJECTIVE: To assess the effect of different M-K susp procedure-related variables on the clinical outcome in stable vitiligo. METHODS: This prospective multicenter comparative study included 40 cases with nonsegmental stable vitiligo. Donor site was either a skin graft in noncultured epidermal cell suspension (NCECS) or hair follicle units in outer root sheath hair follicle suspension (ORSHFS)...
February 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
#18
JOURNAL ARTICLE
Winai Chonnaparamutt, Witsarut Supsi
SEFRE (Shoulder-Elbow-Forearm Robotics Economic) rehabilitation system is presented in this paper. SEFRE Rehab System is composed of a robotic manipulator and an exoskeleton, so-called Forearm Supportive Mechanism (FSM). The controller of the system is developed as the Master PC consisting of five modules, that is, Intelligent Control (IC), Patient Communication (PC), Training with Game (TG), Progress Monitoring (PM), and Patient Supervision (PS). These modules support a patient to exercise with SEFRE in six modes, that is, Passive, Passive Stretching, Passive Guiding, Initiating Active, Active Assisted, and Active Resisted...
2016: Applied Bionics and Biomechanics
#19
JOURNAL ARTICLE
Gil Herrnstadt, Nezam Alavi, Bubblepreet Kaur Randhawa, Lara A Boyd, Carlo Menon
Modern rehabilitation practices have begun integrating robots, recognizing their significant role in recovery. New and alternative stroke rehabilitation treatments are essential to enhance efficacy and mitigate associated health costs. Today's robotic interventions can play a significant role in advancing rehabilitation. In addition, robots have an inherent ability to perform tasks accurately and reliably and are typically well suited to measure and quantify performance. Most rehabilitation strategies predominantly target activation of the paretic arm...
2015: Frontiers in Human Neuroscience
#20
REVIEW
Amy L Lake, Scott N Oishi
Children born with the Amyoplasia form of arthrogryposis multiplex congenita (AMC) who lack elbow flexor muscles and have elbow extension contractures usually require assistance in performing ADL's that require reaching their hand to their face, head, and upper body. For tasks involving the UE, the elbow is the key to functional independence. Children born with Amyoplasia may benefit from selective surgeries to enhance functional independence and improve quality of life. Home therapy and splinting following these surgeries is an important part of gaining motion and improving function...
April 2015: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
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