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https://www.readbyqxmd.com/read/29925104/right-tkr-patients-treated-with-enhanced-pain-and-rehabilitation-protocols-can-drive-at-2-weeks
#1
David F Dalury, Danielle M Chapman
An important milestone in the recovery following total knee replacement (TKR) is the ability to return to driving. With advances in pain control and the widespread introduction of rapid rehab programs, we hypothesized that the ability to drive would also return sooner than had been traditionally observed. In our group of consecutive right TKR patients, using a driving simulator, we showed that at the 2-week mark, 36 of the 40 patients tested had returned to their preoperative driving capabilities and the other 4 had reached baseline at 3 weeks...
June 20, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29924719/functional-and-patient-reported-outcomes-improve-over-the-course-of-rehabilitation-a-secondary-analysis-of-the-acl-sports-trial
#2
Amelia J H Arundale, Jacob J Capin, Ryan Zarzycki, Angela Smith, Lynn Snyder-Mackler
BACKGROUND: The Anterior Cruciate Ligament-Specialized Post-Operative Return to Sports (ACL-SPORTS) randomized controlled trial was designed to address deficits in functional and patient-reported outcomes. The trial examined the effects of a secondary ACL prevention program that included progressive strengthening, agility training, plyometrics (SAP), and other components of current primary prevention protocols, with perturbation training (SAP + PERT group) and without PERT (SAP group)...
June 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29920153/influence-of-saddle-setback-on-knee-joint-forces-in-cycling
#3
Mathieu Menard, Mathieu Domalain, Arnaud Decatoire, Patrick Lacouture
Knee functional disorders are one of the most common lower extremity non-traumatic injuries reported by cyclists. Incorrect bicycle configuration may predispose cyclist to injury but the evidence of an effect of saddle setback on knee pain remains inconclusive. The aim of this study was to determine the effect of saddle setback on knee joint forces during pedalling using a musculoskeletal modelling approach. Ten cyclists were assessed under three saddle setback conditions (range of changes in saddle position ~6 cm) while pedalling at a steady power output of 200 W and cadence of 90 rpm...
June 19, 2018: Sports Biomechanics
https://www.readbyqxmd.com/read/29917115/study-protocol-for-a-randomized-controlled-trial-evaluating-the-efficacy-of-an-evidence-based-ipad-app-for-cognitive-rehabilitation-in-patients-with-primary-brain-tumors
#4
Sophie Dorothee van der Linden, Margriet Maria Sitskoorn, Geert-Jan Maria Rutten, Karin Gehring
BACKGROUND: Many patients with primary brain tumors suffer from cognitive deficits, which negatively impact their quality of life. However, cognitive rehabilitation programs for these patients are scarce. We developed an iPad-based cognitive rehabilitation program for brain tumor patients, which was based on our effective face-to-face cognitive rehabilitation program. After successful completion of a feasibility study, a randomized controlled trial has been started. OBJECTIVE: To evaluate the immediate and long-term effects of the iPad-based program on cognitive performance and patient-reported outcome measures (PROMs) in patients with primary brain tumors in an early stage of the disease...
June 16, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29916622/control-measurements-for-lasers-in-physiotherapy
#5
Rosanna Bivona, Alessandra Tomaselli, Francesco Frigerio
OBJECTIVES: In physical rehabilitation, is diffused the skin irradiation with near infrared laser at a fluence below 140 J/cm2, achieving a bio-stimulating effect that is due to the absorption of radiation in mitochondria rather than the simple heating of tissues. METHODS: In order to deliver radiation without thermal damage of the skin, are used radiation pulses which duration does not allow heat accumulation and propagation far from the irradiated target; this requires laser sources with average power below 10 W implying a safety classification as "potentially dangerous for eye and skin", or "class 4" according to the applicable international standards...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29916272/-the-whole-perimeter-is-difficult-parkinson-s-disease-and-the-conscious-experience-of-walking-in-everyday-environments
#6
Ross Parry, Olivier Buttelli, Jacques Riff, Narjis Sellam, Marie Vidailhet, Marie-Laure Welter, Elodie Lalo
PURPOSE: This study sought to characterize the way patients with Parkinson's disease consciously perceive and respond to their surroundings while walking in everyday situations. METHOD: A qualitative research program designed around an ecological data collection protocol was employed. A convenience sample of 14 patients with a diagnosis of Parkinson's disease and a history of gait difficulties were recruited. Details regarding patients' subjective experience of walking in everyday environments were obtained using first person interviewing techniques with the support of video footage from their daily-life activity...
June 19, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29914580/early-initiation-of-a-strength-training-based-rehabilitation-after-lumbar-spine-fusion-improves-core-muscle-strength-a-randomized-controlled-trial
#7
Dejan Kernc, Vojko Strojnik, Rok Vengust
BACKGROUND: To analyze the safety and effects of early initiation of rehabilitation including objective measurement outcomes after lumbar spine fusion based on principles of strength training. METHODS: The study recruited 27 patients, aged 45 to 70 years, who had undergone lumbar spine fusion. The method of concealed random allocation without blocking was used to form two groups. The strength training group started rehabilitation 3 weeks after surgery. Patients exercised twice weekly over 9 weeks focusing on muscle activation of lumbopelvic stabilization muscles...
June 19, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29912719/systematic-assessment-of-the-rehabilitation-needs-in-early-stage-dementia-for-home-dwelling-people-a-scoping-review-protocol
#8
Fritze Kristensen, Jette Thuesen, Sasja Jul Håkonsen
The objective of this scoping review is to examine and map assessment tools and procedures that are used by health and social care professionals in dementia care for the systematic assessment of the need for rehabilitation in primary and/or secondary healthcare settings for home-dwelling people diagnosed with early stage dementia based on recognized diagnostic criteria.
June 15, 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29911083/displaced-midshaft-clavicle-fracture-in-athletes-should-we-operate
#9
Neydson André Solposto Marques de Souza, Paulo Santoro Belangero, Eduardo Antônio de Figueiredo, Alberto de Casto Pochini, Carlos Vicente Andreoli, Benno Ejnisman
Objective: To assess the results of the treatment of fractures of the middle third of the clavicle with a pre-contoured plate in athletes. Methods: The authors performed 26 osteosyntheseis in 25 patients with fractures of the middle third of the clavicle. The fractures were classified according to Robinson as 16 type B1 and ten type B2. The mean age was 37 years, ranging from 15 to 63 years, 20 patients were male and five were female, and all play sports in an amateur or professional manner...
March 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29910768/movement-sonification-in-stroke-rehabilitation
#10
Gerd Schmitz, Jeannine Bergmann, Alfred O Effenberg, Carmen Krewer, Tong-Hun Hwang, Friedemann Müller
Stroke often affects arm functions and thus impairs patients' daily activities. Recently, several studies have shown that additional movement acoustics can enhance motor perception and motor control. Therefore, a new method has been developed that allows providing auditory feedback about arm movement trajectories in real-time for motor rehabilitation after stroke. The present article describes the study protocol for a randomized, controlled, examiner, and patient blinded superiority trial (German Clinical Trials Register, www...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29910571/leprosy-associated-chronic-wound-management-using-biomaterials
#11
Srinivasan Sivasubramanian, Sambasivam Mohana, Paulraj Maheswari, Victor Victoria, Ramar Thangam, Jayashri Mahalingam, Gayathri Chandrasekar-Janebjer, Vincent Savariar, Balaraman Madhan, Palani Gunasekaran, Satish S Kitambi
Background: Deformities and neuropathic chronic ulcers are the common features associated with leprosy-cured individuals that impact their quality of life and impair rehabilitation efforts. The challenging aspects for treatment of chronic wounds are the factors that inhibit healing. We reasoned that limited success of various therapeutic interventions could be due to the fact that leprosy-cured individual's physiology gets acclimatized to having a chronic wound that any therapeutic intervention is counterbalanced to maintain status quo at the wound site...
April 2018: Journal of Global Infectious Diseases
https://www.readbyqxmd.com/read/29908718/effects-of-cognitive-and-motor-rehabilitation-in-non-convulsive-status-epilepticus-a-case-report
#12
Francesco Corallo, Viviana Lo Buono, Marcella Di Cara, Simona De Salvo, Giuliana Vermiglio, Patrizia Pollicino, Placido Bramanti, Silvia Marino, Carmela Rifici
Epilepsy is a neurological disorder characterized by recurrent and unpredictable interruptions of normal brain function, that implies neurobiologic, psychological, and social consequences. Non-convulsive status epilepticus (NCSE) is an electro-clinical state associated to altered level of consciousness. In NCSE could occur the behavioural and emotional disorder, cognitive impairment and psychiatric disorder with a negative impact on quality of life and adaptive social behaviours. Cognitive rehabilitation for epileptic patients may include internal compensation strategies, external memory aids, psychoeducation, verbal and visual memory training, attention exercise and executive functions...
June 13, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29907335/trial-protocol-the-use-of-mindfulness-based-intervention-for-improving-bracing-compliance-for-adolescent-idiopathic-scoliosis-patients-protocol-for-a-randomised-controlled-trial
#13
Benjamin Hon Kei Yip, Xue Li, Christine Hiu Yan Leung, Ting Gao, Vincent Chi Ho Chung, Fiona Wai Ping Yu, Tsz Ping Lam, Jack Chun Yiu Cheng, Samuel Yeung Shan Wong
INTRODUCTION: Adolescent idiopathic scoliosis (AIS) is the most prevalent deforming orthopaedic condition; it causes significant disability when spinal curves progress beyond 45deg. Bracing is the primary treatment prescribed for adolescents with an immature skeleton who have spinal curves between 25 and 45deg. New evidence suggests that compliance with bracing significantly decreases the progression of high-risk curves to the threshold for surgery. Nonetheless, bracing is a stressful experience...
June 12, 2018: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29905599/when-the-injury-s-healing-process-meets-the-needs-of-a-top-level-volleyball-player-a-non-conventional-treatment-of-a-mallet-fracture-re-injury
#14
Daniele Checcarelli, Mauro Zampolini, Michele Berloco, Claudia Fusco, Levent Özçakar
Managing top-level athlete's recovery after an injury is very complicated because it requires a challenging combination of clinical and social/professional aspects with the need to return as soon as possible to sports play. Herein, we report a top-level volleyball player for whom a finger splint combined with a custom made thermoplastic protection was used for the conservative management of a Mallet fracture re-injury. This way our player continued training and competitions in contrast to conventional rehabilitation protocols which suggest to avoid new traumas until the healing phase is completed...
June 13, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29905057/-research-progress-of-rehabilitation-after-autologous-chondrocyte-implantation-on-knee
#15
REVIEW
Yipeng Lin, Tao Li, Yan Xiong, Jian Li, Weili Fu
Objective: To summarize the research progress of rehabilitation after autologous chondrocyte implantation (ACI). Methods: The literature related to basic science and clinical practice about rehabilitation after ACI in recent years was searched, selected, and analyzed. Results: Based on the included literature, the progress of the graft maturation consists of proliferation phase (0-6 weeks), transition phase (6-12 weeks), remodeling phase (12-26 weeks), and maturation phase (26 weeks-2 years)...
June 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29898585/outcome-measures-in-the-clinical-evaluation-of-ambulatory-charcot-marie-tooth-1a-subjects
#16
Laura Mori, Valeria Prada, Alessio Signori, Davide Pareyson, Giuseppe Piscosquito, Luca Padua, Costanza Pazzaglia, Gian M Fabrizi, Alessandro Picelli, Angelo Schenone
BACKGROUND: The outcome measures (OMs) in clinical trials for Charcot Marie Tooth disease (CMT) still represent an issue. A recent study highlighted that three additional clinical OMs, the 10 meters walk test (10MWT), 9 hole-peg test, and foot dorsal flexion dynamometry, further improve discrimination between severely and mildly affected patients. Another study recently assess the validity and reliability of the 6 Minutes Walking test (6MWT). AIM: To identify the most useful scales in the clinical evaluation of CMT1A patients...
June 11, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29895515/an-ehealth-program-for-patients-undergoing-a-total-hip-arthroplasty-protocol-for-a-randomized-controlled-trial
#17
Rosemary Saunders, Karla Seaman, Catherine Ashford, Trudy Sullivan, Judith McDowall, Lisa Whitehead, Beverley Ewens, Kathryn Pedler, Karen Gullick
BACKGROUND: Total hip arthroplasty is an effective surgical procedure commonly used worldwide for patients suffering the disabling effects of osteoarthritis when medical therapy is unsuccessful. Traditionally pre- and postoperative information for patients undergoing a hip arthroplasty has been provided by paper-based methods. Electronic health (eHealth) programs to support individualized patient education on preoperative preparation, in-patient care, and home rehabilitation have the potential to increase patient engagement, enhance patient recovery, and reduce potential postoperative complications...
June 12, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29894396/load-characteristics-following-transfemoral-amputation-in-individuals-fitted-with-bone-anchored-prostheses-a-scoping-review-protocol
#18
Shanthan Pather, Sofie Vertriest, Peter Sondergeld, Mary-Anne Ramis, Laurent Frossard
The main purpose of this scoping review is to characterize loading information applied on the residuum of individuals with transfemoral amputation fitted with an osseointegrated fixation for bone-anchored prostheses.The objectives of this scoping review are: i) to map the scope of loading variables, and ii) to report the range of magnitude of loads that has been directly measured using a portable kinetic recording apparatus fitted at the distal end of the residuum during rehabilitation exercises, standardized and unscripted activities of daily living, and adverse events...
June 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29892141/delayed-complications-and-long-term-management-of-sulfur-mustard-poisoning-a-narrative-review-of-recent-advances-by-iranian-researchers-part-%C3%B0-%C3%B0-clinical-management-and-therapy
#19
REVIEW
Leila Etemad, Mohammad Moshiri, Mahdi Balali-Mood
The present study aimed to review and discuss the recommended and recently suggested protocols by Iranian researchers for a long-term treatment of delayed complications of sulfur mustard (DCSM) in veterans. As indicated clinically, patients who suffer from delayed ocular complications of sulfur mustard (DOCS) benefit from treatments for dry eyes, therapeutic contact lenses, amniotic membrane transplantation; blepharorrhaphy, tarsorrhaphy, limbal stem cell transplantation; corneal transplantation, topical steroids, and immunosuppressive...
May 2018: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29891271/the-impact-of-suture-caliber-and-looped-configurations-on-the-suture-tendon-interface-in-zone-ii-flexor-tendon-repair
#20
Derek T Bernstein, Jamie J Alexander, Nancy J Petersen, Bradley S Lambert, Philip C Noble, David T Netscher
PURPOSE: To evaluate the impact of suture caliber and looped configurations on the integrity of 4-strand modified Kessler zone II flexor tendon repairs during progressive cyclic loading. METHODS: Seventy-two flexor digitorum profundus tendons from 18 fresh human cadaver hands were divided into 4 repair groups. Thirty-six matched tendons underwent repair using either a 4-0 looped or 4-0 single-stranded suture, and an additional 36 tendons underwent 3-0 looped or 3-0 single-stranded repairs...
June 8, 2018: Journal of Hand Surgery
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