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https://www.readbyqxmd.com/read/29903595/the-likelihood-of-general-practitioners-referring-patients-to-physiotherapists-is-low-for-some-health-problems-secondary-analysis-of-the-bettering-the-evaluation-and-care-of-health-beach-observational-study
#1
Sarah Dennis, Ian Watts, Ying Pan, Helena Britt
QUESTIONS: Which health problems do medical general practitioners (GPs) most commonly refer to physiotherapists? What is the likelihood of GPs referring patients for specific health problems? DESIGN: Secondary analysis of data from the Bettering the Evaluation and Care of Health (BEACH) study, which is a national observational study of Australian general practice clinical activity. PARTICIPANTS: People at GP encounters between April 2010 and March 2015...
June 11, 2018: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29902713/full-gait-cycle-analysis-of-lower-limb-and-trunk-kinematics-and-muscle-activations-during-walking-in-participants-with-and-without-ankle-instability
#2
Lynsey Northeast, Charlotte N Gautrey, Lindsay Bottoms, Gerwyn Hughes, Andrew C S Mitchell, Andrew Greenhalgh
BACKGROUND: Chronic ankle instability (CAI) has previously been linked to altered lower limb kinematics and muscle activation characteristics during walking, though little research has been performed analysing the full time-series across the stance and swing phases of gait. RESEARCH QUESTION: The aim of this study was to compare trunk and lower limb kinematics and muscle activity between those with chronic ankle instability and healthy controls. METHODS: Kinematics and muscle activity were measured in 18 (14 males, 4 females) healthy controls (age 22...
June 7, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29902041/it-hurts-to-move-on-a-family-s-experience-with-chronic-pain-grief-and-healing
#3
Grace S Kao
This article describes a family that had to deal with grief from losing a family member. They sought help for 13-yr-old Katie's prolonged pain following a sprain. The family's unresolved grief over their second child's passing continued to emerge, peeping through the small talk, the wry smiles, the daily efforts to move and do, despite physical pain. As the demands of Katie's rehabilitation stripped away reserves of politeness and energy, the family's emotional pain became more fully uncovered.The author describes the 6-week course of physical and occupational therapies, pain medicine management, and individual and family behavioral health support...
June 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29901592/the-heterogeneous-management-of-pediatric-ankle-traumas-a-retrospective-descriptive-study
#4
Philippe Voizard, James Moore, Stéphane Leduc, Marie-Lyne Nault
Frequent misdiagnosis of pediatric ankle traumas leads to inappropriate management, which may result in residual pain, instability, slower return to physical activity, and long-term degenerative changes. The purpose of this study was to evaluate the consistency of diagnosis, management, and the treatment of acute lateral pediatric ankle trauma in a tertiary care pediatric hospital. The hypothesis was that the initial diagnosis is often incorrect, and the treatment varies considerably amongst orthopedic surgeons...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29886432/clinical-assessment-of-acute-lateral-ankle-sprain-injuries-roast-2019-consensus-statement-and-recommendations-of-the-international-ankle-consortium
#5
Eamonn Delahunt, Chris M Bleakley, Daniela S Bossard, Brian M Caulfield, Carrie L Docherty, Cailbhe Doherty, François Fourchet, Daniel T Fong, Jay Hertel, Claire E Hiller, Thomas W Kaminski, Patrick O McKeon, Kathryn M Refshauge, Alexandria Remus, Evert Verhagen, Bill T Vicenzino, Erik A Wikstrom, Phillip A Gribble
Lateral ankle sprain injury is the most common musculoskeletal injury incurred by individuals who participate in sports and recreational physical activities. Following initial injury, a high proportion of individuals develop long-term injury-associated symptoms and chronic ankle instability. The development of chronic ankle instability is consequent on the interaction of mechanical and sensorimotor insufficiencies/impairments that manifest following acute lateral ankle sprain injury. To reduce the propensity for developing chronic ankle instability, clinical assessments should evaluate whether patients in the acute phase following lateral ankle sprain injury exhibit any mechanical and/or sensorimotor impairments...
June 9, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29885906/characteristics-of-patients-with-ankle-sprain-presenting-to-an-emergency-department-in-the-south-of-england-uk-a-seven-month-review
#6
Saed A Al Bimani, Lucy S Gates, Martin Warner, Sean Ewings, Robert Crouch, Catherine Bowen
INTRODUCTION: There is lack of evidence about ankle sprain patients presenting to emergency department (ED) in the UK. The study aim was to determine prevalence, demographic and clinical characteristics of patients attending to one ED. Knowing those characteristics may help setting prevention strategies and inform effective clinical practice. METHODS: A retrospective review of records from patients' database system was conducted between May and November 2015 (inclusive)...
June 6, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29871957/serious-life-threatening-multifocal-infection-in-a-child-caused-by-panton-valentine-leucocidin-producing-staphylococcus-aureus-pvl-mssa
#7
Neda Irenji, Suresh Kumar Gopala Pillai, Jennifer Susan West-Jones
Groin pain is a frequently occurring complaint in presentations to the Emergency Department. Muscular sprain is often a differential diagnosis, however serious conditions such as pyomyositis should not be ignored. This case report presents a child with atraumatic right groin pain, which was initially diagnosed as a muscular sprain. The patient later re-presented out of hours to the Emergency Department with what was found to be extensive pelvic abscesses. He was subsequently found to have bilateral pneumonia and later developed a pericardial effusion and osteomyelitis of the right iliac bone, sacroiliac joint and sacrum...
June 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29868410/bone-marrow-aspirate-concentrate-and-microfracture-technique-for-talar-osteochondral-lesions-of-the-ankle
#8
Evelyn P Murphy, Christopher Fenelon, Niall P McGoldrick, Stephen R Kearns
Osteochondral lesions of the talus refer to a chondral or subchondral defect of the articular cartilage and potentially the underlying bone. Ankle sprains are an extremely common injury; approximately 27,000 ankle sprains occur per day in America. Fifty percent of these can lead to a cartilage injury to the ankle. There has been a high quoted rate of failure with conservative measures of up to 45% in some series. Surgical options are largely broken down into 2 groups, namely, reparative or regenerative treatments...
April 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29864071/prevention-of-ankle-sprain-injuries-in-youth-soccer-and-basketball-effectiveness-of-a-neuromuscular-training-program-and-examining-risk-factors
#9
Oluwatoyosi B A Owoeye, Luz M Palacios-Derflingher, Carolyn A Emery
OBJECTIVES: The primary objective of this study was to examine the effectiveness of a neuromuscular training (NMT) warm-up program in reducing the risk of ankle sprain injury (ASI) in youth soccer and basketball. The secondary objective included the evaluation of risk factors for ASI. STUDY DESIGN: Secondary analysis of pooled data from 5 studies. PARTICIPANTS: Male and female youth (11-18 years) soccer and basketball players (n = 2265) in Alberta, Canada...
June 29, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29860673/posterior-hip-dislocation-in-a-non-professional-football-player-a-case-report-and-review-of-the-literature
#10
REVIEW
Matthaios Bakalakos, Ioannis S Benetos, Meletios Rozis, John Vlamis, Spiros Pneumaticos
The majority of injuries during a football game are contusions, sprains and/or strains in the thigh, knee and ankle. Hip dislocations account for 2-5% of total hip dislocations, and they can be posterior or anterior. Major complications of traumatic hip dislocation include avascular necrosis of femoral head, secondary osteoarthritis, sciatic nerve injury and heterotopic ossification. On the occasion of a case of a 33-year-old football player, who suffered a posterior hip dislocation, associated with a posterior wall fracture of the acetabulum, while playing football, we review the literature and analyze the various mechanisms of injury, the possible complications and the management including surgery and rehabilitation...
June 2, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29845371/-syndesmosis-injuries-at-the-ankle
#11
REVIEW
S Rammelt, E Manke
BACKGROUND: Injuries to the distal tibiofibular syndesmosis are frequent and continue to generate controversy due to an extensive range of diagnostic techniques and therapeutic options. OBJECTIVE: The aim of this review is to summarize the current knowledge on syndesmotic instability and to present some recommendations for the clinical practice for acute an chronic injuries. MATERIAL AND METHODS: Analysis of the current literature concerning the anatomy, etiology, diagnostics and treatment of syndesmosis injuries...
May 29, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29845370/-fractures-of-the-anterior-process-of-the-calcaneus-frequently-overlooked-injuries-following-ankle-sprains
#12
REVIEW
F K Massen, S F Baumbach, W Böcker, C Kammerlander, V Herterich, H Polzer
Fractures to the anterior process of the calcaneus (PAC) have long been considered rare injuries and have received little attention in clinical research. On the contrary, recent studies have reported a distinct higher incidence, especially following ankle sprains. Decisive reasons are that fractures of the PAC are regularly missed on plain radiographs and that a clinical differentiation from injuries to the lateral ankle ligaments is difficult. With the broad availability of cross-sectional imaging modalities fractures of the PAC are diagnosed more frequently and more reliably...
May 29, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29809104/ankle-sprain-has-higher-occurrence-during-the-later-parts-of-matches-systematic-review-with-meta-analysis
#13
Marcos de Noronha, Eleisha K Lay, Madelyn R McPhee, George Mnatzaganian, Guilherme S Nunes
CONTEXT: Ankle sprains are common injuries in sports, however it is unclear whether they are more likely to occur in a specific period of a sporting game. OBJECTIVES: To systematically review the literature investigating when in a match ankle sprains most likely occurred. EVIDENCE ACQUISITION: The databases CINAHL, EMBASE, MEDLINE and SPORTDiscus were searched up to August 2016, with no restriction of date or language. The search targeted studies that presented data on the time of occurrence of ankle sprains during sports matches...
May 29, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29806347/-effectiveness-of-mini-locking-plate-combined-with-kirschner-wire-in-treatment-of-comminuted-jones-fracture
#14
Rongliang Yan, Jiafu Qu, Lihai Cao, Hongda Liu, Jianghua Chen, Yan Gao, Yi Peng
Objective: To summarize the effectiveness of mini locking plate combined with Kirschner wire in treatment of comminuted Jones fracture. Methods: Between January 2011 and October 2016, 25 cases with comminuted Jones fracture were treated with mini locking plate combined with Kirschner wire. There were 9 males and 16 females with an average age of 31.4 years (range, 16-66 years). The fractures located on the left side in 11 cases and on the right side in 14 cases...
May 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29798562/-combination-ilizarov-technique-with-tibiotalar-or-tibiocalcanean-arthrodesis-for-one-stage-treatment-of-ankle-joints-infection-and-bone-defects
#15
Lei Zhang, Xinwei Wang, Yusheng Chen, Mingcai Wan, Jiangfei Chen
Objective: To evaluate the effectiveness of Ilizarov technique and tibiotalar or tibiocalcanean arthrodesis for one-stage treatment of ankle joints infection and bone defects. Methods: Between January 2014 and April 2016, 14 patients with ankle joints infection and bone defects were treated by Ilizarov technique and tibiotalar or tibiocalcanean arthrodesis for one-stage. There were 12 males and 2 females with an average age of 39.8 years (range, 25-61 years). The causes of ankle infection included falling from height injury in 5 cases, falling injury in 4 cases, traffic accident injury in 1 case, crushing injury in 1 case, sprain injury in 1 case, and hematogenous reason in 2 cases...
September 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29797032/-acupuncture-techniques-in-professional-football
#16
REVIEW
F Pfab, B Sommer, C Haser
The number of scientific studies about acupuncture has increased significantly during recent years. Acupuncture can be used as an evidence-based adjunct therapy for a variety of indications in professional football. This review summarizes various acupuncture techniques and related techniques for utilization in the field of professional soccer. Besides knee, shoulder, spinal, elbow and postoperative pain, scientific meta-analyses also point towards the effectiveness of acupuncture in ankle sprains, allergic rhinoconjunctivitis and nausea...
June 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29775984/static-postural-stability-in-chronic-ankle-instability-an-ankle-sprain-and-healthy-ankles
#17
Yong Ung Kwon
To identify the single leg balance (SLB) test that discriminates among healthy, coper, and chronic ankle instability (CAI) groups and to determine effects of ankle muscles on the balance error scoring system (BESS) among the three populations. 60 subjects (20 per group) performed the SLB test with eyes open (EO) and eyes closed (EC). Normalized mean amplitude (NMA) of the tibia anterior (TA), fibularis longus (FL), and medial gastrocnemius (MG) muscles and BESS were measured while performing the SLB test. The coper group had a lower error score than the CAI group in the EC...
May 18, 2018: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29773014/investigations-of-phytochemical-constituents-and-their-pharmacological-properties-isolated-from-the-genus-urtica-critical-review-and-analysis
#18
Muhammad Ibrahim, Kanwal Rehman, Aneeza Razzaq, Iqbal Hussain, Tahir Farooq, Amjad Hussain, Muhammad Sajid Hamid Akash
The genus Urtica belongs to the family Urticaceae. The plants of this genus are known as nettles or, quite often, as stinging nettles. These plants can be easily identified by the presence of stinging hairs. Urtica species have previously been used for various medicinal purposes. The history for the use of these plants for medicinal purposes starts from the Bronze Age (3000-2000 BC). Medicinally, the genus Urtica has been used to treat several disorders, such as cancer, rheumatoid arthritis, bronchitis, diarrhea, sprains, kidney stones, urinary tract infection, high blood pressure, hemorrhoids, flu, cough, fever, and ulcers...
2018: Critical Reviews in Eukaryotic Gene Expression
https://www.readbyqxmd.com/read/29771855/does-multimodal-rehabilitation-for-ankle-instability-improve-patients-self-assessed-functional-outcomes-a-network-meta-analysis
#19
Konstantinos Tsikopoulos, Dimitris Mavridis, Dimitrios Georgiannos, Haris S Vasiliadis
BACKGROUND: Although there are many nonsurgical treatment options for the primary management of chronic ankle instability, the most effective nonoperative intervention has not been defined. QUESTIONS/PURPOSES: The purpose of this study was to perform a network meta-analysis to compare the results of different standalone and/or combined nonsurgical interventions on chronic ankle instability as measured by (1) the Cumberland Ankle Instability Tool (CAIT) at 0 to 6 months after treatment and (2) treatment-related complications...
June 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29769831/improvement-of-functional-ankle-properties-following-supplementation-with-specific-collagen-peptides-in-athletes-with-chronic-ankle-instability
#20
Patrick Dressler, Dominic Gehring, Denise Zdzieblik, Steffen Oesser, Albert Gollhofer, Daniel König
Following an initial ankle sprain it is not unlikely that chronic ankle instability (CAI) will develop. CAI is associated with impaired perceived functional and mechanical properties of the ligaments. Nutritional supplementation with collagen peptides has been shown to improve the functional and mechanical properties of the connective tissue. The purpose of this study was to investigate the effectiveness of specific collagen peptide supplementation (SCP) to improve ankle stability in athletes with CAI. 50 male and female athletes with CAI completed a randomized, double-blinded and placebo-controlled study with a daily oral administration of either 5 g SCP or 5 g placebo (Maltodextrin) over a period of six months...
June 2018: Journal of Sports Science & Medicine
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