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Orthopaedic rehabilitation protocols

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https://www.readbyqxmd.com/read/27676966/predictive-value-of-the-fear-avoidance-model-on-functional-capacity-evaluation-fce-after-orthopaedic-trauma
#1
Cyrille Burrus, Johanne Tuscher, Philippe Vuistiner, Gilles Rivier, Bertrand Léger, François Luthi
OBJECTIVE: Functional capacity evaluation (FCE) based on a safe maximal performance (kinesiophysical criteria), is used to evaluate abilities of a patient to accomplish work-related tasks that may help precise functional limitations. As known in chronic pain, psychosocial factors and behavioral factors have been shown to influence FCE. The influence of the "fear-avoidance" model on FCE is debated (van Abbema, 2011) and has never been studied with a full model. The goal of this study was to evaluate the influence of the fear-avoidance model on FCE performance in patients admitted for vocational rehabilitation after orthopaedic trauma...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27490007/rehabilitation-following-anterior-cruciate-ligament-tears-in-children-a-systematic-review
#2
Joseph L Yellin, Peter D Fabricant, Alex Gornitzky, Elliot M Greenberg, Sara Conrad, Julie Ann Dyke, Theodore J Ganley
BACKGROUND: Anterior cruciate ligament (ACL) tears are increasingly prevalent in the pediatric population. ACL rehabilitation is an essential component of recovery following injury and reconstruction, yet there are few explicit descriptions of pediatric-specific ACL rehabilitation protocols in the literature, especially in the context of varying treatment interventions. Our aim was to systematically review the literature on rehabilitation following ACL tears in children in order to describe common principles among different treatment options and areas of future research...
January 19, 2016: JBJS Rev
https://www.readbyqxmd.com/read/27484077/eastbourne-miami-j-protocol-a-pilot-study-for-the-care-of-cervical-injuries-in-the-community
#3
B Hylton, S Lidder, A Armitage, S James
UNLABELLED: PURPOSE OF THE STUDY The aim of this pilot study was to develop The Eastbourne Miami-J Protocol for care of cervical injuries within the community. Led by orthopaedic senior practitioners, a multidisciplinary approach was developed to provide education and collar care for patients on a weekly basis. MATERIALS AND METHODS A total of 51 patients (17 male and 33 female), mean age 74 years (21 to 95) with CT confirmed cervical injuries during November 2010 and May 2014 followed the Eastbourne Miami-J Protocol...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/27416993/does-extended-preoperative-rehabilitation-influence-outcomes-2-years-after-acl-reconstruction-a-comparative-effectiveness-study-between-the-moon-and-delaware-oslo-acl-cohorts
#4
Mathew J Failla, David S Logerstedt, Hege Grindem, Michael J Axe, May Arna Risberg, Lars Engebretsen, Laura J Huston, Kurt P Spindler, Lynn Snyder-Mackler
BACKGROUND: Rehabilitation before anterior cruciate ligament (ACL) reconstruction (ACLR) is effective at improving postoperative outcomes at least in the short term. Less is known about the effects of preoperative rehabilitation on functional outcomes and return-to-sport (RTS) rates 2 years after reconstruction. PURPOSE/HYPOTHESIS: The purpose of this study was to compare functional outcomes 2 years after ACLR in a cohort that underwent additional preoperative rehabilitation, including progressive strengthening and neuromuscular training after impairments were resolved, compared with a nonexperimental cohort...
October 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27386448/outcome-evaluation-after-achilles-tendon-ruptures-a-review-of-the-literature
#5
Pietro Spennacchio, Alberto Vascellari, Davide Cucchi, Gian Luigi Canata, Pietro Randelli
The optimal treatment and the best rehabilitation protocol after an acute Achilles tendon rupture (ATR) remain a matter of controversy in orthopaedic and sports medicine. The use of validated injury-specific outcome instruments is the only way to clarify these issues, in order to ensure that patients receive the best possible treatment. This article describes the most commonly reported outcome measures used to assess patients treated for ATR. On the basis of the available evidence, the Achilles tendon Total Rupture Score (ATRS) is the most appropriate outcome measure for evaluating the management of acute ATR...
January 2016: Joints
https://www.readbyqxmd.com/read/27381807/time-course-of-peri-implant-bone-regeneration-around-loaded-and-unloaded-implants-in-a-rat-model
#6
Shailly H Jariwala, Hwabok Wee, Evan P Roush, Tiffany L Whitcomb, Christopher Murter, Gery Kozlansky, Akhlesh Lakhtakia, Allen R Kunselman, Henry J Donahue, April D Armstrong, Gregory S Lewis
The time-course of cancellous bone regeneration surrounding mechanically loaded implants affects implant fixation, and is relevant to determining optimal rehabilitation protocols following orthopaedic surgeries. We investigated the influence of controlled mechanical loading of titanium-coated polyether-ether ketone (PEEK) implants on osseointegration using time-lapsed, non-invasive, in vivo micro-computed tomography (micro-CT) scans. Implants were inserted into proximal tibial metaphyses of both limbs of eight female Sprague-Dawley rats...
July 6, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27032604/quality-and-variability-of-online-available-physical-therapy-protocols-from-academic-orthopaedic-surgery-programs-for-anterior-cruciate-ligament-reconstruction
#7
Eric C Makhni, Erica K Crump, Michael E Steinhaus, Nikhil N Verma, Christopher S Ahmad, Brian J Cole, Bernard R Bach
PURPOSE: To assess the quality and variability found across anterior cruciate ligament (ACL) rehabilitation protocols published online by academic orthopaedic programs. METHODS: Web-based ACL physical therapy protocols from United States academic orthopaedic programs available online were included for review. Main exclusion criteria included concomitant meniscus repair, protocols aimed at pediatric patients, and failure to provide time points for the commencement or recommended completion of any protocol components...
August 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26870652/primary-frozen-shoulder-syndrome-arthroscopic-capsular-release
#8
Guillermo Arce
Idiopathic adhesive capsulitis, or primary frozen shoulder syndrome, is a fairly common orthopaedic problem characterized by shoulder pain and loss of motion. In most cases, conservative treatment (6-month physical therapy program and intra-articular steroid injections) improves symptoms and restores shoulder motion. In refractory cases, arthroscopic capsular release is indicated. This surgical procedure carries several advantages over other treatment modalities. First, it provides precise and controlled release of the capsule and ligaments, reducing the risk of traumatic complications observed after forceful shoulder manipulation...
December 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/26626806/a-novel-tool-for-continuous-fracture-aftercare-clinical-feasibility-and-first-results-of-a-new-telemetric-gait-analysis-insole
#9
Benedikt J Braun, Eva Bushuven, Rebecca Hell, Nils T Veith, Jan Buschbaum, Joerg H Holstein, Tim Pohlemann
Weight bearing after lower extremity fractures still remains a highly controversial issue. Even in ankle fractures, the most common lower extremity injury no standard aftercare protocol has been established. Average non weight bearing times range from 0 to 7 weeks, with standardised, radiological healing controls at fixed time intervals. Recent literature calls for patient-adapted aftercare protocols based on individual fracture and load scenarios. We show the clinical feasibility and first results of a new, insole embedded gait analysis tool for continuous monitoring of gait, load and activity...
February 2016: Injury
https://www.readbyqxmd.com/read/26510584/rehabilitation-following-surgical-repair-of-the-rotator-cuff-a-systematic-review
#10
REVIEW
Sophie Thomson, Chris Jukes, Jeremy Lewis
BACKGROUND: Surgery to repair rotator cuff (RC) tears is a commonly performed orthopaedic procedure with the aim of reducing pain and improving function. Surgery is followed by rehabilitation and recommendations for postoperative rehabilitation include; exercise therapy, continuous passive motion machines and aquatic therapy. Currently, there is uncertainty in the literature as to what constitutes best postsurgical rehabilitation. OBJECTIVE: To systematically review postsurgical research investigations to provide clinical guidance regarding postsurgical management...
March 2016: Physiotherapy
https://www.readbyqxmd.com/read/26357402/gait-analysis-from-a-single-ear-worn-sensor-reliability-and-clinical-evaluation-for-orthopaedic-patients
#11
Delaram Jarchi, Benny Lo, Charence Wong, Edmund Ieong, Dinesh Nathwani, Guang-Zhong Yang
Objective assessment of detailed gait patterns after orthopaedic surgery is important for post-surgical follow-up and rehabilitation. The purpose of this paper is to assess the use of a single ear-worn sensor for clinical gait analysis. A reliability measure is devised for indicating the confidence level of the estimated gait events, allowing it to be used in free-walking environments and for facilitating clinical assessment of orthopaedic patients after surgery. Patient groups prior to or following anterior cruciate ligament (ACL) reconstruction and knee replacement were recruited to assess the proposed method...
August 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/26178888/in-home-telerehabilitation-compared-with-face-to-face-rehabilitation-after-total-knee-arthroplasty-a-noninferiority-randomized-controlled-trial
#12
RANDOMIZED CONTROLLED TRIAL
Hélène Moffet, Michel Tousignant, Sylvie Nadeau, Chantal Mérette, Patrick Boissy, Hélène Corriveau, François Marquis, François Cabana, Pierre Ranger, Étienne L Belzile, Ronald Dimentberg
BACKGROUND: The availability of less resource-intensive alternatives to home visits for rehabilitation following orthopaedic surgeries is important, given the increasing need for home care services and the shortage of health resources. The goal of this trial was to determine whether an in-home telerehabilitation program is not clinically inferior to a face-to-face home visit approach (standard care) after hospital discharge of patients following a total knee arthroplasty. METHODS: Two hundred and five patients who had a total knee arthroplasty were randomized before hospital discharge to the telerehabilitation group or the face-to-face home visit group...
July 15, 2015: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/26151036/return-to-sport-after-acl-reconstruction-how-when-and-why-a-narrative-review-of-current-evidence
#13
Stefano Zaffagnini, Alberto Grassi, Margherita Serra, Maurilio Marcacci
Allowing a patient to return to sport and unrestricted physical activity after ACL injury and reconstruction is one of the most challenging and difficult decisions an orthopaedic surgeon has to make. Indeed, many factors have to be taken into account before it can be considered safe for a patients to load a reconstructed knee. The current literature contains plenty of studies aimed at evaluating return to sport, and the factors that may affect or predict this outcome, e.g. intrinsic factors like genetics, biology, type of lesion, anatomical features, motivation and psychology, and extrinsic factors such as graft type, surgical technique, rehabilitation protocols, and biological support...
January 2015: Joints
https://www.readbyqxmd.com/read/26131301/anterior-cruciate-ligament-reconstruction-rehabilitation-moon-guidelines
#14
Rick W Wright, Amanda K Haas, Joy Anderson, Gary Calabrese, John Cavanaugh, Timothy E Hewett, Dawn Lorring, Christopher McKenzie, Emily Preston, Glenn Williams
CONTEXT: Anterior cruciate ligament (ACL) reconstruction rehabilitation has evolved over the past 20 years. This evolution has been driven by a variety of level 1 and level 2 studies. EVIDENCE ACQUISITION: The MOON Group is a collection of orthopaedic surgeons who have developed a prospective longitudinal cohort of the ACL reconstruction patients. To standardize the management of these patients, we developed, in conjunction with our physical therapy committee, an evidence-based rehabilitation guideline...
May 2015: Sports Health
https://www.readbyqxmd.com/read/26068515/hyperbaric-oxygen-in-lower-limb-trauma-hollt-protocol-for-a-randomised-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Ian L Millar, Rosemary A McGinnes, Owen Williamson, Folke Lind, Karl-Åke Jansson, Michal Hajek, David Smart, Tiago Fernandes, Russell Miller, Paul Myles, Peter Cameron
INTRODUCTION: Open fractures with significant soft tissue injury are associated with high rates of complications, such as non-union, infection, chronic pain and disability. Complications often require further inpatient care, and in many cases, multiple operations and prolonged rehabilitation. Use of hyperbaric oxygen therapy as an adjunct to standard orthopaedic trauma care has the potential to reduce the complications of musculoskeletal injury and thus improve outcomes. Two previous randomised trials have suggested some positive effect, but neither functional measures nor long-term outcomes were reported...
2015: BMJ Open
https://www.readbyqxmd.com/read/25980403/best-practices-during-hip-arthroscopy-aggregate-recommendations-of-high-volume-surgeons
#16
Asheesh Gupta, Carlos Suarez-Ahedo, John M Redmond, Michael B Gerhardt, Bryan Hanypsiak, Christine E Stake, Nathan A Finch, Benjamin G Domb
PURPOSE: To survey surgeons who perform a high volume of hip arthroscopy procedures regarding their operative technique, type of procedure, and postoperative management. METHODS: We conducted a cross-sectional survey of 27 high-volume orthopaedic surgeons specializing in hip arthroscopy to report their preferences and practices related to their operative practice and postoperative rehabilitation protocol. All participants completed the survey in person in an anonymous fashion during a meeting of the American Hip Institute...
September 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/25814014/-hip-fracture-epidemiology-management-and-liaison-service-what-do-we-need-to-close-care-gaps-in-treating-hip-fracture-how-to-include-the-uk-experience-into-the-care-in-japan
#17
REVIEW
Hideaki E Takahashi
Various care gaps are noted in and between acute and rehabilitation hospitals, and after discharge from hospitals in Japan. In the most of acute care hospitals physicians take care of elderly fractured patients only by a request of orthopaedic team. This made a mean time until surgery was 4.5 days (2011). A critical pathway in treating hip fracture has certainly shortened days in the acute hospitals, care gaps may exist between hospitals. Although osteoporosis medication has started on discharge, it may be discontinued at home, in health or social care facilities under the care of primary care physicians...
April 2015: Clinical Calcium
https://www.readbyqxmd.com/read/25560399/spouses-involvement-in-older-patients-fast-track-programmes-during-total-hip-replacement-using-case-management-intervention-a-study-protocol-of-the-sicam-trial
#18
Connie Bøttcher Berthelsen, Jimmie Kristensson
AIM: To present the protocol of a two-group quasi-experimental study of spouses' involvement through case management (The SICAM-trial) in older patients' fast-track programmes during total hip replacement. BACKGROUND: Patients in fast-track programmes are required to take an active part in their treatment and rehabilitation. Spouses of older patients can often provide valued practical and emotional support, reducing stress, pain and length of stay - yet they are seldom invited to participate in a supporting role...
May 2015: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/25441576/commercially-available-gaming-systems-as-clinical-assessment-tools-to-improve-value-in-the-orthopaedic-setting-a-systematic-review
#19
REVIEW
Jessica Ruff, Tiffany L Wang, Catherine C Quatman-Yates, Laura S Phieffer, Carmen E Quatman
INTRODUCTION: Commercially available gaming systems (CAGS) such as the Wii Balance Board (WBB) and Microsoft Xbox with Kinect (Xbox Kinect) are increasingly used as balance training and rehabilitation tools. The purpose of this review was to answer the question, "Are commercially available gaming systems valid and reliable instruments for use as clinical diagnostic and functional assessment tools in orthopaedic settings?" and provide a summary of relevant studies, identify their strengths and weaknesses, and generate conclusions regarding general validity/reliability of WBB and Xbox Kinect in orthopaedics...
February 2015: Injury
https://www.readbyqxmd.com/read/25371452/measuring-function-after-hip-and-knee-surgery-the-evidence-to-support-performance-based-functional-outcome-tasks
#20
REVIEW
S Konan, F Hossain, S Patel, F S Haddad
Accurate, reproducible outcome measures are essential for the evaluation of any orthopaedic procedure, in both clinical practice and research. Commonly used patient-reported outcome measures (PROMs) have drawbacks such as 'floor' and 'ceiling' effects, limitations of worldwide adaptability and an inability to distinguish pain from function. They are also unable to measure the true outcome of an intervention rather than a patient's perception of that outcome. Performance-based functional outcome tools may address these problems...
November 2014: Bone & Joint Journal
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