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Orthopedic rehabilitation guideline

Tabata Cristina do Carmo Almeida, Luiz Vinicius de Alcantara Sousa, Diego Monteiro de Melo Lucena, Francisco Winter Dos Santos Figueiredo, Vitor Engrácia Valenti, Laércio da Silva Paiva, Luiz Carlos de Abreu, Fernando Adami
BACKGROUND: The aim of the study was to evaluate the evolution of patients subject to physical treatment based on guidelines of functional rehabilitation after surgery anterior cruciate ligament reconstruction. METHODS: This is a prospective study of 177 patients with anterior cruciate ligament injury, who underwent surgery and physical therapy guideline conducted in an orthopedic clinic in São Paulo, southeastern Brazil. The clinical evolution of patients was made according to Lysholm and IKDC questionnaire on the 1st day after surgery with 30, 90 and 180 days of treatment...
2016: BMC Research Notes
Spoorthi Thammaiah, Vinaya Manchaiah, Vijayalakshmi Easwar, Rajalakshmi Krishna
The objective of this study was to translate and adapt five English self-report health measures to a South Indian language Kannada. Currently, no systematically developed questionnaires assessing hearing rehabilitation outcomes are available for clinical or research use in Kannada. The questionnaires included for translation and adaptation were the hearing handicap questionnaire, the international outcome inventory - hearing aids, the self-assessment of communication, the participation scale, and the assessment of quality of life - 4 dimensions...
April 20, 2016: Audiology Research
Mark A Feger, Neal R Glaviano, Luke Donovan, Joseph M Hart, Susan A Saliba, Joseph S Park, Jay Hertel
OBJECTIVE: To characterize trends in the acute management (within 30 days) after lateral ankle sprain (LAS) in the United States. DESIGN: Descriptive epidemiology study. PATIENTS: Of note, 825 718 ankle sprain patients were identified; 96.2% were patients with LAS. Seven percent had an associated fracture and were excluded from the remaining analysis. SETTING: Primary and tertiary care settings. INTERVENTIONS: We queried a database of national health insurance records for 2007 to 2011 by ICD-9 codes for patients with LAS while excluding medial and syndesmotic sprains and any LAS with an associated foot or ankle fracture...
June 22, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Muhammad Adil Abbas Khan, Ammar Asrar Javed, Dominic Jordan Rao, J Antony Corner, Peter Rosenfield
Pediatric traumatic limb amputations are rare and their acute and long term management can be challenging in this subgroup of patients. The lengthy and costly hospital stays, and resulting physical and psychological implications leads to significant morbidity. We present a summary of treatment principles and the evidence base supporting the management options for this entity. The initial management focuses on resuscitating and stabilization of the patients, administration of appropriate and adequate analgesics, and broad spectrum antibiotics...
January 2016: World Journal of Plastic Surgery
Monika Ehrensberger, Daniel Simpson, Patrick Broderick, Kenneth Monaghan
BACKGROUND: Since its discovery in 1894 cross-education of strength - a bilateral adaptation after unilateral training - has been shown to be effective in the rehabilitation after one-sided orthopedic injuries. Limited knowledge exists on its application within the rehabilitation after stroke. This review examined the evidence regarding the implication of cross-education in the rehabilitation of the post-stroke hemiplegic patient and its role in motor function recovery. METHODS: Electronic databases were searched by two independent assessors...
April 2016: Topics in Stroke Rehabilitation
Christian G Pfeifer, Stephan Grechenig, Borys Frankewycz, Antonio Ernstberger, Michael Nerlich, Werner Krutsch
INTRODUCTION: Fractures of the ankle, hind- and midfoot are amongst the five most common fractures. Besides initial operative or non-operative treatment, rehabilitation of the patients plays a crucial role for fracture union and long term functional outcome. Limited evidence is available with regard to what a rehabilitation regimen should include and what guidelines should be in place for the initial clinical course of these patients. This study therefore investigated the current rehabilitation concepts after fractures of the ankle, hind- and midfoot...
October 2015: Injury
K Meng, S Peters, A Schultze, K Pfeifer, H Faller
STUDY OBJECTIVE: Evaluation of the effectiveness of 2 implementation interventions - train-the-trainer workshops (TTT) and written implementation guideline (GL) - in terms of implementation fidelity of a back-training school within inpatient orthopedic rehabilitation. METHODS: An implementation trial was conducted using a mixed-methods approach for outcome evaluation in 10 rehabilitation clinics randomly assigned to the interventions. Data were assessed by questionnaires and observation forms...
October 2015: Die Rehabilitation
Francesco Sartorio, Michela Moroso, Stefano Vercelli, Elisabetta Bravini, Marta Elisabetta Medina, Renata Spalek, Giorgio Ferriero
BACKGROUND: Outcome measures are the scientific basis for assessment and comparison of the effects of rehabilitative interventions. Among the instruments proposed for the evaluation of musculoskeletal disorders of the upper limb, the Upper Limb Functional Index (ULFI) was recently validated and translated into several languages, but it does not yet exist an Italian version yet. OBJECTIVE: To obtain an Italian validated version of ULFI, called ULFI-I. MATERIALS & METHODS: The translation process was conducted following the international guidelines of the forwardlbackward translation...
April 2015: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Maurizio Lopresti, Jacopo Rancati, Erika Farina, Stefano Bastoni, Beatrice Bernabè, Tiziana Succetti, Nicoletta Ligabue, Lorenzo Panella
INTRODUCTION: The knee is the most frequent location for osteosarcoma (60%). Until 30 years ago patients with osteosarcoma were treated with an amputation of the affected limb; today 85% of these cases are treated with a "Limb Salvage" procedure, through replacement of the affected bone with a mega prosthesis implant. AIM: To measure functional recovery of patients with a knee mega-prosthesis and how rehabilitation impacts on quality of life (QOL); another aim is to define rehabilitation guidelines to manage these patients in the rehabilitation pathway...
August 2015: Recenti Progressi in Medicina
Anil Gupta, Rashid Anjum, Navdeep Singh, Shafiq Hackla
BACKGROUND: Fractures of the distal third of the tibia are mostly associated with a fibular fracture that often requires fixation. The preferred treatment of distal tibial fracture is the minimally invasive percutaneous plate osteosynthesis (MIPPO) procedure. However, there are no clear cut guidelines on fixation of the fibular fracture and currently most orthopedic surgeons use a plate osteosynthesis for the fibula as well. A common complication associated with dual plating is an increased chance of soft tissue necrosis, infection, and in some cases resulting in an exposed implant...
April 2015: Archives of Bone and Joint Surgery
I Kurze, V Geng, R Böthig
BACKGROUND: As a considerable heterogeneity in the procedure of intermittent catheterization (IC) was identified by a questionnaire survey conducted in hospitals and institutions for the treatment of patients with spinal cord injury in 2010, it became necessary to standardize the IC procedure (i.e. self-catheterization and assisted catheterization). METHOD: These guidelines were developed within a structured consensus process (e.g. several consensus conferences and nominal group process) by members of the working group on neurourology (Arbeitskreis Neuro-Urologie) and the working group on nursing (Arbeitskreis Pflege) of the German-speaking Medical Society of Paraplegia (DMGP), a section of the German Society for Orthopedics and Traumatology (DGOU) and were published as S2k guidelines of the German Society of Urology (DGU)...
March 2015: Der Urologe. Ausg. A
Stefano Negrini, Sabrina Donzelli, Monia Lusini, Salvatore Minnella, Fabio Zaina
BACKGROUND: Recently an RCT confirmed brace efficacy in adolescent idiopathic scoliosis (AIS) patients. Previously, a Cochrane review suggested also producing studies according to the Scoliosis Research Society (SRS) criteria on the effectiveness of bracing for AIS. Even if the SRS criteria propose a prospective design, until now only one out of 6 published studies was prospective. Our purpose was to evaluate the effects of bracing plus exercises following the SRS and the international Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) criteria for AIS conservative treatment...
2014: BMC Musculoskeletal Disorders
Krzysztof Korbel, Mateusz Kozinoga, Łukasz Stoliński, Tomasz Kotwicki
According to the Scoliosis Research Society (SRS), idiopathic scoliosis (IS) is a curvature of more than 10° Cobb angle, affecting 2-3% of pediatric population. Idiopathic scoliosis accounts for 80% of all scoliosis cases. Non-operative principles in the therapy of idiopathic scoliosis, including Scoliosis Research Society (SRS) criteria and guidelines proposed by the experts of the Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORTS) were presented. The possibility to carry out quality of life assessments in a conservative procedure was also demonstrated...
2014: Polish Orthopedics & Traumatology
Ron Diercks, Carel Bron, Oscar Dorrestijn, Carel Meskers, René Naber, Tjerk de Ruiter, Jaap Willems, Jan Winters, Henk Jan van der Woude
Treatment of "subacromial impingement syndrome" of the shoulder has changed drastically in the past decade. The anatomical explanation as "impingement" of the rotator cuff is not sufficient to cover the pathology. "Subacromial pain syndrome", SAPS, describes the condition better. A working group formed from a number of Dutch specialist societies, joined by the Dutch Orthopedic Association, has produced a guideline based on the available scientific evidence. This resulted in a new outlook for the treatment of subacromial pain syndrome...
June 2014: Acta Orthopaedica
Piotr Głuszko, Roman S Lorenc, Elżbieta Karczmarewicz, Waldemar Misiorowski, Maciej Jaworski
To decrease the risk of osteoporotic fractures in Poland, the Multidisciplinary Osteoporotic Forum has set up a joint Working Group including the representatives of the Polish Associations of Orthopedics and Traumatology, Rehabilitation, Gerontology, Rheumatology, Family Medicine, Diabetology, Laboratory Diagnostics, Andropause and Menopause, Endocrinology, Radiology, and the STENKO group as well as experts in the fields of rheumatology, obstetrics, and geriatrics to update the Polish guidelines for the diagnosis and management of osteoporosis in men and postmenopausal women in Poland...
2014: Polskie Archiwum Medycyny Wewnętrznej
F Zaina, J C De Mauroy, T Grivas, M T Hresko, T Kotwizki, T Maruyama, N Price, M Rigo, L Stikeleather, J Wynne, S Negrini
Bracing is currently the primary method for treating moderate idiopathic scoliosis (IS) during the developmental phase of growth. Following a lengthy debate, during which researchers and authors questioned the role of bracing in the treatment of IS due to inconsistent evidence, the Bracing in Adolescent Idiopathic Scoliosis Trial study have provided a high level of evidence to the value of bracing and may have convinced most of those who were skeptic. However, although some guidelines have been published, there remains no standard for constructing scoliosis orthoses and no standard treatment protocol...
February 2014: European Journal of Physical and Rehabilitation Medicine
S Negrini, J C De Mauroy, T B Grivas, P Knott, T Kotwicki, T Maruyama, J P O'Brien, M Rigo, F Zaina
Idiopathic scoliosis (IS) is a three-dimensional deformity of the spine and trunk. The most common form involve adolescents. The prevalence is 2-3% of the population, with 1 out of 6 patients requiring treatment of which 25% progress to surgery. Physical and rehabilitation medicine (PRM) plays a primary role in the so-called conservative treatment of adolescents with IS, since all the therapeutic tools used (exercises and braces) fall into the PRM domain. According to a Cochrane systematic review there is evidence in favor of bracing, even if it is of low quality...
February 2014: European Journal of Physical and Rehabilitation Medicine
T E McAlindon, R R Bannuru, M C Sullivan, N K Arden, F Berenbaum, S M Bierma-Zeinstra, G A Hawker, Y Henrotin, D J Hunter, H Kawaguchi, K Kwoh, S Lohmander, F Rannou, E M Roos, M Underwood
OBJECTIVE: To develop concise, up-to-date, patient-focused, evidence-based, expert consensus guidelines for the management of knee osteoarthritis (OA), intended to inform patients, physicians, and allied healthcare professionals worldwide. METHOD: Thirteen experts from relevant medical disciplines (primary care, rheumatology, orthopedics, physical therapy, physical medicine and rehabilitation, and evidence-based medicine), three continents and ten countries (USA, UK, France, Netherlands, Belgium, Sweden, Denmark, Australia, Japan, and Canada) and a patient representative comprised the Osteoarthritis Guidelines Development Group (OAGDG)...
March 2014: Osteoarthritis and Cartilage
Yuka Igeta, Kiyohito Naito, Yoichi Sugiyama, Kazuo Kaneko, Osamu Obayashi
BACKGROUND: Pulmonary thromboembolism after upper extremity operation is rare. We report a patient with thromboembolism after debridement open reduction and internal fixation for bilateral open distal radius fractures. CASE PRESENTATION: The Japanese patient was an 80-year-old previously healthy female who was able to walk on her own. She fell down and was taken to our hospital. She was diagnosed with bilateral open distal radius fractures and we performed debridement open reduction and internal fixation on the same day...
2014: BMC Research Notes
Ahmad Shehadeh, Mostafa El Dahleh, Ahmed Salem, Yousef Sarhan, Iyad Sultan, Robert M Henshaw, Albert J Aboulafia
BACKGROUND AND OBJECTIVE: The purpose of this study is to establish a standardized postoperative rehabilitation protocol following limb salvage surgery (LSS) in patients with primary bone sarcoma in five major anatomical locations: distal femur, proximal tibia, proximal and total femur, humerus and shoulder girdle and pelvic resections. SETTING AND DESIGN: Retrospective study. PATIENTS AND METHODS: All LSSs were performed by an orthopedic oncology surgeon, and rehabilitation of all patients was based on a devised standardized rehabilitation protocol...
September 2013: Hematology/oncology and Stem Cell Therapy
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