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https://www.readbyqxmd.com/read/29440881/immediate-synergistic-effect-of-a-trunk-orthosis-with-joints-providing-resistive-force-and-an-ankle-foot-orthosis-on-hemiplegic-gait
#1
Junji Katsuhira, Sumiko Yamamoto, Nodoka Machida, Yuji Ohmura, Masako Fuchi, Mizuho Ohta, Setsuro Ibayashi, Arito Yozu, Ko Matsudaira
Purpose: The synergistic effects of a trunk orthosis and an ankle-foot orthosis (AFO) in stroke patients with a hemiplegic gait are unclear. We previously developed a trunk orthosis with joints providing resistive force (TORF) to modify malalignment of the trunk and pelvis and confirmed its positive effects in stroke patients during level walking without an AFO. The aim of the present study was to determine if this trunk orthosis and an AFO have synergistic effects during level walking in community-dwelling patients with chronic stroke...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29434457/role-and-significance-of-trunk-and-upper-extremity-muscles-in-walker-assisted-paraplegic-gait-a-case-study
#2
Mina Baniasad, Farzam Farahmand, Mokhtar Arazpour, Hassan Zohoor
Background and Purpose: Understanding the role and significance of trunk and upper extremity muscles in paraplegic gait can help in designing more effective assistive devices for these patients and also provides valuable information for improving muscle strengthening programs. Methods: In a patient with a spinal cord injury (SCI) who could walk independently (rating scale of ambulatory capacity, 9) with the aid of bilateral ankle-foot orthosis and a walker, the kinematics, kinetics and electromyographic (EMG) activities of 16 muscles from the trunk and upper and lower extremities were recorded during gait...
2018: Topics in Spinal Cord Injury Rehabilitation
https://www.readbyqxmd.com/read/29426574/short-term-clinical-outcome-of-orthosis-alone-vs-combination-of-orthosis-nerve-and-tendon-gliding-exercises-and-ultrasound-therapy-for-treatment-of-carpal-tunnel-syndrome
#3
Sze En Sim, Jayaletchumi Gunasagaran, Khean-Jin Goh, Tunku Sara Ahmad
STUDY DESIGN: Prospective randomized study. INTRODUCTION: Carpal tunnel syndrome (CTS) has been described as the most common compression neuropathy. Many modalities exist for conservative treatment. Efficacy of each modality has been described in the literature. However, the effectiveness of combination of these modalities is not well established. The purpose of this study is to assess the short-term clinical outcome of conservative treatment for CTS comparing orthosis alone with combination of orthosis, nerve/tendon gliding exercises, and ultrasound therapy...
February 7, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29426393/pilot-study-combining-electrical-stimulation-and-a-dynamic-hand-orthosis-for-functional-recovery-in-chronic-stroke
#4
Barbara M Doucet, Joni A Mettler
OBJECTIVE: We investigated the effect of a combined neuromuscular electrical stimulation (ES) and dynamic hand orthosis (DHO) regimen with a group of people with chronic stroke to improve performance on specific daily tasks. METHOD: Four people with chronic stroke participated in an ES-DHO regimen using the affected upper extremity 5×/wk for 6 wk. Outcome measures included grip strength, range of motion (ROM), and analysis of muscle activation-deactivation during release of grasp through electromyography...
March 2018: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29421838/knee-pain-and-the-use-of-various-types-of-footwear-a-review
#5
Morad Chugthai, Jared M Newman, Samuel Akil, Anton Khlopas, Assem A Sultan, Nipun Sodhi, Anil Bhave, Steven F Harwin, Michael A Mont
Knee pain is a highly prevalent condition in the United States with multiple etiologies, with two of the most common sources being osteoarthritis (OA) and patellofemoral pain (PFP). These conditions can lead to reduced physical function and a poor quality of life. Various modalities have been used to decrease the amount of knee pain that individuals' experience; however, they are not always successful and can be expensive. Several studies have reported on specialized footwear for symptomatic alleviation of conditions that affect the knee, this is because it has been theorized that certain footwear can alter the forces placed by muscles on lower-extremity joints, and can potentially alleviate pain by reducing the load placed on the joint...
February 8, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29413792/combined-effects-of-knee-brace-laterally-wedged-insoles-and-toe-in-gait-on-knee-adduction-moment-and-balance-in-moderate-medial-knee-osteoarthritis-patients
#6
Saad Jawaid Khan, Soobia Saad Khan, Juliana Usman, Abdul Halim Mokhtar, Noor Azuan Abu Osman
OBJECTIVE: To test the hypothesis that toe-in gait (TI) will further reduce first peak (Knee Adduction Moment) KAM and decrease balance when combined with a knee brace (KB) and laterally wedged insoles (LWI) in medial knee osteoarthritis (kOA) patients. PARTICIPANTS: Twenty patients with bilateral symptomatic medial kOA. INTERVENTIONS: 4-point leverage-based KB, full-length LWI with 5° inclination and toe-in gait (TI). MAIN OUTCOME MEASURES: First and second peak knee adduction moment (fKAM and sKAM respectively), balance and pain...
January 29, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29409242/predictors-of-functional-outcome-in-non-operatively-managed-achilles-tendon-ruptures
#7
Randeep Aujla, Shakil Patel, Annette Jones, Maneesh Bhatia
BACKGROUND: Acute Achilles tendon (AT) rupture management remains debatable but non-operative functional regimes are beginning to gain popularity. The aim of this study was to identify predictors of functional outcome in patients with AT ruptures treated non-operatively with an immediate weight bearing functional regime in an orthosis. METHODS: Analysis of prospectively gathered data from a local database of all patients treated non-operatively at our institution with an AT rupture was performed...
March 31, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29406129/a-decision-making-tool-to-prescribe-knee-orthoses-in-daily-practice-for-patients-with-osteoarthritis
#8
Emmanuel Coudeyre, Christelle Nguyen, Aurore Chabaud, Bruno Pereira, Johann Beaudreuil, Jean-Marie Coudreuse, Philippe Deat, Frédéric Sailhan, Alain Lorenzo, François Rannou
OBJECTIVE: To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice. METHODS: A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA...
February 2, 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29403256/langerhans-cell-histiocytosis-as-an-unusual-cause-of-back-pain-in-a-child-a-case-report-and-review-of-literature
#9
Hemaswetha Balachandran, Latha M Sneha, Gopinath Menon, Julius Scott
Low back pain in children and adolescents are usually attributed to mechanical causes and faulty positions. Although most of them are self-limiting, physicians should be aware of the red flag signs that warrant complete evaluation to rule out malignant causes of back pain. As delay in the diagnosis of vertebral lytic lesion may have sequelae in the growing children, pain disproportionate to the signs should have low threshold levels for evaluation. We report a case of 6-year-old boy who presented with worsening back pain...
October 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29400679/what-is-the-opinion-of-patients-with-multiple-sclerosis-and-their-healthcare-professionals-about-lower-limb-orthoses-a-qualitative-study-using-focus-group-discussions
#10
Eva Swinnen, Tom Deliens, Elke Dewulf, Shauni Van Overstraeten, Nina Lefeber, Johan Van Nieuwenhoven, Stephan Ilsbroukx, Eric Kerckhofs
OBJECTIVE: The aim of this study was to collect patients' and healthcare professionals' opinions about lower limb orthoses (LL-orthoses): 1) the positive and negative aspects; 2) the differences in wearing them according to location; and 3) their recommendations for future modifications. METHODS: Four focus group discussions were performed, with in total twenty patients with MS with a prescribed LL-orthosis and seven healthcare professionals. Audiotaped discussions were transcribed and qualitatively processed (NVivo11)...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29398885/underactuated-potential-energy-shaping-with-contact-constraints-application-to-a-powered-knee-ankle-orthosis
#11
Ge Lv, Robert D Gregg
Body-weight support (i.e., gravity compensation) is an effective clinical tool for gait rehabilitation after neurological impairment. Body-weight supported training systems have been developed to help patients regain mobility and confidence during walking, but conventional systems constrain the patient's treatment in clinical environments. We propose that this challenge could be addressed by virtually providing patients with bodyweight support through the actuators of a powered orthosis (or exoskeleton) utilizing potential energy shaping control...
January 2018: IEEE Transactions on Control Systems Technology: a Publication of the IEEE Control Systems Society
https://www.readbyqxmd.com/read/29386704/negative-pressure-wound-therapy-in-the-management-of-mine-blast-injuries-of-lower-limbs-lessons-learnt-at-a-tertiary-care-center
#12
Sanjay Maurya, N Srinath, P S Bhandari
Background: Mine blast injuries of foot are devastating injuries that result in composite tissue loss or amputations. Negative pressure wound therapy has helped in the management of such combat-related wounds. The aim of this study was to report experiences gained in managing such injuries at a tertiary care center. Methods: 17 combatants who sustained mine blast injuries were included in this study. Severity of foot injury was assessed as per Foot and Ankle Severity Score...
October 2017: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/29384879/amputation-of-multiple-limbs-caused-by-use-of-inotropics-case-report-a-report-of-4-cases
#13
Ki Jin Jung, Jae-Hwi Nho, Hyeung-Kyu Cho, Sijohn Hong, Sung Hun Won, Dong-Il Chun, Byungsung Kim
RATIONALE: We present 4 cases of symmetrical peripheral gangrene (SPG) associated with use of inotropic agent to elevate blood pressure. SPG is a relatively rare phenomenon characterized by symmetrical distal ischemic damage that leads to gangrene of 2 or more sites in the absence of large blood vessel obstruction, where vasoconstriction rather than thrombosis is implicated as the underlying pathophysiology. We present 4 SPG cases of the multiple limbs amputation, associated with inevitable use of inotropic agents...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29373234/design-optimisation-and-testing-of-a-compact-inexpensive-elastic-element-for-series-elastic-actuators
#14
Cornelius Irmscher, Elmar Woschke, Erik May, Christian Daniel
This paper presents the development of a compact torsion spring for use as an elastic element in a lightweight series elastic actuator for an active orthosis. This orthosis is going to be utilised as an assistive device for motorically impaired stroke-patients. In the design a two-step optimisation strategy was implemented to meet all requirements for the torsion spring. The first step was to identify a promising topology for the element. In the second step, the shape was optimised based on a finite element model using two different optimisation methods in order to minimise the von Mises equivalent stresses...
January 17, 2018: Medical Engineering & Physics
https://www.readbyqxmd.com/read/29369060/tendon-transfers-to-restore-ankle-dorsiflexion-after-anterior-compartment-myonecrosis-a-case-report
#15
Wesley Zhang Yang, Joseph S Park, Seth Robert Yarboro
CASE: A 47-year-old Caucasian woman spontaneously developed an isolated anterior compartment pressure of >100 mm Hg in the left leg. Despite fasciotomies, the musculature was nonviable and required debridement. Following Achilles tendon lengthening, a posterior tibial tendon (PTT) to anterior tibial tendon (ATT) transfer was supplemented with a flexor digitorum longus tendon transfer to the remaining PTT in order to prevent a flatfoot deformity while restoring active dorsiflexion. CONCLUSION: Preservation of the tendinous portion of the ATT during debridement allowed for transfer of the PTT to the ATT using a modified Pulvertaft transfer...
January 24, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29364739/an-examination-of-current-stroke-rehabilitation-practice-in-peru-implications-for-interprofessional-education
#16
Cody L McDonald, Amy K Fuhs, Deborah Kartin
This study aimed to better understand current clinical practice of rehabilitation professionals in Lima, Peru, and to explore the existence of and potential for interprofessional collaboration. A secondary purpose was to assess rehabilitation professionals' agreement with evidence-based stroke rehabilitation statements and confidence performing stroke rehabilitation tasks prior to and following an interprofessional stroke rehabilitation training. Current clinical practice for rehabilitation professionals in Peru differs from high-income counties like the United States, as physical therapists work with dysphagia and feeding, prosthetist orthotists serve a strictly technical role, and nurses have a limited role in rehabilitation...
January 24, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29364067/effect-of-experimental-muscle-pain-on-the-acquisition-and-retention-of-locomotor-adaptation-different-motor-strategies-for-a-similar-performance
#17
Jason Bouffard, Sauro Emerick Salomoni, Catherine Mercier, Kylie J Tucker, Jean-Sebastien Roy, Wolbert van den Hoorn, Paul W Hodges, Laurent J Bouyer
BACKGROUND: As individuals with musculoskeletal disorders often experience motor impairments, contemporary rehabilitation relies heavily on the use of motor learning principles. However, motor impairments are often associated with pain. While there is substantial evidence that muscle pain interferes with motor control, much less is known on its impact on motor learning, especially on locomotor learning. The objective of the present study was to assess the effects of muscle pain on locomotor learning...
January 24, 2018: Journal of Neurophysiology
https://www.readbyqxmd.com/read/29339773/postural-adaptations-to-unilateral-knee-joint-hypomobility-induced-by-orthosis-wear-during-gait-initiation
#18
A Delafontaine, P Fourcade, J L Honeine, S Ditcharles, E Yiou
Balance control and whole-body progression during gait initiation (GI) involve knee-joint mobility. Single knee-joint hypomobility often occurs with aging, orthopedics or neurological conditions. The goal of the present study was to investigate the capacity of the CNS to adapt GI organization to single knee-joint hypomobility induced by the wear of an orthosis. Twenty-seven healthy adults performed a GI series on a force-plate in the following conditions: without orthosis ("control"), with knee orthosis over the swing leg ("orth-swing") and with the orthosis over the contralateral stance leg ("orth-stance")...
January 16, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29335359/recruitment-of-additional-corticospinal-pathways-in-the-human-brain-with-state-dependent-paired-associative-stimulation
#19
Dominic Kraus, Georgios Naros, Robert Guggenberger, Maria Teresa Leão, Ulf Ziemann, Alireza Gharabaghi
Standard brain stimulation protocols modify human motor cortex excitability by modulating the gain of the activated corticospinal pathways. However, the restoration of motor function following lesions of the corticospinal tract requires also the recruitment of additional neurons to increase the net corticospinal output. For this purpose, we investigated a novel protocol based on brain state-dependent paired associative stimulation.Motor imagery (MI)-related electroencephalography was recorded in healthy males and females for brain state-dependent control of both cortical and peripheral stimulation in a brain-machine interface environment...
January 15, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29334784/unilateral-lag-screw-fixation-of-isolated-non-union-atlas-lateral-mass-fracture-a-new-technical-note
#20
Majid Reza Farrokhi, Arash Kiani, Hamid Rezaei
We describe a novel and new technique of posterior unilateral lag screw fixation of non-union atlas lateral mass fracture. A 46-year-old man presented with cervical pain and tenderness after a vehicle turn over accident and he was diagnosed to have left atlas lateral mass fracture. He was initially treated by immobilization using Minerva orthosis. About 2 months later, he developed severe neck pain and limitation of motion and thus he was scheduled for operation due to non-union atlas lateral mass fracture...
January 15, 2018: British Journal of Neurosurgery
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