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Occupational therapy orthopedics

Véronique Bourg, Anne Descotes, Anne Pagnier, Jacques Griffet, Dominique Plantaz
The Child and Family Hospital of Grenoble is one of the rare university hospitals in France to benefit from the presence of a physician specializing in rehabilitation medicine. This hospital includes both inpatient and outpatient units. During the temporary closure of one department, certain members of the rehabilitation unit were reassigned to the acute care wards of the pediatric department, including physical therapists, occupational therapists, and speech therapists. Over the course of one year, these therapists completed more than 150 interventions in this department, more than half of which were in the hematology and oncology ward...
September 2016: Annals of Physical and Rehabilitation Medicine
Gabriel C Smith, Matthew J Pingree, Laura A Freeman, Jane M Matsumoto, Benjamin M Howe, Stephanie N Kannas, Mary D Pyfferoen, Leah T Struss, Doris E Wenger, Kimberly K Amrami, Martha Matsumoto, Mary L Jurisson
BACKGROUND: Current understanding of the clinical features of persons with melorheostosis is restricted primarily to individual case reports and small case series. OBJECTIVE: To assess the clinical features of patients with melorheostosis treated at our institution from 1972 through 2010. DESIGN: Chart review. SETTING: Tertiary academic medical center. PARTICIPANTS: Twenty-three patients with "definite" and one patient with "probable" melorheostosis based on radiographic criteria...
July 30, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
C Spering, M Tezval, K Dresing, H Burchhardt, M Wachowski, F August, S Frosch, T A Walde, K M Stürmer, W Lehmann, S Sehmisch
BACKGROUND: Due to restrictions on admission to medical school, changing claims to an optimized work-life balance and occupational perspectives, surgical professions in particular are struggling with strategies to motivate young academics. Surgical disziplines aim towards a profound transfer of knowledge and pique student's interest by ensuring a sustainable education at university. OBJECTIVES: The goal of this study was to evaluate a Students-On-Call System (SOCS) and to identify a financial benefit...
August 2, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Douglas J Lanska
During World War I, physical and occupational therapies became important adjuncts to surgical practice, particularly for orthopedic casualties, but there was little progress in the management of severe brain and spinal cord injuries (SCIs), largely because of the very high mortality of such injuries at that time. During World War II (WWII), rehabilitation was greatly expanded into an integrated, comprehensive multidisciplinary program in the U.S. military, largely because of the efforts of Howard Rusk (1901-1989), initially in the Army Air Corps and later across all of the services...
2016: Frontiers of Neurology and Neuroscience
Ruth Deck, Kerstin Hofreuter-Gätgens
BACKGROUND: The analysis of inequalities in health care provision in Germany is of high sociopolitical relevance. For medical rehabilitation, which is an essential part of health care provision, only a few studies exist. OBJECTIVE: With the example of psychosomatic and orthopedic medical rehabilitation, the present article investigates how features of social inequality influence different aspects of medical rehabilitation. METHODS: The database consists of a written survey on the quality assurance of medical rehabilitation in northern Germany that includes 687 patients aged between 21 and 87 years...
February 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Michael A Flierl, Patrick M Carry, Frank Scott, Gaia Georgopoulos, Nancy Hadley-Miller
The goal of this study was to identify supracondylar fracture patterns that were predictive of adverse events and poor outcomes. The study consisted of a retrospective review of patients admitted for surgical treatment of a supracondylar humerus fracture between June 2008 and August 2010. Preoperative radiographs were assessed based on appearance (simple vs oblique vs comminuted), coronal plane displacement (angulated, posterior, posteromedial vs posterolateral), and rotation (rotation vs no rotation). Logistic regression models were used to examine the relationship between fracture pattern and clinical outcome parameters in 373 patients who were followed for 4 weeks or more postoperatively...
August 2015: Orthopedics
William R Wilcox, Colleen P Coulter, Michael L Schmitz
Congenital limb deficiency disorders (LDDs) are birth defects characterized by the aplasia or hypoplasia of bones of the limbs. Limb deficiencies are classified as transverse, those due to intrauterine disruptions of previously normal limbs, or longitudinal, those that are isolated or associated with certain syndromes as well as chromosomal anomalies. Consultation with a medical geneticist is advisable. Long-term care should occur in a specialized limb deficiency center with expertise in orthopedics, prosthetics, and occupational and physical therapy and provide emotional support and contact with other families...
June 2015: Clinics in Perinatology
Kristy Azbell, Lisa Dannemiller
PURPOSE: This case report documents limitations of body structures and function, activity, and participation for an infant with arthrogryposis multiplex congenita and reports frequency and timing of interventions for this child. SUMMARY OF KEY POINTS: The infant was followed from 11 days to 9 months of age while receiving occupational therapy and physical therapy on alternating weeks, with orthopedic visits for lower extremity serial casting. Passive range of motion improved and pain scores decreased during passive range of motion...
2015: Pediatric Physical Therapy
Judith G Hall, Olga Agranovich, Alga Ogranovich, Eva Pontén, Ava Pontén, Harold J P van Bosse
Enormous progress has been made in understanding the etiology and therapies for arthrogryposis (multiple congenital contractures). A 2nd International Symposium on Arthrogryposis was sponsored by the Turner Institute in St. Petersburg, Russia. Olga Agranovich, Head of the Arthrogryposis Department of the Turner Institute, organized this special meeting. Care providers from multiple disciplines from all over the world representing 18 nations attended. Participants included: Pediatric orthopedic specialists, rehabilitation physicians, occupational therapists, physical therapists, medical geneticists, neurologists, craniofacial physicians, psychologists, developmental biologists, as well as representatives from parent support groups...
June 2015: American Journal of Medical Genetics. Part A
Michael Linden, Sieghard Scherbe, Burkhard Cicholas
BACKGROUND: It is empirically well documented that psychotherapy is vital in the treatment of chronic back pain. OBJECTIVE: To test in this randomized controlled clinical trial whether cognitive behavior group therapy is effective in respect to pain tolerance and disability apart from the effects on somatization in general and additional to the effects of a multimodal inpatient orthopedic rehabilitation programme. METHODS: Fifty-three patients were randomly assigned to an intervention group, receiving six sessions of "cognitive behavior group therapy for back pain" (CBT-BP), and 50 to a control group who got unspecific occupational therapy sessions instead...
2014: Journal of Back and Musculoskeletal Rehabilitation
A Biggin, C F Munns
Osteogenesis imperfecta (OI) is a genetic bone fragility disorder characterized by low bone mass, skeletal deformity, and variable short stature. OI is predominantly caused by dominant mutations affecting type 1 collagen synthesis, with a number of other genes implicated in OI over recent years. The clinical severity of OI can vary greatly, even within families who share a common mutation. Optimal management of OI requires a multidisciplinary approach involving pediatrician, endocrinologist (bone and mineral physician), rehabilitation specialist, orthopedic surgeon, dentist, geneticist, social worker/psychologist, physiotherapist, and occupational therapist...
September 2014: Current Osteoporosis Reports
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
Homaira Rahimi, David M Siegel
BACKGROUND/PURPOSE: Amplified musculoskeletal pain (AMP) syndrome is a debilitating clinical entity primarily affecting adolescent girls in which severe pain and tactile sensitivity (allodynia) are present in a particular body region sometimes with associated signs of pallor, cutaneous hypothermia and atrophy, or pain is in a generalized distribution (fibromyalgia syndrome). Treatment focusing on desensitization, physical reconditioning, and psychological intervention has been suggested as effective therapy...
March 2014: Arthritis & Rheumatology
Flemming Jakobsen, Janet Hansen
In a Danish Interprofessional Training Unit (ITU), the clinical tutors have succeeded in developing a safe learning environment combined with challenging the students by giving them responsibility for the patient's care and rehabilitation. In the ITU, students improved their uniprofessional and interprofessional knowledge and capability while strengthening their professional identity. It was, therefore, decided to make an attempt to transfer these interprofessional learning and teaching methods to another setting...
September 2014: Journal of Interprofessional Care
Cesar Fernández-de-Las-Peñas
Cesar Fernández-de-las-Peñas completed his Bachelor's degree in Physical Therapy in 2000, in Spain. He obtained his first PhD degree in Biomedical Sciences in 2007, under the supervision of Dr Lars Arendt-Nielsen at the Sensory-Motor Interaction Center at the University of Aalborg (Denmark). In 2008, he obtained his second PhD degree in Preventive Medicine, under the supervision of Drs Pareja and Cuadrado in Spain. He is the Head of the Division of the Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine at Universidad Rey Juan Carlos, Spain...
March 2012: Pain Management
Casey L Peiris, Nora Shields, Natasha K Brusco, Jennifer J Watts, Nicholas F Taylor
BACKGROUND: Many inpatients receive little or no rehabilitation on weekends. Our aim was to determine what effect providing additional Saturday rehabilitation during inpatient rehabilitation had on functional independence, quality of life and length of stay compared to 5 days per week of rehabilitation. METHODS: This was a multicenter, single-blind (assessors) randomized controlled trial with concealed allocation and 12-month follow-up conducted in two publically funded metropolitan inpatient rehabilitation facilities in Melbourne, Australia...
2013: BMC Medicine
Celia Oreja-Guevara, Xavier Montalban, Clara de Andrés, Bonaventura Casanova-Estruch, Delicias Muñoz-García, Inmaculada García, Óscar Fernández
INTRODUCTION: Multiple sclerosis is a chronic neurological inflammatory demyelinating disease. Specialists involved in the symptomatic treatment of this disease tend to apply heterogeneous diagnostic and treatment criteria. AIM: To establish homogeneous criteria for treating spasticity based on available scientific knowledge, facilitating decision-making in regular clinical practice. DEVELOPMENT: A group of multiple sclerosis specialists from the Spanish Neurological Society demyelinating diseases working group met to review aspects related to spasticity in this disease and draw up the consensus...
October 16, 2013: Revista de Neurologia
B Kladny
Diseases and injuries of the musculoskeletal system are the most common reasons for rehabilitation in Germany. The statutory health insurance, pension funds and the German social accident insurance are service providers for rehabilitation. Rehabilitation is based on the international classification of functioning, disability and health (ICF). The extensive possibilities for medical rehabilitation are increasingly being supplemented by options for combined medical and occupational rehabilitation. The demographic changes in Germany are also a challenge for rehabilitation...
October 2013: Der Orthopäde
J D Stout
The rapidly expanding demand for occupational therapy services encompasses the area of safe transportation for children with physical handicaps. Federal and state legislation, as well as societal trends, mandate changes in the quality of vehicular restraints for those who cannot be safely transported using conventional car seats because of conditions such as cerebral palsy, orthopedic surgery and casting, ventilator dependency, or low birth weight. Potential for and barriers to occupational therapy involvement will be discussed in this paper as well as the potenhl impacts that involvement in safe transportation will have on the traditional role and education of occupational therapists...
1989: Occupational Therapy in Health Care
Shirzad Houshian, Shan Shan Jing, Chandrasekar Chikkamuniyappa, Gholam Hussein Kazemian, Mohammad Emami-Moghaddam-Tehrani
Chronic flexion contracture of the proximal interphalangeal (PIP) joint presents a common yet challenging problem to hand surgeons. Over the years, multiple treatment modalities have been described for this problem, producing limited results. Nonoperative treatment using serial casting and splints should be tried before attempting open surgical release, which should be done in selected patients. The use of external fixation for treating PIP contracture has been encouraging and can be a useful alterative. This review provides an update on the current management of PIP joint contractures and presents a flowchart of treatment to aid decision making...
August 2013: Journal of Hand Surgery
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