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https://www.readbyqxmd.com/read/28922313/lateral-perturbation-induced-stepping-strategies-and-predictors-in-persons-poststroke
#1
Vicki L Gray, Chieh-Ling Yang, Sandy McCombe Waller, Mark W Rogers
BACKGROUND AND PURPOSE: Falls commonly occur as weight is transferred laterally, and impaired reactive stepping responses are associated with falls after stroke. The purpose of this study was to examine differences in and the determinants of mediolateral (M-L) protective stepping strategies when pulled off balance toward the paretic and nonparetic sides. METHODS: Eighteen individuals more than 6 months poststroke were pulled in the M-L direction by a lateral waist-pull perturbation system...
October 2017: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/28919604/correlation-of-stature-with-foot-length-in-5-10-years-aged-bangladeshi-children
#2
M Ismatsara, M Khalil, S Mannan, M T Alam, M M Rahman, Z Ahmed, E Z Epsi, A Kabir, S Farjan, R S Zisa
This cross sectional, descriptive and analytic type study was conducted among 5-10 years aged Bangladeshi children at different areas of Mymensingh district (Fulpur, Muktagacha, Fulbaria, Trisal and Haluaghat) on 109 Bangladeshi children (70 male and 39 female) from January 2016 to December 2016. Sample collection was done by nonrandom purposive sampling technique. Any kind of foot deformity resulting either from congenital or physical injury were excluded to construct standard measurement. The present anthropometric study was designed to construct data of 5 to 10 years aged Bangladeshi children regarding foot length, to measure correlation of stature with foot length and an attempt has been made out to grow interest among the researchers for future study and also to compare the data with the data of the people of other races...
July 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28918423/non-discriminant-relationships-between-leg-muscle-strength-mass-and-gait-performance-in-healthy-young-and-old-adults
#3
Thomas Muehlbauer, Urs Granacher, Ron Borde, Tibor Hortobágyi
BACKGROUND: Gait speed declines with increasing age, but it is unclear if gait speed preferentially correlates with leg muscle strength or mass. OBJECTIVE: We determined the relationship between gait speed and (1) leg muscle strength measured at 3 lower extremity joints and (2) leg lean tissue mass (LTM) in healthy young (age: 25 years, n = 20) and old (age: 70 years, n = 20) adults. METHODS: Subjects were tested for maximal isokinetic hip, knee, and ankle extension torque, leg LTM by bioimpedance, and gait performance (i...
September 16, 2017: Gerontology
https://www.readbyqxmd.com/read/28918008/a-finite-element-study-on-the-mechanical-response-of-the-head-neck-interface-of-hip-implants-under-realistic-forces-and-moments-of-daily-activities-part-2
#4
Khosro Fallahnezhad, Hamidreza Farhoudi, Reza H Oskouei, Mark Taylor
A finite element model was developed to investigate the effect of loading regimes caused by various daily activities on the mechanical behaviour of the head-neck taper junction in modular hip replacements. The activities included stair up, stair down, sit to stand, stand to sit, one leg standing and knee bending. To present the real mechanical environment of the junction, in addition to the force components, the frictional moments produced by the frictional sliding of the head and cup were applied to a CoCr/CoCr junction having a 12/14 taper with a proximal mismatch angle of 0...
September 7, 2017: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/28916885/geometric-analysis-and-clinical-outcome-of-two-cemented-stems-for-primary-total-hip-replacement-with-and-without-modular-necks
#5
Marcel Haversath, Christine Wendelborn, Marcus Jäger, Boris Schmidt, Wojciech Kowalczyk, Stefan Landgraeber
INTRODUCTION: Restoration of the physiological biomechanical principles of the hip is crucial in total hip replacement. The aim of this study was to compare an arthroplasty system with different offset options (a: Exeter(®)) with a dual-modular stem (b: Profemur Xm(®)). MATERIALS AND METHODS: A local and an inertial coordinate system were used to assist the description of the components' assembly in the prosthesis. A resection line of the femoral head in standard position was added to the arthroplasties and geometric parameters were measured...
September 15, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28915772/hypermobility-in-adolescent-athletes-pain-functional-ability-quality-of-life-and-musculoskeletal-injuries
#6
Heidi Schmidt, Trine Lykke Pedersen, Tina Junge, Raoul Engelbert, Birgit Juul-Kristensen
Study Design Cross-sectional. Background Generalised joint hypermobility (GJH) may increase pain and likelihood of injuries and also decrease function and health-related quality of life (HRQoL) in elite level adolescent athletes. Objectives To assess the prevalence of GJH in elite level adolescent athletes, and to study the association of GJH with pain, function, HRQoL, and musculoskeletal injuries. Methods A total of 132 elite level adolescent athletes (36 males; 96 females), mean (SD) age 14.0 (0.9) years, participated (n=22 ballet dancers, n=57 teamgym gymnasts, n=53 team handball players)...
September 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28912656/do-maximal-roller-skiing-speed-and-double-poling-performance-predict-youth-cross-country-skiing-performance
#7
Roland Stöggl, Erich Müller, Thomas Stöggl
The aims of the current study were to analyze whether specific roller skiing tests and cycle length are determinants of youth cross-country (XC) skiing performance, and to evaluate sex specific differences by applying non-invasive diagnostics. Forty-nine young XC skiers (33 boys; 13.8 ± 0.6 yrs and 16 girls; 13.4 ± 0.9 yrs) performed roller skiing tests consisting of both shorter (50 m) and longer durations (575 m). Test results were correlated with on snow XC skiing performance (PXC) based on 3 skating and 3 classical distance competitions (3 to 6 km)...
September 2017: Journal of Sports Science & Medicine
https://www.readbyqxmd.com/read/28905509/de-novo-setd5-loss-of-function-variant-as-a-cause-for-intellectual-disability-in-a-10-year-old-boy-with-an-aberrant-blind-ending-bronchus
#8
Claire Green, Joshua Willoughby, Meena Balasubramanian
Although rare, 3p microdeletion cases have been well described in the clinical literature. The clinical phenotype includes; intellectual disability (ID), growth retardation, facial dysmorphism, and cardiac malformations. Advances in chromosome microarray (CMA) testing narrowed the 3p25 critical region to a 124 kb region, and recent Whole Exome Sequencing (WES) studies have suggested that the SETD5 gene contributes significantly to the 3p25 phenotype. Loss-of-Function (LoF) variants in SETD5 are now considered a likely cause of ID...
September 14, 2017: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/28905498/effect-of-bimagrumab-on-thigh-muscle-volume-and-composition-in-men-with-casting-induced-atrophy
#9
Daniel S Rooks, Didier Laurent, Jens Praestgaard, Scott Rasmussen, Michael Bartlett, László B Tankó
BACKGROUND: Patients experiencing disuse atrophy report acute loss of skeletal muscle mass which subsequently leads to loss of strength and physical capacity. In such patients, especially the elderly, complete recovery remains a challenge even with improved nutrition and resistance exercise. This study aimed to explore the clinical potential of bimagrumab, a human monoclonal antibody targeting the activin type II receptor, for the recovery of skeletal muscle volume from disuse atrophy using an experimental model of lower extremity immobilization...
September 14, 2017: Journal of Cachexia, Sarcopenia and Muscle
https://www.readbyqxmd.com/read/28905242/poly-n-acetyl-glucosamine-snag-enhances-early-rotator-cuff-tendon-healing-in-a-rat-model
#10
C A Nuss, J Huegel, J F Boorman-Padgett, D S Choi, S N Weiss, J Vournakis, L J Soslowsky
Rotator cuff injuries frequently require surgical repairs which have a high failure rate. Biological augmentation has been utilized in an attempt to improve tendon repair. Poly-N-acetyl glucosamine (sNAG) polymer containing nanofibers has been shown to increase the rate for healing of venous leg ulcers. The purpose of this study was to investigate the healing and analgesic properties of sNAG in a rat rotator cuff injury and repair model. 144 adult male Sprague-Dawley rats underwent a transection and repair of their left supraspinatus tendons...
September 13, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/28904754/interactive-effects-of-leg-autotomy-and-incline-on-locomotor-performance-and-kinematics-of-the-cellar-spider-pholcus-manueli
#11
Gary W Gerald, Moriah M Thompson, Todd D Levine, Kerri M Wrinn
Leg autotomy can be a very effective strategy for escaping a predation attempt in many animals. In spiders, autotomy can be very common (5-40% of individuals can be missing legs) and has been shown to reduce locomotor speeds, which, in turn, can reduce the ability to find food, mates, and suitable habitat. Previous work on spiders has focused mostly on the influence of limb loss on horizontal movements. However, limb loss can have differential effects on locomotion on the nonhorizontal substrates often utilized by many species of spiders...
September 2017: Ecology and Evolution
https://www.readbyqxmd.com/read/28904147/long-legged-bees-make-adaptive-leaps-linking-adaptation-to-coevolution-in-a-plant-pollinator-network
#12
Anton Pauw, Belinda Kahnt, Michael Kuhlmann, Denis Michez, Graham A Montgomery, Elizabeth Murray, Bryan N Danforth
Adaptation is evolution in response to natural selection. Hence, an adaptation is expected to originate simultaneously with the acquisition of a particular selective environment. Here we test whether long legs evolve in oil-collecting Rediviva bees when they come under selection by long-spurred, oil-secreting flowers. To quantify the selective environment, we drew a large network of the interactions between Rediviva species and oil-secreting plant species. The selective environment of each bee species was summarized as the average spur length of the interacting plant species weighted by interaction frequency...
September 13, 2017: Proceedings. Biological Sciences
https://www.readbyqxmd.com/read/28898530/a-cost-effectiveness-analysis-of-intradiscal-electrothermal-therapy-idet-compared-with-circumferential-lumbar-fusion
#13
Eugena Stamuli, Withawin Kesornsak, Michael P Grevitt, John Posnett, Karl Claxton
STUDY DESIGN: Cost-effectiveness analysis. OBJECTIVE: To evaluate the cost-effectiveness of intradiscal electrothermal therapy (IDET) relative to circumferential lumbar fusion with femoral ring allograft (FRA) in UK. SUMMARY OF BACKGROUND DATA: Circumferential lumbar fusion is an established treatment for discogenic low back pain. However, IDET could be a cost-effective treatment alternative as it can be carried out as a day case. METHODS: Patient-level data were available for patients with discogenic low back pain treated with FRA (n=37) in a randomized trial of FRA vs titanium cage, and for patients recruited to a separate study evaluating the use of IDET (n=85)...
September 12, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28888972/emg-synchrony-to-assess-impaired-corticomotor-control-of-locomotion-after-stroke
#14
Neha Lodha, Yen-Ting Chen, Theresa E McGuirk, Emily J Fox, Steven A Kautz, Evangelos A Christou, David J Clark
Adapting one's gait pattern requires a contribution from cortical motor commands. Evidence suggests that frequency-based analysis of electromyography (EMG) can be used to detect this cortical contribution. Specifically, increased EMG synchrony between synergistic muscles in the Piper frequency band has been linked to heightened corticomotor contribution to EMG. Stroke-related damage to cerebral motor pathways would be expected to diminish EMG Piper synchrony. The objective of this study is therefore to test the hypothesis that EMG Piper synchrony is diminished in the paretic leg relative to nonparetic and control legs, particularly during a long-step task of walking adaptability...
September 1, 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/28887022/additive-influence-of-hip-offset-and-leg-length-reconstruction-on-postoperative-improvement-in-clinical-outcome-after-total-hip-arthroplasty
#15
Moritz M Innmann, Michael W Maier, Marcus R Streit, George Grammatopoulos, Thomas Bruckner, Tobias Gotterbarm, Christian Merle
BACKGROUND: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). METHODS: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA...
August 12, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28883087/modulation-of-muscle-tendon-interaction-in-the-human-triceps-surae-during-an-energy-dissipation-task
#16
Amelie Werkhausen, Kirsten Albracht, Neil J Cronin, Rahel Meier, Jens Bojsen-Møller, Olivier R Seynnes
The compliance of elastic elements allows muscles to dissipate energy safely during eccentric contractions. This buffering function is well documented in animal models but our understanding of its mechanism in humans is confined to non-specific tasks, requiring a subsequent acceleration of the body. The present study aimed to examine the behaviour of the human triceps surae muscle-tendon unit (MTU) during a pure energy dissipation task, under two loading conditions.Thirty-nine subjects performed a single-leg landing task, with- and without added mass...
September 7, 2017: Journal of Experimental Biology
https://www.readbyqxmd.com/read/28882379/reliable-anatomical-landmarks-for-minimizing-leg-length-discrepancy-during-hip-arthroplasty-using-the-lateral-transgluteal-approach-for-femoral-neck-fracture
#17
Jeung Il Kim, Nam Hoon Moon, Won Chul Shin, Kuen Tak Suh, Jae Yoon Jeong
BACKGROUND: The purpose of this study was to describe our experience of a preoperative templating technique, and to investigate the most reliable anatomical reference to minimize leg length discrepancy (LLD) during hip arthroplasty using the lateral transgluteal approach for femoral neck fractures. We hypothesized that the medial fracture tip and greater trochanter would be viable alternative anatomical References METHODS: A total of 156 hip arthroplasty cases were enrolled in the present study (103 women, 114 hemiarthroplasties, 42 total hip arthroplasties)...
September 1, 2017: Injury
https://www.readbyqxmd.com/read/28878467/key-function-for-obstacle-crossing-in-hemiplegic-persons-with-varied-degrees-of-spasticity
#18
Hideaki Tanaka, Masami Yokogawa, Takao Nakagawa, Masahide Ibune, Toshihiro Ishiwatari, Shinichirou Kawakita
[Purpose] To evaluate various key functions related to obstacle crossing motions in hemiplegic people based on the paralysis degree. [Subjects and Methods] Thirty-seven patients with maintenance-stage hemiplegia who could independently ambulate outdoors were included. Subjects' crossing movements were measured using obstacles with heights of 10%, 20%, and 30% of the trochanter length. The relationship among maximal crossing height and isometric knee extension muscle strength, one leg standing time, Trunk Impairment Scale score, disease duration, and subject age was examined, as was the target variable of maximum crossing height and the top four measurement items, to determine the explanatory variables...
August 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28871934/diffuse-palmoplantar-keratoderma-onychodystrophy-universal-hypotrichosis-and-cysts
#19
Tasleem Arif, Syed Suhail Amin, Mohammad Adil, Mohd Mohtashim
Dear Editor, Clouston syndrome, also called hidrotic ectodermal dysplasia (HED), is an autosomal dominant ectodermal dysplasia characterized by a clinical triad of onychodystrophy, generalized hypotrichosis, and palmoplantar keratoderma (1). Herein we report the case of a 24-year-old male with the distinctive clinical triad associated with multiple epidermoid cysts, which probably reflects the phenotype of Clouston syndrome. A 24-year-old male presented to our Department with diffuse thickening of the skin of his palms and soles since infancy...
July 2017: Acta Dermatovenerologica Croatica: ADC
https://www.readbyqxmd.com/read/28870190/monobloc-implants-in-cementless-total-hip-arthroplasty-in-patients-with-legg-calve-perthes-disease-a-long-term-follow-up
#20
Ze-Yu Luo, Hao-Yang Wang, Duan Wang, Hui Pan, Fu-Xing Pei, Zong-Ke Zhou
BACKGROUND: The purpose of this study was to evaluate 10-year outcomes in cementless monobloc total hip arthroplasty (THA) in a group of hips with Legg-Calve-Perthes disease (LCPD). METHODS: We reviewed 71 patients (88 hips) who underwent cementless THA with a diagnosis of LCPD from 2003 to 2009. From the total of 71 patients, 34 men and 37 women with an average age of 49.94 years were included. The mean follow-up period was 10 years. RESULTS: The mean Harris Hip Score improved significantly from 46...
September 5, 2017: BMC Musculoskeletal Disorders
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