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https://www.readbyqxmd.com/read/29775171/competency-standards-for-newly-graduated-prosthetist-orthotists-in-sweden
#1
Nerrolyn Ramstrand, Simon Ramstrand
BACKGROUND: There are currently no national competency standards upon which to develop educational objectives for prosthetist/orthotists in Sweden. While standards have been developed in other countries, they cannot be applied without confirming their relevance in a Swedish context. OBJECTIVES: To describe and obtain consensus on core competencies required for newly graduated prosthetist/orthotists in Sweden. STUDY DESIGN: Modified Delphi process...
May 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29775167/prosthetic-and-orthotic-students-attitudes-toward-addressing-sexual-health-in-their-future-profession
#2
Kristina Areskoug-Josefsson, Fredrik Thidell, Bo Rolander, Nerrolyn Ramstrand
BACKGROUND: Prosthetists and orthotists have a responsibility to direct treatment toward enabling their clients to perform desired activities and to facilitate participation of their clients in all areas of life. This may include provision of assistive technologies to help clients meet goals related to participation in sexual activities. To help prosthetic and orthotic students develop competencies in dealing with the sexual health of their future clients, it is necessary to generate knowledge of their own perceived competence and capacity...
May 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29766555/hand-foot-skin-reaction-related-to-use-of-the-multikinase-inhibitor-sorafenib-and-hard-orthotics
#3
Ayan Kusari, Jenna Borok, Allison M Han, Alix Jessika Valderrama, Sheila Fallon Friedlander
Hand-foot-skin reaction is a distinct clinical condition arising in association with the use of multikinase inhibitors, including sorafenib. Because multikinase inhibitors are increasingly being used in children with cancer, recognition of this previously unfamiliar condition is of importance to pediatric dermatologists. We describe the diagnosis and successful treatment of a case of hand-foot-skin reaction in a child taking sorafenib for an unresectable desmoid tumor.
May 15, 2018: Pediatric Dermatology
https://www.readbyqxmd.com/read/29756513/self-directed-therapy-programmes-for-arm-rehabilitation-after-stroke-a-systematic-review
#4
Ruth H Da-Silva, Sarah A Moore, Christopher I Price
AIM: To investigate the effectiveness of self-directed arm interventions in adult stroke survivors. METHODS: A systematic review of Medline, EMBASE, CINAHL, SCOPUS and IEEE Xplore up to February 2018 was carried out. Studies of stroke arm interventions were included where more than 50% of the time spent in therapy was initiated and carried out by the participant. Quality of the evidence was assessed using the Cochrane risk of bias tool. RESULTS: A total of 40 studies ( n = 1172 participants) were included (19 randomized controlled trials (RCTs) and 21 before-after studies)...
May 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29752826/post-polio-syndrome-and-the-late-effects-of-poliomyelitis-part-2-treatment-management-and-prognosis
#5
REVIEW
Julian K Lo, Lawrence R Robinson
Post-Polio Syndrome (PPS) is characterized by new muscle weakness and/or muscle fatigability that occurs many years following the initial poliomyelitis illness. An individualized approach to rehabilitation management is critical. Interventions may include rehabilitation management strategies, adaptive equipment, orthotic equipment, gait/mobility aids and a variety of therapeutic exercises. The progression of muscle weakness in PPS is typically slow and gradual; however, there is also variability in both the natural history of weakness and functional prognosis...
May 12, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29749885/assessing-calvarial-vault-constriction-associated-with-helmet-therapy-in-deformational-plagiocephaly
#6
Erin C Peterson, Kamlesh B Patel, Gary B Skolnick, Kristin D Pfeifauf, Katelyn N Davidson, Matthew D Smyth, Sybill D Naidoo
OBJECTIVE Deformational plagiocephaly and/or brachycephaly (DPB) is a cranial flattening frequently treated in pediatric craniofacial centers. The standard of care for DPB involves patient positioning or helmet therapy. Orthotic therapy successfully reduces cranial asymmetry, but there is concern over whether the orthotics have the potential to restrict cranial growth. Previous research addressing helmet safety was limited by lack of volume measurements and serial data. The purpose of this study was to directly compare head growth data in patients with DPB between those who underwent helmet therapy and those who received repositioning therapy...
May 11, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29747079/mechanical-effects-of-medial-and-lateral-wedged-orthoses-during-running
#7
Jonathan Sinclair
OBJECTIVE: The aim of the current investigation was to examine the effects of orthoses with 5° medial and lateral wedges on knee joint kinetics during the stance phase of running. DESIGN: Repeated measures. SETTING: Laboratory. PARTICIPANTS: Twelve recreational runners. OUTCOME MEASUREMENTS: Twelve male participants ran over a force platform at 4.0 m/s in three different conditions (medial orthotic, lateral orthotic and no-orthotic)...
May 3, 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29739632/outcomes-and-factors-influencing-response-to-an-individualized-multidisciplinary-chronic-disease-management-program-for-hip-and-knee-osteoarthritis
#8
David P Gwynne-Jones, Andrew R Gray, Liam R Hutton, Kirsten M Stout, J Haxby Abbott
BACKGROUND: The objective of the study was to investigate the effectiveness of, and factors associated with, response to a chronic disease management program for patients with hip and knee osteoarthritis (OA). METHODS: Over a 2-year period (2012-2014), 218 patients (97 hip OA; 121 knee OA) were managed with an individualized program of interventions that could include education, physiotherapy, orthotics, occupational therapy, or dietitian referral. Changes in Oxford Hip Score or Oxford Knee Score and Short Form-12 (SF-12) Physical and Mental Component Summary Score (PCS, MCS) were analyzed by joint affected, both unadjusted, and gender and age adjusted...
April 16, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29729467/the-efficacy-of-thoracolumbar-bracing-on-spinal-immobilization-a-precise-assessment-of-gross-intersegmental-and-segmental-spinal-motion-restriction-by-a-3d-kinematic-system
#9
Gernot Lang, Anja Hirschmüller, Stefanie Patermann, Patric Eichelberger, Peter Strohm, Heiner Baur, Norbert P Südkamp, Georg W Herget
BACKGROUND: Various diseases of the spine are treated by immobilization via orthoses, although detailed evidence on the efficiency of orthotic bracing remains elusive. The present study sought to investigate the impact of three different orthoses on spinal immobilization utilizing three dimensional (3D) kinematic measurements. METHODS: Twelve healthy volunteers performed different motion tasks such as trunk flexion/extension and bilateral trunk bending, respectively...
May 2, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29724726/eular-recommendations-for-the-health-professional-s-approach-to-pain-management-in-inflammatory-arthritis-and-osteoarthritis
#10
Rinie Geenen, Cécile L Overman, Robin Christensen, Pernilla Åsenlöf, Susana Capela, Karen L Huisinga, Mai Elin P Husebø, Albère J A Köke, Zoe Paskins, Irene A Pitsillidou, Carine Savel, Judith Austin, Afton L Hassett, Guy Severijns, Michaela Stoffer-Marx, Johan W S Vlaeyen, César Fernández-de-Las-Peñas, Sarah J Ryan, Stefan Bergman
Pain is the predominant symptom for people with inflammatory arthritis (IA) and osteoarthritis (OA) mandating the development of evidence-based recommendations for the health professional's approach to pain management. A multidisciplinary task force including professionals and patient representatives conducted a systematic literature review of systematic reviews to evaluate evidence regarding effects on pain of multiple treatment modalities. Overarching principles and recommendations regarding assessment and pain treatment were specified on the basis of reviewed evidence and expert opinion...
May 3, 2018: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/29717112/gastrin-stimulates-pancreatic-cancer-cell-directional-migration-by-activating-the-g%C3%AE-12-13-rhoa-rock-signaling-pathway
#11
Ganggang Mu, Qianshan Ding, Hongyan Li, Li Zhang, Lingli Zhang, Ke He, Lu Wu, Yunchao Deng, Dongmei Yang, Lianlian Wu, Ming Xu, Jie Zhou, Honggang Yu
The mechanism by which gastrin promotes pancreatic cancer cell metastasis is unclear. The process of directing polarized cancer cells toward the extracellular matrix is principally required for invasion and distant metastasis; however, whether gastrin can induce this process and its underlying mechanism remain to be elucidated. In this study, we found that gastrin-induced phosphorylation of paxillin at tyrosine 31/118 and RhoA activation as well as promoted the metastasis of PANC-1 cancer cells. Depletion of Gα12 and Gα13 inhibited the phosphorylation of paxillin and downstream activation of GTP-RhoA, blocked the formation and aggregation of focal adhesions and facilitated polarization of actin filaments induced by gastrin...
May 1, 2018: Experimental & Molecular Medicine
https://www.readbyqxmd.com/read/29706200/a-client-centered-approach-for-thumb-carpometacarpal-joint-osteoarthritis-pain-two-case-studies
#12
Barbara Shankland, Bernadette Nedelec
DESIGN: Case study. INTRODUCTION: Hand therapists are often called upon to provide treatment for thumb carpometacarpal joint osteoarthritis. PURPOSE: These 2 case studies present a client-centered approach in the selection of orthoses and joint protection strategies for patients with thumb carpometacarpal joint osteoarthritis. At baseline, the participants presented with pain, decreased active range of motion, decreased pinch strength, and limitations in activity and participation...
April 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29696991/pressure-distribution-in-the-ankle-and-subtalar-joint-with-routine-and-oversized-foot-orthoses
#13
Patrick Williamson, Aron Lechtig, Philip Hanna, Stephen Okajima, Peter Biggane, Michael Nasr, David Zurakowski, Naven Duggal, Ara Nazarian
BACKGROUND: Foot orthoses are used to treat many disorders that affect the lower limb. These assistive devices have the potential to alter the forces, load distribution, and orientation within various joints in the foot and ankle. This study attempts to quantify the effects of orthoses on the intra-articular force distribution of the ankle and subtalar joint using a cadaveric testing jig to simulate weight bearing. METHODS: Five lower-limb cadaveric specimens were placed on a custom jig, where a 334-N (75-lb) load was applied at the femoral head, and the foot was supported against a plate to simulate double-leg stance...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29673398/assessment-of-orthotic-needs-in-iranian-veterans-with-ankle-and-foot-disorders
#14
Kamiar Ghoseiri, Mostafa Allami, Mohammad Reza Soroush
BACKGROUND: War-related traumas can lead to orthopedic and neurological disorders in victims. However, the scope of such disorders may expand months or even years after the trauma. Orthotic treatment as a rehabilitation process aims to enable people with disabilities to reach and maintain their optimal physical, sensory, intellectual, psychological, and social functional levels. This study aimed to investigate the rate of using orthoses among Iranian veterans with neuromuscular and skeletal disorders of the ankle and foot...
April 20, 2018: Military Medical Research
https://www.readbyqxmd.com/read/29661075/primum-non-nocere-reflections-from-retirement-regarding-orthotic-fabrication-and-the-precautionary-principle
#15
Kara S Ludlow
No abstract text is available yet for this article.
April 2018: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
https://www.readbyqxmd.com/read/29628695/medical-textiles-in-orthopedics-an-overview
#16
REVIEW
Raju Vaishya, Amit Kumar Agarwal, Manish Tiwari, Abhishek Vaish, Vipul Vijay, Yash Nigam
The use of textile in the medical field is not new; this has given rise to a new branch known as medical textiles. These are being used to repair or replace various other musculoskeletal tissues. The most common uses of biomaterials are to create aseptic conditions for protection, general health care, and hygiene including bedding and clothing, surgical gowns, face masks, head and shoe covers, sterilization wraps, suture anchors, fiber cast and braces/orthotics. These are also used as materials for preparation of wipes, swabs, wound dressings, bandages, gauzes, plasters, pressure garments, orthopedic belts and for new applications, such as heart valves, vascular grafts, artificial veins, artificial ligaments, artificial joints, artificial skin, and artificial cartilage...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29609157/acute-and-mid-term-six-week-effects-of-an-ankle-foot-orthosis-on-biomechanical-parameters-clinical-outcomes-and-physical-activity-in-knee-osteoarthritis-patients-with-varus-malalignment
#17
Maik Sliepen, Elsa Mauricio, Dieter Rosenbaum
BACKGROUND: Knee osteoarthritis (KOA) is a painful disease commonly caused by high loads on the articular cartilage. Orthotic interventions aim to reduce mechanical loading, thereby alleviating pain. Traditional orthotics appear effective, but high drop-out rates have been reported over prolonged periods. RESEARCH QUESTION: The aim of this study was to examine the effect of a novel ankle-foot orthosis (AFO) on gait parameters, physical function and activity of KOA patients...
March 26, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29581729/national-profile-of-foot-orthotic-provision-in-the-united-kingdom-part-2-podiatrist-orthotist-and-physiotherapy-practices
#18
C J Nester, A Graham, A Martinez-Santos, A E Williams, J McAdam, V Newton, D Sweeney, D Walker
Background: A national survey recently provided the first description of foot orthotic provision in the United Kingdom. This article aims to profile and compare the foot orthoses practice of podiatrists, orthotists and physiotherapists within the current provision. Method: Quantitative data were collected from podiatrists, orthotists and physiotherapists via an online questionnaire. The topics, questions and answers were developed through a series of pilot phases...
2018: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/29574363/effect-of-static-foot-posture-on-the-dynamic-stiffness-of-foot-joints-during-walking
#19
E Sanchis-Sales, J L Sancho-Bru, A Roda-Sales, J Pascual-Huerta
BACKGROUND: The static foot posture has been related to the development of lower limb injuries. RESEARCH QUESTION: This study aimed to investigate the dynamic stiffness of foot joints during gait in the sagittal plane to understand the role of the static foot posture in the development of injuries. METHODS: Seventy healthy adult male subjects with different static postures, assessed by the Foot Posture Index (FPI) (30 normal, 20 highly pronated and 20 highly supinated), were recruited...
March 17, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29571089/long-term-gait-outcomes-following-conservative-management-of-idiopathic-toe-walking
#20
Karen Davies, Alec Black, Michael Hunt, Liisa Holsti
BACKGROUND: Idiopathic toe walking is a diagnosis of exclusion characterized by a persistent toe-toe gait pattern after three years of age. Treatment for toe walking includes physical therapy, orthotics, casting, Botulinum Toxin A injection into gastrocnemius/soleus muscles, and/or surgery; yet, little evidence exists regarding long-term treatment effects. RESEARCH QUESTION: The objective of this study was to explore the differences in longer-term gait outcomes and severity of idiopathic toe walking between children treated actively with casting or inactively following recommendations for stretching...
February 14, 2018: Gait & Posture
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