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Motion Palpation

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https://www.readbyqxmd.com/read/29768084/effect-of-phototherapy-on-masseter-and-anterior-temporal-muscles-before-induction-of-fatigue-a-randomized-sham-controlled-blind-clinical-trial
#1
Camila Haddad Leal de Godoy, Lara Jansiski Motta, Washington Steagall Júnior, Marcela Leticia Leal Gonçalves, Daniela Fátima Teixeira da Silva, Raquel Agnelli Mesquita-Ferrari, Aldo Brugnera Júnior, Sandra Kalil Bussadori
OBJECTIVE: This is a randomized, sham-controlled, blind clinical trial that aimed to evaluate the effect of phototherapy on bite force, mandibular range of motion, sensitivity to palpation, and fatigue in the masseter and anterior temporal muscles of young patients when administered before the induction of fatigue. MATERIALS AND METHODS: Fifty-two healthy volunteers aged 18-23 years were randomly allocated to a laser group and sham group. Both groups were submitted to a clinical evaluation to record mandibular range of motion, bite force, muscle sensitivity to palpation, and muscle fatigue...
May 16, 2018: Photomedicine and Laser Surgery
https://www.readbyqxmd.com/read/29655650/surgical-treatment-of-lisfranc-injury-with-plantar-plate-approach
#2
Deepal Dalal, Christian Curry, Ryan Carter, Colin Zdenek, Nicholas W Todd, Shannon M Rush, Richard Jensen
Midfoot injuries are the second most common athletic foot injury documented in the published data. High-energy Lisfranc dislocations are commonly seen secondary to traumatic etiologies and disrupt the strong midfoot ligaments supporting the arch. These injuries require immediate surgical intervention to prevent serious complications such as compartment syndrome and amputation. The present case series reports a new Lapidus plate system used in 3 patients who underwent arthrodesis procedures for Lisfranc joint dislocation...
April 11, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29628805/accuracy-of-motion-palpation-flexion-extension-test-in-identifying-the-seventh-cervical-spinal-process
#3
Luciana C Póvoa, Ana P A Ferreira, José F C Zanier, Julio G Silva
Objective: The aim of this study was to evaluate the accuracy of a motion palpation procedure, the flexion-extension test, in localizing the spinous process of the seventh cervical vertebra (C7). Methods: We analyzed 101 adult participants with metal markers that permitted the identification of the C7 spinous process. This analysis occurred during a flexion-extension test and was confirmed by radiography. Data sample characteristics were analyzed by descriptive statistics, and the relationship between independent variables (weight, height, sex, age, and body mass index [BMI]) and dependent variables (coincidence between the most prominent vertebra and the stationary vertebra, as determined by the flexion-extension test) was determined via logistic regression...
March 2018: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29566570/three-dimensional-assessment-of-the-asymptomatic-and-post-stroke-shoulder-intra-rater-test-retest-reliability-and-within-subject-repeatability-of-the-palpation-and-digitization-approach
#4
Liza A M Pain, Ross Baker, Qazi Zain Sohail, Denyse Richardson, Karl Zabjek, Jeremy P M Mogk, Anne M R Agur
PURPOSE: Altered three-dimensional (3D) joint kinematics can contribute to shoulder pathology, including post-stroke shoulder pain. Reliable assessment methods enable comparative studies between asymptomatic shoulders of healthy subjects and painful shoulders of post-stroke subjects, and could inform treatment planning for post-stroke shoulder pain. The study purpose was to establish intra-rater test-retest reliability and within-subject repeatability of a palpation/digitization protocol, which assesses 3D clavicular/scapular/humeral rotations, in asymptomatic and painful post-stroke shoulders...
March 23, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29509819/bilateral-wrist-pain-%C3%A2-limited-range-of-motion-%C3%A2-tenderness-to-palpation-%C3%A2-dx
#5
Hannah Shehata, Jerry Hizon
A 12-year-old girl presented to my office (JH) with bilateral wrist pain. She had fallen on both wrists palmar-flexed and then, while trying to get up, landed on both wrists dorsi-flexed. The patient did not hear any "pops," but felt immediate pain when her wrists hyperextended. Hand, wrist, and forearm x-rays were negative bilaterally for fractures. She was placed in bilateral thumb spica splints.
March 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29484250/patellofemoral-chondral-defect-in-a-preadolescent-skier-a-case-report-in-early-sport-specialization
#6
Nicholas N DePhillipo, Mark E Cinque, Nicholas I Kennedy, Jorge Chahla, Gilbert Moatshe, Robert F LaPrade
Background and Purpose: Early sport specialization (ESS) refers to intense training year round in a specific sport starting at a young age with no or limited participation in other sports. This approach to training is highly controversial; recent literature suggests that this type of specialized training could be a contributing source to overuse injuries in youth athletes. The purpose of this case report was to describe a patellofemoral articular cartilage defect of the knee in a preadolescent skier due to overuse and repetitive microtrauma as a result of ESS...
February 2018: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29468166/suspicion-of-postanesthetic-femoral-paralysis-of-the-non-dependent-limb-in-a-horse
#7
Alessandro Mirra, Micaël David Klopfenstein Bregger, Olivier Louis Levionnois
A 15-year-old Selle Francais gelding was presented to the equine referral hospital for treatment of a left guttural pouch mycosis previously diagnosed. After induction, the horse was shortly hoisted by all four feet, moved on a padded surgical table, and positioned in right lateral recumbency. In order to reduce the risk of bleeding during surgical manipulation of the carotid and maxillary arteries, a mean arterial pressure between 60 and 70 mmHg was targeted. After surgery, the horse was moved in a padded recovery box keeping the same lateral recumbency...
2018: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/29445986/pain-threshold-and-temporomandibular-function-in-systemic-sclerosis-comparison-with-psoriatic-arthritis
#8
Antonino Lo Giudice, Idona Brewer, Rosalia Leonardi, Neal Roberts, Gianluca Bagnato
The aim of the study was to evaluate whether a reduced pain threshold is associated with increased temporomandibular dysfunction in systemic sclerosis (SSc) compared to psoriatic arthritis (PsA) and healthy controls. Ninety subjects participated in the study (30 SSc, 30 PsA, and 30 healthy controls). The Helkimo index was used to evaluate temporomandibular dysfunction. Digital palpation was performed at the temporomandibular joint (TMJ) surface and at the superficial masseter muscle (SMM) and pain intensity was recorded on a visual analog scale (VAS), while pain pressure threshold (PPT) was measured at the same sites through a pressure algometer...
February 14, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29329688/motorizing-and-optimizing-ultrasound-strain-elastography-for-detection-of-intrauterine-growth-restriction-pregnancies
#9
Shier Nee Saw, Jess Yi Ru Low, Citra Nurfarah Zaini Mattar, Arijit Biswas, Lujie Chen, Choon Hwai Yap
Intrauterine growth restriction is a prevalent disease in pregnancy in which placental insufficiency leads to 5 to 10 times higher mortality and lifelong morbidities. The current detection rate is poor, and recently, ultrasound strain elastography (USEL) was proposed as a new diagnostic technique. Currently, placental USEL uses maternal subcutaneous fat as the reference layer, but this is not ideal as fat tissue stiffness can vary widely between subjects. Current USEL also uses manual palpation, and under different compression depths and rates, viscoelastic tissues such as placenta can yield different stiffness results...
March 2018: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/29320549/assessing-adverse-effects-of-intra-articular-botulinum-toxin-a-in-healthy-beagle-dogs-a-placebo-controlled-blinded-randomized-trial
#10
RANDOMIZED CONTROLLED TRIAL
Helka M Heikkilä, Tarja S Jokinen, Pernilla Syrjä, Jouni Junnila, Anna Hielm-Björkman, Outi Laitinen-Vapaavuori
OBJECTIVE: To investigate the clinical, cytological, and histopathological adverse effects of intra-articularly injected botulinum toxin A in dogs and to study whether the toxin spreads from the joint after the injection. METHODS: A longitudinal, placebo-controlled, randomized clinical trial was conducted with six healthy laboratory Beagle dogs. Stifle joints were randomized to receive either 30 IU of onabotulinum toxin A or placebo in a 1:1 ratio. Adverse effects and spread of the toxin were examined by evaluating dynamic and static weight-bearing of the injected limbs, by assessing painless range of motion and pain on palpation of joints, and by performing synovial fluid analysis, neurological examination, and electrophysiological recordings at different examination time-points in a 12-week period after the injections...
2018: PloS One
https://www.readbyqxmd.com/read/29283397/ultrasound-guidance-for-botulinum-neurotoxin-chemodenervation-procedures
#11
REVIEW
Katharine E Alter, Barbara I Karp
Injections of botulinum neurotoxins (BoNTs) are prescribed by clinicians for a variety of disorders that cause over-activity of muscles; glands; pain and other structures. Accurately targeting the structure for injection is one of the principle goals when performing BoNTs procedures. Traditionally; injections have been guided by anatomic landmarks; palpation; range of motion; electromyography or electrical stimulation. Ultrasound (US) based imaging based guidance overcomes some of the limitations of traditional techniques...
December 28, 2017: Toxins
https://www.readbyqxmd.com/read/29276467/chiropractic-management-using-multimodal-therapies-on-2-pediatric-patients-with-constipation
#12
Madhu Mia Iyer, Evangelia Skokos, Denise Piombo
Objective: The purpose of this case report is to describe chiropractic management of 7-month-old male twins who had had constipation since birth. Clinical Features: Identical male twins presented with the chief complaint of constipation and bloating. Both patients were born premature after 29 weeks of gestation and had invasive abdominal surgeries in the right lower quadrant resulting in healed postsurgical scars. Patient A underwent ileostomy for a perforation in his ileum...
December 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29223495/estimation-of-spinal-joint-centers-from-external-back-profile-and-anatomical-landmarks
#13
A Nerot, W Skalli, X Wang
Defining a subject-specific model of the human body is required for motion analysis in many fields, such as in ergonomics and clinical applications. However, locating internal joint centers from external characteristics of the body still remains a challenging issue, in particular for the spine. Current methods mostly require a set of rarely accessible (3D back or trunk surface) or operator dependent inputs (large number of palpated landmarks and landmarks-based anthropometrics). Therefore, there is a need to provide an alternative way to estimate joint centers only using a limited number of easily palpable landmarks and the external back profile...
March 21, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29149722/effects-of-middle-ear-quasi-static-stiffness-on-sound-transmission-quantified-by-a-novel-3-axis-optical-force-sensor
#14
Ivo Dobrev, Jae Hoon Sim, Baktash Aqtashi, Alexander M Huber, Thomas Linder, Christof Röösli
BACKGROUND: Intra-operative quantification of the ossicle mobility could provide valuable feedback for the current status of the patient's conductive hearing. However, current methods for evaluation of middle ear mobility are mostly limited to the surgeon's subjective impression through manual palpation of the ossicles. This study investigates how middle ear transfer function is affected by stapes quasi-static stiffness of the ossicular chain. The stiffness of the middle ear is induced by a) using a novel fiber-optic 3-axis force sensor to quantify the quasi-static stiffness of the middle ear, and b) by artificial reduction of stapes mobility due to drying of the middle ear...
January 2018: Hearing Research
https://www.readbyqxmd.com/read/29128344/validity-of-combining-history-elements-and-physical-examination-tests-to-diagnose-patellofemoral-pain
#15
Simon Décary, Pierre Frémont, Bruno Pelletier, Michel Fallaha, Sylvain Belzile, Johanne Martel-Pelletier, Jean-Pierre Pelletier, Debbie Feldman, Marie-Pierre Sylvestre, Pascal-André Vendittoli, François Desmeules
OBJECTIVE: To assess the validity of diagnostic clusters combining history elements and physical examination tests to diagnose or exclude patellofemoral pain (PFP). DESIGN: Prospective diagnostic study. SETTINGS: Orthopedic outpatient clinics, family medicine clinics, and community-dwelling. PARTICIPANTS: Consecutive patients (N=279) consulting one of the participating orthopedic surgeons (n=3) or sport medicine physicians (n=2) for any knee complaint...
April 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29114765/operator-bias-errors-are-reduced-using-standing-marker-alignment-device-for-repeated-visit-studies
#16
Laura Hutchinson, Joel B Schwartz, Amy M Morton, Irene S Davis, Kevin J Deluzio, Michael J Rainbow
When optical motion capture is used for motion analysis, reflective markers or a digitizer are typically used to record the location of anatomical landmarks identified through palpation. The landmarks are then used to construct anatomical coordinate systems. Failure to consistently identify landmarks through palpation over repeat tests creates artifacts in the kinematic waveforms. The purpose of this work was to improve intra- and inter-rater reliability in determining lower limb anatomical landmarks and the associated anatomical coordinate systems using a marker alignment device (MAD)...
April 1, 2018: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29099512/hip-pain-%C3%A2-difficulty-walking-%C3%A2-tenderness-along-the-anteromedial-thigh-and-groin-%C3%A2-dx
#17
Laura E Fink, Gerald W Morris, Linda A Mansfield
A 14-year-old Caucasian boy presented to our clinic with a complaint of left anterior hip pain. The patient had been running during a flag football match when he suddenly developed a sharp, stabbing pain in his left hip. He said he felt a "pop" in his left groin while his left foot was planted and he was cutting to the right. The patient said this was followed by worsening pain with ambulation and hip flexion. The patient had considerable difficulty walking into the exam room. On physical examination, he had significant tenderness to palpation along the anteromedial thigh and groin...
November 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29097957/conservative-care-of-pediatric-acquired-torticollis-a-report-of-2-cases
#18
Morgan D Young, Jessie L Young
Objective: The purpose of this case report is to describe the conservative management of 2 cases of acquired torticollis in children under 3 years of age. Clinical Features: Both patients awoke with painful, stiff, twisted necks the day after play in a bouncy house. Range of motion was limited, and hypertonic muscles were palpated. Their neurologic and physical evaluation was consistent with a diagnosis of acquired torticollis of musculoskeletal origin. Intervention and Outcomes: Both children were treated with chiropractic care that consisted of light myofascial release, use of an Activator instrument, and home stretching...
September 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29061135/prognostic-factors-for-recovery-following-acute-lateral-ankle-ligament-sprain-a-systematic-review
#19
Jacqueline Yewande Thompson, Christopher Byrne, Mark A Williams, David J Keene, Micheal Maia Schlussel, Sarah E Lamb
BACKGROUND: One-third of individuals who sustain an acute lateral ankle ligament sprain suffer significant disability due to pain, functional instability, mechanical instability or recurrent sprain after recovery plateaus at 1 to 5 years post injury. The identification of early prognostic factors associated with poor recovery may provide an opportunity for early-targeted intervention and improve outcome. METHODS: We performed a comprehensive search of AMED, EMBASE, Psych Info, CINAHL, SportDiscus, PubMed, CENTRAL, PEDro, OpenGrey, abstracts and conference proceedings from inception to September 2016...
October 23, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29059828/artifact-detection-in-accelerometer-signals-acquired-from-the-carotid
#20
B Silva, J Muehlsteff, R Couceiro, J Henriques, P Carvalho
Manual pulse palpation is the common procedure to assess pulse in unconscious patients. This is an error prone procedure during cardiopulmonary resuscitation and therefore automatic pulse detection techniques are being investigated. Accelerometry is an interesting sensing modality for this type of applications. However, accelerometers are highly prone to movement artifacts. Hence, one challenge in designing a solution using accelerometers is to handle motion artifacts properly. In this paper we investigate computationally simple features and classifier to capture movement artifacts in accelerometer signals acquired from the carotid...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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