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Motion Palpation

Claire Morel, Isabelle Hauret, Nicolas Andant, Armand Bonnin, Bruno Pereira, Emmanuel Coudeyre
INTRODUCTION: Botulinum toxin injections are an effective treatment for limb spasticity following stroke. Different tracking techniques are used for this purpose: palpation, electrostimulation, electromyography and ultrasound. Yet very few studies have compared these different techniques, and none has successfully proved the superior efficacy of ultrasound-guided injections compared to another tracking method. The primary objective of our study was therefore to compare the efficacy of botulinum toxin injections depending on the tracking technique used: ultrasound versus electrostimulation...
November 15, 2016: BMJ Open
Richard J van Arkel, Jonathan R T Jeffers
Many innovative experiments are designed to answer research questions about hip biomechanics, however many fail to define a coordinate system. This makes comparisons between studies unreliable and is an unnecessary hurdle in extrapolating experimental results to clinical reality. The aim of this study was to present a specimen mounting protocol which aligns and registers hip specimens in the International Society of Biomechanics (ISB) coordinate system, which is defined by bony landmarks that are identified by palpation of the patient׳s body...
December 8, 2016: Journal of Biomechanics
Anna-Lisa Kofahl, Sebastian Theilenberg, Jakob Bindl, Deniz Ulucay, Judith Wild, Sylvia Napiletzki, Birgit Schu-Schätter, Alexandra Vohlen, Bogdan Pintea, Jürgen Finsterbusch, Elke Hattingen, Carsten Urbach, Karl Maier
PURPOSE: It is well known that pathological changes in tissue alter its mechanical properties. This holds also true for brain tissue. In case of the brain, however, obtaining information about these properties is hard due to the surrounding cranial bone. In this paper a novel technique to create an imaging contrast based on the aforementioned properties is presented. METHODS: The method is based on an excitation of the brain induced by a short fall. The response of the brain tissue is measured using a motion sensitive MRI sequence...
October 3, 2016: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
Luca Guarda-Nardini, Cristina Cadorin, Antonio Frizziero, Stefano Masiero, Daniele Manfredini
OBJECTIVE: The aim of this study was to evaluate cervical spine pain and function after five sessions of viscosupplementation with hyaluronic acid (HA) in patients with temporomandibular joint (TMJ) osteoarthritis. METHODS: Forty-nine patients, (79% females, aged between 43-81 years), affected by TMJ osteoarthritis and concurrent cervical spine pain and limited function were recruited. All patients underwent a cycle of five weekly arthrocenteses and viscosupplementation with 1 ml of medium molecular weight HA according to the single-needle arthrocentesis technique...
September 16, 2016: Cranio: the Journal of Craniomandibular Practice
Matthew T Provencher, Hannah Kirby, Lucas S McDonald, Petar Golijanin, Daniel Gross, Kevin J Campbell, Lance LeClere, George Sanchez, Shawn Anthony, Anthony A Romeo
BACKGROUND: Pectoralis minor (PM) tightness has been linked to pain and dysfunction of the shoulder joint secondary to anterior tilt and internal rotation of the scapula, thus causing secondary impingement of the subacromial space. PURPOSE: To describe outcomes pertaining to nonoperative and operative treatment via surgical release of the PM tendon for pathologic PM tightness in an active population. STUDY DESIGN: Case series; Level of evidence, 4...
January 2017: American Journal of Sports Medicine
Eun-Kyung Koh, Kyue-Nam Park, Do-Young Jung
OBJECTIVES: This study was conducted in order to determine the effect of feedback tools on activities of the gluteus maximus (Gmax) and oblique abdominal muscles and the angle of pelvic rotation during clam exercise (CE). DESIGN: Comparative study using repeated measures. SETTING: University laboratory. PARTICIPANTS: Sixteen subjects with lower back pain. MAIN OUTCOME MEASURES: Each subject performed the CE without feedback, the CE using a pressure biofeedback unit (CE-PBU), and the CE with palpation and visual feedback (CE-PVF)...
November 2016: Physical Therapy in Sport
Steve Karas, Anthony Schneiders, Duncan Reid, Victor Talisa
OBJECTIVES: We sought to find if there was a relationship between the confidence in use of static palpation, passive physiological intervertebral motion (PPIVM) and passive accessory intervertebral motion (PAIVM) and the manual therapist's (MTs) knowledge of the literature on these topics. METHODS: We designed an international survey to achieve our objectives. Each skill was surveyed for the cervical, thoracic and lumbar spines. We also included several other factors that we believed might influence the use of these skills...
July 2016: Journal of Manual & Manipulative Therapy
Mariana Maia Freire de Oliveira, Maria Salete Costa Gurgel, Maria Teresa Pace do Amaral, Bárbara Juarez Amorim, Celso Darío Ramos, José Geraldo Almeida Filho, Laura Ferreira de Rezende, Luís Otávio Zanatta Sarian
OBJECTIVE: To evaluate manual lymphatic drainage (MLD) and active exercise effects on lymphatic alterations of the upper limb (UL), range of motion (ROM) of shoulder, and scar complications after breast cancer surgery. DESIGN: Clinical trial. SETTING: Health care center. PARTICIPANTS: Women (N=105) undergoing radical breast cancer surgery who were matched for staging, age, and body mass index. INTERVENTIONS: Women (n=52) were submitted to MLD and 53 to active exercises for UL for 1 month and followed up...
August 9, 2016: Archives of Physical Medicine and Rehabilitation
Bruno Manfredini Baroni, Marcelo Gava Pompermayer, Anelize Cini, Amanda Stortti Peruzzolo, Régis Radaelli, Clarissa Müller Brusco, Ronei Silveira Pinto
Load and range of motion (ROM) applied in resistance training (RT) affect the muscle damage magnitude and the recovery time-course. Since exercises performed with partial ROM allow a higher load compared to those with full ROM, this study investigated the acute effect of a traditional RT exercise using full ROM or partial ROM on muscle damage markers. Fourteen healthy men performed four sets of 10 concentric-eccentric repetitions of unilateral elbow flexion at the Scott bench. Arms were randomly assigned to partial ROM (50° to 100°) and full ROM (0° to 130°) conditions, and load was determined as 80% of one repetition maximum in full and partial ROM tests...
July 7, 2016: Journal of Strength and Conditioning Research
Robert Cooperstein, Morgan Young
INTRODUCTION: Most studies show motion palpation unreliable. This study's primary objective was assessing its reliability using a continuous measure methods, most-fixated level paradigm, stratified by examiners' confidence; and the secondary objective was comparing various indices of examiner agreement. METHODS: Thirty-four minimally symptomatic participants were palpated in side posture by two experienced examiners. Interexaminer differences in identifying the most-fixated level and degree of examiner confidence were recorded...
June 2016: Journal of the Canadian Chiropractic Association
N Schmelzer-Schmied
OBJECTIVE: The goal of this operation technique is a stable refixation of the triangular fibrocartilage complex (TFCC) to the fovea ulnaris. The stability of the distal radio-ulnar joint (DRUJ) should be re-established. The patients pain and the feeling of instability should be reduced. INDICATIONS: Lesions of the foveal component of the TFCC resulting in DRUJ instability. Combined lesions of both components of the TFCC. Complete detachment of the TFCC from the ulna either without fracture of the styloid process of the ulna or with fracture (floating styloid)...
August 2016: Operative Orthopädie und Traumatologie
Divya Bharatkumar Adhia, Steve Tumilty, Ramakrishnan Mani, Stephan Milosavljevic, Melanie D Bussey
BACKGROUND: Electromagnetic palpation-digitization technique for measurement of innominate motion involves calculation of innominate rotation using the innominate vector length in the neutral (NEUT) and combined hip abduction and external rotation (HABER) test positions. The innominate vector length [i.e., the segment between anterior superior iliac spine (ASIS) and posterior superior iliac spine (PSIS)] is not a rigid structure and its deformation could introduce an error influencing the final innominate rotation measurement...
June 15, 2016: Manual Therapy
Johnnie Faircloth, Jennifer J Mitchell, David S Edwards
INTRODUCTION: Freiberg infraction is a relatively rare osteochondrosis of the metatarsal head. The etiology of Freiberg infraction is poorly understood but likely involves factors such as, repetitive trauma and vascular compromise. When discovered early, Freiberg infraction can be cured with conservative measures but late presentations require surgical intervention. We present a case of stage V Freiberg infraction in a Division I collegiate tennis player that responded to conservative treatment...
July 2015: Journal of Orthopaedic Case Reports
Rune Mygind Mieritz, Gregory Neil Kawchuk
OBJECTIVE: The purpose of this study was to determine the accuracy of locating lumbar vertebrae using palpation vs ultrasonography. METHODS: In this study, ultrasonic imaging was used by 2 experienced clinicians to identify the third lumbar spinous process (target) of a female participant. The target was then located by 16 undergraduate chiropractic students using clinical palpation techniques learned in their academic program (with participant seated and prone) and ultrasonic imaging learned through a 5-minute training video...
July 2016: Journal of Manipulative and Physiological Therapeutics
John J Pitre, Leo B Koziol, Grant H Kruger, Alan Vollmer, Jonathan Ophir, Jean-Jacques Ammann, William F Weitzel, Joseph L Bull
Management of fluid overload in patients with end-stage renal disease represents a unique challenge to clinical practice because of the lack of accurate and objective measurement methods. Currently, peripheral edema is subjectively assessed by palpation of the patient's extremities, ostensibly a qualitative indication of tissue viscoelastic properties. New robust quantitative estimates of tissue fluid content would allow clinicians to better guide treatment, minimizing reactive treatment decision making. Ultrasound viscoelastography (UVE) can be used to estimate strain in viscoelastic tissue, deriving material properties that can help guide treatment...
September 2016: Ultrasound in Medicine & Biology
Bruno D'Aurea Furquim, Lívia Maria Sales Pinto Flamengui, Carlos Eduardo Palanch Repeke, Franco Cavalla, Gustavo Pompermaier Garlet, Paulo César Rodrigues Conti
INTRODUCTION: Tumor necrosis factor alpha (TNF-α) levels are significantly upregulated in the synovial fluid of patients with temporomandibular joint disorder (TMD). The TNF-α influences pain generation and maintenance. Therefore, the aim of this study was to investigate the influence of single nucleotide polymorphism TNFA-308 (rs1800629) on TMD risk and on the pressure pain threshold. METHODS: The genotypic and allelic frequencies of candidate single nucleotide polymorphisms were compared among 152 TMD patients and 91 sex- and age-matched healthy subjects in the control group using the real-time polymerase chain reaction technique...
May 2016: American Journal of Orthodontics and Dentofacial Orthopedics
Xinning Li, Phillip Williams, Emily J Curry, Jo A Hannafin
Two elite female athletes presented with anterior knee pain with range of motion and reproducible tenderness to palpation. Diagnostic arthroscopy was performed in both cases resulting in excision of a nodular pigmented villonodular synovitis (PVNS) in the first patient and scar tissue in the second patient. Correct diagnosis of anterior knee pain in the elite female athlete can present a challenge to clinicians. Although patellofe-moral pain is the most common diagnosis, other uncommon causes include PVNS and residual scar formation in patients with a history of surgery or trauma...
March 21, 2016: Orthopedic Reviews
Samuele Passigli, Giuseppe Plebani, Antonio Poser
BACKGROUND AND PURPOSE: Posterior shoulder tightness has been associated with numerous shoulder disorders. Methods to increase posterior shoulder mobility may be beneficial. The purpose of this case report is to report the outcomes of a subject with posterior shoulder tightness treated with dry needling as a primary intervention strategy. CASE DESCRIPTION: The subject was a 46-year-old man who was referred to physical therapy with primary symptoms of shoulder pain and loss of motion consistent with subacromial impingement syndrome...
April 2016: International Journal of Sports Physical Therapy
Alice M Sykes, Janet C Hill, John F Orr, Harinderjit S Gill, Jose J Salazar, Lee D Humphreys, David E Beverland
INTRODUCTION: During total hip arthroplasty (THA), accurately predicting acetabular cup orientation remains a key challenge, in great part because of uncertainty about pelvic orientation. This pilot study aimed to develop and validate a technique to measure pelvic orientation; establish its accuracy in the location of anatomical landmarks and subsequently; investigate if limb movement during a simulated surgical procedure alters pelvic orientation. METHODS: The developed technique measured 3-D orientation of an isolated Sawbone pelvis, it was then implemented to measure pelvic orientation in lateral decubitus with post-THA patients (n = 20) using a motion capture system...
May 16, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Barbara A Mansholt, Robert D Vining
INTRODUCTION: The reliability and validity of many evaluation tools leading to clinical decision-making for spinal manipulation are varied. We surveyed senior students and DC employees at one chiropractic college regarding 1) which analysis tools should be used and 2) factors that influence their choices. METHODS: The survey queried which tools should be used on a routine patient encounter. Clinical evaluation tools included palpation, skin temperature analysis, leg length analysis, and radiographs...
March 2016: Journal of the Canadian Chiropractic Association
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