keyword
https://read.qxmd.com/read/37328156/standing-pelvic-tilt-is-associated-with-dynamic-pelvic-tilt-during-running-when-measured-by-3-dimensional-motion-capture
#21
JOURNAL ARTICLE
Madison S Mach, Kyle T Ebersole, Hayley E Ericksen, Anh-Dung Nguyen, Jennifer E Earl-Boehm
Standing pelvic tilt (PT) is related to biomechanics linked with increased risk of injury such as dynamic knee valgus. However, there is limited evidence on how standing PT relates to dynamic PT and whether the palpation meter (PALM), a tool to measure standing PT, is valid against 3-dimensional (3D) motion analysis. The purposes of this study were to (1) determine the criterion validity of the PALM for measuring standing PT and (2) identify the relationship between standing PT and dynamic PT during running...
August 1, 2023: Journal of Applied Biomechanics
https://read.qxmd.com/read/37316175/effects-of-elevation-on-shoulder-joint-motion-comparison-of-dynamic-and-static-conditions
#22
JOURNAL ARTICLE
Takaki Imai, Takashi Nagamatsu, Junichi Kawakami, Masaki Karasuyama, Nobuya Harada, Yu Kudo, Kazuya Madokoro
BACKGROUND: Although visual examination and palpation are used to assess shoulder motion in clinical practice, there is no consensus on shoulder motion under dynamic and static conditions. This study aimed to compare shoulder joint motion under dynamic and static conditions. METHODS: The dominant arm of 14 healthy adult males was investigated. Electromagnetic sensors attached to the scapular, thorax, and humerus were used to measure three-dimensional shoulder joint motion under dynamic and static elevation conditions and compare scapular upward rotation and glenohumeral joint elevation in different elevation planes and angles...
June 2023: Clinics in shoulder and elbow
https://read.qxmd.com/read/37303331/telemedicine-evaluation-of-hip-ailments
#23
JOURNAL ARTICLE
Rock P Vomer, Emma York, Kristina DeMatas, Neil P Shah, Rayghan S Larick, Mantavya Punj, Raul A Rosario-Concepcion, George G A Pujalte
Background During the coronavirus disease 2019 (COVID-19) pandemic, telemedicine has provided new means of patient care while still allowing for physical examination and history to be obtained. Hip ailments are a common musculoskeletal problem leading to limited function. Today, we lack a standardized telemedicine hip evaluation protocol. Aim The aim of this manuscript is to provide an efficient means of extracting relevant information while performing telemedicine examinations of the hip. Methods The authors have created a step-by-step evaluation guide for physicians to evaluate hip complaints, including inspection, palpation, range of motion, strength testing, functional assessment, gait analysis, and special testing, with images of each maneuver...
May 2023: Curēus
https://read.qxmd.com/read/37291009/neck-pain-repercussions-in-migraine-the-role-of-physiotherapy
#24
JOURNAL ARTICLE
Debora Bevilaqua-Grossi, Carina F Pinheiro-Araujo, Gabriela F Carvalho, Lidiane L Florencio
INTRODUCTION: Migraine is a neurological and disabling disease whose peripheral manifestations can be addressed with physiotherapy. These manifestations can include pain and hypersensitivity to muscular and articular palpation in the neck and face region, a higher prevalence of myofascial trigger points, limitation in global cervical motion, especially in the upper segment (C1-C2), and forward head posture with worse muscular performance. Furthermore, patients with migraine can present cervical muscle weakness and greater co-activation of antagonists in maximum and submaximal tasks...
June 3, 2023: Musculoskeletal Science & Practice
https://read.qxmd.com/read/37138156/diagnostic-test-accuracy-for-cessation-of-circulation-during-death-determination-a-systematic-review
#25
REVIEW
Jennifer A Klowak, Anna-Lisa V Nguyen, Abdullah Malik, Laura Hornby, Christopher J Doig, Joann Kawchuk, Mypinder Sekhon, Sonny Dhanani
PURPOSE: To synthesize the available evidence comparing noninvasive methods of measuring the cessation of circulation in patients who are potential organ donors undergoing death determination by circulatory criteria (DCC) with the current accepted standard of invasive arterial blood pressure (IAP) monitoring. SOURCE: We searched (from inception until 27 April 2021) MEDLINE, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials. We screened citations and manuscripts independently and in duplicate for eligible studies that compared noninvasive methodologies assessing circulation in patients who were monitored around a period of cessation of circulation...
May 3, 2023: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/37102046/examination-of-thoracic-and-lumbosacral-spine-guide-for-neurosurgery-residents
#26
JOURNAL ARTICLE
Mohd Arman Muhamad Nor, Mohammad Imran Ahmad, Anis Nabillah Mohd Azli, Jafri Malin Abdullah, Zamzuri Idris, Abdul Rahman Izaini Ghani
BACKGROUND: This paper outlines a summary of examination techniques for the thoracic and lumbosacral spine. It starts with observation, palpation and a range of movements followed by various special tests to identify thoracic and lumbosacral spine pathology. METHODS: Bedside instruments used include a measuring tape, scoliometer and back range of motion instrument (BROM II). DISCUSSION: Back flexion-extension, lateral flexion and rotation were assessed with bedside instruments...
April 2023: Malaysian Journal of Medical Sciences: MJMS
https://read.qxmd.com/read/37065521/management-of-a-gap-non-union-patella-fracture-using-encirclage-wire-and-tension-band-wiring-with-quadriceps-v-y-plasty-in-an-elderly-patient-a-rare-case-report-and-review-of-literature
#27
Neetin P Mahajan, Pranay Kondewar, Santosh Ghoti, Kunal Chaudhari, Akshay Gund
INTRODUCTION: The management of gap non-union patella fractures continues to be a challenge in orthopedics. The incidence of these cases ranges between 2.7% and 12.5%. The quadriceps muscle attached to the proximal fractured fragment pulls it proximally leading to the gap at fracture site. If the gap is too large, there won't be any fibrous union resulting in failure of quadriceps mechanism and extension lag. The primary aim is to bring the fracture fragments together and restore the extensor mechanism...
June 2022: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37009376/a-case-of-general-anaesthesia-using-an-i-gel-airway-for-mri-of-an-adult-patient-with-athetoid-cerebral-palsy
#28
Kenichi Takechi, Aki Yamashita, Ichiro Shimizu
Patients with athetoid cerebral palsy may develop cervical myelopathy owing to repetitive involuntary motion. In these patients, MRI evaluation is required; involuntary motion is problematic, and general anaesthesia and immobilisation may be necessary. However, MRI studies requiring muscle relaxation and general anesthesia in adults are rare. A 65-year-old man with a history of athetoid cerebral palsy required an MRI of the cervical spine under general anaesthesia. General anaesthesia was administered with 5 mg of midazolam and 50 mg of rocuronium in a room adjacent to the MRI room...
March 2023: Curēus
https://read.qxmd.com/read/36968910/evaluation-of-the-hand-and-wrist-via-telephone-and-video-visit
#29
JOURNAL ARTICLE
Rock P Vomer, Adam J Lewno, Imoh Udoh, Shirley Albano-Aluquin, George G A Pujalte
BACKGROUND:  The COVID-19 pandemic has highlighted the utility of telemedicine, with rapid incorporation throughout 2020. Telemedicine is a timely, safe, and effective means of evaluating, triaging, and treating patient conditions, including those of the musculoskeletal system. Hand and wrist complaints are frequently encountered in the primary care setting, and some can have serious consequences if not promptly diagnosed. Prior to the pandemic, over a quarter of the nation's allopathic degree-granting medical schools had initiated telemedicine training as part of the preclinical phase of their curriculum, and about half had implemented it into clerkships prior to the pandemic...
February 2023: Curēus
https://read.qxmd.com/read/36924792/does-the-use-of-injectable-platelet-rich-fibrin-after-arthrocentesis-for-disc-displacement-without-reduction-improve-clinical-outcomes
#30
JOURNAL ARTICLE
Gözde Işık, Selin Kenç, Banu Özveri Koyuncu, Sevtap Günbay, Tayfun Günbay
PURPOSE: Many studies have reported the role of arthrocentesis to alleviate symptoms of patients with disc displacement without reduction (DDWoR). Nevertheless, the benefit of injectable platelet-rich fibrin (i-PRF) remains unclear. The aim of this study was to answer the following question: among patients with DDWoR, do those treated with intra-articular injection of i-PRF after arthrocentesis, when compared to those treated with arthrocentesis only, have better clinical outcomes in terms of pain reduction and improvement of jaw movement? MATERIALS AND METHODS: This single-blind randomized, controlled study included patients with diagnosed DDWoR, in the Department of Oral and Maxillofacial Surgery at the School of Dentistry, Ege University, who had localized joint pain and limited range of motion...
March 13, 2023: Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/36900103/dynamic-ultrasound-examination-for-extensor-pollicis-longus-tendon-rupture-after-palpation-guided-corticosteroid-injection
#31
JOURNAL ARTICLE
Ying-Chun Chen, Wei-Ting Wu, Kamal Mezian, Vincenzo Ricci, Levent Özçakar, Ke-Vin Chang
This report aimed to present a case of wrist-tendon rupture and to discuss a rare complication after corticosteroid injection. A 67-year-old woman had difficulty extending her left-thumb interphalangeal joint several weeks after a palpation-guided local corticosteroid injection. Passive motions remained intact without sensory abnormalities. Ultrasound examination showed hyperechoic tissues at the site of the extensor pollicis longus (EPL) tendon at the wrist level and an atrophic EPL muscle stump at the forearm level...
March 3, 2023: Diagnostics
https://read.qxmd.com/read/36874692/beyond-gonarthrosis-in-the-elderly-a-case-report-of-subchondral-insufficiency-fracture-of-the-knee
#32
Mariana Martins, Raquel Araújo, Rosana Pinheiro, Ana Costa, José Luís Carvalho
Subchondral insufficiency fracture of the knee (SIFK) is a non-traumatic condition that has been, historically, associated with the elderly. Early diagnosis and management are essential to prevent evolution to subchondral collapse and secondary osteonecrosis, developing prolonged pain and functional losses. This article presents the case of an 83-year-old patient with severe right knee pain with 15 months of evolution, with sudden onset, and no history of trauma or sprain. Upon observation, the patient presented with a limping gait, antalgic posture with the knee in semi-flexion, pain on palpation of the joint medial line, severe pain on passive mobilization, limited joint range of motion, and a positive McMurray test...
January 2023: Curēus
https://read.qxmd.com/read/36844988/chiropractic-management-of-chronic-ankle-pain-and-limited-mobility-in-a-pediatric-athlete-a-case-report
#33
Randy L Hewitt, Jennifer L Brocker
OBJECTIVE: The purpose of this case study was to report the chiropractic management of a teenage athlete who had chronic pain after a lateral ankle sprain. CLINICAL FEATURES: A 15-year-old male patient presented with persistent ankle pain due to an inversion sprain while playing soccer approximately 8.5 months prior. Emergency department records noted a left lateral ankle sprain, including the anterior talofibular ligament, calcaneofibular ligament, and posterior talofibular ligament...
March 2023: Journal of Chiropractic Medicine
https://read.qxmd.com/read/36777120/does-intra-operative%C3%A2-fluoroscopy-significantly-improve-component-position-in-a-primary-total-hip-arthroplasty-our-experience-in-a-tertiary-care-hospital
#34
JOURNAL ARTICLE
Manan Shah, Alfven Vieira, Akshay Mahajan, Laksh Agrawal, Dhruv Shah, Shahish Surme, Ameya Velankar
BACKGROUND: Optimal component placement, equalization of leg lengths, and recreation of offset are important surgical objectives during total hip arthroplasty (THA). Historically, many surgeons have aimed for the Lewinnek's " safe zone," which is defined as 30°-50° of abduction and 5°-25° of anteversion. Methods for optimizing cup position include anatomic landmarks, room landmarks, acetabular cup coverage, and ischial or pubis palpation...
February 2023: Indian Journal of Orthopaedics
https://read.qxmd.com/read/36660987/reliability-of-dual-inclinometer-for-lumbar-range-of-motion-using-two-different-landmarking-techniques
#35
JOURNAL ARTICLE
Ishaq Ahmed, Mohammad Ali Mohseni Bandpei, Syed Amir Gilani, Ashfaq Ahmad, Faryal Zaidi
OBJECTIVE: To measure the intra-rater and inter-rater reliability of active lumbar extension and flexion movements using dual inclinometer with two different landmarking techniques. METHODS: The reliability study was conducted at the Physical Therapy Department of the University Teaching Hospital, The University of Lahore, Pakistan, in January 2020, and comprised patients of either gender aged >18 years with mild or symptomatic lower back pain, and healthy subjects s controls...
October 2022: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/36645811/the-effectiveness-of-deep-tissue-massage-on-pain-trigger-point-disability-range-of-motion-and-quality-of-life-in-individuals-with-myofascial-pain-syndrome
#36
JOURNAL ARTICLE
Ömer Bingölbali, Cengiz Taşkaya, Halil Alkan, Özlem Altındağ
PURPOSE: This study aims to examine the effect of deep tissue massage (DTM) on the myofascial trigger point (MTrP) number, neck range of motion (ROM), pain, disability and quality of life in patients with Myofacial pain syndrome (MPS). METHODS: The study involved patients with MPS between the ages of 20-57. The patients were randomly divided into two groups: the control group ( n  = 40) and the study group ( n  = 40). Transcutaneous Electrical Neuromuscular Stimulation (TENS), hotpack and ultrasound were applied to 40 patients in the control group...
January 16, 2023: Somatosensory & Motor Research
https://read.qxmd.com/read/36554298/screening-for-referral-of-serious-pathology-by-physical-examination-tests-in-patients-with-back-or-chest-pain-a-systematic-review
#37
REVIEW
Federico Andreoletti, Filippo Maselli, Lorenzo Storari, Andrea Vongher, Monica Erbesato, Marco Testa, Andrea Turolla
OBJECTIVE: To investigate the most common physical examination tests (PET) for the screening for referral of patients with back or chest pain caused by serious pathology. METHODS: A systematic review was conducted. Searches were performed on seven electronic databases between June 2020 and December 2021. Only studies evaluating patients with back and/or chest pain with clear reporting of PETs and prompt patient referrals were included. RESULTS: 316 full texts were included, and these studies had a total of 474/492 patients affected by a serious disease...
December 7, 2022: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/36494492/directional-touch-sensing-for-stiffness-singularity-search-in-an-object-using-microfinger-with-tactile-sensor
#38
JOURNAL ARTICLE
Satoshi Konishi, Yugo Kakehi, Yuto Hori
Palpation is widely used as the initial medical diagnosis. Integration of micro tactile sensors and artificial muscles enables a soft microfinger for active touch sensing using its bending actuation. Active touch sensing by pushing-in motion of microfinger enables to evaluate stiffness distribution on an elastic object. Due to its compactness, the microfinger can enter a narrow space, such as gastrointestinal and abdominal spaces in a body. However, a microfinger can only touch and sense limited points. We aim at efficient method for searching a stiffness singular part in an elastic object by the directional touch sensing of a microfinger...
December 9, 2022: Scientific Reports
https://read.qxmd.com/read/36470091/are-static-foot-posture-and-ankle-dorsiflexion-range-of-motion-associated-with-achilles-tendinopathy-a-cross-sectional-study
#39
JOURNAL ARTICLE
Rodrigo Scattone Silva, Hayley Powell Smitheman, Andy K Smith, Karin Grävare Silbernagel
BACKGROUND: Subtalar hyperpronation and ankle dorsiflexion restriction have been theoretically associated with Achilles tendinopathy (AT). However, evidence to support these associations is lacking. OBJECTIVES: To compare foot alignment and ankle dorsiflexion range of motion (ROM) between the symptomatic and non-symptomatic limbs of individuals with unilateral AT. And to verify whether differences exist between individuals with symptomatic pronated feet and individuals with symptomatic neutral/supinated feet in terms of tendon pain, structure, and symptom severity...
2022: Brazilian Journal of Physical Therapy
https://read.qxmd.com/read/36451639/chronic-distal-biceps-tendon-rupture-with-allograft-reconstruction
#40
Moaath A Alamir, Kholoud M Alotaibi
Rupture of the distal biceps tendon typically occurs after an eccentric extension load is applied to the elbow. Chronic distal biceps ruptures are uncommon and are complicated by tendon, muscle retraction, and tissue atrophy. Here, we present the case of a 26-year-old male soldier. The patient was a smoker on steroids and growth hormones. He had a distal biceps tendon rupture for two months following weightlifting. He had a positive hook test, and the tendon could not be palpated in his antecubital fossa. Despite trying conservative treatment earlier, he complained of weakness and was unhappy with the cosmetic appearance of his arm...
October 2022: Curēus
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