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Rehabilitation ultrasound imaging

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https://www.readbyqxmd.com/read/29097271/the-effects-of-an-8-week-stabilization-exercise-program-on-lumbar-multifidus-muscle-thickness-and-activation-as-measured-with-ultrasound-imaging-in-patients-with-low-back-pain-an-exploratory-study
#1
Christian Larivière, Dany H Gagnon, Sharon M Henry, Richard Preuss, Jean-Pierre Dumas
BACKGROUND: Lumbar statilization exercise programs (LSEP) produce positive effects on clinical outcomes, but the underlying mechanisms remain fairly unexplored. Psychological and neuromuscular mechanisms can be involved such as a better activation of the lumbar multifidus which represents one possibility. OBJECTIVES: To determine the (1) effect of a LSEP on lumbar multifidus muscle thickness and activation, as measured with rehabilitative ultrasound imaging (RUSI), in patients with low back pain (LBP); (2) correlation between RUSI measures and any change in clinical outcomes following the LSEP; (3) reliability of RUSI measures in control subjects over 8 weeks...
October 30, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29089198/dynamic-ultrasound-imaging-for-the-assessment-of-extensor-tendon-adhesion-after-fifth-metacarpal-intraarticular-head-fracture-a-case-report
#2
Tugce Ozekli Misirlioglu, Hakan Ozben
STUDY DESIGN: Case report. INTRODUCTION: Development of extensor tendon adhesions is a common complication after intra-articular metacarpal head fracture. Whenever these adhesions cannot be mobilized by rehabilitation, tenolysis should be considered. However, the decision for tenolysis is often delayed. When the rehabilitation program comes to a plateau and clinical examination may not be sufficient to find out the cause, dynamic ultrasound (US) can show where the gliding mechanism is disrupted and help clinicians to give an accurate decision for determining the next steps...
October 28, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29076746/predicting-poor-outcome-from-simple-ankle-injuries-a-prospective-cohort-study
#3
Stuart A Bullock, Georgina M Allen, Marion S Watson, David J Wilson
BACKGROUND: Sprained ankles are common and when there are no signs or evidence of a fracture, conventional management is conservative. At present, there are no clinical markers to identify those that may develop persisting instability and disability that would require rehabilitation or surgery. OBJECTIVES: To investigate the nature and extent of soft tissue ankle injuries, and to consider whether the anatomical severity of injury can predict functional outcome. METHODS: Patients attending a local Accident and Emergency Department in Oxford with an acute ankle injury with no clinical requirement for radiographs, or where radiographs were normal, were invited into the study...
November 9, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/29016400/alterations-in-the-mechanical-response-of-deep-dorsal-neck-muscles-in-individuals-suffering-from-whiplash-associated-disorders-compared-to-healthy-controls-an-ultrasound-study
#4
Leila Rahnama, Gunnel Peterson, Anoshirvan Kazemnejad, Johan Trygg, Anneli Peolsson
OBJECTIVE: The purpose of this study was to investigate and compare the mechanical responses of dorsal neck muscles in individuals with whiplash-associated disorders (WAD) versus healthy individuals. DESIGN: This study included 36 individuals with WAD (26 women and 10 men) and 36 healthy controls (26 women and 10 men). Ultrasound imaging with speckle tracking was used to measure deformation and deformation rate in five dorsal neck muscles during a neck extension task...
October 7, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28882331/demonstration-of-extended-field-of-view-ultrasound-s-potential-to-increase-the-pool-of-muscles-for-which-in-vivo-fascicle-length-is-measurable
#5
Amy N Adkins, Patrick W Franks, Wendy M Murray
Static, B-mode ultrasound is the most common method of measuring fascicle length in vivo. However, most forearm muscles have fascicles that are longer than the field-of-view of traditional ultrasound (T-US). As such, little work has been done to quantify in vivo forearm muscle architecture. The extended field-of-view ultrasound (EFOV-US) method, which fits together a sequence of B-mode images taken from a continuous ultrasound scan, facilitates direct measurements of longer, curved fascicles. Here, we test the validity and reliability of the EFOV-US method for obtaining fascicle lengths in the extensor carpi ulnaris (ECU)...
October 3, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28855789/effects-of-different-verbal-instructions-on-change-of-lumbar-multifidus-muscle-thickness-in-asymptomatic-adults-and-in-patients-with-low-back-pain
#6
Sharon Wang-Price, Jason Zafereo, Kelli Brizzolara, Lily Sokolowski, Dawn Turner
BACKGROUND: Spinal stabilisation exercise has been shown to be effective in the rehabilitation of low back pain (LBP). Due to the isometric nature of spinal stabilisation exercise, manual therapists use various verbal instructions to elicit lumbar multifidus muscle contraction. OBJECTIVES: The purpose of this study was to assess whether or not three verbal instructions would alter muscle thickness of the lumbar multifidus muscle differently in asymptomatic individuals and patients with LBP...
February 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/28832256/3d-tendon-strain-estimation-using-high-frequency-volumetric-ultrasound-images-a-feasibility-study
#7
Catarina Carvalho, Pieter Slagmolen, Stijn Bogaerts, Lennart Scheys, Jan D'hooge, Koen Peers, Frederik Maes, Paul Suetens
Estimation of strain in tendons for tendinopathy assessment is a hot topic within the sports medicine community. It is believed that, if accurately estimated, existing treatment and rehabilitation protocols can be improved and presymptomatic abnormalities can be detected earlier. State-of-the-art studies present inaccurate and highly variable strain estimates, leaving this problem without solution. Out-of-plane motion, present when acquiring two-dimensional (2D) ultrasound (US) images, is a known problem and may be responsible for such errors...
August 1, 2017: Ultrasonic Imaging
https://www.readbyqxmd.com/read/28819784/-injuries-of-the-peroneal-tendons-often-overlooked
#8
REVIEW
K Klos, M Knobe, T Randt, P Simons, T Mückley
CLINICAL ISSUE: Injuries of the peroneal tendons are rare and often overlooked. Typical pathologies are tendinitis, tears and dislocation. Accompanying injuries are fractures. They are often associated with instability in the ankle and rearfoot deformities; therefore, these pathologies should be excluded or taken into consideration in the treatment. The clinical examination is crucial for the diagnosis. DIAGNOSTIC WORK-UP: Ultrasound and magnetic resonance imaging (MRI) examinations are very helpful; however, the true extent of the tendon pathology is often first seen during surgery...
August 17, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28782322/congenital-adrenal-hyperplasia-with-11-beta-hydroxylase-deficiency-with-testicular-adrenal-rest-tumour
#9
Archana Sonawale, Anjali Rajadhyaksha, Siddharth Warrier, Rohit Shriwastav, Nilakshi H Sabnis
Congenital adrenal hyperplasia refers to the non-malignant enlargement of adrenal gland tissue as a result of deficiency of one of several enzymes involved in adrenal hormone synthesis, secondary to a genetic mutation. 11 - Beta hydroxylase is one such enzyme, and its deficiency is a rare cause of Congenital Adrenal Hyperplasia. We describe the case of an 18-year old man who presented to us with an acute right ganglio-capsular bleed, hypertension and bilateral scrotal swelling. Investigations revealed hypokalemia, and normal renal and cardiac functions...
June 2017: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/28770309/mri-detection-of-soleus-muscle-injuries-in-professional-football-players
#10
G Pezzotta, G Querques, A Pecorelli, R Nani, S Sironi
OBJECTIVES: To describe magnetic resonance imaging (MRI) characteristics of soleus muscle injuries in symptomatic professional football players stratified according to both the Munich consensus statement and the British Athletics Muscle Injury Classification (BAMIC), and to investigate the association between specific MRI features and the "return to play" (RTP). MATERIALS AND METHODS: Professional football players with an episode of acute posterior calf pain and impaired function, subsequent to sports activity, underwent ultrasound followed by MRI examination reviewed by two different radiologists with more than 10 years of experience in the musculoskeletal system...
August 2, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28715302/characterization-of-humeral-head-displacements-during-dynamic-glenohumeral-neuromuscular-control-exercises-using-quantitative-ultrasound-imaging-a-feasibility-study
#11
Guillaume Desroches, François Desmeules, Dany H Gagnon
The objectives of the present study were to test the feasibility of measuring humeral head displacements using quantitative ultrasound imaging during the performance of two different dynamic glenohumeral neuromuscular control exercises and to investigate the influence of these exercises on the acromiohumeral distance (AHD) and anterior-posterior distance (APD). Ten individuals who have no history of shoulder injury at the non-dominant shoulder completed three repetitions of an active humeral head lowering exercise and three repetitions of a posteriorisation exercise in a random order in a seated position...
June 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28692451/the-value-of-musculoskeletal-ultrasound-in-geriatric-care-and-rehabilitation
#12
Büşra Can, Murat Kara, Özgür Kara, Zekeriya Ülger, Walter R Frontera, Levent Özçakar
The WHO reports that one of the major chronic conditions affecting the elderly worldwide is musculoskeletal disorders that are associated with long-term pain and disability. Considering the healthcare needs of the elderly (i.e. comprehensive, accessible, efficient) and the advantages of ultrasound (US) use (patient-friendly, convenient, cost-effective, and does not require exposure to radiation or magnetic fields), there seems to be a 'gap' in the actual clinical practice. In this paper, we aimed to highlight the potential value of US imaging in the management of the elderly with a wide spectrum of musculoskeletal conditions (degenerative/rheumatic joint diseases, falls/trauma, nursing care, peripheral nerve problems, sarcopenia, and interventions)...
July 7, 2017: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/28603874/impact-of-rest-duration-on-achilles-tendon-structure-and-function-following-isometric-training
#13
C M Waugh, T Alktebi, A de Sa, A Scott
Intervention programs are often sought to strengthen the Achilles tendon (AT) due to its high injury rate. Long rest periods between loading cycles have been found to increase collagen synthesis by tenocytes, suggesting rest duration may be important for tendon adaptation in vivo; however, exercise programs comparing long and short rest duration have not been directly compared. Fourteen adults completed a 12-week progressive training intervention; training sessions consisted of 5×10 isometric plantarflexion contractions each of 3-s duration performed at 90% of MVC three times weekly...
June 12, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28593101/dry-needling-increases-muscle-thickness-in-a-subject-with-persistent-muscle-dysfunction-a-case-report
#14
Kevin M Cross, Michael McMurray
BACKGROUND AND PURPOSE: Muscle dysfunction is very common following musculoskeletal injury. There is very little evidence to suggest that muscle function may be positively impacted by soft tissue interventions, such as dry needling. The purpose of this case report is to describe the immediate effect of dry needling on muscle thickness in a subject after shoulder surgery. CASE DESCRIPTION: A 22 year-old competitive gymnast presented seven months post shoulder surgery with significant impairments and functional limitations...
June 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28582272/ultrasound-guided-steroid-injection-of-the-pisotriquetral-joint-a-multidisciplinary-effort
#15
Steven W Brose, Janel Montfort, Kenneth J Gustafson, Ionica Mittebrun, Samantha Gauriloff, Mary Mosher, Dennis J Bourbeau
From the perspective of a multidisciplinary team, the authors describe the first reported use of ultrasound guidance for steroid injection into the pisotriquetral joint to relieve wrist pain of a person with spinal cord injury undergoing acute inpatient rehabilitation. Musculoskeletal ultrasound guidance was used to improve the accuracy of a corticosteroid injection of the pisotriquetral joint and the basal thumb in a 70-year-old man with paraplegia experiencing multifocal degenerative wrist pain. There was no bleeding or bruising after the injections, and the patient reported complete pain resolution 1 wk after the injections, which continued for over 1 yr...
June 2, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28498225/rehabilitation-and-prevention-of-proximal-hamstring-tendinopathy
#16
Nicholas R Beatty, Ioonna Félix, Jessica Hettler, Peter J Moley, James F Wyss
Proximal hamstring tendinopathy (PHT) comprises a small but significant portion of hamstring injuries in athletes, especially runners. PHT is a chronic condition that is clinically diagnosed but can be supported with imaging. The main presenting complaint is pain in the lower gluteal or ischial region that may or may not radiate along the hamstrings in the posterior thigh. There is little scientific evidence on which to base the rehabilitation management of PHT. Treatment is almost always conservative, with a focus on activity modification, addressing contributing biomechanical deficiencies, effective tendon loading including eccentric training, and ultrasound-guided interventional procedures which may facilitate rehabilitation...
May 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28465132/comparison-of-cervical-muscle-thickness-between-asymptomatic-women-with-and-without-forward-head-posture
#17
Fateme Bokaee, Asghar Rezasoltani, Farideh D Manshadi, Sedigheh S Naimi, Alireza A Baghban, Hadi Azimi
BACKGROUND: Forward head posture (FHP) is a forward positioning of the head relative to the trunk in the sagittal plane. This posture is one of the most prevalent poor postures in patients with head and neck pain. Rehabilitative Ultrasound Imaging (RUSI) is a reliable method to objectively evaluate muscle thickness and function. OBJECTIVE: To compare thickness of cervical muscles that control both head and neck posture between asymptomatic women with and without FHP...
May 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/28433831/ultrasonography-of-the-transverse-movement-and-deformation-of-the-median-nerve-and-its-relationships-with-electrophysiological-severity-in-the-early-stages-of-carpal-tunnel-syndrome
#18
Donghwi Park
BACKGROUND: To date, there have been conflicting suggestions regarding the initial pathogenesis of carpal tunnel syndrome (CTS). It has been characterized as either inflammation of the median nerve caused by compression or noninflammatory fibrosis of the subsynovial connective tissue (SSCT). OBJECTIVE: To investigate the initial pathogenesis of CTS, we compared the deformation and displacement of the median nerve in accordance with the electrophysiological severity between patients with CTS (via the Bland scale) and healthy controls...
April 19, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28411338/shoulder-bankart-lesion-with-posterior-instability-a-case-report-of-ultrasound-detection
#19
Ryuzo Arai, Taisuke Ito, Shuzo Okudaira, Shuichi Matsuda
Minor instability of the shoulder has recently drawn attention as a cause of shoulder pain in athletes. However, it is difficult to correctly diagnose the direction in which the humeral head translates and subluxates, and to clarify the pathology of the instability. We present a case of a 20-year-old male with an unstable shoulder who could not raise his left arm due to pain. Since 6 years prior to the onset of pain, the patient could asymptomatically perform voluntary subluxation, but it was slight and the direction of the subluxation could not be confirmed...
August 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28382216/lower-extremity-muscle-structure-in-incomplete-spinal-cord-injury-a-comparison-between-ultrasonography-and-magnetic-resonance-imaging
#20
Andrew C Smith, Kristen Jakubowski, Marie Wasielewski, Sabrina Sm Lee, James M Elliott
INTRODUCTION: Ultrasound (US) measures of muscle thickness are used in the management and monitoring of muscle changes during rehabilitation, but it is unknown how this measure compares to magnetic resonance imaging (MRI) measures of muscle cross-sectional area (CSA) in patients with spinal cord injury (SCI). CASE PRESENTATION: Six participants with incomplete SCI underwent US imaging and MRI of their gastrocnemius and tibialis anterior (TA) muscles. DISCUSSION: Significant correlations were found between US muscle thickness and MRI CSA in the gastrocnemius (R=0...
2017: Spinal Cord Series and Cases
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