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https://www.readbyqxmd.com/read/27909582/ebola-research-funding-a-systematic-analysis-1997-2015
#1
Joseph Ra Fitchett, Amos Lichtman, Damilola T Soyode, Ariel Low, Jimena Villar de Onis, Michael G Head, Rifat Atun
BACKGROUND: The latest outbreak of Ebola in West Africa overwhelmed the affected countries, with the impact on health extending far beyond Ebola-related deaths that have exceeded 11 000. The need to promptly mobilise resources to control emerging infections is widely recognized. Yet, data on research funding for emerging infections remains inadequately documented. METHODS: We defined research investment as all funding flows for Ebola and/or Marburg virus from 1997 to April 2015 whose primary purpose was to advance knowledge and new technologies to prevent or cure disease...
December 2016: Journal of Global Health
https://www.readbyqxmd.com/read/27806951/therapeutic-interventions-for-improving-self-reported-function-in-patients-with-chronic-ankle-instability-a-systematic-review
#2
Kyle B Kosik, Ryan S McCann, Masafumi Terada, Phillip A Gribble
OBJECTIVE: To identify which therapeutic intervention may be most effective for improving self-reported function in patients with chronic ankle instability (CAI). DESIGN: Systematic literature review. Articles were appraised using the Downs and Black Checklist by 3 reviewers. DATA SOURCES: PubMed along with CINAHL, MEDLINE and SPORTDiscus within EBSCOhost for pertinent articles from their inception through August 2016. ELIGIBILITY CRITERIA FOR SELECTED STUDIES: Articles included were required to (1) be written in English, (2) report adequate data to calculate effect sizes, (3) identify patients with CAI, (4) use some form of therapeutic intervention and (5) use a self-reported questionnaire as a main outcome measurement...
November 2, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27716215/kinematic-real-time-feedback-is-more-effective-than-traditional-teaching-method-in-learning-ankle-joint-mobilisation-a-randomised-controlled-trial
#3
Manuel González-Sánchez, Maria Ruiz-Muñoz, Ana Belén Ávila-Bolívar, Antonio I Cuesta-Vargas
BACKGROUND: To analyse the effect of real-time kinematic feedback (KRTF) when learning two ankle joint mobilisation techniques comparing the results with the traditional teaching method. METHODS: Double-blind randomized trial. SETTINGS: Faculty of Health Sciences. PARTICIPANTS: undergraduate students with no experience in manual therapy. Each student practised intensely for 90 min (45 min for each mobilisation) according to the random methodology assigned (G1: traditional method group and G2: KRTF group)...
October 6, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27676991/isokinetic-muscular-strengthening-of-upper-limb-versus-passive-movement-in-chronic-stroke-patients-randomised-controlled-trial
#4
Flavia Coroian, Jérôme Froger, H-Y Bonnin Koang, Claire Jourdan, Karima Bakhti, Marc Julia, Audrey Jaussent, Christian Hérisson, Isabelle Laffont
OBJECTIVE: The sensori-motor impairment of upper limb (UL) affects more than 50% of patients after stroke. The objective of this work was to study the efficiency of isokinetic muscle strengthening (IMS) in the chronic phase of stroke in this population. MATERIAL/PATIENTS AND METHODS: The patients underwent 6 weeks of outpatient rehabilitation, 3 days per week, combining physiotherapy (twice/day) and occupational therapy every day. The program was completed by 30 minutes elbow and wrist concentric slow speed IMS of flexor and extensor muscles, in the study group versus 30 minutes passive mobilisation of the joints carried out by the same isokinetic dynamometer in the control group...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27659068/the-volleyball-athlete-s-shoulder-biomechanical-adaptations-and-injury-associations
#5
Dimitrios Challoumas, Antonio Stavrou, Georgios Dimitrakakis
In volleyball, the dominant shoulder of the athlete undergoes biomechanical and morphological adaptations; however, definitive conclusions about their exact nature, aetiology, purpose and associations with shoulder injury have not been reached. We present a systematic review of the existing literature describing biomechanical adaptations in the dominant shoulders of volleyball players and factors that may predispose to shoulder pain/injury. A thorough literature search via Medline, EMBASE and SCOPUS was conducted for original studies of volleyball players and 15 eligible articles were identified...
September 23, 2016: Sports Biomechanics
https://www.readbyqxmd.com/read/27646317/successful-stabilisation-of-a-type-iii-paediatric-tibial-eminence-fracture-using-a-tensioned-wire-technique
#6
Matthew Archer, Tom Parkin, Mark David Latimer
We report the case of an 11-year-old boy presenting with a type III tibial eminence fracture. The fracture fragment was reduced arthroscopically. Two 1.6 mm retrograde K-wires were inserted from the tibial metaphysis across the physis and into the fracture fragment using a standard anterior cruciate ligament tibial tunnel guide. Once the wires were clearly visible within the joint the tips were bent over by ∼120°. The wires were then tensioned around a single small fragment screw inserted into the tibial metaphysis...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27587519/the-technique-of-delivery-of-peri-operative-analgesia-does-not-affect-the-rehabilitation-or-outcomes-following-total-knee-arthroplasty
#7
D A McDonald, A H Deakin, B M Ellis, Y Robb, T E Howe, A W G Kinninmonth, N B Scott
AIMS: This non-blinded randomised controlled trial compared the effect of patient-controlled epidural analgesia (PCEA) versus local infiltration analgesia (LIA) within an established enhanced recovery programme on the attainment of discharge criteria and recovery one year after total knee arthroplasty (TKA). The hypothesis was that LIA would increase the proportion of patients discharged from rehabilitation by the fourth post-operative day but would not affect outcomes at one year. PATIENTS AND METHODS: A total of 242 patients were randomised; 20 were excluded due to failure of spinal anaesthesia leaving 109 patients in the PCEA group and 113 in the LIA group...
September 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27582621/lumbar-lateral-shift-in-a-patient-with-interspinous-device-implantation-a-case-report
#8
Seth Peterson, Cheri Hodges
BACKGROUND: Lumbar lateral shift (LLS) is a common clinical observation but has rarely been described in a patient with a history of lumbar surgery. The purpose of the current case report was to describe the use of the McKenzie Method of Mechanical Diagnosis and Therapy (MDT) in the multi-modal treatment of a patient with an LLS and a history of multiple surgical procedures in the lumbar spine, including interspinous process device (IPD) implantation. CASE DESCRIPTION: A 72-year-old female with chronic low back pain (LBP) and a surgical history in the lumbar spine was referred to physical therapy for radiating leg pain and presented with a right LLS...
September 2016: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/27527501/effects-of-early-combined-endurance-and-resistance-training-in-mechanically-ventilated-critically-ill-patients-a-study-protocol-for-a-randomised-controlled-trial
#9
Sabrina Eggmann, Martin L Verra, Gere Luder, Jukka Takala, Stephan M Jakob
BACKGROUND: Prolonged need for intensive care is associated with neuromuscular weakness, termed Intensive Care Unit Acquired Weakness. Those affected suffer from severe functional impairment that can persist for years. First studies suggest a positive effect of physiotherapy and early mobilisation. However, the ideal intervention for a preferential functional outcome is not known. So far no randomised controlled trial has been conducted to specifically evaluate an early endurance and resistance training in the mechanically ventilated, critically ill patient...
2016: Trials
https://www.readbyqxmd.com/read/27235516/a-comparison-between-the-direct-anterior-and-posterior-approaches-for-total-hip-arthroplasty-the-role-of-an-enhanced-recovery-pathway
#10
I A Malek, G Royce, S U Bhatti, J P Whittaker, S P Phillips, I R B Wilson, J R Wootton, I Starks
AIMS: We assessed the difference in hospital based and early clinical outcomes between the direct anterior approach and the posterior approach in patients who undergo total hip arthroplasty (THA). PATIENTS AND METHODS: The outcome was assessed in 448 (203 males, 245 females) consecutive patients undergoing unilateral primary THA after the implementation of an 'Enhanced Recovery' pathway. In all, 265 patients (mean age: 71 years (49 to 89); 117 males and 148 females) had surgery using the direct anterior approach (DAA) and 183 patients (mean age: 70 years (26 to 100); 86 males and 97 females) using a posterior approach...
June 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27104791/-direct-screw-osteosynthesis-of-a-bennett-s-fracture-by-radiopalmar-incision-after-gedda-and-moberg
#11
C Büren, S V Gehrmann, J Windolf, T Lögters
BACKGROUND: Bennett's fracture is a partial intra-articular fracture, with two main fragments of the first metacarpal bone. Treatment should aim to rebuild the articular surface and to achieve early mobilisation of the thumb saddle joint. OBJECTIVE: To demonstrate the operation of direct screw osteosynthesis of a Bennet's fracture by a Gedda/Moberg radiopalmar incision in a video. PATIENT: During distortion of the thumb, a 31-year old patient suffered a Bennets's fracture, which was operated by direct screw osteosynthesis...
April 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/26878543/new-technique-tendon-interposition-arthroplasty-in-distal-interphalangeal-joint-arthritis-in-chinese-population-new-horizon-for-treatment
#12
Muhammad Zeeshan Aslam, Syed Kamran Ahmed, Boris Fung
OBJECTIVE: To evaluate the clinical outcome of managing distal inter-phalangeal joint arthritis by using excisional arthroplasties with soft-tissue interposition to provide pain-free joint with adequate range of motion and preserving the bone stock. METHODS: The case series was conducted at Queen Mary Hospital, Hong Kong from 2013 to 2015 and comprised patients with distal inter-phalangeal joint arthritis. Excisional arthroplasty was performed for all patients. Interposition was performed using extensor retinaculum/ palmaris longus...
November 2015: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/26844852/-effects-of-surgically-treated-pelvic-ring-and-acetabular-fractures-on-postural-control
#13
P Lang, A Schnegelberger, H-J Riesner, F Stuby, B Friemert, H-G Palm
BACKGROUND: The aim of surgical treatment of pelvic ring and acetabular fractures is to allow rapid mobilisation of patients in order to restore stance and gait stability (postural control), as this significantly correlates with a positive outcome. The regulation of postural stability is mainly controlled by transmission of proprioceptive stimuli. In addition, the pelvis serves as a connection between the legs and the spine and thus is also of great importance for mechanical stabilisation...
April 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/26813567/effectiveness-of-rosiglitazone-in-reducing-flexion-contracture-in-a-rabbit-model-of-arthrofibrosis-with-surgical-capsular-release-a-biomechanical-histological-and-genetic-analysis
#14
J D Barlow, M E Morrey, R U Hartzler, D Arsoy, S Riester, A J van Wijnen, B F Morrey, J Sanchez-Sotelo, M P Abdel
AIMS: Animal models have been developed that allow simulation of post-traumatic joint contracture. One such model involves contracture-forming surgery followed by surgical capsular release. This model allows testing of antifibrotic agents, such as rosiglitazone. METHODS: A total of 20 rabbits underwent contracture-forming surgery. Eight weeks later, the animals underwent a surgical capsular release. Ten animals received rosiglitazone (intramuscular initially, then orally)...
January 2016: Bone & Joint Research
https://www.readbyqxmd.com/read/26692259/does-an-online-psychological-intervention-improve-self-efficacy-and-disability-in-people-also-receiving-multimodal-manual-therapy-for-chronic-low-back-pain-compared-to-multimodal-manual-therapy-alone-design-of-a-randomized-controlled-trial
#15
M John Petrozzi, Andrew Leaver, Mairwen K Jones, Paulo H Ferreira, Sidney M Rubinstein, Martin G Mackey
BACKGROUND: Various interventions are available for the treatment of chronic low back pain (LBP), including Manual Therapy and Cognitive Behavioural Therapy (CBT). The purpose of this study is to evaluate whether the addition of an internet-based CBT program leads to better outcomes in patients who are treated with multimodal manual therapy for chronic LBP. METHODS/DESIGN: A randomized controlled trial comparing a combined intervention, consisting of internet-based CBT utilising MoodGYM plus multimodal manual therapy, to multimodal manual therapy alone for patients with chronic LBP...
2015: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/26687554/is-an-osteotome-necessary-for-pterygomaxillary-dysjunction-or-dysjunction-through-the-tuberosity-during-le-fort-i-osteotomy-a-systematic-review
#16
REVIEW
J Breeze, C Verea Linares, P Stockton
Pterygomaxillary dysjunction with an osteotome is commonly used to mobilise the maxilla during Le Fort I osteotomy, despite the risk of serious complications. Different instruments and positions have been tried, including dysjunction through the tuberosity. Down fracture by digital pressure alone has also been advocated, but to our knowledge has not been widely adopted. We have therefore reviewed published papers to see if there is any clinical or anatomical evidence for the use of osteotomes to mobilise the maxilla vertically during a Le Fort I osteotomy for either pterygomaxillary dysjunction or dysjunction through the tuberosity...
April 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/26587071/impact-of-weekend-physiotherapy-service-on-the-cost-effectiveness-of-elective-orthopaedic-hip-and-knee-arthroplasty
#17
I P Pengas, W S Khan, C A Bennett, K S Rankin
We performed a prospective correlational study to evaluate the efficiency and cost effectiveness of weekend physiotherapy in accelerating rehabilitation, reducing hospital stay as well as hospital costs for joint arthroplasty patients in a busy Scottish district general hospital. Patients that underwent elective hip (470) and knee (321) arthroplasty were analysed over a 12 month period. A four month period with weekend physiotherapy provision was arranged to ascertain its effectiveness on the length of stay and the achievement of set physiotherapy milestones...
2015: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/26560014/interventions-for-treating-proximal-humeral-fractures-in-adults
#18
REVIEW
Helen H G Handoll, Stig Brorson
BACKGROUND: Fracture of the proximal humerus, often termed shoulder fracture, is a common injury in older people. The management of these fractures varies widely. This is an update of a Cochrane Review first published in 2001 and last updated in 2012. OBJECTIVES: To assess the effects (benefits and harms) of treatment and rehabilitation interventions for proximal humeral fractures in adults. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, and other databases, conference proceedings and bibliographies of trial reports...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26546159/temporomandibular-joint-ankylosis-in-a-child-an-unusual-case-with-delayed-surgical-intervention
#19
Ching Ching Yew, Shaifulizan Ab Rahman, Mohammad Khursheed Alam
BACKGROUND: The Temporomandibular Joint (TMJ) ankylosis in child is rare and yet the causes still remain unclear. This condition that affects the feeding and possible airway obstruction do not only worry the parents, but also possesses as a great challenge to the surgeons. Furthermore, it interferes with the facial skeletal and dento-alveolar development in the on growing child. CASE PRESENTATION: In this case report, we presented the management of a 7 year old with left TMJ ankylosis discovered since infant...
November 6, 2015: BMC Pediatrics
https://www.readbyqxmd.com/read/26542856/the-cement-augmented-transiliacal-internal-fixator-catifi-an-innovative-surgical-technique-for-stabilization-of-fragility-fractures-of-the-pelvis
#20
Paul Schmitz, Florian Baumann, Stephan Grechenig, Axel Gaensslen, Michael Nerlich, Michael B Müller
INTRODUCTION: Analyzing the different age groups in a population who suffered a pelvic ring fracture it becomes obvious that there are important differences between the pelvic ring lesions of an elderly patient compared to a young adult concerning trauma mechanism, fracture pattern and therapeutic options. In the elderly patient it is very important to achieve maximum of stability if surgery is necessary in order to avoid early failure of the ostheosynthesis under mobilization with full weight bearing...
October 2015: Injury
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