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"Early mobilisation" adult

Marie Méan, Christophe Bula, Gérard Waeber
Up to 65% of older adults who walk independently will lose this capacity during a hospital stay. In older adults, loss of walking independence increases the length of hospital stay, the need for rehabilitation services and for institutionalization, as well as the risk of falls (during hospital stay and after discharge) and the risk of death. Bed rest or limited walking during a hospital stay causes deconditioning and is one of the primary risk factors for loss of independence and adverse outcome in hospitalized older adults...
January 25, 2017: Revue Médicale Suisse
Vito N Galante, Giovanni Vicenti, Gianfranco Corina, Claudio Mori, Antonella Abate, Girolamo Picca, Vito Conserva, Domenico Speciale, Lorenzo Scialpi, Nicola Tartaglia, Vincenzo Caiaffa, Biagio Moretti
OBJECTIVES: To determine the efficacy of hybrid external fixation in the treatment of tibial pilon fractures. DESIGN: Retrospective, multicentre study. PATIENTS/PARTICIPANTS: Adult patients with tibial pilon fractures treated with hybrid external fixation. INTERVENTION: Fracture reduction with ligamentotaxis and fixation with XCaliber hybrid external fixator. MAIN OUTCOME MEASUREMENTS: Fracture union, complications, functional outcome (Mazur Ankle Score)...
October 2016: Injury
Bronwen Connolly, Brenda O'Neill, Lisa Salisbury, Bronagh Blackwood
BACKGROUND: Physical rehabilitation interventions aim to ameliorate the effects of critical illness-associated muscle dysfunction in survivors. We conducted an overview of systematic reviews (SR) evaluating the effect of these interventions across the continuum of recovery. METHODS: Six electronic databases (Cochrane Library, CENTRAL, DARE, Medline, Embase, and Cinahl) were searched. Two review authors independently screened articles for eligibility and conducted data extraction and quality appraisal...
October 2016: Thorax
D Williams, J Singh, N Heidari, M Ahmad, A Noorani, L Di Mascio
INTRODUCTION: Volar locking plates are used to treat unstable and displaced fractures of the distal radius. Potential advantages of stable anatomical reduction (eg early mobilisation) can be limited by penetration of dorsal screws, leading to synovitis and potential rupture of extensor tendons. Despite intraoperative imaging, penetration of dorsal screws continues to be a problem in volar plating of the distal radius. Ultrasound is a well recognised, readily available, diagnostic tool used to assess soft-tissue impingement by orthopaedic hardware...
February 2016: Annals of the Royal College of Surgeons of England
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...
November 11, 2015: Cochrane Database of Systematic Reviews
Gijs I T Iordens, Esther M M Van Lieshout, Niels W L Schep, Jeroen De Haan, Wim E Tuinebreijer, Denise Eygendaal, Ed Van Beeck, Peter Patka, Michael H J Verhofstad, Dennis Den Hartog
BACKGROUND/AIM: To compare outcome of early mobilisation and plaster immobilisation in patients with a simple elbow dislocation. We hypothesised that early mobilisation would result in earlier functional recovery. METHODS: From August 2009 to September 2012, 100 adult patients with a simple elbow dislocation were enrolled in this multicentre randomised controlled trial. Patients were randomised to early mobilisation (n=48) or 3 weeks plaster immobilisation (n=52)...
March 2017: British Journal of Sports Medicine
Xiang-yu Zhang, Qixing Wang, Shouqin Zhang, Weilin Tan, Zheng Wang, Jue Li
QUESTION: Does the use of an oscillating positive expiratory pressure (PEP) device reduce postoperative pulmonary complications in thoracic and upper abdominal surgical patients? DESIGN: A multi-centre, parallel-group, randomised controlled trial with intention-to-treat analysis, blinding of some outcomes, and concealed allocation. PARTICIPANTS: A total of 203 adults after thoracic or upper abdominal surgery with general anaesthesia. INTERVENTION: Participants in the experimental group used an oscillating PEP device, thrice daily for 5 postoperative days...
January 2015: Journal of Physiotherapy
A Gupta
BACKGROUND: We introduced a new model of care for patients with hip fractures involving a multidisciplinary approach. We then assessed the impact of this geriatrician-led comprehensive and collaborative hip fracture care on hip fracture outcomes. METHODS: The traditional model of care comprised of patients being managed on an orthopaedic ward under the care of one of ten orthopaedic surgeons, with a weekly orthogeriatric liaison. In this study model, hip fracture patients were directly admitted from the emergency department to a new, acute, dedicated hip unit that provided joint patient care by orthopaedic surgeons and an orthogeriatrics team...
2014: Journal of the Royal College of Physicians of Edinburgh
Maija Rantala, Sirpa Hartikainen, Tarja Kvist, Päivi Kankkunen
AIMS AND OBJECTIVES: To describe the analgesic use in hip fracture patients with dementia during the first two postoperative days as reported by nurses. BACKGROUND: Nurses play a pivotal role in treating postoperative pain in patients with dementia and monitoring the effects of administered analgesics. DESIGN: Cross-sectional descriptive questionnaire study in seven university hospitals and 10 central hospitals in Finland. METHODS: The study was conducted from March until May in 2011 in Finland...
November 2014: Journal of Clinical Nursing
Chye Yew Ng, Joelle Chalmer, Duncan J M Macdonald, Saurabh S Mehta, David Nuttall, Adam C Watts
There is no consensus on the most effective rehabilitation regimen following extensor tendon repair of the hand. This systematic review evaluates the outcomes of the various regimens. The Cochrane, MEDLINE, EMBASE, CINAHL, AMED, PEDro, OTseeker databases were searched for any prospective randomised clinical trials comparing rehabilitation regimens for acute extensor tendon injuries in adults. Five papers met the inclusion criteria. The regimens were static immobilisation, dynamic splinting and early active motion (EAM)...
December 2012: Journal of Hand and Microsurgery
F Debus, D Mierswa, S Ruchholtz, C L Lopez, T Schwarting, C A Kühne
BACKGROUND: During the treatment of severely injured patients, rehabilitation takes an important role. In this study we examined the present structures in acute care hospitals, which influence the process of rehabiliation. MATERIALS AND METHODS: The data was captured in a questionnaire. The questions deal with the personal and structural situation of acute care hospitals in Germany. The questionnaires were sent to all clinics, which are registered in the TraumaNetwork DGU...
February 2014: Die Rehabilitation
Yukichi Zenke, Akinori Sakai, Toshihisa Oshige, Shiro Moritani, Kunitaka Menuki, Yoshiaki Yamanaka, Kayoko Furukawa, Toshitaka Nakamura
Currently, volar locking plates are commonly used to treat distal radius fractures (DRF) because of their stable biomechanical construct and because they cause less soft tissue disturbance and allow early mobilisation of the wrist. Complications such as rupture of tendons have been reported to occur with use of volar locking plates. We describe six cases of rupture of extensor pollicis longus (EPL) tendons after the use of volar locking plates. EPL tendon injuries occurred in 2.1% (6/286) of cases after DRF surgery...
2013: Hand Surgery
C Gebert, M Wessling, G Gosheger, M Aach, A Streitbürger, M P Henrichs, U Dirksen, J Hardes
To date, all surgical techniques used for reconstruction of the pelvic ring following supra-acetabular tumour resection produce high complication rates. We evaluated the clinical, oncological and functional outcomes of a cohort of 35 patients (15 men and 20 women), including 21 Ewing's sarcomas, six chondrosarcomas, three sarcomas not otherwise specified, one osteosarcoma, two osseous malignant fibrous histiocytomas, one synovial cell sarcoma and one metastasis. The mean age of the patients was 31 years (8 to 79) and the latest follow-up was carried out at a mean of 46 months (1...
October 2013: Bone & Joint Journal
Ranjit Shaw, Ranjit Kumar Shaw, Ananda Mandal, Kunal Subhas Mukherjee, Prassana Kumar Pandey, Prassana Pandey
Volar Barton's fractures are common but more convincing treatment methods are still controversial. Malunion can cause serious disability. Twenty-six consecutive patients were treated with open reduction Internal fixation using volar locking plate. Records of 21 cases were available for follow-up for a mean period of 18 months (range 12-34 months). All 21 fractures healed within 8 to 14 weeks (mean 9.3 weeks). The wrist function was satisfactory in 90.4% cases (19 out of 21 patients). This surgical technique can provide high success rate...
November 2012: Journal of the Indian Medical Association
Miroslav Kezunović, Dusko Bjelica, Stevo Popović
BACKGROUND/AIM: Acromioclavicular (AC) luxations most often affect athletes. The published results regarding the treatment of AC joint luxations vary. Each method has its advantages and disadvantages, so there is still no consensus on the best method of treatment. The aim of this study was to review the results of a number of surgical approaches to stabilization of AC joint recorded over the span of five years. METHODS: This study was based on the data acquired from the analysis of 28 patients with AC luxation surgically treated in the Clinical Center of Montenegro...
March 2013: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Gino M M J Kerkhoffs, Peter A A Struijs, Rene K Marti, Willem J J Assendelft, Leendert Blankevoort, C N van Dijk
BACKGROUND: Acute lateral ankle ligament ruptures are common problems in present health care. Early mobilisation and functional treatment are advocated as a preferable treatment strategy. However, functional treatment comprises a broad spectrum of treatment strategies and as of yet no optimal strategy has been identified. OBJECTIVES: The objective of this review is to assess different functional treatment strategies for acute lateral ankle ligament ruptures in adults...
2013: Cochrane Database of Systematic Reviews
M A C Van Son, J De Vries, J A Roukema, B L Den Oudsten
INTRODUCTION: The number of disabling short- and long-term consequences after ankle fracture (AF) is high. Therefore, it is important to consider the health status (HS), health-related quality of life (HRQOL), and quality of life (QOL) of these patients. The aim of this study was to provide a systematic overview of studies on HS, HRQOL, and QOL in patients with AF. In addition, the conceptualisation of HS, HRQOL, and QOL in these studies was evaluated. METHODS: A systematic literature search was conducted in Pubmed, Embase, The Cochrane Library, and PsycINFO (January 1976 to April 2012)...
November 2013: Injury
Muhammad Faheem Khadim, Mohammed Haj Basheer
Complex compound and comminuted phalangeal fractures are often surrounded by soft tissue injuries. Stabilising such fractures is not easy but is essential before early mobilisation to prevent stiffness and regaining hand function. Several designs of external fixators have been advocated but could not simultaneously offer simplicity, affordability, stability, and freedom of movement. We propose a design that is easy to make without expert assistance. It is cheap, available in most theatres, and offers required stability and freedom of movement in the immediate postoperative period...
April 2013: Journal of Plastic Surgery and Hand Surgery
Claire J Tipping, Paul J Young, Lorena Romero, Manoj K Saxena, Joel Dulhunty, Carol L Hodgson
BACKGROUND: Patients who recover from critical illness may be left with significant limitations to their physical function that can have important consequences for their quality of life. Measures of physical function may be useful end points to consider in studies conducted in critically ill patients and are particularly attractive in studies investigating early mobilisation and rehabilitation. OBJECTIVE: To describe measurements of physical function used in studies investigating early mobilisation and rehabilitation in critically ill adults...
December 2012: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
Sinan Oksüz, Ersin Ulkür, Serhan Tuncer, Celalettin Sever, Hüseyin Karagöz
The complexity of managing large soft-tissue defects at the elbow region by conventional techniques arises from the difficulty of providing sufficient tissue with adequate elasticity and durability. Reconstruction options that allow early mobilisation and avoid the risk of functional loss should be considered to achieve defect closure at the elbow region. A 21-year-old man presented with a congenital giant hairy nevus on his left upper extremity. The nevus was excised and the resulting raw surface after the excision was covered with a split-thickness skin graft except for the elbow region...
April 2013: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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