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Functional Bracing

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https://www.readbyqxmd.com/read/29120006/manufactured-brace-modalities-for-elbow-stiffness
#1
Nipun Sodhi, Anton Khlopas, Michael D Vaughn, Jaiben George, George Yakubek, Assem A Sultan, Steven F Harwin, Michael A Mont
Multiple surgical and nonsurgical treatment options exist for patients with elbow stiffness. Many nonsurgical mobilization bracing options have been implemented to increase elbow range of motion. Three of the main bracing options for these patients are turnbuckle, static progressive stretch, and dynamic bracing. The purpose of this study was to review the current literature on turnbuckle, static progressive stretch, and dynamic bracing to provide information for practitioners and patients regarding which brace is more appropriate to use for elbow stiffness...
November 8, 2017: Orthopedics
https://www.readbyqxmd.com/read/29120005/peripheral-neuropathy-due-to-recreational-use-of-nitrous-oxide-presenting-after-an-ankle-sprain-with-foot-drop
#2
Jackson A Middleton, John A Roffers
A 22-year-old man was referred for orthopedic follow-up after an ankle injury. Initial evaluation in urgent care included radiographs with negative findings. After a delayed presentation, a course of functional treatment was recommended. Subsequently, he developed a deep venous thrombosis and pulmonary emboli. He was found to be factor V Leiden deficient and was fully anticoagulated on warfarin. Later reevaluation revealed a steppage gait and foot drop. Electrodiagnostic studies (ie, electromyography and nerve conduction studies) revealed a severe peripheral polyneuropathy...
November 8, 2017: Orthopedics
https://www.readbyqxmd.com/read/29099724/identifying-compensatory-movement-patterns-in-the-upper-extremity-using-a-wearable-sensor-system
#3
Rajiv Ranganathan, Rui Wang, Bo Dong, Subir Biswas
OBJECTIVE: Movement impairments such as those due to stroke often result in the nervous system adopting atypical movements to compensate for movement deficits. Monitoring these compensatory patterns is critical for improving functional outcomes during rehabilitation. The purpose of this study was to test the feasibility and validity of a wearable sensor system for detecting compensatory trunk kinematics during activities of daily living. APPROACH: Participants with no history of neurological impairments performed reaching and manipulation tasks with their upper extremity, and their movements were recorded by a wearable sensor system and validated using a motion capture system...
November 3, 2017: Physiological Measurement
https://www.readbyqxmd.com/read/29074345/effects-of-a-hip-brace-on-biomechanics-and-pain-in-people-with-femoroacetabular-impingement
#4
Nicolas R A Newcomb, Tim V Wrigley, Rana S Hinman, Jessica Kasza, Libby Spiers, John O'Donnell, Kim L Bennell
OBJECTIVES: This study evaluates whether hip bracing in patients with femoroacetabular impingement (FAI) (a) immediately reduces range of hip internal rotation, flexion, adduction, and pain during functional tasks; and (b) improves patient-reported outcomes when worn daily over 4 weeks. DESIGN: Within-participant design followed by a case series. METHODS: Twenty-five adults with symptomatic FAI underwent 3D kinematic assessment with and without a hip brace during single-leg squat, double-leg squat, stair ascent, and stair descent...
October 3, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29071377/-plate-osteosynthesis-of-patellar-fractures
#5
REVIEW
E C Müller, K-H Frosch
OBJECTIVE: Anatomic reconstruction of the retropatellar articular surface and repair of the extensor mechanism of the knee joint. The osteosynthesis should allow immediate mobilization as part of an early functional postoperative rehabilitation protocol. INDICATIONS: Displaced fractures of the patella, especially multifragment and comminuted fractures with a retropatellar incongruity or dislocation of >2 mm. CONTRAINDICATIONS: Critical local soft tissue because of the risk of postoperative infection...
October 25, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29070678/dnac-the-indispensable-companion-of-dnab-helicase-controls-the-accessibility-of-dnab-helicase-by-primase
#6
Magdalena M Felczak, Sundari Chodavarapu, Jon M Kaguni
Former studies relying on hydrogen/deuterium exchange analysis suggest that DnaC bound to DnaB alters the conformation of the N-terminal domain (NTD) of DnaB to impair the ability of this DNA helicase to interact with primase. Supporting this idea, the work described herein based on biosensor experiments and enzyme-linked immunosorbent assays shows that the DnaB-DnaC complex binds poorly to primase in comparison with DnaB alone. Using a structural model of DnaB complexed with the C-terminal domain (CTD) of primase, we found that Ile-85 is located at the interface in the NTD of DnaB that contacts primase...
October 25, 2017: Journal of Biological Chemistry
https://www.readbyqxmd.com/read/29070643/cast-versus-functional-brace-in-the-rehabilitation-of-patients-treated-non-operatively-for-a-rupture-of-the-achilles-tendon-protocol-for-the-uk-study-of-tendo-achilles-rehabilitation-uk-star-multi-centre-randomised-trial
#7
Juul Achten, Nick R Parsons, Rebecca L Kearney, Michael Maia Schlüssel, Anna S Liew, Susan Dutton, Stavros Petrou, Benjamin Ollivere, Sarah E Lamb, Matthew L Costa
INTRODUCTION: Achilles tendon rupture affects over 11 000 people yearly in the UK, and the incidence is increasing. Controversy remains with regard to the best rehabilitation strategy for these patients. In operatively treated patients, functional bracing provides better outcomes compared with plaster casts. However, the role of functional bracing in non-operatively managed patients is unclear. This is the protocol for a multicentre randomised trial of plaster cast immobilisation versus functional bracing for patients with a non-operatively managed Achilles tendon rupture...
October 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/29060194/effects-of-counteracting-external-valgus-moment-on-lateral-tibial-cartilage-contact-conditions-and-tibial-rotation
#8
Duraisamy Shriram, Rizuwana Parween, Yee Han Dave Lee, Karupppasamy Subburaj
Knee osteoarthritis that prevalently occurs at the medial compartment is a progressive chronic disorder affecting the articular cartilage of the knee joint, and lead to loss of joint functionality. Valgus braces have been used as a treatment procedure to unload the medial compartment for patients with medial osteoarthritis. Valgus braces through the application of counteracting external valgus moment shift the load from medial compartment towards the lateral compartment. Previous biomechanical studies focused only on the changes in varus moments before and after wearing the brace...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29051921/effectiveness-of-schroth-exercises-during-bracing-in-adolescent-idiopathic-scoliosis-results-from-a-preliminary-study-sosort-award-2017-winner
#9
Kenny Yat Hong Kwan, Aldous C S Cheng, Hui Yu Koh, Alice Y Y Chiu, Kenneth Man Chee Cheung
BACKGROUND: Bracing has been shown to decrease significantly the progression of high-risk curves to the threshold for surgery in patients with adolescent idiopathic scoliosis (AIS), but the treatment failure rate remains high. There is evidence to suggest that Schroth scoliosis-specific exercises can slow progression in mild scoliosis. The aim of this study was to evaluate the efficacy of Schroth exercises in AIS patients with high-risk curves during bracing. METHODS: A prospective, historical cohort-matched study was carried out...
2017: Scoliosis and Spinal Disorders
https://www.readbyqxmd.com/read/29044049/acute-in-vivo-testing-of-a-conformal-polymer-microelectrode-array-for-multi-region-hippocampal-recordings
#10
Huijing Xu, Ahuva Weltman Hirschberg, Kee Scholten, Ted W Berger, Dong Song, Ellis Meng
OBJECTIVE: The success of a cortical prosthetic device relies upon its ability to attain resolvable spikes from many neurons in particular neural networks over long periods of time. Traditionally, lifetimes of neural recordings are greatly limited by the body's immune response against the foreign implant which causes neuronal death and glial scarring. This immune reaction is posited to be exacerbated by micromotion between the implant, which is often rigid, and the surrounding, soft brain tissue and attenuates the quality of recordings over time...
October 18, 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/29021880/use-of-titanium-elastic-nails-in-the-adult-diaphyseal-humerus-fractures
#11
A S Upadhyay, N A Lil
Introduction: Humerus shaft fractures in adults can be managed conservatively with functional braces or operatively with plate osteosynthesis or with intramedullary nailing. Conventionally humerus intramedullary nailing is done either using humerus interlocking nails or Enders nails. In this study we analyse the outcome of humerus shaft fractures (upper and middle third) managed with closed ante-grade intramedullary titanium elastic nailing in terms of union rates, union time, functional results and complications...
July 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28986148/brain-activity-unique-to-orgasm-in-women-an-fmri-analysis
#12
Nan J Wise, Eleni Frangos, Barry R Komisaruk
BACKGROUND: Although the literature on imaging of regional brain activity during sexual arousal in women and men is extensive and largely consistent, that on orgasm is relatively limited and variable, owing in part to the methodologic challenges posed by variability in latency to orgasm in participants and head movement. AIM: To compare brain activity at orgasm (self- and partner-induced) with that at the onset of genital stimulation, immediately before the onset of orgasm, and immediately after the cessation of orgasm and to upgrade the methodology for obtaining and analyzing functional magnetic resonance imaging (fMRI) findings...
November 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28968484/orthodontic-treatment-for-deep-bite-and-retroclined-upper-front-teeth-in-children
#13
REVIEW
Declan T Millett, Susan J Cunningham, Kevin D O'Brien, Philip E Benson, Cesar M de Oliveira
BACKGROUND: A Class II division 2 malocclusion is characterised by upper front teeth that are retroclined (tilted toward the roof of the mouth) and an increased overbite (deep overbite), which can cause oral problems and may affect appearance.This problem can be corrected by the use of special dental braces (functional appliances) that move the upper front teeth forward and change the growth of the upper or lower jaws, or both. Most types of functional appliances braces are removeable and this treatment approach does not usually require extraction of any permanent teeth...
October 2, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28930478/mechanical-ventilation-induced-diaphragm-atrophy-strongly-impacts-clinical-outcomes
#14
Ewan C Goligher, Martin Dres, Eddy Fan, Gordon D Rubenfeld, Damon C Scales, Margaret S Herridge, Stefannie Vorona, Michael C Sklar, Nuttapol Rittayamai, Ashley Lanys, Alistair Murray, Deborah Brace, Cristian Urrea, W Darlene Reid, George Tomlinson, Arthur S Slutsky, Brian P Kavanagh, Laurent J Brochard, Niall D Ferguson
Rationale Diaphragm dysfunction worsens outcomes in mechanically ventilated patients but the clinical impact of potentially preventable changes in diaphragm structure and function due to mechanical ventilation is unknown. Objectives To determine whether diaphragm atrophy developing during mechanical ventilation leads to prolonged ventilation. Methods Diaphragm thickness was measured daily by ultrasound in adults requiring invasive mechanical ventilation; inspiratory effort was assessed by thickening fraction...
September 20, 2017: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/28903017/is-a-high-tibial-osteotomy-hto-superior-to-non-surgical-treatment-in-patients-with-varus-malaligned-medial-knee-osteoarthritis-oa-a%C3%A2-propensity-matched-study-using-2-randomized-controlled-trial-rct-datasets
#15
M V van Outeren, J H Waarsing, R W Brouwer, J A N Verhaar, M Reijman, S M A Bierma-Zeinstra
OBJECTIVE: No randomized controlled trial (RCT) has compared the high tibial osteotomy (HTO) with non-surgical treatment in patients with medial knee osteoarthritis (OA) and varus malalignment. The aim was to compare the effectiveness of an unloader brace treatment or a usual care program to the HTO regarding pain severity and knee function. DESIGN: Surgical treatment (HTO) to two non-surgical options was compared by combining the data of two RCTs. One RCT (n = 117) compared an unloader brace to usual care treatment; the other RCT (n = 92) compared closing to opening wedge HTO...
September 10, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28891323/functional-outcome-of-acute-achilles-tendon-rupture-with-and-without-operative-treatment-using-identical-functional-bracing-protocol
#16
Che Siu Lim, David Lees, David P Gwynne-Jones
BACKGROUND: The purpose of this study was to compare the functional results of operative and nonoperative treatment of acute Achilles tendon rupture using an identical rehabilitation program of functional bracing. METHODS: Over a 10-year period, 200 patients (99 operative, 101 nonoperative) aged between 18 and 65 years were treated at our institution's physiotherapy department after acute Achilles tendon rupture. There were 132 patients (62 operative, 70 nonoperative) available for a minimum 2-year follow-up (average 6...
September 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28885287/whether-orthotic-management-and-exercise-are-equally-effective-to-the-patients-with-adolescent-idiopathic-scoliosis-in-mainland-china-a-randomized-controlled-trial-study
#17
Yu Zheng, Yini Dang, Yan Yang, Huabo Li, Lijie Zhang, Edmond H M Lou, Chengqi He, M S Wong
STUDY DESIGN: Prospective randomized controlled trial OBJECTIVE.: To investigate the effectiveness of orthotic management versus exercise on spinal curvature, body symmetry and quality of life. SUMMARY OF BACKGROUND DATA: A number of well-designed studies comparing conservative treatment of adolescent idiopathic scoliosis have been conducted and the evidence becomes stronger. However, there is a lack of the information on the effectiveness of orthotic management versus exercise...
September 6, 2017: Spine
https://www.readbyqxmd.com/read/28883197/an-abstraction-layer-to-facilitate-technical-interoperability-between-medical-records-and-knowledge-modules
#18
Martin Staudigel, Hans-Ulrich Prokosch, Stefan Kraus
Integrating clinical decision support (CDS) functions into an existing hospital information system (HIS) is often a tedious task. This problem area is so pervasive that the Arden Syntax, a widely used standard for CDS functions, assigned a specific designation, the so-called "curly braces problem". It derives from a pair of curly braces used to encapsulate any parameters required for the interactions with a HIS. The traditional approach is to leave the problem area of technical interoperability entirely to the specific institution, possibly entailing a considerable amount of initial programming work...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28867049/nonsurgical-treatment-of-ankle-arthritis
#19
REVIEW
Michael A Gentile
Nonsurgical treatment of ankle arthritis can be a short-term fix or a long-term solution. An understanding of the biomechanics of the ankle is helpful in the successful use of orthotics and bracing. Pharmacologic and/or biologic treatments can be used exclusively or in concert with mechanical interventions to decrease pain, improve function, and potentially extend the life span of an arthritic ankle.
October 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28864003/vesicular-uptake-of-macromolecules-by-human-placental-amniotic-epithelial-cells
#20
Rita Sharshiner, Robert A Brace, Cecilia Y Cheung
INTRODUCTION: Studies in animal models have shown that unidirectional vesicular transport of amniotic fluid across the amnion plays a primary role in regulating amniotic fluid volume. Our objective was to explore vesicle type, vesicular uptake and intracellular distribution of vesicles in human amnion cells using high- and super-resolution fluorescence microscopy. METHODS: Placental amnion was obtained at cesarean section and amnion cells were prepared and cultured...
September 2017: Placenta
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