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Functional Bracing

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https://www.readbyqxmd.com/read/29791699/a-comparative-effectiveness-study-for-non-operative-treatment-methods-for-knee-osteoarthritis
#1
Frank R Kolisek, Charles Jaggard, Anton Khlopas, Assem A Sultan, Nipun Sodhi, Michael A Mont
A number of non-operative treatment options are commonly prescribed for patients presenting with degenerative osteoarthritis of the knee, where surgery is not yet recommended. However, there is a paucity of studies evaluating the comparative effectiveness of these treatment options to best inform both patients and providers. This study examined the comparative effectiveness of a home exercise program versus bracing or a combination of the two (brace-only, exercise-only, and brace and exercise cohorts) on the following: 1) objective functional measures (quadriceps muscle strength, Self-Paced Walk Test [SPWT], and Timed "Up & Go" [TUG] Test); 2) subjective functional measures (Lower Extremity Function Scale [LEFS] and Health Survey [VR-12] outcomes); 3) pain using Visual Analog Scale [VAS-10]; 4) patient metrics (patient treatment preference, perceptions, and compliance); and 5) progression to total knee arthroplasty (TKA) over a 12-week period...
June 1, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29786416/zinc-oxide-enhanced-piezoelectret-polypropylene-microfiber-for-mechanical-energy-harvesting
#2
Jianxiong Zhu, Yali Zhu, Weixing Song, Hui Wang, Min Gao, Minkyu Cho, Inkyu Park
This paper reports zinc oxide (ZnO) coated piezoelectret polypropylene (PP) microfibers with a structure of two opposite arc-shaped braces for enhanced mechanical energy harvesting. The ZnO film was coated onto PP microfibers via magnetron sputtering to form a ZnO/PP compound structure. Triboelectric Nanogenerator (TENG) based on ZnO/PP microfiber compound film was carefully designed with two opposite arc-shaped braces. The results of this study demonstrated that the mechanical energy collection efficiency of TENG based on piezoelectret PP microfiber was greatly enhanced by the coated ZnO and high voltage corona charging method...
May 22, 2018: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29755230/scoliosis-conservative-treatment-a-review-of-literature
#3
REVIEW
Mohammad Taghi Karimi, Timon Rabczuk
Background: Scoliosis is defined as lateral curvature of the spine which is also associated with a change in the curves in sagittal plane and vertebral rotation. Various types of conservative treatment approaches have been recommended for the patients with scoliosis. The aim of this review article was to introduce the various methods of conservative treatment which can be used for the patients with scoliosis. Methods: A search was done in some databases including PubMed, ISI Web of knowledge, Google scholar, Ebsco, Embasco, and Scopus...
January 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29725745/accelerated-rehabilitation-results-in-good-outcomes-following-acute-repair-of-proximal-hamstring-ruptures
#4
Benjamin Léger-St-Jean, Zylyftar Gorica, Robert A Magnussen, W Kelton Vasileff, Christopher C Kaeding
PURPOSE: To assess outcomes of patients who underwent proximal hamstring repair utilizing an accelerated rehabilitation protocol with immediate weight bearing as tolerated and no bracing. METHODS: Retrospective chart review identified 47 proximal hamstring tendon repairs with suture anchors in 43 patients performed during 2008-2015. Rehabilitation included no immobilization or limited weightbearing. Patients were contacted by phone to assess outcomes utilizing the lower extremity functional score (LEFS), single-assessment numeric evaluation (SANE), and Marx activity scale...
May 3, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29724537/confirmation-bias-affects-user-perception-of-knee-braces
#5
Brittany Balsamo, Mark D Geil, Rebecca Ellis, Jianhua Wu
Technological advances in orthopedic devices such as prostheses and orthoses are intended to improve function but may also result in increased complexity and expense. Consequently, accurate determination of effectiveness is important. When devices with advanced technology are used, it is possible that confirmation bias - the tendency for a user to actually experience what he or she expects to experience - will influence outcomes. This study assessed confirmation bias in 18 healthy young adults walking in knee braces...
April 25, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29715219/sixty-years-on-ponseti-method-for-clubfoot-treatment-produces-high-satisfaction-despite-inherent-tendency-to-relapse
#6
Lewis E Zionts, Edward Ebramzadeh, Rebecca D Morgan, Sophia N Sangiorgio
BACKGROUND: Developed at the University of Iowa in 1950, the Ponseti method to manage idiopathic clubfoot deformity was slow to gain wide acceptance until the mid-1990s. There is a paucity of intermediate and long-term outcome studies involving this technique, with nearly all such studies coming from a single institution. The purpose of this study is to report the contemporary outcome of patients with clubfoot deformity whose feet were managed with the Ponseti method and who were followed to ≥5 years old, to provide outcome expectations for parents and for clinicians managing patients with idiopathic clubfoot...
May 2, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29709723/the-effect-of-functional-bracing-on-the-arthrokinematics-of-anterior-cruciate-ligament-injured-knees-during-lunge-exercise
#7
Maryam Jalali, Farzam Farahmand, Fateme Esfandiarpour, Seyed Ali Golestanha, Mohammad Akbar, Amirhosein Eskandari, Seyed Ebrahim Mousavi
BACKGROUND: Functional knee braces are extensively used for partially and completely torn anterior cruciate ligament (ACL) patients and those who have undergone ACL graft reconstruction, in order to support the healing ACL, improve the joint's functional stability, and restore the normal joint kinematics. RESEARCH QUESTION: Does wearing braces alter the arthrokinematics of the ACL deficient knees during lung exercise? METHODS: For ten male unilateral ACL deficient subjects, 3D knee models were reconstructed from CT images, acquired in rest position...
April 22, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29703017/osteochondroma-of-ventral-scapula-associated-with-chest-pain-due-to-rib-cage-compression-a-case-report
#8
Dong-Il Chun, Jae-Ho Cho, In Ho Choi, Young Yi, Jun Yong Kim, Jae Heon Kim, Sung Hun Won
RATIONALE: The scapula is relatively rare site for osteochondroma. Scapula osteochondroma is usually asymptomatic, however it may present with features such as pseudowinging, snapping scapula, bursa formation, chronic pain, and cosmetic deformities. To our best knowledge, this is the first report in the English literature about osteochondroma of ventral scapula associated with chest pain due to rib cage compression. PATIENT CONCERNS: A 14-year-old boy was transferred to the orthopedic clinic from thoracic surgery department with a complaint of intermittent, dull, and diffuse aching pain around left chest wall and back from the past 2 months...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29690014/flapper-valve-and-hayfork-functional-anatomy-and-taxonomic-potential-of-the-gastric-mill-of-bairdioidea-ostracoda-podocopida
#9
Rosalie F Maddocks
The chewing apparatus of the Bairdioidea has been described just once and is rarely illustrated, but it might have more taxonomic significance than commonly supposed. It is constructed as a flapper valve (hinged check valve), which is unique among Ostracoda and unusual among animals. It projects into the midgut and is substantially enveloped by it. It serves three functions: to move bites of food into the stomach, to close the esophagus against back-flow, and to pack strands of food and mucus onto the rotating food ball...
February 7, 2018: Zootaxa
https://www.readbyqxmd.com/read/29687968/spinal-bracing-and-lung-function-in-type-2-spinal-muscular-atrophy
#10
Chiara Di Pede, Eleonora Salamon, Matteo Motta, Caterina Agosto, Franca Benini, Adriano Ferrari
BACKGROUND: Respiratory muscle weakness associated with scoliosis in type-2 spinal muscular atrophy (SMA) leads to respiratory impairment. Spinal brace, generally utilized to slow scoliosis progression and support sitting, could worsen lung function and hamper cough maneuvers. CASE SERIES: Six home-treated type-2 SMA children (aged 6 -15 years, subtype 2.1-2.5) were assessed to evaluate time-dependent influence of "static-balanced brace" on pulmonary function...
April 24, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29671490/common-running-injuries-evaluation-and-management
#11
Michael J Arnold, Aaron L Moody
Running is a common form of exercise but predisposes athletes to several running-related injuries. Most running injuries are due to overuse and respond to conservative treatment. Tendinopathies in the patellar, Achilles, and hamstring tendons are common, and are primarily treated with eccentric exercise. Iliotibial band syndrome and patellofemoral pain syndrome are less common than patellar tendinopathy and are treated by strengthening exercises for the core and legs in addition to flexibility exercises. Acute hamstring strains and medial tibial stress syndrome require a period of relative rest, followed by stretching and graded return to activity...
April 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29662789/pie-crusting-technique-is-effective-and-safe-to-release-superficial-medial-collateral-ligament-for-total-knee-arthroplasty
#12
Xuan He, Hong Cai, Ke Zhang
Background: Pie-crusting technique is a damage-control soft tissue balance skill of total knee arthroplasty (TKA). The outcome of this technique to release lateral soft tissue is reasonable. A limited number of studies have focused on medial collateral ligament release with pie-crusting technique in the past years because of concerns about its efficacy and safety. Method: All cases underwent superficial medial collateral ligament (SMCL) release with either pie-crusting technique or traditional technique (39 knees in each group) between January 1, 2014 and August 31, 2015...
April 2018: Journal of Orthopaedic Translation
https://www.readbyqxmd.com/read/29657450/current-advances-in-the-treatment-of-medial-and-lateral-epicondylitis
#13
REVIEW
Sandip P Tarpada, Matthew T Morris, Jayson Lian, Sina Rashidi
Despite advances elucidating the causes of lateral and medial epicondylitis, the standard of care remains conservative management with NSAIDs, physical therapy, bracing, and rest. Scar tissue formation provoked by conservative management creates a tendon lacking the biomechanical properties and mechanical strength of normal tendon. The following review analyzes novel therapies to regenerate tendon and regain function in patients with epicondylitis. These treatments include PRP injection, BMAC, collagen-producing cell injection, and stem cell treatments...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29628010/initial-electromyography-fails-to-predict-long-term-outcome-of-isolated-serratus-palsy
#14
M Vastamäki, H Vastamäki, V Pikkarainen, L Ristolainen
BACKGROUND AND AIMS: The course of isolated serratus palsy is difficult to predict, especially if, in initial electromyographic examination, long thoracic nerve function is totally absent. How initial electromyography correlates with long-term outcome of isolated serratus palsy is unknown. We evaluated initial electromyographic examinations of isolated serratus palsy patients and compared these to their long-term outcome. We hypothesized that long-term outcome after electromyographic examination-verified partial nerve injuries is better than that seen in cases of total nerve injuries...
April 1, 2018: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/29589494/intercalary-reconstruction-of-the-femur-after-tumour-resection
#15
D A Campanacci, F Totti, S Puccini, G Beltrami, G Scoccianti, L Delcroix, M Innocenti, R Capanna
Aims After intercalary resection of a bone tumour from the femur, reconstruction with a vascularized fibular graft (VFG) and massive allograft is considered a reliable method of treatment. However, little is known about the long-term outcome of this procedure. The aims of this study were to determine whether the morbidity of this procedure was comparable to that of other reconstructive techniques, if it was possible to achieve a satisfactory functional result, and whether biological reconstruction with a VFG and massive allograft could achieve a durable, long-lasting reconstruction...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29569063/-arthroscopic-double-row-reconstruction-of-high-grade-subscapularis-tendon-tears
#16
F Plachel, S Pauly, P Moroder, M Scheibel
OBJECTIVE: Reconstruction of tendon integrity to maintain glenohumeral joint centration and hence to restore shoulder functional range of motion and to reduce pain. INDICATIONS: Isolated or combined full-thickness subscapularis tendon tears (≥upper two-thirds of the tendon) without both substantial soft tissue degeneration and cranialization of the humeral head. CONTRAINDICATIONS: Chronic tears of the subscapularis tendon with higher grade muscle atrophy, fatty infiltration, and static decentration of the humeral head...
March 22, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29543576/effectiveness-of-valgus-offloading-knee-braces-in-the-treatment-of-medial-compartment-knee-osteoarthritis-a-systematic-review
#17
Chetan Gohal, Ajaykumar Shanmugaraj, Patrick Tate, Nolan S Horner, Asheesh Bedi, Anthony Adili, Moin Khan
CONTEXT: Knee osteoarthritis affects 9.3 million adults over age 45 years in the United States. There is significant disability associated with this condition. Given the potential complications and the significant cost to the health care system with the dramatic increase in total knee arthroplasties performed for this condition, assessment of the efficacy of nonoperative modalities, such as offloading knee braces, is essential as part of optimizing nonoperative treatment for this condition...
March 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29538092/a-novel-treatment-for-a-rare-injury-pediatric-massive-intrasubstance-rotator-cuff-and-periscapular-muscle-tears-treated-with-a-custom-brace-a-case-report
#18
Molly K Lewis, Omar Ramos-Williams, Hasan M Syed, Theodore K Gregorius
CASE: A 9-year-old boy sustained intrasubstance tears of the rotator cuff and periscapular muscles due to a fall, resulting in scapular winging and severely decreased shoulder range of motion. Treatment consisted of a modified thoracolumbosacral orthosis (TLSO) with a shoulder immobilizer attachment (to reduce the scapula to the thoracic wall and hold the arm in 10° of abduction). The brace was worn for 8 weeks. The patient recovered full, pain-free shoulder function and range of motion, and returned to high-level athletics...
January 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29534303/orthodontic-treatment-for-prominent-upper-front-teeth-class-ii-malocclusion-in-children-and-adolescents
#19
REVIEW
Klaus Bsl Batista, Badri Thiruvenkatachari, Jayne E Harrison, Kevin D O'Brien
BACKGROUND: Prominent upper front teeth are a common problem affecting about a quarter of 12-year-old children in the UK. The condition develops when permanent teeth erupt. These teeth are more likely to be injured and their appearance can cause significant distress. Children are often referred to an orthodontist for treatment with dental braces to reduce the prominence of their teeth. If a child is referred at a young age, the orthodontist is faced with the dilemma of whether to treat the patient early or to wait and provide treatment in adolescence...
March 13, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29529004/one-brace-one-visit-treatment-of-pediatric-distal-radius-buckle-fractures-with-a-removable-wrist-brace-and-no-follow-up-visit
#20
Megan H M Kuba, Byron H Izuka
BACKGROUND: Previous studies have showed the efficacy of removable brace treatment for distal radius buckle fractures in children, whereas others have independently suggested that these injuries do not require additional radiographic imaging. However, no study has sought to collectively determine whether treating pediatric distal radius buckle fractures with a removable brace and no follow-up visit or imaging after the initial visit is a safe and satisfactory protocol. METHODS: In total, 42 consecutive patients with a distal forearm buckle fracture seen by a single fellowship trained pediatric orthopaedic surgeon were eligible to participate...
March 9, 2018: Journal of Pediatric Orthopedics
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