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Functional Bracing

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https://www.readbyqxmd.com/read/28930478/mechanical-ventilation-induced-diaphragm-atrophy-strongly-impacts-clinical-outcomes
#1
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-superior-to-non-surgical-treatment-in-patients-with-varus-malaligned-medial-knee-osteoarthritis-a-propensity-matched-study-using-2-rct-datasets
#2
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 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
#3
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
#4
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
#5
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
#6
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
#7
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
https://www.readbyqxmd.com/read/28858119/flatfoot-in-the-contralateral-foot-in-patients-with-unilateral-idiopathic-clubfoot-treated-using-the-foot-abduction-brace
#8
Yasuhiro Shirai, Kenjiro Wakabayashi, Ikuo Wada, Yoshiaki Tsuboi, Myongsu Ha, Takanobu Otsuka
While the foot abduction brace (FAB) plays an important role in the Ponseti method, the true function of the FAB in the treatment of idiopathic clubfoot remains unknown. In our clinical experience, we have noted that many patients with unilateral idiopathic clubfoot developed significant flatfoot in the contralateral foot during brace treatment. The purpose of this study was to investigate the natural history of the contralateral foot development during and after brace wear. We also discuss the effect of the FAB on the contralateral foot...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28856168/functional-outcomes-of-achilles-tendon-minimally-invasive-repair-using-4-and-6-strand-nonabsorbable-suture-a-cohort-comparison-study
#9
Michael R Carmont, Jennifer A Zellers, Annelie Brorsson, Nicklas Olsson, Katarina Nilsson-Helander, Jon Karlsson, Karin Grävare Silbernagel
BACKGROUND: The aim of management of Achilles tendon rupture is to reduce tendon lengthening and maximize function while reducing the rerupture rate and minimizing other complications. PURPOSE: To determine changes in Achilles tendon resting angle (ATRA), heel-rise height, patient-reported outcomes, return to play, and occurrence of complications after minimally invasive repair of Achilles tendon ruptures using nonabsorbable sutures. STUDY DESIGN: Cohort study; Level of evidence, 3...
August 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28856026/acute-traumatic-patellar-tendon-rupture-at-the-tibial-tuberosity-attachment-without-avulsion-fracture
#10
Shuichi Miyamoto, Makoto Otsuka, Fumio Hasue, Takayuki Fujiyoshi, Koushirou Kamiya, Hitoshi Kiuchi, Ken Ohara, Atsushi Yunde, Yasunori Toki, Tadashi Tanaka, Junichi Nakamura, Seiji Ohtori
Patellar tendon rupture in children is especially rare. The fact that the area of traumatic rupture has wide variations makes surgical treatment difficult. We present an 11-year-old boy with acute traumatic patellar tendon rupture at the tibial tuberosity attachment without avulsion fracture. Primary end-to-end repair and reinforcement using 1.5 mm stainless steel wires as a surgical strategy were undertaken. Early range of motion began with a functional knee brace and the reinforced stainless wire was removed 3 months after surgery...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/28852346/medial-meniscus-root-tear-in-the-middle-aged-patient-a-case-based-review
#11
Joseph H Carreau, Sean E Sitton, Matthew Bollier
Biomechanical studies have shown that medial meniscal root tears result in meniscal extrusion and increased tibiofemoral joint contact pressures, which can accelerate the progression of arthritis. Repair is generally recommended for acute injuries in the young, active patient population. The far more common presentation however, is a subacute root tear with medial meniscal extrusion in a middle aged patient. Coexisting arthritis is common in this population and complicates decision making. Treatment should be based on the severity of the underlying arthritis...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28842105/early-protected-weightbearing-for-acute-ruptures-of-the-achilles-tendon-do-commonly-used-orthoses-produce-the-required-equinus
#12
Philip Ellison, Andrew Molloy, Lyndon William Mason
Conservative "functional" management of acute Achilles tendon ruptures has become increasingly popular. Critical to this is the use of the walking orthosis, which positions the ankle in equinus to allow for early weightbearing. Our aim was to test whether 2 common orthoses achieved a satisfactory equinus position. A total of 11 sequentially treated Achilles tendon ruptures were assigned to either a fixed angle walking boot with wedges (FAWW) or an adjustable external equinus-corrected brace (EEB). The lateral radiographs of the cast immobilized tendons showed a mean tibiotalar angle (TTA) of 56° (range 54° to 57°) and a mean tibio-first metatarsal angle (1MTA) of 74° (range 62° to 85°)...
September 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28828066/inferior-results-with-unilateral-compared-with-bilateral-brace-in-ponseti-treated-clubfeet
#13
C Sætersdal, J M Fevang, L B Engesæter
PURPOSE: The Ponseti method for treating clubfoot was introduced in Norway in 2003, and a cohort of children has been followed for 8 to 11 years. In a previous study, we found good results after follow-up of two to five years, with 3% rate of extensive surgery (posterior release or posteromedial release). During 8 to 11 years of follow-up, the rate of extensive surgery increased to 11%. The children had been treated with a bilateral brace or a unilateral brace. In this multicentre study we aimed to compare these two post-corrective treatment methods...
June 1, 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28819519/simultaneous-ipsilateral-fractures-of-distal-and-proximal-ends-of-the-radius
#14
Khalid Ibn El Kadi, Mounir Benabid, Sarr Saliou, Oussama El Assil, Amine Marzouki, Kamal Lahrach, Fawzi Boutayeb
We treated a patient with a rare combination of ipsilateral fractures of the distal and proximal ends of the radius. A man aged 42 years had simultaneous fractures of the distal and proximal ends of the radius (radial neck) following a roadside accident. The distal end fracture of the radius was treated with surgical reduction and T-plate volar fixation, and the undisplaced radial neck fracture was treated by an above elbow splintage for 2 weeks. The elbow mobilization was started at 2 weeks. The distal radius was protected for another 4 weeks in a below elbow functional brace...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28798008/activity-recognition-in-individuals-walking-with-assistive-devices-the-benefits-of-device-specific-models
#15
Luca Lonini, Aakash Gupta, Susan Deems-Dluhy, Shenan Hoppe-Ludwig, Konrad Kording, Arun Jayaraman
BACKGROUND: Wearable sensors gather data that machine-learning models can convert into an identification of physical activities, a clinically relevant outcome measure. However, when individuals with disabilities upgrade to a new walking assistive device, their gait patterns can change, which could affect the accuracy of activity recognition. OBJECTIVE: The objective of this study was to assess whether we need to train an activity recognition model with labeled data from activities performed with the new assistive device, rather than data from the original device or from healthy individuals...
August 10, 2017: JMIR Rehabil Assist Technol
https://www.readbyqxmd.com/read/28770628/effects-of-a-knee-brace-with-a-patellar-hole-versus-without-a-patellar-hole-in-patients-with-knee-osteoarthritis-a-double-blind-randomized-controlled-trial
#16
Marco Aurélio Nemitalla Added, Caroline Added, Karina Tamy Kasawara, Viviane Perez Rotta, Diego Galace de Freitas
The objective of this study was to observe the immediate effect of a knee brace with a patellar hole versus without a patellar hole on pain perception in patients with knee osteoarthritis. To accomplish this, a double-blind, randomized controlled trial enrolled 108 patients divided into two groups (knee brace with a patellar hole or without a patellar hole). Patients were evaluated by the Visual Analogue Scale (VAS) in order to measure their pain sensation, the Timed Up and Go (TUG) test was used to evaluate their ability to walk, and the 8-m walking test (8MWT) was used to estimate their walking speed...
January 1, 2017: Evaluation & the Health Professions
https://www.readbyqxmd.com/read/28755495/identification-of-good-candidates-for-valgus-bracing-as-a-treatment-for-medial-knee-osteoarthritis
#17
Allison L Clouthier, Elizabeth A Hassan, Scott C E Brandon, Aaron Campbell, Michael J Rainbow, Kevin J Deluzio
Valgus unloader braces are a conservative treatment option for medial compartment knee osteoarthritis that aim to unload the damaged medial compartment through application of an external abduction moment. Patient response to bracing is highly variable, however. While some experience improvements in pain, function, and joint loading, others receive little to no benefit. The objective of this work was to analyze clinical measures and biomechanical characteristics of unbraced walking to identify variables that are associated with the mechanical effectiveness of valgus unloader bracing...
July 29, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/28755303/-degeneration-of-the-posterior-tibial-tendon-established-and-new-concepts
#18
REVIEW
Markus Walther
BACKGROUND: The most common cause of degeneration of the posterior tibial tendon is a congenital valgus deformity of the calcaneus. Other associated pathologies are forefoot supination, forefoot abduction and shortening of the gastrocnemius muscle. DIAGNOSTICS: Loaded x‑rays of the foot in three planes as well as the hindfoot alignment view enable evaluation of the axis of the foot under static loading conditions. The posterior tibial tendon can be imaged with ultrasound and magnetic resonance imaging (MRI)...
July 28, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28751531/the-preventive-effect-of-a-soccer-specific-ankle-brace-on-acute-lateral-ankle-sprains-in-girls-amateur-soccer-players-study-protocol-of-a-cluster-randomised-controlled-trial
#19
Karin Thijs, Bionka Huisstede, Edwin Goedhart, Frank Backx
BACKGROUND: Acute lateral ankle sprains are the single most often diagnosed injury in female soccer players and often result in an inability to play. This highlights the need for effective prevention strategies. Proprioceptive training and/or the use of an external support to decrease inversion of the ankle joint can prevent or reduce the number of acute lateral ankle sprains. The effectiveness of a soccer-specific ankle brace in reducing first-time and recurrent acute lateral ankle sprains has never been investigated in girl soccer players...
July 27, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28748195/functional-brace-in-acl-surgery-force-quantification-in-an-in-vivo-study
#20
Robert F LaPrade, Melanie B Venderley, Kimi D Dahl, Grant J Dornan, Travis Lee Turnbull
BACKGROUND: A need exists for a functional anterior cruciate ligament (ACL) brace that dynamically supports the knee joint to match the angle-dependent forces of a native ACL, especially in the early postoperative period. PURPOSE/HYPOTHESIS: The purpose of this study was to quantify the posteriorly directed external forces applied to the anterior proximal tibia by both a static and a dynamic force ACL brace. The proximal strap forces applied by the static force brace were hypothesized to remain relatively constant regardless of knee flexion angle compared with those of the dynamic force brace...
July 2017: Orthopaedic Journal of Sports Medicine
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