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Functional Bracing

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https://www.readbyqxmd.com/read/28097423/rehabilitation-of-achilles-tendon-ruptures-is-early-functional-rehabilitation-daily-routine
#1
B Frankewycz, W Krutsch, J Weber, A Ernstberger, M Nerlich, Christian G Pfeifer
INTRODUCTION: Ruptures of the Achilles tendon are the most common tendon injuries of the lower extremities. Besides the initial operative or non-operative treatment, rehabilitation of patients plays a crucial role for tendon healing and long-term outcome. As only limited evidence is available for optimized rehabilitation regimen and guidelines for the initial (e.g., first 6 weeks) rehabilitation are limited, this study investigated the current rehabilitation concepts after Achilles tendon rupture...
January 17, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28095293/mapk-signaling-promotes-axonal-degeneration-by-speeding-the-turnover-of-the-axonal-maintenance-factor-nmnat2
#2
Lauren J Walker, Daniel W Summers, Yo Sasaki, E J Brace, Jeffrey Milbrandt, Aaron DiAntonio
Injury-induced (Wallerian) axonal degeneration is regulated via the opposing actions of pro-degenerative factors such as SARM1 and a MAPK signal and pro-survival factors, the most important of which is the NAD(+) biosynthetic enzyme NMNAT2 that inhibits activation of the SARM1 pathway. Here we investigate the mechanism by which MAPK signaling facilitates axonal degeneration. We show that MAPK signaling promotes the turnover of the axonal survival factor NMNAT2 in cultured mammalian neurons as well as the Drosophila ortholog dNMNAT in motoneurons...
January 17, 2017: ELife
https://www.readbyqxmd.com/read/28053200/treatment-and-prevention-of-acute-and-recurrent-ankle-sprain-an-overview-of-systematic-reviews-with-meta-analysis
#3
Cailbhe Doherty, Chris Bleakley, Eamonn Delahunt, Sinead Holden
BACKGROUND: Ankle sprains are highly prevalent with high risk of recurrence. Consequently, there are a significant number of research reports examining strategies for treating and preventing acute and recurrent sprains (otherwise known as chronic ankle instability (CAI)), with a coinciding proliferation of review articles summarising these reports. OBJECTIVE: To provide a systematic overview of the systematic reviews evaluating treatment strategies for acute ankle sprain and CAI...
January 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28030602/structural-and-biochemical-characterization-of-chlamydia-trachomatis-dsba-reveals-a-cysteine-rich-and-weakly-oxidising-oxidoreductase
#4
Signe Christensen, Morten K Grøftehauge, Karl Byriel, Wilhelmina M Huston, Emily Furlong, Begoña Heras, Jennifer L Martin, Róisín M McMahon
The Gram negative bacteria Chlamydia trachomatis is an obligate intracellular human pathogen that can cause pelvic inflammatory disease, infertility and blinding trachoma. C. trachomatis encodes a homolog of the dithiol oxidoreductase DsbA. Bacterial DsbA proteins introduce disulfide bonds to folding proteins providing structural bracing for secreted virulence factors, consequently these proteins are potential targets for antimicrobial drugs. Despite sharing functional and structural characteristics, the DsbA enzymes studied to date vary widely in their redox character...
2016: PloS One
https://www.readbyqxmd.com/read/28024773/comprehensive-treatment-approach-for-condylar-hyperplasia-and-mandibular-crowding-with-custom-lingual-braces-and-2-jaw-surgery
#5
Panagiotis G Kyteas, W Stuart McKenzie, Peter D Waite, Chung H Kau
We report on the successful treatment of a 32-year-old woman with condylar hyperplasia and severe mandibular crowding. In addition, her maxilla was canted to the right, her mandibular midline and chin point deviated to the left, and her maxillary canines were missing. The treatment plan included (1) aligning and leveling the teeth in both arches, (2) correcting overbite and overjet, (3) performing LeFort I osteotomy and bilateral split osteotomies, and (4) correcting the malocclusion postsurgically. The orthodontic treatment was performed with custom lingual braces and clear brackets, and virtual surgical planning techniques were used to plan the orthognathic surgery...
January 2017: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/28024306/a-canine-arthroscopic-anterior-cruciate-ligament-reconstruction-model-for-study-of-synthetic-augmentation-of-tendon-allografts
#6
James L Cook, Pat Smith, James P Stannard, Ferris Pfeiffer, Keiichi Kuroki, Chantelle C Bozynski, Cristi Cook
Novel graft types, fixation methods, and means for augmenting anterior cruciate ligament (ACL) reconstructions require preclinical validation prior to safe and effective clinical application. The objective of this study was to describe and validate a translational canine model for all-inside arthroscopic complete ACL reconstruction using a quadriceps tendon allograft with internal brace (QTIB). With institutional approval, adult research hounds underwent complete transection of the native ACL followed by all-inside ACL reconstruction using the novel QTIB construct with suspensory fixation (n = 10)...
December 26, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/28004427/single-site-osmium-catalysts-on-mgo-reactivity-and-catalysis-of-co-oxidation
#7
Dong Yang, Shengjie Zhang, Pinghong Xu, Nigel Browning, David Dixon, Bruce C Gates
MgO-supported osmium dioxo species described as Os(=O)2{-Osupport}1or2 (the braces denote O atoms of the MgO surface) formed from Os3(CO)12 via supported Os(CO)2 and characterized by spectroscopy, microscopy, and theory react with ethylene at 298 K to form osmium glycol species or with CO to give osmium mono- and dicarbonyls. Os(=O)2{-Osupport}1or2 is the precursor of a CO oxidation catalyst characterized by a turnover frequency of 4.0 × 10-3 (molecules of CO)/(Os atom × s) at 473 K; the active species are inferred to be osmium monocarbonyls...
December 21, 2016: Chemistry: a European Journal
https://www.readbyqxmd.com/read/27984453/management-of-closed-diaphyseal-humerus-fractures-in-patients-with-injury-severity-score-iss-17
#8
Cassandra Dielwart, Luke Harmer, Jeremy Thompson, Rachel B Seymour, Madhav A Karunakar
OBJECTIVES: The management of closed diaphyseal humerus fractures in the Polytrauma patient varies widely. The aim of this study was to compare outcomes of operative and non-operative management in this patient population. DESIGN: Single center, retrospective cohort analysis SETTING:: Urban, Level 1 trauma center PATIENTS:: 71 patients with closed diaphyseal humerus fractures, and ISS of > 17, treated between 2006-2011 were identified. INTERVENTION: Patients were treated operatively versus non-operatively with a functional brace by surgeon preference...
December 1, 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27939833/orthoses-for-osteoarthritis-a-narrative-review
#9
REVIEW
Johann Beaudreuil
Orthoses for osteoarthritis represent splints, taping, sleeves, unloading knee braces and insoles. This review of the effectiveness of these orthoses involved a search for articles published up to 2015 in MEDLINE via PubMed, with a focus on Osteoarthritis Research Society International, American College of Rheumatology and European League Against Rheumatology international recommendations. Evidence for splinting effectiveness in patients with thumb-base osteoarthritis is now provided. Splints for thumb-base osteoarthritis decrease pain and functional disability...
December 6, 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27920102/modified-lambrinudi-arthrodesis-for-the-acute-treatment-of-neurogenic-clubfoot-a-case-report
#10
Eric So, Lee M Hlad
: Neurogenic contracture often results in spastic, nonreducible equinovarus deformity. Rigid contracture leads to pain, instability, and bracing difficulties. This case report details the utilization of the modified Lambrinudi triple arthrodesis intended to create a plantigrade, functional limb that is amenable to an extremity brace in a case of an acquired neurologic clubfoot. LEVELS OF EVIDENCE: Therapeutic, Level IV: Case report.
December 4, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27904790/current-concepts-in-the-treatment-of-gross-patellofemoral-instability
#11
Grant Buchanan, LeeAnne Torres, Brian Czarkowski, Charles E Giangarra
: Patellofemoral instability is a painful and commonly recurring condition, which often must be managed surgically. Diagnosis can be aided by the use of a variety of physical exam signs, such as the Q angle, Beighton hypermobility score, glide test, J sign, patellar tilt test, and apprehension test. Imaging modalities including x-ray, CT, and MRI guide both diagnosis and management by revealing trochlear dysplasia, bony malalignment, and ligamentous injury that contribute to instability...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27898509/acute-achilles-tendon-ruptures-an-update-on-treatment
#12
Anish R Kadakia, Robert G Dekker, Bryant S Ho
Acute rupture of the Achilles tendon is common and seen most frequently in people who participate in recreational athletics into their thirties and forties. Although goals of treatment have not changed in the past 15 years, recent studies of nonsurgical management, specifically functional bracing with early range of motion, demonstrate rerupture rates similar to those of tendon repair and result in fewer wound and soft-tissue complications. Satisfactory outcomes may be obtained with nonsurgical or surgical treatment...
January 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27858697/health-related-quality-of-life-and-perception-of-deformity-in-patients-with-adolescent-idiopathic-scoliosis
#13
Tuğba Kuru Çolak, Turgut Akgül, İlker Çolak, Elif Elçin Dereli, Mehmet Chodza, Fatih Dikici
BACKGROUND: Quality of life and cosmethic appearance have gained importance as outcomes in AIS treatment. Improving aesthetic appearance and quality of life are defined as the primary aims of scoliosis treatment by health professionals. Studies that assess and compare the different treatment results in the field of quality of life and cosmethics are some what limited. OBJECTIVE: A cross-sectional study was designed to compare quality of life and deformity perception in patients with adolescent idiopathic scoliosis (AIS) received conservative (exercise or exercise + brace) or surgical treatment...
November 11, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27852494/reliability-and-validity-testing-of-a-danish-translated-version-of-the-scoliosis-research-society-instrument-22-revised-srs-22r
#14
Ane Simony, Leah Y Carreon, Mikkel O Andersen
STUDY DESIGN: Cross-sectional Objectives: To present a reliable and valid Danish translation of the Scoliosis Research Society-22R (SRS-22R). SUMMARY OF BACKGROUND DATA: The SRS22R was designed as a disease-specific measure of quality of life in surgically treated adolescent idiopathic scoliosis (AIS) patients. It has been translated and adapted into several languages. A reliable and valid Danish version is not available. METHODS: A Danish version of the SRS-22R was developed using previously published and widely accepted guidelines...
January 2016: Spine Deformity
https://www.readbyqxmd.com/read/27849465/outcomes-associated-with-the-intrepid-dynamic-exoskeletal-orthosis-ideo-a-systematic-review-of-the-literature
#15
M Jason Highsmith, Leif M Nelson, Neil T Carbone, Tyler D Klenow, Jason T Kahle, Owen T Hill, Jason T Maikos, Mike S Kartel, Billie J Randolph
High-energy lower extremity trauma is a consequence of modern war and it is unclear if limb amputation or limb salvage enables greater recovery. To improve function in the injured extremity, a passive dynamic ankle-foot orthosis, the Intrepid Dynamic Exoskeletal Orthosis (IDEO), was introduced with specialized return to run (RTR) therapy program. Recent research suggests, these interventions may improve function and return to duty rates. This systematic literature review sought to rate available evidence and formulate empirical evidence statements (EESs), regarding outcomes associated with IDEO utilization...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27833661/walk-for-life-the-national-clubfoot-project-of-bangladesh-the-four-year-outcomes-of-150-congenital-clubfoot-cases-following-ponseti-method
#16
Angela Margaret Evans, Mohommad Mamun Hossen Chowdhury, Mohommad Humayun Kabir, Md Fashiur Rahman
BACKGROUND: Congenital clubfoot deformity can cause significant disability, and if left untreated, may further impoverish those in developing countries, like Bangladesh. The Ponseti method has been strategically introduced in Bangladesh by a non-government organisation, Walk For Life (WFL). WFL has provided free treatment for over 17,500 Bangladeshi children with clubfeet since 2009, sustained by local ownership, and international support. This study assesses the 4-year results in children for whom treatment began before the age of 3 years...
2016: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/27826907/the-unstable-knee-in-congenital-limb-deficiency
#17
REVIEW
Gabriel T Mindler, Christof Radler, Rudolf Ganger
PURPOSE: Instability of the knee is a common finding in patients with congenital limb deficiency. The instability can be attributed to soft tissue abnormalities, frontal, sagittal or rotational deformity of the lower limb and bony dysplasia of the patella or of the femoral condyles. In most of the cases, these pathomorphologic changes stay asymptomatic in daily activity. However, instability can appear during deformity correction and bone-lengthening procedures, leading to flexion contracture or subluxation of the knee...
December 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27792268/in-office-bleaching-during-orthodontic-treatment
#18
Mauricio Neves Gomes, Hélio Dutra, Alexandre Morais, Ricardo Sgura, André Guaraci Devito-Moraes
OBJECTIVE: To demonstrate that it is possible to pursue teeth whitening treatment protocols during orthodontic treatment with no esthetic loss. CLINICAL CONSIDERATIONS: Many patients undergoing orthodontic treatment desire to have a straight and well aligned dentition, but also whiter teeth. For many years, it was believed that carrying out a whitening treatment with positioned orthodontic brackets in place would result in localized spots on the enamel labial surfaces of teeth...
October 28, 2016: Journal of Esthetic and Restorative Dentistry
https://www.readbyqxmd.com/read/27787360/pulmonary-function-changes-and-its-influencing-factors-after-preoperative-brace-treatment-in-patients-with-adolescent-idiopathic-scoliosis-a-retrospective-case-control-study
#19
Bo Ran, Yuxin Fan, Feng Yuan, Kaijin Guo, Xiaodong Zhu
BACKGROUND: The aim of the study was to retrospectively investigate the changes in pulmonary function and its influencing factors in patients with adolescent idiopathic scoliosis (AIS) undergoing preoperative brace treatment or not. METHODS: Total 237 AIS patients (43 boys, 194 girls) who underwent operations and had a complete record of pulmonary function tests were enrolled and were divided into preoperative brace treatment group (brace treatment group, n = 60) and without preoperative brace treatment group (control group, n = 177)...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27766344/anterior-laxity-and-patient-reported-outcomes-7%C3%A2-years-after-acl-reconstruction-with-a-fresh-frozen-tibialis-allograft
#20
Emily Meike, S M Howell, M L Hull
PURPOSE: After reconstructing a torn ACL with a soft tissue allograft, the long-term healing process of graft maturation following the short-term healing process of graft incorporation into the bone tunnels might lead to recurring instability and concomitant decreases in the activity level, function, and patient satisfaction. Relying on roentgen stereophotogrammetric analysis (RSA), the primary purpose was to determine whether anterior laxity increased and whether patient-reported outcomes declined between 1 and 7 years for a particular graft construct, surgical technique, and rehabilitation programme...
October 20, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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