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cervical traction

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https://www.readbyqxmd.com/read/28171773/cervical-traction-therapy-with-and-without-neck-support-a-finite-element-analysis
#1
Kuan Wang, Huihao Wang, Zhen Deng, Zhengyan Li, Hongsheng Zhan, Wenxin Niu
BACKGROUND: Cervical traction is commonly used for treating neck pain. However, few studies have investigated the biomechanical impact such traction has on soft tissues. OBJECTIVES: To analyze the biomechanics of cervical traction therapy in a supine position with and without neck support (NS and non-NS). METHODS: A finite element model of the cervical spine was constructed to investigate the mechanism behind cervical traction therapy. An axial traction force of 100-N was loaded on the upper surface of C0 to simulate traction weight...
January 16, 2017: Musculoskelet Sci Pract
https://www.readbyqxmd.com/read/28141768/atlantoaxial-rotatory-subluxation-in-children
#2
Elizabeth C Powell, Jeffrey R Leonard, Cody S Olsen, David M Jaffe, Jennifer Anders, Julie C Leonard
OBJECTIVES: Pediatric cervical injuries are uncommon. This study was to describe injury circumstances, clinical findings, and management among children diagnosed with atlantoaxial rotatory subluxation (AARS) to aid in its recognition and management. METHODS: Subanalysis of a large case-control study from January 2000 to December 2004 in 17 hospitals in the Pediatric Emergency Care Applied Research Network was performed. Cases were children younger than 16 years with AARS after blunt trauma (n = 55); controls were (a) children with other cervical spine injuries (other CSI, n = 485) and (b) those with normal imaging of the cervical spine (non-CSI, n = 1060)...
February 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28111622/cruciate-paralysis-in-a-20-year-old-male-with-an-undisplaced-type-iii-odontoid-fracture
#3
Mansukhani Sameer A, Tuteja Sanesh V, Dhar Sanjay B
INTRODUCTION: Cruciate Paralysis is a rare incomplete spinal cord syndrome presenting as brachial diplegia with minimal or no involvement of the lower extremities. It occurs as a result of trauma to the cervical spine and is associated with fractures of the axis and/or atlas. Diagnosis is confirmed on MRI and is managed by treatment of the underlying pathology. Prognosis depends on the extent of spinal cord injury and the exact cause. CASE PRESENTATION: A 20-year-old male presented to the casualty with a history of an injury to the back of the head as a result of a fall...
April 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28104903/the-effectiveness-of-cervical-spondylosis-therapy-with-saunders-traction-device-and-high-intensity-laser-therapy-a-randomized-controlled-trial
#4
Robert Haładaj, Mariusz Pingot, Mirosław Topol
BACKGROUND Among all spinal therapies, treatment of the cervical segment is the most difficult. The cervical segment is particularly sensitive to injuries and pain, and it also requires special care due to its great mobility and most delicate construction. The aim of this research was to evaluate analgesic efficacy and improvement of active mobility of the cervical spine after traction therapy with the Saunders device and high-intensity laser therapy (HILT) immediately after therapy, and in short-, medium-, and long-term follow-up in patients with cervical spondylosis...
January 20, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28078473/traumatic-atlantoaxial-rotatory-fixation-in-an-adult-patient
#5
María A García-Pallero, Cristina V Torres, Juan Delgado-Fernández, R G Sola
INTRODUCTION: Atlantoaxial rotational fixation (AARF) is a rare entity in adults, with only a few cases reported in the English literature and often associated with a traumatic mechanism. It is an underdiagnosed condition that must be taken into account in the initial assessment of all craniocervical trauma. Both diagnostic and therapeutic delay may be a potential cause of severe neurological damage or even death of the patient. The therapeutic management is controversial given the difficulty of achieving optimum stability and permanent reduction...
January 11, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28065872/posterior-cervical-transfacet-fusion-with-facetal-spacer-for-the-treatment-of-single-level-cervical-radiculopathy-a-randomized-controlled-prospective-study
#6
Jacopo Lenzi, Antonio Nardone, Emiliano Passacantilli, Alessandro Caporlingua, Gennaro Lapadula, Federico Caporlingua
BACKGROUND: single level cervical radiculopathy may be treated conservatively with cervical tractions. Posterior cervical transfacet fusion with a facetal spacer is a viable option. The aim of the present study is to compare posterior cervical transfacet fusion to conservative physical treatment in single level cervical radiculopathy METHODS: 80 patients were randomized in 2 groups. A surgical group where patients were given posterior cervical transfacet fusion and a traction group where patients were treated conservatively with mechanical cervical tractions...
January 5, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28012886/biomechanical-and-endplate-effects-on-nutrient-transport-in-the-intervertebral-disc
#7
Morgan B Giers, Bryce T Munter, Kyle J Eyster, George D Ide, Anna G U S Newcomb, Jennifer N Lehrman, Evgenii Belykh, Vadim A Byvaltsev, Brian P Kelly, Mark C Preul, Nicholas Theodore
BACKGROUND: Physical data are lacking on nutrient transport in human intervertebral discs (IVDs), which supports regeneration. Our objective was to study nutrient transport in porcine IVDs to determine the effects of biomechanical and physiological factors. METHODS: In vitro testing of whole porcine IVDs was performed under different loading conditions. Fifty cervical, thoracic, and lumbar discs with attached end plates were removed from 4 Yorkshire pigs (90-150 pounds)...
December 21, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27956822/immediate-improvement-in-the-cranio-cervical-flexion-test-associated-with-mdt-based-interventions-a-case-report
#8
Hiroshi Takasaki, Scott Herbowy
The patient in this case study presented with constant idiopathic neck pain and left lower scapular pain (greater than 3 months) and was treated based on the principles of Mechanical Diagnosis and Therapy (MDT). Retraction exercises produced centralization of the lower scapular pain to the upper part of the scapula at the initial visit. At the first visit, the performance level on the Cranio-Cervical Flexion Test (CCFT) was ≤20 mmHg before the treatment. At the conclusion of the treatment during which centralization occurred, the CCFT level improved to 24 mmHg...
December 2016: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/27917700/posterior-reversible-encephalopathy-syndrome-following-elevated-mean-arterial-pressures-for-cervical-spinal-cord-injury
#9
Jeffrey H Zimering, Addisu Mesfin
BACKGROUND: Increasing the mean arterial pressure (MAP) is an accepted treatment modality to minimize the risk for irreversible neurologic damage secondary to spinal cord ischemia. Posterior reversible encephalopathy syndrome (PRES) is a rare complication occurring after transplantation surgery, in persons having an autoimmune disorder or after abrupt increases in blood pressure of various etiologies. STUDY DESIGN: Case report. METHODS: Retrospective evaluation of medical records...
December 5, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27875095/routine-bronchoscopy-and-fogarty-catheter-occlusion-of-tracheoesophageal-fistulas
#10
Victoria K Pepper, Laura A Boomer, Arlyne K Thung, Jonathan M Grischkan, Karen A Diefenbach
INTRODUCTION: Use of a Fogarty catheter for emergent occlusion of tracheoesophageal fistulas (TEFs) has been described for use in unstable neonates. Our purpose was to describe a case series of elective Fogarty catheter occlusion of the TEF. MATERIALS AND METHODS: A formal operative laryngoscopy and rigid bronchoscopy were performed with Fogarty catheter placement into the fistula before surgical intervention. The balloon was inflated and gentle traction provided occlusion of the tract...
January 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27807120/outcomes-of-spinal-fusion-for-cervical-kyphosis-in-children-with-neurofibromatosis
#11
Ilkka J Helenius, Paul D Sponseller, William Mackenzie, Thierry Odent, John P Dormans, Jahangir Asghar, Karl Rathjen, Joshua M Pahys, Firoz Miyanji, Daniel Hedequist, Jonathan H Phillips
BACKGROUND: Cervical kyphosis may occur with neurofibromatosis type I (NF1) and is often associated with vertebral dysplasia. Outcomes of cervical spinal fusion in patients with NF1 are not well described because of the rarity of the condition. We aimed to (1) characterize the clinical presentation of cervical kyphosis and (2) report the outcomes of posterior and anteroposterior cervical fusion for the condition in these children. METHODS: The medical records and imaging studies of 22 children with NF1 who had undergone spinal fusion for cervical kyphosis (mean, 67°) at a mean age of 11 years and who had been followed for a minimum of 2 years were reviewed...
November 2, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27796189/cervical-traction-for-managing-neck-pain-a-survey-of-physical-therapists-in-the-united-states
#12
Timothy J Madson, John H Hollman
Study Design Cross-sectional survey. Background Systematic reviews provide little support for traction in managing neck pain. While traction usage among physical therapists (PTs) in other countries has been described, usage in the United States has not been examined. Objective To examine how PTs use traction for patients with neck pain, when traction is used, delivery modes and parameters, supplemental interven¬tions, and whether professional demographics influence usage. Methods We surveyed a random sample of 4000 Orthopaedic Section members of the American Physical Therapy Association...
October 30, 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27792118/intermittent-cervical-traction-for-treating-neck-pain-a-meta-analysis-of-randomized-controlled-trials
#13
Jheng-Dao Yang, Ka-Wai Tam, Tsai-Wei Huang, Shih-Wei Huang, Tsan-Hon Liou, Hung-Chou Chen
STUDY DESIGNS: Meta-analysis OBJECTIVE.: perform a comprehensive search of current literature and conduct a meta-analysis of randomized controlled trials (RCTs) to assess the neck pain-relieving effect of intermittent cervical traction (ICT). SUMMARY OF BACKGROUND DATA: Neck pain is a common and disabling problem with a high prevalence in general population. It causes a considerable burden on the health care system with a substantial expenditure. ICT is a common component of physical therapy for neck pain in the outpatient clinic...
October 25, 2016: Spine
https://www.readbyqxmd.com/read/27770801/balance-chiropractic-therapy-for-cervical-spondylotic-radiculopathy-study-protocol-for-a-randomized-controlled-trial
#14
Feng Yang, Wen-Xiong Li, Zhu Liu, Li Liu
BACKGROUND: Cervical spondylosis is a very common disorder and cervical spondylotic radiculopathy (CSR) is the most common form of spinal degenerative disease. Its clinical manifestations focus on pain and numbness of the neck and arm as well as restricted movement of the neck, which greatly affect the patient's life and work. The orthopedic of traditional Chinese medicine (TCM) theory holds that the basic pathologic change in spinal degenerative diseases is the imbalance between the dynamic system and the static system of the cervical spine...
October 22, 2016: Trials
https://www.readbyqxmd.com/read/27668501/ciliochoroidal-effusion-and-acute-macular-neuroretinopathy-associated-with-cervical-traction-therapy
#15
Vaidehi S Dedania, Devon H Ghodasra, Christine N Kay, Robert Roseman, Mark W Johnson
PURPOSE: To report an unusual case of ciliochoroidal effusion and presumed acute macular neuroretinopathy associated with cervical traction therapy for the treatment of cervical spinal stenosis. METHODS: Case report. RESULTS: A 75-year-old man reported sudden onset of a wedge-shaped paracentral scotoma in the right eye. Fundus examination showed a ciliochoroidal effusion in the right eye. Optical coherence tomography revealed intraretinal fluid in both eyes without leakage on fluorescein angiography...
September 23, 2016: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/27630481/chronic-neglected-irreducible-atlantoaxial-rotatory-subluxation-in-adolescence
#16
Pravin Padalkar
UNLABELLED: Atlantoaxial rotatory fixation (AARF) is a rare condition and delayed diagnosis. We report a case of chronic neglected atlantoaxial rotatory subluxation in adolescence child that was treated by serial skull traction followed by posterior fusing by method pioneered by Goel et al. A 15-year-old male presented with signs of high cervical myelopathy 2 years after trauma to neck childhood. There was upper cervical kyphosis, direct tenderness over C2 spinous process, atrophy of both hand muscles with weakness in grip strength...
July 2016: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/27630475/neglected-dislocation-in-sub-axial-cervical-spine-case-series-and-a-suggested-treatment-protocol
#17
Sudhir Kumar Srivastava, Rishi Anil Aggarwal, Sunil Krishna Bhosale, Pradip Sharad Nemade
CONTEXT: Approaches suggested for treatment of neglected dislocations in the subaxial cervical spine (SACS) include only anterior approach (a), only posterior approach (b), posterior-anterior approach, posterior-anterior-posterior approach, and anterior-posterior-anterior-posterior approach. No protocol is suggested in literature to guide surgeons treating neglected dislocations. AIM: To describe a protocol for the treatment of neglected dislocation in the SACS...
July 2016: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/27615439/intraoperative-cervix-location-and-apical-support-stiffness-in-women-with-and-without-pelvic-organ-prolapse
#18
Carolyn W Swenson, Tovia M Smith, Jiajia Luo, Giselle E Kolenic, James A Ashton-Miller, John O DeLancey
BACKGROUND: It is unknown how initial cervix location and cervical support resistance to traction, which we term "apical support stiffness," compare in women with different patterns of pelvic organ support. Defining a normal range of apical support stiffness is important to better understand the pathophysiology of apical support loss. OBJECTIVE: The aims of our study were to determine whether: (1) women with normal apical support on clinic Pelvic Organ Prolapse Quantification, but with vaginal wall prolapse (cystocele and/or rectocele), have the same intraoperative cervix location and apical support stiffness as women with normal pelvic support; and (2) all women with apical prolapse have abnormal intraoperative cervix location and apical support stiffness...
February 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27600012/-early-and-one-stage-posterior-anterior-surgery-for-fresh-and-severe-lower-cervical-spine-fracture-and-dislocation
#19
Chunyue Duan, Jianzhong Hu, Xiyang Wang, Jianhuang Wu
OBJECTIVE: To explore the clinical value of early and one-stage posterior laminectomy decompression, fracture reconstruction and lateral mess screw fixation combined with anterior cervical corpectomy or discectomy for the treatment of fresh and severe lower cervical spine fracture and dislocation.
 METHODS: A total of 156 consecutive cases of severe fracture and dislocation of lower cervical spine were reviewed from January 2008 to January 2015. Skull traction was installed when the patients were enrolled in the hospital, so the operation was performed as early as possible...
August 2016: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/27576192/addition-of-a-sagittal-cervical-posture-corrective-orthotic-device-to-a-multimodal-rehabilitation-program-improves-short-and-long-term-outcomes-in-patients-with-discogenic-cervical-radiculopathy
#20
Ibrahim M Moustafa, Aliaa A Diab, Shimaa Taha, Deed E Harrison
OBJECTIVE: To investigate the immediate and 1-year effects of a multimodal program, with cervical lordosis and anterior head translation (AHT) rehabilitation, on the intensity of pain, disability, and peripheral and central nervous system function in patients with discogenic cervical radiculopathy (CR). DESIGN: A randomized controlled trial with 1-year and 10-week follow-up. SETTING: University research laboratory. PARTICIPANTS: Patients (N=60; 27 men) with chronic discogenic CR, a defined hypolordotic cervical spine, and AHT posture were randomly assigned to a control group (n=30; mean age, 43...
December 2016: Archives of Physical Medicine and Rehabilitation
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