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https://www.readbyqxmd.com/read/28821442/time-in-brace-where-are-the-limits-and-how-can-we-improve-compliance-and-reduce-negative-psychosocial-impact-in-scoliosis-patients-a-retrospective-analysis
#1
Markus Rafael Konieczny, Paula Hieronymus, Rüdiger Krauspe
Background Brace treatment for adolescent idiopathic scoliosis (AIS) is generally prescribed for 18 - 23 hours per day, but the minimal time of brace wear per day to stop progression of AIS is still unclear. Compliance of AIS patients with brace treatment is reported to be between 27% and 47% of the prescribed time, especially brace wear at school is often described as embarrassing by the adolescent patients. It has been reported that a higher rate of compliance leads to a significantly lower rate of curve progression...
August 15, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28819519/simultaneous-ipsilateral-fractures-of-distal-and-proximal-ends-of-the-radius
#2
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/28817162/determining-when-it-is-safe-to-remove-the-external-fixator-results-from-a-survey-of-the-limb-lengthening-and-reconstruction-society
#3
Christopher A Iobst, Waleed Mohammed, Ryan Colley
Thousands of external fixators are applied for distraction osteogenesis each year. Determining when it is safe to remove the fixator can be difficult. The purpose of this study was to survey an international group of external fixation surgeons to determine their current practice patterns surrounding external fixator removal. A 10-question, open-ended survey was emailed to members of the Limb Lengthening and Reconstruction Society. Responses were recorded, and statistical analysis was performed. Pearson's chi-square test and likelihood ratio were used when indicated...
August 17, 2017: Orthopedics
https://www.readbyqxmd.com/read/28817160/extensor-mechanism-reconstruction-for-chronic-patellar-fracture
#4
Antonio Cusano, Emily J Curry, Lee N Marinko, Xinning Li
Patients with displaced patellar fractures typically present with disruption to the extensor mechanism requiring acute surgical intervention. Chronic patellar fractures with disruption of the extensor mechanism are uncommon, and few surgical options are available. The authors present a patient who sustained a fracture to the inferior pole of the patella in Africa 5 years prior that was managed conservatively with bands and a brace. He decided to pursue surgical intervention because of difficulties with leg extension, weakness, and ambulation...
August 17, 2017: Orthopedics
https://www.readbyqxmd.com/read/28816876/osteoporotic-thoracolumbar-fractures-how-are-they-different-classification-and-treatment-algorithm
#5
Shanmuganathan Rajasekaran, Rishi M Kanna, Klaus J Schnake, Alexander R Vaccaro, Gregory D Schroeder, Said Sadiqi, Cumhur Oner
Osteoporotic vertebral fractures constitute at least 50% of the osteoporotic fractures that happen worldwide. Occurrence of osteoporotic fractures make the elderly patient susceptible for further fractures and increases the morbidity due to kyphosis and pain; the mortality risk is also increased in these patients. Most fractures occur in the thoracic and thoracolumbar region and are often stable. Different descriptive and prognostic classification systems have been described, but none are universally accepted...
September 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28816828/coronal-decompensation-after-posterior-only-thoracolumbar-hemivertebra-resection-and-short-fusion-in-young-children-with-congenital-scoliosis
#6
Song Li, Zhong-Hui Chen, Yong Qiu, Liang Xu, Xi Chen, Chang-Zhi Du, Ze-Zhang Zhu, Xu Sun
STUDY DESIGN: A retrospective study. OBJECTIVE: To determine the incidence and risk factors of coronal decompensation after posterior-only thoracolumbar hemivertebra (HV) resection and short fusion in patients younger than 5 years old. SUMMARY OF BACKGROUND DATA: Postoperative coronal decompensation may occur in operated patients during the follow-up. However, there is a paucity of valid data regarding this complication in very young patients with thoracolumbar HV...
August 14, 2017: Spine
https://www.readbyqxmd.com/read/28816707/effect-of-group-exercising-and-adjusting-the-brace-at-shorter-intervals-on-cobb-angle-and-quality-of-life-of-patients-with-idiopathic-scoliosis
#7
Zahra Hedayati, Amir Ahmadi, Mojtaba Kamyab, Taher Babaee, Mohammad Saleh Ganjavian
OBJECTIVE: The aim of the study was to evaluate the effect of group exercise with brace adjustment at shorter intervals than used in routine practice in late-onset idiopathic scoliosis patients. DESIGN: This was a quasi-experimental study. Thirty patients with progressive scoliosis curves of 15-50 degrees and a prescription for a brace were divided into experimental and control groups, both of which participated in an 11-wk treatment program. Those in the experimental group underwent brace adjustment twice per week and performed group exercise, whereas those in the control group received a routine protocol...
August 16, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28814015/postoperative-healing-patterns-in-elbow-using-electromyography-towards-the-development-of-a-wearable-mechatronic-elbow-brace
#8
Raneem Haddara, Yue Zhou, Shrikant Chinchalkar, Ana Luisa Trejos
Musculoskeletal (MSK) conditions are the most common cause of severe long-term pain and physical disability. Current postoperative treatment for patients requires them to follow a long-term physiotherapy program customized for each specific case; however, this process can be complex, time-consuming and without the right therapy it may end up being ineffective. A possible solution involves the development of wearable mechatronic elbow braces that use electromyography (EMG) to identify patient intent. However, EMG characteristics change based on the health of the individual and therefore require further investigation...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813844/soft-stop-knee-brace-for-rehabilitation-from-ligament-injuries-design-and-pilot-trial
#9
James R J Greenfield, Haram Francis Hwang, Claire Davies, Andrew J McDaid
Ligaments within the human knee are commonly torn or injured as a result of sports that involve sharp direction changes, pivoting and landing. For this reason, athletes are often side-lined from their respective sports for up to 18 months after injury to rehabilitate. As part of the rehabilitation process, knee braces are often prescribed in an attempt to decrease the recovery period of the injured individual by restraining and minimizing the motion at the knee. However, the true efficacy of knee bracing is yet to be fully evaluated as studies show mixed results to whether braces actually decrease the rehabilitation period for patients...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28809624/spinal-orthoses-the-crucial-role-of-comfort-on-compliance-of-wearing-monocentric-prospective-pilot-study-of-randomized-cross-over-design
#10
G W Herget, S Patermann, P C Strohm, J Zwingmann, P Eichelberger, N P Südkamp, A Hirschmüller
PURPOSE OF THE STUDY Various spine disorders are regularly treated by orthoses, and success of treatment depends on wearing these devices. In this study we examined the compliance, wear comfort, subjective stabilization and side effects associated with spinal orthoses using an individualized questionnaire and the Compact Short Form-12 Health Survey (SF-12). MATERIAL AND METHODS In this prospective pilot study of randomized cross-over design, twelve healthy volunteers with a mean age of 31.2 years wore three different types of orthoses, each for one week: A hyperextension brace (HB), a custom-made semirigid orthosis (SO) and a custom-made rigid orthosis (RO)...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28808032/mechanical-constraint-from-growing-jaw-facilitates-mammalian-dental-diversity
#11
Elodie Renvoisé, Kathryn D Kavanagh, Vincent Lazzari, Teemu J Häkkinen, Ritva Rice, Sophie Pantalacci, Isaac Salazar-Ciudad, Jukka Jernvall
Much of the basic information about individual organ development comes from studies using model species. Whereas conservation of gene regulatory networks across higher taxa supports generalizations made from a limited number of species, generality of mechanistic inferences remains to be tested in tissue culture systems. Here, using mammalian tooth explants cultured in isolation, we investigate self-regulation of patterning by comparing developing molars of the mouse, the model species of mammalian research, and the bank vole...
August 14, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28801032/physiotherapy-for-patients-with-shoulder-pain-in-primary-care-a-descriptive-study-of-diagnostic-and-therapeutic-management
#12
Y H J M Karel, G G M Scholten-Peeters, M Thoomes-de Graaf, E Duijn, J B van Broekhoven, B W Koes, A P Verhagen
BACKGROUND: Shoulder pain is one of the three main musculoskeletal complaints and more than 50% of the patients have symptoms longer than 6 months. Until now, limited data exist about the content of physiotherapy for patients with shoulder pain in primary care. OBJECTIVE: Describe current physiotherapeutic diagnostic- and therapeutic management, including the use of diagnostic ultrasound, in patients with shoulder pain in primary care. DESIGN AND SETTING: A prospective cohort study in primary care physiotherapy with a 12 week follow-up...
November 28, 2016: Physiotherapy
https://www.readbyqxmd.com/read/28800928/post-operative-bracing-after-pedicle-screw-fixation-for-thoracolumbar-burst-fractures-a-cost-effectiveness-study
#13
REVIEW
Matthew Piazza, Saurabh Sinha, Prateek Agarwal, Arka Mallela, Nikhil Nayak, James Schuster, Sherman Stein
PURPOSE: While frequently prescribed to patients following fixation for spine trauma, the utility of spinal orthoses during the post-operative period is poorly described in the literature. In this study, we calculated rates of reoperation and performed a decision analysis to determine the utility of bracing following pedicle screw fixation for thoracic and lumbar burst fractures. METHODS: Pubmed was searched for articles published between 2005 and 2015 for terms related to pedicle screw fixation of thoracolumbar fractures...
August 8, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28800306/acute-effects-of-kinesio-taping-on-pain-disability-and-back-extensor-muscle-endurance-in-patients-with-low-back-pain-caused-by-magnetic-resonance-imaging-confirmed-lumbar-disc-degeneration
#14
Nai-Jen Chang, Willy Chou, Pei-Chi Hsiao, Wen-Dien Chang, Yi-Ming Lo
BACKGROUND: Individuals with disc degeneration experience associated pain and disability. Considering its safety and affordability, Kinesio tape (KT) may be a viable treatment. However, most KT studies have demonstrated its effects in healthy adults and patients with nonspecific low back pain. The efficacy of KT in patients with disc degeneration is yet to be investigated. OBJECTIVES: To examine the acute effects of KT on patients with lumbar disc degeneration confirmed through magnetic resonance imaging...
August 4, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/28799991/treatment-of-infantile-blount-disease-an-update
#15
Samir Sabharwal, Sanjeev Sabharwal
Although the core principles of managing infantile Blount disease generally remain unchanged, treatment modalities have evolved over the years. Consensus has yet to be reached regarding the efficacy of bracing. Children with Blount disease commonly have advanced bone age, which may impact the timing and magnitude of (over) correction of angular deformity. Techniques of growth modulation, based on the tension band principle, continue to gain popularity. Although there are limited reports in the last decade on proximal tibial osteotomy for this developmental disorder, both acute and gradual correction remain viable treatment options in the appropriate setting...
September 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28798423/orthodontic-and-brace-care
#16
(no author information available yet)
No abstract text is available yet for this article.
August 11, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28798008/activity-recognition-in-individuals-walking-with-assistive-devices-the-benefits-of-device-specific-models
#17
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/28797238/with-a-biomechanical-treatment-in-knee-osteoarthritis-less-knee-pain-did-not-correlate-with-synovitis-reduction
#18
Vikram Swaminathan, Matthew J Parkes, Michael J Callaghan, Terence W O'Neill, Richard Hodgson, Andrew D Gait, David T Felson
BACKGROUND: Braces are used to treat pain in patellofemoral joint osteoarthritis (PFJOA). In a trial, we previously reported pain improvement after 6-weeks brace use. The pain reduction did not correlate with changes in Magnetic Resonance Imaging (MRI) assessed Bone Marrow Lesion volume or static synovial volume. Studies show that changes in the synovium on dynamic contrast enhanced (DCE) MRI are more closely associated with symptom change than static synovial volume changes. We hypothesised change in synovitis assessed using dynamic imaging could explain the reduction in pain...
August 10, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28795156/results-of-ultrasound-assisted-brace-casting-for-adolescent-idiopathic-scoliosis
#19
Edmond H Lou, Doug L Hill, Andreas Donauer, Melissa Tilburn, Douglas Hedden, Marc Moreau
BACKGROUND: Four factors have been reported to affect brace treatment outcome: (1) growth or curve based risk, (2) the in-brace correction, (3) the brace wear quantity, and (4) the brace wear quality. The quality of brace design affects the in-brace correction and comfort which indirectly affects the brace wear quantity and quality. This paper reported the immediate benefits and results on using ultrasound (US) to aid orthotists to design braces for the treatment of scoliosis. METHODS: Thirty-four AIS subjects participated in this study with 17 (2 males, 15 females) in the control group and 17 (2 males, 15 females) in the intervention (US) group...
2017: Scoliosis and Spinal Disorders
https://www.readbyqxmd.com/read/28783472/is-there-a-role-for-internal-bracing-and-repair-of-the-anterior-cruciate-ligament-a-systematic-literature-review
#20
Carola F van Eck, Orr Limpisvasti, Neal S ElAttrache
BACKGROUND: Renewed interest has arisen in arthroscopic anterior cruciate ligament (ACL) repair techniques. HYPOTHESIS: ACL repair with or without some form of internal bracing could lead to good outcomes in a carefully selected subset of patients. STUDY DESIGN: Systematic review. METHODS: An electronic database search was performed to identify 89 papers describing preclinical and clinical studies on the outcome of ACL repair...
August 1, 2017: American Journal of Sports Medicine
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