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Vascular rehabilitation

Marie Christine Iliou, Jean Christophe Blanchard, Aurélia Lamar-Tanguy, Pascal Cristofini, François Ledru
Large subsets of patients admitted in cardiac rehabilitation centers are having a pacemaker, cardiac resynchronization (CRT) or implantable cardiac defibrillator (ICD). Cardiac rehabilitation for patients, mostly with heart failure, with implanted electronic devices as pacemakers or ICD is a unique opportunity not only to optimize the medical treatment, to increase their exercise capacity and improves their clinical condition but also to supervise the correct functioning of the device. CRT reduces clinical symptoms and increases slightly the exercise capacity...
October 14, 2016: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
Viviane Rozeira Crivellaro, João César Zielak, Tatiana Miranda Deliberador, Naylin Danyele de Oliveira, Felipe Rychuv Santos, Carmen Lucia Mueller Storrer
Rehabilitation of edentulous posterior maxilla with implant-supported prostheses frequently presents a challenge to dentists. This is due to insufficient bone within the region, in addition to other limiting factors such as anatomical pneumatization of the maxillary sinus. Thus, grafting of the maxillary sinus is a common procedure used to counteract these problems. Regardless of the type of biomaterial used, the success of the procedure is dependent on the formation of high-quality bone. Therefore, vascularization is a key factor for successful grafting and for the long-term maintenance of the treatment...
December 2016: Int J Implant Dent
Takashi Shiromoto, Naohiko Okabe, Feng Lu, Emi Maruyama-Nakamura, Naoyuki Himi, Kazuhiko Narita, Yoshiki Yagita, Kazumi Kimura, Osamu Miyamoto
BACKGROUND AND OBJECTIVE: Endogenous neurogenesis is associated with functional recovery after stroke, but the roles it plays in such recovery processes are unknown. This study aims to clarify the roles of endogenous neurogenesis in functional recovery and motor map reorganization induced by rehabilitative therapy after stroke by using a rat model of cerebral ischemia (CI). METHODS: Ischemia was induced via photothrombosis in the caudal forelimb area of the rat cortex...
October 12, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Fares Gouzi, Jonathan Maury, François Bughin, Marine Blaquière, Bronia Ayoub, Jacques Mercier, Antonia Perez-Martin, Pascal Pomiès, Maurice Hayot
BACKGROUND AND AIMS: Targeting the early mechanisms in exercise-induced arterial hypertension (which precedes resting arterial hypertension in its natural history) may improve cardiovascular morbidity and mortality in COPD patients. Capillary rarefaction, an early event in COPD before vascular remodeling, is a potential mechanism of exercise-induced and resting arterial hypertension. Impaired training-induced capillarization was observed earlier in COPD patients; thus, this study compares the changes in blood pressure (BP) during exercise in COPD patients and matches control subjects (CSs) after a similar exercise training program, in relationship with muscle capillarization...
2016: International Journal of Chronic Obstructive Pulmonary Disease
Richard B Thompson, Corey R Tomczak, Mark J Haykowsky
Impaired exercise tolerance is a major determinant of decreased quality of life and survival in individuals with cardiovascular disease. The relative contribution that abnormal cardiac, vascular, and skeletal muscle function plays in limiting exercise tolerance and its improvement with exercise training in patients with cardiovascular disease is not fully known. In this review, we provide an overview of the functional impairment of these systems as they relate to exercise capacity and the emerging role of magnetic resonance imaging as a comprehensive tool to evaluate mechanisms that may explain exercise intolerance...
October 2016: Canadian Journal of Cardiology
Antonio Cortese, Giuseppe Pantaleo, Antonio Borri, Mario Caggiano, Massimo Amato
INTRODUCTION: Some studies have demonstrated that platelet rich fibrin (PRF) is a healing biomaterial with a great potential for bone and soft tissue regeneration, without any inflammatory reactions and may be used alone or in combination with bone grafts, promoting hemostasis, bone growth, and maturation. PRF appears as a natural and satisfactory aid in bone regenerative surgery in elderly patients with favorable results and low risks. AIM: This study wants to demonstrate how PRF in association with a new split crest augmentation technique can be a great aid in implant rehabilitation, especially in the elderly patients, when bone regeneration is required...
September 22, 2016: International Journal of Surgery Case Reports
J S M Houghton, D Urriza Rodriguez, A R Weale, M J Brooks, D C Mitchell
OBJECTIVES: Delayed discharges are a significant problem for the National Health Service. The objectives of this study were to determine the prevalence and impact of delayed discharge at a single specialist vascular surgery ward. DESIGN: A cross-sectional observational study. SETTING: A single specialist vascular unit in the UK during a 4-month study period (01/09/2014-31/12/2014). PARTICIPANTS: All patients admitted to the ward during the study period were included...
2016: BMJ Open
Philippine Dassonville, Stuart Nash, Valérie Servajean, Monique Sanchez, Stéphanie Mazza, Pascale Colliot, Sophie Jacquin-Courtois, Evelyne Klinger, Anne-Marie Schott, Laure Huchon, Laura Mechtouff, Laurent Derex, Norbert Nighoghossian, Tae-Hee Cho, Gilles Rode
OBJECTIVE: Describe cognitive impairments and their impact on activities of daily living after a minor stroke in the context of a "pilote" consultation done in hospices civils de Lyon between vascular neurology and physical and rehabilitation services. MATERIAL/PATIENTS AND METHODS: Thirty patients (21-67 years old) who have cognitive difficulties 6 months after minor stroke were included in the study. All patients received an assessment of complaints and cognitive performances (Montreal cognitive assessment scale, verbal span, 16 items free and cued recall, doors test, rey figure, symbol digit modalities test, verbal fluences, trail making test and the virtual action planning-supermarket test)...
September 2016: Annals of Physical and Rehabilitation Medicine
Houda Migaou Miled, Hichem Ben Brahim, Yafa Hadj Hassine, Soumaya Boudokhane, Nesrine Abdelkafi, Aymen Haj Salah, Sana Salah, Anis Jellad, Zohra Ben Salah Frih
OBJECTIVE: Evaluate the quality of life and psychological state of the lower limb amputees. PATIENTS AND METHODS: Prospective study on the lower limb amputees followed at the Physical Medicine and Rehabilitation department of the University Hospital of Monastir. The variables analyzed were epidemiological, clinical with an assessment of the patients quality of life using the quality score of life "Short form 36" (SF_36) and a psychological evaluation by the score "Hospital Anxiety and Depression scale" (HAD)...
September 2016: Annals of Physical and Rehabilitation Medicine
Lluis Guirao Cano
OBJECTIVE: Following a transfemoral (TF) amputation, the ability to walk with a prosthesis is the main objective of rehabilitation. The achieved speed of walking is considered a determining factor in the amputee's perception of quality of life. This experimental before-after study evaluates the walking abilities and improvement of important parameters such as gait, walking speed, pain and hours of prosthesis use in transfemoral amputees after placing a novel femoral implant that permits distal weight bearing of the residuum within a socket, adapted for distal load bearing...
September 2016: Annals of Physical and Rehabilitation Medicine
Gad Alon
The mechanisms that govern the application of noninvasive functional electrical stimulation (FES) have been delineated and clearly described in numerous evidenced-based research publications. The aim of this review is to summarize the primary, multi-system effects of noninvasive FES on the musculoskeletal system, the peripheral vascular system, and the central nervous systems. The presentation will relate these effects to multiple efficacious clinical studies in neuro-rehabilitation. The presentation will include discussion of the latest technological advancement in wearable FES systems and their critical role in achieving functional recovery following damage to the brain...
September 2016: Annals of Physical and Rehabilitation Medicine
Nawale Hadouiri, Pierre Decavel, Damien Feuvrier, Bernard Parratte, Julien Pauchot, Yoshimasa Sagawa
OBJECTIVE: Fibula and leg muscles play an important role during gait. The vascularized free fibula flap (VFFF) harvesting procedure could have an impact during short walking distance [1]. However, little is know about the VFFF effect during prolonged walk conditions [2]. The aim of this study was to determine the effect after VFFF harvesting on the evolution of spatiotemporal gait parameters during a 6-Minutes Walk Test (6MWT) and to compare results with those found in healthy persons...
September 2016: Annals of Physical and Rehabilitation Medicine
P-L Vincent, B Pinatel, R Viard, J-P Comparin, P Gir, D Voulliaume
AIM OF THE STUDY: The coverage of ischiatic pressure ulcers is characterized by a significant recurrence rate (8-64% depending on the series). It therefore seems necessary to introduce the concept of saving in the use of muscle flaps available to avoid being in a situation of therapeutic impasse. The gluteus maximus inferior split-muscle flap allows a tailored coverage to the ischiatic pressure ulcers grade IV with skin defect less than 8cm after surgical debridement. It is associated with an advancement-rotation skin flap removed above the sub-gluteal fold...
September 21, 2016: Annales de Chirurgie Plastique et Esthétique
Ahmed Kayssi, Steven Dilkas, Derry L Dance, Charles de Mestral, Thomas L Forbes, Graham Roche-Nagle
BACKGROUND: The heterogeneity of medical complications that lead to amputation has resulted in a diverse patient population with differing rehabilitation needs; however, the rehabilitation trends for patients with lower extremity amputations across Canada have not been studied previously. OBJECTIVE: To describe trends in rehabilitation after lower extremity amputations and the factors affecting rehabilitation length of stay in Canada. DESIGN: Retrospective cohort analysis...
September 21, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Ulla Riis Madsen, Ami Hommel, Carina Bååth, Connie Bøttcher Berthelsen
INTRODUCTION: Although the group of vascular leg amputated patients constitutes some of the most vulnerable and frail on the orthopedic wards, previous research of amputated patients has focused on patients attending gait training in rehabilitation facilities leaving the patient experience shortly after surgery unexplored. Understanding patients' behavior shortly after amputation could inform health professionals in regard to how these vulnerable patients' needs at hospital can be met as well as how to plan for care post-discharge...
2016: International Journal of Qualitative Studies on Health and Well-being
Arash Momeni, Benjamin Chang, L Scott Levin
The reconstructive principle of replacing "like with like" is best met with vascularized composite allotransplantation in which the components of an existing defect are "matched" to the greatest extent possible in a single stage restoration. Hand transplantation is a labor-intensive and time-intensive process and can be conceptualized into distinct phases that include (1) patient selection and preoperative preparation, (2) technical execution of the procedure, and (3) postoperative rehabilitation and follow-up...
November 2016: Journal of Materials Science. Materials in Medicine
K Bernhoff, M Björck, J Larsson, E Jangland
OBJECTIVE: Severe lower limb trauma with arterial injury is often devastating for the individual. Many studies describe how to manage these injuries when they occur. Short-term functional outcome is quite well described, but the patients are often young, and their suffering is physical, mental, and social from a lifelong perspective. The aim of this study was to report patient experiences of their lives several years after their accidents, and to explore mechanisms of how to improve management...
September 13, 2016: European Journal of Vascular and Endovascular Surgery
Raju Vaishya, Amit Kumar Agarwal, Nishint Gupta, Vipul Vijay
Avascular necrosis (AVN) of femoral head needs to be addressed early in the course of the disease, to prevent progression to osteoarthritis. A revascularizing procedure which can help preserve the head should be considered in young adults to alleviate the need for total hip arthroplasty. We included 40 cases (53 hips) of AVN of femoral head operated with Sartorius muscle pedicle iliac bone grafting, done by the senior author. Early post-operative rehabilitation was done. The weight bearing was delayed for 6 weeks...
August 2016: Journal of Hip Preservation Surgery
Roberto Rossi, Davide Rancitelli, Pier P Poli, Marco Rasia Dal Polo, Ulf Nannmark, Carlo Maiorana
BACKGROUND: Alveolar ridge reconstruction by means of resorbable and non-resorbable membranes has been proposed to increase the hard tissue volume in deficient sites. The purpose of this study was therefore to clinically and histologically evaluate the use of collagenated porcine bone lamina in case of horizontal and vertical bone augmentation procedures in conjunction with particulate porcine xenograft. METHODS: Overall, 8 partially edentulous patients (6 females and 2 males) with a mean age of 45 years requiring bone regeneration procedures to achieve a prosthetically driven implant placement were enrolled...
October 2016: Minerva Stomatologica
Evelyn M R Lake, Paolo Bazzigaluppi, Bojana Stefanovic
Ischaemic stroke is the leading cause of adult disability worldwide. Effective rehabilitation is hindered by uncertainty surrounding the underlying mechanisms that govern long-term ischaemic injury progression. Despite its potential as a sensitive non-invasive in vivo marker of brain function that may aid in the development of new treatments, blood oxygenation level-dependent (BOLD) functional magnetic resonance imaging (fMRI) has found limited application in the clinical research on chronic stage stroke progression...
October 5, 2016: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
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