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Orthopedic Rehabilitation

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https://www.readbyqxmd.com/read/28820799/regional-anesthesia-and-analgesia-after-surgery-in-icu
#1
Mathieu Capdevila, Séverin Ramin, Xavier Capdevila
PURPOSE OF REVIEW: The aim is to demonstrate that ICU physicians should play a pivotal role in developing regional anesthesia techniques that are underused in critically ill patients despite the proven facts in perioperative and long-term pain, organ dysfunction, and postsurgery patient health-related quality of life improvement. RECENT FINDINGS: Regional anesthesia and/or analgesia strategies in ICU reduce the surgical and trauma-stress response in surgical patients as well as complications incidence...
August 17, 2017: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/28777214/recurrent-shoulder-instability-after-primary-bankart-repair
#2
Michael A Donohue, Timothy C Mauntel, Jonathan F Dickens
The glenohumeral joint is one of the most frequently dislocated joints and occurs with increasing frequency in collision and contact athletes, especially those in sports that repeatedly place the glenohumeral joint in a position of vulnerability. Nonoperative management of shoulder instability especially in young contact athletes results in unacceptably high recurrence rates; thus, early surgical stabilization has become commonplace. Surgical stabilization typically yields acceptable outcomes. However, recurrent anterior instability may occur following a previous stabilization procedure at rates of 7% to 12%...
September 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/28755567/microcephaly-and-zika-virus-neuroradiological-aspects-clinical-findings-and-a-proposed-framework-for-early-evaluation-of-child-development
#3
Nelci Adriana Cicuto Ferreira Rocha, Ana Carolina de Campos, Fellipe Cicuto Ferreira Rocha, Fernanda Pereira Dos Santos Silva
BACKGROUND AND AIMS: As the recent outbreak of microcephaly cases caused by Zika virus has been declared a global health emergency, providing assessment guidelines for multidisciplinary teams providing early developmental screening and stimulation to infants with microcephaly is much needed. Thus, the aim of this manuscript is to provide an overview on what is known about neuroradiological aspects and clinical findings in infants with microcephaly caused by Zika virus and to propose a framework for early evaluation of child development...
July 26, 2017: Infant Behavior & Development
https://www.readbyqxmd.com/read/28738891/pivotal-trials-of-orthopedic-surgical-devices-in-the-united-states-predominance-of-two-arm-non-inferiority-designs
#4
S Raymond Golish
BACKGROUND: The United States Food and Drug Administration (FDA) reviews class III orthopedic devices submitted for premarket approval with pivotal clinical trials. The purpose of this study was to determine the types of orthopedic devices reviewed, the design of their pivotal clinical trials, and the subjective factors affecting the interpretation of clinical trial data. METHODS: Meetings of the FDA Orthopaedic and Rehabilitation Devices Panel were identified from 2000-2016...
July 24, 2017: Trials
https://www.readbyqxmd.com/read/28735718/prevalence-and-characteristics-of-work-anxiety-in-medical-rehabilitation-patients-a-cross-sectional-observation-study
#5
Beate Muschalla, Michael Jöbges
OBJECTIVE: To investigate frequency, type and characteristics of work-anxieties in somatic rehabilitation inpatients. Work-anxieties are serious disorders which affect occupational functioning and often go along with long-term sick leave. Somatic patients may suffer from work-related participation problems due to their chronic health condition. Work-anxieties need specific diagnostic and treatment. DESIGN: This is a cross-sectional observation study. SETTING: We investigated inpatients from a neurological, orthopedic and cardiologic rehabilitation clinic...
July 20, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28719391/pediatric-and-congenital-hand-transplantation
#6
Sandra Amaral, L Scott Levin
PURPOSE OF REVIEW: We review the approach and challenges associated with pediatric hand transplantation, including new knowledge gleaned from our recent case of bilateral hand-forearm transplantation in an 8-year old child. RECENT FINDINGS: Bilateral heterologous hand-forearm transplantation was performed in a child with a prior kidney transplant in July 2015. The initial surgery necessitated a large team of experts in microvascular surgery, transplant surgery, orthopedics and plastic surgery as well as pediatric anesthesia...
July 14, 2017: Current Opinion in Organ Transplantation
https://www.readbyqxmd.com/read/28696371/biocompatibility-of-four-common-orthopedic-biomaterials-following-a-high-salt-diet-an-in-vivo-study
#7
Mathieu Lecocq, Cécile Bernard, Marie Solenne Felix, Jean-Marc Linares, Julien Chaves-Jacob, Patrick Decherchi, Erick Dousset
Nowadays, salt consumption appears to be drastically above the recommended level in industrialized countries. The health consequences of this overconsumption are heavy since high-salt intake induces cardiovascular disease, kidney dysfunction, and stroke. Moreover, harmful interaction may also occur with orthopaedic devices because overconsumption of salt reinforces the corrosive aspect of biological tissues and favors bone resorption process. In the present study, we aimed to assess the in vivo effect of three weeks of a high-salt diet, associated (or not) with two weeks of the neuro-myoelectrostimulation (NMES) rehabilitation program on the biocompatibility of four biomaterials used in the manufacture of arthroplasty implants...
July 11, 2017: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/28667524/low-evaluation-rate-for-osteoporosis-among-patients-presenting-with-a-rib-fracture
#8
Whang Kim, Hyun Sik Gong, Seung Hoo Lee, Jin Woo Park, Kahyun Kim, Goo Hyun Baek
This study in a regional hospital setting found a low evaluation rate for osteoporosis among patients presenting with a rib fracture. Increased emphasis or education for osteoporosis evaluation may be necessary in case of rib fractures. INTRODUCTION: Rib fractures from a low-energy trauma are common in the elderly, and a history of rib fracture has been reported to increase the risk for a subsequent osteoporotic fracture. The purpose of this study was to evaluate how many of the patients presenting with an isolated rib fracture were being evaluated for osteoporosis and the risk for a subsequent fracture...
December 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/28664273/-migrant-sensitive-health-care-strategies-in-orthopedic-rehabilitation-a%C3%A2-postal-survey-in-north-rhine-westphalia-and-schleswig-holstein
#9
Patrick Brzoska, Yüce Yilmaz-Aslan, Tugba Aksakal, Oliver Razum, Ruth Deck, Jana Langbrandtner
BACKGROUND: Migrants utilize rehabilitative care less frequently than the majority population in Germany. They also have less favorable treatment outcomes. Little is known about migrant-sensitive measures implemented by rehabilitation hospitals in order to provide a more patient-centered health care for this population group. OBJECTIVES: The aim of the present study was to examine which measures of migrant-sensitive health care are used by rehabilitation hospitals in North Rhine-Westphalia and Schleswig-Holstein and to identify potential barriers that may affect the implementation of such measures...
August 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28660306/shear-wave-velocity-measurement-of-upper-trapezius-muscle-by-color-doppler-shear-wave-imaging
#10
Atsushi Yamamoto, Yoshiki Yamakoshi, Takashi Ohsawa, Hitoshi Shitara, Tsuyoshi Ichinose, Hiroyuki Shiozawa, Tsuyoshi Sasaki, Noritaka Hamano, Yasushi Yuminaka, Kenji Takagishi
PURPOSE: Skeletal muscle stiffness is thought to be the result of increased tissue hardness, but measurement accuracy has been dependent on operator technique. We have proposed a novel shear wave real-time imaging method (color Doppler shear wave imaging: CD SWI) with continuous shear waves excited from the tissue surface by a mechanical vibrator. METHODS: Using the method, shear wave velocity was measured for the upper trapezius muscle. Adaptive shear wave velocity measurement by means of quality estimation of shear wave wavefront was adopted...
June 28, 2017: Journal of Medical Ultrasonics
https://www.readbyqxmd.com/read/28660004/management-of-recent-elbow-dislocations-functional-treatment-versus-immobilization-a-prospective-study-about-60-cases
#11
Ndeye Fatou Coulibaly, Niane Mouhamadou Moustapha, Hamadi Hadji Djoumoi, Sarr Lamine, Gueye Alioune Badara, Sane André Daniel
OBJECTIVE: To determine our therapeutic posture trough a comparison of functional treatment results versus immobilization in two different periods. INTRODUCTION: For years, the treatment of recent elbow dislocations consisted of reduction and immobilization during 21 days. Given the frequency of stiffness other methods have been tried out. METHOD: A prospective study was carried out from January 2010 to December 2014. Sixty patients averaging 28...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28649011/comparison-of-techniques-to-determine-human-skeletal-muscle-voluntary-activation
#12
Anastasia Zarkou, Scott Stackhouse, Stuart A Binder-Macleod, Samuel C K Lee
Determining volitional activation (VA) can provide insights on the cause of muscle weakness in orthopedic and neurological populations. Two electrical stimulation techniques are traditionally used to quantify VA: interpolation (IT) and superimposition (CAR). IT allows for a more accurate VA estimation, however it requires individuals to be stimulated twice, compared to once for CAR, and thus increases stimulation associated discomfort. To date, there is no agreement on what is the best practical technique for calculating quadriceps VA...
June 8, 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/28630722/hip-arthroscopy-protocol-expert-opinions-on-post-operative-weight-bearing-and-return-to-sports-guidelines
#13
Ehud Rath, Zachary T Sharfman, Matan Paret, Eyal Amar, Michael Drexler, Nicolas Bonin
The objectives of this study are to survey the weight-bearing limitation practices and delay for returning to running and impact sports of high volume hip arthroscopy orthopedic surgeons. The study was designed in the form of expert survey questionnaire. Evidence-based data are scares regarding hip arthroscopy post-operative weight-bearing protocols. An international cross-sectional anonymous Internet survey of 26 high-volume hip arthroscopy specialized surgeons was conducted to report their weight-bearing limitations and rehabilitation protocols after various arthroscopic hip procedures...
January 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28606837/where-are-the-women-the-underrepresentation-of-women-physicians-among-recognition-award-recipients-from-medical-specialty-societies
#14
Julie K Silver, Chloe S Slocum, Anna M Bank, Saurabha Bhatnagar, Cheri A Blauwet, Julie A Poorman, Amparo Villablanca, Sareh Parangi
Membership in medical societies is associated with a number of benefits to members that may include professional education, opportunities to present research, scientific and/or leadership training, networking, and others. In this perspective article, the authors address the value that medical specialty society membership and inclusion have in the development of an academic physician's career and how underrepresentation of women may pose barriers to their career advancement. Because society membership itself is not likely sufficient to support the advancement of academic physicians, this report focuses on one key component of advancement that also can be used as a measure of inclusion in society activities-the representation of women physicians among recipients of recognition awards...
June 9, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28605312/examination-of-response-shift-after-rehabilitation-for-orthopedic-conditions-a-systematic-review
#15
Cameron J Powden, Matthew C Hoch, Johanna M Hoch
CONTEXT: There is an increased emphasis on the need to capture and incorporate self-reported function to make clinical decisions when providing patient-centered care. Response shift, or a change in an individual's self-evaluation of a construct, may affect the accurate assessment of change in self-reported function throughout the course of rehabilitation. A systematic review of this phenomenon may provide valuable information regarding the accuracy of self-reported function. OBJECTIVES: To systematically locate and synthesize the existing evidence regarding response shift during care for various orthopedic conditions...
June 12, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28602934/biomechanical-factors-associated-with-pain-and-symptoms-following-anterior-cruciate-ligament-injury-and-reconstruction
#16
Aisia Azus, Hsiang-Ling Teng, Lauren Tufts, Daniel Wu, C Benjamin Ma, Richard B Souza, Xiaojuan Li
BACKGROUND: Few studies have investigated the associations between patient-reported outcome and gait in patients with anterior cruciate ligament (ACL) injury and reconstruction over time. Because there is an association between ACL rupture and the presence of osteoarthritis later in life, a better understanding of these relationships will help to elucidate how patients' gait pattern may affect pain and symptoms, potentially leading to better treatment for or preventing the development of knee OA...
June 8, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28602826/an-alternative-didactic-functional-and-topographic-systematization-of-the-spinal-muscles
#17
Vivianne Izabelle de Araújo Baptista, William Paganini Mayer, Ricardo Eustáquio da Silva, Ricardo Bragança de Vasconcellos Fontes, Josemberg da Silva Baptista
Back muscles are commonly described in a topographically-oriented manner without necessarily following morphological criteria. In this manner, non-standard terms may be employed which convey incorrect morphological concepts and demanding more time from both faculty and students to transmit knowledge. We propose a classification system for spinal muscles incorporating morphological concepts with the goal of facilitating knowledge transfer and suggest the term "spinal muscles". Those muscles were systematically divided and classified in seven strata from anterior to posterior: vertebro-appendicular (VA), transversarium (Tr), deep post-transversarium (DPT), middle post-transversarium (MPT), superficial post-transversarium (SPT), deep spino-appendicular (DSA) and superficial spino-appendicular (SSA)...
September 2017: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
https://www.readbyqxmd.com/read/28596954/assessment-of-health-needs-in-children-with-congenital-upper-limb-differences-in-nicaragua-community-case-study
#18
Maria F Canizares, Jairo J Rios Roque, Gabriel Ramos Zelaya, Michelle A James
Congenital anomalies are prevalent in Nicaragua, and disability is estimated to be 10% in the general population. We studied children with congenital upper limb differences, as they are vulnerable to disability. This case study documents a collaborative effort between American and Nicaraguan orthopedic surgeons to determine unmet health needs of children with congenital upper limb differences at Hospital Manuel de Jesus Rivera ("La Mascota" Hospital) in Nicaragua, with the goal of developing programs that successfully address these needs within the context of the priorities of the community...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28593102/rehabilitation-following-medial-patellofemoral-ligament-reconstruction-for-patellar-instability
#19
Robert C Manske, Daniel Prohaska
Patellar instability is a common problem seen by physical therapists, athletic trainers and orthopedic surgeons. Although following an acute dislocation, conservative rehabilitation is usually the first line of defense; refractory cases exist that may require surgical intervention. Substantial progress has been made in the understanding of the medial patellofemoral ligament (MPFL) and its role as the primary stabilizer to lateral patellar displacement. Medial patellofemoral ligament disruption is now considered to be the essential lesion following acute patellar dislocation due to significantly high numbers of ruptures following this injury...
June 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28585996/posterior-percutaneous-endoscopic-cervical-foraminotomy-and-diskectomy-with-unilateral-biportal-endoscopy
#20
Jae Hyun Park, Su Gi Jun, Je Tae Jung, Sang Jin Lee
This report describes a new, minimally invasive procedure, posterior percutaneous endoscopic cervical diskectomy, performed with a unilateral biportal endoscopic approach. The procedure is used to treat cervical foraminal soft disk protrusion. This report also describes the short-term results with this procedure. In 2015, 14 patients underwent this new, minimally invasive procedure. The technique was applied with a standard arthroscopy device and conventional spine instruments. The Neck Disability Index and visual analog scale scores for the neck and upper arm were evaluated, and 13 consecutive patients were included in the analysis...
June 6, 2017: Orthopedics
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