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Orthopedic Rehabilitation

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https://www.readbyqxmd.com/read/29660743/-rehabilitation-after-multiple-trauma
#1
Stefan Simmel
Many polytrauma patients report significant long-term impairments to their physical and mental health, resulting in a reduction of their quality of life. In addition to the obvious physical accident sequences, psychological influences and the individual context factors pose special challenges to the rehabilitation team and the infrastructure of the facility. Professional reintegration and chronic pain are particularly common problems in the trauma rehabilitation. The central task of rehabilitation after accidents is the restoration or substantial improvement of the functional health and thus the reintegration into the social and professional environment...
April 2018: Die Rehabilitation
https://www.readbyqxmd.com/read/29650034/complex-fracture-orthopedic-rehabilitation-comfort-real-time-visual-biofeedback-on-weight-bearing-versus-standard-training-methods-in-the-treatment-of-proximal-femur-fractures-in-the-elderly-study-protocol-for-a-multicenter-randomized-controlled-trial
#2
Marco Raaben, Syaiful Redzwan, Robin Augustine, Taco Johan Blokhuis
BACKGROUND: Proximal femur fractures are a common injury after low energy trauma in the elderly. Most rehabilitation programs are based on restoring mobility and early resumption of weight-bearing. However, therapy compliance is low in patients following lower extremity fractures. Moreover, little is known about the relevance of gait parameters and how to steer the rehabilitation after proximal femur fractures in the elderly. Therefore, the aim of this prospective, randomized controlled trial is to gain insight in gait parameters and evaluate if real-time visual biofeedback can improve therapy compliance after proximal femur fractures in the elderly...
April 12, 2018: Trials
https://www.readbyqxmd.com/read/29626272/a-semi-passive-planar-manipulandum-for-upper-extremity-rehabilitation
#3
Chih-Kang Chang, Edward P Washabaugh, Andrew Gwozdziowski, C David Remy, Chandramouli Krishnan
Robotic rehabilitation is a promising approach to treat individuals with neurological or orthopedic disorders. However, despite significant advancements in the field of rehabilitation robotics, this technology has found limited traction in clinical practice. A key reason for this issue is that most robots are expensive, bulky, and not scalable for in-home rehabilitation. Here, we introduce a semi-passive rehabilitation robot (SepaRRo) that uses controllable passive actuators (i.e., brakes) to provide controllable resistances at the end-effector over a large workspace in a manner that is cost-effective and safe for in-home use...
April 6, 2018: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/29608421/implementing-wearable-sensors-for-continuous-assessment-of-daytime-heart-rate-response-in-inpatient-rehabilitation
#4
Douglas L Weeks, Gina L Sprint, Virgeen Stilwill, Amy Lou Meisen-Vehrs, Diane J Cook
BACKGROUND: It is unclear whether wearable heart rate (HR) sensors can be worn continuously in inpatient rehabilitation to assess cardiorespiratory training response. If feasible, these sensors offer a low-cost low-maintenance method for assessing HR response in this setting. We determined feasibility of wearable sensors for assessing HR response to daytime therapy activities in inpatient rehabilitation within a cardiorespiratory training zone equal to 55-80% of maximal HR (target HR [THR]) for at least two 10-min bouts, 3-5 days per week...
April 2, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29608121/global-rating-of-change-perspectives-of-patients-with-lumbar-impairments-and-of-their-physical-therapists
#5
Ying-Chih Wang, Bhagwant S Sindhu, Jay Kapellusch, Sheng-Che Yen, Leigh Lehman
BACKGROUND: Global rating of change (GROC) scores provide a means of measuring patients' self-perceived change in health status over time. OBJECTIVES: The purposes of the study were to examine agreement of GROC ratings between the patient (GROCp) and the treating therapist (GROCt), the impact on the minimal clinically important difference (MCID) estimates by reporting resources, and the relationships between the subjective GROC scores and objective outcome measures...
April 2, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29599953/intelligent-control-wheelchair-using-a-new-visual-joystick
#6
Yassine Rabhi, Makrem Mrabet, Farhat Fnaiech
A new control system of a hand gesture-controlled wheelchair (EWC) is proposed. This smart control device is suitable for a large number of patients who cannot manipulate a standard joystick wheelchair. The movement control system uses a camera fixed on the wheelchair. The patient's hand movements are recognized using a visual recognition algorithm and artificial intelligence software; the derived corresponding signals are thus used to control the EWC in real time. One of the main features of this control technique is that it allows the patient to drive the wheelchair with a variable speed similar to that of a standard joystick...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29588123/home-health-services-are-not-required-for-select-total-hip-arthroplasty-candidates-assessment-and-supplementation-with-an-electronic-recovery-application
#7
Roy I Davidovitch, Afshin A Anoushiravani, James E Feng, Kevin K Chen, Raj Karia, Ran Schwarzkopf, Richard Iorio
BACKGROUND: At our institution, all postoperative total hip arthroplasty (THA) candidates have received home health services (HHS), consisting of visiting nurses, physical and occupational therapists. However, with a more technologically inclined patient population, electronic patient rehabilitation applications (EPRAs) can be used to deliver perioperative care at the comfort of the patient's home. The aim of this study is to investigate the clinical utility and economic burden associated with digital rehabilitation applications in primary THA recipients...
February 21, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29581910/rehabilitation-outcomes-for-total-knee-arthroplasties-continuous-adductor-canal-block-versus-continuous-femoral-nerve-block
#8
Patrick T Brennan, Jesus M Villa, Mark D Rossi, Marcos A Sanchez-Gonzalez, Carlos J Lavernia
Objective: To determine whether any strength, range of motion (ROM), or functional improvement exists in the adductor canal block (ACB) group after completion of inpatient rehabilitation and following the removal of the continuous block. Design: Retrospective cohort. Setting: Inpatient rehabilitation at discharge and outpatient orthopedic clinic for follow-up. Participants: Two hundred forty-six consecutive primary total knee arthroplasties (TKAs; N = 221 patients) performed by a single surgeon in a single institution between July 2013 and August 2015 for a diagnosis of osteoarthritis...
2018: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/29571265/variability-of-online-available-physical-therapy-protocols-from-academic-orthopedic-surgery-programs-for-arthroscopic-meniscus-repair
#9
Steven F DeFroda, Steven L Bokshan, Alex Boulos, Brett D Owens
OBJECTIVES: To evaluate the variability of arthroscopic meniscus repair rehabilitation protocols. METHODS: Arthroscopic meniscus repair rehabilitation protocols from Accreditation Council for Graduate Medical Education (ACGME) accredited orthopedic surgery programs available online were included for review. Data collection was performed to evaluate recommended weight bearing status and immobilization as well as the presence or absence of recommended therapies, goals for progression of range of motion, functional milestones, and activity initiation time points within each protocol...
March 23, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29570835/influence-of-diabetes-on-tissue-healing-in-orthopedic-injuries
#10
REVIEW
Artur Stolarczyk, Sylwia Sarzyńska, Agata Gondek, Agnieszka Cudnoch-Jędrzejewska
Diabetes is a group of metabolic diseases characterized by hyperglycemia resulting from the defective action or secretion of insulin. Chronic hyperglycemia can lead to the damage, dysfunction and failure of various organs. In the context of complications of healing and orthopedic rehabilitation, vascular (microangiopathy) and nerve (neuropathy) disorders deserve particular attention. About 12% of the patients admitted to orthopedic departments have diabetes. Studies indicate that there is an indisputable link between diabetes and: an increased risk of fractures, the difficult healing of injuries of bones, ligaments and musculotendinous...
March 23, 2018: Clinical and Experimental Pharmacology & Physiology
https://www.readbyqxmd.com/read/29566253/percutaneous-osseointegrated-prostheses-for-transfemoral-amputations
#11
Yan Li, Bennie Lindeque
The direct attachment of the osseointegrated prosthesis to the skeleton avoids the inherent problems of socket suspension. It also permits physiological weight bearing, improved range of motion in the proximal joint, and osseoperceptive sensor feedback, enabling better control of the artificial limb by amputees. This article describes the osseointegration program in Sweden based on the use of bone-anchored prostheses for transfemoral amputation rehabilitation. The authors discuss in detail the patient-centered evaluation, surgical technique, and postoperative rehabilitation protocol...
March 1, 2018: Orthopedics
https://www.readbyqxmd.com/read/29534836/global-budget-revenue-on-a-single-institution-s-costs-and-outcomes-in-patients-undergoing-total-hip-arthroplasty
#12
Ronald E Delanois, Chukwuweike U Gwam, Jeffrey J Cherian, Jennifer I Etcheson, Nicole E George, Kathleen A Schneider, Michael A Mont
BACKGROUND: The state of Maryland was granted a waiver by the Center for Medicare and Medicaid Services to implement a Global Budget Revenue (GBR) reimbursement model. This study aims to compare (1) costs of inpatient hospital stays; (2) postacute care costs; (3) lengths of stay (LOS); and (4) discharge disposition who underwent primary total hip arthroplasty at a single Maryland-based orthopedic institution before and after the implementation of GBR. METHODS: The Maryland Center for Medicare and Medicaid Services database was queried to obtain all Medicare patients who underwent total hip arthroplasty at a single institution before and after the implementation of GBR...
February 15, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29529308/cryptococcosis-in-the-koala-phascolarctos-cinereus-pathogenesis-and-treatment-in-the-context-of-two-atypical-cases
#13
Laura J Schmertmann, Kathryn Stalder, Donald Hudson, Patricia Martin, Mariano Makara, Wieland Meyer, Richard Malik, Mark B Krockenberger
Disseminated cryptococcosis caused by Cryptococcus gattii (molecular type VGI) was diagnosed in an adult free-ranging female koala (Phascolarctos cinereus). Subclinical cryptococcosis was later diagnosed in this koala's joey. In the adult koala, a pathological fracture of the tibia was associated with the bone lysis of marked focal cryptococcal osteomyelitis. Limb-sparing orthopedic intervention, in the setting of disseminated cryptococcosis, was judged to have a poor prognosis, and the adult koala was euthanized...
February 24, 2018: Medical Mycology: Official Publication of the International Society for Human and Animal Mycology
https://www.readbyqxmd.com/read/29525233/small-animal-massage-therapy-a-brief-review-and-relevant-observations
#14
REVIEW
Maira Rezende Formenton, Marco Aurélio Amador Pereira, Denise Tabacchi Fantoni
Massage therapy is becoming increasingly popular in human and animal physiotherapy and rehabilitation. Wider application of the technique led to research efforts aimed at providing scientific support to anecdotal beneficial effects, particularly pain relief. Recent studies have shown that massage therapy alters dopamine and serotonin levels, decreases noradrenaline levels, and modulates the immune system. Psychological effects such as reduction of stress and anxiety, with improvement of depressive patients, have been reported in humans...
December 2017: Topics in Companion Animal Medicine
https://www.readbyqxmd.com/read/29519753/the-effect-of-aromatherapy-massage-on-knee-pain-and-functional-status-in-participants-with-osteoarthritis
#15
Dilek Efe Arslan, Sevinç Kutlutürkan, Murat Korkmaz
This study was conducted to evaluate the effect of aromatherapy massage on knee pain and functional status in subjects with osteoarthritis. The study was designed as a non-randomized interventional study. The study was carried out on patients who referred to the outpatient clinics of the Department of Orthopedics, Physiotherapy and Rehabilitation at Bozok University Research and Application Hospital, and were diagnosed with osteoarthritis. A total number of 95 patients were included in the study, and of those, 33 were allocated to aromatherapy massage group, 30 were allocated to conventional massage group, and 32 were allocated to the control group...
March 5, 2018: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/29503756/customer-discovery-as-the-first-essential-step-for-successful-health-information-technology-system-development
#16
Punyotai Thamjamrassri, YuJin Song, JaeHyun Tak, HoYong Kang, Hyoun-Joong Kong, Jeeyoung Hong
Objectives: Customer discovery (CD) is a method to determine if there are actual customers for a product/service and what they would want before actually developing the product/service. This concept, however, is rather new to health information technology (IT) systems. Therefore, the aim of this paper was to demonstrate how to use the CD method in developing a comprehensive health IT service for patients with knee/leg pain. Methods: We participated in a 6-week I-Corps program to perform CD, in which we interviewed 55 people in person, by phone, or by video conference within 6 weeks: 4 weeks in the United States and 2 weeks in Korea...
January 2018: Healthcare Informatics Research
https://www.readbyqxmd.com/read/29498373/-the-risk-of-perioperative-infections-after-orthopedic-surgery
#17
Paweł Baranowski, Tadeusz Płusa, Alicja Baranowska
Perioperative infections after orthopedic surgery are complications that extend the process of treatment and rehabilitation of patients. The multifactor mechanism of their formation has already been defined, which allows effective control of the threat. In addition to the introduction of ever safer surgical techniques, strict epidemic surveillance and acceptable by the body implanted materials, widely prophylactic perioperative antibiotic therapy is applied. The effects of this action are demonstrated in available clinical analyzes, which indicate a reduction in the scale of the threat...
February 23, 2018: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29476376/regenerative-treatment-of-osteochondral-lesions-of-distal-tibial-plafond
#18
Matteo Baldassarri, Luca Perazzo, Marco Ricciarelli, Simone Natali, Francesca Vannini, Roberto Buda
OBJECTIVES: Osteochondral lesions of the distal tibial plafond (OLTP) are rare and far less common than osteochondral lesions of the talus. Literature data do not report clinical records with significant number of cases and follow-up. The aim of our study was to evaluate clinical and MRI outcomes following arthroscopic treatment of distal tibia osteochondral lesions and to report our results with treating these rare lesions. METHODS: Between October 2010 and November 2011, a consecutive series of 27 patients, 15 males and 12 females, were treated arthroscopically with the one-step BMDCT for OLTPs...
February 23, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29398000/an-instrumental-approach-for-monitoring-physical-exercises-in-a-visual-markerless-scenario-a-proof-of-concept
#19
Marianna Capecci, Maria Gabriella Ceravolo, Francesco Ferracuti, Martina Grugnetti, Sabrina Iarlori, Sauro Longhi, Luca Romeo, Federica Verdini
This work proposes a real-time monitoring tool aimed to support clinicians for remote assessing exercise performances during home-based rehabilitation. The study relies on clinician indications to define kinematic features, that describe five motor tasks (i.e., the lateral tilt of the trunk, lifting of the arms, trunk rotation, pelvis rotation, squatting) usually adopted in the rehabilitation program for axial disorders. These features are extracted by the Kinect v2 skeleton tracking system and elaborated to return disaggregated scores, representing a measure of subjects performance...
January 16, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29384921/three-dimensional-printed-upper-limb-prosthesis-for-a-child-with-traumatic-amputation-of-right-wrist-a-case-report
#20
Guisheng Xu, Liang Gao, Ke Tao, Shengxiang Wan, Yuning Lin, Ao Xiong, Bin Kang, Hui Zeng
RATIONALE: For traumatic upper limb amputees, the prohibitive cost of a custom-made prosthesis brings an insufferable financial burden for their families in developing countries. Three-dimensional (3D) printing allows for creating affordable, lightweight, customized, and well-fitting prosthesis, especially for the growing children. PATIENT CONCERNS: We presented a case of an 8-year-old boy, who suffered a traumatic right wrist amputation as result of a mincing machine accident...
December 2017: Medicine (Baltimore)
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