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spinal motion restriction

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https://www.readbyqxmd.com/read/28210045/a-kinematic-analysis-of-the-lower-limb-with-regard-to-restricted-spinal-motion-during-gait
#1
Hyeon-Nam Song, Young Mi Kim, Kyoung Kim
[Purpose] The purpose of this study was to investigate the effect of restricted spinal motion on kinematic changes in the lower extremities using a rigid thoracolumbosacral orthosis. [Subjects and Methods] Forty healthy males in their 20s were selected as the sample, which was randomly and evenly divided into two groups: (1) the WT group (with a thoracolumbosacral orthosis) and (2) the WOT group (without a thoracolumbosacral orthosis). The spinal orthosis used in this study was a thoracolumbosacral orthosis called a plastic body jacket...
January 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28153036/biomechanical-comparison-of-multilevel-lateral-interbody-fusion-with-and-without-supplementary-instrumentation-a-three-dimensional-finite-element-study
#2
Xilin Liu, Jun Ma, Paul Park, Xiaodong Huang, Ning Xie, Xiaojian Ye
BACKGROUND: Lateral lumbar interbody fusion (LLIF) is a popular, minimally invasive technique that is used to address challenging multilevel degenerative spinal diseases. It remains controversial whether supplemental instrumentation should be added for multilevel LLIF. In this study, we compared the kinematic stability afforded by stand-alone lateral cages with those supplemented by bilateral pedicle screws and rods (PSR), unilateral PSR, or lateral plate (LP) fixation using a finite-element (FE) model of a multi-level LLIF construct with simulated osteoporosis...
February 2, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28138780/reliability-and-scientific-use-of-a-surgical-planning-software-for-anterior-cervical-discectomy-and-fusion-acdf
#3
Martin Barth, Christel Weiß, Christopher Brenke, Kirsten Schmieder
PURPOSE: Software-based planning of a spinal implant inheres in the promise of precision and superior results. The purpose of the study was to analyze the measurement reliability, prognostic value, and scientific use of a surgical planning software in patients receiving anterior cervical discectomy and fusion (ACDF). METHODS: Lateral neutral, flexion, and extension radiographs of patients receiving tailored cages as suggested by the planning software were available for analysis...
January 31, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28134956/long-thoracic-nerve-injury-caused-by-overhead-weight-lifting-leading-to-scapular-dyskinesis-and-medial-scapular-winging
#4
Justin B Berthold, Timothy M Burg, Ryan Paul Nussbaum
Scapular winging represents a rare phenomenon that most commonly results from nerve damage to either the long thoracic nerve, spinal accessory nerve, or, less commonly, the dorsal scapular nerve. This injury results in an abnormal scapulohumeral interaction during kinetic motion known as scapular dyskinesis. In this case report, the patient presented with scapular dyskinesis and medial scapular winging caused by overhead weight-lifting exercises, and a long thoracic nerve injury was diagnosed. Physicians are encouraged to consider long thoracic nerve damage in a patient with a history of repetitive overhead movements who presents with scapular dyskinesis and the corresponding restriction of overhead arm motions...
February 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28106574/walking-ability-of-spinal-cord-injury-individuals-how-to-improve-it
#5
Morteza Sadeghi, Gholam Hussein Ghasemi, Mohammad Taghi Karimi
BACKGROUND: Subjects with Spinal Cord Injury (SCI) should use various assistive devices to stand and walk. Unfortunately they suffer from slow walking speed, high energy consumption, and too much force applied on upper limb while walking. The aim of this study was to determine the gap between the gait performance of SCI and normal subjects to conclude how the performance of SCI can be improved. METHOD: Three groups of SCI walked with orthosis, SCI walked without orthosis, and normal subjects were recruited in this study...
January 13, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/28032706/correlations-of-japanese-orthopaedic-association-scoring-systems-with-gait-parameters-in-patients-with-degenerative-spinal-diseases
#6
Chen-Fan Zheng, Yan-Cheng Liu, Yong-Cheng Hu, Qun Xia, Jun Miao, Ji-Dong Zhang, Kuan Zhang
OBJECTIVE: Japanese Orthopaedic Association (JOA) scoring systems were developed to evaluate the neurological function of patients with cervical or lumbar degeneration. As patient-based and multi-dimensional clinical evaluation tools, these systems should be capable of reflecting the walking disability of patients. The association between JOA scores and gait parameters, however, are not well characterized. The purpose of this study was to determine the correlations between JOA scores and gait parameters of patients with cervical spondylotic myelopathy (CSM) and lumbar intervertebral disc herniation (LDH)...
November 2016: Orthopaedic Surgery
https://www.readbyqxmd.com/read/27739405/rehabilitation-of-hand-in-subacute-tetraplegic-patients-based-on-brain-computer-interface-and-functional-electrical-stimulation-a-randomised-pilot-study
#7
Bethel C A Osuagwu, Leslie Wallace, Mathew Fraser, Aleksandra Vuckovic
OBJECTIVE: To compare neurological and functional outcomes between two groups of hospitalised patients with subacute tetraplegia. APPROACH: Seven patients received 20 sessions of brain computer interface (BCI) controlled functional electrical stimulation (FES) while five patients received the same number of sessions of passive FES for both hands. The neurological assessment measures were event related desynchronization (ERD) during movement attempt, Somatosensory evoked potential (SSEP) of the ulnar and median nerve; assessment of hand function involved the range of motion (ROM) of wrist and manual muscle test...
December 2016: Journal of Neural Engineering
https://www.readbyqxmd.com/read/27664403/evaluating-the-functionality-and-usability-of-two-novel-wheelchair-anti-rollback-devices-for-ramp-ascent-in-manual-wheelchair-users-with-spinal-cord-injury
#8
Susan L Deems-Dluhy, Chandrasekaran Jayaraman, Steve Green, Mark V Albert, Arun Jayaraman
BACKGROUND: Difficulty ascending ramps and inclines with a manual wheelchair adversely affects the everyday mobility and overall quality of life of manual wheelchair users. Currently, various anti-rollback devices are available to assist manual wheelchair users to ascend ramps and inclines. However, these devices have 2 main shortcomings: restriction to backward motion limiting recovery from an overturning wheelie, which is a safety concern; and difficulty in engaging/disengaging the device while on the ramp...
September 21, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27499322/less-invasive-surgery-using-external-fixator-for-the-treatment-of-subtrochanteric-femur-fracture-in-a-high-risk-geriatric-patient
#9
O Şahap Atik, Fatih I Can, M Selçuk Şenol, Toygun K Eren
A 90-year-old female patient was admitted to our clinic complaining of pain in her left hip which occurred due to fall from a chair. Her medical history included memory loss and mental changes associated with Alzheimer's disease and depression. Patient's cooperation and orientation were weak. Range of motion of the left hip was restricted and painful. Radiographs of the left hip demonstrated subtrochanteric comminuted fracture of femur. Laboratory tests revealed anemia and liver insufficiency. Departments of internal medicine and anesthesiology reported high risk for surgery...
August 2016: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/27433301/treatment-of-chronic-acromioclavicular-joint-dislocation-in-a-paraplegic-patient-with-the-weaver-dunn-procedure-and-a-hook-plate
#10
Holger Godry, Mustafa Citak, Matthias Königshausen, Thomas A Schildhauer, Dominik Seybold
In case of patients with spinal cord injury and concomitant acromioclavicular (AC) joint-dislocation the treatment is challenging, as in this special patient group the function of the shoulder joint is critical because patients depend on the upper limb for mobilization and wheelchair-locomotion. Therefore the goal of this study was to examine, if the treatment of chronic AC-joint dislocation using the Weaver-Dunn procedure augmented with a hook-plate in patients with a spinal cord injury makes early postoperative wheelchair mobilization and the wheelchair transfer with full weight-bearing possible...
June 27, 2016: Orthopedic Reviews
https://www.readbyqxmd.com/read/27210862/the-effects-of-dorso-lumbar-motion-restriction-on-the-ground-reaction-force-components-during-running
#11
Joseph J Morley, Edward Traum
PURPOSE: The effects of restricting dorso-lumbar spine mobility on ground reaction forces in runners was measured and assessed. METHODS: A semi-rigid cast was used to restrict spinal motion during running. Subjects ran across a force platform at 3.6 m/s, planting the right foot on the platform. Data was collected from ten running trials with the cast and ten without the cast and analysed. RESULTS: Casted running showed that the initial vertical heel strike maximum was increased (p < ...
April 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27152195/patient-outcome-after-surgical-management-of-the-spinal-accessory-nerve-injury-a-long-term-follow-up-study
#12
Harry Göransson, Olli V Leppänen, Martti Vastamäki
OBJECTIVES: A lesion in the spinal accessory nerve is typically iatrogenic: related to lymph node biopsy or excision. This injury may cause paralysis of the trapezius muscle and thus result in a characteristic group of symptoms and signs, including depression and winging of the scapula, drooped shoulder, reduced shoulder abduction, and pain. The elements evaluated in this long-term follow-up study include range of shoulder motion, pain, patients' satisfaction, delay of surgery, surgical procedure, occupational status, functional outcome, and other clinical findings...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27114783/biomechanics-of-degenerative-spinal-disorders
#13
REVIEW
Justin A Iorio, Andre M Jakoi, Anuj Singla
The spine has several important functions including load transmission, permission of limited motion, and protection of the spinal cord. The vertebrae form functional spinal units, which represent the smallest segment that has characteristics of the entire spinal column. Discs and paired facet joints within each functional unit form a three-joint complex between which loads are transmitted. Surrounding the spinal motion segment are ligaments, composed of elastin and collagen, and joint capsules which restrict motion to within normal limits...
April 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27026329/measuring-muscle-and-bone-in-individuals-with-neurologic-impairment-lessons-learned-about-participant-selection-and-pqct-scan-acquisition-and-analysis
#14
REVIEW
L M Giangregorio, J C Gibbs, B C Craven
Peripheral quantitative computed tomography (pQCT) can be used to examine bone strength outcomes and muscle size and fatty infiltration. Our research team and others have used it to examine bone loss after spinal cord injury (SCI). However, the high prevalence of restricted lower extremity range of motion, spasticity, edema, excessive muscle atrophy, or severe osteoporosis necessitates changes to standard protocols for screening, positioning during scan acquisition, and analysis methods. This manuscript outlines the challenges that we experienced using pQCT in individuals with SCI, and provides solutions, ones that may also be applicable when using pQCT in individuals with other chronic conditions or in older adults...
August 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27015103/the-geometric-curvature-of-the-lumbar-spine-during-restricted-and-unrestricted-squats
#15
Mário H Campos, Laizi I Alaman, Aldo A Seffrin-Neto, Carlos A Vieira, Marcelo C DE Paula, Claudio A DE Lira
BACKGROUND: The main purpose of this study was to analyse the behaviour of the geometric curvature of the lumbar spine during restricted and unrestricted squats, using a novel investigative method. The rationale for our hypothesis is that the lumbar curvature has different patterns at different spine levels depending on the squat technique used. METHODS: Spine motion was collected via stereo-photogrammetric analysis in nineteen participants (11 males, 8 females)...
March 25, 2016: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/26835202/incidence-and-risk-factors-for-late-neurologic-deterioration-after-c3-c6-laminoplasty-for-cervical-spondylotic-myelopathy
#16
Hironobu Sakaura, Toshitada Miwa, Yusuke Kuroda, Tetsuo Ohwada
Study Design Retrospective study. Objective We previously reported that the long-term neurologic outcomes of C3-C6 laminoplasty for cervical spondylotic myelopathy (CSM) are satisfactory, with reduced frequencies of postoperative axial neck pain and kyphotic deformity. However, only 20 patients were included, which is a limitation in that study. The present study investigated the incidence of late neurologic deterioration (LND) of myelopathic symptoms after C3-C6 laminoplasty for CSM and attempted to identify significant risk factors for LND in a larger patient population...
February 2016: Global Spine Journal
https://www.readbyqxmd.com/read/26827233/the-long-spine-board-does-not-reduce-lateral-motion-during-transport-a-randomized-healthy-volunteer-crossover-trial
#17
RANDOMIZED CONTROLLED TRIAL
David A Wampler, Chloe Pineda, Joan Polk, Emily Kidd, Dale Leboeuf, Marti Flores, Mike Shown, Chetan Kharod, Ronald M Stewart, Craig Cooley
OBJECTIVE: For thirty years, emergency medical services agencies have emphasized limiting spinal motion during transport of the trauma patient to the emergency department. The long spine board (LSB) has been the mainstay of spinal motion restriction practices, despite the paucity of data to support its use. The purpose of this study was to determine reduction in lateral motion afforded by the LSB in comparison to the stretcher mattress alone. METHODS: This was a randomized controlled crossover trial where healthy volunteer subjects were randomly assigned to either LSB or stretcher mattress only...
April 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26614917/the-impact-of-lumbar-spine-disease-and-deformity-on-total-hip-arthroplasty-outcomes
#18
REVIEW
Daniel J Blizzard, Brian T Nickel, Thorsten M Seyler, Michael P Bolognesi
Concurrent spine and hip disease is common. Spinal deformities can restrict lumbar range of motion and lumbar lordosis, leading to pelvic obliquity and increased pelvic tilt. A comprehensive preoperative workup and component templating ensure appropriate compensation for altered pelvic parameters for implantation of components according to functional positioning. Pelvic obliquity from scoliosis must be measured to calculate appropriate leg length. Cup positioning should be templated on standing radiograph to limit impingement from cup malposition...
January 2016: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/26512291/two-cases-of-klippel-feil-syndrome-with-cervical-myelopathy-successfully-treated-by-simple-decompression-without-fixation
#19
Jin Bum Kim, Seung Won Park, Young Seok Lee, Taek Kyun Nam, Yong Sook Park, Young Baeg Kim
Klippel-Feil syndrome (KFS) is a congenital developmental disorder of cervical spine, showing short neck with restricted neck motion, low hairline, and high thoracic cage due to multilevel cervical fusion. Radiculopathy or myelopathy can be accompanied. There were 2 patients who were diagnosed as KFS with exhibited radiological and physical characteristics. Both patients had stenosis and cord compression at C1 level due to anterior displacement of C1 posterior arch secondary to kyphotic deformity of upper cervical spine, which has been usually indicative to craniocervical fixation...
September 2015: Korean Journal of Spine
https://www.readbyqxmd.com/read/26506150/atraumatic-myositis-ossificans-of-iliopsoas-excised-through-an-asis-osteotomy-case-report-and-description-of-a-novel-technique
#20
Narender Kumar Magu, Reetadyuti Mukhopadhyay, Paritosh Gogna, Amanpreet Singh, Rohit Singla, Rajesh Rohilla
With a well-established incidence of 15% to 20% following a spinal injury, the occurrence of neurogenic myositis ossifi - cans of the hip is quite rare. The most widely accepted theory supporting its occurrence is the repeated microtrauma by forceful passive mobilization during rehabilitation. An extensive involvement around the hip is quite disabling to the patient. We present the case of a 41-year-old man with an extensive involvement of the right iliopsoas following an incident of head injury with no primary injury to the hip, with a disabling restriction of movement...
July 2015: Bulletin of the Hospital for Joint Diseases
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