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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/26376446/association-of-shoulder-problems-in-persons-with-spinal-cord-injury-at-discharge-from-inpatient-rehabilitation-with-activities-and-participation-5-years-later
#15
MULTICENTER STUDY
Inge Eriks-Hoogland, Sonja de Groot, Govert Snoek, Gerold Stucki, Marcel Post, Lucas van der Woude
OBJECTIVE: To examine whether musculoskeletal shoulder pain and limitations in shoulder range of motion (ROM) at discharge from first rehabilitation are associated with activities and participation restrictions 5 years later in persons with spinal cord injury (SCI). DESIGN: Prospective cohort study. SETTING: Eight specialized SCI rehabilitation centers. PARTICIPANTS: Subjects (N=138) with an SCI admitted for first rehabilitation...
January 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/26291597/application-of-the-coflex-interlaminar-stabilization-in-patients-with-l5-s1-degenerative-diseases-minimum-4-year-follow-up
#16
Cong Xu, Fangmin Mao, Xiangyang Wang, Yan Lin, Huazi Xu
The Coflex is one of the representatives of posterior dynamic interspinous process device, but no study with the application of Coflex interlaminar stabilization in L5/S1 level has been performed. The aim of this study was to evaluate the feasibility and validity of the Coflex interlaminar stabilization in the treatment of degenerative lumbar diseases on L5/S1 level. A retrospective study was conducted for a consecutive series of 33 patients with degenerative lumbar spinal stenosis or lumbar disc herniation located in L5/S1 between November 2007 and September 2010...
November 2016: American Journal of Therapeutics
https://www.readbyqxmd.com/read/26254782/dynamic-changes-in-the-cross-sectional-area-of-the-dural-sac-and-spinal-cord-in-the-thoracic-spine
#17
Daigo Morita, Yasutsugu Yukawa, Hiroaki Nakashima, Keigo Ito, Go Yoshida, Masaaki Machino, Syunsuke Kanbara, Toshiki Iwase, Fumihiko Kato
PURPOSE: The thoracic spine is considered a rigid region because it is restricted by the rib cage. Previously, we reported functional alignments and range of motion (ROM) at all segmental levels. The purpose of this study was to investigate dynamic changes of the dural sac and spinal cord in the thoracic spine using a multidetector-row computed tomography (MDCT). METHODS: Fifty patients with cervical or lumbar spinal disease were prospectively enrolled. After preoperative myelography, MDCT was performed at maximum passive flexion and extension...
August 9, 2015: European Spine Journal
https://www.readbyqxmd.com/read/26240711/influence-of-hamstring-tightness-in-pelvic-lumbar-and-trunk-range-of-motion-in-low-back-pain-and-asymptomatic-volunteers-during-forward-bending
#18
Felipe Jose Jandre Reis, Adriana Ribeiro Macedo
STUDY DESIGN: Cross-sectional study. PURPOSE: To verify the association of hamstring tightness and range of motion in anterior pelvic tilt (PT), lumbar motion (LM), and trunk flexion (TF) during forward bending. OVERVIEW OF LITERATURE: Increased hamstring stiffness could be a possible contributing factor to low back injuries. Clinical observations have suggested that hamstring tightness influences lumbar pelvic rhythm. Movement restrictions or postural asymmetry likely lead to compensatory movement patterns of the lumbar spine, and subsequently to increased stress on the spinal soft tissues and an increased risk of low back pain (LBP)...
August 2015: Asian Spine Journal
https://www.readbyqxmd.com/read/26195620/comparison-of-gait-between-healthy-participants-and-persons-with-spinal-cord-injury-when-using-the-advanced-reciprocating-gait-orthosis
#19
Mokhtar Arazpour, Mahmoud Joghtaei, Mahmood Bahramizadeh, Monireh Ahmadi Bani, Stephen W Hutchins, Sarah Curran, Mohammad E Mousavi, Guive Sharifi, Mohammad A Mardani
BACKGROUND: The advanced reciprocating gait orthosis (ARGO) has a rigid structure which provides restricted movement at the hip, knee, and ankle joints and incorporates a pelvic section with an extended section in the lumbar region. Healthy subjects, when walking with an RGO in situ, could feasibly demonstrate the level of limitation in movement imposed by ARGO-assisted ambulation. OBJECTIVE: The aim of this study was to compare the function of the advanced reciprocating gait orthosis when fitted with the dorsiflexion-assist ankle-foot orthoses on temporal-spatial parameters and kinematics of walking in both able-bodied people and those with spinal cord injury...
April 2016: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/26170883/interrater-reliability-of-motion-palpation-in-the-thoracic-spine
#20
Bruce F Walker, Shane L Koppenhaver, Norman J Stomski, Jeffrey J Hebert
Introduction. Manual therapists commonly use assessments of intervertebral motion to determine the need for spinal manipulation, but the reliability of these procedures demonstrates conflicting results. The objectives of this study were to investigate the interrater reliability of thoracic spine motion palpation for perceived joint restriction and pain. Methods. Twenty-five participants between the ages of 18 and 70, with or without mid-back pain, were enrolled. Two raters motion palpated marked T5-T12 levels using two methods (standardised and pragmatic) and noted any restricted or painful segments...
2015: Evidence-based Complementary and Alternative Medicine: ECAM
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