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https://www.readbyqxmd.com/read/29124077/can-a-clinical-examination-demonstrate-intramuscular-tendon-involvement-in-acute-hamstring-injuries
#1
Michel D Crema, Ali Guermazi, Gustaaf Reurink, Frank W Roemer, Mario Maas, Adam Weir, Maarten H Moen, Gert J Goudswaard, Johannes L Tol
Background: Involvement of the intramuscular (central) tendon in acute hamstring injuries, as detected on magnetic resonance imaging (MRI), may prolong recovery times. To date, it is unclear whether hamstring injuries exhibiting intramuscular tendon involvement can be identified though routine clinical examinations that assess flexibility and strength. Purpose: To test whether MRI-detected intramuscular tendon involvement could be identified by a clinical assessment of muscle strength and flexibility...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29091519/a-pilot-rct-investigating-the-effects-of-targeted-compression-on-athletes-with-pelvic-groin-pain
#2
Leanne Sawle, Jennifer Freeman, Jonathan Marsden
CONTEXT: Athletic pelvic/groin pain is a common yet often challenging problem to both diagnose and manage. A new tool has been developed based on the clinical effects of applied force on the pelvis. Early findings indicate that this customised compression orthosis may have a positive effect upon pelvic/groin pain and performance measures. OBJECTIVES: To: Inform the design and test the practicality of procedures for a future definitively powered randomized controlled trial; Provide an estimate of the effect size of this orthosis on selected clinical and performance measures...
November 1, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29081752/multi-system-deconditioning-in-3-day-dry-immersion-without-daily-raise
#3
Steven De Abreu, Liubov Amirova, Ronan Murphy, Robert Wallace, Laura Twomey, Guillemette Gauquelin-Koch, Veronique Raverot, Françoise Larcher, Marc-Antoine Custaud, Nastassia Navasiolava
Dry immersion (DI) is a Russian-developed, ground-based model to study the physiological effects of microgravity. It accurately reproduces environmental conditions of weightlessness, such as enhanced physical inactivity, suppression of hydrostatic pressure and supportlessness. We aimed to study the integrative physiological responses to a 3-day strict DI protocol in 12 healthy men, and to assess the extent of multi-system deconditioning. We recorded general clinical data, biological data and evaluated body fluid changes...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/29072027/effect-of-stretching-based-rehabilitation-on-pain-flexibility-and-muscle-strength-in-dancers-with-hamstring-injury-a-single-blind-prospective-randomized-clinical-trial
#4
Giwon Kim, Hyangsun Kim, Woo K Kim, Junesun Kim
BACKGROUND: Hamstring injuries commonly occur in mainstream sports and occupations that involve physical activity. We evaluated the effect of a stretching-based rehabilitation program on pain, flexibility, and strength in dancers with hamstring injuries. METHODS: Sixteen Korean traditional dancers with unilateral hamstring injuries were included and randomly assigned to a rehabilitation or control group. The rehabilitation group received stretching-based rehabilitation for 8 weeks, which comprised simple static stretches and basic range of motion (ROM) exercises, such as static and active stretching, concentric and eccentric ROM training, and trunk stabilization exercises...
October 24, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/29054803/comparison-of-short-term-effects-of-mobilization-with-movement-and-kinesiotaping-on-pain-function-and-balance-in-patellofemoral-pain
#5
Serdar Demirci, Gizem Irem Kinikli, Michael J Callaghan, Volga Bayrakci Tunay
OBJECTIVE: The aim of this study was to compare the short-term effects of Mobilization with movement (MWM) and Kinesiotaping (KT) on patients with patellofemoral pain (PFP) respect to pain, function and balance. METHODS: Thirty-five female patients diagnosed with unilateral PFP were assigned into 2 groups. The first group (n = 18) received two techniques of MWM intervention (Straight Leg-Raise with Traction and Tibial Gliding) while KT was applied to the other group (n = 17)...
October 17, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29025041/trigger-points-pressure-pain-hyperalgesia-and-mechanosensitivity-of-neural-tissue-in-women-with-chronic-pelvic-pain
#6
Pedro Fuentes-Márquez, Marie Carmen Valenza, Irene Cabrera-Martos, Ana Ríos-Sánchez, Olga Ocón-Hernández
Objectives: This study aims to evaluate the presence of myofascial trigger points (TrPs), widespread pressure pain sensitivity, and mechanosensitivity of neural tissue in women with chronic pelvic pain. Design: Case-control study. Setting: Faculty of Health Sciences. Subjects: Forty women with chronic pelvic pain between age 18 and 60 years and 40 matched healthy controls were included in the study. Methods: TrPs were bilaterally explored in gluteus maximus, gluteus medius, gluteus minimus, quadratus lumborum, and adductor magnus muscles...
August 25, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28992771/reliability-and-validity-of-hip-stability-isometric-test-hipsit-a-new-method-to-assess-hip-posterolateral-muscle-strength
#7
Gabriel Peixoto Leão Almeida, Helena Larissa das Neves Rodrigues, Bruno Wesley de Freitas, Pedro Olavo de Paula Lima
Study Design Cross-sectional study. Background The Hip Stability Isometric Test (HipSIT) evaluates the strength of the hip posterolateral stabilizers in a position that favors greater activation of the gluteus maximus and gluteus medius and lower activation of the tensor fascia lata. Objectives To check the validity and reliability of the HipSIT and to evaluate the HipSIT in women with patellofemoral pain (PFP). Methods The HipSIT was evaluated with a hand-held dynamometer. During testing the participants were side-lying, with the legs positioned at 45° of hip flexion and 90° of knee flexion...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28984705/the-crashing-patient-hemodynamic-collapse
#8
Hitesh Gidwani, Hernando Gómez
PURPOSE OF REVIEW: Rapid restoration of tissue perfusion and oxygenation are the main goals in the resuscitation of a patient with circulatory collapse. This review will focus on providing an evidence based framework of the technological and conceptual advances in the evaluation and management of the patient with cardiovascular collapse. RECENT FINDINGS: The initial approach to the patient in cardiovascular collapse continues to be based on the Ventilate-Infuse-Pump rule...
December 2017: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/28934785/1-year-results-of-a-randomized-controlled-trial-of-conservative-management-vs-minimally-invasive-surgical-treatment-for-sacroiliac-joint-pain
#9
Julius Dengler Dengler, Djaya Kools, Robert Pflugmacher, Alessandro Gasbarrini, Domenico Prestamburgo, Paolo Gaetani, Eddie van Eeckhoven, Daniel Cher, Bengt Sturesson
BACKGROUND: Low back pain (LBP) emanating from the sacroiliac joint (SIJ) is a common finding. Devices to fuse the SIJ are now commercially available, but high-quality evidence supporting their effectiveness is limited. OBJECTIVES: To compare the safety and effectiveness of conservative management (CM) to minimally invasive sacroiliac joint fusion (SIJF) in patients with chronic LBP originating from the SIJ. STUDY DESIGN: Prospective, multicenter randomized controlled trial...
September 2017: Pain Physician
https://www.readbyqxmd.com/read/28928032/reliability-of-surface-electromyography-activity-of-gluteal-and-hamstring-muscles-during-sub-maximal-and-maximal-voluntary-isometric-contractions
#10
Melanie D Bussey, Daniela Aldabe, Divya Adhia, Ramakrishnan Mani
BACKGROUND: Normalizing to a reference signal is essential when analysing and comparing electromyography signals across or within individuals. However, studies have shown that MVC testing may not be as reliable in persons with acute and chronic pain. OBJECTIVES: The purpose of this study was to compare the test-retest reliability of the muscle activity in the biceps femoris and gluteus maximus between a novel sub-MVC and standard MVC protocols. METHODS: This study utilized a single individual repeated measures design with 12 participants performing multiple trials of both the sub-MVC and MVC tasks on two separate days...
September 11, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28900569/there-are-no-biomechanical-differences-between-runners-classified-by-the-functional-movement-screen
#11
Rodrigo Ribeiro de Oliveira, Shalimá Figueirêdo Chaves, Yuri Lopes Lima, Márcio Almeida Bezerra, Gabriel Peixoto Leão Almeida, Pedro Olavo de Paula Lima
BACKGROUND: Running has been one of the main choices of physical activity in people seeking an active lifestyle. The Functional Movement Screen (FMS™) is a screening tool that aims to discern movement competency. PURPOSE: The purposes of this study were to compare biomechanical characteristics between two groups rated using the composite FMS™ score, and to analyze the influence of specific individual tests. The hypothesis was that the group that scored above 14 would demonstrate better performance on biomechanical tests than the group that scored below 14...
August 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28859011/construct-validation-of-the-fms-relationship-between-a-jump-landing-task-and-fms-items
#12
Kornelius Kraus, Elisabeth Schütz, Ralf Doyscher
Sports injuries and athletic performance are complex areas, which are characterized by manifold interdependencies. The landing error scoring system (LESS) is a valid screening tool to examine bilateral jump-landing mechanics. Whereas, the Functional Movement Screen (FMS) items are thought to operationalize flexibility and motor behaviour during low intense bodyweight patterns. The aim of the study was to explore possible interdependency of the diagnostic information of these screening tools. 53 athletes (age 23...
August 29, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/28855790/safety-of-lower-extremity-neurodynamic-exercises-in-adults-with-diabetes-mellitus-a-feasibility-study
#13
Benjamin S Boyd, Robert J Nee, Betty Smoot
OBJECTIVES: Neurodynamic exercises aim to improve neural mechanosensitivity in order to promote pain-free movement and function. People with diabetes mellitus (DM) may be candidates for neurodynamic exercises to address common DM-related impairments such as reduced lower extremity range of motion (ROM) and altered neural mechanosensitivity. However, no studies have examined the safety and immediate effects of neurodynamic exercise in people with DM. This study aims to determine the feasibility of applying neurodynamic exercises in adults with DM by evaluating the rate of adverse events and quantifying immediate changes in straight leg raise (SLR) ROM...
February 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/28841825/the-transverse-abdominal-muscle-is-excessively-active-during-active-straight-leg-raising-in-pregnancy-related-posterior-pelvic-girdle-pain-an-observational-study
#14
Jan M A Mens, Annelies Pool-Goudzwaard
BACKGROUND: Many studies suggest that impairment of motor control is the mechanical component of the pathogenesis of painful disorders in the lumbo-sacral region; however, this theory is still unproven and the results and recommendations for intervention remain questionable. The need for a force to compress both innominate bones against the sacrum is the basis for treatment of pregnancy-related pelvic girdle pain (PGP). Therefore, it is advised to use a pelvic belt and do exercises to enhance contraction of the muscles which provide this compression...
August 25, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28836092/four-symptoms-define-the-piriformis-syndrome-an-updated-systematic-review-of-its-clinical-features
#15
REVIEW
Kevork Hopayian, Armine Danielyan
PURPOSE: To update the evidence on the clinical features of the piriformis syndrome since the first systematic review published in 2010. METHOD: A systematic review of all case, cross-sectional and prevalence studies. RESULTS: The commonest features reported were: buttock pain, pain aggravated on sitting, external tenderness near the greater sciatic notch and pain on any maneuver that increases piriformis muscle tension, and limitation of straight leg raising...
August 23, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28817481/incorporating-dynamic-assessment-of-fluid-responsiveness-into-goal-directed-therapy-a-systematic-review-and-meta-analysis
#16
REVIEW
Joseph M Bednarczyk, Jason A Fridfinnson, Anand Kumar, Laurie Blanchard, Rasheda Rabbani, Dean Bell, Duane Funk, Alexis F Turgeon, Ahmed M Abou-Setta, Ryan Zarychanski
OBJECTIVE: Dynamic tests of fluid responsiveness have been developed and investigated in clinical trials of goal-directed therapy. The impact of this approach on clinically relevant outcomes is unknown. We performed a systematic review and meta-analysis to evaluate whether fluid therapy guided by dynamic assessment of fluid responsiveness compared with standard care improves clinically relevant outcomes in adults admitted to the ICU. DATA SOURCES: Randomized controlled trials from MEDLINE, EMBASE, CENTRAL, clinicaltrials...
September 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28807362/leg-movement-tracking-in-automatic-video-based-one-leg-stance-evaluation
#17
Jacek Kawa, Paula Stępień, Wojciech Kapko, Aleksandra Niedziela, Jarosław Derejczyk
Falls are a major risk in elder population. Early diagnosis is therefore an important step towards increasing the safety of elders. One of the common diagnostic tests is the Berg Balance Scale (BBS), consisting of 14 exercises arranged from the easiest (sitting-to-standing) to the most demanding (one-leg stance). In this study a novel approach to the automatic assessment of the time in which the patient can remain in the one-leg stance position without loosing balance is introduced. The data is collected using a regular video camera...
August 3, 2017: Computerized Medical Imaging and Graphics: the Official Journal of the Computerized Medical Imaging Society
https://www.readbyqxmd.com/read/28803439/comparison-of-the-ability-of-escco-and-volume-view-to-measure-trends-in-cardiac-output-in-patients-undergoing-cardiac-surgery
#18
Stephanie Dache, Nicolas Van Rompaey, Alexandre Joosten, Olivier Desebbe, Sarah Saxena, Frederic Vanden Eynden, Caroline Van Aelbrouck, Isabelle Huybrechts, Luc Van Obbergh, Luc Barvais
BACKGROUND: Cardiac output (CO) is a physiological variable that should be monitored during cardiac surgery. The purpose of this study was to assess the trending ability of two CO monitors, esCCO (Nihon Kohden™, Tokyo, Japan) and Volume View (VV) (Edwards Lifesciences, Irvine, USA). METHODS: A total of 19 patients were included in the study. Before cardiopulmonary bypass (CPB), CO was measured simultaneously using both esCCO and VV devices before and after three CO-modifying manoeuvres (passive leg raise [PLR], the end expiratory occlusion test [EEOT] and positive end expiratory pressure [PEEP] at 10 cm H₂O)...
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28795676/-design-and-application-of-medical-electric-leg-raising-machine
#19
Jintang Liang, Jinyuan Chen, Zixian Zhao, Jinfeng Lin, Juanhong Li, Jingliang Zhong
Passive leg raising is widely used in clinic, but it lacks of specialized mechanical raise equipment. It requires medical staff to raise leg by hand or requires a multi-functional bed to raise leg, which takes time and effort. Therefore we have developed a new medical electric leg-raising machine. The equipment has the following characteristics: simple structure, stable performance, easy operation, fast and effective, safe and comfortable. The height range of the lifter is 50-120 cm, the range of the angle of raising leg is 10degree angle-80degree angle, the maximum supporting weight is 40 kg...
August 2017: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/28781912/nursing-review-section-of-surgical-neurology-international-part-1-lumbar-disc-disease
#20
Nancy E Epstein, Renee D Hollingsworth
BACKGROUND: Patients with lumbar disc disease may present with low back pain, pain that radiates down into the lower extremity (radiculopathy), and leg pain that increases with ambulation (neurogenic claudication). Patients may first undergo diagnostic studies [(magnetic resonance imaging (MRI) and computed tomographic (CT) examinations] to determine whether there is any significant nerve root or thecal sac compression. METHODS: Increasingly, patients with low back pain with/without radiculopathy are being screened by nurses rather than by neurologists or neurosurgeons/orthopedists...
2017: Surgical Neurology International
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