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https://www.readbyqxmd.com/read/28323719/passive-leg-raising-for-assessment-of-volume-responsiveness-a-review
#1
Jaume Mesquida, Guillem Gruartmoner, Ricard Ferrer
PURPOSE OF REVIEW: To evaluate the existing evidence on the passive leg raising (PLR) test for fluid responsiveness prediction. RECENT FINDINGS: It has been well established that either insufficient or excessive fluid administration derives in worse outcomes in critically ill patients, highlighting that a more accurate assessment of fluid management is required. Accordingly, several cardiovascular indices have been tested to improve our ability to predict patients' response to fluid loading at the bedside, the so-called functional hemodynamic monitoring...
March 20, 2017: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/28298750/comparison-of-fluoroscopic-guided-transforaminal-epidural-injections-of-steroid-and-local-anaesthetic-with-conservative-management-in-patients-with-chronic-lumbar-radiculopathies
#2
Nandita Mehta, Misbah Salaria, A Q Salaria
BACKGROUND: Chronic lumbar radiculopathy is a common medical problem and the treatment modalities used over years have been many ranging from conservative or symptomatic management to open decompression surgery. This study was aimed at to compare two modalities of treatment, i.e., conservative and lumbar transforaminal epidural steroid injections (TFESIs). MATERIALS AND METHODS: A total of 120 patients of American Society of Anesthesiology class - (a healthy patient or a patient with mild systemic disease) were randomized to two groups...
January 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28243533/gait-changes-in-a-line-of-mice-artificially-selected-for-longer-limbs
#3
Leah M Sparrow, Emily Pellatt, Sabrina S Yu, David A Raichlen, Herman Pontzer, Campbell Rolian
In legged terrestrial locomotion, the duration of stance phase, i.e., when limbs are in contact with the substrate, is positively correlated with limb length, and negatively correlated with the metabolic cost of transport. These relationships are well documented at the interspecific level, across a broad range of body sizes and travel speeds. However, such relationships are harder to evaluate within species (i.e., where natural selection operates), largely for practical reasons, including low population variance in limb length, and the presence of confounding factors such as body mass, or training...
2017: PeerJ
https://www.readbyqxmd.com/read/28222571/the-edurep-approach-plus-manual-therapy-for-the-management-of-insertional-achilles-tendinopathy-a-case-report
#4
Francesco Sartorio, Anna Zanetta, Giorgio Ferriero, Elisabetta Bravini, Stefano Vercelli
BACKGROUND: Insertional Achilles tendinopathy (IAT) is a challenging overuse disorder. The aim of this case report was to study the feasibility of a comprehensive rehabilitative approach according to the Education, Unloading, Reloading, and Prevention (EdUReP) framework combined with Instrument-Augmented Soft Tissue Mobilization (I-ASTM). METHODS: An active 51-year-old man patient with chronic IAT was studied. Clinical assessment battery was composed by visual analogue scale for pain during the Achilles tendon palpation test, passive straight leg raise test, single leg hop test, Patient-Specific Functional Scale, and Foot and Ankle Ability Measure...
February 21, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28217414/dance-balance-and-core-muscle-performance-measures-are-improved-following-a-9-week-core-stabilization-training-program-among-competitive-collegiate-dancers
#5
Todd Watson, Jessica Graning, Sue McPherson, Elizabeth Carter, Joshuah Edwards, Isaac Melcher, Taylor Burgess
BACKGROUND: Dance performance requires not only lower extremity muscle strength and endurance, but also sufficient core stabilization during dynamic dance movements. While previous studies have identified a link between core muscle performance and lower extremity injury risk, what has not been determined is if an extended core stabilization training program will improve specific measures of dance performance. HYPOTHESIS/PURPOSE: This study examined the impact of a nine-week core stabilization program on indices of dance performance, balance measures, and core muscle performance in competitive collegiate dancers...
February 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28208087/morphomechanical-alterations-in-the-medial-gastrocnemius-muscle-in-patients-with-a-repaired-achilles-tendon-associations-with-outcome-measures
#6
Wei-Chen Peng, Yi-Ping Chang, Yuan-Hung Chao, S N Fu, Christer Rolf, Tiffany Tf Shih, Sheng-Chu Su, Hsing-Kuo Wang
BACKGROUND: Functional deficits are found in ankles that have sustained an Achilles rupture. This study sought to evaluate and compare the morphomechanical characteristics of the medial gastrocnemius muscle in the legs of participants within six months of a unilateral Achilles repair to determine any correlations between those characteristics and objective outcomes and self-reported functional levels. METHODS: Fifteen participants were assessed via measurements of muscle morphologies (fascicle length, pennation angle, and muscle thickness) in a resting state, the mechanical properties of the proximal aponeurosis of the medial gastrocnemius muscle, the pennation angle during ramping maximal voluntary isometric contractions (MVIC), the heel raise test, and the Taiwan Chinese version of the Lower Extremity Functional Scale (LEFS-TC) questionnaire...
February 8, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28149407/effects-of-acute-fatigue-of-the-hip-flexor-muscles-on-hamstring-muscle-extensibility
#7
José M Muyor, Francisco M Arrabal-Campos
The purpose of the present study was to evaluate the influence of acute fatigue of the hip flexor muscles on scores attained in tests frequently used in literature to measure hamstring muscle extensibility, namely the passive straight leg raise (PSLR), active straight leg raise (ASLR), passive knee extension (PKE), active knee extension (AKE), sit-and-reach (SR) and toe-touch (TT) tests. A total of seventy-five healthy and recreationally active adults voluntarily participated in this study. To reach fatigue, the participants actively lifted their legs alternately as many times as possible...
December 1, 2016: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28149377/the-relative-contribution-of-physical-fitness-to-the-technical-execution-score-in-youth-rhythmic-gymnastics
#8
Olyvia Donti, Gregory C Bogdanis, Maria Kritikou, Anastasia Donti, Kalliopi Theodorakou
This study examined the association between physical fitness and a technical execution score in rhythmic gymnasts varying in the performance level. Forty-six young rhythmic gymnasts (age: 9.9 ±1.3 years) were divided into two groups (qualifiers, n=24 and non-qualifiers, n=22) based on the results of the National Championships. Gymnasts underwent a series of physical fitness tests and technical execution was evaluated in a routine without apparatus. There were significant differences between qualifiers and non-qualifiers in the technical execution score (p=0...
June 1, 2016: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28050895/passive-leg-raise-testing-effectively-reduces-fluid-administration-in-septic-shock-after-correction-of-non-compliance-to-test-results
#9
Arjanne Rameau, Eldert de With, Evert Christiaan Boerma
BACKGROUND: Fluid resuscitation is considered a cornerstone of shock treatment, but recent data have underlined the potential hazards of fluid overload. The passive leg raise (PLR) test has been introduced as one of many strategies to predict 'fluid responsiveness.' The use of PLR testing is applicable to a wide range of clinical situations and has the potential to reduce fluid administration, since PLR testing is based upon (reversible) autotransfusion. Despite these theoretical advantages, data on the net effect on fluid balance as a result of PLR testing remain scarce...
December 2017: Annals of Intensive Care
https://www.readbyqxmd.com/read/28030505/ultrasound-assessment-of-volume-responsiveness-in-critically-ill-surgical-patients-two-measurements-are-better-than-one
#10
Sarah B Murthi, Syeda Fatima, Ashely R Menne, Jacob J Glaser, Samuel M Galvagno, Stephen Biederman, Raymond Fang, Hegang Chen, Thomas M Scalea
BACKGROUND: The intended physiologic response to a fluid bolus is an increase in stroke volume (SV). Several ultrasound (US) measures have been shown to be predictive. The best measure(s) in critically ill surgical patients remains unclear. METHODS: This is a prospective observational study in critically ill surgical patients receiving a bolus of crystalloid, colloid or blood. A transthoracic echocardiogram was performed before (pre-transthoracic echocardiogram) and after...
March 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28017352/the-influence-of-age-on-hemodynamic-parameters-during-rest-and-exercise-in%C3%A2-healthy-individuals
#11
Emil Wolsk, Rine Bakkestrøm, Jacob H Thomsen, Louise Balling, Mads J Andersen, Jordi S Dahl, Christian Hassager, Jakob E Møller, Finn Gustafsson
OBJECTIVES: The authors sought to obtain hemodynamic estimates across a wide age span and in both sexes for future reference and compare these estimates with current guideline diagnostic hemodynamic thresholds for abnormal filling pressure and pulmonary hypertension. BACKGROUND: At present, the influence of age on hemodynamic function is largely unknown. Because many diseases with proposed cardiac impact are more prevalent in the older population, it is pivotal to know how hemodynamic parameters are affected by age itself to discern the influence of disease from that of physiological aging...
December 21, 2016: JACC. Heart Failure
https://www.readbyqxmd.com/read/27994789/correlation-of-1-5-tesla-magnetic-resonance-imaging-with-clinical-and-intraoperative-findings-for-lumbar-disc-herniation
#12
Shumayou Dutta, Arvind Bhave, Sanjay Patil
STUDY DESIGN: A single-center prospective study. PURPOSE: A magnetic resonance imaging (MRI) scan is undeniably the gold standard for the diagnosis of a lumbar disc prolapse. Unfortunately it shares a strong association with incidental findings. In this study, we aimed to determine the extent to which a 1.5 Tesla MRI correlates with the clinical features and intraoperative findings in cases of lumbar disc prolapse. OVERVIEW OF LITERATURE: Few studies have correlated MRI with clinical findings, and none have extended this correlation to intraoperative findings...
December 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27994784/tumor-occupation-in-the-spinal-canal-and-clinical-symptoms-of-cauda-equina-schwannoma-an-analysis-of-22-cases
#13
Kengo Fujii, Masataka Sakane, Tetsuya Abe, Tsukasa Nakagawa, Shinsuke Sakai, Masaki Tatsumura, Toru Funayama, Masashi Yamazaki
STUDY DESIGN: Retrospective, radiological study. PURPOSE: To determine the relationship between clinical symptoms and the extent of tumor occupation of the spinal canal by cauda equina schwannoma. OVERVIEW OF LITERATURE: Little is known about the relationship between the size of tumors of the cauda equina and the manifestation of clinical symptoms. We analyzed this relationship by estimating the percentage of tumor occupation (PTO) in the spinal canal in cauda equina schwannomas and by correlating this parameter with the presence and severity of clinical symptoms...
December 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27981285/utility-of-transthoracic-echocardiography-tte-in-assessing-fluid-responsiveness-in-critically-ill-patients-a-challenge-for-the-bedside-sonographer
#14
Wojciech Mielnicki, Agnieszka Dyla, Tomasz Zawada
Transthoracic echocardiography (TTE) has become one of the most important diagnostic tools in the treatment of critically ill patients. It allows clinicians to recognise potentially reversible life-threatening situations and is also very effective in the monitoring of the fluid status of patients, slowly substituting invasive methods in the intensive care unit. Hemodynamic assessment is based on a few static and dynamic parameters. Dynamic parameters change during the respiratory cycle in mechanical ventilation and the level of this change directly corresponds to fluid responsiveness...
December 5, 2016: Medical Ultrasonography
https://www.readbyqxmd.com/read/27889119/determining-suitable-dimensions-for-dairy-goat-feeding-places-by-evaluating-body-posture-and-feeding-reach
#15
Nina M Keil, Marc Pommereau, Antonia Patt, Beat Wechsler, Lorenz Gygax
Confined goats spend a substantial part of the day feeding. A poorly designed feeding place increases the risk of feeding in nonphysiological body postures, and even injury. Scientifically validated information on suitable dimensions of feeding places for loose-housed goats is almost absent from the literature. The aim of the present study was, therefore, to determine feeding place dimensions that would allow goats to feed in a species-appropriate, relaxed body posture. A total of 27 goats with a height at the withers of 62 to 80 cm were included in the study...
February 2017: Journal of Dairy Science
https://www.readbyqxmd.com/read/27858686/inter-rater-reliability-of-diagnostic-criteria-for-sacroiliac-joint-disc-and-facet-joint-pain
#16
Cornelis W J van Tilburg, Johannes G Groeneweg, Dirk L Stronks, Frank J P M Huygen
BACKGROUND/OBJECTIVE: Several diagnostic criteria sets are described in the literature to identify low back pain subtypes, but very little is known about the inter-rater reliability of these criteria. We conducted a study to determine the reliability of diagnostic tests that point towards SI joint-, disc- or facet joint pain. METHODS: Inter-rater reliability study alongside three randomized clinical trials. Multidisciplinary pain center of general hospital. Patients aged 18 or more with medical history and physical examination suggestive of sacroiliac joint-, disc- and facet joint pain on lumbar level...
November 18, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27858374/prediction-of-fluid-responsiveness-an-update
#17
REVIEW
Xavier Monnet, Paul E Marik, Jean-Louis Teboul
In patients with acute circulatory failure, the decision to give fluids or not should not be taken lightly. The risk of overzealous fluid administration has been clearly established. Moreover, volume expansion does not always increase cardiac output as one expects. Thus, after the very initial phase and/or if fluid losses are not obvious, predicting fluid responsiveness should be the first step of fluid strategy. For this purpose, the central venous pressure as well as other "static" markers of preload has been used for decades, but they are not reliable...
December 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27836002/cardiac-dysfunction-induced-by-weaning-from-mechanical-ventilation-incidence-risk-factors-and-effects-of-fluid-removal
#18
Jinglun Liu, Feng Shen, Jean-Louis Teboul, Nadia Anguel, Alexandra Beurton, Nadia Bezaz, Christian Richard, Xavier Monnet
BACKGROUND: Weaning-induced pulmonary oedema (WiPO) is a well-recognised cause of failure of weaning from mechanical ventilation, but its incidence and risk factors have not been reliably described. We wanted to determine the incidence and risk factors in a population of critically ill patients. In addition, we wanted to describe the effects of diuretics when they are administered in this context. METHODS: We monitored 283 consecutive spontaneous breathing trials (SBT; T-piece trial) performed in 81 patients...
November 12, 2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27792115/stand-alone-lateral-recess-decompression-without-discectomy-in-patients-presenting-with-claudicant-radicular-pain-and-mri-evidence-of-lumbar-disc-herniation-a-prospective-study
#19
Arvind G Kulkarni, Ravish Patel, Shumayou Dutta, Vishwanath Patil
STUDY DESIGN: Prospective study. OBJECTIVE: To analyze the outcomes of stand-alone lateral recess decompression without discectomy in patients with claudicant radicular pain and MRI showing LRS (lateral recess stenosis) with lumbar disc herniation. SUMMARY OF BACKGROUND DATA: Discectomy is the gold standard treatment for symptomatic lumbar disc herniations refractory to conservative care. Typically patients with positive SLR (Straight leg raising test) and flexion dominant leg pain are the ideal candidates who can be benefited from discectomy...
October 25, 2016: Spine
https://www.readbyqxmd.com/read/27790553/efficacy-of-platelet-rich-plasma-via-lumbar-epidural-route-in-chronic-prolapsed-intervertebral-disc-patients-a-pilot-study
#20
Rohan Bhatia, Gaurav Chopra
INTRODUCTION: Lumbar radiculopathy is a major health problem often treated by surgery or guided lumbar epidural steroids for pain relief. We have used Platelet Rich Plasma (PRP) a novel therapeutic tool of autologous nature that has emerged strongly in recent years to treat patients of prolapsed intervertebral disc. AIM: To evaluate the efficacy of PRP via interlaminar epidural route in treatment of pain in patients with prolapsed inter vertebral disc. MATERIALS AND METHODS: Ten patients were injected with five ml of autologous platelet rich plasma under fluoroscopic guidance via interlaminar lumbar epidural injection into area of affected nerve root...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
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