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https://www.readbyqxmd.com/read/28626322/the-effect-of-age-on-hamstring-passive-properties-after-a-10-week-stretch-training
#1
Thomas Haab, Georg Wydra
[Purpose] Degenerative changes take place in the musculoskeletal system of elderly people, resulting in a reduced range of motion. For this reason, stretch training is recommended for elderly individuals. To date, there have been no studies of the adaptations of the passive properties of muscles following long-term stretch training. The aim of this study is to investigate the hamstring elasticity of elderly people following a 10-week stretch training and compare the results to a younger cohort. [Subjects and Methods] The experimental groups consisted of 15 younger (24...
June 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28625256/-comparison-of-effect-of-norepinephrine-and-terlipressin-on-patients-with-ards-combined-with-septic-shock-a-prospective-single-blind-randomized-controlled-trial
#2
Zhi Chen, Ping Zhou, Yuanhua Lu, Chunli Yang
OBJECTIVE: To approach the effect of different vasopressor on hemodynamics, volume responsiveness, fluid volume balance, renal function and prognosis in patients with acute respiratory distress syndrome (ARDS) complicated with septic shock. METHODS: A prospective single-blind randomized controlled trial was conducted. ARDS patients with septic shock admitted to the Department of Critical Care Medicine of Jiangxi Provincial People's Hospital from January 1st, 2015 to May 1st, 2016 were enrolled...
February 2017: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/28616638/piriformis-muscle-syndrome-with-assessment-of-sciatic-nerve-using-diffusion-tensor-imaging-and-tractography-a-case-report
#3
Keizo Wada, Tomohiro Goto, Tomoya Takasago, Daisuke Hamada, Koichi Sairyo
Piriformis muscle syndrome (PMS) is difficult to diagnose by objective evaluation of sciatic nerve injury. Here we report a case of PMS diagnosed by diffusion tensor imaging (DTI) and tractography of the sciatic nerve, which can assess and visualize the extent of nerve injury. The patient was a 53-year-old man with a 2-year history of continuous pain and numbness in the left leg. His symptoms worsened when sitting. Physical examination, including sensorimotor neurologic tests, the deep tendon reflex test, and the straight leg raise test, revealed no specific findings...
June 14, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28616241/passive-leg-raising-test-with-minimally-invasive-monitoring-the-way-forward-for-guiding-septic-shock-resuscitation
#4
Patrick M Honore, Herbert D Spapen
BACKGROUND: Swift and adequate fluid loading is a cornerstone of septic shock therapy. Yet, careful assessment of volume responsiveness and volume amount during the resuscitation process is a prerequisite. Both overzealous initial fluid administration and late fluid overload are harmful and may be associated with increased mortality. MAIN BODY: Static (i.e., central venous or pulmonary artery occlusion) pressure readings are erroneous for monitoring fluid resuscitation and should be abandoned...
2017: Journal of Intensive Care
https://www.readbyqxmd.com/read/28605316/examining-differences-in-movement-competency-in-professional-baseball-players-born-in-the-united-states-and-dominican-republic
#5
Garrett S Bullock, Taylor Chapman, Thomas Joyce, Robert Prengle, Taylor Stern, Robert J Butler
CONTEXT: Dominican Republic (DR) players have different training norms, which can affect their resiliency and performance. The variance among DR players training regimens may be influenced by the degree of training incorporating fundamental movement patterns. OBJECTIVE: To examine differences in fundamental movement patterns in United States (US) versus DR born professional baseball players. PARTICIPANTS: 142 players (76 DR and 66 US born) that were recently selected by an MLB team...
June 12, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28582642/movement-of-the-sacroiliac-joint-during-the-active-straight-leg-raise-test-in-patients-with-long-lasting-severe-sacroiliac-joint-pain
#6
Thomas J Kibsgård, Stephan M Röhrl, Olav Røise, Bengt Sturesson, Britt Stuge
BACKGROUND: The Active Straight Leg Raise is a functional test used in the assessment of pelvic girdle pain, and has shown to have good validity, reliability and responsiveness. The Active Straight Leg Raise is considered to examine the patients' ability to transfer load through the pelvis. It has been hypothesized that patients with pelvic girdle pain lack the ability to stabilize the pelvic girdle, probably due to instability or increased movement of the sacroiliac joint. This study examines the movement of the sacroiliac joints during the Active Straight Leg Raise in patients with pelvic girdle pain...
May 29, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28567591/ribosomal-pcr-assay-of-excised-intervertebral-discs-from-patients-undergoing-single-level-primary-lumbar-microdiscectomy
#7
Todd F Alamin, Marcus Munoz, Alicia Zagel, Agnes Ith, Eugene Carragee, Ivan Cheng, Gaetano Scuderi, Indre Budvytiene, Niaz Banei
PURPOSE: To determine the presence of infectious microorganisms in the herniated discs of immunocompetent patients, using methodology that we hoped would be of higher sensitivity and specificity than has been reported in the past. Recent studies have demonstrated a significant rate of positive cultures for low virulent organisms in excised HNP samples (range 19-53%). These studies have served as the theoretical basis for a pilot trial, and then, a well done prospective randomized trial that demonstrated that systemic treatment with antibiotics may yield lasting improvements in a subset of patients with axial back pain...
May 31, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28559668/effect-of-leg-dominance-gender-and-age-on-sensory-responses-to-structural-differentiation-of-straight-leg-raise-test-in-asymptomatic-subjects-a-cross-sectional-study
#8
Eva Sierra-Silvestre, María Torres Lacomba, Pedro de la Villa Polo
STUDY DESIGN: Cross-sectional study. OBJECTIVES: To assess the effect of structural differentiation on sensory responses of asymptomatic individuals to standard neurodynamic tests of straight leg raise (SLR) and to evaluate the relevance of leg dominance, gender, and age. BACKGROUND: SLR test is a well-known neurodynamic test among physical therapists; no studies to date have investigated the influence of gender, age, and leg dominance to the sensory responses of this neurodynamic test and its structured differentiating maneuver...
May 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/28542104/reduced-spinal-cord-movement-with-the-straight-leg-raise-test-in-patients-with-lumbar-intervertebral-disc-herniation
#9
Marinko Rade, Janne Pesonen, Mervi Könönen, Jarkko Marttila, Michael Shacklock, Ritva Vanninen, Markku Kankaanpää, Olavi Airaksinen
STUDY DESIGN: Controlled radiological study. OBJECTIVE: To explore whether impairment of neural excursion during the straight leg raise test occurs in patients with sciatic symptoms secondary to lumbar intervertebral disc herniation (LIDH). SUMMARY OF BACKGROUND DATA: Earlier studies have shown that during the SLR test in asymptomatic volunteers tensile forces are consistently transmitted throughout the neural system and the thoracolumbar spinal cord slides distally...
May 25, 2017: Spine
https://www.readbyqxmd.com/read/28536944/fluid-responsiveness-predicted-by-transcutaneous-partial-pressure-of-oxygen-in-patients-with-circulatory-failure-a-prospective-study
#10
Jingyuan Xu, Xiao Peng, Chun Pan, Shixia Cai, Xiwen Zhang, Ming Xue, Yi Yang, Haibo Qiu
BACKGROUND: Significant effort has been devoted to defining parameters for predicting fluid responsiveness. Our goal was to study the feasibility of predicting fluid responsiveness by transcutaneous partial pressure of oxygen (PtcO2) in the critically ill patients. METHODS: This was a single-center prospective study conducted in the intensive care unit of a tertiary care teaching hospital. Shock patients who presented with at least one clinical sign of inadequate tissue perfusion, defined as systolic blood pressure <90 mmHg or a decrease >40 mmHg in previously hypertensive patients or the need for vasopressive drugs; urine output <0...
December 2017: Annals of Intensive Care
https://www.readbyqxmd.com/read/28533619/the-effects-of-exercise-using-an-ergometer-with-swaying-saddle-on-chronic-lower-back-pain
#11
Seung Jin Byeon, Ki Hyun Kim
[Purpose] This study aims to investigate the effects of exercise using an ergometer with swaying saddle on chronic lower back pain. [Subjects and Methods] Thirty-three normal adults (university students) with chronic lower back pain were randomly recruited. The flexibility and strength of muscles were measured before and after an 8-week intervention. Belly-bike, an ergometer with a swaying saddle, was used. The duration of intervention was 30 minutes a day, 3 times a week. To measure the level of pain, visual analogue scale (VAS) and Korean Oswestry Disability Index were used...
April 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28515978/variation-in-medial-and-lateral-gastrocnemius-muscle-activity-with-foot-position
#12
Michael Cibulka, April Wenthe, Zach Boyle, Dylan Callier, Adam Schwerdt, Deidra Jarman, Michael J Strube
BACKGROUND: The gastrocnemius has two heads, medial gastrocnemius (MG) and lateral gastrocnemius (LG); little is known how they contract with different foot positions. The MG is more frequently strained than the LG; and gastrocnemius activation pattern altered by foot position may play a role in injury. Leg exercises often use a toe-in versus toe-out foot position to isolate one gastrocnemius head over another. PURPOSE: The purpose of this study was to determine the electromyographic gastrocnemius muscle activity in the toe-out and toe-in foot positions during weight bearing and non-weight bearing activities...
April 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28515971/prediction-of-functional-movement-screen%C3%A2-performance-from-lower-extremity-range-of-motion-and-core-tests
#13
Nicole J Chimera, Shelby Knoeller, Ron Cooper, Nicholas Kothe, Craig Smith, Meghan Warren
BACKGROUND: There are varied reports in the literature regarding the association of the Functional Movement Screen™ (FMS™) with injury. The FMS™ has been correlated with hamstring range of motion and plank hold times; however, limited research is available on the predictability of lower extremity range of motion (ROM) and core function on FMS™ performance. PURPOSE/HYPOTHESES: The purpose of this study was to examine whether active lower extremity ROM measurements and core functional tests predict FMS™ performance...
April 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28505956/regression-of-lumbar-disc-herniation-by-physiotherapy-does-non-surgical-spinal-decompression-therapy-make-difference-double-blind-randomized-controlled-trial
#14
Aynur Demirel, Mehmet Yorubulut, Nevin Ergun
BACKGROUND AND OBJECTIVES: The aim of the study determining whether or not Non-invasive Spinal Decompression Therapy (NSDT) was effective in resorption of herniation, increasing disc height in patients with lumbar disc herniation (LHNP). METHODS: A total of twenty patients diagnosed as LHNP and suffering from pain at least 8 weeks were enrolled to the study. Patients were allocated in study (SG) and control groups (CG) randomly. Both groups received combination of electrotherapy, deep friction massage and stabilization exercise for fifteen session...
May 5, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/28485321/monitoring-changes-in-hepatic-venous-velocities-flow-after-a-fluid-challenge-can-identify-shock-patients-who-lack-fluid-responsiveness
#15
Wei Du, Xiao-Ting Wang, Yun Long, Da-Wei Liu
BACKGROUND: Evaluating the hemodynamic status and predicting fluid responsiveness are important in critical ultrasound assessment of shock patients. Transthoracic echocardiography with noninvasive diagnostic parameters allows the assessment of volume responsiveness. This study aimed to assess the hemodynamic changes in the liver and systemic hemodynamic changes during fluid challenge and during passive leg raising (PLR) by measuring hepatic venous flow (HVF) velocity. METHODS: This is an open-label study in a tertiary teaching hospital...
May 20, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28483706/clinical-classification-criteria-for-radicular-pain-caused-by-lumbar-disc-herniation-the-rapidh-criteria-radicular-pain-caused-by-disc-herniation
#16
Stéphane Genevay, Delphine S Courvoisier, Kika Konstantinou, Francisco M Kovacs, Marc Marty, James Rainville, Michael Norberg, Jean-François Kaux, Thomas D Cha, Jeffrey N Katz, Steven J Atlas
CONTEXT: Classification criteria are recommended for diseases that lack specific biomarkers in order to improve homogeneity in clinical research studies. Since imaging evidence of lumbar disc herniations (LDH) may not be associated with symptoms, clinical classification criteria based upon patient symptoms and physical examination findings are required. PURPOSE: This study aimed to produce clinical classification criteria to identify patients with radicular pain caused by LDH...
May 5, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28465006/early-rehabilitation-after-open-repair-for-patients-with-a-rupture-of-the-achilles-tendon
#17
Uk Kim, Yun Seong Choi, Gyu Chol Jang, Young Rak Choi
PURPOSE: As outdoor activities participation increase, Achilles tendon rupture incidence also tends to increase. There are a number of treatment and rehabilitation options for a ruptured Achilles tendon. However, the optimal rehabilitation protocols are still under debate. The purpose of this study is to determine whether early rehabilitation is more effective than conventional rehabilitation. METHODS: Medical records of 56 patients who had been treated with open repair after a ruptured Achilles tendon were retrospectively reviewed...
April 25, 2017: Injury
https://www.readbyqxmd.com/read/28456902/cerebellar-transcranial-direct-current-stimulation-ctdcs-impairs-balance-control-in-healthy-individuals
#18
Águida Foerster, Lorena Melo, Marina Mello, Rebeca Castro, Lívia Shirahige, Sérgio Rocha, Kátia Monte-Silva
The cerebellum plays an important role in the planning, initiation and stability of movements, as well as in postural control and balance. Modulation of neural regions underlying balance control may be a potential alternative to treat balance impairments in cerebellar patients. Transcranial direct current stimulation (tDCS) is a noninvasive and safe tool capable to modulate cerebellar activity. We aim to investigate the effects of cerebellar tDCS (ctDCS) on postural balance in healthy individuals. Fifteen healthy and right-handed subjects were submitted to three sessions of ctDCS (anodal, cathodal and sham), separated by at least 48 h...
April 29, 2017: Cerebellum
https://www.readbyqxmd.com/read/28447587/appropriateness-of-duplex-ultrasound-assessment-on-venous-system-of-the-legs-a-two-month-preliminary-analysis
#19
Silvia Stegher, Maria Teresa Occhiuto, Daniela P Mazzaccaro, Paolo Carlo Righini, Alfredo Modafferi, Giovanni Malacrida, Giovanni Nano
AIM: The goal of this study is to evaluate the appropriateness to prescribe venous ultrasound of lower limbs. MATERIAL OF STUDY: Over a two months period, 1005 Duplex scans were performed by our Vascular Surgery Unit; out of the total, 225 exams were conducted on venous system of lower limbs. We retrospectively analyzed appropriateness of prescription (according to Lombardy District indications), urgency of prescription, time-lapse between application for the exams and its execution, positive or negative results, National Health System's sustained cost...
2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/28437332/ultrasound-assessment-of-the-abdominal-muscles-at-rest-and-during-the-aslr-test-among-adolescents-with-scoliosis
#20
Paweł Linek, Edward Saulicz, Michał Kuszewski, Tomasz Wolny
STUDY DESIGN: Observational study. OBJECTIVE: Are there deviations in the thickness of abdominal muscles at rest in individuals with adolescent idiopathic scoliosis (AIS)? Are there deviations in abdominal muscular activity in people with AIS during the active straight leg raise (ASLR) test? SUMMARY OF BACKGROUND DATA: Ultrasound imaging can be used to assess the lateral abdominal muscle. Some authors suggest that scoliosis develops through a weakness or improper functioning of the abdominal muscles that cannot provide adequate support to the spinal segments...
May 2017: Clinical Spine Surgery
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