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https://www.readbyqxmd.com/read/29164109/identification-of-directed-interactions-in-kinematic-data-during-running
#1
Giovana Y Nakashima, Theresa H Nakagawa, Ana F Dos Santos, Fábio V Serrão, Michel Bessani, Carlos D Maciel
The knowledge of motion dynamics during running activity is crucial to enhance the development of rehabilitation techniques and injury prevention programs. Recent studies investigated the interaction between joints, using several analysis techniques, as cross-correlation, sensitivity analysis, among others. However, the direction of the joints pairing is still not understood. This paper proposes a study of the influence direction pattern in healthy runners by using kinematic data together with partial directed coherence, a frequency approach of Granger causality...
2017: Frontiers in Bioengineering and Biotechnology
https://www.readbyqxmd.com/read/29158960/a-combined-treatment-approach-emphasizing-impairment-based-manual-therapy-and-exercise-for-hip-related-compensatory-injury-in-elite-athletes-a-case-series
#2
Steve Short, Gretchen Short, Donald Strack, Philip Anloague, Brian Brewster
Background/Purpose: Athletes experiencing hip, groin, and low back pain often exhibit similar clinical characteristics. Individuals with hip, groin and low back pain may have the presence of multiple concurrent pathoanatomical diagnoses. Regardless, similar regional characteristics and dysfunction may contribute to the patient's chief complaint, potentially creating a sub-group of individuals that may be defined by lumbopelvic and hip mobility limitations, motor control impairments, and other shared clinical findings...
November 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29154692/landing-kinematics-and-kinetics-at-the-knee-during-different-landing-tasks
#3
Nicholas R Heebner, Deirdre M Rafferty, Meleesa F Wohleber, Andrew J Simonson, Mita Lovalekar, Andrew Reinert, Timothy C Sell
CONTEXT:   Several tasks have been used to examine landing biomechanics for evaluation and rehabilitation, especially as related to anterior cruciate ligament injuries. However, comparing results among studies in which different tasks were used can be difficult, and it is unclear which task may be most appropriate. OBJECTIVE:   To compare lower extremity biomechanics across 5 commonly used landing tasks. DESIGN:   Descriptive laboratory study...
November 20, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/29151009/risk-stratification-triage-and-implementation-of-an-expedited-hip-fracture-treatment-protocol-is-it-safe-and-effective
#4
William Zelenty, Richard Yoon, Lorraine Hutzler, Nirmal Tejwani, Joseph Bosco
INTRODUCTION: The population of patients in the USA over the age of 65 is expected to significantly increase over the next 40 years. These patients are at increased risk for hip fractures and will pose a burden to providers in the near future. In order to provide high value care, providers will need to maintain positive outcomes, mitigate complications, and reduce overall cost burdens. This study was designed to investigate the safety and efficacy of a patient transfer protocol between a large academic medical center and a single specialty orthopaedic institution...
December 2017: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/29145981/total-hip-arthroplasty-in-the-outpatient-setting-what-you-need-to-know-part-2
#5
REVIEW
Zain Sayeed, Leila Abaab, Mouhanad El-Othmani, Vinay Pallekonda, William Mihalko, Khaled J Saleh
The intra- and postoperative phases of outpatient total hip arthroplasty (THA) vary by institution and surgeon. An understanding of an evidence-based approach to enhancing the intra- and postoperative phases of the care continuum is warranted to offer high-value care to outpatient candidates. This article will discuss methods for implementing successful outpatient THA protocols. Specifically it reviews information regarding anesthesia and analgesia modalities, intraoperative considerations, and postoperative rehabilitation amenable to outpatient THA...
January 2018: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/29145334/concurrent-one-stage-total-knee-and-hip-arthroplasty-due-to-sequel-of-juvenile-rheumatoid-arthritis-a-case-report
#6
Afshin Taheriazam, Amin Saeidinia
RATIONALE: Rheumatoid arthritis is a chronic systemic connective tissue disease. Total hip and knee arthroplasties are common major orthopaedic procedures worldwide. PATIENT CONCERNS: To date, no studies have presented 1-stage concurrent total hip arthroplasty (THA) and total knee arthroplasty (TKA) in patients with rheumatoid arthritis (RA). We reported a case which is, to our knowledge, the first description of both THA and TKA in a patient with RA simultaneously...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29143300/effect-of-restraining-the-base-of-support-on-the-other-biomechanical-features-in-patients-with-cerebellar-ataxia
#7
C Conte, Mariano Serrao, L Cuius, A Ranavolo, S Conforto, F Pierelli, L Padua
This study aimed to analyze the biomechanical consequences of reducing the base of support in patients with ataxia. Specifically, we evaluated the spatio-temporal parameters, upper- and lower-body kinematics, muscle co-activation, and energy recovery and expenditure. The gaits of 13 patients were recorded using a motion analysis system in unperturbed and perturbed walking conditions. In the latter condition, patients had to walk using the same step width and speed of healthy controls. The perturbed walking condition featured reduced gait speed, step length, hip and knee range of motion, and energy recovery and increased double support duration, gait variability, trunk oscillation, and ankle joint muscle co-activation...
November 15, 2017: Cerebellum
https://www.readbyqxmd.com/read/29141811/do-gait-patterns-differ-in-men-and-women-with-multiple-sclerosis
#8
Massimiliano Pau, Federica Corona, Giuseppina Pilloni, Micaela Porta, Giancarlo Coghe, Eleonora Cocco
BACKGROUND: Multiple Sclerosis (MS) affects men and women differently from several points of view: prevalence, severity of cognitive impairments and disability accumulation. However, it is unknown whether ambulatory dysfunctions are sex-related. This study investigated the existence of differences in spatio-temporal and kinematic parameters of gait in men and women with MS using 3D gait analysis. METHODS: Gait patterns of 60 people with MS (pwMS, 32F, 28M) with low to moderate disability (average Expanded Disability Status Scale score 3, range 1-5...
November 2017: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/29140186/acute-effect-of-two-self-myofascial-release-protocols-on-hip-and-ankle-range-of-motion
#9
Amandda de Souza, Cristiano Gomes Sanchotene, Cristiano Moreira da Silva Lopes, Jader Alfredo Beck, Affonso Celso Kulevicz da Silva, Suzana Matheus Pereira, Caroline Ruschel
CONTEXT: Self-myofascial release (SMR) is an intervention popularly used by rehabilitation, fitness, and sports professionals to improve recovery and performance. In SMR, the athlete/patient himself applies pressure to the muscle and fascia, using various tools such as balls, rods, foam rolls and massagers. OBJECTIVE: This study aimed to evaluate the acute effect of two SMR protocols (short- and long-term) of the posterior thigh and calf muscles on hip and ankle range of motion (ROM) in physically active men...
November 15, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29140144/joint-moment-angle-properties-of-the-hip-extensors-in-subjects-with-and-without-patellofemoral-pain
#10
Curtis Kindel, John Challis
Strength deficits of hip extension in individuals with patellofemoral syndrome are commonly reported in the literature. No literature to date has examined these deficits with variable positions of the knee and hip; altering knee angle alters the length and therefore potentially the force produced by the biarticular muscles. Beyond strength, neuromuscular control can also be assessed through the analysis of isometric joint moment steadiness. Subjects consisted of a group of individuals with patellofemoral syndrome (n=9), and a group of age and size matched controls with no symptoms (n=9)...
November 15, 2017: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/29137725/a-gait-retraining-system-using-augmented-reality-to-modify-footprint-parameters-effects-on-lower-limb-sagittal-plane-kinematics
#11
Sami Bennour, Baptiste Ulrich, Thomas Legrand, Brigitte M Jolles, Julien Favre
Improving lower-limb flexion/extension angles during walking is important for the treatment of numerous pathologies. Currently, these gait retraining procedures are mostly qualitative, often based on visual assessment and oral instructions. This study aimed to propose an alternative method combining motion capture and display of target footprints on the floor. The second objectives were to determine the error in footprint modifications and the effects of footprint modifications on lower-limb flexion/extension angles...
November 11, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/29135783/beyond-the-bottom-of-the-foot-topographic-organization-of-the-foot-dorsum-in-walking
#12
Taryn Klarner, Gregory E P Pearcey, Yao Sun, Trevor S Barss, Chelsea Kaupp, Bridget Munro, Nick Frank, E Paul Zehr
INTRODUCTION: Sensory feedback from the foot dorsum during walking has only been studied globally by whole nerve stimulation. Stimulating the main nerve innervating the dorsal surface produces a functional stumble corrective response that is phase-dependently modulated. We speculated that effects evoked by activation of discrete skin regions on the foot dorsum would be topographically organized, as with the foot sole. METHODS: Nonnoxious electrical stimulation was delivered to five discrete locations on the dorsal surface of the foot during treadmill walking...
December 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29119283/pudendal-nerve-injury-is-a-relatively-common-but-transient-complication-of-hip-arthroscopy
#13
REVIEW
Anthony Habib, Chloe E Haldane, Seper Ekhtiari, Darren de Sa, Nicole Simunovic, Etienne L Belzile, Olufemi R Ayeni
PURPOSE: Hip arthroscopy is emerging as the standard of care for conditions involving the hip, and has a unique set of complications. The purpose of this review was to identify (1) the crude rate of pudendal nerve injury following hip arthroscopy and (2) the specific factors leading to pudendal nerve injury. METHODS: MEDLINE, EMBASE, and PubMed were searched from database inception to October 2016. Patient demographics, indications, surgical technique, complication rates, treatment approaches, and rehabilitation strategies were extracted...
November 8, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29116573/an-evidence-based-framework-for-strengthening-exercises-to-prevent-hamstring-injury
#14
REVIEW
Matthew N Bourne, Ryan G Timmins, David A Opar, Tania Pizzari, Joshua D Ruddy, Casey Sims, Morgan D Williams, Anthony J Shield
Strength training is a valuable component of hamstring strain injury prevention programmes; however, in recent years a significant body of work has emerged to suggest that the acute responses and chronic adaptations to training with different exercises are heterogeneous. Unfortunately, these research findings do not appear to have uniformly influenced clinical guidelines for exercise selection in hamstring injury prevention or rehabilitation programmes. The purpose of this review was to provide the practitioner with an evidence-base from which to prescribe strengthening exercises to mitigate the risk of hamstring injury...
November 7, 2017: Sports Medicine
https://www.readbyqxmd.com/read/29102015/editorial-commentary-international-society-for-hip-arthroscopy-surgeons-time-for-a-rethink-on-rehab
#15
EDITORIAL
Arpad Konyves
Although the majority of arthroscopic hip surgeons have active websites, only few of these provide postoperative rehabilitation protocols. The available information and instructions show considerable variability.
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29098919/current-methods-of-preventing-aseptic-loosening-and-improving-osseointegration-of-titanium-implants-in-cementless-total-hip-arthroplasty-a-review
#16
Dragos Apostu, Ondine Lucaciu, Cristian Berce, Dan Lucaciu, Dan Cosma
Hip osteoarthritis is the most common joint disorder, and is represented by a degenerative process, resulting in pain and functional impairment. If conservative treatment for hip osteoarthritis fails, the only remaining option is hip arthroplasty. Despite good survival of implants, loosening of components is the most common complication. This leads to revision surgeries, which are technically demanding, expensive, and result in a low satisfaction rate. Uncemented hip replacements require proper osseointegration for increased survival...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/29083352/injuries-of-the-trochanteric-region-can-analysis-of-radiographic-indices-help-in-prediction-of-recurrent-osteoporotic-hip-fractures
#17
Andrea Pellegrini, Fabrizio Tacci, Massimiliano Leigheb, Cosimo Costantino, Alessio Pedrazzini, Giuseppe Pedrazzi, Enrico Vaienti, Francesco Ceccarelli, Francesco Pogliacomi
OBJECTIVE: In a context of bone fragility, primitive and subsequent fractures are a growing problem in the industrialized countries where the mean age of the population is constantly increasing. Among the various factors that favor a fragility fracture, the most important is osteoporosis, a pathology that can be prevented through diagnostic screenings and treated by pharmacological and rehabilitative therapies. The aim of this study is to identify the subjects who are likely to have a higher risk of subsequent fractures of the trochanteric region through a retrospective radiographic evaluation of patients affected by low-energy trochanteric fractures and operated by intramedullary fixation between June 2013 and June 2015, so they can be targeted for prevention interventions...
October 18, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29079365/postoperative-continuous-flow-cryocompression-therapy-in-the-acute-recovery-phase-of-hip-fracture-surgery-a-randomized-controlled-clinical-trial
#18
Nick C Leegwater, Frank W Bloemers, Niels de Korte, Martin J Heetveld, Kees J Kalisvaart, Casper P Schönhuth, Bas A C M Pijnenburg, Bart J Burger, Kornelis J Ponsen, Andrea B Maier, Barend J van Royen, Peter A Nolte
BACKGROUND: The acute recovery phase after hip fracture surgery is often complicated by severe pain, postoperative blood loss with subsequent transfusion, and delirium. Prevalent comorbidity in hip fracture patients limit the use of opioid-based analgesic therapies, yielding a high risk for inferior pain treatment. Postoperative cryotherapy is suggested to provide an analgesic effect, and to reduce postoperative blood loss. In this prospective, open-label, parallel, multicentre, randomized controlled, clinical trial, we aimed to determine the efficacy of continuous-flow cryocompression therapy (CFCT) in the acute recovery phase after hip fracture surgery...
October 10, 2017: Injury
https://www.readbyqxmd.com/read/29070966/psychometric-properties-of-a-clinical-strength-assessment-protocol-in-people-with-multiple-sclerosis
#19
Mark M Mañago, Jeffrey R Hebert, Margaret Schenkman
BACKGROUND: Strength training in people with multiple sclerosis (MS) is an important component of rehabilitation, but it can be challenging for clinicians to quantify strength accurately and reliably. This study investigated the psychometric properties of a clinical strength assessment protocol using handheld dynamometry and other objective, quantifiable tests for the lower extremities and trunk in people with MS. METHODS: This study determined discriminant validity between 25 participants with MS and 25 controls and between participants with MS who had higher versus lower disability; test-retest reliability across 7 to 10 days; and response stability...
September 2017: International Journal of MS Care
https://www.readbyqxmd.com/read/29070955/patellofemoral-pain-in-athletes-clinical-perspectives
#20
REVIEW
Farzin Halabchi, Maryam Abolhasani, Maryam Mirshahi, Zahra Alizadeh
Patellofemoral pain (PFP) is a very common problem in athletes who participate in jumping, cutting and pivoting sports. Several risk factors may play a part in the pathogenesis of PFP. Overuse, trauma and intrinsic risk factors are particularly important among athletes. Physical examination has a key role in PFP diagnosis. Furthermore, common risk factors should be investigated, such as hip muscle dysfunction, poor core muscle endurance, muscular tightness, excessive foot pronation and patellar malalignment...
2017: Open Access Journal of Sports Medicine
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