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https://www.readbyqxmd.com/read/29234863/gait-analysis-in-short-term-follow-up-of-medial-opening-wedge-high-tibial-osteotomy
#1
Hésojy Gley Pereira Vital da Silva, Alessandro Rozim Zorzi, Heglayne Pereira Vital da Silva, João Batista de Miranda
BACKGROUND: Biomechanical gait changes are proposed as adaptations to medial knee osteoarthritis (OA), and little is known about which parameters can be modified early by high tibial osteotomy (HTO) surgery. The aim of this study was to identify early gait changes in a postoperative period of 6 months as compared to a control group, in three different spatial planes. METHODS: Twenty-one patients with OA were submitted to three-dimensional gait analysis preoperatively and 6 months after HTO surgery...
December 12, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29234659/accessory-muscle-of-the-flexor-digitorum-superficialis-and-its-clinical-implications
#2
Edie Benedito Caetano, João José Sabongi Neto, Lucas Augusto Ayres Ribas, Edson Vinícius Milanello
Anatomical variations of the flexor digitorum superficialis (FDS) muscle and tendon unit are frequently reported by anatomists and clinicians. Anatomical muscle variations of the FDS and its tendons may include variations of muscle belly, presence of accessory or duplicate tendons, abnormal tendon connections, and absence of muscle or tendon components. Such variations may or may not have clinical implications. This report presents a case not described previously: a unilateral accessory muscle of the flexor digitorum superficialis which was connected by a thick tendon to the flexor digitorum superficialis muscle; it was directed proximally to the insertion of the medial epicondyle of the humerus, next to the superficialis head of the pronator teres muscle...
November 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29234566/the-rehabilitation-of-a-runner-with-iliopsoas-tendinopathy-using-an-eccentric-biased-exercise-a-case-report
#3
Carla Rauseo
Background and Purpose: While there is much discussion about tendinopathy in the literature, there is little reference to the less common condition of iliopsoas tendinopathy, and no documentation of the condition in runners. The iliopsoas is a major decelerator of the hip and eccentric loading of the iliopsoas is an important component of energy transfer during running. Eccentric training is a thoroughly researched method of treating tendinopathy but has shown mixed results. The purpose of this case report is to describe the rehabilitation of a runner with iliopsoas tendinopathy, and demonstrate in a creative eccentric-biased technique to assist with treatment...
December 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29234562/isokinetic-knee-muscle-strength-profile-in-brazilian-male-soccer-futsal-and-beach-soccer-players-a-cross-sectional-study
#4
Claudio A B de Lira, Naryana C Mascarin, Valentine Z Vargas, Rodrigo L Vancini, Marília S Andrade
Background: Anterior cruciate ligament injury is higher in soccer athletes as compared to athletes of other sports. Risk factors for anterior cruciate ligament injury include low knee hamstring/quadriceps strength ratio and bilateral strength deficits. Purpose: To investigate isokinetic thigh muscles strength, hamstring/quadriceps strength ratio, and bilateral strength comparisons in athletes who participate in professional soccer, futsal, and beach soccer. Study Design: Cross-sectional study...
December 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29233665/eccentric-hamstring-strength-deficit-and-poor-hamstring-to-quadriceps-ratio-are-risk-factors-for-hamstring-strain-injury-in-football-a-prospective-study-of-146-professional-players
#5
Justin W Y Lee, Kam-Ming Mok, Hardaway C K Chan, Patrick S H Yung, Kai-Ming Chan
OBJECTIVES: The purpose of this study was to investigate whether preseason isokinetic strength measures were predictive of future HSI among professional football players. DESIGN: Prospective cohort study, Level of evidence 2. METHODS: A total of 169 professional players participated in a preseason isokinetic strength screening, followed by a 10-month competitive season. Testing protocol included the concentric performance of both knee flexion and extension at 60degs-1 and 240degs-1 and the eccentric performance of the knee flexor at 30degs-1...
December 5, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29233238/neck-kinematics-and-electromyography-while-wearing-head-supported-mass-during-running
#6
Matthew M Hanks, JoEllen M Sefton, Gretchen D Oliver
BACKGROUND: Advanced combat helmets (ACH) coupled with night-vision goggles (NVG) are required for tactical athletes during training and service. Head and neck injuries due to head supported mass (HSM) are a common occurrence in military personnel. The current study aimed to investigate the effects of HSM on neck muscle fatigue that may lead to chronic stress and injury of the head and neck. METHODS: Subjects wore an ACH and were affixed with electromagnetic sensors to obtain kinematic data, as well as EMG electrodes to obtain muscle activations of bilateral sternocleidomastoid, upper trapezius, and paraspinal muscles while running on a treadmill...
January 1, 2018: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/29232981/transcutaneous-electrical-nerve-stimulation-improves-walking-capacity-and-reduces-spasticity-in-stroke-survivors-a-systematic-review-and-meta-analysis
#7
Patrick Wh Kwong, Gabriel Yf Ng, Raymond Ck Chung, Shamay Sm Ng
OBJECTIVE: To evaluate (1) the effectiveness of transcutaneous electrical nerve stimulation (TENS) at improving lower extremity motor recovery in stroke survivors and (2) the optimal stimulation parameters for TENS. REVIEW METHODS: A systematic search was conducted for studies published up to October 2017 using eight electronic databases (CINAHL, ClinicalTrials.gov, the Cochrane Central Register of Controlled Trials, EMBASE, MEDLINE, PEDro, PubMed and Web of Science)...
December 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29232980/effectiveness-of-aquatic-versus-land-physiotherapy-in-the-treatment-of-peripheral-neuropathies-a-randomized-controlled-trial
#8
Ilaria Zivi, Sara Maffia, Vanessa Ferrari, Alessio Zarucchi, Katia Molatore, Roberto Maestri, Giuseppe Frazzitta
OBJECTIVE: To compare the effects on gait and balance of aquatic physiotherapy versus on-land training, in the context of an inpatient rehabilitation treatment tailored for peripheral neuropathies. DESIGN: Parallel-group, single-center, single-blind randomized controlled trial. SUBJECTS AND SETTING: Consecutive patients affected by peripheral neuropathy admitted in our Neuro-Rehabilitation Unit. INTERVENTIONS: Patients received a four-week rehabilitation program composed by daily sessions of conventional physiotherapy and three sessions/week of specific treatment (aquatic vs...
December 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29231799/the-minimally-invasive-approach-for-distal-radius-fractures-and-malunions
#9
Philippe A Liverneaux
This article reviews the author's currently used minimal invasive approach for volar plating of distal radius fractures. A single longitudinal incision of 1.5 cm is drawn on the lateral aspect of the flexor carpi radialis tendon in order to insert a plate under the pronator quadratus. With the wrist flexed, the plate is applied on the anterior cortex of the radius to reduce the fracture. This approach offers the advantage of preserving ligamentotaxis, which facilitates the reduction, and the small scar improves the cosmetics...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29231603/-warm-needling-moxibustion-for-knee-osteoarthritis-a-randomized-controlled-trial
#10
Xiaoling Wang, Xiangbin Wang, Meijin Hou, Huahua Wang, Feng Ji
OBJECTIVE: To evaluate the clinical efficacy of warm-needling moxibustion for knee osteoarthritis (KOA), and to explore its effects on isokinetic strength of lower limb muscle. METHODS: Fifty cases of KOA were randomly divided into an observation group (25 cases) and a control group (21 cases), but 4 cases lost contact. The observation group was treated with warm-needling moxibustion at Dubi (ST 35), Neixiyan (EX-LE 4), Xuehai (SP 10), Liangqiu (ST 34), Yinlingquan (SP 9), Yanglingquan (GB 34), Weizhong (BL 40), Heyang (BL 55) and Fengshi (GB 31) for 40 min per treatment...
May 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29231427/-the-application-of-contralateral-acupuncture-for-rehabilitation-after-acute-closed-achilles-tendon-rupture
#11
Dawei Zhang, Xiangming Ye, Xiaofeng Zhang, Wenjie Zhang
OBJECTIVE: To observe the differences of affected-side ankle plantar flexors function and clinical efficacy between contralateral acupuncture combined with rehabilitation training and rehabilitation training alone for patients with acute closed achilles tendon rupture. METHODS: Seventy-four patients with acute closed achilles tendon rupture were randomly assigned to an observation group and a control group, 37 cases in each group. Patients in the both groups were treated with routine rehabilitation training after the operation for 12 weeks; besides, patients in the observation group were treated with contralateral acupuncture at Zusanli (ST 36), Yanglingquan (GB 34), Chengshan (BL 57), Taixi (KI 3) before rehabilitation training in the first 6 weeks...
March 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29229418/a-biomechanical-evaluation-of-various-double-krackow-suture-techniques-for-soft-tissue-graft-fixation
#12
Chih-Kai Hong, Cheng-Li Lin, Fa-Chuan Kuan, Ping-Hui Wang, Ming-Long Yeh, Wei-Ren Su
PURPOSE: The purpose of this study was to compare the biomechanical properties among the different double Krackow suture techniques for tendon graft fixation. METHODS: Thirty porcine flexor profundus tendons were randomly divided into 3 groups of 10 specimens each. Three different double Krackow suture techniques were evaluated, namely, the McKeon's double Krackow (MDK) suture, Wilson's double Krackow (WDK) suture, and Ostrander's modified Krackow (OMK) suture. All suture configurations were completed with a braided nonabsorbable suture...
December 8, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29228408/-biomechanical-evaluation-of-rehabilitation-after-surgical-repair-of-achilles-tendon-ruptures
#13
Marlene Mauch, Markus Ulrich, Xaver Kaelin, Bernhard Segesser, Jochen Paul
Background Muscles and tendons are subjected to a high level of stress in everyday life and sports. This often leads to injuries and is associated with training failure and reduced performance as well as with high costs for treatment and rehabilitation. Fast and successful treatment is therefore very important, both from an athletic and economic point of view. This study aims to demonstrate the relevance of biomechanical procedures for the objective monitoring of rehabilitation. At the same time, the results are to be used to establish progress and evaluation criteria for an efficient and controlled rehabilitation...
December 2017: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
https://www.readbyqxmd.com/read/29227353/epidemiology-of-osteoarthritis-literature-update
#14
Ernest R Vina, C Kent Kwoh
PURPOSE OF REVIEW: The purpose of this review is to highlight recent studies of osteoarthritis epidemiology, including research on prevalence, disease impact, and potential risk factors. RECENT FINDINGS: Osteoarthritis is highly prevalent in the United States and around the globe. It is a leading cause of disability and can negatively impact people's physical and mental well being. Healthcare resources and costs associated with managing the disease can be substantial...
December 8, 2017: Current Opinion in Rheumatology
https://www.readbyqxmd.com/read/29226780/individuals-perception-about-upper-limb-influence-on-participation-after-stroke-an-observational-study
#15
Renata Morales Banjai, Sandra Maria Sbeghen Ferreira de Freitas, Flavia Paiva da Silva, Sandra Regina Alouche
Background Stroke can compromise upper limb performance and influence the individual's participation in real life situations. Objective To investigate how components of body function and activity affect the individuals' self-perception of their participation after stroke. Methods In this observational study, the International Classification of Functioning, Disability and Health was used as model. Body function was assessed by palmar grip and pinch strength; Ashworth modified scale; Fugl-Meyer scale; and Motor-Free Visual Perception Test...
December 10, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29224725/ror%C3%AE-spinal-interneurons-gate-sensory-transmission-during-locomotion-to-secure-a-fluid-walking-gait
#16
Stephanie C Koch, Marta Garcia Del Barrio, Antoine Dalet, Graziana Gatto, Thomas Günther, Jingming Zhang, Barbara Seidler, Dieter Saur, Roland Schüle, Martyn Goulding
Animals depend on sensory feedback from mechanosensory afferents for the dynamic control of movement. This sensory feedback needs to be selectively modulated in a task- and context-dependent manner. Here, we show that inhibitory interneurons (INs) expressing the RORβ orphan nuclear receptor gate sensory feedback to the spinal motor system during walking and are required for the production of a fluid locomotor rhythm. Genetic manipulations that abrogate inhibitory RORβ IN function result in an ataxic gait characterized by exaggerated flexion movements and marked alterations to the step cycle...
December 5, 2017: Neuron
https://www.readbyqxmd.com/read/29223629/a-new-clinical-sign-of-lumbrical-plus%C3%A2-finger
#17
Frédéric A Schuind, Fabian Moungondo, Pierre Van Wetter
Paradoxical finger extension is the classical clinical presentation of the lumbrical plus syndrome. We report a new additional sign, increased metacarpophalangeal flexion of the involved finger when the patient tries to make a fist. Three cases of lumbrical tightness are discussed, illustrating this new sign in 3 different clinical settings. The new sign was present in all 3 cases. Lumbrical tenotomy corrected the paradoxical interphalangeal extension and partly the increased metacarpophalangeal flexion. The lumbrical tendon has a relatively high moment arm relative to the metacarpophalangeal joint, which could explain the basis of this clinical sign...
December 6, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29223409/obtaining-adequate-tension-for-extensor-hallucis-longus-tendon-rupture-repair-using-wide-awake-surgery-a-case-report
#18
Takenori Matsuda, Akira Taniguchi, Koji Hayashi, Yasuaki Nakanishi, Yasuhito Tanaka
Wide-awake surgery has potential advantages for treating extensor or flexor tendon injury. We present a case of chronic extensor hallucis longus injury treated with turn-down reconstruction using wide-awake surgery with a selective nerve block. To the best of our knowledge, this is the first such case reported. The patient had dropped a knife proximal to the right hallux metatarsophalangeal joint. Because direct suturing was thought to be difficult, turn-down reconstruction was performed under a selective nerve block...
December 7, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29223103/bilateral-early-activity-in-the-hip-flexors-associated-with-falls-in-stroke-survivors-preliminary-evidence-from-laboratory-induced-falls
#19
Dmitrijs Celinskis, Mark D Grabiner, Claire F Honeycutt
OBJECTIVE: Falls are the most common and expensive medical complication following stroke. Hypermetric reflexes have been suggested to impact post-stroke balance but no study has evaluated reflex amplitudes under real conditions of falls in this population. Our objective was to quantify the early reflexive responses during falls induced in the laboratory. METHODS: Sixteen stroke survivors were exposed to posteriorly directed treadmill perturbations that required a forward step to maintain a balance...
November 21, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29221665/effect-of-wrist-posture-rate-of-force-development-relaxation-and-isotonic-contractions-on-finger-force-independence
#20
Stephen E May, Peter J Keir
The multi-articular anatomy and inter-connections of the extrinsic finger muscles suggests that wrist posture may affect enslaved finger forces. The purpose of this study was to determine the effects of (i) wrist posture on enslaved finger forces during ramp and isotonic exertions, and (ii) the rate of force development on enslaved forces and error. Twelve men performed 3 repetitions of isometric finger flexion and extension force with index and ring fingers with the wrist in 30° flexion, neutral, and 30° extension...
December 2, 2017: Journal of Electromyography and Kinesiology
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