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Ankle mobilization

James M Cottom, Britton S Plemmons, Steven M Douthett
Total ankle replacement can be a viable option for patients with end-stage ankle arthritis associated with coronal plane deformity. With proper ankle balancing, a well-aligned ankle implant can be maintained over time and provide successful patient outcomes. The purpose of this study was to evaluate radiographic and subjective outcomes in patients with ankle arthritis along with coronal plane deformity who underwent total ankle arthroplasty with a 3-piece mobile-bearing implant. Our primary inclusion criterion was patients who demonstrated more than 5° of tibiotalar coronal deformity in either varus or valgus direction...
November 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Margaret Roller, Aimie Kachingwe, Janna Beling, Dawn-Marie Ickes, Allyson Cabot, Gabrielle Shrier
OBJECTIVE: To investigate the effects of Pilates exercises using a Reformer on measures of fall risk, balance and mobility, self-efficacy, and active range of motion in adults age 65 and over at risk for falls compared to a control group. DESIGN: Randomized Controlled Trial. METHODS: Fifty-five subjects (27 Pilates intervention, 28 control; 38 females, 17 males; mean age 77.6 years, range 65-95) were randomly assigned to either a Pilates Reformer intervention group or a control group (no intervention)...
October 2018: Journal of Bodywork and Movement Therapies
He Zhou, Javad Razjouyan, Debopriyo Halder, Anand D Naik, Mark E Kunik, Bijan Najafi
BACKGROUND: The physical frailty assessment tools that are currently available are often time consuming to use with limited feasibility. OBJECTIVE: To address these limitations, an instrumented trail-making task (iTMT) platform was developed using wearable technology to automate quantification of frailty phenotypes without the need of a frailty walking test. METHODS: Sixty-one older adults (age = 72.8 ± 9.9 years, body mass index [BMI] = 27...
October 25, 2018: Gerontology
Tomohiro Ota, Hiroyuki Hashidate, Natsuki Shimizu, Akihiko Saito
[Purpose] This study aimed to identify the preferential factor of activities of daily living disabilities for selecting between knee-ankle-foot orthosis and ankle-foot orthosis prescription in the early stage after admission. [Participants and Methods] This study included 442 inpatients who had a subacute stroke and received either knee-ankle-foot orthosis or ankle-foot orthosis after admission (mean age, 69 years). The functional independence measure was investigated within 1 week after admission. [Results] Inpatients who had a stroke and received knee-ankle-foot orthosis had significantly lower scores for all individual functional independence measure items than those who received ankle-foot orthosis...
October 2018: Journal of Physical Therapy Science
Feng Yang, Mu Qiao, Xiaogang Su, Joash Lazarus
BACKGROUND: Mobility impairment is common in people with multiple sclerosis (MS). Gait speed has shown strong correlations with other mobility measures in MS. The purpose of this study was to assess the relative importance of a battery of factors in determining gait speed among people with MS. METHODS: Thirty-one individuals with MS (the mean (standard deviation) of the Patient Determined Disability Steps: 3.68(1.70)) participated in this cross-sectional observational study...
October 9, 2018: Multiple Sclerosis and related Disorders
Theresa H Nakagawa, Rafael S Petersen
OBJECTIVES: Investigate the relationship of hip internal rotation (IR) and ankle dorsiflexion (DF) range of motion (ROM), trunk flexor, extensor, and lateral flexor muscle endurance with frontal plane knee projection angle (FPKPA) and Y-balance test (YBT). STUDY DESIGN: Cross-sectional study. SETTING: Armed Force training site. PARTICIPANTS: 121 healthy male militaries with no history of musculoskeletal injury in the last 6 months...
October 15, 2018: Physical Therapy in Sport
Huiyi Liang, Bo Peng, Cong Dong, Lixin Liu, Jiaji Mao, Song Wei, Xinlu Wang, Hanshi Xu, Jun Shen, Hai-Quan Mao, Xiaohu Gao, Kam W Leong, Yongming Chen
Cell-free DNA (cfDNA) released from damaged or dead cells can activate DNA sensors that exacerbate the pathogenesis of rheumatoid arthritis (RA). Here we show that ~40 nm cationic nanoparticles (cNP) can scavenge cfDNA derived from RA patients and inhibit the activation of primary synovial fluid monocytes and fibroblast-like synoviocytes. Using clinical scoring, micro-CT images, MRI, and histology, we show that intravenous injection of cNP into a CpG-induced mouse model or collagen-induced arthritis rat model can relieve RA symptoms including ankle and tissue swelling, and bone and cartilage damage...
October 16, 2018: Nature Communications
Mohammad Samadian, Monireh Ahmadi Bani, Navid Golchin, Mohammad Ali Mardani, John S Head, Mokhtar Arazpour
Study Design: Pilot study. Purpose: Evaluation of two different hip-knee-ankle-foot orthoses (HKAFOs; medial linkage reciprocating gait orthosis [MLRGO] and isocentric reciprocating gait orthosis [IRGO]) using gait and postural stability analysis in four subjects with spinal cord injury (SCI). Overview of Literature: To the best of our knowledge, no study has evaluated postural stability in subjects with SCI when using MLRGO and IRGO. Methods: The relative efficacy of each orthosis was evaluated with relevant gait parameters, and an assessment of postural stability and sway during usage was made...
October 18, 2018: Asian Spine Journal
Saed A Al Bimani, Lucy S Gates, Martin Warner, Catherine Bowen
BACKGROUND: Ankle sprain is a very common injury, yet uncertainty exists in what is appropriate time to return to play (RTP). Such guidance may inform treatment pathways and effective practice. OBJECTIVES: To determine if consensus exist about potential influencing factors for time to RTP in conservatively treated ankle sprain. METHODS: We searched AMED, CINAHL Plus, Cochrane library, EMBASE, MEDLINE (EBSCO), SPOERDiscus, PsycINFO, PEDro, Scopus, unpublished literature and ongoing trials and Google Scholar from inception until April 2017...
October 16, 2018: Physician and Sportsmedicine
Federico Giuseppe Usuelli, Claudia Angela Di Silvestri, Riccardo D'Ambrosi, Annalisa Orenti, Filippo Randelli
PURPOSE: The objective of this study was to compare survival rate and clinical and radiological outcomes of a cementless mobile-bearing total ankle replacement (TAR) between two groups of patients, affected by end-stage ankle arthritis, with or without a pre-operative varus deformity. METHODS: A total of 81 patients (81 ankles) were included in the study and divided in two groups. Group A, "varus" group, includes 11 patients with pre-operative varus deformity of more than 10 ° and group B, "neutral" group, includes 70 patients, with a varus/valgus deformity of less than 10 °...
October 15, 2018: International Orthopaedics
K Koo, A D Liddle, P S Pastides, P F Rosenfeld
BACKGROUND: Modern designs of total ankle arthroplasty (TAA) have the potential to treat symptomatic ankle OA without adversely affecting ankle biomechanics. We present the mid-term results of a modern, mobile-bearing TAA design. METHODS: TAA was performed in 50 consecutive patients (55 ankles) in an independent, prospective, single-centre series. Implant survival, patient-reported outcome measures (PROMs) and radiographic outcomes are presented at a mean of five years (range 2-10...
April 16, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Markus Rupp, Stefan Kockmann, Thaqif El Khassawna, Michael J Raschke, Christian Heiss, Sabine Ochman
BACKGROUND: Ankle fractures are the second most common fractures of the lower extremities. Nonetheless, no standardized treatment protocol for unstable ankle fractures of the elderly exists today. Choices to treat ankle fractures are debated controversially, including (1) conservative treatment, (2) open reduction and internal fixation (ORIF), and (3) primary hind-foot arthrodesis. This retrospective study aimed to examine the healing result in patients treated by ORIF after unstable ankle fractures...
April 24, 2018: Foot
Matt Wentzell
Objective: To describe the successful conservative management of a chronic recurrent flexor hallucis longus (FHL) stenosing tenosynovitis. Clinical Features: A 20-year-old female pre-professional ballet dancer presented with medial ankle and mid-foot pain of 7.5 months duration. Pain was constant but exacerbated with training and assuming the en pointe and demi-pointe dance positions. Plantar flexion of the great toe was pain provoking. Triggering of the great toe and audible and palpable crepitus were noted with active and passive great toe range of motion...
August 2018: Journal of the Canadian Chiropractic Association
L Fraissler, K Horas, S Bölch, P Raab, M Rudert, M Walcher
OBJECTIVE: Restore the function of the tibialis anterior muscle, which is responsible for dorsiflexion and inversion of the foot. INDICATIONS: Spontaneous or traumatic rupture of the tibialis anterior tendon. CONTRAINDICATIONS: Patients with multimorbidity or lack of functional demands. SURGICAL TECHNIQUE: Direct repair of the tibialis anterior tendon with fiber-wire suture and augmentation with extensor hallucis longus tendon, potentially in combination with reinsertion of the tibialis anterior tendon in the medial cuneiform...
October 9, 2018: Operative Orthopädie und Traumatologie
Barbara H Currier, Paul J Hecht, James A Nunley, Michael B Mayor, John H Currier, Douglas W Van Citters
BACKGROUND: Although advances in joint-replacement technology have made total ankle arthroplasty a viable treatment for end-stage arthritis, revision rates for ankle replacements are higher than in hip or knee replacements. The questions asked in this study were what can retrieved ankle devices demonstrate about ankle arthroplasty failures and how can understanding the causes of these failures inform clinical decisions for current and future ankle arthroplasty patients? METHODS: An IRB-approved retrieval laboratory received retrieved components and surgeon-supplied reason for revision from 70 total-ankles (7 designs, including 5 currently marketed designs) from 2002 to 2018...
October 8, 2018: Foot & Ankle International
Siyi Liu, Shengxiang Tao, Jinhai Tan, Xiang Hu, Huiyi Liu, Zonghuan Li
The use of fibular graft for the reconstruction of bone defects has been demonstrated to be a reliable method. The aim of this study was to assess the clinical outcome of graft union, functional outcome (hypertrophy of the graft bones) and complications of both non-vascularized and vascularized grafts.From 1981 to 2015, 10 patients were treated using non-vascularized fibular graft or free vascularized fibular graft. The outcomes were bony union time, graft hypertrophy and complications based on radiograph and functional outcomes according to the Musculoskeletal Tumor Society (MSTS) score...
October 2018: Medicine (Baltimore)
Mini E Jacob, Thomas G Travison, Rachel E Ward, Nancy K Latham, Suzanne G Leveille, Alan M Jette, Jonathan F Bean
Background: The Short Physical Performance Battery (SPPB) is advocated as a screening tool in geriatric care for predicting future disability. We aimed to identify the leg neuromuscular attributes to be targeted in rehabilitative care among older adults with poor SPPB scores. Methods: Boston Rehabilitative Impairment Study of the Elderly (Boston RISE) participants (n = 430) underwent assessment of neuromuscular attributes (leg strength, leg velocity, trunk extensor endurance, knee flexion range of motion [ROM], ankle ROM, and foot sensation)...
October 4, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Hiroshi Okada, Muhei Tanaka, Takashi Yasuda, Tadaaki Kamitani, Hisahiro Norikae, Tetsuya Fujita, Takashi Nishi, Hirokazu Oyamada, Tetsuro Yamane, Michiaki Fukui
The number of people with peripheral artery disease (PAD) has been increasing globally; therefore, it is important to explore more options to screen patients who are at a risk of developing PAD. The perfusion index (PI) represents the degree of circulation through the peripheral tissues and is measured noninvasively. We investigated the correlation between the PI and ankle-brachial index (ABI) to explore whether the PI could be used a screening tool for PAD. This cross-sectional study included 390 patients...
October 3, 2018: Heart and Vessels
Frédéric Noé, Xavier García-Massó, Damien Ledez, Thierry Paillard
OBJECTIVE: This study was undertaken in order to provide new insight into sensorimotor control of posture when wearing high-shaft (HS) boots as ski boots. BACKGROUND: Previous studies into the effects of HS boots on postural control have produced controversial results. Some studies reported postural control impairments with ski boots in bipedal postural tasks due to ankle movement restrictions without quantifying the actual restrictive effect of these boots and specifying the adaptations of the postural control system...
October 3, 2018: Human Factors
Harry J Witchel, Cäcilia Oberndorfer, Robert Needham, Aoife Healy, Carina E I Westling, Joseph H Guppy, Jake Bush, Jens Barth, Chantal Herberz, Daniel Roggen, Björn M Eskofier, Waqar Rashid, Nachiappan Chockalingam, Jochen Klucken
Introduction: Inertial sensors generate objective and sensitive metrics of movement disability that may indicate fall risk in many clinical conditions including multiple sclerosis (MS). The Timed-Up-And-Go (TUG) task is used to assess patient mobility because it incorporates clinically-relevant submovements during standing. Most sensor-based TUG research has focused on the placement of sensors at the spine, hip or ankles; an examination of thigh activity in TUG in multiple sclerosis is wanting. Methods: We used validated sensors (x-IMU by x-io) to derive transparent metrics for the sit-to-stand (SI-ST) transition and the stand-to-sit (ST-SI) transition of TUG, and compared effect sizes for metrics from inertial sensors on the thighs to effect sizes for metrics from a sensor placed at the L3 level of the lumbar spine...
2018: Frontiers in Neurology
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