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Ankle mobilization

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https://www.readbyqxmd.com/read/29234565/reliability-of-ankle-foot-morphology-mobility-strength-and-motor-performance-measures
#1
John J Fraser, Rachel M Koldenhoven, Susan A Saliba, Jay Hertel
Background: Assessment of foot posture, morphology, intersegmental mobility, strength and motor control of the ankle-foot complex are commonly used clinically, but measurement properties of many assessments are unclear. Purpose: To determine test-retest and inter-rater reliability, standard error of measurement, and minimal detectable change of morphology, joint excursion and play, strength, and motor control of the ankle-foot complex. Design: Reliability study...
December 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29228848/comparative-study-of-surgical-and-conservative-treatments-for-fifth-metatarsal-base-avulsion-fractures-type-i-in-young-adults-or-athletes
#2
Gen-Bin Wu, Bing Li, Yun-Feng Yang
PURPOSE: This study aimed to investigate the therapeutic effects and complications of minimally invasive surgery in treating displaced avulsion fractures (2-3 mm) of fifth metatarsal base zone I in young adults or athletes. METHODS: Forty-six patients with displaced fifth metatarsal base avulsion fractures were assigned to operative and nonoperative groups by randomization. Patients in nonoperative group were immobilized with plaster, while patients in operative group were treated with closed reduction and fixation with a percutaneous screw...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29223884/chronic-effect-of-different-types-of-stretching-on-ankle-dorsiflexion-range-of-motion-systematic-review-and-meta-analysis
#3
REVIEW
Diulian Muniz Medeiros, Tamara Fenner Martini
The calf muscles are one of the muscle groups that have the most need for adequate flexibility since they are deeply related to normal lower limb function. When the goal is to increase flexibility, the most commonly used technique is stretching. However, it remains unknown which stretching technique and parameters are the most effective to increase flexibility. Hence, the aim of the current review was to investigate the influence of chronic stretching on ankle dorsiflexion range of motion (DFROM) of healthy individuals...
October 27, 2017: Foot
https://www.readbyqxmd.com/read/29218759/impact-of-pain-and-functional-impairment-in-us-adults-with-haemophilia-patient-reported-outcomes-and-musculoskeletal-evaluation-in-the-pain-functional-impairment-and-quality-of-life-p-fiq-study
#4
C L Kempton, M Recht, A Neff, M Wang, T W Buckner, A Soni, D Quon, M Witkop, L Boggio, R Z Gut, D L Cooper
INTRODUCTION: Standardized and disease-specific patient-reported outcome (PRO) instruments assessing pain, functional impairment and health-related quality of life (HRQoL) in people with haemophilia (PWH) have been used in studies, but infrequently in comprehensive care settings for individual assessment or treatment planning. AIM: To assess the impact of pain and functional impairment on HRQoL in PWH. METHODS: P-FiQ enrolled 381 adult PWH with a history of joint pain/bleeding and included 5 PROs and a clinical joint evaluation (Hemophilia Joint Health Score v2...
December 8, 2017: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/29216771/survey-of-the-functional-priorities-in-patients-with-disability-due-to-neuromuscular-disorders
#5
Nivedita U Jerath, Kevin Simoens, Dylan Mann, Steph Kollasch, Nicole Grosland, Karim A Malik, Chandan G Reddy
TITLE: Survey of the functional priorities in patients with disability due to neuromuscular disorders. OBJECTIVE: This study attempts to determine the functional priorities for patients with neuromuscular disorders. METHODS: A survey asking about functional priorities with respect to activities of daily living, ankle foot orthotic design, and assistive device design, was distributed to patients with neuromuscular disorders to assess the needs of patients from their perspectives...
December 8, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29202587/focussing-on-the-foot-in-psoriatic-arthritis-pathology-and-management-options
#6
Aimie Patience, Philip S Helliwell, Heidi J Siddle
Psoriatic arthritis (PsA) is a heterogeneous chronic inflammatory arthritis characterised by a range of musculoskeletal conditions including enthesitis, dactylitis and synovitis as well as skin and nail manifestations. The foot is a complex mixture of tissues, all of which can be involved in this disease and is frequently the presenting feature. Areas covered: In this under-researched area, articles were reviewed from the authors' publications as well as from other known authors. This review will discuss how PsA affects the foot and ankle with a particular focus on synovitis, tenosynovitis, enthesitis, dactylitis, bone erosion and psoriatic skin and nail disease...
December 5, 2017: Expert Review of Clinical Immunology
https://www.readbyqxmd.com/read/29202429/low-back-pain-and-disability-in-individuals-with-plantar-heel-pain
#7
Shane McClinton, Carolyn F Weber, Bryan Heiderscheit
BACKGROUND: Lack of response to plantar heel pain (PHP) treatment may be related to unmanaged low back pain (LBP) and low back dysfunction, but a relationship between LBP and PHP has not been established. The purpose of this investigation was to compare the prevalence of LBP among individuals with and without PHP and to assess the association between low back disability and foot/ankle function. METHODS: A cross-sectional study compared the prevalence and likelihood of LBP in individuals with (n=27) and without (n=27) PHP matched to age, sex, BMI, foot posture, and foot mobility...
September 28, 2017: Foot
https://www.readbyqxmd.com/read/29200624/exercise-using-a-robotic-knee-orthosis-in-stroke-patients-with-hemiplegia
#8
Shuhei Iida, Dai Kawakita, Takuya Fujita, Hirohumi Uematsu, Takahisa Kotaki, Kikuko Ikeda, Chikara Aoki
[Purpose] The Robotics Knee Orthosis (RKO) is a knee-ankle-foot orthosis with active robot assisting technology. The purpose of this study is to examine the effects of exercise with the RKO (RKO-exercise) in stroke patients with hemiplegia. [Subjects and Methods] Participants were nine stroke patients with hemiplegia, residing in a convalescent rehabilitation ward. The duration of the RKO-exercise program was 10 days. Participants were evaluated three times prior to intervention, once after intervention, and one month post intervention...
November 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29181358/a-case-report-upper-thoracic-chance-fracture-with-monoplegia%C3%A2-an-unusual-presentation
#9
Ketan Shripad Khurjeka, Himanshu Gurunath Kulkarni, Shailesh Hadgaonkar, Ajay Kothari, Ashok Shyam, Parag Sancheti
Introduction: Chance fractures, the horizontal splitting vertebral fractures caused by flexion distraction mechanism, are inherently unstable fractures. These fractures can land up with significant visceral injuries. There are most commonly seen at thoracolumbar junction or in lumbar spine due to their high mobility. These fractures are extremely rare in the thoracic spine due to the rigidity of thoracic spine rendered by attachment of ribs. Furthermore, the level of injury makes neurological complications even graver...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29178864/musculoskeletal-extremity-pain-in-danish-school-children-how-often-and-for-how-long-the-champs-study-dk
#10
Signe Fuglkjær, Jan Hartvigsen, Niels Wedderkopp, Eleanor Boyle, Eva Jespersen, Tina Junge, Lisbeth Runge Larsen, Lise Hestbæk
BACKGROUND: Musculoskeletal pain is common in childhood and adolescence, and may be long-lasting and recurrent. Musculoskeletal problems tend to follow adolescents into adulthood, and therefore it is important to design better prevention strategies and early effective treatment. To this end, we need in-depth knowledge about the epidemiology of musculoskeletal extremity problems in this age group, and therefore, the aim of this study was to determine the prevalence, frequency and course of musculoskeletal pain in the upper and lower extremities in a cohort of Danish school children aged 8-14 years at baseline...
November 25, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29178861/contact-stresses-pressure-and-area-in-a-fixed-bearing-total-ankle-replacement-a-finite-element-analysis
#11
Nicolo Martinelli, Silvia Baretta, Jenny Pagano, Alberto Bianchi, Tomaso Villa, Gloria Casaroli, Fabio Galbusera
BACKGROUND: Mobile-bearing ankle implants with good clinical results continued to increase the popularity of total ankle arthroplasty to address endstage ankle osteoarthritis preserving joint movement. Alternative solutions used fixed-bearing designs, which increase stability and reduce the risk of bearing dislocation, but with a theoretical increase of contact stresses leading to a higher polyethylene wear. The purpose of this study was to investigate the contact stresses, pressure and area in the polyethylene component of a new total ankle replacement with a fixed-bearing design, using 3D finite element analysis...
November 25, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29162244/locking-versus-non-locking-one-third-tubular-plates-for-treating-osteoporotic-distal-fibula-fractures-a-comparative-study
#12
Mario Herrera-Pérez, Maria J Gutiérrez-Morales, Ayron Guerra-Ferraz, Jose L Pais-Brito, Juan Boluda-Mengod, Gerardo L Garcés
INTRODUCTION: Ankle fractures represent the third most common fracture in elderly patients, after hip and wrist fractures. Distal fibula fractures in this population are closely related to osteoporosis, which renders commonly used methods of internal fixation technically demanding and prone to failure. Currently there is a tendency to fix osteoporotic metaphyseal and epiphyseal fractures with locking plates. However, published accounts about the use of this technology in osteoporotic distal fibula fractures are scarce...
November 2017: Injury
https://www.readbyqxmd.com/read/29155752/sagittal-plane-kinematic-gait-analysis-in-c57bl-6-mice-subjected-to-mog35-55-induced-experimental-autoimmune-encephalomyelitis
#13
Maximillian Dj Fiander, Matthew Aj Chedrawe, Anna-Claire Lamport, Turgay Akay, George S Robertson
Kinematic gait analysis in the sagittal plane has frequently been used to characterize motor deficits in multiple sclerosis (MS). We describe the application of these techniques to identify gait deficits in a mouse model of MS, known as experimental autoimmune encephalomyelitis (EAE). Paralysis and motor deficits in mice subjected to EAE are typically assessed using a clinical scoring scale. However, this scale yields only ordinal data that provides little information about the precise nature of the motor deficits...
November 4, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29150297/prolonged-stretching-of-the-ankle-plantarflexors-elicits-muscle-tendon-adaptations-relevant-to-ankle-gait-kinetics-in-children-with-spastic-cerebral-palsy
#14
Teresa Martín Lorenzo, Eduardo Rocon, Ignacio Martínez Caballero, Ana Ramírez Barragán, Sergio Lerma Lara
Tissue related ankle hyper-resistance has been reported to contribute to equinus gait in children with spastic cerebral palsy. Hence, ankle plantarflexor stretching programs have been developed in order to restore passive ankle dorsiflexion. Despite high quality evidence on the limited effects of stretching on passive joint mobility, further muscle-tendon adaptations have been reported which may impact gait performance. As such, children with spastic cerebral palsy subject to long-term manual static stretching achieved dorsiflexion gains through the reduction of muscle and fascicle strain whilst preserving tendon strain, and prolonged use of ankle-foot orthoses achieved similar dorsiflexion gains through increased tendon strain whilst preserving muscle and fascicle strain...
November 2017: Medical Hypotheses
https://www.readbyqxmd.com/read/29138042/tibial-bone-lengthening-via-external-fixation-comparative-study-of-the-traditional-technique-and-a-technique-with-intramedullary-nail-assistance
#15
César Salcedo Cánovas
OBJECTIVE: To compare outcomes and complications when performing bone lengthening with two different techniques: isolated external fixation versus external fixation combined with intramedullary nail. MATERIAL AND METHOD: Comparative retrospective study of thirty cases of tibial lengthening divided in two symmetrical groups. Cases were matched based on several variables to maximise homogeneity between the groups. Variables used for comparison were external fixation time, external fixation index, rate of consolidation, clinical outcomes, complications and range of joint motion...
November 11, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29114624/sports-and-recreational-activities-following-total-ankle-replacement
#16
Federico Giuseppe Usuelli, Andrea Pantalone, Camilla Maccario, Matteo Guelfi, Vincenzo Salini
Purpose  In literature, there is a controversy regarding whether patients who have undergone total ankle replacement (TAR) can participate in sports and recreational activities. The purpose of this study was to report change in sports activity level after TAR. Methods  A retrospective study was performed, enrolling 76 patients with symptomatic end-stage ankle arthritis who underwent TAR from May 2011 to October 2014. Patients were mainly males (44/76; 58%) and 56 years old on average (range: 22.3-79.6 years) at the time of surgery...
March 2017: Joints
https://www.readbyqxmd.com/read/29110512/short-term-clinical-and-radiographic-results-of-the-salto-mobile-total-ankle-prosthesis
#17
Dong Dong Wan, Woo Jin Choi, Dong Woo Shim, Yeokgu Hwang, Yoo Jung Park, Jin Woo Lee
BACKGROUND: The mobile-bearing Salto total ankle prosthesis has been reported to have promising outcomes. However, clinical reports on this prosthesis are few, and most have been published by the inventors and disclosed consultants. METHODS: We retrospectively reviewed 59 patients who received Salto prosthesis unilaterally. The average follow-up was 35.9 (range, 6-56) months. Clinical and radiologic results were evaluated. Clinical results were evaluated according to visual analog scale (VAS), American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, Ankle Osteoarthritis Scale (AOS) pain and disability score, and ankle range of motion (ROM) in dorsiflexion/plantarflexion...
November 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29096266/mobile-assessment-of-the-lower-limb-kinematics-in-healthy-persons-and-in-persons-with-degenerative-knee-disorders-a-systematic-review
#18
REVIEW
R van der Straaten, L De Baets, I Jonkers, A Timmermans
Inertial sensor systems are increasingly used in the assessment of persons with knee osteoarthritis (KOA) and total knee replacement (TKR). This systematic review aims to (1) investigate the application of inertial sensor systems and kinematics derived from these systems, and (2) assess if current assessment protocols consist of tasks which are, according to the International Classification of Functioning, Disability and Health (ICF) for KOA, relevant for persons with KOA and TKR. A search was conducted in six electronic databases (ACM, CINAHL, EMBASE, IEEE, PubMed, Web of Science) to include papers assessing the knee and one or more adjacent joints by means of inertial sensors in healthy persons or persons with KOA or TKR...
October 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29091148/relation-between-functional-mobility-and-dynapenia-in-institutionalized-frail-elderly
#19
Antonio Vinicius Soares, Elessandra Marcelino, Késsia Cristina Maia, Noé Gomes Borges
OBJECTIVE: To investigate the relation between functional mobility and dynapenia in institutionalized frail elderly. METHODS: A descriptive, correlational study involving 26 institutionalized elderly men and women, mean age 82.3±6 years. The instruments employed were the Mini Mental State Examination, the Geriatric Depression Scale, the International Physical Activity Questionnaire, the Timed Up and Go test, a handgrip dynamometer and a portable dynamometer for large muscle groups (shoulder, elbow and hip flexors, knee extensors and ankle dorsiflexors)...
July 2017: Einstein
https://www.readbyqxmd.com/read/29060029/design-and-development-of-platform-ankle-rehabilitation-robot-with-shape-memory-alloy-based-actuator
#20
Chong Tune Hau, Darwin Gouwanda, Alpha Agape Gopalai, Low Cheng Yee, Fazah Akhtar Binti Hanapiah
Various ankle rehabilitation robots have been developed in the recent decade to improve ankle strength and mobility and to alleviate the burdens on clinicians and physiotherapists. However, existing designs have stiff actuating mechanism, heavy and bulky electromagnetic or pneumatic actuators. This paper introduces ankle rehabilitation robot that utilizes Shape Memory Alloy (SMA) wire actuator to provide foot plantarflexion and dorsiflexion during rehabilitation exercise. SMA wire is a smart material that can contract when it is heated and expand back to its original shape when it is cooled...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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