keyword
https://read.qxmd.com/read/38534554/the-effect-of-a-new-generation-of-ankle-foot-orthoses-on-sloped-walking-in-children-with-hemiplegia-using-the-gait-real-time-analysis-interactive-lab-grail
#1
JOURNAL ARTICLE
Federica Camuncoli, Giorgia Malerba, Emilia Biffi, Eleonora Diella, Eugenio Di Stanislao, Guerrino Rosellini, Daniele Panzeri, Luigi Piccinini, Manuela Galli
Cerebral palsy poses challenges in walking, necessitating ankle foot orthoses (AFOs) for stability. Gait analysis, particularly on slopes, is crucial for effective AFO assessment. The study aimed to compare the performance of commercially available AFOs with a new sports-specific AFO in children with hemiplegic cerebral palsy and to assess the effects of varying slopes on gait. Eighteen participants, aged 6-11, with hemiplegia, underwent gait analysis using GRAIL technology. Two AFO types were tested on slopes (uphill +10 deg, downhill -5 deg, level-ground)...
March 16, 2024: Bioengineering
https://read.qxmd.com/read/38530214/safety-and-efficacy-of-myofascial-release-therapy-in-the-treatment-of-patients-with-hemophilic-ankle-arthropathy-single-blind-randomized-clinical-trial
#2
JOURNAL ARTICLE
Elena Donoso-Úbeda, Roberto Ucero-Lozano, Javier Meroño-Gallut, Rubén Cuesta-Barriuso, Raúl Pérez-Llanes
BACKGROUND: Hemophilia is characterized by degenerative joint damage. Patients with hemophilic arthropathy present joint damage, reduced range of motion, and decreased strength and functional capacity. Myofascial release therapy aims to decrease pain and improve tissue mobility and functionality. OBJECTIVES: To evaluate the safety and efficacy of myofascial release therapy in patients with hemophilic ankle arthropathy. METHOD: Single-blind randomized controlled trial...
March 26, 2024: Physiotherapy Theory and Practice
https://read.qxmd.com/read/38527630/enhancing-walking-performance-in-patients-with-peripheral-arterial-disease-an-intervention-with-ankle-foot-orthosis
#3
JOURNAL ARTICLE
Farahnaz Fallahtafti, Kaeli Samson, Zahra Salamifar, Jason Johanning, Iraklis Pipinos, Sara A Myers
Lower extremity peripheral artery disease (PAD) is a cardiovascular condition manifesting from narrowed or blocked arteries supplying the legs. Gait is impaired in patients with PAD. Recent evidence suggests that walking with carbon fiber ankle foot orthoses (AFOs) can improve patient mobility and delay claudication time. This study aimed to employ advanced biomechanical gait analysis to evaluate the impact of AFO intervention on gait performance among patients with PAD. Patients with claudication had hip, knee, and ankle joint kinetics and kinematics assessed using a cross-over intervention design...
March 23, 2024: International Journal of Cardiology
https://read.qxmd.com/read/38518651/the-association-between-obesity-knee-pain-and-gait-during-stair-descent-in-older-adults-with-knee-osteoarthritis
#4
JOURNAL ARTICLE
Paige E Rice, Gabriel A Pate, Ryan D Hill, Paul DeVita, Stephen P Messier
BACKGROUND: Obesity and knee osteoarthritis adversely affect activities of daily living in older adults. Together, the complexities of their interaction on mobility, including stair negotiation, are unresolved. The purpose of this study was to determine the relationship between obesity, pain, and stair negotiation in older adults with knee osteoarthritis. METHODS: Older adults with symptomatic knee osteoarthritis and overweight or obesity participated in the study (n = 28; age range = 57...
March 12, 2024: Clinical Biomechanics
https://read.qxmd.com/read/38513374/ten-year-outcomes-after-non-fixation-of-the-smaller-posterior-malleolar-fragment-a-retrospective-cohort-study
#5
JOURNAL ARTICLE
Leo Swee Liang Chong, MohammadAli Khademi, Kundam Murali Reddy, Geoffrey Hunter Anderson
INTRODUCTION: Treatment of posterior malleolar (PM) ankle fractures remains controversial. Despite increasing recommendation for small PM fragment fixation, high quality evidence demonstrating improved clinical outcomes over the unfixated PM is limited. We describe the long term clinical and radiographical outcomes in younger adult patients with PM ankle fractures managed without PM fragment fixation. MATERIAL AND METHODS: A retrospective cohort study was performed on PM ankle fracture patients aged 18-55 years old admitted under our orthopaedic unit between 1st of April 2009 and 31st of October 2013...
March 12, 2024: Foot
https://read.qxmd.com/read/38512987/do-transtibial-amputations-outperform-amputations-of-the-hind-and-midfoot-following-severe-limb-trauma-a-secondary-analysis-of-the-outlet-study
#6
JOURNAL ARTICLE
Brianna R Fram, Michael J Bosse, Susan M Odum, Lisa Reider, Joshua L Gary, Wade T Gordon, David Teague, Dana Alkhoury, Ellen J MacKenzie, Rachel B Seymour, Madhav A Karunakar
BACKGROUND: The purpose of this study was to compare 18-month clinical and patient-reported outcomes between patients with severe lower-limb injuries treated with a transtibial amputation or a hind- or midfoot amputation. Despite the theoretical benefits of hind- and midfoot-level amputation, we hypothesized that patients with transtibial amputations would report better function and have fewer complications. METHODS: The study included patients 18 to 60 years of age who were treated with a transtibial amputation (n = 77) or a distal amputation (n = 17) and who were enrolled in the prospective, multicenter Outcomes Following Severe Distal Tibial, Ankle, and/or Foot Trauma (OUTLET) study...
March 21, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38508160/acute-effects-of-local-high-frequency-percussive-massage-on-deep-fascial-and-muscular-stiffness-and-joint-range-of-motion-in-young-adult-men
#7
JOURNAL ARTICLE
Zijian Liu, Yicheng Zhong, Toshihiro Maemichi, Qianhui Zhou, Takumi Okunuki, Yanshu Li, Wakamiya Kazuki, Tsukasa Kumai
BACKGROUND: Local high-frequency percussive (HFP) massage has recently found widespread application in physical therapy. Although HFP massage reportedly improves range of motion (ROM), the mechanism underlying its action has not yet been proven. This study aimed to clarify whether a 5-minute percussive massage regimen affects muscular or connective tissues, such as the deep fascia and deep intermuscular fascia and the change in joint ROM. METHOD: The study sample was calculated using G*Power analysis program, and this study enrolled 15 healthy men who underwent 5-minute HFP massage to the medial gastrocnemius muscle...
March 20, 2024: Journal of Sport Rehabilitation
https://read.qxmd.com/read/38507380/improving-walking-energy-efficiency-in-transtibial-amputees-through-the-integration-of-a-low-power-actuator-in-an-esar-foot
#8
JOURNAL ARTICLE
Alessandro Mazzarini, Ilaria Fagioli, Huseyin Eken, Chiara Livolsi, Tommaso Ciapetti, Alessandro Maselli, Michele Piazzini, Claudio Macchi, Angelo Davalli, Emanuele Gruppioni, Emilio Trigili, Simona Crea, Nicola Vitiello
Reducing energy consumption during walking is a critical goal for transtibial amputees. The study presents the evaluation of a semi-active prosthesis with five transtibial amputees. The prosthesis has a low-power actuator integrated in parallel into an energy-storing-and-releasing foot. The actuator is controlled to compress the foot during the stance phase, supplementing the natural compression due to the user's dynamic interaction with the ground, particularly during the ankle dorsiflexion phase, and to release the energy stored in the foot during the push-off phase, to enhance propulsion...
March 20, 2024: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://read.qxmd.com/read/38500488/upper-extremity-training-followed-by-lower-extremity-training-with-a-brain-computer-interface-rehabilitation-system
#9
JOURNAL ARTICLE
Sebastian Sieghartsleitner, Marc Sebastián-Romagosa, Woosang Cho, Johannes Grünwald, Rupert Ortner, Josef Scharinger, Kyousuke Kamada, Christoph Guger
INTRODUCTION: Brain-computer interfaces (BCIs) based on functional electrical stimulation have been used for upper extremity motor rehabilitation after stroke. However, little is known about their efficacy for multiple BCI treatments. In this study, 19 stroke patients participated in 25 upper extremity followed by 25 lower extremity BCI training sessions. METHODS: Patients' functional state was assessed using two sets of clinical scales for the two BCI treatments...
2024: Frontiers in Neuroscience
https://read.qxmd.com/read/38483102/lapidus-arthrodesis-for-correction-of-hallux-valgus-deformity-a-systematic-review-and-meta-analysis
#10
REVIEW
Maximilian Waehner, Kajetan Klos, Hans Polzer, Robbie Ray, Thomas Lorchan Lewis, Hazibullah Waizy
BACKGROUND: The aim of this study was to evaluate and compare different fixation methods to achieve Tarsometatarsal joint I (TMT-1) arthrodesis in patients with hallux valgus regarding radiographic correction, complication profile, and clinical outcomes. METHODS: A systematic review and meta-analysis included primary literature results of evidence level 1 to 3 studies in German and English. Inclusion and exclusion criteria were established and applied, along with parameters suitable for comparison of data...
March 14, 2024: Foot & Ankle Specialist
https://read.qxmd.com/read/38481904/the-role-of-physiotherapy-in-chronic-osteomyelitis-of-the-second-metatarsal-for-the-restoration-of-function-in-a-20-year-old-patient-a-case-report
#11
Vaishnavi R Waghe, Subrat Samal
Osteomyelitis, which is a bone inflammation brought on by an infectious agent, is a challenging clinical issue. Chronic osteomyelitis, characterized by persistent inflammation and infection of the bone tissue, poses significant challenges to both physical health and functional well-being. A 20-year-old male came with complaints of pus discharge from an ulcer present on the dorsum of the right foot with pain and swelling around it. He was unable to stand or walk properly so he came to Acharya Vinoba Bhave Rural Hospital, Wardha, India, where investigations were done which confirmed the diagnosis of chronic osteomyelitis of the second  metatarsal...
February 2024: Curēus
https://read.qxmd.com/read/38477123/immediate-mobilization-after-repair-of-achilles-tendon-rupture-may-increase-the-incidence-of-re-rupture-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#12
JOURNAL ARTICLE
Ruihan Wang, Lei Huang, Songtao Jiang, Guixuan You, Xin Zhou, Guoyou Wang, Lei Zhang
BACKGROUND: Achilles tendon rupture (ATR) is a significant injury that can require surgery and can have the risk of re-rupture even after successful treatment. Consequently, to minimize this risk, it is important to have a thorough understanding of the rehabilitation protocol and the impact of different rehabilitation approaches on preventing re-rupture. MATERIALS AND METHODS: Two independent team members searched several databases (PubMed, EMBASE, Web of Science, Cochrane Library, and CINAHL) to identify randomized controlled trials (RCTs) on operative treatment of ATR...
March 11, 2024: International Journal of Surgery
https://read.qxmd.com/read/38470658/effects-of-peroneus-brevis-versus-peroneus-longus-muscle-training-on-muscle-function-in-chronic-ankle-instability-a-randomized-controlled-trial
#13
JOURNAL ARTICLE
Dukhan Ko, Yongchul Choi, Kyujin Lee
Chronic ankle instability (CAI) is a common injury that can occur in daily life or sporting events. Injuries to the anterior talofibular, posterior talofibular, and calcaneofibular ligaments are common, and the core of rehabilitation training involves strengthening the peroneus muscle. Many studies on rehabilitation training have focused on strengthening the peroneus brevis muscle, and few studies have focused on specific training to strengthen the peroneus longus muscle. Therefore, this study aims to investigate changes in the symptoms and functions of patients by applying training to strengthen the peroneus longus and peroneus brevis muscles...
February 26, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38452199/blood-flow-restriction-and-veterans-with-multiple-sclerosis-brave-ms-and-advanced-disability-protocol-for-a-randomized-controlled-trial
#14
JOURNAL ARTICLE
Mark M Mañago, Robert Will, Talia Strahler, Lauren Van Valkenburgh, Michael O Harris-Love, Jeri E Forster, Michelle Cameron, Cory L Christiansen
OBJECTIVE: The purpose of this study will be to determine the efficacy of low intensity lower extremity resistance training with and without blood flow restriction on quadriceps muscle strength and thickness in veterans with advanced multiple sclerosis (MS). METHODS: This will be an assessor-blinded, 2-group (1 to 1 allocation) randomized controlled trial targeting an enrollment of 58 participants with advanced MS as defined by Patient-Determined Disease Steps scale levels 4 to 7...
March 7, 2024: Physical Therapy
https://read.qxmd.com/read/38445098/children-with-bilateral-cerebral-palsy-use-their-hip-joint-to-complete-a-step-up-task
#15
JOURNAL ARTICLE
Vatsala Goyal, Keith E Gordon, Theresa Sukal-Moulton
Performance in stair-climbing is largely associated with disruptions to mobility and community participation in children with cerebral palsy (CP). It is important to understand the nature of motor impairments responsible for making stairs a challenge in children with bilateral CP to clarify underlying causes of impaired mobility. In pediatric clinical populations, sensitive measurements of movement quality can be captured during the initial step of stair ascent. Thus, the purpose of this study was to quantify the lower limb joint moments of children with bilateral CP during the stance phases of a step-up task...
2024: Frontiers in Human Neuroscience
https://read.qxmd.com/read/38443274/adaptive-state-restricted-barrier-lyapunov-based-control-of-a-stewart-platform-used-as-ankle-controlled-mobilizer
#16
JOURNAL ARTICLE
Sandra Marlene Cobian-Aquino, Jose Eduardo Mendoza-Guerrero, Jorge Danel-Muñoz, Mario André Coronado-Quiel, Alejandro Guarneros-Sandoval, Oscar Eleno Carbajal-Espinosa, Isaac Chairez
In this research project, a closed-chain robotic active ankle orthosis with six degrees of freedom is designed, constructed, numerically valued, instrumented, and experimentally validated. The mechanical arrangement to implement the orthosis corresponds to a six-legged Stewart platform. An adaptive gain control strategy with state constraints based on a state-dependent gains control (that behaves as a diverging function as the states approach the state restrictions) operates the device's motion. The convergence to an invariant positive set centered at the origin of the tracking error space is validated using the stability analysis based on the second method of Lyapunov, with the implementation of a state barrier Lyapunov-like function...
February 28, 2024: ISA Transactions
https://read.qxmd.com/read/38432823/effectiveness-of-instrument-assisted-soft-tissue-mobilization-versus-foam-rolling-on-trigger-point-release-in-calf-muscles
#17
RANDOMIZED CONTROLLED TRIAL
Amita Aggarwal, Nehal Agarwal, Manisha Rathi, Tushar J Palekar
BACKGROUND: Instrument assisted soft tissue mobilization and foam rolling are two techniques that have been proven effective in treating Myofascial Trigger Points, irrespective of the type of trigger point. However, little is known about the comparative effectiveness of Instrument assisted soft tissue mobilization and foam rolling. This study proposed to evaluate the effectiveness of either technique on plantar flexors trigger points, ankle dorsiflexion, and lower limb power present in the calf muscles in non-symptomatic patients...
January 2024: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/38432812/enhance-range-of-motion-and-hypotensive-effect-in-elderly-submitted-to-three-manual-therapy-techniques-cross-over-study
#18
JOURNAL ARTICLE
Estêvão Rios Monteiro, Henning Budde, Julio Guilherme Silva, Alexsandro Oliveira, Jefferson da Silva Novaes, Igor Ramathur Telles de Jesus
The present study has two objectives: 1) to verify the effect of Maitland mobilization, manual massage (MM), and static stretching (SS) on the acute range-of-motion (ROM) responses, over 30 min, in the elderly; 2) to verify the effect of Maitland's mobilization, MM, and SS on blood pressure (BP) responses, over 60 min, in the elderly. Sixteen inactive elderly men were recruited. After familiarization, all subjects performed the experimental conditions throughout four remaining sessions. Each session included two baselines ROM measures in randomized order...
January 2024: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/38432807/the-effect-of-manual-therapy-on-ankle-dorsiflexion-range-of-motion-a-pilot-crossover-randomized-trial
#19
JOURNAL ARTICLE
Carolyn J Taylor, Lisa C Hanson, Abbey Hayes, Alan Pham, Elliott Taylor, Poppy Attlesey, Gemma Stewart, Amy O'Neill, Ilana Karass, Nivan Weerakkody
INTRODUCTION: Restricted ankle dorsiflexion is common after lower limb injury. The aim of this pilot study was to investigate the effect of passive ankle joint mobilization and calf muscle massage on ankle dorsiflexion range of motion in adults with residual restricted dorsiflexion. The secondary aim was to assess the methodology of the pilot study to inform a larger clinical trial. METHOD: The study design was a randomized crossover trial with assessor blinding...
January 2024: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/38425831/the-effect-of-prone-and-supine-limb-positioning-on-the-radiographic-evaluation-of-posterolateral-plate-fixation-of-the-posterior-malleolus
#20
JOURNAL ARTICLE
Preemal Patel, Zoe Little, Phillip Beak, Rachel Williams, Alex Trompeter
AIM: To facilitate the posterolateral approach to the posterior malleolus patients are often positioned prone initially, then turned supine to complete fixation at the medial malleolus. We sought to define observed differences in the radiographic appearance of implants relative to the joint line, in prone and supine positions. METHODS: A 3.5 mm tubular plate and a 3.5 mm posterior distal tibial periarticular plate were applied sequentially to 3 individual cadaveric legs, via a posterolateral approach...
March 2024: Indian Journal of Orthopaedics
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