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https://www.readbyqxmd.com/read/27676887/podiatric-complications-during-a-premature-aging-syndrome-rare-case
#1
Siham Zahi, Laila Mahir, Soumia Meftah, Fatima Lmidmani, Abdellatif El Fatimi
OBJECTIVE: Premature aging syndromes are very rare and most often hereditary. Initially purely descriptive entities, these syndromes are now much better understood genetically and pathophysiologically and can now be classified according to the mechanisms involved. They often manifest as a pigmented skin dry, atrophic and sclerotic. There is no treatment for these conditions apart from that of their complications (frequent ulceration). OBSERVATIONS: Forty-five years of patient follow-up in dermatology for premature aging syndrome, addressed in our service for podiatric care...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676843/coordinate-specialty-care-programs-mpr
#2
Georges De Korvin
Outpatients are referred by GPs to PRM specialists in order to solve an issue, rather than to give a simple diagnostic or therapeutic advice. Dealing with such an issue requires a specific expertise and also a relevant organization, i.e. functional assessment tools, cooperation with orthotists, rehabilitation settings, and quality network together with community-based professionals. Any daily activity in PRM can be defined as a "programme of care" with respect to the following elements: - scientific and epidemiological foundations; - target population; - medical and functional goals; - structured content; - relevant means...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27637412/-congenital-malformations-of-the-forefoot
#3
B Salazard, C Philandrianos, A Gaudeuille
Malformations and deformations of the forefoot are a frequent reason for consultation. The most frequent malformations viewed at birth are syndactylies (second web space), clinodactylies (quintus varus, halllux), polydactylies (hallux, fifth toe). The macrodactylies, hypoplasia, amniotic bands are rare. The management of these defects requires knowledge of surgery adult foot, plastic surgery and especially collaboration with physiotherapists, podiatrists and orthotists. The fast growth of the foot the first year and the development of walking at one year require to start early the treatment of deformations and to anticipate the evolution of malformations...
October 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27525315/physiotherapy-scoliosis-specific-exercises-a-comprehensive-review-of-seven-major-schools
#4
REVIEW
Hagit Berdishevsky, Victoria Ashley Lebel, Josette Bettany-Saltikov, Manuel Rigo, Andrea Lebel, Axel Hennes, Michele Romano, Marianna Białek, Andrzej M'hango, Tony Betts, Jean Claude de Mauroy, Jacek Durmala
In recent decades, there has been a call for change among all stakeholders involved in scoliosis management. Parents of children with scoliosis have complained about the so-called "wait and see" approach that far too many doctors use when evaluating children's scoliosis curves between 10° and 25°. Observation, Physiotherapy Scoliosis Specific Exercises (PSSE) and bracing for idiopathic scoliosis during growth are all therapeutic interventions accepted by the 2011 International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT)...
2016: Scoliosis and Spinal Disorders
https://www.readbyqxmd.com/read/27477023/orthotic-management-of-instability-of-the-knee-related-to-neuromuscular-and-central-nervous-system-disorders-systematic-review-qualitative-study-survey-and-costing-analysis
#5
Joanne O'Connor, Dorothy McCaughan, Catriona McDaid, Alison Booth, Debra Fayter, Roccio Rodriguez-Lopez, Roy Bowers, Lisa Dyson, Cynthia P Iglesias, Simon Lalor, Rory J O'Connor, Margaret Phillips, Gita Ramdharry
BACKGROUND: Patients who have knee instability that is associated with neuromuscular disease (NMD) and central nervous system (CNS) conditions can be treated using orthoses, such as knee-ankle-foot orthoses (KAFOs). OBJECTIVES: To assess existing evidence on the effectiveness of orthoses; patient perspectives; types of orthotic devices prescribed in the UK NHS; and associated costs. METHODS: Qualitative study of views of orthoses users - a qualitative in-depth interview study was undertaken...
July 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27197823/-characteristics-of-neuromuscular-scoliosis
#6
M Putzier, C Groß, R K Zahn, M Pumberger, P Strube
Usually, neuromuscular scolioses become clinically symptomatic relatively early and are rapidly progressive even after the end of growth. Without sufficient treatment they lead to a severe reduction of quality of life, to a loss of the ability of walking, standing or sitting as well as to an impairment of the cardiopulmonary system resulting in an increased mortality. Therefore, an intensive interdisciplinary treatment by physio- and ergotherapists, internists, pediatricians, orthotists, and orthopedists is indispensable...
June 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27006703/-trial-and-error%C3%A2-%C3%A2-happy-patients-and-%C3%A2-an-old-toy-in-the-cupboard-a-qualitative-investigation-of-factors-that-influence-practitioners-in-their-prescription-of-foot-orthoses
#7
Anita Ellen Williams, Ana Martinez-Santos, Jane McAdam, Christopher James Nester
BACKGROUND: Foot orthoses are used to manage of a plethora of lower limb conditions. However, whilst the theoretical foundations might be relatively consistent, actual practices and therefore the experience of patients is likely to be less so. The factors that affect the prescription decisions that practitioners make about individual patients is unknown and hence the way in which clinical experience interacts with knowledge from training is not understood. Further, other influences on orthotic practice may include the adoption (or not) of technology...
2016: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/26855581/management-of-charcot-marie-tooth-disease-improving-long-term-care-with-a-multidisciplinary-approach
#8
REVIEW
Donald McCorquodale, Evan M Pucillo, Nicholas E Johnson
Charcot-Marie-Tooth (CMT) disease is the most common inherited neuropathy and one of the most common inherited diseases in humans. The diagnosis of CMT is traditionally made by the neurologic specialist, yet the optimal management of CMT patients includes genetic counselors, physical and occupational therapists, physiatrists, orthotists, mental health providers, and community resources. Rapidly developing genetic discoveries and novel gene discovery techniques continue to add a growing number of genetic subtypes of CMT...
2016: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/26835739/suggested-guidelines-for-the-prescription-of-orthotic-services-device-delivery-education-and-follow-up-care-a-multidisciplinary-white-paper
#9
John R Fisk, Sharon DeMuth, James Campbell, Thomas DiBello, Alberto Esquenazi, Robert S Lin, Bryan Malas, Francis X McGuigan, Thomas F Fise
OBJECTIVES: This article establishes needed guidelines for determining orthotic prescriber authority, documenting medical necessity, and ensuring continuity of care for patients needing orthoses. It also identifies "off-the-shelf" (OTS) devices that can safely and appropriately be delivered to patients without professional adjustment as well as those that cannot. METHODS: A multidisciplinary task force made up of experts in orthopedics and physical medicine physicians, along with therapists and certified orthotists, applied a consensus approach to answer key questions: (i) When can a device be safely, effectively delivered to the patient OTS without professional guidance or education, and which caregivers have a role in that decision? (ii) What documentation is appropriate for physicians and other caregivers to determine medical necessity? (iii) What documentation/communication ensures continuity of care among physicians, therapists, and orthotists? RESULTS: Guidelines developed for consideration of OTS orthoses include accepting documentation from collaborating caregivers, including therapists and orthotists; keeping that documentation as part of the patient's total medical record for clinical, medical necessity determinations and reimbursement purposes; and using the physician's prescription for the device as the key determinant of whether a device is delivered OTS or as a custom-fitted device...
February 2016: Military Medicine
https://www.readbyqxmd.com/read/26827108/demographics-of-the-australian-orthotic-and-prosthetic-workforce-2007-12
#10
Emily Ridgewell, Michael Dillon, Jackie O'Connor, Sarah Anderson, Leigh Clarke
Objective Health workforce data are vital to inform initiatives to meet the future healthcare needs of our society, but there are currently no data describing the Australian orthotic and prosthetic workforce. The aim of the present study was to describe demographic changes in the Australian orthotic and prosthetic workforce from 2007 to 2012.Methods In the present retrospective time series study, data from the Australian Orthotic Prosthetic Association member database were analysed for trends from 2007 to 2012...
February 1, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/26247705/orthotic-management-of-deformational-plagiocephaly-consensus-clinical-standards-of-care
#11
Robert S Lin, Phillip M Stevens, Michael Wininger, Charles L Castiglione
OBJECTIVE: To establish consensus on definitive, actionable standards for the management of deformational plagiocephaly. DESIGN: Three-stage Delphi Survey process based on best practice statements obtained through literature review. SETTING: Electronic survey delivery. PARTICIPANTS: Review panel of 10 multidisciplinary subject matter experts (SMEs); survey panel of 30 cranial orthotists. RESULTS: Fifty-four best practice statements were accepted in four categories: diagnosis, presentation and severity, initiating treatment, and management principles...
July 2016: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/26205672/prosthetists-and-orthotists-experience-of-their-work-and-workspace-characterising-the-physical-and-organisational-environment-focus-group-findings
#12
Sarah Anderson, Rwth Stuckey, Jodi R Oakman
BACKGROUND: Little research has been undertaken into occupational health and safety in the Prosthetics and Orthotics profession. OBJECTIVES: To identify physical, psychosocial and environmental workplace experiences of Prosthetists and Orthotists in organisational settings. STUDY DESIGN: Qualitative methodology, cross-sectional design, using thematically analysed data collected from focus groups. METHODS: Focus groups explored workplace and work experiences across varied Prosthetic and Orthotic settings...
July 23, 2015: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/26057653/a-mixed-methods-research-approach-to-the-review-of-competency-standards-for-orthotist-prosthetists-in-australia
#13
Susan Ash, Jackie O'Connor, Sarah Anderson, Emily Ridgewell, Leigh Clarke
AIM: The requirement for an allied health workforce is expanding as the global burden of disease increases internationally. To safely meet the demand for an expanded workforce of orthotist/prosthetists in Australia, competency based standards, which are up-to-date and evidence-based, are required. The aims of this study were to determine the minimum level for entry into the orthotic/prosthetic profession; to develop entry level competency standards for the profession; and to validate the developed entry-level competency standards within the profession nationally, using an evidence-based approach...
June 2015: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/25931239/a-randomized-controlled-evaluation-of-the-efficacy-of-an-ankle-foot-cast-on-walking-recovery-early-after-stroke-swift-cast-trial
#14
RANDOMIZED CONTROLLED TRIAL
Valerie M Pomeroy, Philip Rowe, Allan Clark, Andrew Walker, Andrew Kerr, Elizabeth Chandler, Mark Barber, Jean-Claude Baron
BACKGROUND: Timely provision of an ankle-foot orthosis (AFO) orthotist customized for individuals early after stroke can be problematic. OBJECTIVE: To evaluate the efficacy of a therapist-made AFO (SWIFT Cast) for walking recovery. METHODS: This was a randomized controlled, observer-blind trial. Participants (n = 105) were recruited 3 to 42 days poststroke. All received conventional physical therapy (CPT) that included use of "off-the-shelf" and orthotist-made AFOs...
January 2016: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/25883676/ultrasound-assisted-brace-casting-for-adolescent-idiopathic-scoliosis-irssd-best-research-paper-2014
#15
Edmond H Lou, Amanda Cy Chan, Andreas Donauer, Melissa Tilburn, Doug L Hill
BACKGROUND: Brace treatment is the most effective non-surgical treatment for AIS. High initial in-brace correction increases successful brace treatment outcomes. The objective of this study was to investigate if real-time ultrasound (US) can aid orthotists in selecting the pad pressure level and location resulting in optimal in-brace correction of the spine. METHODS: Twenty six AIS subjects participated in this pilot study with 17 (2 M, 15 F) in the control group and 9 (2 M, 7 F) in the intervention group...
2015: Scoliosis
https://www.readbyqxmd.com/read/25856154/experimental-and-computational-analysis-of-composite-ankle-foot-orthosis
#16
Dequan Zou, Tao He, Michael Dailey, Kirk E Smith, Matthew J Silva, David R Sinacore, Michael J Mueller, Mary K Hastings
Carbon fiber (CF) ankle-foot orthoses (AFOs) can improve gait by increasing ankle plantar-flexor power and improving plantar-flexor ankle joint moment and energy efficiency compared with posterior leaf spring AFOs made of thermoplastic. However, fabricating a CF AFO to optimize the performance of the individual user may require multiple AFOs and expensive fabrication costs. Finite element analysis (FEA) models were developed to predict the mechanical behavior of AFOs in this study. Three AFOs, two made of CF composite material and one made of thermoplastic material, were fabricated and then mechanically tested to produce force-displacement data...
2014: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/25614503/orthotic-management-of-the-neuropathic-foot-an-interdisciplinary-care-perspective
#17
REVIEW
Christopher Robinson, Matthew J Major, Charles Kuffel, Kevin Hines, Pamela Cole
BACKGROUND: Clinical management of the patient with neuropathic foot is becoming commonplace in orthotic clinics worldwide. The presentations that can result from neuropathic foot are diverse, requiring clinicians to understand the pathomechanics of ulceration, infection, and Charcot joint arthropathy to provide effective interventions. OBJECTIVES: The purpose of this clinical perspective is to provide a review of the literature regarding clinical concepts associated with orthotic management of neuropathic foot...
February 2015: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/25573141/prevention-of-deformational-plagiocephaly-in-hospitalized-infants-using-a-new-orthotic-device
#18
RANDOMIZED CONTROLLED TRIAL
Michele DeGrazia, Deborah Giambanco, Gretchen Hamn, Amy Ditzel, Lindsay Tucker, Kimberlee Gauvreau
OBJECTIVE: To measure the feasibility, safety, and efficacy of the cranial cup device in a sample of hospitalized infants at risk for deformational plagiocephaly (DP). DESIGN: A multisite, stratified, and randomized single-blinded study. SETTING: Neonatal intensive care units (NICU) from three urban and one suburban hospital participated. PARTICIPANTS: Subjects included 62 infants with lengths of stay ≥ 14 days. METHODS: Nurses caring for infants in study group 1 used the moldable positioner...
January 2015: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/25457336/is-it-safe-to-use-a-kinetic-therapy-bed-for-care-of-patients-with-cervical-spine-injuries
#19
Mark L Prasarn, MaryBeth Horodyski, Caleb Behrend, Gianlucca Del Rossi, Dewayne Dubose, Glenn R Rechtine
INTRODUCTION: Bedrest is often used for temporary management, as well as definitive treatment, for many spinal injuries. Under such circumstances patients cannot remain flat for extended periods due to possible skin breakdown, blood clots, or pulmonary complications. Kinetic therapy beds are often used in the critical care setting, although this is felt to be unsafe for turning patients with spine fractures. We sought to evaluate whether a kinetic therapy bed would cause as much spinal motion at an unstable cervical injury as occurs during manual log-rolling on a standard intensive care unit bed...
February 2015: Injury
https://www.readbyqxmd.com/read/25336052/a-randomised-controlled-trial-of-laser-scanning-and-casting-for-the-construction-of-ankle-foot-orthoses
#20
Andrew Roberts, Johanna Wales, Heather Smith, Christopher James Sampson, Peter Jones, Marilyn James
BACKGROUND: Three-dimensional laser scanning has been used for patient measurement for cranial helmets and spinal braces. Ankle-foot orthoses are commonly prescribed for children with orthopaedic conditions. This trial sought to compare ankle-foot orthoses produced by laser scanning or traditional plaster casting. OBJECTIVES: Assessment of the effectiveness and efficiency of using laser scanning to produce ankle-foot orthoses. STUDY DESIGN: Randomised controlled trial with blinding of orthotists and patients to the construction technique used...
April 2016: Prosthetics and Orthotics International
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