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https://www.readbyqxmd.com/read/27935878/-five-year-results-of-treating-patients-with-chronic-lower-limb-ischaemia-by-means-of-gene-engineering
#1
Yu V Chervyakov, I N Staroverov, O N Vlasenko, I Ya Bozo, A A Isaev, R V Deev
The authors share their experience in comprehensive conservative treatment of patients presenting with chronic lower limb ischaemia (CLLI) associated with atherosclerosis of peripheral arteries by means of the first Russian registered gene therapeutic agent "Neovasculgen" (plasmid with the vegf165 gene), analysing the long-term outcomes of treating a total of 45 patients with stage II and III CLLI according to the classification of Pokrovsky-Fontain. The patients were followed up for 5 years. Efficacy of treatment was assessed by registering the dynamics of the pain-free walking distance (PFWD), linear blood velocity (LBV), ankle-brachial index (ABI), as well as the limb salvage rate and survival of patients...
2016: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/27935646/postactivation-potentiation-can-counteract-declines-in-force-and-power-that-occur-after-stretching
#2
J Kümmel, A Kramer, N J Cronin, M Gruber
Stretching can decrease a muscle's maximal force, whereas short but intense muscle contractions can increase it. We hypothesized that when combined, postactivation potentiation induced by reactive jumps would counteract stretch-induced decrements in drop jump (DJ) performance. Moreover, we measured changes in muscle twitch forces and ankle joint stiffness (KAnkle ) to examine underlying mechanisms. Twenty subjects completed three DJs and 10 electrically evoked muscle twitches of the triceps surae subsequent to four different conditioning activities and control...
December 9, 2016: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/27935562/current-conservative-management-and-classification-of-club-foot-a-review
#3
Ganesan Balasankar, Ameersing Luximon, Adel Al-Jumaily
Clubfoot, known as congenital talipes equinovarus, is one of the complex paediatric foot deformity with the incidence of 1 in every 1000 live births. It consists of four complex foot abnormalities such as forefoot adductus, midfoot cavus, and hindfoot varus and ankle equinus. There are a number of surgical techniques (soft tissue releases, arthrodesis) used to correct clubfoot. However currently the conservative management (manipulation, serial casting, and braces) of clubfoot is considered as the best choice and it is widely accepted among orthopaedists...
November 30, 2016: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/27935557/wearable-tubing-assistive-walking-device-immediately-enhances-gait-parameters-in-subjects-with-stroke-a-randomized-controlled-study
#4
Seung-Mi Lee, Heon-Seock Cynn, Chung-Hwi Yi, Tae-Lim Yoon, Ji-Hyun Lee
BACKGROUND: Stroke patients develop compensatory movements due to limitations of ankle dorsiflexion and knee flexion. To solve the limitations, there are many adjustable walking assistive devices such as robotic devices, ankle-foot orthoses, and functional electric stimulation in rehabilitation session. However, these assistive devices have some disadvantages, including expense and discomforts. Therefore, the development of a new assistive device for stroke patients is needed to assist ankle dorsiflexion and knee flexion...
December 8, 2016: NeuroRehabilitation
https://www.readbyqxmd.com/read/27935426/joint-stiffness-and-running-economy-during-imposed-forefoot-strike-before-and-after-a-long-run-in-rearfoot-strike-runners
#5
Daniel A Melcher, Max R Paquette, Brian K Schilling, Richard J Bloomer
Research has focused on the effects of acute strike pattern modifications on lower extremity joint stiffness and running economy (RE). Strike pattern modifications on running biomechanics have mostly been studied while runners complete short running bouts. This study examined the effects of an imposed forefoot strike (FFS) on RE and ankle and knee joint stiffness before and after a long run in habitual rearfoot strike (RFS) runners. Joint kinetics and RE were collected before and after a long run. Sagittal joint kinetics were computed from kinematic and ground reaction force data that were collected during over-ground running trials in 13 male runners...
December 9, 2016: Journal of Sports Sciences
https://www.readbyqxmd.com/read/27934789/a-3d-map-of-the-hindlimb-motor-representation-in-the-lumbar-spinal-cord-in-sprague-dawley-rats
#6
Jordan A Borrell, Shawn B Frost, Jeremy Peterson, Randolph J Nudo
OBJECTIVE: Spinal cord injury (SCI) is a devastating neurological trauma with a prevalence of about 282 000 people living with an SCI in the United States in 2016. Advances in neuromodulatory devices hold promise for restoring function by incorporating the delivery of electrical current directly into the spinal cord grey matter via intraspinal microstimulation (ISMS). In such designs, detailed topographic maps of spinal cord outputs are needed to determine ISMS locations for eliciting hindlimb movements...
December 9, 2016: Journal of Neural Engineering
https://www.readbyqxmd.com/read/27933259/deformity-correction-and-extremity-lengthening-in-the-lower-leg-comparison-of-clinical-outcomes-with-two-external-surgical-procedures
#7
Eugen Reitenbach, Robert Rödl, Georg Gosheger, Björn Vogt, Frank Schiedel
OBJECTIVE: Distraction osteogenesis is a method of stimulating the growth of new bone tissue in order to lengthen the extremities or bridge resected bone defects. In addition to the now-established intramedullary procedures, two different fixator systems are in use. The present study investigated the classical Ilizarov ring fixator (IRF) and a hexapod to assess the precision of lower-leg lengthening and complications classified using the Paley criteria for problems, obstacles, and complications...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27933255/dynamic-loading-and-kinematics-analysis-of-vertical-jump-based-on-different-forefoot-morphology
#8
Yang Shu, Yan Zhang, Lin Fu, Gusztáv Fekete, Julien S Baker, Jianshe Li, Yaodong Gu
PURPOSE: This study examined differences in ankle motion and plantar pressure between habitually barefoot male (HBM) and habitually shod male (HSM) during vertical jump. METHODS: Eighteen habitually barefoot males and twenty habitually shod males volunteered to join the test. Distance between hallux and second toe was measured with Easy-Foot-Scan. Plantar pressure and ankle kinematics were measured with EMED force platform and Vicon motion analysis system respectively...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27933182/angiopoietin-like-protein-4-and-cardiovascular-function-in-copd
#9
B Waschki, A M Kirsten, O Holz, T Meyer, R Lichtinghagen, K F Rabe, H Magnussen, T Welte, H Watz, S Janciauskiene
INTRODUCTION: The coexistence of chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD) is frequent and might be inter-related through inflammation-related processes reflected by specific markers. Here, we studied angiopoietin-like protein 4 (ANGPTL4), an upcoming cardiovascular marker, in stable COPD, and its relationship to cardiovascular function with respect to well-known CVD risk factors. METHODS: In a prospective COPD cohort study, we investigated serum ANGPTL4 levels, vascular status (ankle-brachial index (ABI)) and cardiac function (N-terminal pro-B-type natriuretic peptide (NT-proBNP)) as well as airflow limitation, objectively measured physical activity, the metabolic syndrome, high-sensitive C reactive protein (hs-CRP) and other CVD risk factors at 2 time points...
2016: BMJ Open Respiratory Research
https://www.readbyqxmd.com/read/27933108/postural-orientation-and-equilibrium-processes-associated-with-increased-postural-sway-in-autism-spectrum-disorder-asd
#10
Zheng Wang, Rami R Hallac, Kaitlin C Conroy, Stormi P White, Alex A Kane, Amy L Collinsworth, John A Sweeney, Matthew W Mosconi
BACKGROUND: Increased postural sway has been repeatedly documented in children with autism spectrum disorder (ASD). Characterizing the control processes underlying this deficit, including postural orientation and equilibrium, may provide key insights into neurophysiological mechanisms associated with ASD. Postural orientation refers to children's ability to actively align their trunk and head with respect to their base of support, while postural equilibrium is an active process whereby children coordinate ankle dorsi-/plantar-flexion and hip abduction/adduction movements to stabilize their upper body...
2016: Journal of Neurodevelopmental Disorders
https://www.readbyqxmd.com/read/27932678/adjustments-with-running-speed-reveal-neuromuscular-adaptations-during-landing-associated-with-high-mileage-running-training
#11
Jasper Verheul, Adam C Clansey, Mark J Lake
It remains to be determined whether running training influences the amplitude of lower limb muscle activations prior to and during the first half of stance, and whether such changes are associated with joint stiffness regulation and usage of stored energy from tendons. Therefore, the aim of this study was to investigate neuromuscular and movement adaptations before and during landing in response to running training across a range of speeds. Two groups of high mileage (HM; >45 km/wk, n=13) and low mileage (LM; <15 km/wk, n=13) runners ran at four speeds (2...
December 8, 2016: Journal of Applied Physiology
https://www.readbyqxmd.com/read/27931775/rhythmic-wrist-movements-facilitate-the-soleus-h-reflex-and-non-voluntary-air-stepping-in-humans
#12
Irina A Solopova, Victor A Selionov, Egor O Blinov, Dmitri S Zhvansky, Yury P Ivanenko
Neural coupling between the upper and lower limbs during human walking is supported by modulation of cross-limb reflexes and the presence of rhythmic activity in the proximal arm muscles. Nevertheless, the involvement of distal arm muscles in cyclic movements and sensorimotor neuromodulation is also suggested given their step-synchronized activation in many locomotor-related tasks (e.g., swimming, skiing, climbing, cycling, crawling, etc.). Here we investigated the effect of rhythmic wrist movements, separately and in conjunction with arm swinging, on the characteristics of non-voluntary cyclic leg movements evoked by muscle vibration in a gravity neutral position and on the soleus H-reflex of the stationary legs...
December 5, 2016: Neuroscience Letters
https://www.readbyqxmd.com/read/27931244/association-of-lower-extremity-range-of-motion-and-muscle-strength-with-physical-performance-of-community-dwelling-older-women
#13
Hungu Jung, Masahiro Yamasaki
BACKGROUND: Reduced lower extremity range of motion (ROM) and muscle strength are related to functional disability in older adults who cannot perform one or more activities of daily living (ADL) independently. The purpose of this study was to determine which factors of seven lower extremity ROMs and two muscle strengths play dominant roles in the physical performance of community-dwelling older women. METHODS: Ninety-five community-dwelling older women (mean age ± SD, 70...
December 8, 2016: Journal of Physiological Anthropology
https://www.readbyqxmd.com/read/27930679/reconstruction-of-the-foot-and-ankle-using-pedicled-or-free-flaps-perioperative-flap-survival-analysis
#14
Xiucun Li, Jianli Cui, Suraj Maharjan, Laijin Lu, Xu Gong
OBJECTIVE: The purpose of this study is to determine the correlation between non-technical risk factors and the perioperative flap survival rate and to evaluate the choice of skin flap for the reconstruction of foot and ankle. METHODS: This was a clinical retrospective study. Nine variables were identified. The Kaplan-Meier method coupled with a log-rank test and a Cox regression model was used to predict the risk factors that influence the perioperative flap survival rate...
2016: PloS One
https://www.readbyqxmd.com/read/27930520/is-retrograde-drilling-really-useful-for-osteochondral-lesion-of-talus-with-subchondral-cyst-a-case-report
#15
Seong-Yup Jeong, Jong-Kil Kim, Kwang-Bok Lee
RATIONALE: Retrograde drilling is a well accepted procedure for osteochondral lesion of the talus and subchondral cyst with intact overlying cartilage. It has good results in most reports. Compared to anterograde drilling, retrograde drilling can protect the integrity of the articular cartilage. The purpose of this study was to evaluate the suitability of using retrograde drilling for osteochondral lesion with subchondral cyst and discuss the mechanism involved in the development of subchondral cyst...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27930445/motion-and-muscle-activity-are-affected-by-instability-location-during-a-squat-exercise
#16
Brian C Nairn, Chad A Sutherland, Janessa D M Drake
Squat exercise training using instability devices have become increasingly popular for a multitude of reasons. Many devices generate instability at the feet and provide a bottom-up perturbation; however, the effect of a top-down instability device during a squat remains unclear. In order to induce instability at the upper body, a water-filled cylinder called the Attitube® was used. This study analyzed the effects of instability location (top-down, bottom-up, no instability) during a squat exercise in terms of kinematics and muscle activation...
November 19, 2016: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/27930381/chronic-localized-fibrosing-leukocytoclastic-vasculitis-associated-with-lymphedema-intralymphatic-and-intravascular-lymphocytosis-and-chronic-myelogenous-leukemia-a-case-report-of-unilateral-erythema-elevatum-diutinum
#17
Juliana Atallah, Juan C Garces, Enrique Loayza, John A Carlson
One of the pathogenic causes of cutaneous inflammatory pseudotumors is chronic localized fibrosing leukocytoclastic vasculitis (CLFLCV), a vasculitic reaction pattern seen in granuloma faciale (GF), a localized vasculitis, and erythema elevatum diutinum (EED), a generalized vasculitis. Patients with myelodysplastic syndromes (MDSs) are at risk for a diverse spectrum of cutaneous neutrophilic dermatoses such as EED. Herein, we report a 74-year-old man who presented with a large ulcerative, fungating tumor affecting the right flexor ankle caused by CLFLCV...
December 7, 2016: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/27930278/for-love-not-money-the-financial-implications-of-surgical-fellowship-training
#18
Paul M Inclan, Adam S Hyde, Michael Hulme, Jeffrey E Carter
Surgical residents cite increased income potential as a motivation for pursuing fellowship training, despite little evidence supporting this perception. Thus, our goal is to quantify the financial impact of surgical fellowship training on financial career value. By using Medical Group Management Association and Association of American Medical Colleges physician income data, and accounting for resident salary, student debt, a progressive tax structure, and forgone wages associated with prolonged training, we generated a net present value (NPV) for both generalist and subspecialist surgeons...
September 2016: American Surgeon
https://www.readbyqxmd.com/read/27929201/the-importance-of-genetic-factors-for-the-development-of-arthropathy-a-longitudinal-study-of-children-and-adolescents-with-haemophilia-a
#19
Edward D Gomperts, John Schwarz, Sharyne M Donfield, Alice E Lail, Jan Astermark, W Keith Hoots, Cheryl A Winkler, Erik Berntorp
Haemophilia A is a congenital bleeding disorder characterised by recurrent haemorrhages into the major joints. Haemophilic arthropathy is a well-established outcome of recurrent joint bleeding; however, it is clear that multiple factors determine the extent and severity of its occurrence. We sought to identify genetic factors related to abnormalities in range of motion (ROM) in the knees, ankles and elbows in a cohort of children and adolescents with haemophilia A not treated primarily with regular prophylaxis...
December 8, 2016: Thrombosis and Haemostasis
https://www.readbyqxmd.com/read/27928449/severe-asymptomatic-coronary-obstruction-in-chronic-hemodialysed-patient-a-case-report
#20
Voiculeț C, Zara O, Văcăroiu I, Bogeanu C, Tiron T, Turcu F, Aron G, Ciocâlteu A
Introduction. Arterial stiffness and vascular calcifications are independent predictors of cardiovascular morbidity and mortality in the chronic kidney disease (CKD) stage 5D population. According to the guidelines, patients on renal replacement therapy represent a very high cardiovascular risk class. Case report. We report the case of a 67-year-old hypertensive male patient, known with CKD stage 5D on hemodialysis (three times per week), secondary bone mineral disease, admitted for progressive right leg pain...
October 2016: Journal of Medicine and Life
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