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https://www.readbyqxmd.com/read/29651510/-vomiting-and-collapse-of-a-28-year-old-male-long-distance-runner-in-middle-european-summer
#1
J Herold, A Mitrasch, E Lorenz, U Lodes, I Tanev, R Braun-Dullaeus, F Meyer
BACKGROUND: Hyperthermia often ends fatally and must therefore be promptly recognized and adequately treated. CASE: A 28-year-old man participated in a long-distance race (3 km) on a hot summer day (28 °C). The runner collapsed, had to vomit but continued the run and reached the finish. Neurologically, the patient presented with intermittent cerebral seizures. External cooling batteries were immediately applied and cold infusions were started. The patient was admitted to the intensive care unit of the university hospital (body temperature 40...
April 12, 2018: Der Internist
https://www.readbyqxmd.com/read/29629615/optimal-screening-for-prediction-of-referral-and-outcome-ospro-for-musculoskeletal-pain-conditions-results-from-the-validation-cohort
#2
Steven Z George, Jason M Beneciuk, Trevor A Lentz, Samuel S Wu, Yunfeng Dai, Joel E Bialosky, Giorgio Zeppieri
Study Design Observational, prospective cohort. Background Musculoskeletal pain is a common reason to seek healthcare and earlier non-pharmacological treatment and enhancement of personalized care options are two high priority areas. Validating concise assessment tools is an important step in establishing better care pathways. Objectives To determine the predictive validity of Optimal Screening for Prediction of Referral and Outcome (OSPRO) tools for individuals with neck, low back, shoulder, or knee pain. Methods A convenience sample (n = 440) was gathered by Orthopaedic Physical Therapy-Investigator Network clinics (n = 9)...
April 7, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29625787/tropical-diseases-in-the-icu-a-syndromic-approach-to-diagnosis-and-treatment
#3
Dilip R Karnad, Guy A Richards, Gisele Sampaio Silva, Pravin Amin
Tropical infections form 20-30% of ICU admissions in tropical countries. Diarrheal diseases, malaria, dengue, typhoid, rickettsial diseases and leptospirosis are common causes of critical illness. Overlapping clinical features makes initial diagnosis challenging. A systematic approach involving (1) history of specific continent or country of travel, (2) exposure to specific environments (forests or farms, water sports, consumption of exotic foods), (3) incubation period, and (4) pattern of organ involvement and subtle differences in manifestations help in differential diagnosis and choice of initial empiric therapy...
March 27, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29625618/exposure-to-radial-extracorporeal-shock-waves-modulates-viability-and-gene-expression-of-human-skeletal-muscle-cells-a-controlled-in-vitro-study
#4
Stefan G Mattyasovszky, Eva K Langendorf, Ulrike Ritz, Christoph Schmitz, Irene Schmidtmann, Tobias E Nowak, Daniel Wagner, Alexander Hofmann, Pol M Rommens, Philipp Drees
BACKGROUND: Recent clinical and animal studies have shown that extracorporeal shock wave therapy has a promoting influence on the healing process of musculoskeletal disorders. However, the underlying biological effects of extracorporeal shock wave therapy on human skeletal muscle cells have not yet been investigated. METHODS: In this study, we investigated human skeletal muscle cells after exposure to radial extracorporeal shock waves in a standardized in vitro setup...
April 6, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29623750/considerations-in-the-diagnosis-and-accelerated-return-to-sport-of-a-professional-basketball-player-with-a-triceps-surae-injury-a-case-report
#5
Philip A Anloague, Donald S Strack
Study Design Case report. Background Acute injuries of the triceps surae and Achilles tendon are common in sports. Rupture of the plantaris tendon can be challenging to diagnose. There is limited evidence detailing the diagnosis, rehabilitation, and accelerated return to sport of elite professional basketball players who have suffered calf injuries. Case Description A 25-year-old male professional basketball player sustained injury to his calf during a professional basketball game. This case report details the presumptive diagnosis, graduated progression of intervention, and return to play of a professional sports person with a likely isolated plantaris tendon tear...
April 6, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29613894/metabolic-and-toxic-myelopathies
#6
Robert N Schwendimann
PURPOSE OF REVIEW: Myelopathy may occur as a consequence of various metabolic and toxic conditions. This article provides an update on the clinical presentations, diagnostic evaluations, and management of metabolic and toxic myelopathies. RECENT FINDINGS: Myelopathy and myeloneuropathy due to vitamin B12 deficiency is increasing in prevalence partly because of an aging population. Early recognition of the clinical symptoms and rapid initiation of treatment is essential...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613883/long-term-course-of-shoulders-after-ultrasound-therapy-for-calcific-tendinitis-results-of-the-ten-years-follow-up-of-an-rct
#7
Karin Pieber, Martina Grim-Stieger, Franz Kainberger, Martin Funovics, Karl-Ludwig Resch, Thomas Bochdansky, Eleonore Pablik, Gerold Ebenbichler
OBJECTIVE: To follow both the structure and function related long-term course of shoulders that had been treated with therapeutic ultrasound (US) for symptomatic calcific tendinitis. DESIGN: Long-term follow-up of 45 shoulders (37 patients) that had been treated for symptomatic calcific tendinitis with either a series of US or sham US ten years ago. The main outcome variables were presence of calcium deposits and subacromial impingement on standardized X-ray imaging, shoulder symptoms (Binder score) and function (Constant score)...
April 2, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29607767/femoral-neck-stress-fracture-in-a-female-runner
#8
Meghan A Lamothe, James M Elliott, Alison H Chang
A 23-year-old woman was referred to physical therapy by her primary care physician for a 4-week history of right groin pain that had progressively worsened while training for a half-marathon. Before the physical therapy referral, the primary care physician ordered radiography of the right hip, which was unremarkable for fracture. Following examination, the physical therapist suspected osseous or soft tissue abnormality and requested that the primary care physician order magnetic resonance imaging without contrast, which revealed a femoral neck stress fracture...
April 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29607766/the-physiotherapy-for-femoroacetabular-impingement-rehabilitation-study-physiofirst-a-pilot-randomized-controlled-trial
#9
Joanne L Kemp, Sally L Coburn, Denise M Jones, Kay M Crossley
Study Design A pilot double-blind randomized controlled trial (RCT). Background The effectiveness of physical therapy for femoroacetabular impingement syndrome (FAIS) is unknown. Objectives To determine the feasibility of an RCT investigating the effectiveness of a physical therapy intervention for FAIS. Methods Participants were 17 women and 7 men (mean ± SD age, 37 ± 8 years; body mass index, 25.4 ± 3.4 kg/m2 ) with FAIS who received physical therapy interventions provided over 12 weeks. The FAIS-specific physical therapy group received personalized progressive strengthening and functional retraining...
April 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29607763/heterotopic-ossification-following-hip-arthroscopy
#10
Matt Barth, Gilbert M Willett, Kimberly Oliphant
A 21-year-old woman initiated physical therapy 4 days following hip arthroscopic labrum debridement and osteochondroplasty. During postoperative rehabilitation, the patient's status regressed. With persistent symptoms, at 10 weeks postsurgery a computed tomography scan revealed, as confirmed by radiographs, heterotopic ossification development. J Orthop Sports Phys Ther 2018;48(4):344. doi:10.2519/jospt.2018.7420.
April 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29605861/synergistic-activity-of-platelet-rich-plasma-and-high-volume-image-guided-injection-for-patellar-tendinopathy
#11
Michele Abate, Luigi Di Carlo, Sandra Verna, Patrizia Di Gregorio, Cosima Schiavone, Vincenzo Salini
PURPOSE: Platelet rich plasma and high volume image guided injections of saline have been used in the treatment of patellar tendinopathy with positive results. As the different mechanisms of action do not interfere each other, it can be hypothesized that they can be used in combination. Aim of this study was twofold: first, to evaluate the efficacy of these two treatments in the management of patellar tendinopathy; second, to verify whether the combination of these therapies could provide further advantages...
March 31, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29602887/proximal-tibiofibular-joint-dislocation-treated-using-flexible-and-permanent-syndesmosis-fixation
#12
Antonio Carlos Moscon, Ana Luiza Cabrera Martimbianco, Aires Duarte Junior, Guilherme Conforto Gracitelli
We present the case of a 40-year-old man who suffered an isolated proximal tibiofibular dislocation of the left knee after a trauma during a soccer game. Physical examination and radiographic imaging revealed an anterolateral dislocation of the proximal fibula. The diagnosis was confirmed by MRI. The treatment choice was open reduction and internal fixation under direct visualisation using flexible and permanent internal fixation. Postoperative treatment includes knee immobilisation during the first week, and partial weight was allowed for 2 weeks progressing to full weight bearing over 4 weeks...
March 30, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29602305/rasch-analysis-of-the-activities-specific-balance-confidence-abc-scale-in-older-adults-seeking-outpatient-rehabilitation-services
#13
Ying-Chih Wang, Bhagwant Sindhu, Leigh Lehman, Xiaoyan Li, Sheng-Che Yen, Jay Kapellusch
Study Design Cross-sectional study of 5,012 older patients seeking outpatient rehabilitation therapy in 123 clinics. Background The Activities-Specific Balance Confidence (ABC) Scale measures confidence in performing various ambulatory activities without falling or experiencing a sense of unsteadiness. Objectives Our purposes were to: (1) examine the ABC Scale (0-100) using the Rasch analysis, (2) assess statistically reliable change, and (3) develop a functional staging to guide clinical interpretation of the patient's improvement...
March 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29602304/effectiveness-of-the-mckenzie-method-mechanical-diagnosis-and-therapy-for-treating-low-back-pain-literature-review-with-meta-analysis
#14
Olivier T Lam, David M Strenger, Matthew Chan-Fee, Paul Thuong Pham, Richard A Preuss, Shawn M Robbins
Study Design Literature review with meta-analysis. Background Mechanical Diagnosis and Therapy (MDT), a classification-based system, aims to classify patients into homogenous subgroups to direct treatment. Objectives To examine MDT's effectiveness for improving pain and disability in patients with either acute (<12 weeks duration) or chronic (>12 weeks duration) low back pain (LBP). Methods Randomized controlled trials examining MDT in patients with LBP were identified from 6 databases. Independent investigators assessed the studies for exclusion, extracted data, and assessed risk of bias...
March 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29601207/nonsurgical-treatments-of-patellar-tendinopathy-multiple-injections-of-platelet-rich-plasma-are-a-suitable-option-a-systematic-review-and-meta-analysis
#15
Luca Andriolo, Sante Alessandro Altamura, Davide Reale, Christian Candrian, Stefano Zaffagnini, Giuseppe Filardo
BACKGROUND: Patellar tendinopathy is a condition characterized by anterior knee activity-related pain. It has a high incidence among athletes engaged in jumping sports and may become a chronic condition. Nonoperative management is the first choice in these patients, and several nonsurgical treatment options have been proposed. Nonetheless, clear indications on the most effective approach to address patellar tendinopathy are still lacking. PURPOSE: To analyze the evidence on nonoperative options to treat chronic patellar tendinopathy through a systematic review of the literature and to perform a meta-analysis to identify the most effective nonsurgical option...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29600588/cost-utility-of-a-six-month-programmed-sports-therapy-pst-in-patients-with-haemophilia
#16
J Koeberlein-Neu, B Runkel, T Hilberg
INTRODUCTION: Recurrent musculoskeletal haemorrhages in people with haemophilia (PwH) lead to restrictions in the locomotor system and, as a result, in physical performance, too. Due to its physical and psychological benefits, sport is increasingly re-commended for haemophilic patients. Evidence on the cost-effectiveness of sports therapy is still lacking. AIM: The aim of this study was to determine the cost-effectiveness of a 6-month programmed sports therapy (PST)...
March 30, 2018: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/29596007/outpatient-physical-therapy-cardiovascular-assessment-physical-therapist-perspective-and-experience
#17
Ali Mufraih Albarrati
BACKGROUND: Physical therapists are recognized healthcare providers who play an important role in cardiovascular disease prevention. Heart rate (HR) and blood pressure (BP) are important parameters in cardiovascular risk assessment; however, physical therapists do not usually integrate them into clinical practice. Therefore, this study aimed to examine the current practice and opinion of outpatient physical therapists toward HR and BP measurements in clinics. METHODS: A 12-item survey questionnaire was distributed to outpatient physical therapists...
March 29, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29592979/spondylodiscitis-in-a-54-year-old-female-scuba-diver
#18
Neil Tuttle, Alexandra Brelis, Rachel Brereton, Kerrie Evans
A 54-year-old woman presented to a Sports Physician with a 4-year history of haemochromatosis, and she had a medical history that included a congenital spondylolisthesis resulting in a fusion of L4-S1 at age 16 years, episodic mechanical low back pain and an absence of other significant musculoskeletal symptoms. On presentation, she reported 18 months of severe low back pain that started after a scuba diving trip. After the onset of this low back pain, she developed gastrointestinal symptoms from Salmonella The gastrointestinal symptoms improved with a course of antibiotics, but the back pain persisted in spite of analgesics, non-steroidal anti-inflammatories and several attempts at different conservative management...
March 28, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29591320/lumbrical-muscle-tear-clinical-presentation-imaging-findings-and-outcome
#19
Christoph Lutter, Andreas Schweizer, Volker Schöffl, Frank Römer, Thomas Bayer
The incidence of lumbrical muscle tear is increasing due to the popularity of climbing sport. We reviewed data from 60 consecutive patients with a positive lumbrical stress test, including clinical examination, ultrasound and clinical outcomes in all patients, and magnetic resonance imaging in 12 patients. Fifty-seven patients were climbers. Lumbrical muscle tears were graded according to the severity of clinical and imaging findings as Grade I-III injuries. Eighteen patients had Grade I injuries (microtrauma), 32 had Grade II injuries (muscle fibre disruption) and 10 had Grade III injuries (musculotendinous disruption)...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29587572/outcomes-in-distressed-patients-with-chronic-low-back-pain-subgroup-analysis-of-a-clinical-trial
#20
Noa Ben-Ami, Yair Shapiro, Tamar Pincus
Study Design Subgroup analysis of a controlled clinical trial. Background Current evidence suggests that people with chronic low back pain who are distressed may require different interventions than do those who are not distressed. Recently, the enhanced transtheoretical model intervention (ETMI) reported significant improvements in disability and pain and increased physical activity in patients with chronic low back pain compared to physical therapy as usual. Objectives To compare outcomes between ETMI and physical therapy interventions for participants with and without self-reported distress...
March 27, 2018: Journal of Orthopaedic and Sports Physical Therapy
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