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https://www.readbyqxmd.com/read/29334292/safety-and-effectiveness-of-fascial-therapy-in-adult-patients-with-hemophilic-arthropathy-a-pilot-study
#1
Elena Donoso-Úbeda, Javier Meroño-Gallut, José Antonio López-Pina, Rubén Cuesta-Barriuso
BACKGROUND: The primary clinical manifestations of hemophilia are muscle and joint bleeding. Recurrent bleeding leads to a degenerative process known as hemophilic arthropathy. Fascial therapy is one of the most used physiotherapy techniques today to improve joint dysfunctions and chronic pain. OBJECTIVE: To assess the safety and efficacy of fascial therapy treatment in patients with hemophilic arthropathy of ankle and knee. DESIGN: Non-randomized, controlled clinical trial...
January 15, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29327169/passive-stiffness-of-monoarticular-lower-leg-muscles-is-influenced-by-knee-joint-angle
#2
Filiz Ateş, Ricardo J Andrade, Sandro R Freitas, François Hug, Lilian Lacourpaille, Raphael Gross, Can A Yucesoy, Antoine Nordez
PURPOSE: While several studies demonstrated the occurrence of intermuscular mechanical interactions, the physiological significance of these interactions remains a matter of debate. The purpose of this study was to quantify the localized changes in the shear modulus of the gastrocnemius lateralis (GL), monoarticular dorsi- and plantar-flexor muscles induced by a change in knee angle. METHOD: Participants underwent slow passive ankle rotations at the following two knee positions: knee flexed at 90° and knee fully extended...
January 11, 2018: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/29297724/effect-of-a-novel-mobilization-with-movement-procedure-on-anterolateral-ankle-impingement-a-case-report
#3
Sudarshan Anandkumar
This case report describes a 50-year-old male who presented with right anterolateral ankle pain managed unsuccessfully with rest, medications, bracing, injection, physical therapy, and massage therapy. Clinical diagnosis of anterolateral ankle impingement was based on concordant symptom reproduction with palpatory tenderness and a positive lateral synovial impingement test. This case report is a potential first time description of the successful management of anterolateral ankle impingement utilizing a novel Mulligan's mobilization with movement procedure (consisting of internal rotation of the distal tibia) and taping with immediate improvements noted in pain, range of motion, and function...
January 3, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29251513/combination-of-pedcat-weightbearing-ct-with-pedography-assessment-of-the-relationship-between-anatomy-based-foot-center-and-force-pressure-based-center-of-gravity
#4
Martinus Richter, Francois Lintz, Stefan Zech, Stefan Andreas Meissner
BACKGROUND: A customized pedography sensor (Pliance; Novel, Munich, Germany) was inserted into a pedCAT (Curvebeam, Warrington, PA). The aim of this study was to analyze the relative position of the anatomical foot center (FC) and the pedographic center of gravity (COG). The hypothesis was that FC should be a good predictor of mediolateral position of COG but not longitudinal since hindfoot anatomy allows free anteroposterior movement but limited mediolateral movement. METHODS: In 90 patients (180 feet), a pedCAT scan with simultaneous pedography with full weightbearing in a standing position was performed...
December 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29171312/acute-lateral-ankle-sprain-to-chronic-ankle-instability-a-pathway-of-dysfunction
#5
Tyler M Miklovic, Luke Donovan, Omar A Protzuk, Matthew S Kang, Mark A Feger
Lateral ankle sprains (LAS) have been reported as one of the most common musculoskeletal injuries observed in sports and in individuals who are recreationally active. Approximately 40% of individuals who sustain a LAS develop a condition known as chronic ankle instability (CAI). Years of research has identified numerous impairments associated with CAI such as decreases in range of motion (ROM), strength, postural control, and altered movement patterns during functional activities when compared to individuals with no LAS history...
November 29, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29160140/the-effects-of-weighted-skates-on-ice-skating-kinematics-kinetics-and-muscular-activity
#6
Matthew P Mavor, Dean C Hay, Ryan B Graham
Sport-specific resistance training, through limb loading, can be a complimentary training method to traditional resistance training by loading the working muscles during all phases of a specific movement. The purpose of this study was to examine the acute effects of skating with an additional load on the skate, using a skate weight prototype, on kinematics, kinetics, and muscle activation during the acceleration phase while skating on a synthetic ice surface. 10 male hockey skaters accelerated from rest (standing erect with knees slightly bent) under four non-randomized load conditions: baseline 1 (no weight), light (0...
November 21, 2017: Journal of Sports Sciences
https://www.readbyqxmd.com/read/29158645/evaluation-of-functional-outcome-of-pilon-fractures-managed-with-limited-internal-fixation-and-external-fixation-a-prospective-clinical-study
#7
Umesh Kumar Meena, Mahesh Chand Bansal, Prateek Behera, Rahul Upadhyay, Gyan Chand Gothwal
Introduction: The management of pilon fractures is controversial primarily due to the high rate of complications irrespective of the mode of treatment. Limited internal fixation with external fixation is associated with minimal soft tissue handling. This may reduce the chances of wound dehiscence and infection. This study was designed to evaluate the functional and clinical outcomes in patients treated with limited internal fixation combined with external fixation in pilon fractures. Material and methods: This study was conducted as a prospective clinical study on 56 skeletally mature patients with closed fractures with poor skin condition, and with open grade 1 and grade 2 distal tibial intra-articular fractures...
November 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29131239/effectiveness-of-a-novel-boswellic-acids-delivery-form-casperome%C3%A2-in-the-management-of-grade-ii-ankle-sprains-due-to-sport-trauma-a-registry-study
#8
B Feragalli, E Ippolito, M Dugall, M Cacchio, G Belcaro, M R Cesarone, M Abdel-Tawab, A Riva, S Togni, R Eggenhoffner, L Giacomelli
OBJECTIVE: In this study, we evaluated a novel delivery form of boswellic acids (Casperome®) in the management of signs and symptoms associated with ankle sprain grade II due to sport trauma. PATIENTS AND METHODS: In this supplement registry study, 72 otherwise healthy subjects with grade II ankle sprain induced by sport activities were advised to either follow a standard management (SM, 37 subjects) for the condition or the SM with the additional daily intake of 1 tablet containing 250 mg Casperome® (35 subjects)...
October 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29116827/frontal-plane-variability-in-foot-orientation-during-fatiguing-running-exercise-in-individuals-with-chronic-ankle-instability
#9
Denise McGrath, Matthew Patterson, Ulrik McCarthy Persson, Brian Caulfield
CONTEXT:   Researchers have reported increased variability in frontal-plane movement at the ankle during jumping in individuals with chronic ankle instability (CAI), which may increase their risk of recurrent ankle sprain. It is not known if this behavior is present during running gait or how fatigue affects the amount of frontal-plane-movement variability in individuals with CAI. OBJECTIVE:   To investigate the amount of roll-angle variability at the foot during a fatiguing exercise protocol in participants with CAI...
November 8, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/29113569/physical-therapy-rehabilitation-of-an-adolescent-pre-professional-dancer-following-os-trigonum-excision-a-case-report
#10
Alyson Filipa, Kelli Barton
Study Design Case report. Background An os trigonum can be a source of pain for dancers due to impingement during repetitive ankle plantarflexion movements. Following excision of an os trigonum, it is important to have a gradual, progressive return-to-dance program for optimal recovery. The purpose of this case report is to describe the post-operative management and return-to-dance progression of an adolescent dancer status post os trigonum excision. Case Description An adolescent pre-professional female dancer had an extensive history of left posterior heel pain beginning at age eight that led to surgical removal of an os trigonum at age fifteen...
November 7, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29110725/tendon-split-lengthening-technique-for-flexor-hallucis-longus-tendon-rupture
#11
Jae Yong Park, Chenyu Wang, Hee Dong Kim, Hyong Nyun Kim
BACKGROUND: Flexor hallucis longus (FHL) tendon rupture is a challenging injury to lead with clawing of the great toe when the FHL tendon is repaired too tight. When the diagnosis is delayed, the tendon ends may not be opposable because of contracture or poor tendon tissue. METHODS: A technique to reconstruct FHL tendon rupture without a free tendon graft is described. A split tendon lengthening is performed at the midfoot around the knot of Henry. Ankle block anesthesia is used to allow the patient's active movement of the interphalangeal (IP) joint to determine the appropriate length of the reconstructed tendon for maintaining balance and preventing the tendon from being too tight or too loose...
November 6, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29104998/ankle-passive-and-active-movement-training-in-children-with-acute-brain-injury-using-a-wearable-robot
#12
Kai Chen, Bo Xiong, Yupeng Ren, Assaf Dvorkin, Deboah Gaebler-Spira, Charles Sisung, Li-Qun Zhang
OBJECTIVE: To evaluate the feasibility and effectiveness of a wearable robotic device in guiding isometric torque generation and passive-active movement training for ankle motor recovery in children with acute brain injury. PARTICIPANTS/SETTING: Ten inpatient children with acute brain injury being treated in a rehabilitation hospital. DESIGN: Daily robot-guided ankle passive-active movement therapy for 15 sessions, including isometric torque generation under real-time feedback, stretch-ing, and active movement training with motivating games using a wearable ankle rehabilitation robot...
October 27, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29040289/sole-vibration-improves-locomotion-through-the-recovery-of-joint-movements-in-a-mouse-cast-model
#13
Atsushi Doi, Kazuaki Miyamoto, Yu-Shin Nakano, Juntaro Sakasaki, Syota Kasae, Keisuke Nishimura, Min-Chul Shin, Megumu Yoshimura
We investigated the effects of a vibratory stimulus on the plantar surface of the hind limb for motor, sensory, and locomotive function using a mouse cast model. The right knee joint of C57BL/6 male mice (7 weeks, 20 g, n = 31) was flexed with aluminum splint and tape for 6 weeks. These mice were randomly divided into 2 groups (control group, n = 11 and vibration group, n = 12). The mice in the vibration group received vibration on the sole of the ankle for 15 minutes per day, 5 days per week. After the knee joint cast was removed, we measured the range of motion (ROM) of both knee and ankle joints and the sensory threshold of the sole...
2017: PloS One
https://www.readbyqxmd.com/read/29037626/the-acute-effects-of-ankle-mobilisations-on-lower-extremity-joint-kinematics
#14
Louis P Howe
INTRODUCTION: Previous investigations have identified compensatory movement strategies (CMS) within the lower extremity or lumbopelvic complex during closed chain exercises may be associated with a loss of ankle dorsiflexion range of motion (ROM). The aim of this study was to investigate the acute effects of ankle mobilisations on proximal joint kinematics during a movement task that demands a high amount of ankle dorsiflexion ROM. METHODS: Eight healthy males (mean (SD) age 25 (4) years) demonstrating side-to-side asymmetry during the weight-bearing lunge test (WBLT) and CMS during the single-leg step-down exercise were accepted for this study...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29023365/soft-smart-garments-for-lower-limb-joint-position-analysis
#15
Massimo Totaro, Tommaso Poliero, Alessio Mondini, Chiara Lucarotti, Giovanni Cairoli, Jesùs Ortiz, Lucia Beccai
Revealing human movement requires lightweight, flexible systems capable of detecting mechanical parameters (like strain and pressure) while being worn comfortably by the user, and not interfering with his/her activity. In this work we address such multifaceted challenge with the development of smart garments for lower limb motion detection, like a textile kneepad and anklet in which soft sensors and readout electronics are embedded for retrieving movement of the specific joint. Stretchable capacitive sensors with a three-electrode configuration are built combining conductive textiles and elastomeric layers, and distributed around knee and ankle...
October 12, 2017: Sensors
https://www.readbyqxmd.com/read/28974400/the-effect-of-knee-flexor-and-extensor-fatigue-on-shock-absorption-during-cutting-movements-after-a-jump-landing
#16
Youkyung Kim, Changhong Youm, Minji Son, Jinhee Kim, Myeounggon Lee
BACKGROUND: Sporting situations include instances of continuous and/or integrated movements. However, the effect of fatigue on the performance of these movements remains unclear. PURPOSE: To investigate the effect of knee flexor and extensor fatigue on the shock absorption strategy of the lower limb during cutting movements performed after jump landings. METHODS: Twenty-four healthy participants performed cutting movements following jump landings from two heights - 30cm and 40cm - and under three levels of lower limb fatigue: pre-fatigue (100% peak knee extension torque), and post-fatigue 50% (post-50%) and 30% (post-30%) peak knee extension torque...
September 30, 2017: Knee
https://www.readbyqxmd.com/read/28963155/comparison-of-the-outcome-of-total-ankle-arthroplasty-for-osteoarthritis-with-moderate-and-severe-varus-malalignment-and-that-with-neutral-alignment
#17
COMPARATIVE STUDY
S-D Joo, K-B Lee
AIMS: The purpose of this study was to compare the clinical and radiographic outcomes of total ankle arthroplasty (TAA) in patients with pre-operatively moderate and severe arthritic varus ankles to those achieved for patients with neutral ankles. PATIENTS AND METHODS: A total of 105 patients (105 ankles), matched for age, gender, body mass index, and follow-up duration, were divided into three groups by pre-operative coronal plane tibiotalar angle; neutral (< 5°), moderate (5° to 15°) and severe (> 15°) varus deformity...
October 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28963153/do-varus-or-valgus-outliers-have-higher-forces-in-the-medial-or-lateral-compartments-than-those-which-are-in-range-after-a-kinematically-aligned-total-knee-arthroplasty-limb-and-joint-line-alignment-after-kinematically-aligned-total-knee-arthroplasty
#18
T J Shelton, A J Nedopil, S M Howell, M L Hull
AIMS: The aims of this study were to determine the proportion of patients with outlier varus or valgus alignment in kinematically aligned total knee arthroplasty (TKA), whether those with outlier varus or valgus alignment have higher forces in the medial or lateral compartments of the knee than those with in-range alignment and whether measurements of the alignment of the limb, knee and components predict compartment forces. PATIENTS AND METHODS: The intra-operative forces in the medial and lateral compartments were measured with an instrumented tibial insert in 67 patients who underwent a kinematically aligned TKA during passive movement...
October 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28950149/tissue-flossing-on-ankle-range-of-motion-jump-and-sprint-performance-a-follow-up-study
#19
Matthew Driller, Kelsi Mackay, Blair Mills, Francisco Tavares
OBJECTIVES: Previous results from our laboratory suggest that band flossing results in increased ankle range of motion (ROM) and jump performance 5-min following application. However, the time-course of such benefits is yet to be examined. DESIGN: Parallel group design. SETTING: University laboratory. PARTICIPANTS: 69 recreational athletes (32 male/37 female). MAIN OUTCOME MEASURES: Participants performed a weight-bearing lunge test (WBLT), a counter-movement jump (CMJ) and a 15 m sprint test (SPRINT) pre and up to 45-min post application of a floss band to both ankles (FLOSS) or without flossing of the ankle joints (CON)...
November 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/28933330/-short-term-results-of-surgical-treatment-of-patients-with-hallux-rigidus
#20
M Dygrýnová, M Uvízl, J Gallo
PURPOSE OF THE STUDY Hallux rigidus is common and degenerative arthritis of the first metatarsophalangeal joint. The aim of this study was to assess the results of cheilectomy and total joint replacement (TJR) in patients with hallux rigidus. Minimum duration of followup was 18 months. MATERIAL AND METHODS The study included fifty-nine patients who underwent surgery at our Department due to hallux rigidus between January 2013 and December 2014. Thirty-seven patients underwent cheilectomy and twenty-two patients had total joint arthroplasty using METIS®...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
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