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https://www.readbyqxmd.com/read/29587549/the-importance-of-the-rehabilitation-program-following-an-internal-hemipelvectomy-and-reconstruction-with-limb-salvage-gait-analysis-and-outcomes-a-case-study
#1
Adele Wingrave, Hannah Jarvis
BACKGROUND: Chondrosarcomas account for approximately 20% of bone sarcomas, with the most common site being the lower limb. Hemipelvectomies that involve hindquarter amputation have previously been the treatment of choice for pelvic tumors. However, with advances in chemotherapy, radiotherapy, imaging and surgical techniques more patients are now being treated with limb salvage surgery. The rehabilitation outcomes following an internal hemipelvectomy have not been well identified and there is currently little, if any, gait analysis data on rehabilitation following hemipelvectomy in limb salvage patients...
March 28, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29535651/reduced-frequency-of-cases-with-seclusion-is-associated-with-opening-the-doors-of-a-psychiatric-intensive-care-unit
#2
Lisa Hochstrasser, Alexander Voulgaris, Julian Möller, Tatjana Zimmermann, Regine Steinauer, Stefan Borgwardt, Undine E Lang, Christian G Huber
Background: Implementing an open door policy is a complex intervention comprising changes in therapeutic stance, team processes, and a change from locked to open doors. Recent studies show that it can lead to a reduction of seclusion and forced medication, but the role of the physical change of door status is still unclear. Aims: The aims of this study is to examine the transition from closed to predominantly open doors on a psychiatric intensive care unit (PICU) and its associations with the frequency of seclusion and forced medication...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29466899/kristeller-maneuvers-or-fundal-pressure-and-maternal-neonatal-morbidity-obstetric-and-judicial-literature-review
#3
Antonio Malvasi, Simona Zaami, Andrea Tinelli, Giuseppe Trojano, Gianluca Montanari Vergallo, Enrico Marinelli
AIM: A significant amount of data concerning maternal-fetal damage arising from the exertion of Kristeller maneuvers (KMs) or fundal pressure (FP) go unreleased due to medicolegal implications. MATERIALS AND METHODS: For this reason, the paper gathers information as to the real magnitude of litigation related to FP-induced damages and injuries. The authors have undertaken a research in order to include general search engines (PubMed-Medline, Cochrane, Embase, Google, GyneWeb) and legal databases (De Jure, Italian database of jurisprudence daily update; Westlaw, Thomson Reuters, American ruling database and Bailii, UK Court Ruling Database)...
February 21, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29427858/spatiotemporal-and-kinematic-characteristics-of-gait-initiation-across-a-wide-speed-range
#4
Ben Stansfield, Katrina Hawkins, Sarah Adams, Doireann Church
BACKGROUND: Gait initiation can be performed at a range of speeds. Those with disability tend to use a slower speed compared to those without disability. In assessing the spatiotemporal and kinematic characteristics of gait initiation it is therefore important to consider the effects of speed on outcomes. RESEARCH QUESTION: What is the effect of speed of performance on spatiotemporal and kinematic characteristics of gait initiation? METHODS: Spatiotemporal and kinematic characteristics were measured across a wide range of speeds from very slow to very fast (normalised initiating leg (swing or SW limb) step speed 0...
March 2018: Gait & Posture
https://www.readbyqxmd.com/read/29416172/gait-analysis-in-patients-with-wide-resection-and-endoprosthesis-replacement-around-the-knee
#5
Vivek Ajit Singh, Chan Wei Heng, Nor Faissal Yasin
Background: Limb salvage surgery with endoprosthesis for bone tumor around the knee is reported to have good functional and oncological outcomes. However, the functional assessment using musculoskeletal tumor society (MSTS) and Toronto extremity scoring system remains subjective. We performed gait analysis as an objective assessment of their functional outcome. Materials and Methods: Gait analysis was performed in 20 patients with endoprosthesis replacement around the knee...
January 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29373059/dynamic-varus-and-the-development-of-iliotibial-band-syndrome
#6
Christopher D Stickley, Melanie M Presuto, Kara N Radzak, Christina M Bourbeau, Ronald K Hetzler
CONTEXT:   Although the risk of osteoarthritis development after acute knee injury has been widely studied, the long-term consequences of knee overuse injury are not well understood. OBJECTIVE:   To identify the relationship between gait-related risk factors associated with osteoarthritis and the development of iliotibial band syndrome (ITBS) in members of a single University Army Reserve Officers' Training Corps unit. DESIGN:   Prospective cohort study...
February 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29338748/finite-element-analysis-of-intramedullary-nailing-and-double-locking-plate-for-treating-extra-articular-proximal-tibial-fractures
#7
Fancheng Chen, Xiaowei Huang, Yingsun Ya, Fenfen Ma, Zhi Qian, Jifei Shi, Shuolei Guo, Baoqing Yu
BACKGROUND: Proximal tibia fractures are one of the most familiar fractures. Surgical approaches are usually needed for anatomical reduction. However, no single treatment method has been widely established as the standard care. Our present study aims to compare the stress and stability of intramedullary nails (IMN) fixation and double locking plate (DLP) fixation in the treatment of extra-articular proximal tibial fractures. METHODS: A three-dimensional (3D) finite element model of the extra-articular proximal tibial fracture, whose 2-cm bone gap began 7 cm from the tibial plateau articular surface, was created fixed by different fixation implants...
January 16, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29332762/the-effect-of-foot-orthoses-on-joint-moment-asymmetry-in-male-children-with-flexible-flat-feet
#8
AmirAli Jafarnezhadgero, Morteza Madadi Shad, Reed Ferber
INTRODUCTION: It has been widely postulated that structural and functional misalignments of the foot, such as flat foot, may cause mechanical deviations of the lower limb during walking. The aim of this study was to investigate the effect of foot orthoses on lower extremity joint moment asymmetry during the stance phase of walking in children with asymptomatic flexible flat feet. METHODS: Fourteen volunteer male children, clinically diagnosed with flexible flat feet, participated in this study...
January 2018: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29284547/involving-citizens-in-disinvestment-decisions-what-do-health-professionals-think-findings-from-a-multi-method-study-in-the-english-nhs
#9
Tom Daniels, Iestyn Williams, Stirling Bryan, Craig Mitton, Suzanne Robinson
Public involvement in disinvestment decision making in health care is widely advocated, and in some cases legally mandated. However, attempts to involve the public in other areas of health policy have been accused of tokenism and manipulation. This paper presents research into the views of local health care leaders in the English National Health Service (NHS) with regards to the involvement of citizens and local communities in disinvestment decision making. The research includes a Q study and follow-up interviews with a sample of health care clinicians and managers in senior roles in the English NHS...
April 2018: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29234021/workflow-assessing-the-effect-of-gait-alterations-on-stresses-in-the-medial-tibial-cartilage-combined-musculoskeletal-modelling-and-finite-element-analysis
#10
K S Halonen, C M Dzialo, M Mannisi, M S Venäläinen, M de Zee, M S Andersen
Knee osteoarthritis (KOA) is most common in the medial tibial compartment. We present a novel method to study the effect of gait modifications and lateral wedge insoles (LWIs) on the stresses in the medial tibial cartilage by combining musculoskeletal (MS) modelling with finite element (FE) analysis. Subject's gait was recorded in a gait laboratory, walking normally, with 5° and 10° LWIs, toes inward ('Toe in'), and toes outward ('Toe out wide'). A full lower extremity MRI and a detailed knee MRI were taken...
December 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29202673/enzootic-calcinosis-in-horses-grazing-solanum-glaucophyllum-in-argentina
#11
Ernesto R Odriozola, Alejandro M Rodríguez, Juan F Micheloud, Germán J Cantón, Rubén D Caffarena, Eduardo J Gimeno, José J Bodega, Pedro Gardey, Fortunato B Iseas, Federico Giannitti
Solanum glaucophyllum, a toxic plant known for its calcinogenic effects, causes enzootic calcinosis in ruminant and monogastric animals. We describe an outbreak of enzootic calcinosis that occurred in a herd of 110 horses grazing pastureland heavily contaminated with S. glaucophyllum in Buenos Aires province, Argentina. Ten horses developed clinical signs, and 6 horses died. Clinical signs included abnormal gait (stiff-legged action, short strides), stiffness, thoracolumbar kyphosis, reluctance to move, wide stance, chronic weight loss, weakness, recumbency, and difficulty standing...
March 2018: Journal of Veterinary Diagnostic Investigation
https://www.readbyqxmd.com/read/29066982/foot-placement-characteristics-and-plantar-pressure-distribution-patterns-during-stepping-on-ground-in-neonates
#12
F Sylos-Labini, S Magnani, G Cappellini, V La Scaleia, A Fabiano, S Picone, P Paolillo, A Di Paolo, F Lacquaniti, Y Ivanenko
Stepping on ground can be evoked in human neonates, though it is rather irregular and stereotyped heel-to-toe roll-over pattern is lacking. Such investigations can provide insights into the role of contact- or load-related proprioceptive feedback during early development of locomotion. However, the detailed characteristics of foot placements and their association with motor patterns are still incompletely documented. We elicited stepping in 33 neonates supported on a table. Unilateral limb kinematics, bilateral plantar pressure distribution and EMG activity from up to 11 ipsilateral leg muscles were recorded...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28984811/dizziness-handicap-inventory-score-is-highly-correlated-with-markers-of-gait-disturbance
#13
Damiano Zanotto, Erin M Mamuyac, Adam R Chambers, John S Nemer, John A Stafford, Sunil K Agrawal, Anil K Lalwani
OBJECTIVE: To evaluate the association between Dizziness Handicap Inventory-Screening version (DHI-S) score and spatiotemporal gait parameters using SoleSound, a newly developed, inexpensive, portable footwear-based gait analysis system. STUDY DESIGN: Cross-sectional. PATIENTS: One hundred eighteen patients recruited from otology clinic. INTERVENTION(S): Subjects completed the DHI-S survey and four uninterrupted walking laps wearing SoleSound instrumented footwear on a hard, flat surface for 100 m...
December 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28952871/female-athletes-with-varying-levels-of-vertical-stiffness-display-kinematic-and-kinetic-differences-during-single-leg-hopping
#14
Justin P Waxman, Kevin R Ford, Anh-Dung Nguyen, Jeffrey B Taylor
Vertical stiffness may contribute to lower-extremity injury risk; however, it is unknown whether athletes with different stiffness levels display differences in biomechanics. This study compared differences in biomechanics between female athletes (n=99) with varying stiffness levels during a repetitive, single-leg, vertical hopping task. Vertical stiffness was calculated as the ratio of peak vertical ground-reaction force to maximum center-of-mass displacement. Tertiles were established using stiffness values, and separate one-way ANOVAs were used to evaluate between-group differences...
September 27, 2017: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/28939197/uncontrolled-manifold-hypothesis-organization-of-leg-joint-variance-in-humans-while-walking-in-a-wide-range-of-speeds
#15
Monaco Vito, Tropea Peppino, Lucio A Rinaldi, Micera Silvestro
This study aimed at investigating the organization of joint angle variability during walking by using the uncontrolled manifold (UCM) theory. We tested two hypotheses: i. the coordinative mechanism underlying joint angle variance during the stance phase is compatible with a kinematic synergy that stabilizes the centre of mass (CoM) position; ii. the walking speed affects the variance components onto and orthogonal to the UCM. Eight healthy subjects (26.0±2.0years old) steadily walked on a treadmill at five normalised speeds (from 0...
September 19, 2017: Human Movement Science
https://www.readbyqxmd.com/read/28901841/re-reading-homonationalism-an-israeli-spatial-perspective
#16
Gilly Hartal, Orna Sasson-Levy
In this paper we stress the need for specifically located understandings of the concept of homonationalism, by introducing an analysis of spatial and political power relations dissecting disparate constructions of LGBT arenas. The paper explores three spaces: Tel-Aviv - an urban space of LGBT belonging, Jerusalem - the Israeli capital where being an LGBT individual is problematic both in public and in private spaces and Kiryat-Shmona - a conservative and peripheral underprivileged town in the north of Israel...
September 13, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28842793/knee-function-after-limb-salvage-surgery-for-malignant-bone-tumor-comparison-of-megaprosthesis-and-distal-femur-allograft-with-epiphysis-sparing
#17
Sébastien Pesenti, Emilie Peltier, Vincent Pomero, Guillaume Authier, Lionel Roscigni, Elke Viehweger, Jean-Luc Jouve
PURPOSE: Limb salvage surgery is increasingly used for the treatment of distal femur bone sarcomas. Total knee replacement using megaprosthesis and epiphysis-sparing biologic reconstruction using an allograft are widely used in order to preserve joint motion. We aimed to compare the results of these procedures using gait analysis in patients undergoing limb salvage surgery. METHODS: Fifteen patients were included, nine undergoing allograft with epiphysis sparing (Allograft group) and six undergoing megaprosthesis (Megaprosthesis group)...
August 26, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28790972/investigation-of-anticipatory-postural-adjustments-during-one-leg-stance-using-inertial-sensors-evidence-from-subjects-with-parkinsonism
#18
Gianluca Bonora, Martina Mancini, Ilaria Carpinella, Lorenzo Chiari, Maurizio Ferrarin, John G Nutt, Fay B Horak
The One-Leg Stance (OLS) test is a widely adopted tool for the clinical assessment of balance in the elderly and in subjects with neurological disorders. It was previously showed that the ability to control anticipatory postural adjustments (APAs) prior to lifting one leg is significantly impaired by idiopathic Parkinson's disease (iPD). However, it is not known how APAs are affected by other types of parkinsonism, such as frontal gait disorders (FGD). In this study, an instrumented OLS test based on wearable inertial sensors is proposed to investigate both the initial anticipatory phase and the subsequent unipedal balance...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28763715/adding-an-arch-support-to-a-heel-lift-improves-stability-and-comfort-during-gait
#19
Xianyi Zhang, Bo Li, Kun Hu, Qiufeng Wan, Yuhao Ding, Benedicte Vanwanseele
Heel lifts have been widely used as a conservative treatment for some musculoskeletal problems and complaints. However, the heel rise caused by heel lifts may also affect the plantar pressure distribution and stability during walking. This study aimed to test whether adding an arch support to a heel lift would improve its stability and comfort through comparing the center of pressure (COP) during walking and subjective ratings between heel lifts with and without an arch support. Fifteen healthy male participants were asked to walk along an 8m walkway while wearing high-cut footwear with the control heel lifts and the heel lifts with an arch support...
October 2017: Gait & Posture
https://www.readbyqxmd.com/read/28757115/there-is-no-defence-for-conscientious-objection-in-reproductive-health-care
#20
REVIEW
Christian Fiala, Joyce H Arthur
A widespread assumption has taken hold in the field of medicine that we must allow health care professionals the right to refuse treatment under the guise of 'conscientious objection' (CO), in particular for women seeking abortions. At the same time, it is widely recognized that the refusal to treat creates harm and barriers for patients receiving reproductive health care. In response, many recommendations have been put forward as solutions to limit those harms. Further, some researchers make a distinction between true CO and 'obstructionist CO', based on the motivations or actions of various objectors...
September 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
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