Luigi Zagra, Martina Faraldi, Mauro Andreata, Immacolata Ottaiano, Giuseppe Basile, Giovanni Lombardi
PURPOSE: We previously described the radical changes occurred in an orthopaedic hospital in Milan (Italy) during the first SARS-CoV-2 pandemic outbreak. Currently, during the second wave, the situation is still far from normality. Here we describe the changes that took place, and are still ongoing, in the clinical practice. METHODS: Number and type of admissions, outpatients activity, ER and urgent procedures in SARS-CoV-2 negative and positive patients have been analyzed over seven weeks (October 26th-December 13th, 2020) and compared with the correspondent period in 2019 and the same timeframe during the first wave (February 24th-April 10th)...
May 13, 2021: International Orthopaedics
Chelsea Jones, Antonio Miguel-Cruz, Suzette Brémault-Phillips
BACKGROUND: Canadian Armed Forces service members (CAF-SMs) and veterans exhibit higher rates of injuries and illnesses, such as posttraumatic stress disorder (PTSD) and traumatic brain injury, which can cause and exacerbate cognitive dysfunction. Computerized neurocognitive assessment tools have demonstrated increased reliability and efficiency compared with traditional cognitive assessment tools. Without assessing the degree of technology acceptance and perceptions of usability to end users, it is difficult to determine whether a technology-based assessment will be used successfully in wider clinical practice...
May 13, 2021: JMIR Rehabilitation and Assistive Technologies
Therese Ramström, Lina Bunketorp-Käll, Johanna Wangdell
BACKGROUND: Patient Reported Outcomes Measure (PROM) are commonly used in research and essential to understand the patient experience when receiving treatment. Arm Activity Measure (ArmA) is a valid and reliable self-report questionnaire for assessing passive (section A) and active (section B) real-life arm function in patients with disabling spasticity. The original English version of ArmA has been psychometrically tested and translated into Thai. AIMS: Translate and cross-culturally adapt ArmA to Swedish language and context...
May 12, 2021: Journal of Patient-Reported Outcomes
Marit E Kragt, Ana Manero
The development of acceptable and achievable completion criteria is fundamental to the successful relinquishment of mined land to a post-mining use. Despite the central role of completion criteria, there is still a need to build capacity and understanding of how to set targets and develop measurable completion criteria that are accepted by all stakeholders involved. The work described in this paper aimed to elicit industry practice, barriers, and opportunities for the development of feasible and acceptable completion criteria...
June 2021: Data in Brief
Janet Bondarenko, Chloe Babic, Angela T Burge, Anne E Holland
Home-based pulmonary rehabilitation is a clinically effective alternative for people who cannot attend centre-based programmes
April 2021: ERJ Open Research
Nana Lim, Geunsu Lee, Ki Hong Won, Jin Sun Kang, Sunghoon Lee, Younkyung Cho, Hyun Kyung Lee, Eunyoung Kang
Ipsilateral hemiparesis is a rare and challenging sign in clinical neurological practice. Although the etiology of this manifestation is poorly understood, recent studies have attempted to probe the pathomechanism of this sign with advanced radiological techniques. Additional knowledge about the lesion and unraveling the pathomechanisms causing neurological impairments are important to predict the prognosis and clinical course and to aid in rehabilitation. Therefore, we present a case of a patient with a traumatic subdural hematoma on the left hemisphere and left spastic hemiparesis...
April 2021: Korean Journal of Neurotrauma
Sui Kit Chan, Tun Hing Lui
Primary synovial chondromatosis is characterized by newly formed chondral or osteochondral nodules in the synovial membrane, which may detach and form loose bodies. The loose bodies can be calcified or ossified, and the condition is termed synovial osteochondromatosis. Three distinct stages can be identified in primary synovial chondromatosis : phase I is active synovitis without loose bodies, phase II shows nodular synovitis along with loose bodies, and phase III is characterized by the presence of loose bodies with the resolution of synovitis...
April 2021: Arthroscopy Techniques
S Brandon Luczak, John W Stelzer, Kevin P Fitzsimmons, J Lee Pace
The medial patellofemoral ligament (MPFL) is frequently torn and attenuated in patients with acute or chronic patellar instability. The mainstay for surgical treatment has become MPFL reconstruction to reestablish the checkrein to lateral patellar translation. The authors describe a technique for MPFL reconstruction with concomitant lateral retinacular lengthening with a gracilis allograft and adjustable loop cortical femoral fixation performed chiefly from a lateral parapatellar approach. This technique allows for reliable retensioning of the medial and lateral patellar soft tissues while avoiding complications associated with techniques that use interference screw fixation...
April 2021: Arthroscopy Techniques
Tetsuya Takahashi, Michitaka Kato, Kengo Obata, Ryo Kozu, Toru Fujimoto, Koji Yamashita, Morihide Ando, Yusuke Kawai, Noriaki Kojima, Hiroshi Komatsu, Kensuke Nakamura, Yuhei Yamashita, Shane Patman, Akemi Utsunomiya, Osamu Nishida
OBJECTIVE: Early mobilization and rehabilitation has become common and expectations for physical therapists working in intensive care units have increased in Japan. The objective of this study was to establish consensus-based minimum clinical practice standards for physical therapists working in intensive care units in Japan. It also aimed to make an international comparison of minimum clinical practice standards in this area. METHODS: In total, 54 experienced physical therapists gave informed consent and participated in this study...
2021: Physical Therapy Research
Masahiro Iwakura, Kazuki Okura, Mika Kubota, Keiyu Sugawara, Atsuyoshi Kawagoshi, Hitomi Takahashi, Takanobu Shioya
OBJECTIVE: To estimate the minimal clinically important difference (MCID) of quadriceps and inspiratory muscle strength after a home-based pulmonary rehabilitation program (PRP) in chronic obstructive pulmonary disease (COPD). METHOD: Eighty-five COPD patients were included. Quadriceps maximal voluntary contraction (QMVC) was measured. We measured maximal inspiratory mouth pressure (PImax), the 6-minute walk distance (6MWD), the chronic respiratory questionnaire (CRQ) and the modified Medical Research Council dyspnoea score (mMRC)...
2021: Physical Therapy Research
Daisuke Bai, Mitsunori Tokuda, Taiki Ikemoto, Shingo Sugimori, Shoki Okamura, Yuka Yamada, Yuna Tomita, Yuki Morikawa, Yasuhito Tanaka
OBJECTIVES: This study aimed to assess physical function such as lower limb function and Activities of Daily Living after surgery for proximal femoral fractures ( unstable medial femoral neck fracture and trochanteric fracture). METHODS: This study enrolled 68 patients with proximal femoral fractures. Isometric knee extension strength (IKES), the Japanese Orthopedic Association (JOA) hip score, and the number of days required to develop straight leg raising, transfer, and T-caneassisted gait abilities to become independent were assessed...
2021: Physical Therapy Research
Ryo Kozu, Kazuya Shingai, Masatoshi Hanada, Masato Oikawa, Hiroki Nagura, Hiroshi Ito, Chika Kitagawa, Takako Tanaka
Interstitial lung disease (ILD) is a diverse group of chronic lung conditions characterized by dyspnea, exercise-induced hypoxemia (EIH), and exercise intolerance. Since activity limitations and impaired health-related quality of life (HRQoL) in ILD are similar to those in other chronic respiratory diseases, including chronic obstructive pulmonary disease (COPD), pulmonary rehabilitation is also indicated for patients with ILD. This rehabilitation program mainly comprises exercise training and self-management education...
2021: Physical Therapy Research
Luca Casula
In this study, three cases involving patients who required multidisciplinary treatment for the aesthetic and functional rehabilitation of the maxillary or mandibular arch are described. In particular, an indication for preprosthetic orthodontic treatment, such as orthodontic extrusion, tooth realignment, correction of malocclusion, and diastemata closure, was present in all cases. Preprosthetic orthodontic treatment to resolve these issues before the restorative procedures was proposed; however, all patients refused preprosthetic orthodontic treatment...
2021: Case Reports in Dentistry
Natalia Blanch-Martínez, Santiago Arias-Herrera, Amparo Martínez-González
Background: The development of new and innovative materials such as high performance polymers (PEEK) opens a wide therapeutic range in implant prostheses. They are presented as alternative materials to metal and zirconium alloys in the manufacture of structures and attachments for implant prostheses and fixed and removable dental substitutes. The objective of this review is to know the characteristics of this material and thus assess its advantages and disadvantages in its possible applications in prostheses on dental implants...
May 2021: Journal of Clinical and Experimental Dentistry
Valérie Cochen De Cock, Dobromir Dotov, Loic Damm, Sandy Lacombe, Petra Ihalainen, Marie Christine Picot, Florence Galtier, Cindy Lebrun, Aurélie Giordano, Valérie Driss, Christian Geny, Ainara Garzo, Erik Hernandez, Edith Van Dyck, Marc Leman, Rudi Villing, Benoit G Bardy, Simone Dalla Bella
Taking regular walks when living with Parkinson's disease (PD) has beneficial effects on movement and quality of life. Yet, patients usually show reduced physical activity compared to healthy older adults. Using auditory stimulation such as music can facilitate walking but patients vary significantly in their response. An individualized approach adapting musical tempo to patients' gait cadence, and capitalizing on these individual differences, is likely to provide a rewarding experience, increasing motivation for walk-in PD...
2021: Frontiers in Psychology
Tatsuya Ozawa, Yusuke Kawasaki, Etsuro Suenaga
Cardiac surgery for elder patients should be minimally invasive because of their frailty and concomitant multiple chronic diseases. We performed aortic valve replacement (AVR) via upper hemisternotomy (UHS) on an 85-year-old patient who suffered from severe aortic regurgitation with dobutamine support. The postoperative course was uneventful. AVR via UHS is safer than that via right axiallary thoracotomy AVR with shorter aortic cross-clamp time, shorter cardiopulmonary bypass time and fewer complications. AVR via UHS makes ambulation and rehabilitation easier than AVR via full sternotomy, because of thoracic stability...
May 2021: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Sayaka Tada, Manabu Kanazawa, Anna Miyayasu, Maiko Iwaki, Murali Srinivasan, Shunsuke Minakuchi, Gerald McKenna
PURPOSE: The aim of this study was to evaluate patients' economic preferences for two different tooth replacement strategies for the edentulous mandible namely conventional complete dentures (CCDs) and implant overdentures supported by two implants (IODs), using a willingness-to-pay (WTP) analysis. METHODS: Twenty-six elderly patients who had been rehabilitated with either a mandibular CCD or IOD were invited to participate in this study. All participants were provided with the details of the two treatment protocols, including advantages, disadvantages, and treatment costs...
May 11, 2021: Journal of Prosthodontic Research
Ana Cristina Castro-Avila, Laura Jefferson, Veronica Dale, Karen Bloor
OBJECTIVES: To identify follow-up services planned for patients with COVID-19 discharged from intensive care unit (ICU) and to explore the views of ICU staff and general practitioners (GPs) regarding these patients' future needs and care coordination. DESIGN: This is a sequential mixed-methods study using online surveys and semistructured interviews. Interview data were inductively coded and thematically analysed. Survey data were descriptively analysed. SETTING: GP surgeries and acute National Health Service Trusts in the UK...
May 11, 2021: BMJ Open
Sasithorn Sung-U, Badur Un Nisa, Kayano Yotsumoto, Rumi Tanemura
INTRODUCTION: The application of advanced technologies in paediatric rehabilitation to improve performance and enhance everyday functioning shows considerable promise. The aims of this systematic review are to investigate the effectiveness of robotic-assisted therapy for upper extremity function in children and adolescents with cerebral palsy and to extend the scope of intervention from empirical evidence. METHODS AND ANALYSIS: Multiple databases, including MEDLINE (Ovid), PubMed, CINAHL, Scopus, Web of Science, Cochrane Library and IEEE Xplore, will be comprehensively searched for relevant randomised controlled trials and non-randomised studies...
May 11, 2021: BMJ Open
Hyoyoung Jeong, Jong Yoon Lee, KunHyuck Lee, Youn J Kang, Jin-Tae Kim, Raudel Avila, Andreas Tzavelis, Joohee Kim, Hanjun Ryu, Sung Soo Kwak, Jong Uk Kim, Aaron Banks, Hokyung Jang, Jan-Kai Chang, Shupeng Li, Chaithanya K Mummidisetty, Yoonseok Park, Simone Nappi, Keum San Chun, Young Joong Lee, Kyeongha Kwon, Xiaoyue Ni, Ha Uk Chung, Haiwen Luan, Jae-Hwan Kim, Changsheng Wu, Shuai Xu, Anthony Banks, Arun Jayaraman, Yonggang Huang, John A Rogers
Soft, skin-integrated electronic sensors can provide continuous measurements of diverse physiological parameters, with broad relevance to the future of human health care. Motion artifacts can, however, corrupt the recorded signals, particularly those associated with mechanical signatures of cardiopulmonary processes. Design strategies introduced here address this limitation through differential operation of a matched, time-synchronized pair of high-bandwidth accelerometers located on parts of the anatomy that exhibit strong spatial gradients in motion characteristics...
May 2021: Science Advances
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