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Foot AND (Physical Therapy)

Tapan Mehta, Hui-Ju Young, Byron Lai, Fuchenchu Wang, Yumi Kim, Mohan Thirumalai, Tracy Tracy, Robert W Motl, James H Rimmer
Background: Recent clinical guidelines for adults with neurological disabilities suggest the need to assess measures of static and dynamic balance using the Berg Balance Scale (BBS) and Dynamic Gait Index (DGI) as core outcome measures. Given that the BBS measures both static and dynamic balance, it was unclear as to whether either of these instruments was superior in terms of its convergent and concurrent validity, and whether there was value in complementing the BBS with the DGI. Objective : The objective was to evaluate the concurrent and convergent validity of the BBS and DGI by comparing the performance of these two functional balance tests in people with multiple sclerosis (MS)...
February 15, 2019: Healthcare (Basel, Switzerland)
Oana Irina Tanase, Constantin Daraban, Elena Velescu, Dragos Boghean, Florentina Bocaneti-Daraban
Leishmaniasis is a zoonotic parasitosis caused by a diphasic protozoan of the genus Leishmania . The dogs are considered the main domestic reservoir of L. infantum and its transmission occurs mainly through sand flies. We report the case of a 10 yr old Italian Segugio dog in Mar 2016 from Iasi County-Moldova Region, northeastern Romania, referred to a private clinic with progressive weight loss, dermal lesions over the muzzle, foot pads and over the right and left tarsal joints. The dog was born in Torino, Italy and transferred to Romania, with a history of regular travelling between these two countries...
October 2018: Iranian Journal of Parasitology
James Escaloni, Ian Young, Justin Loss
Background/purpose : Plantar foot pain of neural origin is a challenging diagnosis to identify and treat. The purpose of this paper is to illustrate the novel way in which cupping was utilized in conjunction with neural glides to better diagnose and manage a patient who presented with symptoms of peripheral neuropathic plantar foot pain. Case description : A 65-year-old male presented to physical therapy with the diagnosis of plantar fasciitis by an orthopedic surgeon. The presentation included a diffuse area of pain toward the medial border of the foot with a peripheral neuropathic pain description...
February 2019: Journal of Manual & Manipulative Therapy
Jennie M Scarvell, Nicola Hribar, Catherine R Galvin, Mark R Pickering, Diana M Perriman, Joseph T Lynch, Paul N Smith
Background: Physical therapists assess joint movement by observation and palpation. New imaging technologies that enable vision of bones and joints during functional activities can be used to analyze joint kinematics and review traditional assumptions. Purpose: The purpose was to measure relationships between flexion, rotation, and translation at the knee and to validate this visually. Design: This was a prospective, observational study. Methods: Twenty-five healthy participants over 45 years of age (13 males) knelt from upright kneeling to full flexion with the foot free...
January 23, 2019: Physical Therapy
Yuan-Peng Wu, Ji-Jin Wu, Shu-Mei Tian, Tao Jin, Chan Li, Ke Xie
RATIONALE: For advanced non-small-cell lung cancer (NSCLC), targeted therapy and chemoradiotherapy are recommended as the first-line treatment. For patients with a performance status (PS) score over 2 and without gene mutation, however, only supportive treatment is provided and survival time is extremely short. We believe that more can be done to improve the patient's survival time and their quality of life. PATIENT CONCERNS AND DIAGNOSES: A 65-year-old female came to our hospital due to "cough and pain and lack of movement in the left leg"...
January 2019: Medicine (Baltimore)
Jeffrey Chun Yin Lee, Tun Hing Lui
Tenosynovitis of the tibialis anterior tendon may occur as an overuse injury due to repetitive foot dorsiflexion. Most cases respond to conservative treatment with rest, shoe modification, anti-inflammatory agents, and physical therapy. Surgery may be required for chronic cases recalcitrant to conservative treatment. Other causes of tibialis anterior tenosynovitis include rheumatologic and infectious conditions. Classically, an operation on the tibialis anterior tendon is performed with open approach requiring dissection of the extensor retinacula...
December 2018: Arthroscopy Techniques
Baver Acar, Ozkan Kose, Adil Turan, Melih Unal, Yusuf Alper Kati, Ferhat Guler
Objective: The purpose of this retrospective study was to compare the clinical and radiological results of magnesium versus titanium screw fixation for modified distal chevron osteotomy in hallux valgus (HV). Materials and Methods: A total of 31 patients who underwent modified distal chevron osteotomy for HV deformity between 2014 and 2017 were reviewed retrospectively. Headless magnesium (Mg) compression screw fixation was applied in 16 patients (17 feet) and headless titanium (Ti) compression screw in 15 patients (17 feet)...
2018: BioMed Research International
L L Ji, Y J Hao, Z L Zhang
A 52-year-old man was referred to our department with a 2-year history of polyarthritis. He was diagnosed as gout due to acute arthritis of bilateral feet dorsum 2 years ago,but he didn't receive any standard treatment. 1 year ago,there were more and more joints evolved during the gout attack, and many subcutaneous nodules occurred. When he presented to our clinic 1 month ago,the urate acid level was as high as 715 μmol/L. Moreover, we could find bone erosion in the X rays of his hand and foot,as well as synovitis,double contour sign and tophus on the ultrasound examination...
December 18, 2018: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Daniel A Charen, Jonathan S Markowitz, Zoe B Cheung, Douglas J Matijakovich, Jimmy J Chan, Ettore Vulcano
Metatarsalgia can be viewed as more of a symptom rather than a distinct diagnosis. Timing of forefoot pain during the gait cycle and evaluation of whether the pain is from anatomic abnormalities, indirect overloading, or iatrogenic causes can suggest a specific metatarsalgia etiology. A thorough physical examination of the lower extremity, especially evaluation of the plantar foot, and weight-bearing radiographs are critical for diagnosis and treatment. Nonoperative treatment consists of physical therapy, orthotics, shoe wear modification, and injections...
December 11, 2018: Orthopedics
Mohamed A Eid, Sobhy M Aly, Rasha A Mohamed
OBJECTIVES: To evaluate the effectiveness of twister wrap orthosis (TWO) on foot pressure distribution and postural balance in children with spastic diplegic cerebral palsy (CP). METHODS: Thirty children with spastic diplegic CP, with ages ranging from 6 to 8 years, were assigned randomly into two groups. The control group received the conventional physical therapy and ankle foot orthosis (AFO), whereas the study group received the same program as the control group in addition to TWO...
December 1, 2018: Journal of Musculoskeletal & Neuronal Interactions
Mark Shepherd, Adriaan Louw, Jessie Podolak
BACKGROUND: Chronic Regional Pain Syndrome (CRPS) is a condition that physical therapists may encounter in an outpatient orthopedic setting. In physical therapy (PT) treatment of CRPS addresses pain and the changes observed in the brain through the use of graded motor imagery (GMI). CASE DESCRIPTION: A 57-year-old female presented to an outpatient PT clinic with CRPS type 1. Complicating psychosocial factors such as kinesiophobia and catastrophization were present...
November 30, 2018: Physiotherapy Theory and Practice
Danielle Levac, Helene M Dumas, Waleed Meleis
BACKGROUND: Motivating interactive tools may increase adherence to repetitive practice for children with disabilities, but many virtual reality and active video gaming systems are too challenging for children with significant needs. OBJECTIVE: The objective of this study was to develop and conduct a usability evaluation of the Fun, Interactive Therapy Board (FITBoard), a movement toy bridging digital and physical interactions for children with disabilities. METHODS: The FITBoard is a tablet app involving games controlled by hand, head, or foot touch of configurable, wired surfaces...
November 26, 2018: JMIR Rehabilitation and Assistive Technologies
Nidhi Jain, Phillip A Bauman, William G Hamilton, Alexander Merkle, Ronald S Adler
Dancers exert tremendous stresses on the lower extremities rendering them prone to injuries that can curtail training and performance. The goal of this study was to evaluate clinical improvement in a population of elite dancers following treatment with ultrasound-guided platelet-rich plasma (PRP) injections of various lower extremity sites by assessing when they were able to return to dance. Nineteen dancers (13 female, 6 male; ages 15 to 42) were treated between 2009 and 2016 at sites that included: hamstring tendon (1), proximal iliotibial band (1), patellar tendon (3), posterior tibial tendon (5), peroneus brevis tendon (3), plantar fascia (3), and the first metatarsophalangeal (MTP) joint capsule (3)...
December 1, 2018: Journal of Dance Medicine & Science
Renan L Monteiro, Cristina D Sartor, Jane S S P Ferreira, Milla G B Dantas, Sicco A Bus, Isabel C N Sacco
BACKGROUND: Diabetic polyneuropathy (DPN) negatively affects foot and ankle function (strength and flexibility), which itself affects the daily physical activity and quality of life of patients. A physical therapy protocol aiming to strengthen the intrinsic and extrinsic foot muscles and increase flexibility may be a promising approach to improve lower-extremity function, prevent further complications, and improve autonomy for daily living activities in these patients. Thus, the inclusion of a specific foot-related exercises focused on the main musculoskeletal impairments may have additional effects to the conventional interventions in the diabetic foot...
November 14, 2018: BMC Musculoskeletal Disorders
Tanaya S Deshpande, Pierre Blanchard, Li Wang, Robert L Foote, Xiaodong Zhang, Steven J Frank
Taste sensation is vital for a healthy body as it influences our food intake, acts as a defense mechanism and elicits pleasure. Majority of the head and neck cancer (HNC) patients undergoing radiotherapy suffer from altered taste function and often complain of inability to taste their food, reduced food intake, and weakness. However, there are not many studies conducted to assess this commonly reported side effect. Furthermore, clinical research on radiotherapy-induced taste alterations has proven to be difficult, considering a lack of reliable and validated study tools for assessing objective and subjective outcomes...
November 9, 2018: Current Treatment Options in Oncology
Yucheng Jiao, Ye Yuan, Yazhou Lin, Zezhu Zhou, Yuehuan Zheng, Wenjian Wu, Guoqing Tang, Yong Chen, Jiaqi Xiao, Changwei Li, Zhe Chen, Peng Cao
Latent infection of Propionibacterium acnes was considered as a new pathogeny for low back pain (LBP); however, there is no credible animal evidence or mechanism hypothesis. This study proved that P. acnes is a causative pathogen of bacteria-induced LBP and investigated its underlying mechanism. For this, P. acnes was firstly identified in patients' degenerated intervertebral disc (IVDs) samples. The results of patients' Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ), Japanese Orthopaedic Association (JOA), and Oswestry Disability Index (ODI) scores indicated that P...
November 6, 2018: Journal of Molecular Medicine: Official Organ of the "Gesellschaft Deutscher Naturforscher und Ärzte"
Ryan G Boggs, Arthur J Nitz
A 27-year-old man presented to an outpatient physical therapy clinic with left lateral foot pain after playing lacrosse 1 day prior. Ultrasound imaging was performed immediately by the physical therapist, focusing on the fifth metatarsal distal shaft. Images obtained with a 13- to 6-MHz linear transducer demonstrated cortical bone disruption. The patient's primary care physician subsequently ordered radiographs, which demonstrated an obliquely oriented fracture through the shaft of the fifth metatarsal. J Orthop Sports Phys Ther 2018;48(11):903...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Robert Geddens, Scott C Dembowski
A 19-year-old female US Army trainee presented to a direct-access physical therapy clinic reporting 1 week of bilateral dorsal foot pain that was worse on the right than the left side. Due to swelling, focal tenderness, and pain, the physical therapist ordered radiographs to evaluate for a potential stress fracture. The radiographs revealed that the fourth metatarsals were notably shorter than the others, but were negative for other pathology. J Orthop Sports Phys Ther 2018;48(11):904. doi:10.2519/jospt.2018...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Prudence Plummer, Corinne J Bohling, L Ellese Nickles, Alexis A Williams, Amy Thomas, Silva Markovic-Plese, Barbara Giesser
Background: Dalfampridine extended release (D-ER) improves gait speed in some people with multiple sclerosis (MS), but many patients who take D-ER demonstrate only small improvements of questionable clinical significance. Physical therapy (PT) may augment the treatment effects of D-ER on the nervous system and improve clinical outcomes. This case report describes the successful use of D-ER combined with multicomponent PT in a patient who did not have a clinically important change in gait speed with D-ER alone...
September 2018: International Journal of MS Care
Eytan M Debbi, Benjamin Bernfeld, Amir Herman, Moshe Salai, Yocheved Laufer, Alon Wolf
BACKGROUND: Biomechanics after total knee arthroplasty (TKA) often remain abnormal and may lead to prolonged postoperative recovery. The purpose of this study is to assess a biomechanical therapy after TKA. METHODS: This is a randomized controlled trial of 50 patients after unilateral TKA. One group underwent a biomechanical therapy in which participants followed a walking protocol while wearing a foot-worn biomechanical device that modifies knee biomechanics and the control group followed a similar walking protocol while wearing a foot-worn sham device...
September 25, 2018: Journal of Arthroplasty
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