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Motion management

Anthea Seager, Helen French, Dara Meldrum
The aim of this study was to systematically review the measurement properties of instruments which assess cervical spine function in infants with torticollis. Electronic searches were performed in MEDLINE, CINAHL, Embase, Web of Science and the Cochrane Library, combining three constructs ('torticollis', 'cervical spine assessment' and 'measurement properties'). Two reviewers independently rated the methodological quality and the quality of measurement properties of identified articles, using both the COSMIN (COnsensus-based Standards for the selection of health status Measurement INstruments) checklist and quality criteria for measurement properties...
February 18, 2019: European Journal of Pediatrics
Colin S Yung, Evelyn E Kuong, Wang Chow
BACKGROUND: Atypical triplane fractures are defined as triplane fractures that are intra-articular but affect the non-weight-bearing area of the tibia plafond or extra-articular triplane fractures where the epiphyseal fracture line exits outside the articulating cortex of the medial malleolus. These fractures are scarcely reported in the literature. Here, we study the fracture pattern, mechanisms, and recommendations for management. METHODS: This is a retrospective study of all triplane fractures identified from 2012 to 2016 in a tertiary referral center...
January 2019: Journal of Orthopaedic Surgery
Jessica H Heyer, Amos Z Dai, Donald J Rose
An os trigonum is a potential source of posterior ankle pain in dancers, often associated with flexor hallucis longus (FHL) pathology. Surgical excision is indicated on failure of nonoperative management. Options for surgical excision include open excision (via a posterolateral or posteromedial approach), subtalar arthroscopy, and posterior endoscopy. Os trigonum excision via an open posteromedial approach with concomitant FHL tenolysis/tenosynovectomy is a safe and effective method for the operative treatment of a symptomatic os trigonum that allows for identification and treatment of associated FHL pathology...
December 26, 2018: JBJS Essential Surgical Techniques
Justin V Migacz, Iwona Gorczynska, Mehdi Azimipour, Ravi Jonnal, Robert J Zawadzki, John S Werner
Angiographic imaging of the human eye with optical coherence tomography (OCT) is becoming an increasingly important tool in the scientific investigation and clinical management of several blinding diseases, including age-related macular degeneration and diabetic retinopathy. We have observed that OCT angiography (OCTA) of the human choriocapillaris and choroid with a 1.64 MHz A-scan rate swept-source laser yields higher contrast images as compared to a slower rate system operating at 100 kHz. This result is unexpected because signal sensitivity is reduced when acquisition rates are increased, and the incident illumination power is kept constant...
January 1, 2019: Biomedical Optics Express
Gavin Wright, Jannie Schasfoort, Natalie Harrold, Paul Hatfield, Peter Bownes
Methods: Gamma Knife Icon™'s high-definition motion management (HDMM) system gates treatment delivery should intra-fraction displacement of a nose marker exceed some user-defined threshold. A method, previously-validated with a phantom, is used to relate intra-fractional displacements of the nose marker to displacements of patient targets. Additionally, novel analysis is performed to ascertain the relationship between nose marker displacement and displacement of a 3D grid of coordinates throughout stereotactic space...
2019: Journal of Radiosurgery and SBRT
Cheryl Lans
ETHNOPHARMACOLOGICAL RELEVANCE: There are insufficient safe and effective treatments for chronic pain in pets. In cases such as osteoarthritis there is no commercially available cure and veterinarians use NSAIDs to manage pain. Pet owners may have to plan for a lifetime of plant-based treatment for the conditions that lead to chronic pain in pets. Phytopharmacotherapies have the advantage of being less toxic, cheap or free, readily available, are more likely to be safe for long-term use and have the potential to reset the immune system to normal functioning...
February 14, 2019: Journal of Ethnopharmacology
Asuka Tanaka, Takashi Onoe, Kohei Ishiyama, Kentaro Ide, Hirotaka Tashiro, Hideki Ohdan
INTRODUCTION: Transient Left Ventricular Apical Balloon Syndrome (LV-ABS) is an unknown acute dysfunction of the left ventricle, which develops under emotional or physical stress events like the major surgical postoperative period. PRESENTATION OF CASE: A 68-year-old woman diagnosed with hepatitis C cirrhosis was admitted for living donor liver transplantation (LDLT). No evidence for underlying cardiac or pulmonary disease was found. LDLT was performed, and her intra and post-operative course was uneventful...
February 10, 2019: International Journal of Surgery Case Reports
Camille Cronin, Caroline Hawthorne
BACKGROUND: Non-traditional students entering nursing programmes at university often experience difficulties with the academic literacy requirements of their courses, in particular academic and reflective writing. Levels of student anxiety may also be affected by other issues including the pressures of managing work, family and study commitments. OBJECTIVES: To explore how classroom-based poetry writing activities might support students in developing their skills as student-writers and reflective practitioners...
February 6, 2019: Nurse Education Today
Hakeem Leonard
Total knee arthroplasty (TKA) is a common orthopedic surgery known to be very painful. Emphasis has been placed on TKA pain management for postoperative care and during rehabilitation. Music therapy is used as a nonpharmacologic intervention for pain management and to promote rehabilitation exercise adherence. The objective of this study was to explore the effects of music therapy/physical therapy co-treatment using live music-supported exercise on pain and exercise adherence during a lower extremity pedaling exercise to facilitate range of motion (ROM)...
February 16, 2019: Journal of Music Therapy
Mehmet Resul Kadı, Simin Hepgüler, Funda Calıs Atamaz, Emine Dede, Semih Aydoğdu, Kemal Aktuglu, Nadir Ozkayın, Cihat Ozturk
OBJECTIVE: To investigate the effectiveness of interferential current implementation following total knee arthroplasty surgery. DESIGN: Double-blind randomized controlled study. SETTING: Orthopedics and traumatology in-patient clinic. PARTICIPANTS: From an initial enrollment of 132 patients, 113 who met the study inclusion criteria were randomly separated into two groups: the interferential current group ( n = 57) and the sham current group ( n = 56)...
February 14, 2019: Clinical Rehabilitation
D Andrew Barry, Jean-Luc Liardon, Philippe Paccaud, Pascal Klaus, Nawaaz S Gujja Shaik, Abolfazl Irani Rahaghi, Ludovic Zulliger, Jérôme Béguin, Beat Geissmann, Stepan Tulyakov, Anton Ivanov, Htet Kyi Wynn, Ulrich Lemmin
Two complementary measurement systems-built upon an autonomous floating craft and a tethered balloon-for lake research and monitoring are presented. The autonomous vehicle was assembled on a catamaran for stability, and is capable of handling a variety of instrumentation for in situ and near-surface measurements. The catamaran hulls, each equipped with a small electric motor, support rigid decks for arranging equipment. An electric generator provides full autonomy for about 8 h. The modular power supply and instrumentation data management systems are housed in two boxes, which enable rapid setup...
2019: PloS One
Megan Balsdon, Colin Dombroski, Kristen Bushey, Thomas R Jenkyn
BACKGROUND: Foot orthoses have proven to be effective for conservative management of various pathologies. Pathologies of the lower limb can be caused by abnormal biomechanics such as irregular foot structure and alignment, leading to inadequate support. OBJECTIVES: To compare biomechanical effects of different foot orthoses on the medial longitudinal arch during dynamic gait using skeletal kinematics. STUDY DESIGN: This study follows a prospective, cross-sectional study design...
February 14, 2019: Prosthetics and Orthotics International
Kevin J Zuo, Moaath Saggaf, Herbert P von Schroeder, Paul Binhammer
BACKGROUND: Tendon adhesions and capsular contractures following trauma to the proximal interphalangeal joint (PIPJ) may significantly reduce hand function. Traditional, staged surgical management prioritizes restoration of PIPJ passive range of motion with joint release prior to restoration of active range of motion (AROM) with tenolysis. This is expensive and burdensome for patients. Our objective was to evaluate functional outcomes of combined PIPJ release and zone II flexor tenolysis...
February 14, 2019: Hand: Official Journal of the American Association for Hand Surgery
Merit P George, Floranne C Ernste, Aaron Tande, Douglas Osmon, Tad Mabry, Elie F Berbari
Introduction: Calcium pyrophosphate deposition disease (CPPD), or pseudogout, is rare in prosthetic joints, but can mimic prosthetic joint infection (PJI) according to case reports. The purpose of this case series is to describe the demographics, presentation, management, and outcomes of a cohort of these patients seen at our academic medical center. Methods: Patients with post-implant pseudogout, who were evaluated at our medical center between January 1, 2000 and June 30, 2016, were identified from our EHR...
2019: Journal of Bone and Joint Infection
M K Saha, S S Islam, S Alam, M W Rahman, M Kamruzzaman, J Paul, M M Rahman, M K Alamgir
Treatment of extra-articular distal humeral shaft fractures with plating techniques is often difficult. The recent development of LCP has improved the surgical treatment of fractures by overcoming the few drawbacks of older fixators. The aim of this prospective observational study was to assess the effectiveness of osteosynthesis of extra-articular diaphyseal fractures of the distal third of the humerus using a single locking compression plate (LCP) and was conducted from July 2016 to June 2018 at the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka, Bangladesh...
January 2019: Mymensingh Medical Journal: MMJ
M K Roy, M T Alam, M W Rahman, M S Islam, K A Sayeed, M Z Kamal, M K Alamgir, B Nandi, A M Mohiuddin
The aim of this prospective experimental study was to analyze the radiological and clinical results of the supra condylar fracture of Humerus in children and conducted the functional outcome of closed reduction and internal fixation by percutaneous Kirschner-wire from lateral side and crossed technique in the National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sher-E-Bangla Nagor, Dhaka, Bangladesh from July 2011 to June 2013. Patients diagnosed as closed Supracondylar fracture of Humerus in children due to trauma were the study population...
January 2019: Mymensingh Medical Journal: MMJ
Giuseppe M Raffa, Giuseppe Romano, Calogero Falletta, Marco Morsolini, Marco Turrisi, Giovanni Gentile, Cinzia Nugara, Maria Scarlata, Francesco Clemenza, Michele Pilato
Hypertrophic obstructive cardiomyopathy (HOCM) is the most frequently inherited cardiovascular disease (prevalence in the general population of 1/500) and is characterized by significant left ventricular hypertrophy, especially in the interventricular septum, combined with small-volume cardiac cavities. Transaortic surgical septal myectomy is the most commonly used technique to treat HOCM, and is associated with low operative morbidity and mortality and a reduction of the outflow gradients. The composite operative mortality of only 0...
February 2019: Giornale Italiano di Cardiologia
Tessa Heinonen, Suzie Ferrie, Clare Ferguson
BACKGROUND: Management of gut function in the intensive care unit (ICU) is often protocol-driven. Protocols for enteral feeding or bowel management are based on assumptions about what is 'normal' gastrointestinal motility during critical illness or in the early postoperative period, although 'normal' has not been well described in this group. OBJECTIVES: This study aimed to describe aspects of gut function based on an audit of current ICU patients. METHODS: A retrospective medical audit of 100 recent consecutive ICU patients was conducted to obtain data on gut function parameters in the critically ill or postoperative population...
February 7, 2019: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Olivier C Dams, Inge van den Akker-Scheek, Ron L Diercks, Klaus W Wendt, Eelke Bosma, Tom M van Raaij, Arvid V Munzebrock, Wierd P Zijlstra, Johannes Zwerver, Inge H F Reininga
BACKGROUND: Achilles tendon rupture (ATR) is a common sports injury, with a rising incidence and significant impairments. Due to the lack of treatment guidelines, there is no consensus about diagnostic methods, primary treatment (non-surgical or surgical) and rehabilitation. It is hypothesized that this lack of consensus and guidelines leads to sub-optimal recovery and higher societal costs. The primary aim of this study is to give a broad insight into the recovery after ATR. Secondarily this study aims to explore factors contributing to recovery and gain insight into the cost-effectiveness of ATR management...
February 11, 2019: BMC Musculoskeletal Disorders
Andri Maruli Tua Lubis, Troydimas Panjaitan, Charles Hoo
INTRODUCTION: Recurrent patellar dislocation can lead to articular cartilage injury. We report a 21-year old male with left patella instability and articular cartilage defect. PRESENTATION OF CASE: A 21-year-old male presented with left patellar instability and pain. Knee range of motion (ROM) was limited when patella was dislocated (0-20°). The J-sign positive, patellar apprehension test was positive, with medial patella elasticity/patellar glide >2 quadrants...
January 31, 2019: International Journal of Surgery Case Reports
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