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Ankle mobilization

Miao-Pei Su, Peng-Ju Huang, Kuang-Yi Tseng, Ya-Chun Shen, Po-Nien Chen, Kuang-I Cheng
Adequate postoperative analgesia after hallux valgus (HV) correction surgery improves early mobilization and decreases hospital stay. Peripheral nerve block and peri-incisional local anesthetic (LA) infiltration are both widely used for pain management in orthopedic surgeries. The aim of this study was to compare the analgesic effects between the ankle block and peri-incisional infiltration technique in patients undergoing HV correction surgery. Ninety patients scheduled for hallux valgus correction surgery were randomly allocated into three groups...
March 2019: Kaohsiung Journal of Medical Sciences
Murtadha D Hssayeni, Michelle A Burack, Joohi Jimenez-Shahed, Behnaz Ghoraani
BACKGROUND AND OBJECTIVE: Motor fluctuations between akinetic (medication OFF) and mobile phases (medication ON) states are one of the most prevalent complications of patients with Parkinson's disease (PD). There is a need for a technology-based system to provide reliable information about the duration in different medication phases that can be used by the treating physician to successfully adjust therapy. METHODS: Two KinetiSense motion sensors were mounted on the most affected wrist and ankle of 19 PD subjects (age: 42-77, 14 males) and collected movement signals as the participants performed seven daily living activities in their medication OFF and ON phases...
March 12, 2019: Medical Engineering & Physics
Cameron J Powden, Robert A Vallandingham, Stacey L Gaven
OBJECTIVE: To conduct a systematic review with meta-analysis assessing the effectiveness of joint mobilizations for improving dorsiflexion range of motion (DFROM) and dynamic postural control in individuals with chronic ankle instability. DATA SOURCES: Electronic databases (PubMed, MEDLINE, CINAHL, and SPORTDiscus) were searched from inception to January 2017. STUDY SELECTION: Included studies examined the isolated effects of joint mobilizations to enhance DFROM and dynamic postural control in individuals with chronic ankle instability and provided adequate data to calculate effect sizes (ESs) and 95% confidence intervals (CIs)...
March 14, 2019: Journal of Athletic Training
Rejane Vale Gonçalves, Sérgio Teixeira Fonseca, Priscila Albuquerque de Araújo, Thales Rezende Souza, Renan Alves Resende, Marisa Cotta Mancini
PURPOSE: Reduced propulsive capability can impact negatively on mobility activities of many children with spastic unilateral cerebral palsy (SUCP). This study investigated the effect of a task-oriented training program combined with functional electrical stimulation (FES) on the motor capacity of children with SUCP. METHODS: Single-case A-B design with follow-up. Gross motor function and biomechanical walking data of 4 children with SUCP were measured repeatedly across the baseline, intervention, and follow-up phases...
March 8, 2019: Pediatric Physical Therapy
Stephen G B Chester, Thomas E Williamson, Mary T Silcox, Jonathan I Bloch, Eric J Sargis
Plesiadapiforms, like other Paleogene mammals, are known mostly from fossil teeth and jaw fragments. The several families of plesiadapiforms known from partial skeletons have all been reconstructed as arborealists, but differences in postcranial morphology among these taxa indicate a diversity of positional behaviors. Here we provide the first detailed descriptions and comparisons of a dentally associated partial skeleton (NMMNH P-54500) and of the most complete dentary with anterior teeth (NMMNH P-71598) pertaining to Torrejonia wilsoni, from the early Paleocene (late Torrejonian To3 interval zone) of the Nacimiento Formation, San Juan Basin, New Mexico, USA...
March 2019: Journal of Human Evolution
Zachary F Lerner, Taryn A Harvey, Jennifer L Lawson
Neuromuscular impairment associated with cerebral palsy (CP) often leads to life-long walking deficits. Our goal was to evaluate the ability of a novel untethered wearable ankle exoskeleton to reduce the severity of gait pathology from CP. In this clinical feasibility study of five individuals with CP, we used instrumented gait analysis to quantify how powered plantar-flexor assistance affected gait mechanics following multi-visit acclimation. Compared to how each participant walked normally, walking with untethered exoskeleton assistance resulted in improved ankle plantar-flexion and knee extension; residual flexion deformity across the lower-extremity improved by a clinically significant 14...
March 1, 2019: Annals of Biomedical Engineering
Ahmed Shawkat Rizk, Mahmoud Ibrahim Kandil
BACKGROUND: Adolescent spasmodic valgus foot is usually associated with resistant pain and deformity. It shows controversy regarding its incidence, etiology, and treatment. Our study aimed to evaluate the functional outcome after the nonsurgical treatment for such condition. METHODS: This study included 50 planovalgus feet secondary to peroneal or peroneo-extensor spasm in 33 adolescents with a mean age of 14 ± 2.8 years. The procedure included foot manipulation under general anesthesia, sinus tarsi injection with corticosteroids, and a walking cast in the neutral position...
January 2019: Journal of Orthopaedic Surgery
Ville T Ponkilainen, Erkki J Tukiainen, Mikko M Uimonen, Arja H Häkkinen, Jussi P Repo
BACKGROUND: The structural validity of the Lower extremity functional scale (LEFS), the Visual analogue scale foot and ankle (VAS-FA), and the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) has not been compared earlier in patients after foot and ankle surgery. METHODS: Altogether 165 previously operated patients completed the foot and ankle specific instruments, the 15D health-related quality of life (HRQoL) instrument, and general health (VAS)...
February 1, 2019: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Benedikt Stolz, Casper Grim, Christoph Lutter, Kolja Gelse, Monika Schell, Bernd Swoboda, Hans-Dieter Carl, Thilo Hotfiel
BACKGROUND:  Continuous passive motion (CPM) and active knee joint motion devices are commonly applied after various surgical procedures. Despite the growing use of active motion devices, there is a paucity of data comparing plantar loads between the different mobilization techniques. The aim of this study was to investigate foot loads during knee joint mobilization in continuous passive and active knee joint motion devices and to compare this data to the physiological load of full weight-bearing...
February 21, 2019: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
Aymeric Guillot, Yann Kerautret, Florian Queyrel, William Schobb, Franck Di Rienzo
Both foam rolling and joint distraction training with elastic bands are very popular interventions designed to improve muscular function, motor performance, and joint range of motion, as well as to reduce feeling of fatigue and delayed onset of muscle soreness. The heterogeneity of methods used among studies however prevents from drawing firm conclusions about the optimal content of pre/post interventions. The present study aims at answering the following questions: i) Do foam rolling and joint distraction with elastic band training improve joint range of motion in national rugby players? ii) Do short and long rolling durations have similar effects on range of motion? In a first experiment, we compared ankle, knee, and hip flexibility scores in 30 national rugby players after a 7-week foam rolling training program involving either a short (20s) or long (40s) rolling duration...
March 2019: Journal of Sports Science & Medicine
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
Rutviz Rajendra Mistry, Pallavi Patro, Vikas Agarwal, Durga Prasanna Misra
In this narrative review, we overview the recent literature on enthesitis-related arthritis (ERA). For the purpose of our review, we searched Scopus for recent articles on this subject from 2013 onward, including some classic older articles for perspective. ERA is a juvenile idiopathic arthritis (JIA) subtype more common in males, associated in a majority with human leucocyte antigen B27. Such children generally present with asymmetric oligoarthritis or polyarthritis, predominantly of lower limb joints, associated with enthesitis or sacroiliitis...
2019: Open Access Rheumatology: Research and Reviews
Jason M Sutherland, Shan Rajapakshe, Alastair Younger, Trafford Crump, Kevin Wing, Guiping Liu, Andrea Veljkovic
BACKGROUND: End-stage ankle arthritis is often debilitating, associated with diminished mobility, pain, and reduced health related quality of life. Direct hospital costs of AA and TAA differ, with hospital length of stay being a major contributor. The objective of this study is to test the association between four patient-reported outcome measures with hospital length of stay, potentially important for preoperative planning and care. METHODS: This study is based on a prospective cohort of patients scheduled for AA or TAA for end-stage ankle arthritis in the Vancouver Coastal Health authority, Canada...
February 2, 2019: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Alejandro J Gamboa, Derik R Craft, Jose A Matos, Tania S Flink, Rebecca L Mokris
This study examined the effects of instrument-assisted soft tissue mobilization (IASTM) on ankle range of motion in college athletes. Twenty-five Division II college athletes (18-24 yrs) were randomly selected into two groups: experimental group ( n = 11) and control group ( n = 14). Baseline measurements for both groups included an initial squat assessment, which measured ankle dorsiflexion during the movement, followed by IASTM with ankle rehabilitation exercises, and a secondary squat assessment. During the following week, the experimental group participated in an additional IASTM with rehabilitation session and squat test, while the control group performed a squat test with no treatment...
2019: International Journal of Exercise Science
Stephanie R Albin, Shane L Koppenhaver, Robin Marcus, Lee Dibble, Mark Cornwall, Julie M Fritz
STUDY DESIGN: Multi-site double blind randomized clinical trial. BACKGROUND: Patients with surgical fixation of ankle and/or hindfoot fractures often experience decreased range of motion and loss of function following surgery and post-surgical immobilization, yet there is minimal evidence to guide care for these patients. OBJECTIVES: To assess if manual therapy produces short-term improvements in range of motion, muscle stiffness, gait, and balance for patients undergoing operative fixation of an ankle and/or hindfoot fracture...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
Brittney Mazzone, Shawn Farrokhi, Andrew DePratti, Julianne Stewart, Kimberly Rowe, Marilynn Wyatt
BACKGROUND: Severe ankle and foot injuries in the U.S. military can result in high-level functional limitation, lost duty days and medical discharge. OBJECTIVE: To assess the effectiveness of the Return to Run Clinical Pathway (RTR) in returning patients with lower extremity fractures who utilize the Intrepid Dynamic Exoskeletal Orthosis (IDEO) to high-level mobility. METHODS: Thirty service members with lower extremity fractures who utilized the IDEO unilaterally and completed the RTR at Naval Medical Center San Diego were included...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
Xiaojian Shi, Jia Han, Jeremy Witchalls, Gordon Waddington, Roger Adams
QUESTION: Can manual therapy improve functional outcomes for individuals with chronic ankle instability? DESIGN: Systematic review with meta-analysis of randomized controlled trials. PARTICIPANTS: Individuals with chronic ankle instability. INTERVENTION: Manual therapy is defined as an intervention that involves joint mobilization, and mobilization with movement. OUTCOME MEASURE: The primary outcome is patient reported function (PRF) questionnaires scores, the secondary outcomes are ankle dorsiflexion range of motion (DFROM) and balance control...
February 7, 2019: Musculoskeletal Science & Practice
Susanna Aufwerber, Annette Heijne, Karin Grävare Silbernagel, Paul W Ackermann
BACKGROUND: Mechanical loading is essential for tendon healing and may explain variability in patient outcomes after Achilles tendon rupture (ATR) repair. However, there is no consensus regarding the optimal postoperative regimen, and the actual amount of loading during orthosis immobilization is unknown. PURPOSE: The primary aim of this study was to assess the number of steps and the amount of loading in a weightbearing orthosis during the first 6 weeks after surgical ATR repair...
February 11, 2019: American Journal of Sports Medicine
Sajeeban Krishnapillai, Boudijn Joling, Inger N Sierevelt, Gino M M J Kerkhoffs, Daniël Haverkamp, Daniël Hoornenborg
BACKGROUND: Total ankle replacement (TAR) is gaining popularity as a treatment option for ankle osteoarthritis. Long-term implant survival is a critical outcome to determine the success of the TAR implant. The Buechel-Pappas (BP) implant is a second-generation mobile bearing implant. The aim of this study was to analyze the BP implant survivorship at 10-year follow-up, make a subanalysis between patient groups, and evaluate long-term functional outcomes. METHODS: Data of 86 patients who received 101 BP implants between 1993 and 2010 were obtained from a prospectively documented database...
January 30, 2019: Foot & Ankle International
Chase M Feldbrugge, Megan M Pathoomvanh, Cameron J Powden, Matthew C Hoch
OBJECTIVE: To complete preliminary analysis regarding the effects joint mobilization timing during a 4-week calf stretching intervention on clinician-oriented and patient-oriented outcomes in individuals with chronic ankle instability (CAI). Additionally, a secondary objective was to examine the combined effect of joint mobilization and calf stretching. DESIGN: Randomized two-group pretest posttest design. SETTING: Laboratory. PARTICIPANTS: Ten adults (age = 24...
January 2019: Journal of Bodywork and Movement Therapies
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