keyword
https://read.qxmd.com/read/38424225/randomized-controlled-trial-study-of-intelligent-rehabilitation-training-system-for-functional-ankle-instability
#21
RANDOMIZED CONTROLLED TRIAL
Xiaolong Liu, Mengxiao He, Rongbo Hu, Zhencheng Chen
To investigate the intervention effect of an intelligent rehabilitation training system on patients with functional ankle instability (FAI) and to advance the research to optimise the effect of FAI rehabilitation training. Thirty-four FAI patients who participated in this trial in Guilin City from April 2023 to June 2023 were recruited as research subjects, and all subjects were randomly divided into the control group (n = 17) and the observation group (n = 17). Both groups received the conventional rehabilitation training intervention for 6 weeks, and the observation group received the additional training using the intelligent rehabilitation training system training invented by our team...
February 29, 2024: Scientific Reports
https://read.qxmd.com/read/38389638/functional-mobility-in-individuals-with-lower-limb-amputation-an-observational-study
#22
JOURNAL ARTICLE
Neha Mukkamala, Shivani Vala
INTRODUCTION: Amputation leads to a permanent disability and brings a dramatic change in the life and function of the individual, more so in individuals with lower limb amputation. A lower limb amputation reduces mobility and can make persons dependent on assistive devices like crutches or a wheelchair. Restoring mobility and optimal physical functioning of an individual with lower limb amputation is the most important rehabilitation goal. There are very few studies that have quantified mobility deficits with valid outcome measures, especially in the Indian population...
January 2024: Curēus
https://read.qxmd.com/read/38388212/fixed-bearing-versus-mobile-bearing-total-ankle-replacement-survivorship-a-meta-analysis
#23
REVIEW
Marcos González-Alonso, Ana R Trapote-Cubillas, Francisco J Madera-González, Óscar Fernández-Hernández, Jaime A Sánchez-Lázaro
BACKGROUND: Main objective of this research is to know if there is a different survival rate between fixed bearing (FB) and mobile bearing (MB) total ankle replacement (TAR). We hypothesized that there are no differences between the survival rates of both implants. METHODS: A systematic search was performed in PubMed, Cochrane, EMBASE and ClinicalTrials.gov databases‎ to identify published studies from August 2018 to September 2022 including results for FB and MB TAR survivorship...
February 10, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/38378402/quantifying-plantar-flexor-muscles-stiffness-during-passive-and-active-force-generation-using-shear-wave-elastography-in-individuals-with-chronic-stroke
#24
JOURNAL ARTICLE
Kalthoum Belghith, Mustapha Zidi, Jean Michel Fedele, Rayan Bou-Serhal, Wael Maktouf
OBJECTIVES: This study aims to investigate the mechanical properties of paretic and healthy plantar flexor muscles and assesses the spatial distribution of stiffness between the gastrocnemius medialis (GM) and lateralis (GL) during active force generation. METHODS: Shear wave elastography measurements were conducted on a control group (CNT, n=14; age=59.9±10.6 years; BMI=24.5±2.5 kg/m2 ) and a stroke survivor group (SSG, n=14; age=63.2±9.6 years; BMI=23...
February 19, 2024: Ultrasound in Medicine & Biology
https://read.qxmd.com/read/38376585/pediatric-osteochondral-fractures-clinical-insights-associate-early-diagnosis-to-early-rehabilitation-via-arthroscopy
#25
JOURNAL ARTICLE
Evmorfia Pechlivanidou, Christos Zambakides, Rodanthi E Margariti
PURPOSE: This retrospective observational cohort analysis aims to address diagnostic and therapeutic challenges in managing osteochondral fractures (OCFs) resulting from acute patella dislocation and ankle sprains in children. METHODS: The study includes 15 children treated for OCFs between January 2020 and July 2022. Data were obtained from medical records and analyzed using logistic regression. RESULTS: The diagnostic and treatment algorithm involves detailed history, clinical examination, and imaging, with MRI guiding therapeutic decisions...
February 20, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38371156/an-early-functional-unsupervised-rehabilitation-protocol-allows-safe-return-to-function-after-achilles-tendon-repair
#26
JOURNAL ARTICLE
Leonidas Mitrogiannis, George Mitrogiannis, Kalliopi Melaki, Athanasios Karamitros, Apostolos Karantanas, Odysseas Paxinos
PURPOSE: Acute Achilles tendon tears in young active individuals are often treated surgically with prolonged rehabilitation, with the leg initially immobilized in plantar flexion in serial non-weight bearing casts and gradually progressing to full weight bearing. This study aimed to evaluate the safety of an early functional unsupervised rehabilitation protocol. METHODS: The medical records of 25 patients treated with open repair were available for follow-up. In 10 patients, an early functional unsupervised rehabilitation protocol was used with a removable cast, active range of motion exercises of the ankle from the first postoperative day, and full weight bearing in a walking boot with the foot plantigrade after the second week...
January 2024: Curēus
https://read.qxmd.com/read/38368652/range-of-motion-measurements-do-not-correlate-with-patient-reported-outcome-measures-in-the-early-post-operative-period-following-ankle-fracture
#27
JOURNAL ARTICLE
Christian Calderon, Yousi A Oquendo, Noelle Van Rysselberghe, Andrea K Finlay, Anastasia A Hunt, Micah J San Agustin, Michael J Gardner
BACKGROUND: Early mobilization following ankle fracture open reduction and internal fixation (ORIF) improves long-term patient functionality. Because of this, numerous resources have been spent to increase patient adherence to post-operative mobilization, with range of motion (ROM) measurements generally considered an important outcome in patient recovery. In this study we investigated how ankle ROM correlates to patient function, self-sufficiency in performing activities of daily living (ADLs), and pain in the early post-operative period...
February 8, 2024: Injury
https://read.qxmd.com/read/38364278/a-wearable-gait-analysis-device-for-idiopathic-normal-pressure-hydrocephalus-inph-monitoring
#28
JOURNAL ARTICLE
Erdem Atbas, Patrick Gaydecki, Michael Callaghan
Idiopathic Normal Pressure Hydrocephalus (iNPH) is a progressive neurologic disorder (fluid build-up in the brain) that affects 0.2-5% of the UK population aged over 65. Mobility problems, dementia and urinary incontinence are symptoms of iNPH but often these are not properly evaluated, and patients receive the wrong diagnosis. Here, we describe the development and testing of a wearable device that records and analyses a patient's gait. The movement patterns, expressed as quantitative data, allow clinicians to improve the non-invasive diagnosis of iNPH as well as monitor the management of patients undergoing treatment...
February 16, 2024: Biomedical Physics & Engineering Express
https://read.qxmd.com/read/38360453/contemporary-modern-total-ankle-arthroplasty-taa-a-systematic-review-and-meta-analysis-of-indications-survivorship-and-complication-rates
#29
JOURNAL ARTICLE
Jean-Pierre St Mart, En Lin Goh, Daniel Hay, Isobel Pilkington, Nadja Bednarczuk, Raju Ahluwalia
BACKGROUND: This study evaluates the clinical outcomes of contemporary total ankle arthroplasty (TAAs) to primarily establish the current benefits and risks to facilitate informed decision making to secondarily establish if improvements are seen between subsequent generations of implants, bearing philosophy, and associated surgical technique. METHODS: A systematic review and meta-analysis of published data from January 2000 to January 2020 was conducted following PRISMA guidelines...
February 14, 2024: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://read.qxmd.com/read/38353263/mobile-health-technologies-to-improve-walking-distance-in-people-with-intermittent-claudication
#30
REVIEW
Marah Elfghi, Denise Dunne, Jennifer Jones, Irene Gibson, Gerard Flaherty, John William McEvoy, Sherif Sultan, Fionnuala Jordan, Wael Tawfick
BACKGROUND: Peripheral arterial disease (PAD) is the obstruction or narrowing of the large arteries of the lower limbs, which can result in impaired oxygen supply to the muscle and other tissues during exercise, or even at rest in more severe cases. PAD is classified into five categories (Fontaine classification). It may be asymptomatic or various levels of claudication pain may be present; at a later stage, there may be ulceration or gangrene of the limb, with amputation occasionally being required...
February 14, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38351120/rehabilitation-effect-of-standing-bed-combined-with-early-anti-gravity-running-table-training-on-ankle-fracture
#31
JOURNAL ARTICLE
JiaWei Chen, TianYu Wu, Shuigen Liu, Ying Guo
To explore the clinical effect of standing bed combined with early anti-gravity running table training in the healing and functional recovery of anterior rotation external rotation ankle fractures. Fifty-two patients with ankle fractures of degree III or degree IV of PER admitted to Pingle Orthopaedic and Traumatology Hospital of Shenzhen City between September 2021 and January 2023 were selected for observation, and they were divided into 26 cases in each group according to the method of randomised numerical table into the control group and the observation group...
February 13, 2024: Scientific Reports
https://read.qxmd.com/read/38349945/mechanics-of-the-foot-and-ankle-joints-during-running-using-a-multi-segment-foot-model-compared-with-a-single-segment-model
#32
JOURNAL ARTICLE
Justin C Wager, John H Challis
The primary purpose of this study was to compare the ankle joint mechanics, during the stance phase of running, computed with a multi-segment foot model (MULTI; three segments) with a traditional single segment foot model (SINGLE). Traditional ankle joint models define all bones between the ankle and metatarsophalangeal joints as a single rigid segment (SINGLE). However, this contrasts with the more complex structure and mobility of the human foot, recent studies of walking using more multiple-segment models of the human foot have highlighted the errors arising in ankle kinematics and kinetics by using an oversimplified model of the foot...
2024: PloS One
https://read.qxmd.com/read/38349063/the-study-on-the-relationship-between-venous-ulcer-and-ankle-joint-range-of-motion-using-ultrasound
#33
JOURNAL ARTICLE
Jianyu Liao, Zhoupeng Wu
BACKGROUND: Chronic venous insufficiency (CVI) often leads to venous ulcers. The relationship between ankle joint range of motion (ROM) and venous ulcers remains under-investigated. This study aims to clarify this relationship using ultrasound imaging. METHODS: We conducted a study on 20 patients with unilateral venous ulcers. Ankle ROM and popliteal vein blood flow were measured using a goniometer and ultrasound, respectively. The measurements were compared between the affected and unaffected limbs...
February 13, 2024: Phlebology
https://read.qxmd.com/read/38344906/perceptions-and-experiences-of-first-mobility-aid-provision-for-young-children-with-cerebral-palsy-in-the-united-states-a-mixed-methods-study
#34
JOURNAL ARTICLE
Nicole L Zaino, Zahra McKee, Charlotte D Caskey, Katherine M Steele, Heather A Feldner
PURPOSE: The purpose of this study was to establish and understand the provision process and impacts of first mobility aids for children with cerebral palsy (CP) in the United States - specifically orthoses, walkers and gait-trainers. METHODS: We performed a mixed-methods study including surveys and semi-structured interviews of caregivers of young children with CP ( n  = 10) and clinicians who work with young children with CP ( n  = 29). We used content analysis for the surveys and inductive coding for the interviews...
February 12, 2024: Disability and Rehabilitation. Assistive Technology
https://read.qxmd.com/read/38344633/linking-generalized-ligamentous-laxity-to-musculoskeletal-injury-a-study-in-the-indian-population
#35
JOURNAL ARTICLE
Tirthankar Dasgupta, Tushar Gogia, Lalit Mohan Gupta, Kumud Kishlaya, Rahul Garg, Nitin Sahu
Introduction Generalized ligamentous laxity (GLL) is defined as an increased range of motion across multiple joints in an individual beyond the mean range of motion in the general population, with a reported prevalence between 5% and 15%. It becomes less common with age and is more common in females and in the lower limbs. Musculoskeletal injury (MSI) is damage to musculoskeletal systems, usually due to strenuous activity. There is conflicting literature regarding whether the risk of MSI during strenuous activity is higher in individuals with GLL and a dearth of evidence from the Indian subcontinent regarding GLL...
January 2024: Curēus
https://read.qxmd.com/read/38337859/in-vivo-effects-of-joint-movement-on-nerve-mechanical-properties-assessed-with-shear-wave-elastography-a-systematic-review-and-meta-analysis
#36
REVIEW
Gianluca Ciuffreda, Elena Bueno-Gracia, Isabel Albarova-Corral, Alberto Montaner-Cuello, Jorge Pérez-Rey, Pilar Pardos-Aguilella, Miguel Malo-Urriés, Elena Estébanez-de-Miguel
Peripheral nerves are subjected to mechanical tension during limb movements and body postures. Nerve response to tensile stress can be assessed in vivo with shear-wave elastography (SWE). Greater tensile loads can lead to greater stiffness, which can be quantified using SWE. Therefore, this study aimed to conduct a systematic review and meta-analysis to perform an overview of the effect of joint movements on nerve mechanical properties in healthy nerves. The initial search (July 2023) yielded 501 records from six databases (PubMed, Embase, Scopus, Web of Science, Cochrane, and Science Direct)...
February 5, 2024: Diagnostics
https://read.qxmd.com/read/38327178/analysis-of-nonweightbearing-mri-fat-pad-thickness-under-central-metatarsals-in-patients-with-and-without-metatarsalgia
#37
JOURNAL ARTICLE
Chase Gauthier, Anne Guttman, Yianni Bakaes, J Benjamin Jackson, Tyler Gonzalez
BACKGROUND: Metatarsalgia is a common diagnosis for patients with forefoot pain. Many have proposed metatarsal fat pad atrophy is a cause of metatarsalgia and therefore have suggested fat grafting instead of distal metatarsal osteotomies to treat metatarsalgia. For fat grafting to be a viable treatment, fat pad atrophy should correlate with metatarsalgia. This study looked to determine the relationship between metatarsal fat pad thickness and metatarsalgia and the correlation between metatarsal fat pad thickness and patient-reported outcomes...
February 8, 2024: Foot & Ankle International
https://read.qxmd.com/read/38325111/partial-revision-of-a-dislocated-periprosthetic-tibial-fracture-after-total-ankle-replacement-with-a-stemmed-implant-and-plate-fixation-a-case-report
#38
Giuseppe De Rito, Roberto Biscione, Antonio Volpe, Luca Liverani, Gustavo Alberto Zanoli, Martina Maritati
INTRODUCTION: Total ankle arthroplasty (TAR) procedures have become more reliable and incidence is increasing. A growing number of postoperative complications can be expected and should be correctly addressed. PRESENTATION OF CASE: A 43-year-old woman suffering from severe ankle osteoarthritis underwent TAR (Stryker's Infinity with Prophecy alignment guides, uncemented tibial component and cemented talus component). After a fall, one month after the surgery, she presented with a fracture of the medial malleolus and an anterior periprosthetic fracture of the tibia, with anterior dislocation of the tibial prosthetic component...
February 2, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38317385/arterial-stiffness-and-ankle-brachial-index-cross-sectional-study-of-259-primary-care-patients-%C3%A2-50-year-old
#39
JOURNAL ARTICLE
Anna Kamieńska, Aleksandra Danieluk, Marta Maria Niwińska, Sławomir Chlabicz
BACKGROUND Lower-extremity arterial disease (LEAD) is the most common form of peripheral artery disease (PAD), and diagnosis relies on the ankle-brachial index (ABI). The objective of our study was to evaluate the correlation between ABI and arterial stiffness parameters, specifically focusing on PWV. Additionally, we aimed to assess the correlation between PWV and established LEAD risk factors. MATERIAL AND METHODS The study included primary care patients aged ≥50 years. Pulse wave velocity was measured with a Mobil-o-Graph Pulse Wave Analyzer (I...
February 6, 2024: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://read.qxmd.com/read/38277236/patient-characteristics-and-outcomes-of-geriatric-ankle-fractures-open-fracture-is-the-key-risk-factor-for-complications-and-functional-decline
#40
JOURNAL ARTICLE
Mathew Bowers, Canhnghi Ta, Rajiv Siddhartha Vasudevan, Conner Dean Trimm, William T Kent
OBJECTIVES: To determine whether open (O) or closed (C) geriatric ankle fractures had different patient characteristics or outcomes. DESIGN: Retrospective cohort study. SETTING: Urban Level 1 trauma center. PATIENT SELECTION CRITERIA: Patients, age 60 years and older, who underwent operative fixation of a rotational ankle fracture (OTA/AO 44A-C) between January 2012 and September 2021. OUTCOME MEASURES AND COMPARISONS: Morbidity, defined as 90-day reoperation, 90-day readmission, or loss of mobility, as well as 1-year mortality compared between patients with closed and open fractures...
February 1, 2024: Journal of Orthopaedic Trauma
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