 | | Comparison of Outcomes between Open and Arthroscopic Rotato Cuff Repair | Comparison of Outcomes between Open and Arthroscopic Rotato Cuff Repair
Comparison of Outcomes between Open and Arthroscopic Rotato Cuff Repair
Overview
Surgical techniques for rotator cuff repair, namely, open and arthroscopic methods. In this study, a total of 100 patients diagnosed with rotator cuff tears and treated at Seyhan State Hospital in the past five years were enrolled, considering the same inclusion criteria for both groups. (The study groups consisted of 50 patients who underwent open rotator cuff repair and 50 patients who underwent arthroscopic rotator cuff repair).
Rotator cuff tears represent a common cause of shoulder pain and dysfunction, which often requires surgical intervention for definitive treatment. Two primary surgical techniques have been described in the literature: open repair and arthroscopic repair. Both approaches have been extensively studied and are known to have their own specific advantages and disadvantages
This study suggests that, while there are no significant differences in terms of clinical outcomes between the two surgical methods, short-term pain levels may be influenced by the more frequent application of acromioplasty in arthroscopic methods. (Therefore, the choice of the surgical method should be made based on the unique characteristics, including the location and size, the patient’s overall health status, and the surgeon’s experience. (These findings should be used as a guide and not as absolute results).
Author Sharespike | 3 | | R485.00 |  |
| | Causal mechanisms of a scapular stabilization intervention for patients with subacromial pain syndrome: a secondary analysis of a randomized controlled trial | Causal mechanisms of a scapular stabilization intervention for patients with subacromial pain syndrome: a secondary analysis of a randomized controlled trial
Causal mechanisms of a scapular stabilization intervention for patients with subacromial pain syndrome: a secondary analysis of a randomized controlled trial
Overview Causal mediation analysis is one way to bridge this gap by exploring the causal pathways of a given intervention. The aim of this study was to assess whether scapular motion, position, and periscapular muscle strength are mediators for pain and shoulder disability outcomes following a scapular stabilization intervention for patients with subacromial pain syndrome. The results demonstrated that none of the putative mediators were influenced by the intervention. However, muscle strength of serratus anterior, upper, middle, and lower trapezius muscles was associated with shoulder disability. Scapular kinematic and periscapular muscle strength did not mediate the effect of scapular stabilization exercises on shoulder pain or disability scores in subjects with subacromial pain syndrome. Muscle strength of serratus anterior, upper, middle and lower trapezius was associated with shoulder disability scores at 8-weeks follow-up.
Journal Archives of Physiotherapy | 3 | | R485.00 | |
| | 12 weeks high intensity interval training versus moderate intensity continuous training in chronic low back pain subjects: a randomised single-blinded feasibility study | 12 weeks high intensity interval training versus moderate intensity continuous training in chronic low back pain subjects: a randomised single-blinded feasibility study
12 weeks high intensity interval training versus moderate intensity continuous training in chronic low back pain subjects: a randomised single-blinded feasibility study
Overview Currently, very little is known about the effects of an endurance high intensity interval training in chronic low back pain patients. Therefore, the feasibility and safety of the HIIT has to be assessed first before it can be integrated safely into research and daily practice it can be integrated safely into research and daily practice. This study aims to answers the question if high intensity interval training and moderate intensity continuous training (MICT) have comparable adherence and feasibility. After the study it was concluded that there were no differences in adherence rates. HIIT is as feasible as MICT in non-specific chronic low back pain and can be used in future larger trials to deepen the knowledge about HIIT in this specific population.
Journal Archives of Physiotherapy
Citation Cerini T, Hilfiker R, Riegler TF, Felsch QTM. 12 weeks high intensity interval training versus moderate intensity continuous training in chronic low back pain subjects: a randomised single-blinded feasibility study. Arch Physiother. 2022 May 2;12(1):12. doi: 10.1186/s40945-022-00136-3. | 3 | | R465.00 | |
| | Application of Biomechanics Based on Intelligent Technology and Big Data in Physical Fitness Training of Athletes | Application of Biomechanics Based on Intelligent Technology and Big Data in Physical Fitness Training of Athletes
Application of Biomechanics Based on Intelligent Technology and Big Data in Physical Fitness Training of Athletes
Overview
Physical training has a high degree of participation all over the world. With the opening of the era of national fitness, physical training has become more popular from the original specialization, and the complex training methods and contents have gradually become simplified. The development and change of physical training has also brought many problems to the professional training of athletes, such as high training intensity but poor effect, insufficient training posture, and long-term physical injury.
In order to help athletes achieve better results in physical training and reduce the probability of injury, taking sprint training as an example, this article adopted the sports and body data of elite athletes through intelligent technology and big data analysis, established a human motion model from the perspective of biomechanics, and then conducted a corresponding test run experiment for athletes.
In addition to the data analysis brought by the digital age, the study of biomechanics also provides good guidance for physical training. The innovation of this article is that it simplifies the amount of intelligent big data analysis without affecting the research results.
Journal Hindawi Contrast Media and Molecular Imaging
| 3 | | R425.00 | |
| | Diagnostic Accuracy of 3D Ultrasound and Artificial Intelligence for Detection of Pediatric Wrist Injuries | Diagnostic Accuracy of 3D Ultrasound and Artificial Intelligence for Detection of Pediatric Wrist Injuries
Diagnostic Accuracy of 3D Ultrasound and Artificial Intelligence for Detection of Pediatric Wrist Injuries
Wrist trauma is common in children, typically requiring radiography for diagnosis and treatment planning. However, many children do not have fractures and are unnecessarily exposed to radiation. Ultrasound performed at bedside could detect fractures prior to radiography.
Fractures are the third leading cause of pediatric hospitalizations in Canada. Distal radius fractures account for up to 25% of fractures documented in children. Distal radius fractures typically occur in children falling on an outstretched hand and involve the metaphysis or physis. Depending on the area of injury, there can be a multitude of fracture patterns that affect treatment planning. Therefore, when children present to primary care clinics or emergency department (ED) with suspected wrist fractures, radiographs are the standard of care as they allow for precise examination of the anatomy. In most hospitals, routine radiographs are performed on patients with wrist trauma, but only half of the imaging reveals fractures. With the estimated cost of treating pediatric forearm fractures at $2 billion per year in the USA, streamlining care is desirable.,Obtaining radiographs in ED typically involves sending the patient to a separate diagnostic imaging area, where they wait in an additional queue, and transferring them back, a process which can add hours to an ED visit. If clinicians could determine at bedside who has a fracture and requires an X-ray, systemwide radiation doses and costs could be reduced and ED visits shortened.
The high sensitivity of 3D ultrasound and automated AI ultrasound interpretation suggests that ultrasound could potentially rule out fractures in the emergency department.
Journal Children
| 3 | | R485.00 | |
| | A 20-Year Review of Biomechanical Experimental Studies on Spine Implants used for Percutaneous Surgical Repair of Vertebral Compression Fractures | A 20-Year Review of Biomechanical Experimental Studies on Spine Implants used for Percutaneous Surgical Repair of Vertebral Compression Fractures
A 20-Year Review of Biomechanical Experimental Studies on Spine Implants used for Percutaneous Surgical Repair of Vertebral Compression Fractures
A vertebral compression fracture (VCF) is an injury to a vertebra of the spine affecting the cortical walls and/or middle cancellous section. The most common risk factor for a VCF is osteoporosis, thus predisposing the elderly and postmenopausal women to this injury.
This article reviews over 20 years of scientific literature that has experimentally evaluated the biomechanics of percutaneous VCF repair methods. Specifically, this article describes the basic operating principles of the repair methods, the study protocols used to experimentally assess their biomechanical performance, and the actual biomechanical data measured, as well as giving several recommendations for future research directions.
| 3 | | R465.00 | |
| | Motion of lumbar endplate in degenerative lumbar scoliosis with different cobb angle in vivo: Reflecting the biomechanics of the lumbar disc | Motion of lumbar endplate in degenerative lumbar scoliosis with different cobb angle in vivo: Reflecting the biomechanics of the lumbar disc
Motion of lumbar endplate in degenerative lumbar scoliosis with different cobb angle in vivo: Reflecting the biomechanics of the lumbar disc
Degenerative lumbar scoliosis (DLS) was defined as a coronal Cobb angle greater than 10°. DLS is a de novo scoliosis with no previous history and is mainly related to age with an incidence of up to 60%. DLS can cause severe symptoms, such as low back pain, radiculopathy, and neurogenic claudication. The pathogenesis of DLS is both complex and controversial. Intervertebral disc degeneration (DD) has also been implicated in the development of DLS.
This study explored the ROM of the lumbar vertebral endplate in vivo to reflect disc deformation using a dual fluoroscopic imaging system. It was reported that the repeatability of the method in reproducing in vivo human spine 6 degree of freedom. Intervertebral DD is believed to have a detrimental effect on the ROM of the spinal segments in degenerative scoliosis.
The study also aimed to investigate the relationship between DD and the ROM of the lumbar vertebral endplates in patients with DLS. We hypothesized that the ROM of the lumbar endplate would be different in DLS patients with different Cobb angles. DD can increase the ROM of the lumbar vertebral endplate in patients with DLS. | 3 | | R425.00 | |
| | Nerve and Arterial Supply Pattern of the Popliteus Muscle and Clinical Implications | Nerve and Arterial Supply Pattern of the Popliteus Muscle and Clinical Implications
Nerve and Arterial Supply Pattern of the Popliteus Muscle and Clinical Implications
The popliteus muscle (PM) is a small muscle that acts as a major posterolateral stabilizer of the knee joint, rotating the tibia medially under the femur under non-weightbearing conditions. As the PM acts as an important factor in the movement and injury of the knee joint, anatomical studies have been conducted with a focus on the femoral attachment of the muscle.
Muscular spasticity is common in upper motor neuron syndrome. Injection treatment is applied as PM spasticity has been confirmed in many patients with in-toeing. One of the treatment methods, botulinum toxin, is known to have a long-lasting effect when injected into a site where the neuromuscular junction is dense. It is also effective when injected near the motor entry point where the nerve enters the muscle belly. Thus, a suitable injection site is thought to be the tibial region because the muscle belly is the upper portion on the tibial area on the posterior aspect. In this study, we speculated about the injection site of the PM based on the above reasoning. An alternative method is the accurate palpation of the PM, which is necessary for posture correction therapy.
The aim of this study was to investigate the nerve and artery supply and the tibial attachment of the popliteus muscle using anatomical methods.
| 3 | | R485.00 | |
| | The Relationship Between Additional Heads of the Quadriceps Femoris, the Vasti Muscles, and the Patellar Ligament | The Relationship Between Additional Heads of the Quadriceps Femoris, the Vasti Muscles, and the Patellar Ligament
The Relationship Between Additional Heads of the Quadriceps Femoris, the Vasti Muscles, and the Patellar Ligament
Overview
The quadriceps femoris consists of four muscles: the rectus femoris, vastus medialis, vastus intermedius, and vastus lateralis. However, the effect of additional quadriceps femoris heads on the vasti muscles and patellar ligaments is unknown. The quadriceps femoris muscle (QF) is important in locomotion; the rectus femoris (RF) swings the leg forward when a step is taken. During walking or running, quadriceps muscles such as the vastus medialis (VM) stabilize the patella and knee joint. The QF is important in sport owing to its potential for injury, which can be painful and debilitating.
The aims of the present study are to determine the relationship between additional quadriceps femoris heads and the vasti muscles and patellar ligaments and to review the morphology of the vastus lateralis, vastus medialis, and vastus intermedius.
Journal
Hindawi BioMed Research International
| 3 | | R465.00 | |
| | Effectiveness of Extracorporeal Shock Wave Therapy Reduces Leg Cramps in Patients of lumbar Degenerative Disorders: A Retrospective Study | Effectiveness of Extracorporeal Shock Wave Therapy Reduces Leg Cramps in Patients of lumbar Degenerative Disorders: A Retrospective Study
Effectiveness of Extracorporeal Shock Wave Therapy Reduces Leg Cramps in Patients of lumbar Degenerative Disorders: A Retrospective Study
Overview
Muscle cramp is fundamentally a medical problem but also a sociological and an economic one. Muscle cramps which characterized by the painful, involuntary, and paroxysmal contraction of a muscle are common and can occur in a wide range of settings and are a highly distressing condition.
The symptoms lead to a decrease in the quality of life for patients and sometimes disturb the proper functioning of the entire body, stimulating the development of several complications and comorbidities.
The extracorporeal shock wave therapy (ESWT) has been fully utilized in orthopedics, but there are few studies in the treatment of lower limb spasm and pain caused by lumbar degenerative disorders (LDD). This study assesses the influence of ESWT in patients with LDD.
It was concluded that the ESWT is particularly effective effect for patients with LDD. The use of ESWT has a significant long-term influence on the reduction of pain, leg cramps, and the improvement of the general functional state in relation to the conventional motor improvement program.
Journal
Hindawi BioMed Research International
| 3 | | R425.00 | |
| | Joint-Preserving Surgery for Hyperextension Deformity of the Hallux Interphalangeal Joint in a Patient with Rheumatoid Arthritis | Joint-Preserving Surgery for Hyperextension Deformity of the Hallux Interphalangeal Joint in a Patient with Rheumatoid Arthritis
Joint-Preserving Surgery for Hyperextension Deformity of the Hallux Interphalangeal Joint in a Patient with Rheumatoid Arthritis
Overview Sesamoiditis secondary to gout is an extremely rare condition with few case reports in the literature. It is an important differential diagnosis because the treatment depends on targeted therapy, unlike the main causes of sesamoiditis that often involves immobilization with special orthoses and prescription of anti-inflammatory drugs. This here is a case of a 38-year-old male, athlete, with bipartite medial sesamoid, who had insidious pain in the base of the left hallux. Laboratory tests showed no alterations, and imaging examinations demonstrated sesamoiditis with suspicion of stress fracture. The patient was initially prescribed an immobilization boot and analgesic and anti-inflammatory drugs, but he did not respond to the measures taken. After the onset of the same condition in the contralateral foot and getting the same imaging findings, an investigation of systemic disease began, focusing on gout, because of a positive family history, which was confirmed by dual-energy computed tomography.
Authors Takumi Matsumoto, Yuki Shimizu, Song Ho Chang, Taro Kasai, Jun Hirose and Sakae Tanaka
Journal Hindawi Case Reports in Orthopedics | 3 | | R430.00 | |
| | Bilateral Sesamoiditis as First Manifestation of Gout | Bilateral Sesamoiditis as First Manifestation of Gout
Bilateral Sesamoiditis as First Manifestation of Gout
Overview Sesamoiditis secondary to gout is an extremely rare condition with few case reports in the literature. It is an important differential diagnosis because the treatment depends on targeted therapy, unlike the main causes of sesamoiditis that often involves immobilization with special orthoses and prescription of anti-inflammatory drugs. This here is a case of a 38-year-old male, athlete, with bipartite medial sesamoid, who had insidious pain in the base of the left hallux. Laboratory tests showed no alterations, and imaging examinations demonstrated sesamoiditis with suspicion of stress fracture. The patient was initially prescribed an immobilization boot and analgesic and anti-inflammatory drugs, but he did not respond to the measures taken. After the onset of the same condition in the contralateral foot and getting the same imaging findings, an investigation of systemic disease began, focusing on gout, because of a positive family history, which was confirmed by dual-energy computed tomography.
Authors Daniel de Oliveira Beraldo, Sasha Duarte, Gustavo Pacheco, Rodrigo Barbosa, Carolina Mendes, Marcela Silva, Fabiana Beraldo, Andrei Alkmim, Ricardo Teixeira and Alexandre Bonfim
Journal Hindawi Case Reports in Orthopedics | 3 | | R420.00 | |
| | Congenital Unilateral Hypertrophy of the Plantar Musculature with Multiple Toe Deformities: A Case Report and Literature Review | Congenital Unilateral Hypertrophy of the Plantar Musculature with Multiple Toe Deformities: A Case Report and Literature Review
Congenital Unilateral Hypertrophy of the Plantar Musculature with Multiple Toe Deformities: A Case Report and Literature Review
Overview Congenital unilateral hypertrophy of the plantar musculature is a rare condition of unknown incidence. This article reports the unusual case of a 17-year-old man with this rare condition in combination with multiple toe deformities: hallux valgus, claw toe (second toe), and laterally abducted digitus quintus.
This case study is aimed at reporting a detailed description of the present patient and explains the rationale behind our chosen surgical procedure. Moreover, a review of the current literature related to congenital hypertrophy of the plantar musculature is presented to discuss its possible etiology as well as diagnostic and therapeutic regimen.
In summary, the procedure is aimed at relieving the hallux valgus symptoms, correcting its triggering factor, and preventing the patient from further symptomatic foot deformities, while restoring—and not destroying—the physiological muscular function by partial resection.
Authors Matthias Holzbauer, Stefan Rick, Marco Götze and Sébastien Hagmann Journal Hindawi Case Reports in Orthopedics | 3 | | R420.00 | |
| | Fabella Syndrome and Common Peroneal Neuropathy following Total Knee Arthroplasty | Fabella Syndrome and Common Peroneal Neuropathy following Total Knee Arthroplasty
Fabella Syndrome and Common Peroneal Neuropathy following Total Knee Arthroplasty
Overview The fabella is a sesamoid bone in the lateral gastrocnemius that is present in 10-30% of the population. Despite its high prevalence, the fabella rarely causes pathology leading to delayed diagnoses and prolonged patient discomfort when symptomatic. The fabella syndrome is often associated with a snapping or clicking sensation that is exacerbated by aerobic activates. Fabella pathology is rare but increasingly recognized as a source of posterolateral knee pain following TKA. Initially believed to be unique to adolescents, fabella syndrome also affects older adults. When conservative interventions fail, surgical excision for treatment of fabella syndrome or fabella-associated common peroneal neuropathy has improved patient reported outcomes and returns to preinjury level of activities.
Significant mechanical alignment changes may create eccentric mechanical loads across the gastrocnemius tendon and embedded fabella. Furthermore, the correction of a flexion contracture with TKA may affect soft tissues posterior to the knee including the gastrocnemius tendon.
Authors Connor C. Diaz, Avinesh Agarwalla and Brian Forsythe
Journal Hindawi Case Reports in Orthopedics
| 3 | | R460.00 | |
| | Analysis of Dynamic Plantar Pressure before and after the Occurrence of Neurogenic Intermittent Claudication in Patients with Lumbar Spinal Stenosis: An observational study | Analysis of Dynamic Plantar Pressure before and after the Occurrence of Neurogenic Intermittent Claudication in Patients with Lumbar Spinal Stenosis: An observational study
Analysis of Dynamic Plantar Pressure before and after the Occurrence of Neurogenic Intermittent Claudication in Patients with Lumbar Spinal Stenosis: An observational study
Overview Lumbar spinal stenosis (LSS) refers to the nerve compression syndrome, in which the spinal canal narrows and compresses the dural sac, spinal cord, or nerve root. The prevalence of LSS increases with age; it is about 9.3% in the general population and up to 47% in individuals older than 60 years.
Patients with LSS usually seek medical treatment because of walking disorders. The poor walking ability indicates severe compression of the spinal cord and nerve. Many recent studies investigated the gait patterns of patients with LSS. The findings revealed that the walking patterns of patients with LSS were different from those of ordinary subjects, mainly manifested by wide-based gait, increased gait variability, and balance disturbances.
In conclusion the results revealed that differences in the distribution of plantar pressure include patients with LSS that could present the posture of the lumbar forward flexion when walking and that the occurrence of NIC could affect the plantar pressure distribution of the patients with LSS, predicting the patient’s risk of falling to the anterior direction and to the symptomatic side. It is promising to provide a new objectively method for evaluating the walking capabilities of patients with LSS.
| 3 | | R425.00 | |
| | Self-reported use of family physician, chiropractor and physiotherapy services among adult Canadians with chronic back disorders: an observational study | Self-reported use of family physician, chiropractor and physiotherapy services among adult Canadians with chronic back disorders: an observational study
Self-reported use of family physician, chiropractor and physiotherapy services among adult Canadians with chronic back disorders: an observational study
Overview Chronic back disorders (CBD) are prevalent, costly, and among the most common reasons for seeking primary care; however, little is known regarding the comparative use of family physician, chiropractic, and physiotherapy services among people with CBD in Canada. Elucidating these differences may identify potential gaps in access to care and inform the development of strategies to improve access. The research objectives were to investigate patterns of health care use and to profile factors associated with self-reported use of family physicians, chiropractors, and physiotherapists among adult Canadians with CBD. This complex survey employs population weights and bootstrapping to be representative of the Canadian population. Following descriptive analyses, we used multiple logistic regression to profile self-reported health care use while statistically controlling for possible confounding effects. After adjustment, differential patterns of utilization were evident between provider groups with respect to age, gender, socioeconomic status, rural/urban residence, functional limitations, and presence of co-morbidities.
Acknowledgment Authors: Brenna Bath, Josh Lawson, Dennis Ma and Catherine Trask Journal BMC Health Services Research
| 3 | | R465.00 | |
| | Effectiveness of an Eye-Cervical Re-Education Program in Chronic Neck Pain: A Randomized Clinical Trial | Effectiveness of an Eye-Cervical Re-Education Program in Chronic Neck Pain: A Randomized Clinical Trial
Effectiveness of an Eye-Cervical Re-Education Program in Chronic Neck Pain: A Randomized Clinical Trial
Overview:
Proprioceptive training is popularly applied as a therapeutic exercise method in physiotherapy. Its effects on pain and range of motion are only poorly evaluated. Adults with neck pain commonly experience hyperalgesia of cervical muscles, as evidenced by a reduced pressure pain threshold (PPT). Pain symptoms are thought to worsen in response to prolonged static muscle activity and/or repetitive job tasks, causing muscle metabolic disturbances. The reduced range of neck motion (ROM) is another objective finding widely investigated in CNP. It could be argued that the optimal functioning of the cervical musculature is related to the ROM; changes in neck muscle activation that result in an altered stiffness distribution may affect cervical passive stability as well as the passive and active ROM.
This study assesses the effectiveness of proprioceptive training with an Eye-Cervical Re-education Program to decrease pain and increase the joint range in chronic neck pain patients. All patients were treated with a multimodal physiotherapy intervention. The experimental group was supplemented with an exercise program that included eye-cervical proprioception.
In conclusion the eye-cervical re-education program is effective at relieving pain pressure thresholds in the upper trapezius, right levator scapula, and left splenius capitis and especially effective for increasing the cervical range of motion.
Acknowledgments: Authors: Veronica Perez-Cabezas, Carmen Ruiz-Molinero, Jose Jesus Jimenez-Rejano, Gema Chamorro Moriana, Gloria Gonzalez-Medina and Raquel Chillon-Martinez
Journal: Evidence-Based Complementary and Alternative Medicine | 3 | | R410.00 | |
| | Eliciting Emotion and Action Increases Social Media Engagement: An Analysis of Influential Orthopaedic Surgeons | Eliciting Emotion and Action Increases Social Media Engagement: An Analysis of Influential Orthopaedic Surgeons
Eliciting Emotion and Action Increases Social Media Engagement: An Analysis of Influential Orthopaedic Surgeons
Overview The purpose of this study is to analyse the Instagram practices of current orthopaedic surgeons and the components associated with highest reach and interactions. The top 25 orthopaedic surgeon Instagram profiles using the hashtag #ortho were ranked by the number of followers. Account information regarding followers, posts, engagement percentage, average likes, average comments, average video view, average video likes, average video comments, and estimated cost per post was recorded using social media marketing tools. An analysis of each Instagram profiles’ top 10 posts, based on number of likes, was conducted. The present investigation found that the most effective strategies to generate more interactions on Instagram are those that elicit emotional responses and provoke viewer engagement by asking questions and directing actions. Additionally, it was found that promotional content was not well received by viewers
Authors Muhammad J. Abbas, B.S., LafiS. Khalil, M.D., Abdulah Haikal, B.A., Miriam E. Dash, M.S.,Gauthier Dongmo, B.S., and Kelechi R. Okoroha, M.D Journal Arthroscopy, Sports Medicine, and Rehabilitation | 3 | | R420.00 | |
| | Previous History of Knee Arthroscopy in Patients Undergoing Total Knee Arthroplasty: An Examination of the Effect of the Literature and American Academy of Orthopaedic Surgeons 2013 Arthroscopy Guidelines on Clinical Practice | Previous History of Knee Arthroscopy in Patients Undergoing Total Knee Arthroplasty: An Examination of the Effect of the Literature and American Academy of Orthopaedic Surgeons 2013 Arthroscopy Guidelines on Clinical Practice
Previous History of Knee Arthroscopy in Patients Undergoing Total Knee Arthroplasty: An Examination of the Effect of the Literature and American Academy of Orthopaedic Surgeons 2013 Arthroscopy Guidelines on Clinical Practice
Overview The purpose of this study was to compare the rate of previous knee arthroscopy in patients undergoing total knee arthroplasty (TKA) before (2005-2006) and after (2018) publication of landmark studies that examined the effectiveness of knee arthroscopy as well as the American Academy of Orthopaedic Surgeons 2013 knee arthroscopy guidelines. In this study a retrospective chart review of 214 patients who underwent a TKA between 2005 and 2006 (Group 1) and 213 patients who underwent a TKA in 2018 (Group 2) was performed. The medical records were to determine whether previous knee arthroscopy was performed. The findings suggests that the recommendations set forth by landmark clinical trials that examined the effectiveness of knee arthroscopy and the AAOS 2013 knee arthroscopy guidelines did not have a sudden impact within the geographic region, however there is significant evidence to suggest a gradual shift in treatment, where knee arthroscopy is withheld near imminent knee arthroplasty.
Authors Melissa A. Kluczynski, M.S.., Griffin Lunn, Matthew J. Phillips, M.D., andJohn M. Marzo, M.D
Journal Arthroscopy, Sports Medicine, and Rehabilitation | 3 | | R485.00 | |
| | Social Media Use Among Academic Hand Surgeons | Social Media Use Among Academic Hand Surgeons
Social Media Use Among Academic Hand Surgeons
Overview Social media has become increasingly prevalent among the general population in the past decade. We examined the current prevalence of social media use among academic orthopedic-trained and plastic surgery-trained hand surgeons in the United States. All publicly available hand surgery faculty across the nation were analyzed for their public social media usage, including Instagram, Facebook, Twitter, LinkedIn, and personal websites. Comparisons of social media usage between orthopedic-trained and plastic surgery-trained hand surgeons, male and female academic hand surgeons, hand surgeons from different regions of the United States (East, West, Midwest, and South), and years of experience were analyzed. Despite the widely known use of social media among plastic and aesthetic surgeons, this study shows the use of web-based marketing strategies to be quite rare in the academic hand surgery setting. The study shows that throughout the United States, academic hand surgeons use social media at low rates. It is suggested that academic plastic surgery and orthopedic hand surgeons throughout the United States consider having a larger social media presence to expand advertising, improve patient education, and enhance networking among their practices. Social media can be a valuable tool and will likely only increase in popularity in the coming years.
Authors Nihaal Reddy BS, Tyler Evans MD, Ryan Jefferson MD, Austin J. Roebke MD, Sonu A. Jain MD Journal Journal of Hand Surgery Global Online | 3 | | R450.00 | |
| | Analgesic Effect of Extracorporeal Shock Wave Treatment Combined with Fascial Manipulation Theory for Adhesive Capsulitis of the Shoulder: A Retrospective Study | Analgesic Effect of Extracorporeal Shock Wave Treatment Combined with Fascial Manipulation Theory for Adhesive Capsulitis of the Shoulder: A Retrospective Study
Analgesic Effect of Extracorporeal Shock Wave Treatment Combined with Fascial Manipulation Theory for Adhesive Capsulitis of the Shoulder: A Retrospective Study
Overview: Shoulder pain is a common musculoskeletal malady, and one of the most prevalent causes of shoulder pain is adhesive capsulitis of the shoulder (AC), which may be associated with minor trauma, environmental stresses, autoimmune processes, or disease like diabetes mellitus.
During recent years, the critical role of the fascia in the pathogenesis of musculoskeletal pain and dysfunction has gradually been accepted, and there is a prevailing view that the myofascial system is a three-dimensional continuum wherein musculoskeletal disorders may be caused by changes in the deep muscle fascia, such as lack of sliding, stretching, and appropriate adaptation.
This study aims to explore whether extracorporeal shockwave treatment (ESWT) based on the theory of fascial manipulation (FM) at select treatment points is superior to traditional local ESWT for pain relief in adhesive capsulitis of the shoulder.
Acknowledgments: Authors: Xiangnan Yuan, Fenghua Zhou, Lixin Zhang, Zhiqiang Zhang and Jianjun Li
Journal: BioMed Research International 2018 | 3 | | R420.00 | |
| | Effect of Deep Cervical Flexor Muscle Training Using Pressure Biofeedback on Pain and Forward Head Posture in School Teachers with Neck Pain: An Observational Study | Effect of Deep Cervical Flexor Muscle Training Using Pressure Biofeedback on Pain and Forward Head Posture in School Teachers with Neck Pain: An Observational Study
Effect of Deep Cervical Flexor Muscle Training Using Pressure Biofeedback on Pain and Forward Head Posture in School Teachers with Neck Pain: An Observational Study
Overview: Teaching is one of the professions where incidence and prevalence of neck pain is high. Prolonged use of computers, which has further increased due to online teaching amid pandemic, is known to cause neck pain and alter posture, while people with forward head posture (FHP) are prone to develop neck pain and related disability. Research has shown that impairment of deep cervical flexor (DCF) muscles leads to insufficiency in coordination, activation, overload, and poor support on cervical structures that further lead to development of neck pain and altered neck posture. The objective of this study was to see the effect of DCF muscle training using pressure biofeedback on pain and FHP in schoolteachers with neck pain.
This observational study was conducted at medical center in school premises. Fifty-five schoolteachers aged between 25 and 40 years with experience of more than 5 years were invited to participate in this study. Pain and FHP were assessed using NPRS and cranio-vertebral angle using digital photograph technique, respectively, at baseline and end of four weeks of treatment.
This study shows that although pain and FHP improved following conventional exercises in schoolteachers with neck pain, mean improvement was more significant among those who received additional DCF muscle training using pressure biofeedback.
Acknowledgments:
Authors: Ahmad H. Alghadir and Zaheen A. Iqbal
Journal: BioMed Research International | 3 | | R465.00 | |
| | HIV and Aids | HIV and Aids
Overview
HIV disease is caused by infection with HIV-1 or HIV-2, which are retroviruses in the Retroviridae family, Lentivirus genus. Human immunodeficiency virus (HIV) is a blood-borne virus typically transmitted via sexual intercourse, shared intravenous drug paraphernalia, and mother-to-child transmission (MTCT), which can occur during the birth process or during breastfeeding. The patient with HIV may present with signs and symptoms of any of the stages of HIV infection. No physical findings are specific to HIV infection; the physical findings are those of the presenting infection or illness. Examples of manifestations include acute seroconversion manifests as a flulike illness, consisting of fever, malaise, generalized rash, generalized lymphadenopathy is common and may be a presenting symptom. This course covers the screening, diagnosis, medication and management of Aids.
Author: Sharespike | 3 | | R425.00 | |
| | SOPEZ: Study for the optimization of ergonomics in the dental practice - musculoskeletal disorders in dentists and dental assistants: a study protocol | SOPEZ: Study for the optimization of ergonomics in the dental practice - musculoskeletal disorders in dentists and dental assistants: a study protocol
SOPEZ: Study for the optimization of ergonomics in the dental practice - musculoskeletal disorders in dentists and dental assistants: a study protocol
Overview: Musculoskeletal disorders (MSD) are common among dental professionals. The most common areas affected are the trunk, neck, shoulders and wrists. Current evidence suggests that the causes of MSD can be found in the physical demands of the profession. Posture and movement during treatment is influenced by the arrangement of the treatment concept (patient chair, equipment and cabinets). It has not been investigated whether the ergonomic risk differs between the treatment concepts. For the first time, objective and differentiated comparisons between the four treatment concepts are possible for different fields of dental specialization. Up to now, statically held positions of the trunk and proximal upper extremities, but also the repetitive movements of the hands have been considered a risk for MSD. Since both are included in the RULA, dental activities can be assessed in a detailed but also global manner with regard to ergonomic risks.
Authors: Ohlendorf et al. Journal: Journal of Occupational Medicine and Toxicology
| 3 | | R425.00 | |
| | Effects of the Multidimensional Treatment on Pain, Disability, and Sitting Posture in Patients with Low Back Pain: A Randomized Controlled Trial | Effects of the Multidimensional Treatment on Pain, Disability, and Sitting Posture in Patients with Low Back Pain: A Randomized Controlled Trial
Effects of the Multidimensional Treatment on Pain, Disability, and Sitting Posture in Patients with Low Back Pain: A Randomized Controlled Trial
Overview
The purpose of this study was to investigate the effects of multidimensional approach model on the pain, disability, and sitting posture in patients with nonspecific low back pain (LBP). Sixty LBP patients were recruited and were randomly divided into two groups: multidimensional treatment (MT) group and unimodal treatment (UT) group. All participants underwent 48 sessions of treatment (40 min/session, two sessions per day, 2 days per week) for 12 weeks.
The MT group conducted a core stability exercise twice a day and additionally provided training on pain principles and management methods. The UT group only performed a core stability exercise twice a day. The visual analogue scale (VAS) and Oswestry Disability index (ODI) were used to measure pain intensity and disability. Thoracolumbar kyphosis and lumbar lordosis in the sitting position were measured using a motion capture system. After training, the pain and disability in the MT group improved significantly greater than the UT group (p < 0.05). In the MT group, the pain relief effect persisted 3 months after the end of training. Thoracolumbar kyphosis and lumbar lordosis in the MT group were significantly improved compared to the UT group (p < 0.05). Thus, MT combined with core stability exercise may be used to improve the pain, disability, and sitting posture in patients with LBP.
Authors Tae-Sung In, Jin-Hwa Jung, Kyoung-Sim Jung and Hwi-Young Cho
Journal Hindawi Pain Research and Management | 3 | | R465.00 | |
| | Studying the Bulging of a Lumbar Intervertebral Disc: A Finite Element Analysis | Studying the Bulging of a Lumbar Intervertebral Disc: A Finite Element Analysis
Studying the Bulging of a Lumbar Intervertebral Disc: A Finite Element Analysis
Overview The nucleus pulposus is a crucial compartment of the intervertebral disc. Low back pain is usually connected to the disc situation, how healthy the disc is, and it is also associated with the nucleus pulposus condition. Besides, the bulging (deformation) at the disc plays a vital role in patients suffering from disc degeneration. Increasing bulging causes to increase shear stresses at the annulus fibrosus and eventually leads to surgical intervention if classical treatments do not alleviate the pain. Therefore, knowing the behaviour of bulging in the intervertebral disc helps to prevent severe damage to the disc and contributes to finding a feasible treatment for damaged discs. In this study, a three-dimensional finite element (FE) model was used to investigate the bulging in the lumbar disc due to changing the nucleus pulposus status. The model resembles the overall anatomic geometry of the human spinal functional unit of the lumbar region, but without the posterior element. The findings showed that bulging direction in the disc agrees with literature data and removing the nucleus pulposus significantly affects the response of the disc
Authors Hassan Mansour Raheema, Mohanad Aljanabi
Journal Procedia Structural Integrity | 3 | | R410.00 | |
| | Tissue Stiffness is Not Related to Pain Experience: An Individually Controlled Study in Patients with Chronic Neck and Back Pain | Tissue Stiffness is Not Related to Pain Experience: An Individually Controlled Study in Patients with Chronic Neck and Back Pain
Tissue Stiffness is Not Related to Pain Experience: An Individually Controlled Study in Patients with Chronic Neck and Back Pain
Overview Massage therapies such as cupping are often applied in patients with chronic neck and back pain with the assumption that they can reduce increased tissue stiffness and, therefore, improve pain. The aim of this study was to clarify whether tissue stiffness is related to pain experience in patients with chronic (>3 months) back and neck pain and whether it can be altered by a cupping massage.
The stiffness of the point of subjectively felt maximum pain intensity of 40 patients with neck (n = 20) or lower back pain (n = 20) was measured by a myometer. Exact contralateral side served as an individual control. Side of higher stiffness was then treated with a cupping massage. 5, 10, 15, and 20 minutes as well as 24 hours after treatment, tissue stiffness was measured again. Patients rated their pain on a standardized pain questionnaire (neck pain disability score (NDI) or Oswestry disability index (ODI), respectively) before and 24 hours after treatment. Results. Compared to the contralateral control side, the more painful side did not exhibit an increased stiffness of myofascial tissue before treatment (p = 0.827). The tissue stiffness and the side difference between treated and nontreated control sides decreased significantly after cupping but returned to baseline after 24 hours. NDI and ODI scores significantly decreased 24 hours after cupping
It was found that tissue stiffness might not be related to pain experience in patients with chronic neck and lower back pain.
Authors Ann-Kathrin Lederer, Christian Maly, Tomas Weinert, and Roman Huber Journal Hindawi Evidence-Based Complementary and Alternative Medicine | 3 | | R410.00 | |
| | Impact of Neck and Shoulder Pain on Health-Related Quality of Life in a Middle-Aged Community-Living Population | Impact of Neck and Shoulder Pain on Health-Related Quality of Life in a Middle-Aged Community-Living Population
Impact of Neck and Shoulder Pain on Health-Related Quality of Life in a Middle-Aged Community-Living Population
Overview Neck and shoulder pain (NSP) is very common in the general population. However, scarce information exists on the relationship between NSP and health-related quality of life (HRQOL) outcomes in this population. The present study described NSP prevalence and its impact on the HRQOL of middle-aged and older persons undergoing a routine medical check-up.
This study recruited 318 subjects (125 males and 193 females; average age, 63.4 years) in good health, collected underwent anthropometric measurements, physical function examinations, and blood testing. Study subjects were divided into two groups (NSP (+) and NSP (-) groups). The subjects completed questions on the Medical Outcomes Study 36-item short-form health survey (SF-36) and the EuroQol 5-dimension, 5-level version (EQ-5D-5L) tool.
After the results were documented, it was concluded that NSP prevention or intervention for NSP may improve middle-aged and older adults’ QOL.
Authors Masaaki Machino, Kei Ando, Kazuyoshi Kobayashi, Hiroaki Nakashima, Masayoshi Morozumi, Shunsuke Kanbara, Sadayuki Ito, Taro Inoue, Hiroyuki Koshimizu, Taisuke Seki, Shinya Ishizuka, Yasuhiko Takegami Yukiharu Hasegawa, and Shiro Imagama Journal Hindawi BioMed Research International | 3 | | R410.00 | |
| | Differences in Nonspecific Low Back Pain Between Young Adult Females with and without Lumbar Scoliosis | Differences in Nonspecific Low Back Pain Between Young Adult Females with and without Lumbar Scoliosis
Differences in Nonspecific Low Back Pain Between Young Adult Females with and without Lumbar Scoliosis
Overview There is no consensus as to whether NSLBP in scoliosis patients is related to scoliosis per se or is just a normal symptom that could happen in anyone. The aim of this study was to compare the differences in NSLBP between young adult female patients with and without lumbar scoliosis and to provide a theoretical basis for differential treatment of NSLBP in patients with and without lumbar scoliosis.
Ninety female young adults with NSLBP were divided into scoliosis and non-scoliosis groups. Characteristics of pain, lumbar mobility, muscle strength, Cobb angle, axial trunk rotation (ATR) angle, and surface electromyography (SEMG) signal were compared between the two groups. After the various results, it was concluded that the characteristics of NSLBP experienced by patients with lumbar scoliosis were distinct from those of NSLBP experienced by non-scoliotic patients. The treatment of NSLBP in scoliotic patients should be different from that in non-scoliotic patients.
Authors WangshuYuan1 JianxiongShen2 LixiaChen1 HaiWang2 Keyi Yu2 HuiCong1 Jingya Zhou3 and Youxi Lin2
Journal Hindawi Pain Research and Management
| 3 | | R435.00 | |
| | Comparison of Whole-Body Electromyostimulation versus Recognized Back-Strengthening Exercise Training on Chronic Nonspecific Low Back Pain: A Randomized Controlled Study | Comparison of Whole-Body Electromyostimulation versus Recognized Back-Strengthening Exercise Training on Chronic Nonspecific Low Back Pain: A Randomized Controlled Study
Comparison of Whole-Body Electromyostimulation versus Recognized Back-Strengthening Exercise Training on Chronic Nonspecific Low Back Pain: A Randomized Controlled Study
Overview Due to changing living and working conditions the incidence of nonspecific low back pain (LBP) is increasing continuously worldwide. Low back pain (LBP) affects almost everyone at least once in their lifetime. Various meta-analyses show promising effects on pain reduction for conventional exercise. However, the lack of time and, especially for pain patients, a fear of movement (“kinesiophobia”) as well as functional limitations often oppose participation in such activities. The aim of this randomized controlled trial is to compare WB-EMS with a recognized back-strengthening exercise protocol to determine the corresponding effects on chronic, nonspecific LBP in people suffering from this.
This randomized, controlled multicenter study is focused on novel and time-effective training technologies and LBP. In this contribution, the focus is primarily on the comparison of WB-EMS against a comparable conventional exercise training (CT). Two groups were chosen to complete a12-week program (WB-EMS: 1 × 20 min/week vs. CT: 1 × 45 min/week) specifically dedicated to LBP. The selection of the content of the active control group was based on the principles of WB-EMS training, which uses electrical stimulation to train mainly strength and stabilization in a very short time. Exercises were similar in all groups, with the focus on strengthening and stabilizing the trunk. Outcome measures were assessed by a four-week pain diary (before and during the last four weeks of intervention) as well as an isometric maximum strength measurement of the trunk muscles at baseline and after 12 weeks of intervention.
In summary, both, WB-EMS and conventional back-strengthening protocol are comparably effective in reducing nonspecific chronic LBP in this dedicated cohort. The result is particularly positive in terms of time effectiveness and offers an adequate alternative for people with limited time resources or other barriers to conventional training methods.
Authors WangshuYuan1 JianxiongShen2 LixiaChen1 HaiWang2 Keyi Yu2 HuiCong1 Jingya Zhou3 and Youxi Lin2
Journal Hindawi Pain Research and Management | 3 | | R465.00 | |
| | Comparison of Treatments for Frozen Shoulder | Comparison of Treatments for Frozen Shoulder
Comparison of Treatments for Frozen Shoulder
Overview There is a myriad of available treatment options for patients with frozen shoulder, which can be overwhelming to the treating health care professional. To assess and compare the effectiveness of available treatment options for frozen shoulder to guide musculoskeletal practitioners and inform guidelines, DATA SOURCES Medline, EMBASE, Scopus, and CINHAL were searched in February 2020. Pain and function were the primary outcomes, and external rotation range of movement (ER ROM) was the secondary outcome. Results of pairwise metanalyses were presented as mean differences (MDs) for pain and ER ROM and standardized mean differences (SMDs) for function. Length of follow-up was divided into short-term (12 weeks), mid-term (>12 weeks to 12 months), and long-term (>12 months) follow-up.
From a total of 65 eligible studies with 4097 participants that were included in the systematic review, 34 studies with 2402 participants were included in pairwise meta-analyses and 39 studies with 2736 participants in network meta-analyses. Despite several statistically significant results in pairwise meta-analyses, only the administration of intra-articular (IA) corticosteroid was associated with statistical and clinical superiority compared with other interventions in the short term for pain (vs no treatment or placebo. The findings of this study suggest that the early use of IA corticosteroid in patients with frozen shoulder of less than 1-year duration is associated with better outcomes. This treatment should be accompanied by a home exercise program to maximize the chance of recovery
Authors Dimitris Challoumas, MD; Mairiosa Biddle, MD; Michael McLean, MD; Neal L. Millar, MD, PhD
Journal JAMA Network Open. | 3 | | R465.00 | |
| | A Randomized Comparative Study between High-Intensity and Low-Level Laser Therapy in the Treatment of Chronic Nonspecific Low Back Pain | A Randomized Comparative Study between High-Intensity and Low-Level Laser Therapy in the Treatment of Chronic Nonspecific Low Back Pain
A Randomized Comparative Study between High-Intensity and Low-Level Laser Therapy in the Treatment of Chronic Nonspecific Low Back Pain
Overview
Chronic nonspecific low back pain (chronic nsLBP) is one of the most common musculoskeletal disorders leading to disabilities and physical inactivity. Laser therapy was used in chronic nsLBP treatment; however, no previous studies have assessed the impacts of high-intensity laser therapy (HILT) versus low-level laser therapy (LLLT) on chronic nsLBP.) This study compared the effects of HILT versus LLLT on individuals suffering from chronic nsLBP. Methods.) The study was a randomized control trial. Sixty individuals with chronic nsLBP were enrolled between May and November 2019. All participants were clinically diagnosed with chronic nsLBP.) They were assigned randomly into three groups, 20 in each group.) The first group received a program of LLLT, the second group received a program of HILT, and the third did not receive laser therapy (control group). Pain severity, disability, lumbar mobility, and quality of life were assessed before and after 12-week intervention. It was concluded that there are no different influences of LLLT versus HILT on chronic nsLBP patients. Both LLLT and HILT reduce pain and disability and improve lumbar mobility and quality of life in chronic nsLBP patients.
Authors Walid Kamal Abdelbasset, Gopal Nambi, Saud F. Alsubaie, AhmedM. Abodonya, Ayman K. Saleh, Nahla N. Ataalla, Ahmed A. Ibrahim, Sayed A. Tantawy, Dalia M. Kamel, Anju Verma and Samah A. Moawd
Journal Hindawi Evidence-Based Complementary and Alternative Medicine | 3 | | R435.00 | |
| | Imagined and Actual Acupuncture Effects on Chronic Low Back Pain: A Preliminary Study | Imagined and Actual Acupuncture Effects on Chronic Low Back Pain: A Preliminary Study
Imagined and Actual Acupuncture Effects on Chronic Low Back Pain: A Preliminary Study
Overview
Research suggests that imagined experiences can produce brain responses similar to those produced by actual experiences. Shared brain responses that support both imagination and perception may underlie the functional nature of mental imagery. In a previous study, acupuncture and imagery were combined to develop a new treatment method, video-guided acupuncture imagery treatment (VGAIT). We found that VGAIT significantly increased pain thresholds in healthy subjects. The aim of this study is to extend our previous finding by investigating whether VGAIT can relieve symptoms in patients with chronic low back pain. The study showed the results of all three treatments (VGAIT, real, and sham acupuncture) significantly reduced pain severity as measured by a low back pain bothersomeness score. VGAIT produced similar effects to real acupuncture (p = 0:97) and non-significantly greater pain bothersomeness relief compared to sham acupuncture (p = 0:14). Additional analysis showed that there was no significant difference on the sensations evoked by different treatment modalities. In conclusion these findings support VGAIT as a promising method for pain management.
Authors Jin Cao, Scott P. Orr, Georgia Wilson, and Jian Kong
Journal Hindawi Neural Plasticity
| 3 | | R465.00 | |
| | Intra-Articular versus Subacromial Corticosteroid Injection for the Treatment of Adhesive Capsulitis: A Meta-Analysis and Systematic Review | Intra-Articular versus Subacromial Corticosteroid Injection for the Treatment of Adhesive Capsulitis: A Meta-Analysis and Systematic Review
Intra-Articular versus Subacromial Corticosteroid Injection for the Treatment of Adhesive Capsulitis: A Meta-Analysis and Systematic Review
Overview
Adhesive capsulitis is one of the most well-known causes of pain and stiffness of the shoulder. Corticosteroid injections have been used for many years. However, it is still controversial where corticosteroid should be injected, whether subacromial or intra-articular.
The objective of this meta-analysis was to compare the effects of intra-articular (IA) and subacromial (SA) corticosteroid injections for the treatment of adhesive capsulitis. The Cochrane risk of bias tool and PEDro score were used to evaluate the quality of the studies. The primary clinical outcomes including VAS, Constant score, ASES score, and ROM were collected. The secondary outcome of corticosteroid-related adverse reactions was also compared between the two groups. The results were evaluated and compared at five time points. All studies were of low risk of bias and medium-high quality with the PEDro score =5 points. It was concluded that when corticosteroid injection is used to treat adhesive capsulitis, both injection sites can be selected.
Authors Xiaoke Shang, Zhong Zhang, Xuelin Pan, Jian Li and Qi Li
Journal Hindawi Biomedical Research International | 3 | | R425.00 | |
| | Incidence and Risk Factors of Low Back Pain in Marathon Runners | Incidence and Risk Factors of Low Back Pain in Marathon Runners
Incidence and Risk Factors of Low Back Pain in Marathon Runners
Overview The occurrence of low back pain (LBP) in marathon runners has been poorly understood. This study aimed to describe the risk factors and identify whether these factors can cause LBP in these athletes by using a self-developed questionnaire which was randomly distributed to 850 runners of running a half or a full marathon. Participants responded with the questionnaire focusing on previous training and running conditions after their competitions. In the final models, risk factors, including warm-up activities, fatigue, running gait posture, and environmental temperature, were significantly associated with LBP in marathoners. It was concluded that although LBP was uncommon in marathoners, it was linked to the factors such as insufficient warm-up activities, fatigue, poor running gait posture, and uncomfortable environmental temperature. Although future studies may be necessary these findings could still be useful for protecting the lower back area of runners clinically. Authors Bao Wu, 1,2 Chang-Cheng Chen , 2 Juan Wang , 2 and Xue-Qiang Wang Journal Hindawi Pain Research and Management Volume 2021, Article ID 666030 | 3 | | R465.00 | |
| | Preretinal hemorrhage following chiropractor neck manipulation | Preretinal hemorrhage following chiropractor neck manipulation
Preretinal hemorrhage following chiropractor neck manipulation
Overview The purpose of this study is to report a case of a new complication following complementary and alternative medicine chiropractor neck manipulation with multiple preretinal haemorrhages. A 59-year-old Caucasian female presented with the acute, painless constant appearance of 3 spots in her vision immediately after a chiropractor performed cervical spinal manipulation using the high-velocity, low-amplitude technique. Examination multiple unilateral preretinal haemorrhages with no retinal tears. The preretinal haemorrhages were self-limited and resolved by 2 months later. In conclusion, the Chiropractor neck manipulation has previously been reported leading to complications related to the carotid artery and arterial plaques. This presents the ?rst case of multiple unilateral preretinal haemorrhages immediately following chiropractic neck manipulation. This suggests that chiropractor spinal adjustment cannot only a?ect the carotid artery, but also could lead to preretinal haemorrhages.
Acknowledgement Authors Yannis M. Paulusa and Nicholas Belillb Journal American Journal of Ophthalmology
| 3 | | R435.00 | |
| | Locked-In Syndrome Following Cervical Manipulation by a Chiropractor: A Case Report | Locked-In Syndrome Following Cervical Manipulation by a Chiropractor: A Case Report
Locked-In Syndrome Following Cervical Manipulation by a Chiropractor: A Case Report
Overview Vertebrobasilar occlusion poses difficult diagnostic issues and even when properly diagnosed has a poor prognosis. Newer studies highlight a better outcome when thrombectomy was carried out between six and twenty-four hours after an initial diagnosis of stroke. This paper reports a case where a patient suffered a vertebrobasilar stroke secondary to a traumatic bilateral vertebral arteries dissection was treated with late thrombectomy. A 34-year-old woman was manipulated on the cervical spinal column by a chiropractor. Following three weeks of cervical pain, she presented with severe aphasia and quadriplegia (NIHSS = 28). An MRI scan indicated ischemia of the vertebrobasilar system. Thirty-one hours after the onset of these symptoms, a thrombectomy was performed. After one month, the patient could move her head and the proximal part of her limbs but remained confined to bed (NIHSS = 13). In conclusion, the current case illustrates the benefit of late mechanical thrombectomy for a posterior cerebral circulation infarct. Although there was a delay in treatment, partial recovery ensued. Acknowledgments
Authors Guillaume Giordano Orsini, Giorgios-Emmanouil Metaxas, Vincent Legros Journal
The Journal of Critical Care
| 3 | | R410.00 | |
| | Experiences with Chiropractic Care for Patients with Low Back or Neck Pain | Experiences with Chiropractic Care for Patients with Low Back or Neck Pain
Experiences with Chiropractic Care for Patients with Low Back or Neck Pain
Overview Musculoskeletal disorders are the second leading cause of disability worldwide. The objective is to examine experiences of chiropractic patients in the United States with chronic low back or neck pain. Observational study of 1853 chronic low back pain and neck pain patients (74% female) who completed an online questionnaire at the 3-month follow-up that included Consumer Assessment of Healthcare Providers and Systems (CAHPS) items assessing their experiences with care. Similar reports of communication for the chiropractic sample and patients in the 2016 CAHPS National Database was found, but 85% in the database versus 79% in the chiropractic sample gave the most positive response to the time spent with provider item. More patients in the CAHPS database rated their provider at the top of the scale (8 percentage points). More chiropractic patients reported always getting answers to questions the same day (16 percentage points) and always being seen within 15 minutes of their appointment time (29 percentage points). In conclusion the positive experiences of patients with chronic back and neck pain are supportive of their use of chiropractic care. Acknowledgement
Authors: Ron D Hays, PhD1, Cathy D Sherbourne, PhD2, Karen L Spritzer, BS1, Lara G Hilton, PhD, MPH2,3, Gery W Ryan, PhD2, Ian D Coulter, PhD2,4, and Patricia M Herman, ND, PhD2
Journal Journal of Patient Experience | 3 | | R410.00 | |
| | PRP Injections for the Treatment of Knee Osteoarthritis: A Meta-Analysis of Randomized Controlled Trials | PRP Injections for the Treatment of Knee Osteoarthritis: A Meta-Analysis of Randomized Controlled Trials
PRP Injections for the Treatment of Knee Osteoarthritis: A Meta-Analysis of Randomized Controlled Trials
Overview Blood derivatives are increasingly used to modulate the intraarticular environment, aiming at reducing inflammatory distress and stimulating anabolism in different tissues. In particular, products with an increased concentration of platelets have been developed to address osteoarthritis (OA), based on positive in vitro findings suggesting the potential of platelet-derived growth factors (GFs). Platelet concentrates (platelet-rich plasma [PRP]) are therefore a simple, low-cost, and minimally invasive way to obtain a natural concentration of these GFs and bioactive molecules.
The purpose of these trials was to evaluate effectiveness, in terms of patient-reported outcome measures, of platelet-rich plasma (PRP) injections for knee osteoarthritis compared to placebo and other intraarticular treatments.
It was conclusive that the effect of platelet concentrates goes beyond its mere placebo effect, and PRP injections provide better results than other injectable options. This benefit increases over time, being not significant at earlier follow-up but becoming clinically significant after 6 to 12 months.
Authors Giuseppe Filardo, Davide Previtali, Francesca Napoli, Christian Candrian, Stefano Zaffagnini, and Alberto Grassi
Journal Sage Journals - Cartilage
| 3 | | R385.00 | |
| | The effectiveness of routine physiotherapy with and without neuromobilization on pain and functional disability in patients with shoulder impingement syndrome; a randomized control clinical trial | The effectiveness of routine physiotherapy with and without neuromobilization on pain and functional disability in patients with shoulder impingement syndrome; a randomized control clinical trial
The effectiveness of routine physiotherapy with and without neuromobilization on pain and functional disability in patients with shoulder impingement syndrome; a randomized control clinical trial
Overview
The shoulder impingement syndrome (SIS) consists of the rotator cuff tendonitis and bursitis of the shoulder1. It shows the inflammation of the supraspinatus tendon inside the anteroinferior junction of the acromion and the greater tuberosity of the humerus. Patients with SIS report severe acute pain which increases during overhead activities as well as sleeping on affected side.
Present study was aimed to discover evidence based conservative and cost-effective remedy on pain and functional disability. The execution of specific components of body movements to generate mechanical incident in the neural system is called NM. Mechanical management may therefore be used to augment physiology in the nervous system5. It has already been observed that there are three theories projected for the local etiological origin of tendon pain: 1-mechanical, 2-vascular and 3- neural.
The objective of the study was to compare the effects of NM techniques and routine physiotherapy on pain and functional disability in patients having SIS. Present study was aimed to discover evidence based conservative and cost-effective remedy on pain and functional disability.
Based on results, it is concluded that addition of NM with routine physiotherapy has greater improvement to reduce pain severity and disability in SIS patients than without NM.
Authors
Akhtar et al.
| 3 | | R465.00 | |
| | Improvement of activity-related knee joint discomfort following supplementation of specific collagen peptides. | Improvement of activity-related knee joint discomfort following supplementation of specific collagen peptides.
Improvement of activity-related knee joint discomfort following supplementation of specific collagen peptides.
Overview The aim of the study was to evaluate the use of specific collagen peptides in reducing pain in athletes with functional knee problems during sport. The primary outcome of the study was in change in pain intensity during activity, which was evaluated by the participants and the attending physicians using a visual analogue scale. As secondary endpoints, pain intensity under resting conditions, the range of motion of the knee joint, and the use of additional therapeutic options were assessed. Due to the high joint mobility at baseline, no significant changes of this parameter could be detected. The use of additional treatment options was significantly reduced after BCP intake. The study demonstrated that the supplementation of specific collagen peptides in young adults with functional knee problems led to a statistically significant improvement of activity related joint pain.
Authors: Denise Zdzieblik, Steffen Oesser, Albert Gollhofer and Daniel König
| 3 | | R420.00 | |
| | Extracorporeal Shock Wave Therapy for Achilles Tendinopathy | Extracorporeal Shock Wave Therapy for Achilles Tendinopathy
Extracorporeal Shock Wave Therapy for Achilles Tendinopathy
Overview
Achilles tendinopathy is confirmed by a clinical symptom triad of pain, swelling, and limited function. Achilles tendon injuries are classified by the anatomical area into non-insertional and insertional. The major symptom of non-insertional tendinopathy is pain located 2 to 6 cm proximal to the insertion of the tendon into the calcaneus. Patients suffering from insertional pathology usually present with lesions in the distal portion of the structure, i.e., posterosuperior calcaneal protuberance. Extracorporeal shock wave therapy (ESWT) is among the conservative treatments for Achilles tendinopathy. Unfortunately, no optimal application parameters have been determined that would ensure ESWT effectiveness in this condition. +e aim of the paper is to use research reports on ESWT in patients with Achilles tendinopathy to help practising physiotherapists establish the most effective intervention parameters. The two modalities of shock wave therapy used for Achilles tendinopathy are focused shock waves and radial shock waves. The literature contains reports presenting mainly beneficial effects of ESWT in patients with Achilles tendinopathy.
Authors Magdalena Stania, Grzegorz Juras, Daria Chmielewska, Anna Polak, Cezary Kucio, and Piotr Król
Journal BioMed Research International / 2019 / Article | 3 | | R425.00 | |
| | Acute Physiological Response of Lumbar Intervertebral Discs to High-load Deadlift Exercise | Acute Physiological Response of Lumbar Intervertebral Discs to High-load Deadlift Exercise
Acute Physiological Response of Lumbar Intervertebral Discs to High-load Deadlift Exercise
Overview
A deadlift is a popular exercise that is frequently incorporated into athletic training programs. This exercise is effective in strengthening the back and lower extremity muscles, but the lumbar spine is subject to mechanical stress such as shear and compression forces during deadlift. The stress is expected to become greater with increasing exercise weight. Therefore, the lumbar region is most susceptible to injury during high-load deadlift. In addition, the repeated lifting of heavy weights has been identified as a risk factor for lumbar intervertebral disc degeneration/herniation. The lumbar intervertebral discs are thought to gradually degenerate through high-load deadlift training. However, to the best of our knowledge, little is known about the acute physiological changes of the lumbar intervertebral discs resulting from high-load deadlift exercise.
This study aimed to evaluate the acute physiological effects of high-load deadlift exercise on the lumbar intervertebral discs using MR diffusion-weighted imaging. Fifteen volunteers (11 men and 4 women;) without lumbar intervertebral disc degeneration performed deadlift exercise.
It was concluded that the movement of water molecules within the lumbar intervertebral discs is suppressed by high-load deadlift exercise, which would be attributed to mechanical stress on the lumbar intervertebral discs during deadlift exercise. In particular, the L5/S1 disc is subjected to greater mechanical stress than the other lumbar intervertebral discs.
Authors Osamu Yanagisawa, Tomoki Oshikawa, Naoto Matsunaga, Gen Adachi and Koji Kaneoka
Journal J-STAGE
| 3 | | R385.00 | |
| | Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019 | Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019
Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019
Overview
The world’s population is ageing and the number of people living with non-communicable diseases and the consequences of injuries is increasing.The current demographic and health shifts are contributing to a rapid increase in the number of people experiencing disability or declines in functioning for substantially larger periods of their lives. These trends should urge health policy planners to prioritise rehabilitation services for several reasons.
Rehabilitation has often been a disability-specific service needed by only few of the population. Despite its individual and societal benefits, rehabilitation has not been prioritised in countries and is under-resourced. We present global, regional, and country data for the number of people who would benefit from rehabilitation at least once during their disabling illness or injury.
To the authors knowledge, this is the first study to produce a global estimate of the need for rehabilitation services and to show that at least one in every three people in the world needs rehabilitation at some point in the course of their illness or injury. This number counters the common view of rehabilitation as a service required by only few people. They argue that rehabilitation needs to be brought close to communities as an integral part of primary health care to reach more people in need.
Authors Alarcos Cieza, Kate Causey, Kaloyan Kamenov, Sarah Wulf Hanson, Somnath Chatterji, Theo Vos
Journal The Lancet Journal
| 3 | | R410.00 | |
| | Guideline summary review an evidence-based clinical guideline for the diagnosis and treatment of low back pain | Guideline summary review an evidence-based clinical guideline for the diagnosis and treatment of low back pain
Guideline summary review an evidence-based clinical guideline for the diagnosis and treatment of low back pain
Overview
To improve the knowledge base concerning the diagnosis and treatment of nonspecific low back pain in adult patients, the Low Back Pain Work Group of the North American Spine Society’s (NASS) Evidence-Based Guideline Development Committee developed an evidence-based clinical guideline on this topic. When employing the principles of evidence-based medicine, the clinical literature is extensively searched to answer specific clinical questions about a disease state or medical condition. The evidence with the highest possible levels of evidence obtained from the searches is utilized to answer the specific clinical questions. As a final step, the answers to clinical questions are reformulated as recommendations. Recommendations are then assigned a recommendation grade according to the level of evidence for the best clinical evidence available at the time of answering each question. The intent of the grade of recommendation is to indicate the strength of evidence used by the work group in answering the question asked. Eighty-two clinical questions were addressed in this guideline. Work group members engaged in a two-step screening process to determine article eligibility, including title and abstract screening and evidentiary review. The total number of articles retrieved, eligible for critical appraisal, 1000 D.S. Kreiner et al. / The Spine Journal 20 (2020) 998-1024 and meeting inclusion criteria for each individual clinical question can be accessed in the technical report. A total of 119 recommendations and two work group consensus statements were issued.
Authors D Scott Kreiner et al
Journal Spine J 2020 Jul;20(7):998-1024.
| 3 | | R425.00 | |
| | Neuromuscular Function of the Knee Joint Following Knee Injuries: Does It Ever Get Back to Normal? A Systematic Review with Meta Analyses | Neuromuscular Function of the Knee Joint Following Knee Injuries: Does It Ever Get Back to Normal? A Systematic Review with Meta Analyses
Neuromuscular Function of the Knee Joint Following Knee Injuries: Does It Ever Get Back to Normal? A Systematic Review with Meta Analyses
Overview
Knee injury is an independent risk factor for the development of knee osteoarthritis (OA) in young adults. The prevalence of post-traumatic OA (PTOA) can be as high as 80% at 10+years after the initial injury, with 4–6 times higher odds compared to a non-injured knee. PTOA mainly affects a younger and more active population when compared to non-traumatic OA, resulting in longer years lived with disability [5], and surgical interventions 7–9 years earlier in life. Therefore, prevention strategies for PTOA development require particular attention.
There is also evidence of bilateral neuromuscular changes following unilateral knee injury, suggesting a requirement for healthy control groups instead of using the contralateral ‘healthy leg’ for an unbiased evaluation of post-traumatic neuromuscular alterations. Therefore, this study aimed to determine how neuromuscular function of the knee joint changes over time following knee injuries involving ligament, meniscus or cartilage compared to healthy controls.
Neuromuscular deficits persist for years post-injury/surgery, though most evidence is from ACL injured populations. Muscle strength deficits are accompanied by neural alterations and changes in control and timing of muscle force, but more studies are needed to fill the evidence gaps we have identified. Better characterisation and therapeutic strategies addressing these deficits could improve rehabilitation outcomes, and potentially prevent PTOA.
Authors Beyza Tayfur, Chedsada Charuphongsa, Dylan Morrissey, Stuart Charles Miller
Journal
Sports Medicine
| 3 | | R410.00 | |
| | Prevalence of Muscular Skeletal Disorders among Qualified Dental Assistants | Prevalence of Muscular Skeletal Disorders among Qualified Dental Assistants
Prevalence of Muscular Skeletal Disorders among Qualified Dental Assistants
Overview: The occupation of dental assistants (DAs) involves many health risks of the musculoskeletal system due to static and prolonged work, which can lead to musculoskeletal disorders (MSDs). The aim of the study was to investigate the prevalence of MSDs in DAs in Germany. For this purpose, an online questionnaire analyzed 406 (401 female participants and 5 male participants, 401w/5m) DAs. It was based on the Nordic Questionnaire (lifetime, 12-month, and seven-day MSDs’ prevalence separated into neck, shoulder, elbow, wrist, upper back, lower back, hip, knee, and ankle), and occupational and sociodemographic questions as well as questions about specific medical conditions. 98.5% of the participants reported complaints of at least one body region in their lives, 97.5% reported at least one complaint in the last 12 months and 86.9% armed at least one complaint in the last seven days. For lifetime, 12-month and seven-day prevalence, the neck was the region that was most affected followed by the shoulder, the upper back and the lower back.
The prevalence of musculoskeletal disorders among Dental Assistants was extremely high. The most affected area is the neck, followed by the shoulder, the lower back, and the upper back. It, therefore, seems necessary to devote more attention to ergonomics at the working practice of Dental Assistants as well in education and in dental work.
Authors: Daniela Ohlendorf, Yvonne Haas, Antonia Naser, Jasmin Haenel, Laura Maltry, Fabian Holzgreve, Christina Erbe, Werner Betz, Eileen M. Wanke, Dörthe Brüggmann, Albert Nienhaus and David A. Groneberg
Journal: Int. J. Environ. Res. Public Health 2020, 17, 3490;
| 3 | | R420.00 | |
| | Application of tele-podiatry in diabetic foot management: A series of illustrative cases | Application of tele-podiatry in diabetic foot management: A series of illustrative cases
Application of tele-podiatry in diabetic foot management: A series of illustrative cases
Overview Telemedicine had been proposed as a tool to manage diabetes, but its role in management of diabetic foot ulcer is still evolving. The COVID-19 pandemic and related social restrictions have necessitated the use of telemedicine in the management of diabetic foot disease (tele-podiatry), particularly of patients classified as low-risk.
This article is a report of three cases of varied diabetic foot problems assessed during the present pandemic using different forms of telemedicine for triaging, management of low-risk cases and for follow-up. Telemedicine is a good screening tool for diagnosing and managing low-risk subjects with diabetic foot problems and enables a triaging system for deciding on hospital visits and hospitalization.
Telemedicine offers several benefits in the management of diabetic foot disease, although it also has some limitations. Based on the experience during the pandemic it is recommended its judicious use in the triaging of patients of diabetic foot disease and management of low-risk cases. Future innovation in technology and artificial intelligence may help in better tele-podiatry care in the time to come.
Acknowledgements Authors Karakkattu V. Kavitha, Shailesh R. Deshpande, Anil P. Pandit, Ambika G. Unnikrishnan
Journal Diabetes & Metabolic Syndrome: Clinical Research & Reviews
| 3 | | R410.00 | |
| | Adolescent knee pain: fracture or normal? A case report. | Adolescent knee pain: fracture or normal? A case report.
Adolescent knee pain: fracture or normal? A case report.
Overview Knee injuries are the second to fourth most common injuries in youth soccer. In this population, sprains/strains, fractures and contusions are most common. Due to variations in the developing skeleton, it can be difficult to rule out fractures. We present a case of a 13-year-old presenting to the emergency department (ED) with patellar pain after pivoting during a soccer game. After radiographic clearance, he was allowed to return to sport. Following another fall and ED visit, his full leg was casted. He presented to a chiropractor after cast removal, who made recommendations for progressive rehabilitation owing to the lack of evidence for fracture on radiographs. We suggest a thorough history, physical and Ottawa knee rules to determine whether We suggest a thorough history, physical and Ottawa knee rules to determine whether radiographs are indicated in the management of a pediatric knee injury. Due to normal skeletal variance, we recommend bilateral radiographs and if findings are ambiguous, consultation with a radiologist to confirm clinical suspicions.
Authors: Melissa Corso and Scott Howitt
Journal: The Journal of the Canadian Chiropractic Association Volume 62 Issue 2 | 3 | | R465.00 | |
| | Peroneus Tertius Syndrome: A Rare Cause of Anterolateral Ankle and Rearfoot Pain | Peroneus Tertius Syndrome: A Rare Cause of Anterolateral Ankle and Rearfoot Pain
Peroneus Tertius Syndrome: A Rare Cause of Anterolateral Ankle and Rearfoot Pain
Overview There is limited literature describing anterolateral ankle or rearfoot pain associated with the peroneus tertius tendon. The purpose of this study is to define peroneus tertius syndrome, in which the peroneus tertius tendon causes catching or locking over the anterolateral ankle or rearfoot with accompanying pain. The study presented a retrospective case series involving 4 patients diagnosed with peroneus tertius syndrome, discuss symptoms for clinical diagnosis, review radiographic imaging, and outline a minimally invasive operative technique for resection of the symptomatic tendon.
The results demonstrate that excision of a symptomatic peroneus tertius provides resolution of symptoms, facilitates a quick return to activity, and has excellent patient outcomes. It is suggested that during the evaluation of anterolateral ankle or rearfoot pain, peroneus tertius syndrome be considered as part of the differential diagnosis.
Authors Kelli L. Iceman, Mark K. Magnus, Mitchel J. Thompson, Bradley P. Abicht
Journal The Journal of Foot and Ankle Surgery
| 3 | | R425.00 | |
| | Laser Angiography to Assess the Vaginal Cuff During Robotic Hysterectomy | Laser Angiography to Assess the Vaginal Cuff During Robotic Hysterectomy
Laser Angiography to Assess the Vaginal Cuff During Robotic Hysterectomy
Overview
Vaginal cuff dehiscence may be a vascular-mediated event, and reports show a higher incidence after robot-assisted total laparoscopic hysterectomy (RATLH), when compared with other surgical routes. This study was conducted to determine the feasibility of using laser angiography to assess vaginal cuff perfusion during RATLH.
This was a pilot feasibility trial incorporating 20 women who underwent RATLH for benign disease. Colpotomy was made with ultrasonic or monopolar instruments, whereas barbed or non-barbed suture was used for cuff closure. Time of instrument activation during colpotomy was recorded. Images were captured of vaginal cuff perfusion before and after cuff closure. Reviewers evaluated these images and determined areas of adequate cuff perfusion.
Vaginal cuff dehiscence is a morbid, potentially fatal complication that can occur after total hysterectomy from any approach. During the 20th century, very few cases were reported, and 95% occurred after total abdominal or vaginal hysterectomy, before the advent of laparoscopic hysterectomy1
Acknowledgement
Authors Benjamin D. Beran, MD, Marie Shockley, MD, Pamela Frazzini Padilla, MD, Sara Farag, MD, Pedro Escobar, MD, Stephen Zimberg, MD, Michael L. Sprague, MD
Journal JSLS (Journal of the Society of Laparoendoscopic Surgeons) Volume 22 Issue 2 | 3 | | R460.00 | |
| | Mortality effects of timing alternatives for hip fracture surgery | Mortality effects of timing alternatives for hip fracture surgery
Mortality effects of timing alternatives for hip fracture surgery
Overview:
The appropriate timing of hip fracture surgery remains a matter of debate. It was sought to estimate the effect of changes in timing policy and the proportion of deaths attributable to surgical delay.
We estimated the expected population-average risks of inpatient death within 30 days if patients were surgically treated on day of admission, inpatient day 2, day 3 or after day 3. We weighted observations with the inverse propensity score of surgical timing according to confounders selected from a causal diagram.
Surgery on admission day or the following day was estimated to reduce postoperative mortality among medically stable patients with hip fracture. Hospitals should expedite operating room access for patients whose surgery has already been delayed for nonmedical reasons.
Acknowledgement
Authors:
Boris Sobolev PhD, Pierre Guy MD, Katie Jane Sheehan PhD, Lisa Kuramoto MSc, Jason M. Sutherland PhD, Adrian R. Levy PhD, James A. Blair MD, Eric Bohm MD, Jason D. Kim MPH, Edward J. Harvey MD, Suzanne N. Morin MD, Lauren Beaupre PhD, Michael Dunbar MD, Susan Jaglal PhD, James Waddell MD; for the Canadian Collaborative Study of Hip Fractures
Journal:
CMAJ Group Volume 190 Issue 31
Publisher:
National Centre for Biotechnology Information | 3 | | R460.00 | |
| | The EQ-5D-5L is a valid approach to measure health related quality of life in patients undergoing bariatric surgery | The EQ-5D-5L is a valid approach to measure health related quality of life in patients undergoing bariatric surgery
The EQ-5D-5L is a valid approach to measure health related quality of life in patients undergoing bariatric surgery
Overview
Bariatric surgery is considered an effective treatment for individuals with severe and complex obesity. Besides reducing weight and improving obesity related comorbidities such as diabetes, bariatric surgery could improve patients' health-related quality of life. However, the frequently used instrument to measure quality of life, the EQ-5D has not been validated for use in bariatric surgery, which is a major limitation to its use in this clinical context. Our study undertook a psychometric validation of the 5 level EQ-5D (EQ-5D-5L) using clinical trial data to measure health-related quality of life in patients with severe and complex obesity undergoing bariatric surgery.
The most common types of bariatric surgery are laparoscopic Roux-en-Y gastric bypass, adjustable gastric band surgery and laparoscopic sleeve gastrectomy, with each having its respective benefits and risks. The Roux-en-Y gastric bypass restricts the volume of food eaten by creating a small thumb-sized pouch from the upper stomach and a bypass of the remaining stomach. Bypass alters physiology and anatomy in such a way as to achieve early and generally rapid weight loss but carries risks of serious early morbidity [4, 5]. Longer-term complications include the need for re-operation because of the development of internal hernias or intestinal obstruction and nutritional deficiencies
Acknowledgement
Authors Jilles M. Fermont1, Jane M. Blazeby, Chris A. Rogers, Sarah Wordsworth, on behalf of the By-Band-Sleeve Study Management Group
Journal PLoS One | 3 | | R460.00 | |
| | Motor and Psychosocial Impact of Robot-assisted Gait Training in A Real-world Rehabilitation Setting: A pilot study | Motor and Psychosocial Impact of Robot-assisted Gait Training in A Real-world Rehabilitation Setting: A pilot study
Motor and Psychosocial Impact of Robot-assisted Gait Training in A Real-world Rehabilitation Setting: A pilot study
Overview
In the last decade robotic devices have been applied in rehabilitation to overcome walking disability in neurologic diseases with promising results. Robot assisted gait training (RAGT) using the Lokomat seems not only to improve gait parameters but also the perception of well-being. Data on the psychosocial patient-robot impact are limited, in particular in the real-world of RAGT, in the rehabilitation setting.
The primary aim of this pilot study was to evaluate the psychosocial impact of the Lokomat in an in-patient rehabilitation setting using the PIADS; secondary aims were to assess whether the psycho-social impact of RAGT is different between pathological subgroups and if the Lokomat influenced functional variables. Thirty-nine consecutive patients were assessed with the FIM before and after rehabilitation with Lokomat, and the PIADS was administered after the rehabilitative period with Lokomat. This pilot study indicates that Lokomat, in a real-world in-patient setting, may have a generalised approval, independent of disease, underlining the importance of the psycho-social framework for patients training with assistive robotic-devices.
Acknowledgement
Authors: Cira Fundarò, Anna Giardini, Roberto Maestri, Silvia Traversoni, Michelangelo Bartolo and Roberto Casale
Journal PLoS ONE
Publisher Cross Mark
| 3 | | R430.00 | |
| | Systemic low-grade inflammation in post-traumatic stress disorder: a systematic review Journal of Inflammation Research | Systemic low-grade inflammation in post-traumatic stress disorder: a systematic review Journal of Inflammation Research
Systemic low-grade inflammation in post-traumatic stress disorder: a systematic review Journal of Inflammation Research
Systemic low-grade inflammation in post-traumatic stress disorder: a systematic review
Overview
Studies examining post-traumatic stress disorder (PTSD) have either emphasized a relationship between PTSD and a systemically pro-inflammatory state or identified a link between PTSD and chronic disease. The aim of this study was to evaluate the evidence for a relationship between individuals with PTSD and systemic low-grade inflammation that has been proposed to underlie chronic disease development in this population.
Nine studies measuring systemic inflammation and discussing its role in chronic disease development were selected for inclusion in this review. The association between markers of systemic inflammation and PTSD was evaluated by the measurement of a variety of systemic inflammatory markers including acute-phase proteins, complement proteins, pro- and anti-inflammatory cytokines, natural killer cells, and white blood cells. In general, systemic inflammatory biomarkers were elevated across the studies in the PTSD groups.
There is evidence that PTSD is underpinned by the presence of a systemic low-grade inflammatory state. This inflammation may be the mechanism associated with increased risk for chronic disease in the PTSD population. From this, future research should focus on interventions that help to reduce inflammation, such as exercise. Acknowledgement
Author
Kathryn Speer, Dominic Upton, Stuart Semple and Andrew McKune
Journal
Journal of Inflammation Research 2018
Publisher
Dove Press
| 3 | | R450.00 | |
| | Standard of care and guidelines in prevention and diagnosis of venous thromboembolism: medico-legal implications. | Standard of care and guidelines in prevention and diagnosis of venous thromboembolism: medico-legal implications.
Standard of care and guidelines in prevention and diagnosis of venous thromboembolism: medico-legal implications.
Overview
Concerning recent Italian laws and jurisprudential statements, guidelines application involves several difficulties in clinical practice, regarding prevention, diagnosis and therapy of venous thromboembolism. International scientific community systematically developed statements about this disease in order to optimize the available resources in prophylaxis, diagnosis and therapy. Incongruous prevention, missed or delayed diagnosis and/or inadequate treatment of this disease can frequently give rise to medico-legal litigation.
Acknowledgement
Author:
Vassalini M, Verzeletti A, De Ferrari F
Journal:
Monaldi archives for chest disease
Publisher:
PIME Editrice
http://www.monaldi-archives.org/index.php/macd/article/view/25/728
| 3 | | R430.00 | |
| | Sensitivity of plain radiography for pediatric cervical spine injury. | Sensitivity of plain radiography for pediatric cervical spine injury.
Sensitivity of plain radiography for pediatric cervical spine injury.
Overview
Pediatric patients with suspected cervical spine injuries (CSI) often receive a computed tomography (CT) scan as an initial diagnostic imaging test. While sensitive, CT of the cervical spine carries significant radiation and risk of lethal malignant transformation later in life. Plain radiographs carry significantly less radiation and could serve as the preferred screening tool, provided they have a high functional sensitivity in detecting pediatric patients with CSI.
We hypothesize that plain cervical spine radiographs can reliably detect pediatric patients with CSI and seek to quantify the functional sensitivity of plain radiography as compared to CT. We analyzed data from the NEXUS cervical spine study to assess the sensitivity of plain radiographs in the evaluation of CSI. We identified all pediatric patients who underwent plain radiographic imaging, and all pediatric patients found to have CSI. We then determined the sensitivity of plain radiographs in detecting pediatric patients with CSI. We identified 44 pediatric patients with CSI in the dataset with age ranging from 2 to 18 years old.
Plain radiography was highly sensitive for the identification of CSI in our cohort of pediatric patients and is useful as a screening tool in the evaluation of pediatric CSI.
Acknowledgement
Author:
Cui LW, Probst MA, Hoffman JR, Mower WR
Journal:
Emergency Radiology
Publisher:
Springer
https://cloudfront.escholarship.org/dist/prd/content/qt95p3x9hg/qt95p3x9hg.pdf?t=odi6kh&v=lg
| 3 | | R380.00 | |
| | Patellofemoral Pain Syndrome: Biomechanics of the Patellofemoral Joint. | Patellofemoral Pain Syndrome: Biomechanics of the Patellofemoral Joint.
Patellofemoral Pain Syndrome: Biomechanics of the Patellofemoral Joint.
OVERVIEW
At last! ….. An easy to understand insight into the applied biomechanics of the patella. Along with discussions of various exercise and treatment modalities make this online course immediately applicable in your clinical practice
Some authors believe that the patella is not very important in extensor mechanism mechanics (1) and therefore readily recommended patellectomy. Others, on the contrary, attribute to the patella a more prominent role2,3 recommending its preservation whenever possible. The patella acts as a guide for the quadriceps tendon in centralizing the divergent input from the four muscles of the quadriceps, transmitting these forces to the patellar tendon.
Finally, the patella plays a role in the aesthetic appearance of the knee. This can be appreciated in the patellectomized knee in which the flattened ends of the condyles are easily visible with the knee flexed. Of all these functions, the most important role of the patella is in extension of the knee. Patellectomy results in weakened extension of the knee or even incomplete knee extension. | 3 | | R400.00 | |
| | Placebo effects in trials evaluating 12 selected minimally invasive interventions: a systematic review and meta-analysis. | Placebo effects in trials evaluating 12 selected minimally invasive interventions: a systematic review and meta-analysis.
Placebo effects in trials evaluating 12 selected minimally invasive interventions: a systematic review and meta-analysis.
OVERVIEW
The objective of this study was to analyse the impact of placebo effects on outcome in trials of selected minimally invasive procedures and to assess reported adverse events in both trial arms. The design for this study was nonetheless a systematic review and meta-analysis.
The data for this study was selected by searching MEDLINE and Cochrane library so as to identify systematic reviews of musculoskeletal, neurological and cardiac conditions that were published between January 2009 and January 2014 comparing selected minimally invasive with placebo (sham) procedures. During this research, effect sizes (ES) in the active and placebo arms in the trials’ primary and pooled secondary end points were calculated. The association between end points in the active and sham groups were nevertheless analysed using the linear regression.
This study was however concluded that the generally small differences in ES between active treatment and sham suggest that nonspecific mechanisms, including placebo, are major predictors of the observed effects
ACKNOWLEDGEMENT
AUTHOR: Robin Holtedahl, Jens Ivar Brox, Ole Tjomsland
JOURNAL: Stroke and Vascular Neurology
PUBLISHER: BMJ Open
URL: http://bmjopen.bmj.com/ | 3 | | R375.00 | |
| | Prognostic Factors for Disability and Sick Leave Patients with Subacute Non-Malignant Pain. | Prognostic Factors for Disability and Sick Leave Patients with Subacute Non-Malignant Pain.
Prognostic Factors for Disability and Sick Leave Patients with Subacute Non-Malignant Pain.
OVERVIEW
Pain is one of the most common reasons patients consult general practice. It has been observed that long-term disability and sick leave due to a pain conditions are associated with huge negative consequences for the individual and for society.
The objective of this systematic review was therefore to identify generic prognostic factors for disability and sick leave in sub-acute pain patients. The setting of this study was nevertheless general practice and other primary care facilities. Participants in this study were adults (>18 years) with a sub-acute non-malignant pain condition. 19 studies were included, referring to a total of 6266 patients suffering from pain in the head, neck, back and shoulders. The primary outcome of this study was long-term disability (>3 months) due to a pain condition whereas the secondary outcome was sick leave, defined as ‘absence from work’ or ‘return-to-work. Data was obtained through a search via PubMed, EMBASE, CINAHL and PEDro databases from 16 from January 2003 to 16 January 2014.
The study was concluded that multiple site pain, high pain severity, older age, baseline disability and longer pain duration were potential prognostic factors for disability across pain sites.
ACKNOWLEDGEMENT
AUTHOR: Gitte H Valentin, Marc S Pilegaard, Henrik B Vaegter, Marianne Rosendal, Lisbeth Ørtenblad, Ulla Væggemose, Robin Christensen
JOURNAL: BMJ General Practice
PUBLISHER: BMJ Open
URL: http://bmjopen.bmj.com
| 3 | | R365.00 | |
| | Sports Injuries and Rehabilitation: Principles for Shoulder Rehabilitation: Part 2. | Sports Injuries and Rehabilitation: Principles for Shoulder Rehabilitation: Part 2.
Sports Injuries and Rehabilitation: Principles for Shoulder Rehabilitation: Part 2.
OVERVIEW
This course is based on the physiology and biomechanics of the shoulder. It will provide very effective rehabilitation protocols in terms of return to play. This course will assist you to diagnose not only local anatomical lesions, such as rotator cuff tear or Bankart lesion, but also the biomechanical deficits that exist in the shoulder girdle and spine However, that’s not all! Distant disorders such as inflexibilities of hip rotation, short hamstrings, or the stiff back also often contribute to shoulder abnormalities.
There are no definitive studies on the most effective rehabilitation protocols for the shoulder. However, in practice, certain protocols based on physiology and biomechanics have provided very good outcomes in terms of return to play.
There are two parts to this course. The course will enable you to make a complete diagnosis and to look beyond the injured tissues to tissues that may be overloaded. You will also learn to detect functional biomechanical deficits as well as the subclinical adaptations that sports people use to try to maintain performance OVERVIEW
This course is based on the physiology and biomechanics of the shoulder. It will provide very effective rehabilitation protocols in terms of return to play. This course will assist you to diagnose not only local anatomical lesions, such as rotator cuff tear or Bankart lesion, but also the biomechanical deficits that exist in the shoulder girdle and spine However, that’s not all! Distant disorders such as inflexibilities of hip rotation, short hamstrings, or the stiff back also often contribute to shoulder abnormalities.
There are no definitive studies on the most effective rehabilitation protocols for the shoulder. However, in practice, certain protocols based on physiology and biomechanics have provided very good outcomes in terms of return to play.
There are two parts to this course. The course will enable you to make a complete diagnosis and to look beyond the injured tissues to tissues that may be overloaded. You will also learn to detect functional biomechanical deficits as well as the subclinical adaptations that sports people use to try to maintain performance.
| 3 | | R400.00 | |