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Clinico-Pathological Aspects of Spinal Nerve Root Entrapment 脊神经根压迫的临床病理特征
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.E002
Naglaa A. Hussein
The patterns of the clinical presentation of spinal nerve root entrapment are subject of wide variability [1-3]. Although the sensory presentation patterns dominate different patterns of clinical presentation, other patterns namely; motor or sensorimotor patterns are also encountered
脊神经根卡压的临床表现模式有很大的差异[1-3]。虽然感觉表现模式主导着不同的临床表现模式,但其他模式即;运动或感觉运动模式也会遇到
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引用次数: 0
Efficacy of Flared out Sole in Functional and Gait Parameters in Trans-Tibial Prosthetic User 外翻鞋底对经胫骨义肢使用者功能和步态参数的影响
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.585
M. Sahoo, T. Behera, A. Suresh, S. Jayavant
Introduction: The ultimate goal of rehabilitation after a limb loss is to gain independence at the highest level with the most efficient gait possible with the use of prosthesis and to return to a high level of social integration. The loss of a lower limb has severe implications for a person’s mobility, and ability to perform activities of daily living. This negatively impacts on their participation and integration into society. Objective: To investigate the functional and gait parameters improved through flared outsole provided to the trans-tibial prosthetic user. Results: The mean value of locomotor capabilities index of Group A is 35.73 and in group B the mean of locomotor capabilities index is 42.26. The above result was analysed by using related t test was found to be significant p<0.001, as there is significant difference between the both Group. Conclusions: Ultimately, though, there is no substitute for firsthand experience with flared outsole alternatives. The time spent in fitting trials and dynamic alignment should be sufficient to rule out particular type of flared outsole that are totally unacceptable to the amputee, and an alternative type of flared outsole can be chosen before delivering the prosthesis. But, it is only after wearing the prosthesis day after day during a full range of activities that the subtle differences become clear to the wearer. Each time the prosthesis is replaced; the amputee and prosthetist should once again discuss the perfectly suitable flared outsole option and jointly determine the best course of action based on real-world experience to date.
前言:肢体丧失后康复的最终目标是通过使用假肢获得最高水平的独立性和最有效的步态,并恢复到高水平的社会融合。下肢的丧失对一个人的行动能力和日常生活能力有严重的影响。这对她们的参与和融入社会产生了负面影响。目的:探讨经胫骨义肢使用者使用喇叭形外底后功能和步态参数的改善。结果:A组大鼠运动能力指数平均值为35.73,B组大鼠运动能力指数平均值为42.26。采用相关t检验对上述结果进行分析,发现p<0.001显著,两组之间存在显著性差异。结论:最终,虽然,没有替代的第一手经验与喇叭大底替代品。在装配试验和动态校准中花费的时间应该足以排除对截肢者完全不可接受的特定类型的喇叭形大底,并且可以在交付假体之前选择另一种类型的喇叭形大底。但是,只有在日复一日地佩戴假肢进行各种活动之后,佩戴者才能清楚地看到细微的差异。每次更换假体;截肢者和义肢医生应再次讨论最合适的喇叭形外底选择,并根据迄今为止的实际经验共同确定最佳行动方案。
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引用次数: 0
Effects of a Program of Obesity's Rehabilitation in an under Developed Country 一个欠发达国家肥胖康复项目的效果
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.580
E. Alagnidé, G. Salif, D. N. Natta, G. Houngbédji, Laurence S. Okou, T. Kpadonou
Background: Obesity is a major public health concern. Objective: To analyze effects of a rehabilitation program on adult obese in Cotonou. Methods: It was a prospective, cross-sectional, descriptive and analytical study, conducted from January to June 2016 (06 months), on 122 adult obese subjects, recruited in some gymnastics clubs and the Department of Physical Medicine and Rehabilitation of the CNHU-HKM of Cotonou. A program of physical activity were done during 20 sessions. Clinical and biological parameters were evaluated in these subjects before and after the program. Comparing the beginning and ending values of those parameters, their evolution were evaluated. Results: Most of these patients were females (94.26%) aged 46.3 ± 9.70 years. Their mean BMI was 37.26 ± 5.04 kg/m2 with an android obesity (45.9%) or a mixed one (54.1%). The fat mass index (FMI) was 47.95 ± 7.56%. Hypercholesterolemia (59.02%) and hypertriglyceridaemia (9.02%) were observed at the beginning of the program. At the end of the rehabilitation program, anthropometric parameters of patients were improved more markedly than those of lipids. No clinical or biological parameters studied were significantly associated with patient’s BMI and FMI changes (p>0.05). Conclusion: The exercise program has shown encouraging results and is therefore interesting to be applied to a larger population in underdeveloped countries.
背景:肥胖是一个主要的公共健康问题。目的:分析科托诺市成人肥胖康复方案的效果。方法:采用前瞻性、横断面、描述性和分析性研究,于2016年1 - 6月(06个月)在科托努市一些体操俱乐部和协和医院物理医学与康复科招募122名成人肥胖受试者。在20个疗程中进行了一项体育活动计划。在项目前后对这些受试者的临床和生物学参数进行评估。比较这些参数的起始值和结束值,评价它们的演化。结果:患者以女性居多(94.26%),年龄46.3±9.70岁。平均BMI为37.26±5.04 kg/m2,其中重度肥胖(45.9%)和混合型肥胖(54.1%)。脂肪质量指数(FMI)为47.95±7.56%。在项目开始时观察到高胆固醇血症(59.02%)和高甘油三酯血症(9.02%)。在康复计划结束时,患者的人体测量参数比血脂得到了更显著的改善。没有研究的临床或生物学参数与患者BMI和FMI变化有显著相关性(p < 0.05)。结论:锻炼计划已经显示出令人鼓舞的结果,因此很有兴趣将其应用于不发达国家的更多人口。
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引用次数: 0
Pain Management in Perioperative Total Joint Arthroplasty: A Response to the Opioid Crisis 全关节置换术围手术期疼痛管理:对阿片类药物危机的反应
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S5.003
Michelle J. Lespasio
The purpose of this article is to present a concise up-to-date review on effective perioperative pain management in Total Joint Arthroplasty (TJA). Multimodal therapy utilizing a “well-patient” concept and an “opioid stewardship” approach is introduced as a current strategy to address the critical worldwide opioid crisis which may be triggered by orthopaedic surgery in many patients. Adopting a tailored opiate pain management plan utilizing best practice criteria has demonstrated to result in minimal use of opioids during the surgical process while attaining the objectives to relieve suffering, achieve early postoperative mobilization, reduce lengths of hospital stay and produce patient satisfaction
这篇文章的目的是提出一个简明的最新综述有效的围手术期疼痛管理在全关节置换术(TJA)。采用“病人健康”概念和“阿片类药物管理”方法的多模式治疗被引入,作为解决许多患者骨科手术可能引发的严重的全球阿片类药物危机的当前战略。根据最佳实践标准,采用量身定制的阿片类药物疼痛管理计划已被证明可以在手术过程中最大限度地减少阿片类药物的使用,同时达到减轻痛苦、实现术后早期活动、缩短住院时间和提高患者满意度的目标
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引用次数: 0
Knee Sanguine Effusions in Sports Trauma (Haemarthrosis) 膝关节血液病在运动创伤中的应用
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S4.003
Dorian Meta, Ilia Mazniku, Artan Pogoni
Increased effusions or accumulations of fluid in the knee joint can be the result of trauma, excessive overload of the knee (overuse) or a consequence of systemic diseases. From the point of view of linking intra-articular effusions, especially hematic ones, with competitive or amateur sports activity, this phenomenon is more common than diagnosed. The fact that many athletes suffer from a lack of performance of their knee joints, talks about untreated injuries in accidents and previously suffered in sports activities or not at all. The other side of the problem is related to the purpose of presenting this material, the first in the Albanian professional literature, even as an obligation and scientific reflection of this common phenomenon in sports activities, which should be evaluated very seriously after hematic accumulation, or haemarthrosis, is just the tip of the iceberg while others are hidden and need to be identified and treated.
膝关节积液增多或积液增多可能是外伤、膝关节过度负荷(过度使用)或全身性疾病的结果。从将关节内积液,特别是血液性积液与竞技或业余体育活动联系起来的角度来看,这种现象比诊断的更常见。事实上,许多运动员的膝关节缺乏运动能力,他们在事故中受伤而未得到治疗,以前在体育活动中受伤或根本没有受伤。问题的另一方面与提出这一材料的目的有关,这是阿尔巴尼亚专业文献中的第一个材料,即使是作为对体育活动中这一普遍现象的义务和科学反映,在血液积聚或血关节病只是冰山一角之后,应该非常认真地进行评估,而其他材料则被隐藏起来,需要识别和治疗。
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引用次数: 0
Electrophysiological Diagnostic Certainty in Spinal Nerve Root Entrapment 脊神经根压迫的电生理诊断的确定性
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.594
Naglaa A. Hussein, H. Sultan
Objective: Evaluation of sensitivity of different electrophysiological parameters among Egyptians with clinically spinal nerve entrapment. Methods: 100 spinal nerve entrapment patients and 41 healthy control. Exclusion; diabetes mellitus, renal, hepatic, endocrine disorder, other nerve involvements. Patients subjected to: Demographic data, detailed neurological history, examination. EDX; NCS, H-reflex, F-wave, Dermatomal Sensory Evoked Potential (DSEP), EMG. Normal cervical DSEP latency and same side Inter-root latency difference was calculated. Values more than 1.57 were considered abnormal. Results: Mean age 49.6 ± 10.6. sensory pattern 87%, motor pattern 9%, sensorimotor patterns 4%. Single nerve root (56%), highest C7 root (25%) (.44%. Multiple nerve root; highest C6,C7 (20.5%). No significant pattern difference among single versus multiple roots. Among single root: 91.9% sensory, 6.9% motor, 1.7% sensorimotor. Within multiple roots; sensory (81.8%), motor (11.4%), sensorimotor 6.8%. Positive DSEP; 98.2% sensory and all motor/sensoriomotor, all cervical and 93.8% lumbosacral patients. Cervical Latency normal/pathological: C5 l 18.68 ± 3.5/27.84 ± 4.02. C6: 22.18 ± 1.6)/26.38 ± 2.8. C7; 21.01 ± 1.8./25.6 ± 2.04. C8: 21.93 ± 1.7/5.93 ± 2.5. Significant difference between normal vs pathological latency. Positive F-wave; 57.5% sensory, 80%motor, 83.3%, sensorimotor. Abnormal H-reflex in patients with S1 root manifestations. Abnormal EMG: motor, sensorimotor and 54.2% sensory patterns. Conclusion: Commonest presentation is sensory. H-reflex is highly sensitive among S1 patients. DSEP is highly sensitive among sensory patterns. Sensitivity of F-wave is low among sensory, higher with motor/sensorimotor, with two segments accuracy. EMG is highly sensitive in motor but less with sensory pattern.
目的:评价埃及临床脊髓神经卡压患者不同电生理参数的敏感性。方法:100例脊神经卡压患者和41例健康对照。排除;糖尿病,肾脏,肝脏,内分泌紊乱,其他神经受累。患者接受:人口统计资料,详细的神经病史,检查。EDX;NCS, h反射,f波,皮肤感觉诱发电位(DSEP),肌电图。计算正常颈椎DSEP潜伏期与同侧根间潜伏期之差。值大于1.57被认为是异常。结果:平均年龄49.6±10.6岁。感觉模式87%,运动模式9%,感觉运动模式4%。单神经根(56%),最高C7根(25%)(0.44%)。多发神经根;最高的C6、C7(20.5%)。单根与多根间无显著差异。在单根中:感觉91.9%,运动6.9%,感觉运动1.7%。在多个根内;感觉(81.8%),运动(11.4%),感觉运动(6.8%)。积极DSEP;98.2%的感觉和所有运动/感觉运动患者,所有颈椎和93.8%的腰骶部患者。宫颈潜伏期正常/病理:C5 l 18.68±3.5/27.84±4.02。C6: 22.18±1.6)/26.38±2.8。C7;21.01±1.8./25.6±2.04.C8: 21.93±1.7/5.93±2.5正常潜伏期与病理性潜伏期的显著差异。积极f反应;57.5%是感觉,80%是运动,83.3%是感觉运动。S1根症状患者h反射异常。异常肌电图:运动,感觉运动和54.2%的感觉模式。结论:最常见的表现为感觉。h反射在S1患者中高度敏感。DSEP在感觉模式中是高度敏感的。f波在感觉层的灵敏度较低,在运动/感觉运动层的灵敏度较高,具有两段精度。肌电图对运动模式高度敏感,对感觉模式敏感度较低。
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引用次数: 1
Carpal Tunnel Syndrome Overlapping and Concealing Slowly Progressive Amyotrophic Lateral Sclerosis: Case Report 腕管综合征重叠和隐藏缓慢进行性肌萎缩侧索硬化1例报告
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.607
Naglaa A. Hussein, David Z. Prince
70-y-old constructor right- handed man without significant past medical history, presented by bilateral hand tingling and numbness associated with frequent objects drops for 1 year. No other neurological symptoms, no gait abnormity. The patient continued his labor work with difficulty. After thorough clinical and electrophysical exam; the condition was diagnosed as combined carpal tunnel syndrome and amyotrophic lateral sclerosis (ALS). Carpal tunnel syndrome on top of amyotrophic lateral sclerosis
70岁建筑工右撇子男性,无明显既往病史,表现为双侧手刺痛和麻木,伴有频繁物品掉落,持续1年。没有其他神经系统症状,步态也没有异常。病人艰难地继续他的分娩工作。经过彻底的临床和电物理检查;诊断为腕管综合征合并肌萎缩性侧索硬化症(ALS)。腕管综合症在肌萎缩侧索硬化症之上
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引用次数: 0
Secondary Brain Tumour Emerged by Malignant Growth 恶性生长导致继发性脑瘤
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S3.004
Rishika Meadwle
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引用次数: 0
Axillary Reconstruction for Hidradenitis Suppurativa with an Inner- Arm Transposition Flap 腋窝重建化脓性汗腺炎的臂内转位皮瓣
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.589
K. Nsaful, E. O. Apraku-Boadu, A. Afriyie
Hidradenitis suppurativa is a chronic and disfiguring skin disease characterized by multiple abscesses and sinuses. It can affect any area with apocrine sweat glands and has the potential to involve multiple sites concurrently. Commonly affected sites include the axilla, groin, perineum, and perianal areas. In this report, we describe an innovative technique for reconstructing axilla HS using an inner-arm transposition flap.
化脓性汗腺炎是一种以多发脓肿和窦为特征的慢性毁容皮肤病。它可以影响任何有大汗腺的区域,并有可能同时涉及多个部位。常见的受累部位包括腋窝、腹股沟、会阴和肛周。在这篇报告中,我们描述了一种利用臂内转位皮瓣重建腋窝HS的创新技术。
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引用次数: 0
Application and Implementation of the High-Level Mobility Assessment Tool (HiMAT): An Overview 高水平机动性评估工具(HiMAT)的应用与实现:综述
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.591
Gavin Williams, Beverly J Eldridge
Levels of mobility that are more advanced or ‘high-level’ that independent walking are required for participation and play in many social, leisure and social activities. These activities are important for quality of life. In recent years there has been a shift towards clinical research and programs that are aimed to improve a person’s capacity for high-level mobility. In order to evaluate the effectiveness of such programs, the High-level Mobility Assessment Tool (HiMAT) was developed. This short commentary discusses the development and application of the HiMAT in children and adults with health conditions that lead to mobility limitations.
参与和参与许多社交、休闲和社交活动需要比独立行走更高级或“高水平”的活动能力。这些活动对提高生活质量很重要。近年来,人们开始转向临床研究和项目,旨在提高一个人的高水平活动能力。为了评估这些计划的有效性,开发了高级别流动性评估工具(HiMAT)。这篇简短的评论讨论了HiMAT在导致行动受限的健康状况的儿童和成人中的发展和应用。
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引用次数: 0
期刊
International Journal of Physical Medicine and Rehabilitation
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