Introduction: Plantar fasciitis (PF) is a common cause of heel pain and manifests itself as pain surrounding the calcaneal tubercle. The pain is more severe when one steps on the ground for the first time in the morning, and the plantar fascia decreases as it warms up. Plantar fasciitis can respond to conservative treatments such as ice, relaxation and anti-inflammatory agents. Limited interest has been shown in exercise-based therapies for this common problem. This study aims to make a clinical contribution to the efficacy of plantar release and prolotherapy in the treatment of PF. Similarly, it was examined whether a detailed explanation of form of treatment had an effect on recovery. Material and method: This study was designed as retrospective. Adults diagnosed with plantar fasciitis and followed-up for at least 3 months were included in the study. All patients followed the same exercise protocol and used the same anti-inflammatory agents. In their controls in Weeks 3, 24 and 48 the severity of pain was assessed based on Visual Analogue Scale (VAS) for Pain. The patients were informed that some of them would be administered a prolotherapy injection at the end of the conservative treatment. Findings: Groups that were administered prolotherapy and followed-up conservatively reported that their pain significantly alleviated in the 48 th week. In the 24 th week controls, it was determined that the pain scores of prolotherapy group significantly decreased in patients to whom prolotherapy was administered compared to the conservative group. Conclusion: The exercise regime applied in this study alleviates the pain associated with chronic plantar facitiis. However, prolotherapy resulted in a decrease in pain in the
{"title":"The Effect of Percutaneous Partial Release of the Plantar Fascia and Prolotherapy in Plantar Fasciitis Cases: Patient Expectations and Treatment Effects","authors":"Z. Taşdemir","doi":"10.15761/PMRR.1000196","DOIUrl":"https://doi.org/10.15761/PMRR.1000196","url":null,"abstract":"Introduction: Plantar fasciitis (PF) is a common cause of heel pain and manifests itself as pain surrounding the calcaneal tubercle. The pain is more severe when one steps on the ground for the first time in the morning, and the plantar fascia decreases as it warms up. Plantar fasciitis can respond to conservative treatments such as ice, relaxation and anti-inflammatory agents. Limited interest has been shown in exercise-based therapies for this common problem. This study aims to make a clinical contribution to the efficacy of plantar release and prolotherapy in the treatment of PF. Similarly, it was examined whether a detailed explanation of form of treatment had an effect on recovery. Material and method: This study was designed as retrospective. Adults diagnosed with plantar fasciitis and followed-up for at least 3 months were included in the study. All patients followed the same exercise protocol and used the same anti-inflammatory agents. In their controls in Weeks 3, 24 and 48 the severity of pain was assessed based on Visual Analogue Scale (VAS) for Pain. The patients were informed that some of them would be administered a prolotherapy injection at the end of the conservative treatment. Findings: Groups that were administered prolotherapy and followed-up conservatively reported that their pain significantly alleviated in the 48 th week. In the 24 th week controls, it was determined that the pain scores of prolotherapy group significantly decreased in patients to whom prolotherapy was administered compared to the conservative group. Conclusion: The exercise regime applied in this study alleviates the pain associated with chronic plantar facitiis. However, prolotherapy resulted in a decrease in pain in the","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fractures of the metatarsal bones are among the most frequent injuries of the foot (>50%) and represent 5–6% of all fractures seen in emergency departments [1-5]. Multiple classification systems, over-complicating the issue, have been introduced to distinguish the different proximal fracture types of the fifth metatarsal bone (5MTB) [6-9]. These are considered complicated injuries due to the peculiar blood supply of this area and the multiple anatomical structures that insert in the proximal epiphysis of the 5MTB (Figure 1) [10]. Torg proposed to divide the 5MTB into four zones based on common fracture lines, and sub-classifying them into acute, delayed or non-union [11]. At present, the simplified three-part classification proposed by Lawrence and Botte is the most commonly used [12], distinguishing between tuberosity avulsion fractures, Type-1 (Zone1); fractures at the metaphyseal-diaphyseal junction, called Jones fractures, Type-2 (Zone-2); and shaft stress fractures Type-3 (Zone3). However, it is not widely accepted because many fracture lines lie between these zones [13-18]. In 2012, Polzer stated that non-operative treatment is indicated for metaphyseal fractures and surgical fixation for metadiaphyseal fractures, although the exact borderline between these groups remains unclear [19]. More recently, in 2014, Mehlhorn et al. proposed a new radiographic classification of tuberosity avulsion fractures (Zone-1), identifying 3 fracture groups at risk of secondary displacement: fractures entering in the lateral third of the 5MTB joint, fractures occurring in the middle third, and fractures in the medial third. They further divided them into two categories: non-displaced or displaced with a fracture-step-off >2 mm [20]. Although Mehlhorn et al. evaluated the risk of secondary displacement, they did not evaluate patient clinical outcomes, neither excluded from their classification the Type-2 and 3 fractures as described by Lawrence and Botte [12]. Management of 5MTB fractures can be challenging and is a matter of discussion in the orthopaedic community. There is little data available concerning the different fracture patterns of Zone-1, so we sought to categorize Type-1 fractures in this study to increase awareness of the typical patterns of tuberosity injuries [19,20]. Therefore, the purpose of this observational, retrospective, nonrandomized study, performed on a consecutive series of patients with diagnosis of acute, minimally displaced, proximal fracture of 5MTB, was to evaluate radiographic and clinical early outcomes in relation to the different fracture patterns, including sub-types-1, after conservative management without weightbearing restriction by a below-knee walking cast or a functional elasticated bandage with the support of a flat hard-soled shoe.
{"title":"Non randomised retrospective study of jones fractures treated by conservative treatment","authors":"S. Bernardino","doi":"10.15761/PMRR.1000193","DOIUrl":"https://doi.org/10.15761/PMRR.1000193","url":null,"abstract":"Fractures of the metatarsal bones are among the most frequent injuries of the foot (>50%) and represent 5–6% of all fractures seen in emergency departments [1-5]. Multiple classification systems, over-complicating the issue, have been introduced to distinguish the different proximal fracture types of the fifth metatarsal bone (5MTB) [6-9]. These are considered complicated injuries due to the peculiar blood supply of this area and the multiple anatomical structures that insert in the proximal epiphysis of the 5MTB (Figure 1) [10]. Torg proposed to divide the 5MTB into four zones based on common fracture lines, and sub-classifying them into acute, delayed or non-union [11]. At present, the simplified three-part classification proposed by Lawrence and Botte is the most commonly used [12], distinguishing between tuberosity avulsion fractures, Type-1 (Zone1); fractures at the metaphyseal-diaphyseal junction, called Jones fractures, Type-2 (Zone-2); and shaft stress fractures Type-3 (Zone3). However, it is not widely accepted because many fracture lines lie between these zones [13-18]. In 2012, Polzer stated that non-operative treatment is indicated for metaphyseal fractures and surgical fixation for metadiaphyseal fractures, although the exact borderline between these groups remains unclear [19]. More recently, in 2014, Mehlhorn et al. proposed a new radiographic classification of tuberosity avulsion fractures (Zone-1), identifying 3 fracture groups at risk of secondary displacement: fractures entering in the lateral third of the 5MTB joint, fractures occurring in the middle third, and fractures in the medial third. They further divided them into two categories: non-displaced or displaced with a fracture-step-off >2 mm [20]. Although Mehlhorn et al. evaluated the risk of secondary displacement, they did not evaluate patient clinical outcomes, neither excluded from their classification the Type-2 and 3 fractures as described by Lawrence and Botte [12]. Management of 5MTB fractures can be challenging and is a matter of discussion in the orthopaedic community. There is little data available concerning the different fracture patterns of Zone-1, so we sought to categorize Type-1 fractures in this study to increase awareness of the typical patterns of tuberosity injuries [19,20]. Therefore, the purpose of this observational, retrospective, nonrandomized study, performed on a consecutive series of patients with diagnosis of acute, minimally displaced, proximal fracture of 5MTB, was to evaluate radiographic and clinical early outcomes in relation to the different fracture patterns, including sub-types-1, after conservative management without weightbearing restriction by a below-knee walking cast or a functional elasticated bandage with the support of a flat hard-soled shoe.","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Aizawa, S. Ohji, K. Hirohata, Takehiro Ohmi, H. Koga, K. Yagishita
Primary and secondary injuries of the anterior cruciate ligament (ACL) often occur when athletes try to decelerate the body’s momentum during single-leg landing after jumping in sports such as basketball and handball [1,2]. To return to sports, 80–90% of athletes who experience primary ACL injury undergo reconstruction surgery and long-term postoperative rehabilitation [3-5]. The incidence of secondary injuries for the first 2–15 years after return to sports is 5.9–34% higher than that of primary injuries [6-9]. Moreover, athletes need a longer period of time to return to sports after revision reconstruction than after primary reconstruction [10].
{"title":"Relationship between asymmetrical jump-landing impact and quadriceps strength after unilateral anterior cruciate ligament reconstruction","authors":"J. Aizawa, S. Ohji, K. Hirohata, Takehiro Ohmi, H. Koga, K. Yagishita","doi":"10.15761/pmrr.1000203","DOIUrl":"https://doi.org/10.15761/pmrr.1000203","url":null,"abstract":"Primary and secondary injuries of the anterior cruciate ligament (ACL) often occur when athletes try to decelerate the body’s momentum during single-leg landing after jumping in sports such as basketball and handball [1,2]. To return to sports, 80–90% of athletes who experience primary ACL injury undergo reconstruction surgery and long-term postoperative rehabilitation [3-5]. The incidence of secondary injuries for the first 2–15 years after return to sports is 5.9–34% higher than that of primary injuries [6-9]. Moreover, athletes need a longer period of time to return to sports after revision reconstruction than after primary reconstruction [10].","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The population of older adults who are at risk for or experiencing falls and resulting injuries in the United States is increasing. Adults aged ≥85 years are the fastest-growing age group among U.S. residents, and are projected to reach approximately 8.9 million in 2030 [1]. More than 1 in 4 adults ages 65 and older reported falling and one in 10 reported a fall-related injury in 2014 [2]. Among older adults, falls account for approximately 60% of all injury-related ED visits and over 50% of injury-related deaths annually [3].
{"title":"Technology Innovation to Protect Hips from Fall-related Fracture","authors":"P. Quigley, Wamis Singhatat, Rebecca J Tarbert","doi":"10.15761/pmrr.1000205","DOIUrl":"https://doi.org/10.15761/pmrr.1000205","url":null,"abstract":"The population of older adults who are at risk for or experiencing falls and resulting injuries in the United States is increasing. Adults aged ≥85 years are the fastest-growing age group among U.S. residents, and are projected to reach approximately 8.9 million in 2030 [1]. More than 1 in 4 adults ages 65 and older reported falling and one in 10 reported a fall-related injury in 2014 [2]. Among older adults, falls account for approximately 60% of all injury-related ED visits and over 50% of injury-related deaths annually [3].","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Hanna, M. Lyons, J. Parker, A. Stokes, S. Wojkowski
The interaction between a child with limitations in their functional abilities, and the environment, can result in disability [1]. Rehabilitation is a process that can improve the child’s functional abilities by maximizing the strengths and resources of the child and their family within their environment [1]. Rehabilitation can be provided in various settings, ranging from hospital care to community care [2]. Access to early initiation of rehabilitation for children with disabilities is important as it is associated with better functional and health outcomes, greater reduction in healthcare costs and disability, and better quality of life [2].
{"title":"Unmet Needs for Physiotherapy Services for the Pediatric Population in Canada: A Scoping Review Protocol","authors":"S. Hanna, M. Lyons, J. Parker, A. Stokes, S. Wojkowski","doi":"10.15761/pmrr.1000197","DOIUrl":"https://doi.org/10.15761/pmrr.1000197","url":null,"abstract":"The interaction between a child with limitations in their functional abilities, and the environment, can result in disability [1]. Rehabilitation is a process that can improve the child’s functional abilities by maximizing the strengths and resources of the child and their family within their environment [1]. Rehabilitation can be provided in various settings, ranging from hospital care to community care [2]. Access to early initiation of rehabilitation for children with disabilities is important as it is associated with better functional and health outcomes, greater reduction in healthcare costs and disability, and better quality of life [2].","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Policastro, A. Accardo, R. Marcovich, G. Pelamatti, S. Zoia
In the present literature, the correlation between physical, motor and cognitive aspects in the development of children is widely considered [1-3]. Many studies take into account children’s developmental impairments, like the Developmental Coordination Disorders (DCD) [4,5]. For instance, in the Canadian PHAST project [6], the author investigates about the impact of motor problems on physical activity of children, and its related physical consequences on health.
{"title":"Correlations between motor and cognitive skills in young basketball players: A bivariate regression analysis","authors":"F. Policastro, A. Accardo, R. Marcovich, G. Pelamatti, S. Zoia","doi":"10.15761/pmrr.1000195","DOIUrl":"https://doi.org/10.15761/pmrr.1000195","url":null,"abstract":"In the present literature, the correlation between physical, motor and cognitive aspects in the development of children is widely considered [1-3]. Many studies take into account children’s developmental impairments, like the Developmental Coordination Disorders (DCD) [4,5]. For instance, in the Canadian PHAST project [6], the author investigates about the impact of motor problems on physical activity of children, and its related physical consequences on health.","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Mikami, Kai Ushio, A. Matsumoto, K. Kouda, Hiroaki Kimura, N. Adachi
Muscle spasticity after stroke causes pain and decrease of activities of daily living (ADL), and is one of the causes of decreasing Quality of life (QOL) and social participation of the patients. Botulinum toxin is a neurotoxin produced by Clostridium botulinum, and type A is the most stable and toxic [1]. In 1977, Scott [2] first applied botulinum toxin type A (BTA) clinically for strabismus, and was also used for the treatment of blepharospasm, hemifacial spasm, and spastic torticollis. In recent years, BTA has become widely applied as a treatment for muscle spasticity after stroke, and there have been many reports that said BTA treatment is a safe and effective treatment [3-5]. BTA cleaves the SNAP25 protein involved in the release of acetylcholine within nerve endings at the neuromuscular junction. Thereby, the release of acetylcholine is suppressed, and the neuromuscular transmission is suppressed to obtain muscular relaxation. Neurons in which neuromuscular transmission has been inhibited are reopened several months later due to the formation of a nerve branch from the axonal side, and the muscular relaxation disappears [6]. The effect of BTA treatment on muscle spasticity is generally assessed using the modified Ashworth scale (MAS). However, the evaluation by MAS is less objective and has differences among the examiners, and MAS is not highly reliable [7-9]. Therefore, there have been few objective outcome measures regarding the effect of BTA treatment, and the optimal dose, duration of the effect, and the interval of re-administration of BTA have not been clarified.
{"title":"Quantitative assessment of Muscle stiffness using Tensiomyography before and after Injection of Botulinum toxin Type A in Patients after Stroke","authors":"Y. Mikami, Kai Ushio, A. Matsumoto, K. Kouda, Hiroaki Kimura, N. Adachi","doi":"10.15761/pmrr.1000208","DOIUrl":"https://doi.org/10.15761/pmrr.1000208","url":null,"abstract":"Muscle spasticity after stroke causes pain and decrease of activities of daily living (ADL), and is one of the causes of decreasing Quality of life (QOL) and social participation of the patients. Botulinum toxin is a neurotoxin produced by Clostridium botulinum, and type A is the most stable and toxic [1]. In 1977, Scott [2] first applied botulinum toxin type A (BTA) clinically for strabismus, and was also used for the treatment of blepharospasm, hemifacial spasm, and spastic torticollis. In recent years, BTA has become widely applied as a treatment for muscle spasticity after stroke, and there have been many reports that said BTA treatment is a safe and effective treatment [3-5]. BTA cleaves the SNAP25 protein involved in the release of acetylcholine within nerve endings at the neuromuscular junction. Thereby, the release of acetylcholine is suppressed, and the neuromuscular transmission is suppressed to obtain muscular relaxation. Neurons in which neuromuscular transmission has been inhibited are reopened several months later due to the formation of a nerve branch from the axonal side, and the muscular relaxation disappears [6]. The effect of BTA treatment on muscle spasticity is generally assessed using the modified Ashworth scale (MAS). However, the evaluation by MAS is less objective and has differences among the examiners, and MAS is not highly reliable [7-9]. Therefore, there have been few objective outcome measures regarding the effect of BTA treatment, and the optimal dose, duration of the effect, and the interval of re-administration of BTA have not been clarified.","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67507401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exercise during neoadjuvant treatment: is high-intensity interval training (HIIT) a smart choice?","authors":"F. Frajacomo","doi":"10.15761/pmrr.1000206","DOIUrl":"https://doi.org/10.15761/pmrr.1000206","url":null,"abstract":"","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67507162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. D. Vroey, F. Staes, I. Weygers, G. V. Damme, K. Claeys
Purpose: Limited evidence exists on the clinical use of the forward lunge (FL) and the squat in rehabilitation protocols following knee replacement surgery. The aim of this study is to compare the squat and FL performance between patients with unicondylar (UKA), total knee arthroplasty (TKA) and controls. The second aim will be to investigate the relation between muscle force and the performance of these functional movements. Methods: Sixteen one-year post knee replacement surgery patients and 9 control subjects were recruited for this study. Subjects performed three FL and squat trials. A visual rating (good or bad) at knee, hip and ankle level was performed while subjects executed the functional movements. A physical examination and functionality assessment was performed. An ANOVA test followed by a Bonferroni correction was used to assess differences between groups. A chi-square test was used to compare differences based on the performance of the functional movements at different body levels. An unpaired T-test was used to assess differences in muscle force and knee joint mobility between subjects with a ‘good’ or ‘bad’ performance Results: No statistical differences were demonstrated between groups regarding squat performance. Patients with TKA performed significantly worse at trunk and knee level during the FL. A bad performance of the FL at knee level was associated with reduced muscle strength of the gluteus medius, maximus and hamstrings across groups. Conclusion: The FL is a challenging task for patients with a knee replacement, especially for those with reduced muscle force at hip stabilizers and knee prime movers.
{"title":"The relation between muscle force and functional movement performance in patients one year after knee replacement surgery: a pilot study","authors":"H. D. Vroey, F. Staes, I. Weygers, G. V. Damme, K. Claeys","doi":"10.15761/pmrr.1000207","DOIUrl":"https://doi.org/10.15761/pmrr.1000207","url":null,"abstract":"Purpose: Limited evidence exists on the clinical use of the forward lunge (FL) and the squat in rehabilitation protocols following knee replacement surgery. The aim of this study is to compare the squat and FL performance between patients with unicondylar (UKA), total knee arthroplasty (TKA) and controls. The second aim will be to investigate the relation between muscle force and the performance of these functional movements. Methods: Sixteen one-year post knee replacement surgery patients and 9 control subjects were recruited for this study. Subjects performed three FL and squat trials. A visual rating (good or bad) at knee, hip and ankle level was performed while subjects executed the functional movements. A physical examination and functionality assessment was performed. An ANOVA test followed by a Bonferroni correction was used to assess differences between groups. A chi-square test was used to compare differences based on the performance of the functional movements at different body levels. An unpaired T-test was used to assess differences in muscle force and knee joint mobility between subjects with a ‘good’ or ‘bad’ performance Results: No statistical differences were demonstrated between groups regarding squat performance. Patients with TKA performed significantly worse at trunk and knee level during the FL. A bad performance of the FL at knee level was associated with reduced muscle strength of the gluteus medius, maximus and hamstrings across groups. Conclusion: The FL is a challenging task for patients with a knee replacement, especially for those with reduced muscle force at hip stabilizers and knee prime movers.","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67507276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A spinal cord injury (SCI) is damage to the spinal cord that causes changes in its function, either temporary or permanent. These changes translate into loss of muscle function, sensation, or autonomic function in parts of the body served by the spinal cord below the level of the lesion. Injuries can occur at any level of the spinal cord and can be classified as complete injury, a total loss of sensation and muscle function, or incomplete, meaning some nervous signals are able to travel past the injured area of the cord. Depending on the location and severity of damage along the spinal cord, the symptoms can vary widely, from pain or numbness to paralysis to incontinence. The prognosis also ranges widely, from full recovery in rare cases to permanent tetraplegia (also called quadriplegia) in injuries at the level of the neck, and paraplegia in lower injuries. Complications that can occur in the short and long term after injury include muscle atrophy, pressure sores, infections, and respiratory problems.
{"title":"Systematic review on tele-wound-care in spinal cord injury (SCI) patients and the impact of telemedicine in decreasing the cost","authors":"Sorush Niknamian","doi":"10.15761/pmrr.1000199","DOIUrl":"https://doi.org/10.15761/pmrr.1000199","url":null,"abstract":"A spinal cord injury (SCI) is damage to the spinal cord that causes changes in its function, either temporary or permanent. These changes translate into loss of muscle function, sensation, or autonomic function in parts of the body served by the spinal cord below the level of the lesion. Injuries can occur at any level of the spinal cord and can be classified as complete injury, a total loss of sensation and muscle function, or incomplete, meaning some nervous signals are able to travel past the injured area of the cord. Depending on the location and severity of damage along the spinal cord, the symptoms can vary widely, from pain or numbness to paralysis to incontinence. The prognosis also ranges widely, from full recovery in rare cases to permanent tetraplegia (also called quadriplegia) in injuries at the level of the neck, and paraplegia in lower injuries. Complications that can occur in the short and long term after injury include muscle atrophy, pressure sores, infections, and respiratory problems.","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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