67,124 results match your criteria Ankle Flexor Hallucis Longus Tendon Injuries


Can early detection prevent venous leg ulceration?

Authors:
Michelle Porter

Br J Community Nurs 2018 Dec;23(Sup12):S14-S17

Senior Tissue Viability Clinical Nurse Specialist, Lincolnshire Community Health Services NHS Trust.

Venous leg ulceration is the most common form of leg ulceration, affecting 1.5% of the UK adult population. This was reviewed within the latest best practice statement (2016) which set out to create clear guidance on the assessment, management and preventing the reoccurrence of venous leg ulceration. Read More

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December 2018

Posturographic and ankle muscle activation characteristics in patients with haemophilia.

Haemophilia 2018 Dec 6. Epub 2018 Dec 6.

Department of Sports Medicine, University of Wuppertal, Wuppertal, Germany.

Introduction: The objective of this work was to examine the interrelations of posturographic and surface EMG (SEMG) characteristics of ankle muscles in patients with haemophilia while standing naturally.

Methods: Surface EMG of five bilaterally recorded ankle muscles was conducted in 24 patients with haemophilia (PwH, age: 42 [11] years, mean [SD], 22 A, 2 B, 21 severe, 3 moderate) with median (quartiles) WFH orthopaedic joint score of 30 (20/39) points and 24 non-haemophilic controls (Con, age: 42 [12]). Force plate (IBS) signals were captured simultaneously during bipedal stance with eyes open. Read More

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December 2018
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Artificial neural network simulation of lower limb joint angles in normal and impaired human gait.

Acta Bioeng Biomech 2018 ;20(4):43-49

Józef Piłsudski University of Physical Education in Warsaw, Faculty of Rehabilitation, Warsaw, Poland.

Purpose: Simulating the complexities of lower limb motion can be useful for orthosis or rehabilitation planning. The aim of this study was to develop an artificial neural network (ANN) able to accurately simulate the changes in the angle of the ankle, knee and hip joints during the gait cycle, then to use it to simulate the impact of a restricted range of ankle and hip joint angle changes on the progres- sion of the knee joint angle.

Methods: Thirty four young healthy students participated in the study. Read More

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January 2018

Recovery from acute pediatric complex regional pain syndrome type I after ankle sprain by early pharmacological and physical therapies in primary care: a case report.

J Pain Res 2018 13;11:2859-2866. Epub 2018 Nov 13.

Sannoh Orthopedic Clinic, Pain Clinic and Rehabilitation for Musculoskeletal Disorders, Sannoh Hospital, Chiba, Japan,

Background: Complex regional pain syndrome type I (CRPS I) in children is a serious condition disrupting the family and school life of patients with the condition after it fully develops. It has been emphasized that early diagnosis is closely associated with earlier reduction of pain leading to preferable outcomes.

Objectives: To report a case of acute CRPS I in a boy who was found to develop this condition by a routine visual analog scale (VAS) pain monitoring and who recovered from CRPS I at an early phase by prompt pharmacological, physical, and educational therapies. Read More

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November 2018

Associations Between Plasma Betatrophin Levels and Coronary and Peripheral Artery Disease.

J Atheroscler Thromb 2018 Dec 4. Epub 2018 Dec 4.

Department of Cardiology, National Hospital Organization Tokyo Medical Center.

Aim: Betatrophin, a recently identified circulating adipokine, affects lipid and glucose metabolism. However, association between plasma betatrophin levels and atherosclerotic diseases, such as coronary artery disease (CAD) and peripheral artery disease (PAD), has not been elucidated.

Methods: We investigated plasma betatrophin levels in 457 patients undergoing elective coronary angiography who also had ankle-brachial index (ABI) test for PAD screening. Read More

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December 2018

Coefficients in the CAVI Equation and the Comparison Between CAVI With and Without the Coefficients Using Clinical Data.

J Atheroscler Thromb 2018 Dec 4. Epub 2018 Dec 4.

Mihama Hospital.

Aim: The Cardio-Ankle Vascular Index (CAVI) is a stiffness index of the arterial tree from the origin of the aorta to the ankle, independent of blood pressure at the time of measurement. The CAVI equation includes the coefficients "a" and "b" to adjust it to the value of Hasegawa's pulse wave velocity, which is compensated for at 80 mmHg of diastolic pressure. To verify this adjustment with the coefficients, the clinical significance of CAVI and CAVI without the coefficients (haβ) were compared in both an epidemiological study and an acute clinical study. Read More

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December 2018
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Influence of Different Instrument Carrying Systems on the Kinematics of the Spine of Saxophonists.

Med Probl Perform Art 2018 Dec;33(4):251-257

University of Music Franz Liszt Weimar, Platz der Demokratie 2/3, 99423 Weimar, Germany. Tel +491706264778.

Aims: Back strain is a common musculoskeletal complaint affecting musicians, which may be related to unsuitable playing positions causing fatigue and muscle tension. In this study, three saxophone-carrying systems (neck-strap, shoulder-strap, and Saxholder) were examined for their effects on spinal column kinematics.

Methods: The influence of saxophone-carrying systems was investigated in 14 physically healthy alto saxophonists using ultrasound topometry. Read More

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December 2018

Heeled Shoes Increase Knee Work Demand During Repeated Hopping in Dancers.

Med Probl Perform Art 2018 Dec;33(4):243-250

Outpatient Rehabilitation Services, Cedars-Sinai Medical Center, 444 S. San Vicente Blvd #701, Los Angeles, CA 90048, USA. Tel 310-967-7409.

Aims: Dancers have high injury rates of the lower extremity. External factors such as footwear likely alter the work demands placed on the lower extremity joints when performing dance-style movements. Research on pedestrians shows an increase in knee work demand when wearing heels, which may occur in dancers as well. Read More

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December 2018
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Women's Reproductive History and Pre-Clinical Peripheral Arterial Disease in Late Life: The San Diego Population Study.

J Womens Health (Larchmt) 2018 Dec 1. Epub 2018 Dec 1.

5 Premier Applied Sciences, Premier, Inc., Charlotte, North Carolina.

Objective: Reproductive events have been linked with increased cardiovascular risk in women, but whether they are associated with pre-clinical peripheral arterial disease (PAD) has been understudied. We evaluated associations between reproductive factors and later-life ankle-brachial index (ABI), femoral artery intima-media thickness (fIMT), and femoral plaques.

Methods: Cross-sectional analysis of 707 multiethnic women who participated in a follow-up exam of the San Diego Population Study in 2007-2011. Read More

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December 2018

The level of synovial AXL expression determines the outcome of inflammatory arthritis, possibly depending on the upstream role of TGF-β1.

Rheumatology (Oxford) 2018 Dec 1. Epub 2018 Dec 1.

Experimental Rheumatology, Department of Rheumatology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, the Netherlands.

Objective: To investigate the role of AXL, a member of the anti-inflammatory TYRO3, AXL MER (TAM) receptor family, in arthritis.

Methods: KRN serum transfer arthritis was induced in Axl-/- and wild-type mice. Knee and ankle joints were scored macro- and microscopically. Read More

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December 2018

Hypertension and high ankle brachial index: the overlooked combination.

J Hypertens 2019 Jan;37(1):92-98

Vascular Health Research Group of Girona (ISV-Girona). Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Girona.

Objective: Assessment of asymptomatic organ damage in the management of hypertension includes low (<0.9) ankle brachial index (ABI) values. No recommendations are given for patients with high ABI (≥1. Read More

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January 2019

Letter to the Editor: Confidence intervals that cross zero must be interpreted correctly.

Authors:
Joanna Diong

Scand J Med Sci Sports 2018 Dec 2. Epub 2018 Dec 2.

School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia.

In a recent study, Pamboris and colleagues reported that dynamic stretching is not detrimental to neuromechanical and sensorimotor performance of the ankle plantarflexors. In this study, investigators used a crossover design to compare joint mechanical properties and proprioception outcomes in 18 healthy subjects who received slow and fast dynamic stretches to the plantarflexor muscles. Investigators used an estimation-based approach to quantify mean differences and confidence intervals of within- and between-condition comparisons (i. Read More

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December 2018

Not all brawn, but some brain. Strength gains after training alters kinematic motor abundance in hopping.

PeerJ 2018 23;6:e6010. Epub 2018 Nov 23.

School of Physiotherapy and Exercise Sciences, Curtin University of Technology, Perth, Western Australia, Australia.

Background: The effects of resistance training on a muscle's neural, architectural, and mechanical properties are well established. However, whether resistance training can positively change the coordination of multiple motor elements in the control of a well-defined lower limb motor performance objective remains unclear. Such knowledge is critical given that resistance training is an essential and ubiquitous component in gait rehabilitation. Read More

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November 2018

Simultaneously surgical management of adult complex coarctation of aorta concomitant with intracardiac abnormality.

J Thorac Dis 2018 Oct;10(10):5842-5849

Department of Cardiovascular Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

Background: To explore surgical management of complex coarctation of aorta (COA) concomitant with intracardiac abnormality, in order to provide recommendations for safe and reliable treatment.

Methods: Totally, six adult cases demonstrating complex COA concomitant with intracardiac abnormality were reviewed from our department between May 2012 and June 2017. Four patients were male and two patients were female, the age range being 43. Read More

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October 2018

Repeatability of a Multi-segment Foot Model with a 15-Marker Set in Normal Children.

Clin Orthop Surg 2018 Dec 21;10(4):484-490. Epub 2018 Nov 21.

Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea.

Background: The use of three-dimensional multi-segment foot models (3D MFMs) is increasing since they have superior ability to illustrate the effect of foot and ankle pathologies on intersegmental motion of the foot compared to single-segment foot model gait analysis. However, validation of the repeatability of the 3D MFMs is important for their clinical use. Although many MFMs have been validated in normal adults, research on MFM repeatability in children is lacking. Read More

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December 2018

Modified Proximal Scarf Osteotomy for Hallux Valgus.

Clin Orthop Surg 2018 Dec 21;10(4):479-483. Epub 2018 Nov 21.

Department of Foot and Ankle Surgery, Eulji Medical Center, Eulji University, Seoul, Korea.

Background: We developed a modified proximal scarf osteotomy technique for moderate to severe hallux valgus in an attempt to obtain better correction of the deformity. In addition, we compared the clinical and radiographic results of this modified technique with those of the classic scarf osteotomy reported in other studies.

Methods: Between December 2004 and July 2009, 44 cases of modified proximal scarf osteotomy was performed in 35 patients with moderate hallux valgus. Read More

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December 2018

Using Tibia Proximal Cut Autograft in Advanced Varus Knee Deformity in Total Knee Arthroplasty; Outcomes Compared to the Control Group.

Authors:
Aydin Arslan

Open Orthop J 2018 24;12:405-410. Epub 2018 Oct 24.

Elit Istanbul Medical Center, Orthopaedics and Traumatology, Istanbul Gelisim university, Istanbul, Turkey.

Background: The purpose of this study was to compare the outcomes of Total Knee Arthroplasty (TKA) performed for advanced varus knee deformity, which is performed by using tibia proximal cut bone for the reconstruction of the tibia proximal medial bone defects, with a control group consisting of TKAs which did not need reconstruction.

Methods: Patients in the present study underwent total knee arthroplasty between 2009 and 2015. 12 patients with advanced varus deformity who had undergone reconstruction with tibia proximal cut autograft and 15 patients who were randomly selected from patients who did not need reconstruction, were compared clinically and radiographically. Read More

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October 2018
3 Reads

A survey of foot orthoses prescription habits amongst podiatrists in the UK, Australia and New Zealand.

J Foot Ankle Res 2018 26;11:64. Epub 2018 Nov 26.

8York Trials Unit, Department of Health Sciences, University of York, York, UK.

Background: Foot orthoses are frequently used but little is known about which types are used in contemporary practice. This study aimed to explore the types of foot orthoses currently used by podiatrists and the prescription variations in a range of conditions.

Methods: A web-based, cross-sectional survey was distributed through professional bodies in the United Kingdom (UK), Australia, and New Zealand. Read More

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November 2018

Adipofascial perforator flaps: Its role in reconstruction of soft-tissue defects of lower leg and ankle.

Indian J Plast Surg 2018 May-Aug;51(2):216-221

Department of Burns, Plastic and Maxillofacial Surgery, Safdarjung Hospital and VMMC, New Delhi, India.

Background: Despite advances in surgical skills, adipofascial flaps are still less preferred option for coverage of leg defect. We evaluate the use of perforator-based adipofascial flap in small-to-medium-sized soft-tissue defects in the lower limb.

Patients And Methods: After localisation of perforators along the major axial vessels in the lower limb using handheld Doppler, adipofascial flap based on the nearest best perforator of anterior tibial artery, posterior tibial artery and peroneal artery was raised to cover soft-tissue defect in 21 patients. Read More

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December 2018

Effectiveness of Daily Use of Bilateral Custom-Made Ankle-Foot Orthoses on Balance, Fear of Falling, and Physical Activity in Older Adults: A Randomized Controlled Trial.

Gerontology 2018 Nov 30:1-9. Epub 2018 Nov 30.

Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas,

Background: Foot problems are prevalent in older adults, which may increase the risk and concern for falls. Ankle-foot orthoses (AFO) have been shown to be effective in the stabilization of lower extremities, but their long-term effectiveness in improving balance and their potential to encourage older adults to become more physically active are still debated.

Objective: This randomized controlled trial investigated the effectiveness of daily use of a custom-made AFO on balance, fear of falling, and physical activity in older adults. Read More

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November 2018

Variability of spatiotemporal gait parameters in children with and without Down syndrome during treadmill walking.

Gait Posture 2018 Nov 27;68:207-212. Epub 2018 Nov 27.

Department of Kinesiology and Health, Georgia State University, Atlanta, GA, USA; Center for Movement & Rehabilitation Research, Georgia State University, Atlanta, GA, USA. Electronic address:

Background: Increasing walking speed and including bilateral external ankle load have been shown to improve aspects of the gait pattern of children with Down syndrome (DS). However, it is unknown if speed and ankle load improves the cycle-to-cycle variability in a similar way.

Research Question: How do changes of walking speed and external ankle load impact spatiotemporal variability during treadmill walking in children with and without DS?

Methods: Thirteen children with DS (aged 7-10 years) and thirteen age- and sex-matched typically developing (TD) children participated in this study. Read More

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November 2018

Hallux valgus correction with a new percutaneous distal osteotomy: Surgical technique and medium term outcomes.

Foot Ankle Surg 2018 Nov 14. Epub 2018 Nov 14.

Department of Orthopaedics and Traumatology, Santa Maria Hospital, Borgo Val di Taro, PR, Italy.

Background: Many procedures and different osteotomies have been described for percutaneous hallux valgus correction. Percutaneous techniques may lead to reduced morbidity, surgery, and recovery time. The aim of this study is to evaluate the clinical and radiographic outcome of a new percutaneous procedure (PBS-Percutaneous Bianchi System). Read More

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November 2018

Suture button versus syndesmosis screw constructs for acute ankle diastasis injuries: A meta-analysis and systematic review of randomised controlled trials.

Foot Ankle Surg 2018 Nov 22. Epub 2018 Nov 22.

Department of Orthopaedic Surgery, Box Hill Hospital, Melbourne, Victoria, Australia. Electronic address:

Background: Ankle syndesmotic injuries can be surgically managed with syndesmosis screws (SS) or suture button (SB) fixation. We performed a meta-analysis of randomized controlled trials (RCTs) aiming to compare the clinical and complication profiles of both modalities.

Methods: A multi-database search up to 4th of March 2018 was performed according to PRISMA guidelines. Read More

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November 2018

The effects of alignment of an articulated ankle-foot orthosis on lower limb joint kinematics and kinetics during gait in individuals post-stroke.

J Biomech 2018 Nov 22. Epub 2018 Nov 22.

Department of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT, USA.

Mechanical tuning of an ankle-foot orthosis (AFO) is important in improving gait in individuals post-stroke. Alignment and resistance are two factors that are tunable in articulated AFOs. The aim of this study was to investigate the effects of changing AFO ankle alignment on lower limb joint kinematics and kinetics with constant dorsiflexion and plantarflexion resistance in individuals post-stroke. Read More

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November 2018

Hematological and psychophysiological correlates of anomalous information reception in mediums: A preliminary exploration.

Explore (NY) 2018 Aug 2. Epub 2018 Aug 2.

Windbridge Institute, 1517 N Wilmot Rd #254, Tucson, Arizona, USA.

Context: Modern research with mediums-individuals who regularly experience and report communication from the deceased-includes investigations of mediums' accuracy, psychology, phenomenology, and electrophysiology and the therapeutic potential of mediumship readings for the bereaved. Anecdotal reports imply that chronic medical problems may be a serious concern for mediums.

Objective: The aim of this study was two-fold: (I) to systematically investigate the hematological and psychophysiological correlates of anomalous information reception (AIR, the reporting of accurate and specific information about the deceased in the absence of prior knowledge, feedback, or deceptive means) and (II) to compare the reported health issues of mediums and non-mediums. Read More

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Low bone mineral density is associated with an elevated risk of developing increased arterial stiffness: A 10-year follow-up of Japanese women from the Japanese Population-based Osteoporosis (JPOS) cohort study.

Maturitas 2019 Jan 11;119:39-45. Epub 2018 Nov 11.

Department of Public Health, Kindai University Faculty of Medicine, 377-2 Oonohigashi, Osaka-Sayama, Osaka, 589-8511, Japan. Electronic address:

Objective: Only a few longitudinal studies have assessed the relationship between bone mineral density (BMD) and arteriosclerosis. This study aimed to determine whether low BMD at baseline is associated with the development of increased arterial stiffness, as evaluated by brachial-ankle pulse wave velocity (baPWV), in Japanese women.

Methods: A baPWV value of ≥1800 cm/s was adopted as the criterion for increased arterial stiffness, i. Read More

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January 2019

Fractures of the anterior process of the calcaneum: A review and proposed treatment algorithm.

Foot Ankle Surg 2018 Nov 16. Epub 2018 Nov 16.

Munich University Hospital, Department of General, Trauma and Reconstructive Surgery, Ludwig-Maximilians-University, Nussbaumstr. 20, 80336 Munich, Germany. Electronic address:

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November 2018

Extracorporeal shock wave therapy versus other therapeutic methods for chronic plantar fasciitis.

Foot Ankle Surg 2018 Nov 13. Epub 2018 Nov 13.

Tianjin First Center Hospital, Fukang Road No. 24, Nankai District, Tianjin, 300192, China. Electronic address:

Background: To conduct a meta-analysis comparing the efficacy of general ESWT with that of other therapies and to assess its effectiveness in chronic plantar fasciitis.

Methods: A literature search was performed in PubMed, Embase, Web of Science and the Cochrane Library for information from the earliest date of data collection to March 2018. Studies comparing the benefits and risks of extracorporeal shock wave therapy with those of other therapies for chronic plantar fasciitis were included. Read More

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November 2018

Three-Dimensional computed tomography tunnel assessment of allograft anatomic reconstruction in chronic ankle instability: 33 cases.

Orthop Traumatol Surg Res 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopedic Surgery, Inje University Seoul Paik Hospital, Seoul, Korea. Electronic address:

Introduction: Although clinical results of anatomic reconstruction using allograft are reportedly good, studies on how accurately the tunnel has been made after surgery are very rare. The purpose of this study was to analyze the postoperative locations of the tunnels through 3-dimensional computed tomography (3D-CT) after anatomic ligament reconstruction and to evaluate its clinical results.

Hypothesis: We hypothesized that anatomic lateral ligament reconstruction could lead to excellent results in clinical outcomes by repositioning anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) accurately. Read More

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November 2018

A Comparison Between Two Collagen Nerve Conduits and Nerve Autograft: A Rat Model of Motor Nerve Regeneration.

J Hand Surg Am 2018 Nov 27. Epub 2018 Nov 27.

Center for Brachial Plexus and Traumatic Nerve Injury, Hospital for Special Surgery, New York, NY; Weill Medical College of Cornell University, New York, NY. Electronic address:

Purpose: To compare recovery in a rat model of sciatic nerve injury using a novel polyglycolic acid (PGA) conduit, which contains collagen fibers within the tube, as compared with both a hollow collagen conduit and nerve autograft. We hypothesize that a conduit with a scaffold will provide improved nerve regeneration over hollow conduits and demonstrate no significant differences when compared with autograft.

Methods: A total of 72 Sprague-Dawley rats were randomized into 3 experimental groups, in which a unilateral 10-mm sciatic defect was repaired using either nerve autograft, a hollow collagen conduit, or a PGA collagen-filled conduit. Read More

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November 2018

Predicting dynamic balance improvements following 4-weeks of balance training in chronic ankle instability patients.

J Sci Med Sport 2018 Nov 15. Epub 2018 Nov 15.

University of North Carolina at Chapel Hill, Department of Exercise and Sport Science, USA. Electronic address:

Objectives: Balance training typically features as a central component of exercise-based rehabilitation programs for patients with lateral ankle sprain and chronic ankle instability (CAI). The purpose of this study was to conduct a responder/non-responder analysis using existing data to identify factors associated with improvements in dynamic balance performance in CAI patients.

Design: Secondary data analysis. Read More

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November 2018

Midterm Outcomes of a Synthetic Cartilage Implant for the First Metatarsophalangeal Joint in Advanced Hallux Rigidus.

Foot Ankle Int 2018 Dec 3:1071100718815469. Epub 2018 Dec 3.

13 Division of Orthopaedic Surgery, St. Michael's Hospital, Toronto, ON, Canada.

Background:: A prospective, randomized, noninferiority clinical trial of synthetic cartilage implant hemiarthroplasty for hallux rigidus demonstrated functional outcomes and safety equivalent to first metatarsophalangeal (MTP) joint arthrodesis at 24 months. We prospectively assessed safety and efficacy outcomes for synthetic cartilage implant hemiarthroplasty at a minimum of 5 years.

Methods:: Of 135 eligible patients from the original trial, 112 (83. Read More

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December 2018

Influence of Aging on Lower Extremity Sagittal Plane Variability During 5 Essential Sub-phases of Stance in Male Recreational Runners.

J Orthop Sports Phys Ther 2018 Nov 30:1-29. Epub 2018 Nov 30.

Nike Sport Research Lab, Nike INC, Beaverton, OR.

Study Design: Cross-sectional design.

Background: Inter-joint coordination variability measures the ability of the human system to regulate multiple movement strategies. Normal aging may reduce variability resulting in a less adaptive system. Read More

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November 2018

The Effects of Needling Therapies on Muscle Force Production: A Systematic Review and Meta-Analysis.

J Orthop Sports Phys Ther 2018 Nov 30:1-38. Epub 2018 Nov 30.

Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, Columbus, OH.

Study Design: Systematic review with meta-analysis.

Background: Needling has been shown to decrease pain in the short-term; however, its effects on muscle force production are unclear.

Objective: Evaluate the evidence regarding the comparative effects of needling on muscle force production. Read More

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November 2018

Relationship between fitness and arterial stiffness according to hypertensive state.

Clin Exp Hypertens 2018 Nov 30:1-6. Epub 2018 Nov 30.

a Division of Cardiology, Department of Medicine , Sungkyunkwan University School of Medicine, Prevention & Rehabilitation Center, Heart Vascular & Stroke Institute, Samsung Medical Center , Seoul , Republic of Korea.

Background: There is a well-established relationship between cardiorespiratory fitness (CRF) and arterial stiffness. However, it is unclear whether this relationship differs significantly between hypertensive and non-hypertensive patients.

Methods: Adults without a history of ischemic heart disease or stroke and normal exercise test results who underwent health screening were included. Read More

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November 2018

Measuring Dynamic Leg Length during Normal Gait.

Sensors (Basel) 2018 Nov 29;18(12). Epub 2018 Nov 29.

Department of Physical Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa 3498838, Israel.

Dynamic leg length [DLL] is a resultant factor of anatomic leg length and lower limb movement that is measured by the distance from the hip to the heel, ankle, and forefoot during the gait cycle. The aim of this study was to present DLL measurement during normal gait. Forty healthy participants underwent a gait evaluation using a motion analysis system. Read More

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November 2018

Return to Duty Following Open Reduction and Internal Fixation of Unstable Ankle Fractures in the Active Duty Population.

Mil Med 2018 Dec 4. Epub 2018 Dec 4.

Department of Surgery, Orthopaedic Service, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI.

Introduction: Literature on functional outcomes after ankle surgery is for the most part limited to return to sport studies. The purpose of this study was to determine occupational and functional outcomes following operative treatment of unstable ankle fractures in the active duty military population.

Materials And Methods: All ankle fractures treated with open reduction internal fixation at a single institution from 2013 to 2015 were reviewed. Read More

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December 2018
1 Read

Functional Outcomes Following Treatment for Clubfoot: Ten-Year Follow-up.

J Bone Joint Surg Am 2018 Dec;100(23):2015-2023

Movement Science Lab (K.A.J., A.L.E., and W.R.S.) and Department of Orthopaedics (L.A.K.), Texas Scottish Rite Hospital for Children, Dallas, Texas.

Background: The purpose of this study was to assess function, at the age of 10 years, of children initially treated nonoperatively for clubfoot with either the Ponseti or French physiotherapy program and to compare outcomes in feet that had undergone only nonoperative treatment with those that required subsequent surgery.

Methods: Gait analysis, isokinetic ankle strength, parent-reported outcomes, and daily step activity data were collected when patients who had been treated for idiopathic clubfoot reached the age of 10 years. Patients who had undergone only nonoperative treatment were compared with those who subsequently underwent extra-articular surgery or intra-articular surgery (posterior release or posteromedial release). Read More

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December 2018
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Outcomes of the Ponseti Method for Untreated Clubfeet in Nepalese Patients Seen Between the Ages of One and Five Years and Followed for at Least 10 Years.

J Bone Joint Surg Am 2018 Dec;100(23):2004-2014

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Background: To our knowledge, there are no reports of the Ponseti method initiated after walking age and with >10 years of follow-up. Our goal was to report the clinical findings and patient-reported outcomes for children with a previously untreated idiopathic clubfoot who were seen when they were between 1 and 5 years old, were treated with the Ponseti method, and had a minimum follow-up of 10 years.

Methods: A retrospective review of medical records was supplemented by a follow-up evaluation of physical findings (alignment and range of motion) and patient-reported outcomes using the Oxford Ankle Foot Questionnaire for Children (OxAFQ-C). Read More

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December 2018
3 Reads

The Effect of Obesity on Achilles Rupture Repair.

Foot Ankle Spec 2018 Dec 5:1938640018816376. Epub 2018 Dec 5.

Department of Orthopaedics, Miller School of Medicine, University of Miami, Miami, Florida.

Introduction: Obesity is an increasingly common comorbidity that may negatively affect outcomes following orthopaedic surgery. It is valuable to determine whether obese patients are vulnerable for postoperative complications. The purpose of this study was to analyze data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) to determine the effect of obesity on surgical treatment of Achilles tendon ruptures. Read More

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December 2018
1 Read

Musculoskeletal pain and symptoms in pregnancy: a descriptive study.

Ther Adv Musculoskelet Dis 2018 Dec 19;10(12):229-234. Epub 2018 Nov 19.

Department of Physical Medicine and Rehabilitation, University of Health Sciences, Gülhane School of Medicine, Gaziler Physical Therapy and Rehabilitation Research and Training Hospital, Ankara, Turkey.

Background: Pregnancy-induced hormonal and physiologic changes increase the risk of musculoskeletal problems in pregnancy. The purpose of this report is to provide a comprehensive look at the musculoskeletal pain and symptoms experienced during pregnancy.

Methods: A total of 184 women (mean age 30. Read More

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December 2018

Adherence to guidelines in management of symptoms suggestive of heart failure in primary care.

Heart 2018 Dec 4. Epub 2018 Dec 4.

Department of Primary Care and Public Health, Imperial College London, London, UK.

Objective: Clinical guidelines on heart failure (HF) suggest timings for investigation and referral in primary care. We calculated the time for patients to achieve key elements in the recommended pathway to diagnosis of HF.

Methods: In this observational study, we used linked primary and secondary care data (Clinical Practice Research Datalink, a database of anonymised electronic records from UK general practices) between 2010 and 2013. Read More

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December 2018
1 Read

Comparison of the human-exosuit interaction using ankle moment and ankle positive power inspired walking assistance.

J Biomech 2018 Nov 20. Epub 2018 Nov 20.

John A. Paulson School of Engineering and Applied Sciences, Harvard University, Cambridge, MA 02138, USA; Wyss Institute for Biologically Inspired Engineering, Harvard University, Cambridge, MA 02138, USA.

Previous ankle exoskeleton assistance techniques that were able to demonstrate metabolic reductions can be categorized into those that delivered moment profiles similar to the biological ankle moment throughout the stance phase, and others that delivered positive power only during push off. Both assistance techniques and a powered-off condition were compared in treadmill walking (1.5 m s) with a soft exosuit. Read More

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November 2018

Treatment of early vascular ageing.

Curr Pharm Des 2018 Dec 4. Epub 2018 Dec 4.

Hypertension Center, 3rd Department of Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki. Greece.

Artery disease can be identified from ankle-brachial index (peripheral artery disease), pulse wave velocity (arterial stiffness), carotid intima media thickness (atherosclerosis) and flow-mediated dilation (endothelial disfunction). Arterial stiffness is a marker of cardiovascular disease associated with cardiovascular events. Increased vascular ageing is the acceleration of arterial stiffness inappropriate for the given chronological age. Read More

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December 2018

The effect of group exercises on balance, mobility, and depressive symptoms in older adults with mild cognitive impairment: a randomized controlled trial.

Clin Rehabil 2018 Dec 4:269215518815218. Epub 2018 Dec 4.

1 Institute of Geriatrics and Gerontology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.

Objective:: To determine the effects of group exercises on balance, mobility, and depressive symptoms in community-dwelling older adults with mild cognitive impairment.

Design:: Single blinded, randomized, matched pairs clinical trial.

Setting:: Four primary healthcare units. Read More

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December 2018

[Autogenous distal tibial cancellous bone graft with periosteum for the treatment of cartilage injury of talus with Hepple III-IV type].

Zhongguo Gu Shang 2018 Nov;31(11):1061-1064

Department of Orthopaedics, Luannan County Hospital, Tangshan 063000, Hebei, China;

Objective: To analyze the operative methods and clinical effects of autologous distal tibial cancellous bone graft with periosteum in treating cartilage injury of talus with Hepple III-IV type.

Methods: From June 2014 to August 2017, 25 patients (25 feet) with Hepple III to IV cartilage injury of talus were treated with autogenous ipsilateral distal tibial cancellous bone graft. Including 14 males and 11 females, aged from 18 to 52 years with an average of (38. Read More

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November 2018