26,722 results match your criteria Toe Web Infection Gram-Negative


Full length foot orthoses have an immediate treatment effect and modify gait of children with idiopathic toe walking.

Gait Posture 2018 Nov 20;68:227-231. Epub 2018 Nov 20.

Monash University, School of Primary and Allied Health Care, Frankston, VIC, 3199, Australia; Peninsula Health, Allied Health, 4 Hastings Rd, Frankston, VIC, 3199, Australia.

Background: There remains a substantial lack of evidence to support the use of foot orthoses as a conservative treatment option for idiopathic toe walking (ITW). Encouraging heel contact during gait is one of the primary goals of most interventions in paediatric ITW.

Research Question: Does the combined treatment of high-top boots and orthoses increase the number of heel contacts during gait and change spatio-temporal gait parameters?

Methods: This within subject designed randomised controlled trial recruited fifteen children diagnosed with ITW (n = 10 males). Read More

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November 2018
2 Reads

The Effects of Radix Astragali Water Abstract on Energy Metabolism in Rat Yang-Deficiency Cold Syndrome Model through PPAR Signaling Pathway.

Evid Based Complement Alternat Med 2018 1;2018:9194362. Epub 2018 Nov 1.

College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250355, China.

Radix Astragali (RA) herb with warm property and significant "tonifying qi" effects is indicated for the syndrome of internal cold due to Yang deficiency. The purpose of this research was to explore effects of Radix Astragali (RA) through PPAR signaling pathway on gene expression profiles related to energy metabolism in rats with the Yang-deficiency cold (YDC) syndrome, for identifying the pathological mechanism of Yang-deficiency cold (YDC) syndrome and the effects mechanism of RA. The results indicated that RA could significantly increase body weight (BM), cold and heat tendency (CT), overall temperature (OT), rectum temperature (RT), toe temperature (TT), energy intake (EI), and V(O)/V(CO) ratio (which indicates basal metabolism, BM) (P<0. 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 Fluoridated Groundwater and 1,100 Ppm Fluoride Dentifrice on Biomarkers of Exposure to Fluoride.

Braz Dent J 2018 Sep-Oct;29(5):475-482

Department of Public Health and Clinic Dentistry, Health Sciences Center, UFPB - Universidade Federal da Paraiba, João Pessoa, PB, Brazil.

This research aimed to determine the influence of fluoridated groundwater and 1,100 ppm fluoride dentifrice on biomarkers of exposure to fluoride in preschoolers. A cross-sectional study was performed on thirty preschoolers recruited from naturally fluoridated and non-fluoridated areas (n=15). Total Daily Fluoride Intake (TDFI) from diet and dentifrice, and Daily Urinary Fluoride Excretion (DUFE) was measured over 24 h. Read More

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January 2018

First MTP joint instability - Expanding the concept of "Turf-toe" injuries.

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

Ankle and Foot Medicine and Surgery of UNIFESP - Paulista Medical School, Brazil.

Background: Although the classic definition of the Turf-toe injury refers to a very specific clinical and pathological picture, we think that the concept can be broadened to encompass a wide variety of traumatic lesions of the first metatarsophalangeal joint (MTP1). These are lesions typically difficult to diagnose, with a large variation of outcomes and a potential to impair patients' functional performance on a definitive and perennial basis. The objective of this study is to present the result obtained by treating 24 cases of traumatic injuries to the MTP1 joint in a midterm follow-up time. Read More

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November 2018
4 Reads

Assessment of interpretation of paediatric skeletal radiographs in the emergency room.

Clin Radiol 2018 Nov 30. Epub 2018 Nov 30.

Department of Paediatric Radiology, MedCampus IV, Kepler University Hospital, Linz, Austria.

Aim: To assess the performance of paediatric skeletal radiography interpretation in the emergency department.

Materials And Methods: In a large paediatric referral centre, data from trauma patients with initially misdiagnosed skeletal radiography was collected from October 2014 to June 2015. Data analysis focused on demographic data, region of the injury and clinical consequences as well as outcome of treatment. Read More

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November 2018

[A woman with a white skin lesion of her toe].

Ned Tijdschr Geneeskd 2018 11 27;163. Epub 2018 Nov 27.

Huisartsenpraktijk Vondelplein, Amersfoort.

A 78-year-old woman visited her general practitioner with a sharply bounded white lesion of her toe. We diagnosed it as gouty tophus, which was confirmed by a high serum urate level. Gout is a chronic disease, characterised by deposition of monosodium urate crystals in joints and tissues. Read More

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November 2018
3 Reads

The Utility of the Knotless Suture Fixation for Bilateral Second Toe Transplantation in Traumatic Multiple-Digit Amputation.

Case Rep Orthop 2018 18;2018:5194918. Epub 2018 Oct 18.

Department of Orthopedic Surgery, Juntendo University, Tokyo, Japan.

Toe-to-hand transfer is a useful reconstruction method after finger amputation. We report a case of multiple-digit amputation, reconstructed with bilateral second-toe transfer. In this study, we used a knotless suture fixation system (ZipTight™; Arthrex Inc. Read More

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October 2018

How does a short period of exercise effect toe pressures and toe-brachial indices? A cross-sectional exploratory study.

J Foot Ankle Res 2018 26;11:63. Epub 2018 Nov 26.

1School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Ourimbah, NSW 2258 Australia.

Background: Whilst post exercise ankle-brachial indices (ABI) are commonly used to help identify peripheral arterial disease (PAD), the role of post exercise toe pressures (TP) or toe-brachial indices (TBI) is unclear The aim of this study was to determine, in a population without clinical signs of PAD, the effect that 30 s of weight-bearing heel raises has on TP and TBI values. Additionally, the ability of resting TP and TBI values to predict change in post-exercise values using the heel raise method was investigated.

Methods: Participants over the age of 18 with a resting TBI of ≥0. Read More

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November 2018

An Engraving of a New Apparatus for the Prevention and Cure of Pointed Toe.

Authors:
Joseph Amesbury

Lond Med Phys J 1823 Sep;50(295):179-180

Member of the Royal College of Surgeons in London, &c.

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September 1823

[Clinical analysis of the double-wing flap for treatment of toe syndactyly].

Zhonghua Wai Ke Za Zhi 2018 Dec;56(12):906-909

Orthopedics Department, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

To explore the clinical effect of double-wing flap for the treatment of toe syndactyly. Retrospective analysis of 47 patients (60 syndactyly toes) who underwent double-wing flap to reconstruct toe web space in orthopedics department of the Third Affiliated Hospital of Zhengzhou University from February 2010 to October 2017.There were 21 males and 26 females, with an average age of 18. Read More

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December 2018
1 Read

Dynamic walking stability of elderly people with various BMIs.

Gait Posture 2018 Nov 20;68:168-173. Epub 2018 Nov 20.

Beijing Advanced Innovation Centre for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, 100191, China; State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing, 100191, China. Electronic address:

Background: Falls are one of the major causes of injury in the elderly. Obesity may be related to the risk of falling. Understanding the dynamic stability mechanisms of obese elderly people during gait is important as it may be associated with fall protection. Read More

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November 2018

Mechanical Properties and Microstructural Collagen Alignment of the Ulnar Collateral Ligament During Dynamic Loading.

Am J Sports Med 2018 Nov 29:363546518812416. Epub 2018 Nov 29.

Department of Orthopaedic Surgery, Washington University, St Louis, Missouri, USA.

Background:: The ulnar collateral ligament (UCL) microstructural organization and collagen fiber realignment in response to load are unknown.

Purpose/hypothesis:: The purpose was to describe the real-time microstructural collagen changes in the anterior bundle (AB) and posterior bundle (PB) of the UCL with tensile load. It was hypothesized that the UCL AB is stronger and stiffer with more highly aligned collagen during loading when compared with the UCL PB. Read More

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November 2018
2 Reads

A new species of Limnonectes (Amphibia: Anura: Dicroglossidae) from Vietnam.

Zootaxa 2018 Oct 29;4508(1):115-130. Epub 2018 Oct 29.

Institute of Ecology and Biological Resources, Vietnam Academy of Science and Technology, 18 Hoang Quoc Viet, Hanoi, Vietnam. Graduate University of Science and Technology, Vietnam Academy of Science and Technology, 18 Hoang Quoc Viet, Hanoi, Vietnam.

A new species of Limnonectes from central Vietnam is described based on morphological and molecular differences. Morphologically, the new species is distinguishable from its congeners on the basis of a combination of the following diagnostic characters: SVL 47.5-60. Read More

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October 2018

Fracture Risk in Women with Dysglycaemia: Assessing Effects of Baseline and Time-Varying Risk Factors.

Calcif Tissue Int 2018 Nov 27. Epub 2018 Nov 27.

Deakin University, Geelong, VIC, 3220, Australia.

Although individuals with diabetes appear to have a higher fracture risk compared to those without diabetes, fracture risk in impaired fasting glucose (IFG) has not been thoroughly explored. This study determined associations between glycaemia status and fracture risk. Women (n = 575, aged 50 + years) enrolled in the Geelong Osteoporosis Study, were followed from baseline (1993-1997), to date of first fracture, death or December 31, 2010, whichever occurred first (median 13. Read More

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November 2018
2 Reads

Volar Resurfacing of the Thumb with a Superficial Circumflex Iliac Artery Perforator Flap after Hydrofluoric Acid Burn.

J Hand Microsurg 2018 Dec 5;10(3):162-165. Epub 2018 Apr 5.

Division of Plastic Surgery, University of Colorado, Aurora, Colorado, United States.

A right-hand-dominant 55-year-old male automotive mechanic presented 24 hours following a hydrofluoric acid burn to the volar left thumb. Despite the severity of soft tissue injury, the neurovascular bundles were intact. Although a free toe-pulp flap is often described to cover volar digit defects, the resultant 6- × 4-cm full-thickness injury of the thumb was too large to be adequately covered by a toe-pulp flap or other commonly used local flaps from the ipsilateral hand. Read More

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December 2018

In-vivo and numerical analysis of the eigenmodes produced by a multi-level Tic-Tac-Toe head transmit array for 7 Tesla MRI.

PLoS One 2018 27;13(11):e0206127. Epub 2018 Nov 27.

Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States of America.

Radio-frequency (RF) field inhomogeneities and higher levels of specific absorption rate (SAR) still present great challenges in ultrahigh-field (UHF) MRI. In this study, an in-depth analysis of the eigenmodes of a 20-channel transmit Tic-Tac-Toe (TTT) RF array for 7T neuro MRI is presented. The eigenmodes were calculated for five different Z levels (along the static magnetic field direction) of the coil. Read More

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November 2018
6 Reads

New Technology in the Treatment of Hallux Rigidus with a Synthetic Cartilage Implant Hemiarthroplasty.

Orthop Clin North Am 2019 Jan;50(1):109-118

Dalhousie University, Queen Elizabeth II Health Sciences Center, Halifax Infirmary, Room 4867, 1796 Summer Street, Halifax, Nova Scotia B3H 3A7, Canada.

Synthetic cartilage implant surgery is an excellent option for the patient with great toe arthritis and good alignment of the toe who wishes to retain first metatarsophalangeal motion and obtain 90% improved pain relief and function. Patients with osteoporosis, osteopenia, or bone defects from surgery or disease may not maintain the implant position due to poor bone quality, resulting in less than desired outcomes. Despite this being a straightforward surgery, patients need to be aware that the pain relief may not begin until 3+ months after surgery because this procedure does require bone resection and implant placement. Read More

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January 2019
1 Read

Surgical Treatment of Severe Cavovarus Foot Deformity in Charcot-Marie-Tooth Disease.

JBJS Essent Surg Tech 2015 May 10;5(2):e11. Epub 2015 Jun 10.

Foot Surgery and Pediatric Orthopaedics, ATOS Clinic Heidelberg, Bismarckstraße 9-15, 69115 Heidelberg, Germany.

Introduction: A successful adjusted treatment algorithm for the correction of cavovarus foot deformity requires soft-tissue balancing procedures, in particular total split posterior tibial tendon transfer (T-SPOTT), in combination with adjunctive corrective procedures depending on the degree of deformity.

Step 1 Surgical Preparation: Place the patient in a supine position and follow a standard aseptic surgical disinfection and draping protocol, allowing access to the iliac crest.

Step 2 Steindler Release Of The Plantar Aponeurosis: Use a medial approach to access and transect the plantar aponeurosis. Read More

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May 2015
6 Reads

A quantitative description of self-selected walking in adults with Achondroplasia using the gait profile score.

Gait Posture 2018 Nov 16;68:150-154. Epub 2018 Nov 16.

Health, Exercise and Active Living Research, Manchester Metropolitan University, United Kingdom.

Background: Achondroplasia is characterised by a shorter appendicular limb-to-torso ratio, compared to age matched individuals of average stature (controls). Previous work shows gait kinematics of individuals with Achondroplasia differing to controls, but no global quantification of gait has been made in adults with Achondroplasia.

Aim: The aim of this study was to quantify gait differences between a group of adult males with Achondroplasia and controls during self-selected walking (SSW) using the Gait Profile Score (GPS). Read More

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November 2018
6 Reads

Mechanical properties of a hierarchical electrospun scaffold for ovine anterior cruciate ligament replacement.

J Orthop Res 2018 Nov 26. Epub 2018 Nov 26.

School of Biomedical Engineering, Colorado State University, Fort Collins, CO, USA.

The anterior cruciate ligament (ACL) acts to stabilize the knee and prevent excessive motion of the tibia relative to the femur. Tears of the ACL are common and can result in pain and damage to surrounding tissues. Thus a torn ACL is often surgically replaced with an autograft or allograft material. Read More

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November 2018
2 Reads

Impact of rocker sole footwear on plantar pressure distribution during standing and walking in adult obese women.

Disabil Rehabil 2018 Nov 25:1-4. Epub 2018 Nov 25.

c Division of Metabolic Diseases and Auxology , Italian Institute of Auxology, IRRCS , Piancavallo , Italy.

Purpose: Obesity increases the stresses applied to the foot. Ergonomic rocker sole shoes increase energy expenditure of standing and walking in obese individuals but could potentially alter plantar pressure distribution. The aim of this study was to compare plantar pressure distribution during standing and walking between rocker sole and flat-bottomed shoes in obese subjects. Read More

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November 2018

[Trisomy 9p and clinical heterogeneity: case report of an unusual presentation].

Orv Hetil 2018 Nov;159(47):1994-2000

II. Gyermekgyógyászati Klinika, Genetikai Részleg, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Pf. 2., 1428.

Whole or partial trisomy of the short arm of chromosome 9 (9p) is considered to be one of the more frequent chromosome abnormalities compatible with life. The duplication may affect various organs, however the most common symptoms are certain specific facial dysmorphisms and abnormalities of the fingers, toes and nails. A one month old boy presented with failure to thrive, jaundice, ventricular septal defect (VSD) and dysmorphic face. Read More

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November 2018
7 Reads

Gene expression profiling in aggressive digital papillary adenocarcinoma sheds light on the architecture of a rare sweat gland carcinoma.

Br J Dermatol 2018 Nov 25. Epub 2018 Nov 25.

Heinrich-Heine-University, Medical Faculty, Institute of Human Genetics, Düsseldorf, Germany.

Background: Sweat gland carcinomas are rare cutaneous adnexal malignancies. Aggressive digital papillary adenocarcinoma (ADPA) represents a very rare sub-entity, thought to arise almost exclusively from sweat glands of the fingers and toes. The aetiology of sweat gland carcinomas and ADPA is largely unknown. Read More

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November 2018

Outcomes of arthroscopic rotator cuff repair with muscle advancement for massive rotator cuff tears.

J Shoulder Elbow Surg 2018 Nov 20. Epub 2018 Nov 20.

Department of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Background: We performed arthroscopic rotator cuff repair (ARCR) combined with miniopen supraspinatus and infraspinatus muscle advancement for massive rotator cuff tears (RCTs) to decrease tension at the repair site with the goal of reduction of the failure rate. We evaluated the clinical outcomes and failure rate after this procedure.

Methods: This study included 47 patients diagnosed with chronic massive RCTs between October 2010 and March 2015. Read More

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November 2018

An overview of claw disorders at slaughter in finishing beef cattle reared in intensive indoor systems through a cross-sectional study.

Prev Vet Med 2018 Dec 28;161:83-89. Epub 2018 Oct 28.

Department of Animal Medicine, Production and Health, University of Padova, Viale dell'Università 16, 35020, Legnaro (PD), Italy. Electronic address:

This cross-sectional study aimed to assess in post-mortem the prevalence of specific claw disorders and their location on the sole in hind feet of finishing beef cattle reared indoors under intensive production systems. Evaluation was made on animals that were introduced in the ordinary slaughterhouse planning, presumably with no signs of impaired locomotion or severe lameness. A total of 4292 hind feet (right and left) belonging to 153 batches were collected (average feet/batch 28. Read More

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December 2018
1 Read

Lateral Toe Pulp Flap Used in Reconstruction of Distal Dorsal Toe Defect: Case Report and Review of the Literature.

Ann Plast Surg 2018 Nov 17. Epub 2018 Nov 17.

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Buddhist Tzu-Chi General Hospital, School of Medicine, Tzu-Chi University, Hualien, Taiwan.

Background: When the distal dorsal part of the great toe is injured, especially with exposure of a tendon, bone, or joint, applying a free or local flap is difficult because of the lack of locally available tissue for reconstruction. Management of the distal dorsal part of a great toe soft tissue defect can be challenging for plastic surgeons.

Patient And Method: An 18-year-old woman presented with an injury to the dorsal aspect of her right great toe caused by a cobra bite. Read More

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November 2018
3 Reads

The effect of a reduced first step width on starting block and first stance power and impulses during an athletic sprint start.

J Sports Sci 2018 Nov 21:1-9. Epub 2018 Nov 21.

a GIH, Swedish School of Sport and Health Sciences , Stockholm , Sweden.

This study investigated how manipulating first step width affects 3D external force production, centre of mass (CoM) motion and performance in athletic sprinting. Eight male and 2 female competitive sprinters (100m PB: 11.03 ± 0. Read More

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November 2018
1 Read

Clinical Genetics of Polydactyly: An Updated Review.

Front Genet 2018 6;9:447. Epub 2018 Nov 6.

Division of Genetics, Department of Pediatrics, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs (NGHA), King Abdullah International Medical Research Centre, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Polydactyly, also known as or is the most common hereditary limb anomaly characterized by extra fingers or toes, with various associated morphologic phenotypes as part of a syndrome (syndromic polydactyly) or may occur as a separate event (non-syndromic polydactyly). Broadly, the non-syndromic polydactyly has been classified into three types, i.e. Read More

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November 2018
2 Reads

Acral coldness - severely reduced blood flow to fingers and toes.

Handb Clin Neurol 2018 ;157:677-685

Department of Physiology, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway. Electronic address:

The term acral coldness is used to describe physiologic or pathologic situations in humans where the fingers and toes are exceptionally cold in spite of normal central body temperature. In the thermoneutral zone, the blood flow to acral skin normally shows large fluctuations between high and low values, with a frequency of about 3 cycles per minute. At an acral skin temperature of about 21°C, finger blood flow is constantly low. Read More

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January 2018
3 Reads

Hospital Admissions and Surgical Treatment of Children With Lower-Limb Deficiency In Finland.

Scand J Surg 2018 Nov 19:1457496918812233. Epub 2018 Nov 19.

5 Department of Paediatric Orthopaedic Surgery, Helsinki University Central Hospital, Helsinki, Finland.

Background And Aims:: There are no population-based studies about hospital admissions and need for surgical treatment of congenital lower-limb deficiencies. The aim is to assess the impact children with lower-limb deficiencies pose to national hospital level health-care system.

Materials And Methods:: A population-based study was conducted using the national Register of Congenital Malformations and Care Register for Health Care. Read More

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November 2018
2 Reads

Effect of toe dorsiflexion on the regional distribution of plantar fascia shear wave velocity.

Clin Biomech (Bristol, Avon) 2018 Nov 8;61:11-15. Epub 2018 Nov 8.

Laboratory Movement, Interactions, Performance (EA 4334), Faculty of Sport Sciences, University of Nantes, Nantes, France; Institut universitaire de France (IUF), Paris, France.

Background: The plantar fascia is exposed to repetitive tensile stress induced by cyclic loads associated with daily activities, such as walking and running. Due to overuse or abnormal foot alignment, insertional and distal (i.e. Read More

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November 2018
2 Reads

Stepping over an obstacle in patients with lumbar spinal stenosis: Trunk and lower extremities of kinematic and muscle activation normalized by double limb support. A preliminary study.

Technol Health Care 2018 Nov 9. Epub 2018 Nov 9.

Background: Patients with LSS tend to adopt a flexed lumbar posture and trunk position, particularly when stepping over an obstacle, as this activity alters the biomechanical demands placed on the trunk and lower extremities.

Objective: To investigate the effects of lumbar spinal stenosis (LSS) on patients' trunk and lower-extremity kinematics, and on activities involving the gluteus medius (GMed) and vastus lateralis (VL).

Methods: All participants (9 older adult patients with LSS and 11 control subjects) were required to negotiate an obstacle while walking. Read More

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November 2018
6 Reads

Efficacy of interventions aimed at improving physical activity in individuals with stroke: a systematic review.

Disabil Rehabil 2018 Nov 19:1-16. Epub 2018 Nov 19.

a Department of Physical Therapy , Universidade Federal de Minas Gerais (UFMG) , Belo Horizonte , Brazil.

Purpose: To identify interventions employed to increase post-stroke physical activity, evaluate their efficacy, and identify the gaps in literature.

Materials And Methods: Randomized controlled trials published until March 2018 were searched in MEDLINE, PEDro, EMBASE, LILACS, and SCIELO databases. The quality of each study and overall quality of evidence were assessed using the PEDro and the GRADE scales. Read More

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November 2018
4 Reads
1.837 Impact Factor

Urgent need to clarify the definition of chronic critical limb ischemia - a position paper from the European Society for Vascular Medicine.

Vasa 2018 Nov 19:1-5. Epub 2018 Nov 19.

b ESVM board authors.

Chronic critical lower limb ischemia (CLI) has been defined as ischemia that endangers the leg. An attempt was made to give a precise definition of CLI, based on clinical and hemodynamic data (Second European Consensus). CLI may be easily defined from a clinical point of view as rest pain of the distal foot or gangrene or ulceration. Read More

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November 2018
3 Reads

Assessing the potential of the qualitative trajectory calculus to detect gait pathologies: a case study of children with developmental coordination disorder.

Comput Methods Biomech Biomed Engin 2018 Nov 17:1-7. Epub 2018 Nov 17.

a Department of Geography , CartoGIS, Ghent University , Ghent , Belgium.

The Qualitative Trajectory Calculus (QTC) is a qualitative spatio-temporal calculus for describing interactions between moving point objects. So far, it remained unclear whether QTC is useful for describing subtle differences, such as between the movements of different parts of a human body. We tested the applicability of QTC to detect differences in the gait patterns of children with or without Developmental Coordination Disorder (DCD). Read More

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November 2018

Use of Metatarsophalangeal Joint Dorsal Subluxation in the Diagnosis of Plantar Plate Rupture.

J Foot Ankle Surg 2018 Nov 15. Epub 2018 Nov 15.

Faculty, The Podiatry Institute, Decatur, GA; Resident, Dekalb Medical Center Podiatry Residency, Decatur, GA; Staff Surgeon, Piedmont Clinics Physician, Newnan, GA.

A dorsal drawer exam, also known as a modified Lachman's test, is a common clinical test for plantar plate insufficiency. This disorder presents as a dislocated metatarsophalangeal joint. The aim of this cadaveric case study was to quantify the degree of the plantar plate pathology necessary to correlate with a positive Lachman's test. Read More

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November 2018
5 Reads

Accurate Osteotomy for the Treatment of a Rare Case of Postaxial Polydactyly of the Foot That Originated From a Deformed Calcaneus Using a 3D-Printed Guiding Plate.

J Foot Ankle Surg 2018 Nov 15. Epub 2018 Nov 15.

Chief, Foot and Ankle Surgery, Department of Orthopaedic Surgery, Second Hospital of Jilin University, Changchun, China. Electronic address:

Polydactyly is a common congenital deformity of the foot that can be categorized as preaxial, central, or postaxial. Current treatments involve resecting the supernumerary toe(s) and repairing the normal toe(s) and soft tissue. Here, we present the first published report describing a very rare case of polydactyly of the foot, in which the supernumerary toe originated from a deformed calcaneus, which formed an abnormal bony bump. Read More

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November 2018
1 Read

Intravenous contrast-free standardized exercise perfusion imaging in diabetic feet with ulcers.

J Magn Reson Imaging 2018 Nov 16. Epub 2018 Nov 16.

Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri, USA.

Background: Impaired foot perfusion is a primary contributor to foot ulcer formation. There is no existing device nor method that can be used to measure local foot perfusion during standardized foot muscle exercise in an MRI environment.

Purpose: To develop a new MRI-compatible foot dynamometer and MRI methods to characterize local perfusion in diabetic feet with ulcers. Read More

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November 2018
7 Reads

An altered spatiotemporal gait adjustment during a virtual obstacle crossing task in patients with diabetic peripheral neuropathy.

J Diabetes Complications 2018 Oct 17. Epub 2018 Oct 17.

Division of Physical Therapy Education, College of Allied Health Professions, University of Nebraska Medical Center (UNMC), Omaha, NE, United States of America; Department of Biomechanics, College of Education, University of Nebraska at Omaha (UNO), NE, United States of America. Electronic address:

This study investigates spatiotemporal gait adjustments that occur while stepping over virtual obstacles during treadmill walking in people with/without diabetic peripheral neuropathy (DPN). Eleven adults with Type 2 diabetes mellitus, ten DPN, and 11 age-matched healthy adults (HTY) participated in this study. They stepped over forthcoming virtual obstacles during treadmill walking. Read More

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October 2018
4 Reads

Quality of life in patients with toe-to-hand transplantation.

J Plast Surg Hand Surg 2018 Nov 16:1-4. Epub 2018 Nov 16.

a Department of Orthopaedic Surgery , Nara Medical University , Kashihara , Japan.

Objective: Toe-to-hand transplantation is a reliable procedure that replaces like-with-like in cases of a lost thumb or finger. The aim of this study is to investigate the effects of toe transplantation on patients from the perspectives of quality of life (QOL) and disability.

Methods: Ten patients with traumatic amputation of a digit underwent reconstruction with toe transplantation. Read More

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November 2018
6 Reads

Ultrasound-Enhanced Ciclopirox Delivery for Treatment of Onychomycosis.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:5717-5720

The study aim was to determine ultrasound's efficacy in increasing the permeability of the nail in order to improve treatment outcomes in onychomycosis. Three sets of ultrasound experiments were performed - the luminosity experiment and two sets of diffusion cell experiments. The luminosity experiments assessed dye levels inside the nail after ultrasound application as compared to sham treatments, and the diffusion cell experiments compared changes in nail permeability due to the application of ultrasound. Read More

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Low-Cost Mobile Device for Screening of Atherosclerosis and Coronary Arterial Disease.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:5325-5328

In the context of global health, telemedicine, and low-resource settings, we present a non-invasive smart-phone based device that can be used to screen for atherosclerosis,which is the leading factor for ischemic heart attacks and strokes. Using acustom Android mobile application, our device computes Pulse Wave Velocity(PWV) using the pulse signals from photo-plethysmographic (PPG) probes, which are simultaneously clipped onto the ear, index finger, and big toe of a human subject. Unlike other designs which require the use of an ECG reference, our mobile device uses only PPG signals and is entirely powered by the mobile phone via the USB port. Read More

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July 2018
6 Reads

Image-Based Computational Fluid Dynamic Analysis for Surgical Planning of Sequential Grafts in Coronary Artery Bypass Grafting.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:4893-4896

Coronary bypass grafting (CABG) is a surgical procedure for anastomosing small grafts to the coronary vessels. The bypass graft bridges the occluded or diseased coronary artery, allowing sufficient blood flow to deliver oxygen and nutrients to the heart muscles. Patient-specific (PS) anatomy obtained from coronary computed tomography angiography (CCTA) was used to generate a 3D aorto-coronary model (pre-surgery). Read More

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July 2018
2 Reads

Predicting Walking Intentions using sEMG and Mechanical sensors for various environment.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:4414-4417

Predicting the motion intentions of a user is very challenging when controlling an exoskeleton robot. When only a mechanical sensor is used, a change in the motion is detected during the user's movement. An electromyographic (EMG) signal, which is a biological signal, is detected by the activation of the muscles before the actual movement of a person. Read More

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July 2018
2 Reads

Correction of Toe-Walking Gait in Children with Spastic Cerebral Palsy by using Electrical Stimulation Therapy.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:3529-3532

Toe-walking is a very common gait abnormality seen in children with Cerebral Palsy (CP). The present study aims to improvise the toe-walking gait by applying Electrical Stimulation (ES) therapy of the Tricep Surae (TS) muscles. The study was carried out on sixteen children with spastic CP with unilateral toe-walking gait problem, divided into the intervention group that received both ES therapy along with conventional physiotherapy treatment and the control group that received only conventional physiotherapy treatment. Read More

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July 2018
1 Read

Prediction of Minimum Toe Clearance with a Radial Basis Function Network at the Start of the Swing Phase.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:1664-1667

Prediction of minimum toe clearance (MTC) during walking can decrease the risk of tripping. In this paper, we proposed a novel MTC prediction method using a radial basis function network. Input data were the angles, angular velocities, and angular accelerations of the hip, knee, and ankle joints in the sagittal plane at the start of the swing phase. Read More

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Design and evaluation of a portable smart-phone based peripheral neuropathy test platform.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:1-4

In this paper, we describe a novel portable test platform that can be used to test peripheral neuropathy either within a clinic or at home. The system, called the PeriVib, is comprised of (1) a small, custom vibration motor designed to apply a vibration stimulus to the toe with constant pressure to test sensation threshold, and (2) a custom smart-phone app that enables a patient to run a series of functional gait and balance tests. Vibration is applied by PeriVib in two separate modes. Read More

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