137,343 results match your criteria unilateral

Inguinal hernia repair in Spain. A population-based study of 263,283 patients: factors associated with the choice of laparoscopic approach.

Hernia 2021 Apr 10. Epub 2021 Apr 10.

Department of General and Digestive Surgery, Hospital Plató, c/ Plató 21, 08006, Barcelona, Spain.

Purpose: The objective of this study is to evaluate the laparoscopic inguinal hernia repair (IHR) rate in Spain and identify the factors associated with the choice of this surgical approach.

Methods: A retrospective cohort study of 263,283 patients who underwent IHR from January 2016 to December 2018 was conducted. Data were extracted from the Spanish Minimum Basic Data Set (MBDS) of the Health Ministry database. Read More

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Feasibility, Contrast Sensitivity and Network Specificity of Language fMRI in Presurgical Evaluation for Epilepsy and Brain Tumor Surgery.

Brain Topogr 2021 Apr 10. Epub 2021 Apr 10.

Department of Medicine, School of Health Sciences, Democritus University of Thrace, Xanthi, Greece.

Language fMRI has become an integral part of the planning process in brain surgery. However, fMRI may suffer from confounding factors both on the patient side, as well as on the provider side. In this study, we investigate how patient-related confounds affect the ability of the patient to perform language fMRI tasks (feasibility), the task sensitivity from an image contrast point of view, and the anatomical specificity of expressive and receptive language fMRI protocols. Read More

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Clinical characteristics and long-term outcomes of endovascular treatment of renal artery fibromuscular dysplasia with branch lesions.

Pediatr Nephrol 2021 Apr 10. Epub 2021 Apr 10.

Department of Vascular and Endovascular Surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, 7#Weiwu Road, Zhengzhou, Henan, 450003, China.

Background: Renal artery fibromuscular dysplasia (FMD) can cause arterial stenosis, dissection, and aneurysm of renal arteries. This study aimed to analyze the clinical characteristics and evaluate the long-term outcomes of renal branch artery FMD in children and adults.

Methods: Sixty-one patients with renal artery FMD underwent endovascular treatment, including 23 children and 38 adults. Read More

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Centrally sensitized patients undergoing total knee arthroplasty have higher expectations than do non-centrally sensitized patients.

Knee Surg Sports Traumatol Arthrosc 2021 Apr 10. Epub 2021 Apr 10.

Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.

Purpose: The goal of this retrospective observational study is to determine whether patients with and without central sensitization (CS) undergoing total knee arthroplasty (TKA) have similar preoperative expectations. It was hypothesized that the degree of preoperative expectations is higher in patients with CS than in those without.

Methods: The data of 324 patients who underwent primary unilateral TKA for knee osteoarthritis were reviewed and CS was measured using the Central Sensitization Inventory (CSI), which is a validated self-reported questionnaire consisting of a total of 25 questions. Read More

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Clinical outcomes following selective laser trabeculoplasty in Afro-Caribbean patients with glaucoma at high risk for progression.

Br J Ophthalmol 2021 Apr 9. Epub 2021 Apr 9.

Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Aim: To characterise clinical outcomes following selective laser trabeculoplasty (SLT) in eyes of Afro-Caribbean patients with open-angle glaucoma (OAG) at high risk for progression.

Methods: In a prospective interventional case series, patients meeting high-risk criteria (advanced disease, unilateral glaucoma blindness, inadequate intraocular pressure (IOP) on 2 medications, recent progression on medications, inability to administer, afford or tolerate medications) underwent bilateral 360° SLT and managed based on their subsequent clinical course. Patient-specific indications for SLT-IOP reduction (IOP group) or reduced reliance on medical therapy (MED group)-were recorded before treatment. Read More

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Clinical characteristics and survival outcomes of malignant struma ovarii confined to the ovary.

BMC Cancer 2021 Apr 9;21(1):383. Epub 2021 Apr 9.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, People's Republic of China.

Background: Malignant struma ovarii (MSO) is a unique type of ovarian malignancy that data on the survival outcome is limited and management strategy remains controversial due to its extreme rarity.

Methods: To investigate the clinical characteristics and treatment options in patients with MSO confined to the ovary, while also evaluating the recurrent-free survival (RFS) and overall survival (OS) rate in this population, a retrospective study was conducted. One hundred twenty-five cases of MSO confined to the ovary were enrolled and their clinical characteristics, treatment strategies, and results of follow-up were analyzed. Read More

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NarxCare Scores Greater Than 300 Are Associated with Adverse Outcomes After Primary THA.

Clin Orthop Relat Res 2021 Apr 7. Epub 2021 Apr 7.

A. K. Emara, D. Grits, A. K. Klika, R. M. Molloy, V. E. Krebs, W. K. Barsoum, C. Higuera-Rueda, N. S. Piuzzi, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.

Background: The association between preoperative prescription drug use (narcotics, sedatives, and stimulants) and complications and/or greater healthcare utilization (length of stay, discharge disposition, readmission, emergency department visits, and reoperation) after total joint arthroplasty has been established but not well quantified. The NarxCare score (NCS) is a weighted scalar measure of overall prescription opioid, sedative, and stimulant use. Higher scores reflect riskier drug-use patterns, which are calculated based on (1) the number of prescribing providers, (2) the number of dispensing pharmacies, (3) milligram equivalence doses, (4) coprescribed potentiating drugs, and (5) overlapping prescription days. Read More

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Unraveling a cephalalgic quagmire from a cavern to a cave.

J Postgrad Med 2021 Apr 8. Epub 2021 Apr 8.

Department of Neurosurgery, Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India.

Headache in women in their late forties can be primary or secondary. We report a 48-year-old female with chronic slowly progressive left temporal headache for 1 year. She also had ipsilateral eye pain and facial numbness for 1 month, with restricted abduction in the left eye and diplopia. Read More

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Dural Contact to the Malleus Head in Patients with Superior Semicircular Canal Dehiscence (SSCD): Case Series and Review of SSCD and Tegmen Defects.

Ann Otol Rhinol Laryngol 2021 Apr 9:34894211007257. Epub 2021 Apr 9.

Department of Otolaryngology Head and Neck Surgery, University of Missouri, Cleveland, OH, USA.

Objective: Report a series of cases in which patients have concomitant superior semicircular canal dehiscence (SSCD) and a dehiscent tegmen tympani with Dural contact to the malleus head (DCMH).

Methods: An analysis of radiologic and audiologic data in 4 patients who presented with SSCD and DCMH at a tertiary care institution. A pertinent literature review was performed. Read More

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A novel, low-cost transradial socket fabrication method using mass-producible components and expanding rigid foam.

Prosthet Orthot Int 2021 Feb;45(1):89-93

1Center for Bionic Medicine, Shirley Ryan AbilityLab, Chicago, IL, USA 2Department of Physical Medicine & Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Background: Millions of people in low- and middle-income countries lack access to prosthetic care. A well-fitting, durable socket is important for prosthesis comfort and function, but conventional fabrication techniques require highly trained clinicians and specialized equipment.

Objectives: To increase access to prosthetic care by developing a simple, low-cost socket fabrication method that does not require specialized equipment or electricity, and can be performed by persons with minimal prosthetic training. Read More

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February 2021

Longitudinal study of prosthesis use in veterans with upper limb amputation.

Prosthet Orthot Int 2021 Feb;45(1):26-35

1Research Department, Providence VA Medical Center, Providence, RI, USA 2Health Services, Policy and Practice, Brown University, Providence, RI, USA 3University of Massachusetts Medical School, Worcester, MA, USA.

Background: Little is known about the patterns of prosthesis use and satisfaction of those who cease use or begin to use upper limb prostheses.

Objectives: Among a longitudinal sample of Veterans with upper limb amputation, (1) describe changes in prosthesis use over 1 year, (2) examine rates of receipt of new prostheses, and (3) compare prosthesis satisfaction in respondents who received a new prosthesis to those who did not.

Study Design: Longitudinal survey. Read More

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February 2021

A Full Digital Workflow for the Duplication of an Existing Implant Retained Overdenture Prosthesis: A Novel Approach.

J Prosthodont 2021 Apr 8. Epub 2021 Apr 8.

Associate Professor, Division of Prosthodontics, Department of Restorative Dental Sciences, University of Florida - College of Dentistry, Gainesville, Florida.

The purpose of this clinical case report is to describe a fully digital workflow for the duplication of an existing implant retained overdenture, highlighting the benefits of digitally fabricated dentures. The patient presented with an existing mandibular implant retained overdenture on Locator attachments that needed to be replaced. The existing overdenture was duplicated/scanned with the use of an intraoral scanner and was 3D printed using acrylic resin. Read More

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Ipsilateral patellofemoral morphological abnormalities are more severe than those of contralateral joints in patients with unilateral patellar dislocation.

Knee Surg Sports Traumatol Arthrosc 2021 Apr 9. Epub 2021 Apr 9.

Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.

Purpose: To determine the differences in anatomic parameters between ipsilateral dislocated knees and contralateral non-dislocated knees in patients with unilateral patellar dislocation and to identify any variations in ipsilateral knees contributing to contralateral anatomic abnormalities.

Methods: A total of 82 patients with unilateral patellar dislocation from 2016 to 2019 were retrospectively evaluated. Bilateral anatomic factors, including the tibial tubercle to trochlear groove (TT-TG) distance, lower limb rotational deformities, trochlear dysplasia, patella tilt, and patellar height, were assessed by CT. Read More

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Soft Landing technique as a possible prevention strategy for proximal junctional failure following adult spinal deformity surgery.

J Spine Surg 2021 Mar;7(1):26-36

Department of Orthopedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.

Background: This cross sectional study describes a "Soft Landing" strategy utilizing hooks for minimizing proximal junctional kyphosis (PJK) and proximal junctional failure (PJF). The technique creates a gradual transition from a rigid segmental construct to unilateral hooks at the upper instrumented level and preservation of the soft tissue attachments on the contralateral side of the hooks. Authors devise a novel classification system for better grading of PJK severity. Read More

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A New Neurorehabilitative Postsurgery Intervention for Facial Palsy Based on Smile Observation and Hand-Mouth Motor Synergies.

Neural Plast 2021 24;2021:8890541. Epub 2021 Mar 24.

Unit of Neuroscience, Department of Medicine and Surgery, University of Parma, Italy.

Objective: To perform a preliminary test of a new rehabilitation treatment (FIT-SAT), based on mirror mechanisms, for gracile muscles after smile surgery.

Method: A pre- and postsurgery longitudinal design was adopted to study the efficacy of FIT-SAT. Four patients with bilateral facial nerve paralysis (Moebius syndrome) were included. Read More

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Nicotinamide Mononucleotide Attenuates Renal Interstitial Fibrosis After AKI by Suppressing Tubular DNA Damage and Senescence.

Front Physiol 2021 23;12:649547. Epub 2021 Mar 23.

Key Laboratory of Renal Disease, Renal Division, Department of Medicine, Peking University First Hospital, Peking University Institute of Nephrology, Ministry of Health of China, Beijing, China.

Acute kidney injury (AKI) is a worldwide health problem currently lacking therapeutics that directly promote renal repair or prevent the occurrence of chronic fibrosis. DNA damage is a feature of many forms of kidney injury, and targeting DNA damage and repair might be effective strategies for kidney protection in AKI. Boosting nicotinamide adenine dinucleotide (NAD) levels is thought to have beneficial effects on DNA damage repair and fibrosis in other organs. Read More

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Is It Worth the Risk? Contralateral Prophylactic Mastectomy With Immediate Bilateral Breast Reconstruction.

Ann Plast Surg 2021 Mar 18. Epub 2021 Mar 18.

From the Division of Plastic Surgery, Columbia University Irving Medical Center Columbia University Medical School, New York, NY.

Background: An increasing number of women are choosing to undergo contralateral prophylactic mastectomy with immediate bilateral breast reconstruction. Operating on the contralateral noncancer side is not without its own set of risks. We sought to compare complication rates between the cancerous and contralateral prophylactic breasts. Read More

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Primary Cleft Rhinoplasty: Long-Term Outcomes of a Single Technique Used Over 2 Decades.

Ann Plast Surg 2021 Mar 18. Epub 2021 Mar 18.

From the Division of Plastic Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, NY.

Background: Primary cleft rhinoplasty has become widely accepted owing to evidence of improved outcomes and need for fewer revisions. Several techniques have been described, but few surgeons have reported long-term outcomes of repairs performed via a single method. The present study examines long-term outcomes of a single surgeon's experience over 22 years using the same primary cleft rhinoplasty technique. Read More

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Anatomic Variations and Malformations as Rare Causes of Median Nerve Compression in Adults: A Narrative Review.

Ann Plast Surg 2021 Mar 24. Epub 2021 Mar 24.

From the Department of Plastic and Reconstructive Surgery, Radboud University Medical Center Department of Plastic Surgery, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.

Objective: The median nerve can become compressed at multiple points in the arm, causing carpal tunnel-, pronator-, anterior interosseous-, or lacertus syndrome. Anatomical variations are potential reasons of persisting or recurrent symptoms of median nerve compression and are often recognized late. The objective of this study is to provide a comprehensive list of rare anatomical variations and malformations causing median nerve compression. Read More

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Three-Dimensional Computed Tomography Reconstruction and Measurement of Nasal End Deformity in Complete Unilateral Cleft Lip and Palate.

Ann Plast Surg 2021 Apr 5. Epub 2021 Apr 5.

From the Center for Cleft Lip and Palate Treatment, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing China.

Background: The repair of nasal deformities secondary to cleft lip and palate is complex and requires reliable preoperative nasal 3-dimensional assessment. This study explored nasal end (defined as the lower third of the external nasal and vestibular parts of the nasal cavity) deformities secondary to unilateral complete cleft lip and palate.

Methods: Three-dimensional nasal end morphometric measurements were obtained from 48 patients who had undergone Millard cleft lip repair and reached skeletal maturity (cleft group) and from 36 age- and ethnicity-matched normal subjects (control group). Read More

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Which factors affect the likelihood of miscarriage after single euploid blastocyst transfer?

Reprod Biomed Online 2021 Mar 6. Epub 2021 Mar 6.

Bahceci Health Group, Hakki Yeten cad. No: 11 Terrace Fulya, Fulya Istanbul, Turkey.

Research Question: Which parameters affect the likelihood of miscarriage after single euploid frozen-thawed blastocyst transfer (FBT)?

Design: In this retrospective study, clinical and laboratory data from 1051 single euploid FBTs were evaluated. Exclusion criteria were endocrine or systemic pathologies, uterine anomalies or pathologies, unilateral or bilateral hydrosalpinx, karyotypic abnormalities (either maternal or paternal) or thrombophilia. Patients were divided into two groups according to pregnancy outcome: live birth and miscarriage. Read More

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Spontaneous cerebrospinal fluid leaks of the temporal bone - clinical features and management outcomes.

Auris Nasus Larynx 2021 Apr 5. Epub 2021 Apr 5.

Department of Ear, Nose and Throat Surgery, Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, WA 6150, Australia; Department of Ear, Nose and Throat Surgery, Royal Perth Hospital, Perth, WA 6000, Australia; Department of Otolaryngology and Head and Neck Surgery, Sir Charles Gairdner Hospital, Nedlands, WA 6009, Australia; Western ENT, South Perth Hospital, Como, WA 6151, Australia.

Objective: METHODS: A retrospective cohort study over seven-years from 2013 to 2020 was conducted at five tertiary referral centres. Patients identified with biochemically confirmed spontaneous cerebrospinal fluid leaks of the temporal bone manifesting as middle ear fluid with no other obvious cause were included. Demographics (age, gender, body-mass-index), symptomatology, past medical history, examination, investigation (biochemical and radiological), management and outcomes were recorded. Read More

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[Ground reaction forces during gait in people with unilateral transtibial amputation, a series of cases].

Rehabilitacion (Madr) 2021 Apr 5. Epub 2021 Apr 5.

Universidad Autónoma de Manizales, Manizales, Colombia.

Unilateral Transtibial Amputees (UTA) usually present deficiencies in the mechanisms underlying their gait likely because of the absence of the resected segment, thus having an impact on the ability to actively adjust the lower limb prosthesis. Five participants with UTA were evaluated considering the ground reaction forces during gait by using an integrated BTS GAITLAB system. The first and the second vertical peak forces tended to be greater in the Healthy Lower Limb (HLL) than in the Lower Limb prosthesis (LLP). Read More

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Motion perception and its disorders.

Jason J S Barton

Handb Clin Neurol 2021 ;178:257-275

Departments of Medicine (Neurology), Ophthalmology and Visual Sciences, and Psychology, University of British Columbia, Vancouver, BC, Canada. Electronic address:

As we live in a dynamic world, motion is a fundamental aspect of our visual experience. The advent of computerized stimuli has allowed controlled study of a wide array of motion phenomena, including global integration and segmentation, speed and direction discrimination, motion aftereffects, the optic flow that accompanies self-motion, perception of object form derived from motion cues, and point-light biological motion. Animal studies first revealed the existence of a motion-selective region, the middle temporal (MT) area, also known as V5, located in the lateral occipitotemporal cortex, followed by areas such as V5A (also known as MST, the middle superior temporal area), V6/V6A, the ventral intraparietal area, and others. Read More

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January 2021

The cost-effectiveness of Cochlear implants in Swedish adults.

BMC Health Serv Res 2021 Apr 8;21(1):319. Epub 2021 Apr 8.

Macquarie University Centre for the Health Economy, Level 1, 3 Innovation Rd, Sydney, NSW, 2109, Australia.

Background: Research has shown unilateral cochlear implants (CIs) significantly improve clinical outcomes and quality of life in adults. However, only 13% of eligible Swedish adults currently use a unilateral CI. The objective was to estimate the cost-effectiveness of unilateral CIs compared to a hearing aid for Swedish adults with severe to profound hearing loss. Read More

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Characteristics of a COVID-19 confirmed case series in primary care (COVID-19-PC project): a cross-sectional study.

BMC Fam Pract 2021 Apr 8;22(1):66. Epub 2021 Apr 8.

Primary Health Care Centre General Ricardos, Calle General Ricardos 131, 28019, Madrid, Spain.

Background: To estimate the prevalence of symptoms and signs related to a COVID-19 case series confirmed by polymerase chain reaction (PCR) for SARS-CoV-2. Risk factors and the associated use of health services will also be analysed.

Methods: Observational, descriptive, retrospective case series study. Read More

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[Diagnosis and surgical treatment of sinonasal phosphaturic mesenchymal tumor].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Apr;56(4):351-355

Department of Otorhinolaryngology Head and Neck Surgery, Shanghai JiaoTong University Affiliated Sixth People's Hospital, Shanghai 200233, China.

To investigate the diagnosis and surgical treatment of sinonasal phosphaturic mesenchymal tumor (PMT). The medical records of nine patients who had been diagnosed as sinonasal PMT in Department of Otorhinolaryngology Head and Neck Surgery, Shanghai JiaoTong University Affiliated Sixth People's Hospital between January 2015 and May 2020 were collected, including 4 males and 5 females, ranging from 36 to 59 years. The patient's previous history, clinical manifestations, imaging findings, laboratory results, surgical procedure, pathological results and postoperative follow-up data were analyzed by descriptive statistical analysis. Read More

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[Evaluation of unilateral and bilateral bimodal bone conduction hearing intervention in patients with bilateral microtia-atresia].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Apr;56(4):346-350

Department of Otorhinolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.

To evaluate the therapeutic effects of unilateral/bilateral bone conduction hearing rehabilitation in patients with bilateral microtia accompanied with severe conductive hearing loss following staged auricle reconstruction and bonebridge implantation. Thirty-two patients, including 20 males and 12 females, with an average age of 11.8, who received surgical treatment in Peking Union Medical College Hospital (PUMCH) from March, 2016 to January, 2020 with bilateral microtia-atresia were included. Read More

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Protective strategy of parathyroid glands during thyroid lobectomy: A retrospective cohort and case-control study.

Medicine (Baltimore) 2021 Apr;100(14):e21323

Center of Thyroid & Parathyroid Surgery.

Abstract: Parathyroid protection during thyroid lobectomy was not illustrated previously. Aim of this study was to find out the influence of parathyroid glands in situ preservation and autotransplantation on postoperative parathyroid function in thyroid lobectomy.Consecutive patients who underwent primary thyroid lobectomy with unilateral central neck dissection for papillary thyroid carcinoma in our center were included retrospectively. Read More

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Neuromuscular Correlates of the Contralateral Stretch-induced Strength Loss.

Med Sci Sports Exerc 2021 Apr 7. Epub 2021 Apr 7.

Department of Biomedical Sciences for Health (SCIBIS), Università degli Studi di Milano, Italy IRCSS Galeazzi Orthopedic Institute, Milan, Italy.

Purpose: The current study investigated the effects of unilateral passive stretching on the neuromuscular mechanisms involved in the force-generating capacity of the contralateral muscle.

Methods: Twenty-six healthy men underwent unilateral passive stretching of the plantar flexors (5 x 45-s on+15s-off, total stretching time: 225 s). Before and after the stretching protocol, contralateral ankle range of motion (ROM), maximum isometric voluntary contraction (MVC) of the plantar flexors, and electromyographic root mean square (sEMG RMS) of the soleus and the gastrocnemii muscles were determined. Read More

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