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Total 463 results found since Jan 2013.

Impact of Patent Foramen Ovale on Total Knee Arthroplasty Cerebrovascular Accident Perioperative Management.
This study was undertaken to determine whether patients with a PFO would have a significantly increased risk of cerebrovascular accident (CVA) following TKA. The Humana national database was used to identify TKA patients who were stratified by the presence of a PFO from 2007 to 2016. Ninety-day follow-up was used for the primary outcome of CVA. Potential confounding comorbidities also were investigated, including age, sex, anticoagulation, insurance type, arrhythmia, valvular disease, peripheral vascular disease, chronic kidney disease, and diabetes mellitus. Of 153,245 TKAs, a total of 2272 patients had strokes; 479 of th...
Source: Orthopedics - February 20, 2020 Category: Orthopaedics Authors: Hong CS, Politzer C, Ryan SP, Wellman SS, Jiranek WA, Bolognesi MP, Seyler TM Tags: Orthopedics Source Type: research

Dynamic imaging of the craniovertebral junction is mandatory in patients with posterior circulation strokes
ConclusionEarly diagnosis and surgical treatment of CVJ instability prevent recurrent strokes and improve outcomes in patients with PCS. Physicians and spine surgeons need to be sensitized regarding CVJ anomalies as a cause of PCS enabling early diagnosis with dynamic imaging particularly in the younger age group.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - February 19, 2020 Category: Orthopaedics Source Type: research

Architecture of the medial gastrocnemius muscle in people who have had a stroke: A diffusion tensor imaging investigation
People who have had a stroke often develop ankle contractures which may be caused by changes in architecture of calf muscles. Anatomically constrained diffusion tensor imaging has recently been used to make three-dimensional, whole muscle measurements of muscle architecture. Here, we compared the architecture of the medial gastrocnemius muscle in the paretic and non-paretic sides of people who have had a hemiparetic stroke and control participants using novel imaging techniques.
Source: Clinical Biomechanics - February 13, 2020 Category: Orthopaedics Authors: Arkiev D'Souza, Bart Bolsterlee, Rob Herbert Source Type: research

Does aerobic exercise benefit persons with tetraplegia from spinal cord injury? A systematic review.
Conclusion: Evidence gathered from this systematic review of literature is inconclusive due to the lack of research focusing on those with tetraplegia. Higher power studies (level 1-3) are needed with the focus on those with tetraplegia. PMID: 32043944 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - February 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Blood and fluid management during scoliosis surgery: a single-center retrospective analysis
ConclusionThe application of a protocol for blood and fluid management, based on goal-directed fluid therapy, cell salvage and tranexamic acid, was associated with less crystalloid fluid administration, less perioperative RBC transfusions and significantly better diuresis than patients in the no-protocol group in scoliosis surgery.Registration numberClinicalTrials.gov Identifier: NCT03814239.
Source: European Journal of Orthopaedic Surgery and Traumatology - February 3, 2020 Category: Orthopaedics Source Type: research

Effect of Heart Failure With Preserved Ejection Fraction on Perioperative Outcomes in Patients Undergoing Hip Fracture Surgery.
CONCLUSION: HFpEF confers a significant perioperative risk of MACCE in patients undergoing hip fracture surgery. PMID: 31977615 [PubMed - in process]
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 26, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Predictors of fatal and non-fatal cardiovascular events in ANCA-associated vasculitis: data from the Toronto CanVasc cohort
Conclusions: In this cohort of patients with granulomatosis with polyangiitis and eosinophilic granulomatosis with polyangiitis, both traditional and disease related risk factors were predictive of cardiovascular events. Further prospective studies should elucidate the impact of these and other modifiable risk factors on cardiovascular risk in ANCA-associated vasculitis.
Source: Joint Bone Spine - January 18, 2020 Category: Orthopaedics Source Type: research

Effects of Diabetes Mellitus on Functional Outcomes and Complications After Torsional Ankle Fracture.
CONCLUSIONS: Diabetes was associated with more complications and secondary operations. However, functional outcomes including pain and dysfunction were not markedly affected by these clinical outcomes, potentially due to diminished sensory function and less baseline physical activity among diabetic patients. LEVEL OF EVIDENCE: Prognostic level III. PMID: 31922995 [PubMed - as supplied by publisher]
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 12, 2020 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research

Effect of clopidogrel in bone healing-experimental study in rabbits.
CONCLUSION: Our results indicate that maintenance of perioperative clopidogrel treatment does not negatively affect bone healing but rather promotes it. Further research is needed in order to find useful applications of this finding. PMID: 31908992 [PubMed]
Source: World Journal of Orthopaedics - January 9, 2020 Category: Orthopaedics Tags: World J Orthop Source Type: research

Intraoperative Ischemic Stroke in Elective Spine Surgery: A Retrospective Study of Incidence and Risk
Conclusion. . With the increase of spinal procedures, it is important to identify patients at risk for having an ischemic stroke and to optimize their comorbidities preoperatively. Patients with intraoperative ischemic stroke carry a higher risk for morbidity and mortality during the index hospitalization. Level of Evidence: 4
Source: Spine - January 8, 2020 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research

Differences in coordination and timing of pre-reaching upper extremity movements may be an indicator of cerebral palsy in infants with stroke: A preliminary investigation
This study is preliminary, limiting interpretation of the results.
Source: Clinical Biomechanics - January 7, 2020 Category: Orthopaedics Authors: Julia Mazzarella, Mike McNally, Ajit M.W. Chaudhari, Xueliang Pan, Jill C. Heathcock Source Type: research

No impact of anti-Rank ligand and PTH analogs on cardiovascular risk in postmenopausal osteoporosis: a systematic literature review and meta-analysis
ConclusionsThe anti-Rank ligand and PTH analogs have no impact on cardiovascular risk and overall mortality in idiopathic osteoporosis. To better answer the question whether these treatments can reduce the long-term cardiovascular risk, further comparative studies with longer duration are required.
Source: Archives of Orthopaedic and Trauma Surgery - January 3, 2020 Category: Orthopaedics Source Type: research

Refining Risk-Adjustment of 90-Day Costs Following Surgical Fixation of Ankle Fractures: An Analysis of Medicare Beneficiaries
Publication date: January–February 2020Source: The Journal of Foot and Ankle Surgery, Volume 59, Issue 1Author(s): Azeem Tariq Malik, Carmen E. Quatman, Thuan V. Ly, Laura S. Phieffer, Safdar N. KhanAbstractAs the current healthcare model transitions from fee-for-service to value-based payments, identifying cost-drivers of 90-day payments following surgical procedures will be a key factor in risk-adjusting prospective bundled payments and ensuring success of these alternative payment models. The 5% Medicare Standard Analytical Files data set for 2005–2014 was used to identify patients undergoing open reduction and inte...
Source: The Journal of Foot and Ankle Surgery - December 25, 2019 Category: Orthopaedics Source Type: research

Current paradigms in the prehospital care of exertional heat illness: A review
Exertional heat illness, including muscle cramps, heat syncope, heat exhaustion, and heat stroke, occur each year in athletes and military soldiers. Exertional heat stroke, the most concerning type of exertional heat illness, is a life-threatening condition defined clinically by a core body temperature greater than 104° F (40°C) and central nervous system dysfunction. Heat stroke may lead to multiorgan failure and death and is one of the leading causes of nontraumatic death in athletes participating in outdoor activities. Current recommendations are discussed regarding prehospital and first responder care of exertional h...
Source: Current Orthopaedic Practice - December 24, 2019 Category: Orthopaedics Tags: Special Focus: Sports Medicine Source Type: research

Disproportionally low funding for trauma research by the National Institutes of Health: A call for a National Institute of Trauma
CONCLUSION Given the extreme burden of trauma-related disability and years of life lost, this review of extramural NIH funding definitively demonstrates that trauma is severely underfunded. The lack of a dedicated home for trauma research at NIH leads to a diffusion of grants across many institutes and makes it impossible to direct a focused and effective national research endeavor to improve outcomes. These data demonstrate the need for a National Institute of Trauma at the NIH to help set an agenda to reach the national goal of Zero Preventable Deaths.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - December 21, 2019 Category: Orthopaedics Tags: AAST 2019 PODIUM PAPERS Source Type: research

A Review on Surface Electromyography-Controlled Hand Robotic Devices Used for Rehabilitation and Assistance in Activities of Daily Living
Conclusions This article highlights the important issues about the sEMG control method and accentuates the weaknesses associated with this type of control to assist researchers in overcoming problems that impede sEMG-controlled robotic devices to be feasible and practical tools for people afflicted with hand impairment.
Source: JPO Journal of Prosthetics and Orthotics - December 21, 2019 Category: Orthopaedics Tags: CME ARTICLES Source Type: research

Does the Application of a Lycra Arm Sleeve Change Shoulder Biomechanics in Young Healthy People? A Mechanistic Study
Introduction Glenohumeral subluxation (GHS) is commonly reported in people with stroke. Lycra sleeves provide a compressive and supportive effect, influencing the neuromuscular activity in the affected body segment. A recent study reported reduction in GHS (acromion-greater tuberosity [AGT] distance) after application of Lycra arm sleeve; however, its mechanism on the shoulder region as a whole is unclear. The aim of this study was to investigate if application of a Lycra sleeve changes the AGT distance, muscle activity around the shoulder region, and scapular position. Methods Healthy participants aged older than 18 ...
Source: JPO Journal of Prosthetics and Orthotics - December 21, 2019 Category: Orthopaedics Tags: ORIGINAL RESEARCH ARTICLES Source Type: research

Intrathecal baclofen as emergency treatment alleviates severe intractable autonomic dysreflexia in cervical spinal cord injury.
Conclusion/Clinical Relevance: The case demonstrated that refractory AD could be managed with ITB in an emergency. PMID: 31815605 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - December 10, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Altered post-stroke propulsion is related to paretic swing phase kinematics
The present results suggest that braking forces late in stance are particularly indicative of deficits in the production of typical swing phase kinematics. This relationship suggests that therapies designed to address altered swing kinematics should also consider altered force generation in late stance, as these behaviors appear to be coupled.
Source: Clinical Biomechanics - November 29, 2019 Category: Orthopaedics Authors: Jesse C. Dean, Mark G. Bowden, Abigail L. Kelly, Steven A. Kautz Source Type: research

Shear wave elastography potential to characterize spastic muscles in stroke survivors: Literature review
Shear wave ultrasound elastography can provide useful quantitative information on the mechanical properties of the spastic muscles in post-stroke patients. Nevertheless, new studies using common terminology and parameters are needed to develop reliable methods that could help in assessing treatment efficiency.
Source: Clinical Biomechanics - November 28, 2019 Category: Orthopaedics Authors: Marie-Claude Lehoux, St éphane Sobczak, Frank Cloutier, Stéphane Charest, Antony Bertrand-Grenier Tags: Review Source Type: research

The impact of stroke on bone properties and muscle-bone relationship: a systematic review and meta-analysis
AbstractTo systematically review available evidence related to the characteristics of bone changes post-stroke and the relationship between various aspects of muscle function (e.g., strength, spasticity) and bone properties after stroke onset. An extensive online database search was undertaken (last search in January 2019). Articles that examined the bone properties in stroke patients were included. The quality of the studies was evaluated with the National Institutes of Health (NIH) Study Quality Assessment Tools. Publication bias of meta-analyses was assessed using the Egger ’s regression asymmetry test. The selection ...
Source: Osteoporosis International - November 13, 2019 Category: Orthopaedics Source Type: research

Not all in your head (and neck): Stroke after blunt cerebrovascular injury is associated with systemic hypercoagulability
CONCLUSION Patients who suffer BCVI-related stroke are hypercoagulable compared with those with BCVI who remain asymptomatic. Increased angle or MA should be considered when assessing the risk of thrombosis and determining the optimal time to initiate antithrombotic therapy in patients with BCVI. LEVEL OF EVIDENCE Prognostic, Level III.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 1, 2019 Category: Orthopaedics Tags: 2019 WTA PODIUM PAPERS Source Type: research

The effect of neuromuscular electrical stimulation with different electrode positions on swallowing in stroke patients with oropharyngeal dysphagia: A randomized trial.
CONCLUSIONS: Altogether, these data demonstrate that 2 types of NMES placements have a similar effect on improving swallowing function and oral diet intake in patients with dysphagia. PMID: 31594198 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - October 10, 2019 Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research

Gait training with auditory feedback improves trunk control, muscle activation and dynamic balance in patients with hemiparetic stroke: A randomized controlled pilot study.
CONCLUSION: Our findings indicate that gait training with auditory feedback was beneficial for improving trunk control and muscle activation in patients with hemiparetic stroke. PMID: 31594193 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - October 10, 2019 Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research

Anterior fall-recovery training applied to individuals with chronic stroke
The initial stepping limb affects relevant step kinematics during anterior fall recovery. Fall-recovery training improved performance and select kinematic outcomes in individuals with chronic stroke.
Source: Clinical Biomechanics - July 26, 2019 Category: Orthopaedics Authors: Jamie Pigman, Darcy S. Reisman, Ryan T. Pohlig, John J. Jeka, Tamara R. Wright, Benjamin C. Conner, Drew A. Petersen, Jeremy R. Crenshaw Source Type: research

Acute effects of bi-hemispheric transcranial direct current stimulation on the neuromuscular function of patients with chronic stroke: A randomized controlled study
A single session of bilateral transcranial direct current stimulation did not compensate muscular weakness of knee extensors in patients with chronic stroke.
Source: Clinical Biomechanics - July 24, 2019 Category: Orthopaedics Authors: M. Geiger, N. Roche, E. Vlachos, T. Cattagni, R. Zory Source Type: research

Analysis of the association between selected factors and outcomes of treadmill gait training with biofeedback in patients with chronic stroke.
CONCLUSION: Age, duration of time from stroke onset, and sex do not affect outcomes of gait re-education based on treadmill training in patients at a chronic stage post-stroke and Brunnstrom recovery stage 3-4. Side of paresis significantly differentiates rehabilitation outcomes measured with speed test. The best scores in all the performance measures before rehabilitation were identified in the group 3-6 years after stroke. PMID: 31282393 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - July 10, 2019 Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research

Saving bones without risking brain —bisphosphonates and risk of stroke: matched case-control study
ConclusionsWe found no association between bisphosphonate treatment and risk of stroke, after adjusting for other confounders.
Source: Osteoporosis International - June 17, 2019 Category: Orthopaedics Source Type: research

Shoulder surgery in beach chair position causing perioperative stroke: Four cases and a review of the literature
Publication date: Available online 27 May 2019Source: Journal of OrthopaedicsAuthor(s): J.H.J. van Erp, M. Ostendorf, J.R. LansdaalAbstractPerioperative stroke is a rare, but serious complication in shoulder-arthroscopy or arthroplasty. Recent literature suggests the beach chair position, widely used during shoulder surgery, might induce severe perioperative hypotension, and with this cerebral desaturation and ultimately perioperative stroke. In this article we report four cases of perioperative stroke in shoulder surgery. In all cases, patients underwent brief periods of hypotension, which might have caused perioperative ...
Source: Journal of Orthopaedics - May 29, 2019 Category: Orthopaedics Source Type: research

Effects of resistive jaw opening exercise in stroke patients with dysphagia: A double- blind, randomized controlled study.
CONCLUSIONS: This study suggests that RJOE helps in hyoid movement, aspiration reduction, and oral intake in patients with dysphagia after stroke. PMID: 31127757 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - May 29, 2019 Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research

Rectus femoris transfer improves stiff knee gait in hemiplegic adults following stroke or traumatic brain injury.
Authors: Vermeiren A, Bar-On L, Van Campenhout A Abstract The aim of this study was to provide quantitative evidence of the effect of rectus femoris (RF) transfer surgery on improving gait in adults suffering from stiff knee gait (SKG) following stroke or traumatic brain injury (TBI). Retrospective cohort study University hospital, department of orthopaedic surgery Hemiplegic patients with decreased peak knee flexion in swing, reduced total knee range of motion and spasticity of the RF demonstrated by a positive Duncan Ely test and a pathologic dynamic electromyography of the RF. Ten right hemiplegic patients had a...
Source: Acta Orthopaedica Belgica - April 27, 2019 Category: Orthopaedics Tags: Acta Orthop Belg Source Type: research

The effects of the neck stabilization exercise on the muscle activity of trunk respiratory muscles and maximum voluntary ventilation of chronic stroke patients.
CONCLUSIONS: The application of a combination of a neck stabilization exercise and a breathing retraining exercise to patients with a chronic stroke can increase activity of respiratory muscles and MVV. PMID: 30958329 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - April 10, 2019 Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research

Incidence and Risk Factors for Stroke in Fast-Track Hip and Knee Arthroplasty —A Clinical Registry Study of 24,862 Procedures
Postoperative stroke is a severe complication with a reported 30-day incidence of 0.4%-0.6% after total hip (THA) and knee arthroplasty (TKA). However, most data are based on diagnostic codes and with limited details on perioperative care, including the use of fast-track protocols. We investigated the incidence of and preoperative and postoperative factors for stroke after fast-track THA/TKA.
Source: The Journal of Arthroplasty - December 24, 2018 Category: Orthopaedics Authors: Pelle B. Petersen, Henrik Kehlet, Christoffer C. J ørgensen, Lundbeck Foundation Center for Fast-Track Hip and Knee Replacement Collaborative Group Source Type: research

Incidence and risk factors for stroke in fast-track hip and knee arthroplasty –a clinical registry study of 24,862 procedures
Postoperative stroke is a severe complication with a reported 30 days incidence of 0.4% –0.6% after total hip (THA) and knee arthroplasty (TKA). However, most data are based on diagnostic codes and with limited details on perioperative care, including the use of fast-track protocols. We investigated the incidence of and pre-, and postoperative factors for stroke after fast-track THA/ TKA.
Source: The Journal of Arthroplasty - December 24, 2018 Category: Orthopaedics Authors: Pelle B. Petersen, Henrik Kehlet, Christoffer C. J ørgensen, Lundbeck Foundation Centre for Fast-track Hip and Knee Replacement Collaborative Group Source Type: research

Transitions sit to stand and stand to sit in persons post-stroke: Path of centre of mass, pelvic and limb loading – A pilot study
In contrast to assumptions often made with respect to limb loading, we found large variability in movement patterns utilized by person's with a hemiparetic presentation during sit to stand and stand to sit. The findings suggest that movement problems encountered by persons post-stroke are complex and identifies limitations with respect to current measurement techniques.
Source: Clinical Biomechanics - November 9, 2018 Category: Orthopaedics Authors: Julie Vaughan-Graham, Kara Patterson, Dina Brooks, Karl Zabjek, Cheryl Cott Source Type: research

Modified Biceps Suspension Procedure for Painful Glenohumeral Inferior Subluxation in Hemiplegic Stroke Patients: A Preliminary Study
In this study, we sought to report the early outcomes of a biceps tendon suspension-rotator interval imbrication procedure performed in 5 hemiplegic stroke patients with intractable shoulder pain. This procedure was a modification of a previously reported technique and involved looping the distal end of the proximal biceps long head tendon through transosseous tunnels in the bicipital groove and imbrication of the rotator interval. The mean pain VAS score was significantly improved from 8 preoperatively to 2 postoperatively. The mean American Shoulder and Elbow Surgeons score was also improved from 12 to 45. Four patients ...
Source: Techniques in Shoulder and Elbow Surgery - October 30, 2018 Category: Orthopaedics Tags: Research Articles Source Type: research

Time to stroke: A Western Trauma Association multicenter study of blunt cerebrovascular injuries
CONCLUSIONS The majority of patients suffer BCVI-related stroke in the first 72 hours after injury. Time to stroke can help inform clinicians about initiation of treatment in the multiply injured patient. LEVEL OF EVIDENCE Prognostic/Epidemiologic, level III.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - October 26, 2018 Category: Orthopaedics Tags: 2018 WTA PODIUM PAPER Source Type: research

Robotic rehabilitation effect on upper limb recovery in post-acute stroke
Introduction: In the last decade, neurorehabilitation robotic technologies have become widely spread and scientific evidence of their clinical effectiveness has increased [1]. Functional recovery of the upper limb is one of the main rehabilitation goals for post stroke hemiplegic patients and the use of robotic technologies is recommended in stroke guidelines [2]. The main objective of this study is to evaluate the robotic training effect on the upper limb neuromotor outcome after stroke. In addition, another aim is to evaluate the potential effect on motor recovery speed during the hospitalization time.
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: D. Quaglia, M. Gasperi, R. Coser, G. Grisenti, M. Scartozzi, E. Girardi, N. Mazzini Source Type: research

Impact of gait analysis (GA) on treatment appropriateness in stroke patients with stiff knee gait
Introduction: Stiff Knee Gait (SKG) is the second most frequent lower limb deformity in stroke survivors. It is typically treated by means of inhibition of quadriceps femoris (QF) muscles by botulinum toxin, because of the presence of QF spasticity at the clinical evaluation [1]. Gait analysis (GA)-based studies showed that the inadequate ankle push-off (APO) can result in SKG, too [2]. We recently presented an algorithm, based on GA data, that differentiates the individual's main cause of SKG between SKG consequent to QF spasticity (SKGQF) and SKG consequent to the lack of APO (SKGAPO) [3].
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: A. Merlo, S. Scaltriti, R. Iotti, B. Damiano, I. Campanini Source Type: research

Dynamic Balance during level walking in patients affected by Multiple Sclerosis, Stroke and Parkinson's disease
Introduction: Balance disorders are a common feature in patients affected by Multiple Sclerosis (MS), Stroke (ST) and Parkinson's disease (PD) generally conditioning their walking ability. These persons adopt a gait strategy that help them preventing falls. Maintaining of this stable gait require balance control, where sensory feedback is integrated to sense the position and the velocity of Center of Mass (CoM) [1]. On the basis of this information a dynamic balance is reached and maintained with appropriated foot placement to stabilize and redirect the CoM.
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: T. Lencioni, D. Anastasi, I. Carpinella, A. Castagna, A. Crippa, E. Gervasoni, A. Marzegan, M. Rabuffetti, D. Cattaneo, M. Ferrarin Source Type: research

The use of kinematic robotic indices to predict motor outcome in upper limb treatment of stroke patients
Introduction: Upper limb rehabilitation in stroke patients is currently open to debate. Robotic therapy proved to be effective in ensuring intensive and highly repetitive treatment, but also in providing quantitative assessments that are useful from a clinical point of view. The advantage of robotic measurements consists in recording objectively the characteristics of the movement and using them as indices of progress in motor recovery [1]. Our study aims to verify the predictability of motor outcome using robotic kinesiological indices of upper limb in patients with chronic phase stroke, in order to customize rehabilitati...
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: G. Lamola, M. Barsotti, E. Sotgiu, C. Procopio, A. Frisoli, C. Chisari Source Type: research

Efficacy of Robotic-Assisted Gait Training in sub-acute stroke patients: An Italian bi-centre study
Introduction: Over the last years, the introduction of robotic technologies in gait rehabilitation of stroke patients has had a greatest interest. Some studies have been conducted to assess the effects of robot-assisted training compared to gait conventional rehabilitation in sub-acute stroke patients. The main results were obtained in studies that used robotic exoskeletons or treadmill training with partial body weight support and only few papers used end-effector device [1]. To date, there are very few studies that have used gait analysis to show improvements in gait parameters after gait rehabilitation in sub-acute stroke patients [2].
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: C. Iacovelli, M. Franceschini, A. Cruciani, C. Simbolotti, M. Goffredo, C. Pecchioli, L. Padua, D. Galafate, S. Pournajaf, I. Aprile Source Type: research

Long-lasting actigraphic monitoring of the upper and lower limbs movements in acute stroke patients: A COMMAS spin-off study
Introduction: In acute stroke patients detecting modifications of motor deficits could be crucial both for a prompt medical assistance and for a better definition of patient's prognosis. The stroke unit represents the gold standard in the management of the acute stroke with a multiparametric monitoring of vital functions, while no instruments are actually implemented in stroke unit for a continuous monitoring of patients motor performance. In a pilot study [1] we found that a 24hours actigraphic recording is informative of the overall neurological clinical picture as measured by NIH Stroke Scale (NIHSS).
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: C. Iacovelli, M. Rabuffetti, G. Reale, M. Ferrarin, C. Simbolotti, L. Padua, P.M. Rossini, P. Caliandro Source Type: research

Dysphagia and aspiration pneumonia in elderly hospitalization stroke patients: Risk factors, cerebral infarction area comparison.
CONCLUSION: In stroke inpatients over sixty years of age, it is necessary to distinguish the patients with multiple previous cerebral infarctions, high NIHSS score, masticatory muscle paralysis, abolition of gag reflex for early detection and rehabilitation of dysphagia. PMID: 30223382 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - September 20, 2018 Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research

Postoperative Stroke after Anterior Cervical Discectomy and Fusion in Patients with Carotid Artery Stenosis: A Statewide Database Analysis
Carotid artery injury and stroke secondary to prolonged retraction remains an extremely rare complication in anterior cervical discectomy and fusion (ACDF). However, multiple studies have demonstrated that carotid artery retraction during the surgical approach may alter the normal blood flow, leading to a significant reduction in the cross-sectional area of the vessel. Others have suggested that dislodgment of atherosclerotic plaques following manipulation of the carotid artery can be a potential risk for intracranial embolus and stroke.
Source: The Spine Journal - September 20, 2018 Category: Orthopaedics Authors: Morad Chughtai, Assem A. Sultan, Jorge Padilla, George A. Beyer, Jared M. Newman, Iyooh U. Davidson, Haariss Ilyas, Inyang Udo-Inyang, Ryan J. Berger, Linsen T. Samuel, Ganesh M. Shankar, Carl B. Paulino, Dominic Pelle, Jason W. Savage, Michael P. Steinme Tags: Clinical Study Source Type: research

The effects of an articulated ankle-foot orthosis with resistance-adjustable joints on lower limb joint kinematics and kinetics during gait in individuals post-stroke
This study demonstrated that the adjustments of resistance in the ankle-foot orthosis with the Triple Action joints influenced ankle and knee kinematics in individuals post-stroke. Further work is necessary to investigate the long-term effects of the articulated ankle-foot orthoses on their gait.
Source: Clinical Biomechanics - August 10, 2018 Category: Orthopaedics Authors: Toshiki Kobayashi, Michael S. Orendurff, Grace Hunt, Fan Gao, Nicholas LeCursi, Lucas S. Lincoln, K. Bo Foreman Source Type: research

Influence of foot positioning on cop measures of post stroke patients in quiet standing
Maintaining upright posture is a basic requirement for performing the activities of daily living and might require a big effort from stroke patients. According to the literature, individuals who suffered a stroke need to pay more attention to balance tasks in the upright posture than their healthy conterparts [1]. The measures related to the center of pressure (CoP) during quiet stance differ between these two populations, due to the promintent role of the nonparetic limb, to the spatial neglect [2] and to the synchronization deficit between the ankle muscles of each limb [3].
Source: Gait and Posture - August 9, 2018 Category: Orthopaedics Authors: Tatiane Caroline Boumer, Suzane Ketlyn Martello, Gisele Francini Devetak, Dielise Debona Iucksch, Nicoly Scrok, Elisangela Ferretti Manffra Tags: Full length article Source Type: research

P 159 - Gait in stroke patients is influenced by upper limb functioning: a quantitative analysis correlating QuickDASH with Instrumented TUG and 10MWT
Loss of mobility after stroke is one of the main target of intervention in PRM and physiotherapy as motor impairment affects gait efficacy and upper limb function [1,2]: it is possible to observe a consensual improvement of these latter aspect throughout rehabilitation. Neural connections between upper and lower limb in gait are known [3,4] as well as the fact that modifications of upper limb movement during gait can affect gait parameters [5]. A recent review supports the inclusion of arm activity in addition to leg activity as a component of gait retraining after neurotrauma [6].
Source: Gait and Posture - July 24, 2018 Category: Orthopaedics Authors: R. Buraschi, J. Pollet, B. Alghisi, S. Beltrami, P. Pedersini, B. Piovanelli, S. Negrini Tags: Short communication Source Type: research

Effects of robot assistive upper extremity rehabilitation on motor and cognitive recovery, the quality of life, and activities of daily living in stroke patients.
CONCLUSION: In the light of our results, robotic rehabilitation in addition to the conventional rehabilitation program seems to be effective on improving motor recovery and the quality of life in subacute stroke patients. PMID: 29966188 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - July 5, 2018 Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research

O 081 - Diagnostic value of the Duncan Ely test for assessing abnormal activity of the Rectus femoris during gait in stroke patients
Stiff knee gait is characterized by a diminished knee flexion during swing [1] and is commonly observed in children with cerebral palsy and stroke patients and can result in problems with footclearance leading to tripping and an increased risk of falling. Abnormal activity of the rectus femoris is often cited as one of the main causes of stiff knee gait [2]. The gold standard for measuring abnormal activity of the rectus femoris is electromyography. A clinical tool to assess abnormal activity of the m.
Source: Gait and Posture - June 27, 2018 Category: Orthopaedics Authors: M. Tenniglo, M. Nederhand, L. Schaake, E. Prinsen, J. Buurke Source Type: research