- Tourniquet Use is Not Associated with Limb Loss Following Military Lower Extremity Arterial Trauma. [Journal Article]
- JTJ Trauma Acute Care Surg 2018 Jul 17
- CONCLUSIONS: Field TK use is associated with wound infection and neurologic compromise but not limb loss. This may be due to a more severe injury profile among TK limbs. Increased tourniquet times may predispose to systemic, but not limb complications.
- Ipsilateral proprioceptive neuromuscular facilitation patterns improve overflow and reduce foot drop in patients with demyelinating polyneuropathy. [Journal Article]
- JEJ Exerc Rehabil 2018; 14(3):503-508
- The purpose of this study was to evaluate the response of the tibialis anterior muscle (TAm) using surface electromyography in patients with Charcot-Marie-Tooth disease (CMT-IA), after ipsilateral pr...
The purpose of this study was to evaluate the response of the tibialis anterior muscle (TAm) using surface electromyography in patients with Charcot-Marie-Tooth disease (CMT-IA), after ipsilateral proprioceptive neuromuscular patterns (PNF). Thirteen CMT-IA patients (both sexes) were treated twice a week, for 5 weeks, with bilateral PNF pattern, four times per treatment. During the execution of the patterns, we recorded the bilateral activation of the TAm in root mean square (RMS). We used the Student paired t-test for the first and last treatments, P-value set at <0.05. Clinical significance (CS) was obtained by subtracting the values of the first treatment from the last. Chopping pattern to the right side increased RMS for the right (t=-3.52, CS=52%), but not the left TAm (t= -3.35). Flexion-abduction with external rotation pattern to the right (t= -2.46, CS=55%) and left (t=-2.07, CS=53%) significantly increased RMS for TAm on both sides. Extension-adduction with internal rotation pattern to the right (t=-0.25) and left (t=-1.84) did not produce any changes in TAm. Ipsilateral PNF patterns selectively produce TAm overflow in peripheral polyneuropathy patients and can be successfully used as supportive therapy for foot drop.
- Potential for foot dysfunction and plantar fasciitis according to the shape of the foot arch in young adults. [Journal Article]
- JEJ Exerc Rehabil 2018; 14(3):497-502
- This study investigated potential for foot dysfunction and plantar fasciitis according to the shape of the foot arch in young adults. Fifty-two participants were required for the present study design...
This study investigated potential for foot dysfunction and plantar fasciitis according to the shape of the foot arch in young adults. Fifty-two participants were required for the present study design to achieve 80% power, 0.8 effect size (η2), and an alpha level of 0.05. This study recruited 52 young adults (30 men and 22 women). All participants voluntarily agreed to participate in the study after hearing explanations about the purpose and process of the study. They were divided into two groups of 26 according to the shape of foot with and without flat foot using the navicular drop test. The participants were measured the foot function index (FFI), range of motion (ROM) of ankle, and four-way ankle strength. Additionally, the thickness of the plantar fascia was measured using ultrasonography. Intraclass correlation coefficient (ICC) was used to verify the inter- and intrarater reliability of ultrasonography. The inter- and intrarater reliability was excellent (ICC2,1=0.88, ICC3,1=0.93). There were significant differences in dorsi-flexion of ankle ROM, FFI, dorsi-flexion and eversion of ankle strength, and the thickness of the plantar fascia between the two groups (P<0.05). Based on the results, the group with flat foot may gradually generate potential of the foot dysfunction and plantar fasciitis. Therefore, the interventions are necessary to improve the foot dysfunction and plantar fasciitis in people with flat foot.
- Test-retest reliability of two-dimensional video analysis during running. [Journal Article]
- PTPhys Ther Sport 2018 Jun 30; 33:40-47
- CONCLUSIONS: Two-dimensional video analysis is reliable to assess running kinematics on different days. The mean of at least 7 steps should be included.
- Novel mutations in HINT1 gene cause autosomal recessive axonal neuropathy with neuromyotonia in two cases of sensorimotor neuropathy and one case of motor neuropathy. [Journal Article]
- NDNeuromuscul Disord 2018 May 15
- Autosomal recessive axonal neuropathy with neuromyotonia (ARANNM) is a rare disease caused by mutations of histidine triad nucleotide binding protein 1 (HINT1) gene. ARANNM has been reported mainly i...
Autosomal recessive axonal neuropathy with neuromyotonia (ARANNM) is a rare disease caused by mutations of histidine triad nucleotide binding protein 1 (HINT1) gene. ARANNM has been reported mainly in European countries but little reported so far in China. We describe novel mutations of HINT1 in three Chinese patients with ARANNM from unrelated families. Patient 1 was a 14-year-old girl who presented with progressive distal weakness of upper limbs at two years of age. After that, she reported weakness of both feet, and difficulty in muscle relaxation after making a fist. Patient 2 was an 18-year-old boy, who presented with progressive distal weakness of all limbs with foot drop at the age of ten with loss of ambulation at age 15. Patient 3 was a 26-year-old man who had been afflicted with weakness and atrophy of distal lower limbs since the age of 16 complaining about muscle stiffness of the lower limbs when standing and walking, and contraction of finger flexion muscles when releasing a forced grip. Electrodiagnostic testing revealed an axonal motor or sensorimotor neuropathy with or without myokymic discharges. Sural biopsy showed no pathological changes in patient 1 and mild axonal neuropathies with demyelination in patients 2 and 3. Genetic analysis revealed HINT1 with novel compound heterozygous c.112T > C (p.C38R) and c.171G > C (p.K57N) mutations in patient 1, homozygous c.112T > C (p.C38R) mutation in patient 2, as well as compound heterozygous c.112T > C (p.C38R) and c.98T > C (p.F33S) mutations in patient 3. Our study, for the first time, confirms ARANNM in the Chinese population. These genetic findings can help expand the genotypic spectrum of HINT1 mutations.
- Traumatic haemorrhagic lumbar synovial facet cyst presenting as bilateral foot drop: a case report. [Journal Article]
- NZN Z Med J 2018 Jul 13; 131(1478):62-64
- Effect of knee unloading shoes on regional plantar forces in people with symptomatic knee osteoarthritis - an exploratory study. [Journal Article]
- JFJ Foot Ankle Res 2018; 11:34
- CONCLUSIONS: Compared to conventional shoes, unloading shoes caused a lateral shift in foot pressure and force patterns. Although these effects were not moderated by foot posture, FMM or navicular drop, variability in the individual increases in lateral heel force suggests participant characteristics other than foot posture may play a role.
- Descending stairs: Good or bad task to discriminate women with patellofemoral pain? [Journal Article]
- GPGait Posture 2018 Jun 28; 65:26-32
- CONCLUSIONS: Our results suggest that kinematic changes during stair descent should be used with caution during the evaluation and decision-making process in women with PFP.
- Minimally invasive spine surgery in the pediatric and adolescent population: A case series. [Journal Article]
- SNSurg Neurol Int 2018; 9:116
- CONCLUSIONS: Our series illustrates the effective application of MIS techniques among carefully selected pediatric patients. Emphasis is on using a smaller (16 mm) tubular retractor and causing minimal disruption of paraspinal osseo-tendinous structures. MIS techniques can be successfully applied to the pediatric and adolescent age group.
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- External neurolysis as a treatment for foot drop secondary to weight loss: a retrospective analysis of 200 cases. [Journal Article]
- ANActa Neurochir (Wien) 2018 Jul 01
- CONCLUSIONS: Statistical analysis emphasizes the important role of external neurolysis in the treatment of peripheral peroneal nerve entrapment. Therefore, external neurolysis at the fibular head should be regarded as a very effective and safe procedure in patients with foot drop secondary to weight loss.