- EEG, behavioural and physiological recordings following a painful procedure in human neonates. [Journal Article]
- SDSci Data 2018 Nov 13; 5:180248
- We present a dataset of cortical, behavioural, and physiological responses following a single, clinically required noxious stimulus in a neonatal sample. Cortical activity was recorded from 112 neona...
We present a dataset of cortical, behavioural, and physiological responses following a single, clinically required noxious stimulus in a neonatal sample. Cortical activity was recorded from 112 neonates (29-47 weeks gestational age at study) using a 20-channel electroencephalogram (EEG), which was time-locked to a heel lance. This data is linked to pain-related behaviour (facial expression), physiology (heart rate, oxygenation) and a composite clinical score (Premature Infant Pain Profile, PIPP). The dataset includes responses to non-noxious sham and auditory controls. The infants' relevant medical and pain history was collected up to the day of the study and recorded in an extensive database of variables including clinical condition at birth, diagnoses, medications, previous painful procedures, injuries, and selected maternal information. This dataset can be used to investigate the cortical, physiological, and behavioural pain-related processing in human infants and to evaluate the impact of medical conditions and experiences upon the infant response to noxious stimuli. Furthermore, it provides information on the formation of individual pain phenotypes.
- Combining facilitated tucking and non-nutritive sucking appears to promote greater regulation for preterm neonates following heel lance, but does not provide effective pain relief. [Journal Article]
- EBEvid Based Nurs 2018 Nov 12
- Comparative effectiveness of extracorporeal shock wave, ultrasound, low-level laser therapy, noninvasive interactive neurostimulation, and pulsed radiofrequency treatment for treating plantar fasciitis: A systematic review and network meta-analysis. [Journal Article]
- MMedicine (Baltimore) 2018; 97(43):e12819
- CONCLUSIONS: We recommend treating plantar fasciitis with RSW. The commonly used ultrasound and focused extracorporeal shock wave (FSW) therapies can be considered as alternative treatment candidates. IPST, NIN, and LLLT may potentially be better alternatives, although their superiority should be confirmed by additional comprehensive evidence.PROSPERO registration number: PROSPERO (CRD42015017353).
- Unloader knee brace increases medial compartment joint space during gait in knee osteoarthritis patients. [Journal Article]
- KSKnee Surg Sports Traumatol Arthrosc 2018 Nov 01
- CONCLUSIONS: The unloader brace has the significant effect of increasing medial compartment DJS during gait, which supports the underlying premise that the unloader brace reduces pain by increasing medial joint space during dynamic loading activities.
- Intraosseous Schwannoma of the Calcaneus: A Rare Tumor of the Bone. [Journal Article]
- CRCase Rep Orthop 2018; 2018:9824025
- Schwannomas (also called neurilemmomas) are slow-growing nerve sheath tumors derived from Schwann cells. However, intraosseous schwannoma is a rare entity with an incidence of only 0.2% in overall pr...
Schwannomas (also called neurilemmomas) are slow-growing nerve sheath tumors derived from Schwann cells. However, intraosseous schwannoma is a rare entity with an incidence of only 0.2% in overall primary bone tumors. The purpose of this case report is to present a case of an intraosseous schwannoma of the calcaneus. A 35-year-old woman was admitted to our outpatients' clinics with a complaint of long-time right heel pain (for approximately eight months). After a suspicious cystic lesion was observed on the patient's plain radiograph examination, a magnetic resonance imaging (MRI) was performed. The MRI showed a 22 × 20 mm intraosseous cystic lesion at the posterior part of the calcaneus. Extended curettage and iliac bone grafting were performed. In the presence of postoperative histopathologic and immunohistochemical examination, histopathologic diagnosis of the patient was reported as intraosseous schwannoma. After 4 weeks of nonweight-bearing, she completely recovered with no pain. In conclusion, intraosseous schwannoma of the calcaneus must be kept in mind for patients who have chronic heel pain.
- Ultrasound-guided decompression surgery of the tarsal tunnel: a novel technique for the proximal tarsal tunnel syndrome-Part II. [Journal Article]
- SRSurg Radiol Anat 2018 Oct 31
- CONCLUSIONS: The results of our anatomic study indicate that our novel ultrasound-guided minimally invasive surgical approach for the release of the flexor retinaculum might be an effective, safe and quick decompression technique treating selected patients with a proximal tarsal tunnel syndrome.
- Activating the somatosensory system enhances net quadriceps moment during gait. [Journal Article]
- JBJ Biomech 2018 Oct 26
- Quadriceps muscle rehabilitation following knee injury or disease is often hampered by pain, proprioception deficits or instability associated with inhibition of quadriceps activation during walking....
Quadriceps muscle rehabilitation following knee injury or disease is often hampered by pain, proprioception deficits or instability associated with inhibition of quadriceps activation during walking. The cross-modal plasticity of the somatosensory system with common sensory pathways including pain, pressure and vibration offers a novel opportunity to enhance quadriceps function during walking. This study explores the effectiveness of an active knee brace that used intermittent cutaneous vibration during walking to enhance the peak knee flexion moment (KFM) during early stance phase as a surrogate for net quadriceps moment (balance between knee extensor and flexor muscle moments). The stimulus was turned on prior to heel strike and turned off at mid-stance of the gait cycle. Twenty-one subjects with knee pathologies known to inhibit quadriceps function were tested walking under three conditions: control (no brace), a passive brace, and an active brace. Findings show that compared to the control, subjects wearing an active brace during gait exhibited a significant (p < 0.001) increase in peak KFM and no significant difference when wearing a passive brace (p = 0.17). Furthermore, subjects with low KFM and knee flexion angle (KFA) in control exhibited the greatest increase in KFA at loading response in the active brace condition (R = 0.47, p < 0.05). Intermittent cutaneous stimulation during gait, therefore, provides an efficient method for increasing the KFM in patients with knee pathologies. This study's results suggest that intermittent vibration stimulus can activate the cross-modalities of the somatosensory system in a manner that gates pain stimulus and possibly restores quadriceps function in patients with knee pain.
- Correction to: Trunk Reaction Time and Kinematic Changes Following Slip Perturbations in Subjects with Recurrent Low Back Pain. [Published Erratum]
- ABAnn Biomed Eng 2018 Oct 30
- This erratum is to correct the force plate device presented in the Methods section, subsection "Data Collection." A pressure mat, rather than a force plate was used with the ActiveStep® treadmill to ...
This erratum is to correct the force plate device presented in the Methods section, subsection "Data Collection." A pressure mat, rather than a force plate was used with the ActiveStep® treadmill to measure ground reaction forces. The third sentence of the second paragraph should read as: "The pressure mat (GAITRite, Sparta, NJ) was installed, and a computer-controlled triggering mechanism would release the movable belt on the platform." Additionally, the first sentence of the third paragraph in the same section should read as: "The flexion angle was measured at heel strike of the first step only, and flexion angle at toe-off was measured at first step only (represented in degrees) by the IMU sensor and the pressure mat."
- Clinical-anatomic mapping of the tarsal tunnel with regard to Baxter's neuropathy in recalcitrant heel pain syndrome: part I. [Journal Article]
- SRSurg Radiol Anat 2018 Oct 27
- CONCLUSIONS: Our detailed mapping of the TN branches and their osteofibrous tubes at the TT might be of importance for foot and ankle surgeons during minimally invasive procedures in HPS such as ultrasound-guided ankle and foot decompression surgery (UGAFDS).
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- Should I Stay or Should I Go? A Prospective, Blinded Study Comparing the Diagnostic Capability of Dynamic and Stationary Pedobarography in Plantar Fasciitis. [Journal Article]
- JFJ Foot Ankle Surg 2018 Nov - Dec; 57(6):1181-1185
- The aim of this study was to determine the diagnostic capability of a dynamic gait analysis insole and compare its ability to detect clinical correlations to a common stationary analysis tool. Twenty...
The aim of this study was to determine the diagnostic capability of a dynamic gait analysis insole and compare its ability to detect clinical correlations to a common stationary analysis tool. Twenty-five patients with chronic plantar fasciitis were included in this prospective, blinded, diagnostic study. Conventional, stationary gait analysis on a force plate on an even surface and continuous dynamic pedobarography on a standardized course consisting of different gait tasks were performed and correlated to the disease severity. Mean patient age was 53.6 (range 41 to 68) years, with a mean pain level of 6.1 (range 4 to 10) on the Visual Analogue Scale and a calcaneodynia score of 48.7 (range 33 to 66). Significant correlations were seen between several dynamic gait values and clinical scoring: cadence (rs = 0.56, p = .004), stance time (rs = -0.6, p = .002), center-of-pressure velocity (rs = 0.44, p = .046), and double support time (rs = 0.42, p = .042). No significant correlations were seen between any force plate gait analysis values and clinical scoring. In this study setting, dynamic gait analysis was able to identify clinically relevant correlations to plantar fasciitis disease severity that standard force plate measurements could not.