Extended Application of WISH type S-form hip Brace for Patients with Bilateral Painful Hip Osteoarthritis: Report of Two Cases

2009 ◽  
Vol 33 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Takahisa Sato ◽  
Takehiko Yamaji ◽  
Hideyuki Inose ◽  
Ena Sato ◽  
Ayako Yoshikawa ◽  
...  
Keyword(s):  
Hip Osteoarthritis ◽  
Functional Mobility ◽  
Lateral Instability ◽  
Bilateral Involvement ◽  
Extended Application ◽  
Hip Function ◽  
Points Of View ◽  
Hip Stabilization ◽  
Painful Hip ◽  
Positive Effect

Dynamic lateral instability of the femoral head develops in patients with osteoarthritis (OA) of the hip. Recently we have developed a hip brace, called the WISH-type hip brace, and showed successful response of the patients quantitatively. However, a negligible effect was observed in patients with bilateral involvement. Here, we extended the application of the WISH-type hip brace for two patients with bilateral OA joints. The resultant WISH-type hip brace with two S-form portions for bilateral thighs provided good recovery in hip function. Interestingly Timed Up & Go (TUG) test performed for one patient revealed a positive effect of the brace on the functional mobility. To the best of our knowledge, this is the first report elucidating the therapeutic effect of brace therapy with bilateral hip stabilization from hip functional and functional mobility points of view. Application of the present brace should be taken into account for patients with painful bilateral hip OA before easy application of invasive surgery such as total hip arthroplasty.

Effect of the WISH-type hip brace on functional mobility in patients with osteoarthritis of the hip: evaluation using the Timed Up & Go Test

2011 ◽  
Vol 36 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Ena Sato ◽  
Takahisa Sato ◽  
Takehiko Yamaji ◽  
Hideomi Watanabe
Keyword(s):  
Hip Osteoarthritis ◽  
Functional Mobility ◽  
The Other ◽  
Osteoarthritis Of The Hip ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Daily Exercise ◽  
Hip Function ◽  
Painful Hip

Background: The WISH-type S-form brace, is considered to improve hip function and gait in patients presenting with painful hip osteoarthritis (OA).Objectives: To evaluate the effects of the brace on functional mobility.Study Design: Cross sectional survey.Methods: The Timed Up & Go Test (TUG) was performed with right and left turns separately in each subject.Results: In the patients with the bilateral hip brace, the average time to complete the TUG (8.3 ± 1.7 seconds) was significantly shorter than in those without the brace (9.4 ± 2.9 seconds). On the other hand, for the patients with unilateral hip OA, the improvement of TUG with the hip brace was significant in turning the unbraced leg inside (7.4 ± 1.1 vs. 7.6 ± 1.2 seconds), while not turning the braced leg inside (7.5 ± 1.1 vs. 7.6 ± 1.2 seconds). Furthermore, significant improvement of TUG was found at three-month follow-up and maintained until the 12-month follow-up assessment. This improvement was independent of the application of the brace at the assessment.Conclusions: The direct effect of the hip brace may be related to the hip function in the turning phase of TUG. In addition, mechanical improvements due to daily exercise may provide an indirect, but essential, effect of the brace on TUG performance.Clinical relevanceFrom a functional mobility viewpoint, the present WISH-type hip brace may contribute to risk reduction of future falls in hip OA patients.

scholarly journals Clinical Hip Osteoarthritis in Current and Former Professional Footballers and Its Effect on Hip Function and Quality of Life

2021 ◽  
pp. 284-290
Author(s):  
Dennie van den Noort ◽  
Emmeline Oltmans ◽  
Haruhito Aoki ◽  
Gino M.M.J. Kerkhoffs ◽  
Vincent Gouttebarge
Keyword(s):  
Quality Of Life ◽  
Hip Osteoarthritis ◽  
Cross Sectional Study ◽  
Football Players ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related ◽  
Hip Function ◽  
Professional Footballer

The objective of the study was to establish the prevalence of clinical hip osteoarthritis in current and former professional footballers and to explore its consequences on hip function and health-related quality of life (HRQoL). A cross-sectional study by means of questionnaire was conducted among current and former professional footballers fulfilling the following inclusion criteria: (1) male (2) active or retired professional footballer (3) member of FIFPRO (Football Players Worldwide) (4) between 18 and 50 years old (5) could read and understand texts in French, Spanish, or English. Controls (matched for: gender, age, body weight and height) were also recruited. The main outcome measures were clinical hip osteoarthritis, hip function and HRQoL. Questionnaires were sent to 2,500 members of which 1,401 participated (1,000 current and 401 former professional footballers). Fifty-two controls were recruited. Prevalence of hip osteoarthritis was 2% among current and 8% among former professional footballers. Hip function was significantly (p ≤ 0.001) lower in both types of footballers with hip osteoarthritis than in footballers without hip osteoarthritis and controls. Current and former professional footballers with hip osteoarthritis reported significantly lower physical health scores (p = 0.032, p = 0.002) than those without. Hip osteoarthritis led to a significantly lower score in the physical (p = 0.004) and mental (p = 0.014) component of HRQoL in former footballers compared to the controls, while in current footballers only the physical component was significantly (p = 0.012) lower compared to the controls. Hip osteoarthritis has a higher prevalence in former than in current professional footballers and impacts hip function and HRQoL negatively.

scholarly journals Assessing the Attitudes, Awareness, and Behavioral Alterations of Patients Awaiting Total Hip Arthroplasty During the COVID-19 Crisis

2020 ◽  
Vol 11 ◽  
pp. 215145932096937
Author(s):  
Stephen Fahy ◽  
Joss Moore ◽  
Michael Kelly ◽  
Shane Irwin ◽  
Paddy Kenny
Keyword(s):  
Mental Health ◽  
Short Form ◽  
Hip Osteoarthritis ◽  
Surgical Care ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Harris Hip Score ◽  
Physical And Mental Health ◽  
Patient Reported ◽  
Hip Function

Background: COVID-19 has placed a huge burden on healthcare systems which has led to widespread cancellation elective surgical care. Ireland is recovering from the first wave of COVID-19 and as such the expeditious return of elective surgical care is important. This is the first study to examine the attitudes of patients to undergoing total joint arthroplasty during the COVID-19 crisis. Methods: A prospective qualitative study was undertaken in our institution during the week 13/05/2020-20/05/2020. 65 patients completed a questionnaire assessing attitudes, awareness, and behavioral changes associated with COVID-19, a Charlson Comorbidity Index, modified-Harris Hip Score, and a Short Form-12 score. Results: 86% of patients felt that they were at little to no risk of COVID-19 infection. The majority of patients were happy to proceed with surgery at the current level of COVID-19 related threat (86%). Patients with higher mHHS were more likely to postpone their operation than those with lower mHHS scores. Our cohort had low patient reported outcome measures in both mHHS and SF-12, indicating the significant burden of hip osteoarthritis on both physical and mental health. Conclusion: Patients reported a significant disease-related impairment of physical function and subsequent deterioration in mental health as a result of hip osteoarthritis. Patients with worse hip function, as measured by the mHHS are more willing to proceed with surgery than those with superior hip function. This offers a potential mechanism by which to triage patients once elective surgical pathways reopen in the coming months.

scholarly journals A Systematic Literature Review. Relationships between the Sharing Economy, Sustainability and Sustainable Development Goals

2020 ◽  
Vol 12 (17) ◽  
pp. 6744 ◽  
Author(s):  
Andrei Boar ◽  
Ramon Bastida ◽  
Frederic Marimon
Keyword(s):  
Sustainable Development ◽  
Sustainable Development Goals ◽  
Business Models ◽  
Web Of Science ◽  
Positive Impact ◽  
Sharing Economy ◽  
Consumer Values ◽  
Development Goals ◽  
Points Of View ◽  
Positive Effect

The sharing economy is an umbrella term for different business models that seem to have a positive impact on sustainability. To achieve sustainable development, the UN has created 17 Sustainable Development Goals (SDGs) as an instrument and guide for countries and individuals. This paper sheds light on the relationships between the sharing economy, sustainability and SDGs through the content analysis of 74 papers from the database Web of Science that consider these factors through the topics of the environment, consumer values, business characteristics and urban impact regarding sectors such as mobility and accommodation. Results express that the sharing economy helps to achieve all SDGs. However, further research is needed because of the novelty of the topic and the existence of many gaps. The sharing economy has a positive effect on the dimensions of sustainability from the economic, social and environmental points of view.

scholarly journals Propagation of Pistachio Trees Using Epicotyl Grafts

HortScience ◽  
1996 ◽  
Vol 31 (4) ◽  
pp. 635b-635
Author(s):  
A. Talaie ◽  
A. Javanshah
Keyword(s):  
Ascorbic Acid ◽  
Production Costs ◽  
The Other ◽  
Negative Effects ◽  
Graft Healing ◽  
Growing Seasons ◽  
Points Of View ◽  
Positive Effect ◽  
Pistachio Trees ◽  
Grafting Methods

Methods to shorten the required fruiting period for pistachio may reduce production costs. Therefore, grafting is recommended. We examined three grafting methods: fabble, cleft, and side. Fabble grafts had 66% success and therefore a higher efficiency than the other two types of grafts examined. BA or ascorbic acid did not have a considerable positive effect on graft healing and there may have been some negative effects. The results of microscopic dissection show that healing between rootstock and scion, i.e., formation of callus, xylem, and phloem tissues in the epicotyl stage, are similar and the plants propagated by epicotyl grafts enjoy maturity signs from ontogeny points of view in two growing seasons.

scholarly journals Hip reconstruction in patients with ischemic deformity of the proximal femur and associated acetabular dysplasia

2020 ◽  
Vol 26 (4) ◽  
pp. 502-507
Author(s):  
M.P. Teplenky ◽  
◽  
E.V. Oleinikov ◽  
V.S. Bunov ◽  
◽  
...  
Keyword(s):  
Proximal Femur ◽  
Acetabular Dysplasia ◽  
Functional Limitations ◽  
Hip Osteoarthritis ◽  
Hip Joints ◽  
Hip Reconstruction ◽  
Hip Deformity ◽  
Hip Function ◽  
The Mean

Introduction Acetabular dysplasia associated with ischemic deformity of the proximal femur leads to significant functional limitations and progressive hip osteoarthritis (OA). The best surgical approach, the timing and the volume of surgery are still controversial. Material and methods Outcomes of 32 patients with ischemic hip deformity were reviewed. The mean age at the time of surgery was 15.8 ± 0.7 (range, 12–24) years. The mean follow-up period was 4.2 ± 0.4 years. Clinical outcomes were measured using the Merle d'Aubigné-Postel, Tönnis, Severin scoring scales and the grading system developed at the National Ilizarov Medical Research Center for Trauma and Orthopedics (NIMRC TO). Extra-articular (n = 24) and intra-articular (n = 8) procedures were produced for hip reconstructions. Results The hip function score was 5.2 ± 0.1 after extra-articular interventions and 4.3 ± 0.14 after intra-articular procedures. Postoperatively, hip joints were+ graded as Severin IIa (n = 18), Severin IIb (n = 10) and Severin III (n = 4). No arthritic changes occurred in 25 hips. In the remaining cases, OA either progressed (n = 4) or improved (n = 3). Outcomes were rated as good with 2.6 ± 0.03 scores (n = 17), fair with 2 ± 0.1 scores (n = 13) and poor with 1.41 ± 0.05 scores (n = 2) measured on the NIMRC TO scale. Conclusion The technologies offered for the reconstruction of both articular components have been shown to be effective in treatment of patients with ischemic hip deformity and associated acetabular dysplasia.

scholarly journals Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 472
Author(s):  
Na-Kyoung Hwang ◽  
Ji-Su Park ◽  
Moon-Young Chang
Keyword(s):  
Functional Mobility ◽  
Self Management ◽  
Stroke Survivors ◽  
Positive Effects ◽  
Quasi Experimental ◽  
Post Stroke Depression ◽  
Management Participation ◽  
Study Designs ◽  
Positive Effect ◽  
Delivery Type

Telehealth (TH) intervention is a method to optimize self-management (SM) support in stroke survivors. Objectives of this study included identifying the TH-SM intervention’s focus and SM support components, the TH delivery type, and the TH-SM support effects on stroke survivors. Five databases were searched for the years 2005–2020 to identify TH-SM support interventions for stroke survivors. Randomized controlled trials and quasi-experimental, one-group re-post study designs were included. Ten studies were reviewed. TH-SM support focused on post-stroke depression, obesity management, participation, functional mobility, and activities of daily living. The TH delivery type most used in selected studies was messaging. Regarding the SM support components, the education component was used in all studies, and psychological support and lifestyle advice and support were used in 8 out of 10 studies. TH-SM intervention had positive effects in terms of goal achievement for SM behavior, emotional state, and mobility of clinical outcomes, and TH acceptance in stroke survivors. Although the TH-SM-supported intervention effects were not found consistently in all outcomes, this review discovered a positive effect on various SM-related outcomes. In addition, TH delivery types and SM support components showed the possibility of various options to be considered for intervention. Therefore, we suggest that TH-SM supported intervention is a positive alternative for SM support in stroke survivors.

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