scholarly journals Simple semi-permanent blockade against rigid varus foot in a case with spasticity: possible practical benefits in ambulatory adults

2019 ◽  
Vol 12 (4) ◽  
pp. e227732
Author(s):  
Tetsutaro Yahata ◽  
Takahiro Maruta ◽  
Aki Nakanami

A 55-year-old ambulatory woman with hemiplegia and varus foot deformity had several problems in her daily life, including load pain and stance instability in the affected foot, easy fatigue of the non-paralysed leg, low back pain, neck stiffness and rapid shoe-rubber wear on the deformed side. We began repeated focal blockades using botulinum toxin to the tibialis posterior muscle to control varus spasticity. Distant influences presenting in the whole body were relieved soon after the first blockade, and shoe wear also stopped. Although, neither the deformed appearance nor foot contact pattern on walking changed in the initial period after beginning the blockade, the foot contact pattern revealed gradual improvement over several years. Generally, surgical correction is indicated for the treatment of deformed feet. The present case suggests that, in case of varus-deformed foot with some spastic elements, trial of focal blockade for varus spasticity may be worthwhile.

Spine ◽  
1992 ◽  
Vol 17 (9) ◽  
pp. 1048-1059 ◽  
Author(s):  
Massimo Bovenzi ◽  
Antonella Zadini

2004 ◽  
Vol 17 (2) ◽  
pp. 63-67 ◽  
Author(s):  
Nurgül Arinci Incel ◽  
Özlem Bolgen Cimen ◽  
Canan Erdogan

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kurumi Nakase ◽  
Hitoshi Shitara ◽  
Tsuyoshi Tajika ◽  
Takuro Kuboi ◽  
Tsuyoshi Ichinose ◽  
...  

AbstractPitching motion requires whole-body coordination; therefore, poor control of the lower extremities, pelvis and trunk may cause shoulder and elbow injuries. However, few studies have described the relationship between the shoulder joint function and low back injury in high-school baseball pitchers. A total of 128 healthy high school pitchers underwent pre-season medical checkups, where their shoulder range of motion and shoulder strength were measured. The participants completed a self-recorded daily questionnaire regarding the presence of low back pain. Pitchers were divided into injured and non-injured groups. Low back injury was observed in 13 participants (13.4%). In the injured group, horizontal adduction on the dominant shoulder was significantly less than in the non-injured group. A logistic regression analysis showed that horizontal adduction on the dominant side was a significant independent risk factor for low back injury during the season. It is important to recognize that restriction of the shoulder function not only causes shoulder and elbow injuries but can also risk low back injury.


Medicine ◽  
2018 ◽  
Vol 97 (38) ◽  
pp. e12534
Author(s):  
Yi-Li Zheng ◽  
Zhi-Jie Zhang ◽  
Meng-Si Peng ◽  
Hao-Yu Hu ◽  
Ju Zhang ◽  
...  

Trials ◽  
2014 ◽  
Vol 15 (1) ◽  
pp. 104 ◽  
Author(s):  
Xue-Qiang Wang ◽  
Yan-Lin Pi ◽  
Pei-Jie Chen ◽  
Bin-Lin Chen ◽  
Lei-Chao Liang ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Jingzhu Zhou ◽  
Jiarui Mi ◽  
Yu Peng ◽  
Huirong Han ◽  
Zhengye Liu

The role of obesity in the development of dorsopathies is still unclear. In this study, we assessed the associations between body mass index (BMI) and several dorsopathies including intervertebral disc degeneration (IVDD), low back pain (LBP), and sciatica by using the Mendelian randomization method. We also assessed the effect of several obesity-related traits on the same outcomes. Single-nucleotide polymorphisms associated with the exposures are extracted from summary-level datasets of previously published genome-wide association studies. Summary-level results of IVDD, LBP, and sciatica were from FinnGen. In our univariable Mendelian randomization analysis, BMI is significantly associated with increased risks of all dorsopathies including sciatica (OR = 1.33, 95% CI, 1.21–1.47, p = 5.19 × 10-9), LBP (OR = 1.28, 95% CI, 1.18–1.39, p = 6.60 × 10-9), and IVDD (OR = 1.23, 95% CI, 1.14–1.32, p = 2.48 × 10-8). Waist circumference, hip circumference, whole-body fat mass, fat-free mass, and fat percentage, but not waist–hip ratio, were causally associated with increased risks of IVDD and sciatica. Higher hip circumference, whole-body fat mass, fat-free mass, and fat percentage increased the risk of LBP. However, only whole-body fat-free mass remained to have a significant association with the risk of IVDD after adjusting for BMI with an odds ratio of 1.57 (95% CI, 1.32–1.86, p = 2.47 × 10-7). Proportions of BMI’s effect on IVDD, sciatica, and LBP mediated by leisure sedentary behavior were 41.4% (95% CI, 21.8%, 64.8%), 33.8% (95% CI, 17.5%, 53.4%), and 49.7% (95% CI, 29.4%, 73.5%), respectively. This study provides evidence that high BMI has causal associations with risks of various dorsopathies. Weight control is a good measure to prevent the development of dorsopathies, especially in the obese population.


1998 ◽  
Vol 215 (4) ◽  
pp. 687-697 ◽  
Author(s):  
M.H. Pope ◽  
D.G. Wilder ◽  
M. Magnusson

Author(s):  
Kiana Kia ◽  
Stephanie Fitch ◽  
Sean Newsom ◽  
Jay Kim

Whole-body vibration (WBV) is known to be a leading factor for developing musculoskeletal disorders (MSDs). As mining vehicle operators are exposed to frequent transient shocks and substantial non-vertical WBV exposures, they may be at a greater risk than on-road vehicle operators. However, the impact of such exposures is not well understood. Therefore, this study aimed to evaluate how the exposure to WBV affected physiological stress and whether mining vehicles’ vibration with substantial non-vertical WBV components would further increase the level of physiological stress as compared to on-road vehicle vibration (vertical-axis dominant vibration). In a repeated-measures laboratory study, a 6-degree-of-freedom motion platform was used to recreate three different types of field-collected vibration profiles: vertical-axis dominant vibration measured from on-road long-haul trucks (VA), multi-axial vibration measured from mining vehicles (MA), and no vibration (control condition: CC). Subjects were exposed to each vibration condition for 2-hour sessions over three different experimental days. Blood samples were collected before and after each exposure session in order to measure biological markers for inflammation (tumor necrosis factor-α: TNFα), muscle damage (creatine kinase), and physiological stress (cortisol). During the 2-hour WBV exposures, muscle activity in the neck and low back muscles was measured using electromyography. The results showed that there were statistically significant differences in TNFα (inflammatory response) levels between vibration exposure (VA and MA) and the control condition (no vibration) (p = 0.01); however, these differences are not considered as clinically significant changes. No significant changes were found in muscle damage (creatine kinase) and physiological stress (cortisol). The vibration exposure conditions (VA and MA) showed higher low back muscle activity; however, these differences did not reach statistical significance (p’s > 0.08). Neck muscle activity did not differ among exposure conditions. The lack of effect in these results may support previous findings that MSDs develop from prolonged exposure to WBV and not from acute exposure to physical risk factors.


Sign in / Sign up

Export Citation Format

Share Document