Driving performance and turning reaction time following hip arthroscopy for FAIS: does capsular repair matter?

2021 ◽  
pp. 112070002110067
Author(s):  
Brandon Yoshida ◽  
Ioanna K Bolia ◽  
Kevin Collon ◽  
Rae Lan ◽  
Robert Matthews ◽  
...  
Keyword(s):  
Reaction Time ◽  
Hip Arthroscopy ◽  
Driving Performance ◽  
Driving Ability ◽  
Preoperative Level ◽  
Intraoperative Procedures ◽  
Capsular Repair ◽  
Femoroacetabular Impingement Syndrome ◽  
Significant Difference ◽  
The Impact

Purpose: (1) To compare the pre- and postoperative driving performance in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS); (2) to examine the differences in driving performance between patients with versus without capsular repair. Methods: Patients who underwent arthroscopic hip surgery for FAIS were included. Driving performance of participating patients was collected using a driving simulator preoperatively and at 2 weeks, 4–6 weeks and 8–12 weeks postoperatively. Data collected included demographics, surgery laterality, intraoperative procedures, left and right turn reaction time, total turn reaction time, gas off time (GOF), and break reaction time (BRT). Repeated measures analysis of variance (ANOVA) was used for statistical analysis. Results: 21 subjects (9 males, 12 females) with a mean age of 30 ± 9 years were included and 57.1% of the subjects had right-sided surgery. There was no difference between the mean preoperative and the 2-week postoperative left (0.72 seconds and 0.75 seconds, respectively) right (0.77 seconds and 0.75 seconds, respectively), and total (0.74 seconds and 0.75 seconds, respectively) turn reaction times as well as GOF (0.62 seconds and 0.60 seconds, respectively) and BRT (0.92 seconds and 0.93 seconds, respectively), indicating that the patients’ driving performance returned to the preoperative level as early as 2 weeks following hip arthroscopy for FAIS. There was no significant difference amongst any of the driving variables between patients who underwent capsular repair (50%) and those who did not. There was no significant difference amongst any of the driving variable s between patients who underwent left versus right hip arthroscopy. Conclusions: Patients’ driving performance returns to the preoperative level as early as 2 weeks after hip arthroscopy for FAIS. Surgery laterality nor capsular repair make any significant difference in the time for driving abilities to return to baseline. The impact of intraoperative procedures performed, and the analgesic medications used postoperatively on the driving ability of patients undergoing hip arthroscopy warrants further investigation in larger patient populations.

scholarly journals Psychomotor function in children with epilepsy seen at a tertiary hospital in southern Nigeria: does treatment with anti-epileptic drugs have any effect?

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Paul Ehiabhi Ikhurionan ◽  
Olusola Peter Okunola ◽  
Blessing Imuetinyan Abhulimhen-Iyoha ◽  
Gabriel Egberue Ofovwe
Keyword(s):  
Reaction Time ◽  
Psychomotor Performance ◽  
Idiopathic Epilepsy ◽  
Fine Motor ◽  
Healthy Controls ◽  
Psychomotor Function ◽  
Significant Difference ◽  
Visual Reaction ◽  
Auditory Reaction Time ◽  
The Impact

Abstract Background Psychomotor slowing is more commonly reported in children with epilepsy (CWE) compared to healthy controls. The effect of anti-epileptic drug (AED) treatment on psychomotor abilities of CWE remains controversial. In Nigeria, psychomotor abilities of CWE are scarcely investigated and the impact of AEDs is not known. The present study sought to assess psychomotor performance of CWE compared to healthy controls and to determine any association with seizure characteristics and treatment. Method A comparative cross-sectional study involving 160 children with idiopathic epilepsy and 80 controls aged 6–16 years. Psychomotor function was assessed using reaction times and tapping task of the Iron psychology computerised test battery. The criterion for impairment was fixed at two standard deviations (SD) worse than the mean of age-matched controls. The relationship between seizure variables and psychomotor function was assess with the one-way analysis of variance (ANOVA). Result Fifty-nine (36.9%) CWE had impaired auditory reaction, 50 (31.3%) with impaired visual reaction and 11 (6.9%) had fine motor control impairment. There was no significant difference in psychomotor performance between CWE on AED and the newly diagnosed counterparts yet to start AED treatment (auditory reaction time—p = 0.226; visual reaction time—p = 0.349; tapping task—p = 0.818). AED treatment duration over 5 years was associated with better auditory reaction time (F = 4.631, p = 0.034) in CWE. Also, seizure onset before 5 years of age was associated with slower auditory reaction (F = 4.912, p = 0.028) and verbal reaction (F = 14.560, p < 0.001). Conclusion Nigerian CWE perform less favourably on tests of psychomotor function than healthy controls. The performance of children on AED is not significantly different from those not on AED. Longer duration of AED treatment may result in psychomotor improvement in CWE. CWE should be closely monitored for psychomotor slowness so that deficits can be identified and appropriate interventions instituted.

Correlation of Short Form-36 and Disability Status with Outcomes of Arthroscopic Acetabular Labral Debridement

2005 ◽  
Vol 33 (6) ◽  
pp. 864-870 ◽  
Author(s):  
Benjamin K. Potter ◽  
Brett A. Freedman ◽  
Romney C. Andersen ◽  
John A. Bojescul ◽  
Timothy R. Kuklo ◽  
...  
Keyword(s):  
Hip Arthroscopy ◽  
Short Form ◽  
Harris Hip Score ◽  
Arthroscopic Debridement ◽  
Short Form 36 ◽  
Significant Difference ◽  
Patient Reported ◽  
Disability Status ◽  
Modified Harris Hip Score ◽  
The Impact

Background Arthroscopic debridement is the standard of care for the treatment of acetabular labral tears. The Short Form-36 has not been used to measure hip arthroscopy outcomes, and the impact of disability status on hip arthroscopy outcomes has not been reported. Hypothesis Short Form-36 subscale scores will demonstrate good correlation with the modified Harris hip score, but patients undergoing disability evaluation will have significantly worse outcome scores. Study Design Case series; Level of evidence, 4. Methods The records of active-duty soldiers who underwent hip arthroscopy at the authors’ institution were retrospectively reviewed. Forty consecutive patients who underwent hip arthroscopy for the primary indication of labral tear formed the basis of the study group. Patients completed the modified Harris hip score, the Short Form-36 general health survey, and a subjective overall satisfaction questionnaire. Results Thirty-three patients, with a mean age of 34.6 years, were available for follow-up at a mean of 25.7 months postoperatively. Fourteen (43%) patients were undergoing medical evaluation boards (military equivalent of workers’ compensation or disability claim). Pearson correlation coefficients for comparing the Short Form-36 Bodily Pain, Physical Function, and Physical Component subscale scores to the modified Harris hip score were 0.73, 0.71, and 0.85, respectively (P <. 001). The mean modified Harris hip score was significantly lower in patients on disability status than in those who were not (92.4 vs 61.1; P <. 0001). The Short Form-36 subscale scores were significantly lower in disability patients (P <. 02). Patient-reported satisfaction rates (70% overall) were 50% for those undergoing disability evaluations and 84% for those who were not (P <. 04). There was no significant difference in outcomes based on patient age, surgically proven chondromalacia, or gender for military evaluation board status. Conclusion The Short Form-36 demonstrated good correlation with the modified Harris hip score for measuring outcomes after arthroscopic partial limbectomy. Arthroscopic debridement yielded a high percentage of good results when patients undergoing disability evaluations were excluded. Disability status may be a negative predictor of success after hip arthroscopy.

scholarly journals The impact of mental health disorders on outcomes following hip arthroscopy for femoroacetabular impingement syndrome: a systematic review

2020 ◽  
Vol 7 (2) ◽  
pp. 195-204 ◽  
Author(s):  
Alastair G Dick ◽  
Christian Smith ◽  
Marcus J K Bankes ◽  
Marc George
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Mental Health Disorders ◽  
Impingement Syndrome ◽  
Medium Term ◽  
Femoroacetabular Impingement Syndrome ◽  
Health Disorders ◽  
The Impact

Abstract Hip arthroscopy for femoroacetabular impingement syndrome (FAI) has been shown to be beneficial in the short- to medium-term though outcomes vary between individuals. Multiple factors have been suggested to affect outcomes including pre-operative mental health disorders. We undertook a systematic review to assess the evidence relating to the effect of pre-existing mental health disorders on the outcomes following hip arthroscopy for FAI. Following PRISMA guidelines, a multi-database search was undertaken using three key concepts: ‘mental health’, ‘FAI’ and ‘hip arthroscopy’. Results were screened and data extracted from relevant studies. A total of six studies met the inclusion criteria including 2248 hips, all published between 2017 and 2019. All studies were of evidence level III or IV with reasonable methodological quality. One study demonstrated pre-operative depression to be related to altered pain reduction in the short-term following surgery. Three studies reported inferior outcomes in the medium-term (1–2 years) in those with worse mental health. One study demonstrated an increased risk of persistent pain 2 years following surgery and one a reduced chance of returning to active military service following surgery in those with worse mental health. Despite inferior outcomes individuals with mental health disorders did still benefit from surgery in general. In conclusion, the presence of pre-existing poor mental health is associated with inferior outcomes in the medium-term following arthroscopic surgery for FAI. Surgeons should consider screening patients for mental health disorders before surgery and counselling them appropriately as to the potential for less satisfactory surgical outcomes.

scholarly journals Time Taken to Resume Driving Following Hip Arthroscopy Surgery

2020 ◽  
Author(s):  
Suenghwan Jo ◽  
Sang Hong Lee ◽  
Se Woong Jang ◽  
Hyun Bai Choi ◽  
Ba Rom Kim ◽  
...  
Keyword(s):  
Hip Arthroscopy ◽  
Driving Simulator ◽  
Driving Performance ◽  
Control Group ◽  
Test Protocol ◽  
Significant Difference ◽  
Time Required ◽  
State 1 ◽  
Normal Controls

Abstract Background: Resuming driving is a common concern among patients undergoing hip arthroscopy. The goals of the current study were 1) to assess whether patients who have undergone right hip arthroscopy have poorer driving performance than patients with normal hips and 2) to analyse the time required to regain preoperative driving performance with respect to different types of operations.Methods: Forty-seven patients who had undergone right hip arthroscopy and who consented to our test protocol were included in this study. The patients were divided into two groups based on the type of operation that they underwent, namely, the femoroacetabular impingement surgery (FAI) group and the simple hip arthroscopy (SA) group. Using an immersive driving simulator, the patients were tested for brake reaction time (BRT), total brake time (TBT), and brake pedal depression pressure (BPD). Following the surgery, the first assessments were conducted when the patient could comfortably sit on the driving seat, and follow-up assessments were conducted for 6 consecutive weeks at weekly intervals. For the control group, 20 healthy volunteers were put through driving assessments thrice at weekly intervals. Braking parameters were compared between preoperative and postoperative measurements and between studied and controlled subjects.Results: The preoperative braking parameters of the patients who underwent arthroscopy showed no significant difference compared with normal controls (p values 0. 373, 0.763, and 0.447 for BRT, TBT, and BPD, respectively). All braking parameters returned to normal in 2 weeks in the FAI group and in 1 week in the SA group.Conclusion: Our study indicates that the driving performance of the patients undergoing right hip arthroscopy have comparable driving performance as compare to the normal hips and that the braking reaction returns to the preoperative state 1 week after SA and 2 weeks after FAI surgery.

scholarly journals Effect of Static Magnetic Field of Electric Vehicles on Driving Performance and on Neuro-Psychological Cognitive Functions

2019 ◽  
Vol 16 (18) ◽  
pp. 3382
Author(s):  
Yaqing He ◽  
Weinong Sun ◽  
Peter Sai-Wing Leung ◽  
Yuk-Tak Chow
Keyword(s):  
Magnetic Field ◽  
Reaction Time ◽  
Electric Vehicles ◽  
Static Magnetic Field ◽  
Cognitive Functions ◽  
Brain Activity ◽  
Driving Performance ◽  
Time Test ◽  
The Impact ◽  
Reaction Time Test

Human neuropsychological reactions and brain activities when driving electric vehicles (EVs) are considered as an issue for traffic and public safety purposes; this paper examined the effect of the static magnetic field (SMF) derived from EVs. A lane change task was adopted to evaluate the driving performance; and the driving reaction time test and the reaction time test were adopted to evaluate the variation of the neuro-psychological cognitive functions. Both the sham and the real exposure conditions were performed with a 350 μT localized SMF in this study; 17 student subjects were enrolled in this single-blind experiment. Electroencephalographs (EEGs) of the subjects were adopted and recorded during the experiment as an indicator of the brain activity for the variations of the driving performance and of the cognitive functions. Results of this study have indicated that the impact of the given SMF on both the human driving performance and the cognitive functions are not considerable; and that there is a correlation between beta sub-band of the EEGs and the human reaction time in the analysis

Police drowsy driving: predicting fatigue-related performance decay

2015 ◽  
Vol 38 (3) ◽  
pp. 517-538 ◽  
Author(s):  
Stephen M. James ◽  
Bryan Vila
Keyword(s):  
Risk Factor ◽  
Reaction Time ◽  
Laboratory Experiments ◽  
Driving Performance ◽  
Drowsy Driving ◽  
Shift Workers ◽  
Content Type ◽  
Work Cycle ◽  
The Impact ◽  
Post Shift

Purpose – Fatigue associated with shift work is a well-established and pervasive problem in policing that affects officer performance, safety, and health. It is critical to understand the extent to which fatigue degrades officer driving performance. Drowsy driving among post-shift workers is a well-established risk factor yet no data are available about officer injuries and deaths due to drowsy driving. The purpose of this paper is to assess the impact of fatigue associated with work shift and prior sleep on officers’ non-operational driving using laboratory experiments to assess post-shift drowsy driving risks and the ability of a well-validated vigilance and reaction-time task to assess these risks. Design/methodology/approach – Experienced police patrol officer volunteers (n=78) from all four shifts of a medium-sized city’s police department were tested using a within- and between-subjects design to assess the impact of fatigue on individual officers, as well as the impact of different work shifts, on post-shift driving performance. Controlled laboratory experiments were conducted during which participants drove high-fidelity driving training simulators on two occasions: immediately following five consecutive 10:40-hour patrol shifts (fatigued condition) and again 72 hours after completing the last shift in a work cycle (rested condition). Findings – Generalized linear mixed-model analyses of driving performance showed that officers working night shifts had significantly greater lane deviation during post-shift, non-operational driving than those working day shifts (F=4.40, df=1, 150, p=0.038). The same method also showed that easy to measure psychomotor vigilance test scores for reaction time predicted both lane deviation (F=31.48, df=1, 151, p < 0.001) and collisions (F=14.10, df=1, 151, p < 0.001) during the simulated drives. Research limitations/implications – Simulated driving tasks done by participants were generally less challenging than patrol or off-duty driving and likely underestimate the impact of fatigue on police driving post-shift or during extended shifts. Originality/value – This is the first experimental research to assess the impact of shiftwork, fatigue, and extended shifts on police post-shift drowsy driving, a known risk factor for shift workers in general.

scholarly journals Midterm Outcomes and Satisfaction After Hip Arthroscopy Are Associated With Postoperative Rehabilitation Factors

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712098188
Author(s):  
Eyal Amar ◽  
RobRoy L. Martin ◽  
Adrian Tudor ◽  
Shai Factor ◽  
Ran Atzmon ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Hip Arthroscopy ◽  
Postoperative Rehabilitation ◽  
Level Of Evidence ◽  
Home Program ◽  
Level Of Satisfaction ◽  
Femoroacetabular Impingement Syndrome ◽  
Significant Difference ◽  
The Mean ◽  
Therapy Sessions

Background: Arthroscopic hip-preservation surgery is commonly performed to address nonarthritic sources of hip pain in young, active individuals. However, there is little evidence to support postoperative rehabilitation protocols, including the most appropriate frequency and length of individual formal physical therapy sessions. There is also a lack of information to look at patients’ perceived value of their home program/self-practice in relation to outcomes. Purpose: To investigate postoperative rehabilitation factors after hip arthroscopy related to formal physical therapy and home program/self-practice and their correlation with patient outcomes and satisfaction. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 125 patients who underwent hip arthroscopy for femoroacetabular impingement syndrome and a labral tear (75 men) were included. The mean age was 34.6 ± 14.4 years, and the mean follow-up time was 4.9 ± 1.6 years. Hip Outcome Score–Activities of Daily Living subscale (HOS-ADL) scores, overall satisfaction scores, and factors related to supervised physical therapy and home program/self-practice were collected. Correlations between continuous variables and differences in the length of individual formal physical therapy and patients’ rating of the importance of their home program/self-practice between those who would and those who would not undergo surgery again were assessed. Results: The frequency and length of individual formal physical therapy sessions were significantly correlated with postoperative HOS-ADL scores ( r = 0.22, P = .014; and r = 0.24, P = .007, respectively) and level of satisfaction ( r = 0.24, P = .007; and r = 0.21, P = .02, respectively). The length of individual formal physical therapy sessions was significantly greater in those who noted they would undergo surgery again (35.3 vs 26.3; P = .033). A significant correlation was identified between the rating of the importance of their home program/self-practice and postoperative HOS-ADL scores ( r = 0.29; P = .001) and their level of satisfaction ( r = 0.23; P = .009). There was a significant difference in the rating of the importance of their home program/self-practice between those who would undergo surgery again and those who would not (8.9 vs 7.8; P = .007). Conclusion: Surgeons and physical therapists should emphasize the value of home program/self-practice when it comes to outcomes and may want to encourage their patients to participate in more frequent, longer, formal physical therapy sessions.

Measuring Impact of Stress in Sandwich Generation Caring for Demented Parents

GeroPsych ◽  
2014 ◽  
Vol 27 (4) ◽  
pp. 171-179 ◽  
Author(s):  
Laurence M. Solberg ◽  
Lauren B. Solberg ◽  
Emily N. Peterson
Keyword(s):  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Social Worker ◽  
Resource Availability ◽  
Well Being ◽  
Sandwich Generation ◽  
Item Questionnaire ◽  
Significant Difference ◽  
Adult Caregivers ◽  
The Impact

Stress in caregivers may affect the healthcare recipients receive. We examined the impact of stress experienced by 45 adult caregivers of their elderly demented parents. The participants completed a 32-item questionnaire about the impact of experienced stress. The questionnaire also asked about interventions that might help to reduce the impact of stress. After exploratory factor analysis, we reduced the 32-item questionnaire to 13 items. Results indicated that caregivers experienced stress, anxiety, and sadness. Also, emotional, but not financial or professional, well-being was significantly impacted. There was no significant difference between the impact of caregiver stress on members from the sandwich generation and those from the nonsandwich generation. Meeting with a social worker for resource availability was identified most frequently as a potentially helpful intervention for coping with the impact of stress.

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