scholarly journals Proposal of a rehabilitation protocol for a Type II Mason radius head fracture following surgical intervention OSTEOSYNTHESIS with cannulated screws in an elite triathlete. Case study

2018 ◽  
Vol 6 (6_suppl3) ◽  
pp. 2325967118S0004
Author(s):  
LI Ibañez Martin ◽  
H Ogando Berea
Keyword(s):  
Soft Tissue ◽  
Rehabilitation Program ◽  
Dorsal Spine ◽  
Cannulated Screws ◽  
Rehabilitation Protocol ◽  
Joint Mobilization ◽  
Tissue Therapy ◽  
High Level ◽  
Lumbopelvic Stabilization ◽  
Joint Range

A 33-year-old man suffers a radius head fracture after a bicycle fall. Surgically operation with OSTEOSYNTHESIS with two cannulated screws was performed. These fractures, can be a complication in this sport for the technical gesture necessary for the practice of swimming, which needs the recovery of the strength and the complete articular range. Objectives: The objective of the present work is make a proposal of a rehabilitation program focused on the recovery of joint range, strength and adaptation work to swimming. Methods: A systematic review of the scientific literature of the databases of Medline, PubMed, Scopus, PEDRO and SPORTDiscus was carried out. Results: It was designed a rehabilitation protocol specialized in elbow joint mobilization in flexo-extension and prono-supination, joint and soft-tissue manual therapy, electrotherapy and analgesic measures, muscular strengthening work (isometric, concentric and eccentric) and proprioceptive work In different joint ranges. Spine and shoulders: Manual joint and soft tissue therapy in cervical-dorsal spine, scapular and glenohumeral articulations, strengthening of the external rotator shoulder and scapular stabilizers muscles and flexibilization of the dorsal spine. Integration in technical movements: in water (Swimming technique and swimming simulation), functional work (with elastic bands), integration of the elbow movements in the lumbopelvic stabilization work and functional movements (ball launches and receptions). The program was evaluated by goniometric measurement, recordings of the technical gesture and comparative evaluation of the strength. Conclusion: The triathlete recovered the ROM and strength necessary to make the gesture of swimming correctly as well as the return to the competition of high level, reason why the protocol proposed can be useful.Limitation of the work: lack of research on this topic (which limits its justification).

Techniques of Manual Therapy for the Knee

1992 ◽  
Vol 1 (3) ◽  
pp. 249-257 ◽  
Author(s):  
William E. Prentice
Keyword(s):  
Manual Therapy ◽  
Movement Pattern ◽  
Rehabilitation Program ◽  
Joint Mobilization ◽  
Rehabilitation Programs ◽  
Joint Range Of Motion ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Physiological Motion ◽  
Injured Knee ◽  
Joint Range

Various techniques of manual therapy are available to the sports therapist supervising a rehabilitation program. Joint mobilization and proprioceptive neuromuscular facilitation (PNF) techniques can be effectively used in rehabilitation of the injured knee for achieving normal joint range of motion and for strengthening the weak components of a movement pattern. Joint mobilization is used to restore normal accessory motion to the joint. The PNF strengthening techniques are used for improving normal physiological motion. These manual therapy techniques allow the sports therapist to concentrate on the rotational component of motion at the knee joint, which is often neglected in rehabilitation programs.

Mechanisms of Soft Tissue Injury

2021 ◽  
Author(s):  
Oneida A. Arosarena ◽  
Issam N. Eid
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Visual Fields ◽  
Soft Tissue Injury ◽  
Soft Tissue Injuries ◽  
Wound Management ◽  
Facial Soft Tissue ◽  
Tissue Injuries ◽  
Free Closure ◽  
High Level

AbstractSoft tissue trauma to the face is challenging to manage due to functional and aesthetic concerns. Management requires careful regional considerations to maintain function such as visual fields and oral competence in periorbital and perioral injuries, respectively. Basic wound management principles apply to facial soft tissue injuries including copious irrigation and tension-free closure. There is no consensus and high-level evidence for antibiotic prophylaxis especially in various bite injuries. Ballistic injuries and other mechanisms are briefly reviewed. Scar revision for soft tissue injuries can require multiple procedures and interventions. Surgery as well as office procedures such as resurfacing with lasers can be employed and will be reviewed.

Urban Infrastructure: Design and Preservation - Brooklyn Bridge Rehabilitation Program

2019 ◽  
Author(s):  
Robert Collyer ◽  
Hasan Ahmed ◽  
Raj Navalurkar ◽  
Dawn Harrison
Keyword(s):  
New York ◽  
Rehabilitation Program ◽  
Accelerated Bridge Construction ◽  
Repair Work ◽  
User Costs ◽  
Bridge Rehabilitation ◽  
Construction Techniques ◽  
Bridge Structures ◽  
High Level ◽  
Brooklyn Bridge

<p>The Brooklyn Bridge is a National Historic Landmark and a New York City Landmark that has been in use for over 137 years. This is one of the most pictured bridge structures in the world, while being used as a critical and vital part of the infrastructure carrying over 105,000 vehicles per day. This paper addresses the engineering challenges/solutions related to the most current rehabilitation work being performed.</p><p>Contract 6 (2009 to 2017) represents a $650 million investment into the bridge to maintain it in a State of Good Repair. Work included deck replacement using accelerated bridge construction techniques and complete painting and steel repairs of the main span. A high-level traffic study and traffic simulations were developed to evaluate differing closure scenarios and their impacts on user costs and the traveling public.</p><p>Contract 6A (2017 to 2019) represents a $25 million investment in maintaining the historic and aesthetic integrity of the Brooklyn Bridge structures. Approximately, 30,000 SF of granite stone cladding will be replaced under this contract.</p><p>Contract 7 represents a $300 million investment that will address the rehabilitation of the historic arches on both sides of the main span and strengthening of the Towers. Construction is expected to begin in 2019.</p><p>Contract 8 represents a $250 million investment. It is in the planning phase and will address a new promenade enhancement (widening) over the Brooklyn Bridge.</p><p>This paper discusses how these engineering challenges were faced and resolved.</p>

scholarly journals Percutaneous Repair Method and Achilles Tendon Rupture Rehabilitation

2020 ◽  
Author(s):  
Krzysztof Ficek ◽  
Paweł Gwiazdoń ◽  
Jolanta Rajca ◽  
Grzegorz Hajduk
Keyword(s):  
Side Effects ◽  
Soft Tissue ◽  
Minimally Invasive ◽  
Achilles Tendon ◽  
Range Of Motion ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Well Being ◽  
Professional Activity ◽  
Rehabilitation Protocol

Abstract Background: Subcutaneous, spontaneous, complete ruptures of the Achilles tendon are usually caused indirectly by trauma associated with rapid movement. When minimally invasive Achilles tendon repair is performed, an active rehabilitation protocol can be implemented that allows for fast, measurable progress, reduced tissue atrophy, and an improved range of motion, thereby reducing pain and increasing patients’ overall physical well-being. However, overestimating the effectiveness of rehabilitative interventions can lead to arbitrary advancements in rehabilitation that significantly exceed the permitted levels of daily or professional activity. This issue can lead to various side effects and slow rehabilitation. The aim of the study was to evaluate the influence of adverse effects on objective outcomes after minimally invasive Achilles tendon repair.Methods: The study included 36 individuals with complete Achilles tendon rupture who underwent the percutaneous Ma-Griffith technique. The same rehabilitation protocol was used.Results: Five side effects were identified during rehabilitation: deformation of the repair construct (DRC), irritation of the sural nerve (SNI), morning ankle stiffness (MAS), edema of the soft tissue around the tendon (OST) and suture knots. DRC and MAS were associated with a longer time being required to achieve full ankle range of motion. SNI and OST were associated with a longer time being required to meet the criteria for dynamic training. None of the side effects were related to the isokinetic strength of the ankle plantar and dorsiflexors.Conclusions: The incidence of the assessed side effects in the postoperative period is not related to the type of activity, whether it is professional or amateur. Among the identified side effects, deformation of the regenerated shape of the heel tendon and MAS cause a delay in the recovery of full ankle range of motion. Calf nerve irritation and soft tissue swelling increase the time it takes to meet the criteria for starting dynamic training.Trial registration:The study was approved by the ethics committee of the Academy of Physical Education in Katowice (no. 13/2007)

scholarly journals Changes in the mobility of obese people under the influence of a physical therapy program

2019 ◽  
Vol 5 (3) ◽  
pp. 9 ◽  
Author(s):  
M.G. Aravitska
Keyword(s):  
Physical Therapy ◽  
Rehabilitation Program ◽  
Control Group ◽  
Functional Movement Screen ◽  
Obese Patients ◽  
Functional Movement ◽  
Therapy Program ◽  
Physical Therapy Program ◽  
One Year ◽  
High Level

<p><strong>Objective:</strong> to determine the effectiveness of a physical therapy program for patients with obesity by the indicators of Functional Movement Screen test exercises.</p><p><strong>Materials and methods</strong>. A total of 114 people of the second adulthood with alimentary-constitutional obesity of the I-III degrees were examined. They were divided according to the level of compliance into two groups. The comparison group consisted of individuals with a low level of compliance; they did not go through a rehabilitation program, but were informed about the risks of obesity; acquainted with the basic principles of hypocaloric nutrition and physical activity. The main group consisted of individuals with a high level of compliance; they underwent a developed program for correcting body weight using measures to maintain a high level of compliance, nutrition modification, increased physical activity, lymphatic drainage procedures, and elements of behavioral psychocorrection. The control group consisted of 60 people with no signs of obesity. A survey of the test exercises Functional Movement Screen was conducted in dynamics before and after the one-year period of implementation of the rehabilitation program.</p><p><strong>Results.</strong> During the initial examination in obese patients, all the obtained parameters of the Functional Movement Screen exercises were statistically significantly worse than in individuals with normal body weight (p &lt;0.05). Re-examination of patients with low compliance showed that no statistically significant positive changes occurred in any test test (p&gt; 0.05). When analyzing the results of test exercises of patients with a high level of compliance under the influence of a physical therapy program, a statistically significant improvement was achieved in all studied parameters relative to the initial level (p &lt;0.05).</p><p><strong>Conclusions: </strong>Diagnostics of mobility based on test exercises Functional Movement Screen in physical therapy programs for obese patients is a modern, simple and affordable method of rehabilitation examination. To achieve the target level of the control group for the studied parameters by patients of II-III degree of obesity, the rehabilitation program should be long for one year.</p>

Shoulder Stiffness – How to Treat?

2019 ◽  
Vol 157 (06) ◽  
pp. 668-675
Author(s):  
Davide Cucchi ◽  
Sebastian Gottfried Walter ◽  
Dieter Christian Wirtz ◽  
Max Julian Friedrich
Keyword(s):  
Risk Factors ◽  
Range Of Motion ◽  
Low Dose ◽  
Conservative Therapy ◽  
Clinical Situation ◽  
Level Of Evidence ◽  
Shoulder Stiffness ◽  
Rehabilitation Protocol ◽  
Conservative And Operative Treatment ◽  
High Level

AbstractShoulder stiffness is a condition of restricted glenohumeral range of motion, which can arise spontaneously or as consequence of a known cause, including surgical procedures on the shoulder. Several approaches to shoulder stiffness have been proposed and high-level evidence is available to analyze and discuss their results. The aim of this review was to summarize the current concepts on conservative and operative treatment of shoulder stiffness and discuss the results of the available studies with a high level of evidence, which should be considered to guide clinical practice. Treatment of shoulder stiffness should be tailored to the patientʼs clinical situation and the stage of its shoulder pathology and should aim at pain reduction, restoration of range of motion, functional regain and shortening of symptoms duration. When possible, known risk factors for primary shoulder stiffness and causes of secondary shoulder stiffness should be addressed to avoid relapse. Conservative therapy is the mainstay of treatment for shoulder stiffness and should include a multimodal and activity-oriented program. Intra-articular injection of a low dose of corticosteroid is safe and effective, provides immediate benefits, and is recommended in combination to an appropriate rehabilitation protocol. In conservative refractory cases, arthrolysis and capsular release can be performed with an arthroscopic approach.

scholarly journals The Influence of Soft Tissue Therapy on Respiratory Efficiency and Chest Mobility of Women Suffering from Breast Cancer

2019 ◽  
Vol 16 (24) ◽  
pp. 5092
Author(s):  
Katarzyna Domaszewska ◽  
Tomasz Pieńkowski ◽  
Arkadiusz Janiak ◽  
Dorota Bukowska ◽  
Maria Laurentowska
Keyword(s):  
Breast Cancer ◽  
Soft Tissue ◽  
Small Airways ◽  
Therapeutic Treatment ◽  
Therapy Program ◽  
Tissue Therapy ◽  
Mobility Assessment ◽  
Respiratory Efficiency ◽  
Expiratory Flow ◽  
Soft Tissue Therapy

The aim of the following paper was to determine the influence of soft tissue therapy on respiratory efficiency and chest mobility of women suffering from breast cancer. This study was a controlled, randomized trial. Tests were carried out in a group of patients (n = 49) who were hospitalized in the Province Polyclinic Hospital, Konin, Poland. In the study group, irrespective of the standard physical therapy program, an additional therapy program was run. The program consisted of applying specific techniques of soft tissue treatment. All patients in each term were subject to pulmonary function tests, chest mobility, and pain assessment. Statistical analysis of the obtained results of spirometry and chest mobility assessment has revealed no differences in the analyzed parameters between the examined groups in the period of joint therapeutic treatment. In the period between the third examination and the end of the 11-month-rehabilitation treatment, statistically significant differences were observed in the analyzed spirometry parameters; however, there was no difference in the parameters describing airflow in small airways (maximal expiratory flow at 50% (MEF50), peak expiratory flow (PEF) between individual groups during consecutive examinations in the course of diversified therapeutic treatment. Chest mobility assessment of the patients, performed during diversified therapeutic treatment, revealed statistically significant differences between the groups. However, there was no difference between the examined groups as far as pain sensation is concerned. Enhancing the regular rehabilitation program by including additional therapeutic methods, which are based on myofascial release and post-isometric relaxation techniques, had beneficial effects regarding respiratory system efficiency.

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