scholarly journals Assessment of static and dynamic balance in patients after total hip arthroplasty based on the Tinetti Test

2021 ◽  
Vol 11 (8) ◽  
pp. 161-170
Author(s):  
Norbert Maziuk ◽  
Karina Szczypiór-Piasecka ◽  
Alicja Mińko
Keyword(s):  
Hip Joint ◽  
Dynamic Balance ◽  
Life Quality ◽  
Gait Pattern ◽  
Joint Arthroplasty ◽  
Locomotor System ◽  
Before And After ◽  
The Mean ◽  
Medical University ◽  
Tinetti Test

Introduction: A degenerative disease of a hip joint (osteoarthritis) is a chronic affliction which causes progressive degeneration of a hip joint and tissue located around it. It inflicts limitation of locomotor skills, deteriorates life quality to a significant extent, and prevents a patient from normal activities in daily life. In Poland, more than 3 million people suffer from osteoarthritis. The disease symptoms are pain, limitation of mobility scope in a joint, postural and gait disorders, and positioning of a lower limb in non-functional position. The aim of the study was to analyze the gait pattern and to assess the static and dynamic balance of people qualified for hip joint arthroplasty, as well as possibility of falling.Material and methods: The Tinetti Test has been used for the research in question. This test has been completed in patients awaiting for hip joint arthroplasty, and once more on a third day upon completion of arthroplasty, in the Department and Clinic of Orthopaedics, Traumatology and Oncology of Locomotor System of the Pomeranian Medical University in Szczecin. This test has included a group of 31 – 11 women and 20 men.Results: The mean age of the research group was 65.1 years. The intensity of pain in the hip joint, based on the VAS scale before and after the procedure, was 6.53 and 5.22 points, respectively. The average number of points obtained by the patient in the Tinetti Test before the surgery was 22.71 points. On the third day of hip surgery, the mean number of points decreased to 18.81 points.Conclusions: Patients treated with alloplastic surgery of a hip joint show lower static and dynamic balance. Upon completion of the surgery, the patients are more prone to fall. The patients with completed hip joint arthroplasty show symptoms of locomotor system disorders.

Analysis of Outcomes of Total Cementless Hip Joint Arthroplasty in the Treatment of Advanced Hip Osteoarthritis Following Childhood Perthes’ Disease

2020 ◽  
Vol 22 (5) ◽  
pp. 333-342
Author(s):  
Marek Drobniewski ◽  
Magdalena Krasińska ◽  
Andrzej Grzegorzewski ◽  
Marek Synder ◽  
Andrzej Borowski
Keyword(s):  
Hip Joint ◽  
Hip Osteoarthritis ◽  
Joint Arthroplasty ◽  
Perthes Disease ◽  
Acetabular Cup ◽  
Kaplan Meier ◽  
Long Term Follow Up ◽  
The Mean ◽  
Joint Arthroplasties

Background. The aim of this study is to analyse the outcomes of total cementless hip joint arthroplasty in the treatment of advanced hip osteoarthritis following Perthes’ disease in childhood. Material and methods. The study enrolled 56 patients (15 women and 41 men) who underwent a total of 61 hip joint arthroplasties for coxarthrosis following Perthes’ disease. The mean age of the patients at surgery was 46.7 years (range 21-67 years). The mean follow-up period was 13.7 years. Results. Pre-operative Merle d’Aubigne-Postel scores (modified by Charnley) of the study group were poor in all patients. Mean post-operative improvement was 6.7 points. The outcomes were classified as excellent in 25 cases, good in 16, satisfactory in 16 and poor in 9 cases. Poor results were always related to loosening of the acetabular cup. Heterotopic ossification was noted in 7 cases. According to the Kaplan-Meier estimator, 10 years’ survival probability was 85.24% for the whole implant and 100% for the stem. Conclusions. 1. Total cementless hip joint arthroplasty is an effective method in the treatment of advanced hip osteoarthritis following Perthes’ disease in childhood. 2. With good surgical technique and in the absence of complications, the risk of aseptic loosening is minimal. 3. Due to the patients’ young age, there may be more cases of loosening over time, requiring regular long-term follow-up.

Impact of Cosmetic Camouflage on the Quality of Life of Children With Skin Disease and Their Families

2015 ◽  
Vol 20 (3) ◽  
pp. 211-215 ◽  
Author(s):  
Jennifer M. Salsberg ◽  
Miriam Weinstein ◽  
Neil Shear ◽  
Michelle Lee ◽  
Elena Pope
Keyword(s):  
Quality Of Life ◽  
Skin Disease ◽  
Dermatology Life Quality Index ◽  
Quality Index ◽  
Life Quality ◽  
Before And After ◽  
The Mean ◽  
Life Quality Index ◽  
Few Data

Background/Objectives: Cosmetic camouflage is known to improve quality of life in adults. Few data are available regarding cosmetic camouflage in children, and thus it is not often selected as a mode of treatment. We sought to determine whether cosmetic camouflage leads to improved quality of life of pediatric patients with visible dermatoses and their parent or primary caregiver. Methods: Patients aged 5 to 17 years with visible skin disease and their parent were assessed with the Children’s Dermatology Life Quality Index (CDLQI) and the Family Dermatology Life Quality Index (FDLQI) before and after consultation regarding cosmetic camouflage. Results: Twenty-two children with skin conditions were included in the study. The mean CDLQI decreased from 6.82 (SD = 1.28) to 3.05 (SD = 0.65; P = .0014), while the mean FDLQI decreased from 7.68 (SD = 1.15) to 4.68 (SD = 0.92; P = .0012). Conclusions: Our study highlighted improvement in quality of life in patients with skin disorders who were managed with cosmetic camouflage.

scholarly journals A randomized clinical trial using cyclopentolate and tropicamide to compare cycloplegic refraction in Chinese young adults with dark irises

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ruxia Pei ◽  
Zhuzhu Liu ◽  
Hua Rong ◽  
Liqiong Zhao ◽  
Bei Du ◽  
...  
Keyword(s):  
Young Adults ◽  
Epidemiological Studies ◽  
Spherical Equivalent ◽  
Ocular Biometry ◽  
Significant Difference ◽  
Before And After ◽  
Registration Number ◽  
The Mean ◽  
Chinese Young Adults ◽  
Medical University

Abstract Background To evaluate the necessity of cycloplegia for epidemiological studies of refraction in Chinese young adults (aged 17–22 years) with dark irises, and to compare the cycloplegic effects of 1% cyclopentolate and 0.5% tropicamide in them. Methods A total of 300 young adults (108 males and 192 females) aged 17 to 22 years (mean 19.03 ± 1.01) were recruited from Tianjin Medical University from November 2019 to January 2020. Participants were randomly divided into two groups. In the cyclopentolate group, two drops of 1% cyclopentolate eye drop were administrated (one drop every 5 min), followed by autorefraction and subjective refraction 30 to 45 min later. In the tropicamide group, four drops of 1% Mydrin P (Tropicamide 0.5%, phenylephrine HCl 0.5%) eye drop were given (one drop every 5 min), followed by autorefraction and subjective refraction 20 to 30 min later. The participants and the examiners were masked to the medication. Distance visual acuity, intraocular pressure (IOP), non-cycloplegic and cycloplegic autorefraction (Topcon KR-800, Topcon Co. Tokyo, Japan), non-cycloplegic and cycloplegic subjective refraction and ocular biometry (Lenstar LS-900) were performed. Results The values of spherical equivalent (SE) and sphere component were significantly different before and after cycloplegia in the cyclopentolate group and the tropicamide group (p < 0.05). The mean difference between noncycloplegic and cycloplegic autorefraction SE was 0.39 D (±0.66 D) in the cyclopentolate group and 0.39 D (±0.34 D) in the tropicamide group. There was no significant difference in the change of SE and sphere component after cycloplegia between the cyclopentolate group and the tropicamide group (p > 0.05). In each group, no significant difference was found between autorefraction and subjective refraction after cycloplegia (p > 0.05). We also found that more positive or less negative cycloplegic refraction was associated with the higher difference in SE in each group. Conclusions Cycloplegic refractions were generally more positive or less negative than non-cycloplegic refractions. It is necessary to perform cycloplegia for Chinese young adults with dark irises to obtain accurate refractive errors. We suggest that cycloplegic autorefraction using tropicamide may be considered as a reliable method for epidemiological studies of refraction in Chinese young adults with dark irises. Trial registration The study was registered on September 7, 2019 (Registration number: ChiCTR1900025774).

scholarly journals Comparative Study of Balance Exercises (Frenkel) and Aerobic Exercises (Walking) on Improving Balance in the Elderly

2018 ◽  
Author(s):  
Mohammad Reza Vafaeenasab ◽  
Athareh Amiri ◽  
Mohammad Ali Morowatisharifabad ◽  
Seyedeh Mahdieh Namayande ◽  
Hossein Abbaszade Tehrani
Keyword(s):  
Aerobic Training ◽  
Dynamic Balance ◽  
Block Design ◽  
The Elderly ◽  
T Test ◽  
Static Balance ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
Romberg Test

Introduction: Balance in the elderly is one of the important issues, and imbalance can create irreparable problems for the elderly. The aim of this study was to investigate the effect of Frenkel balance exercise and aerobic exercise (walking) on improving the balance of elderly patients in Kerman province in 2016-2017.  Methods: We used a randomized block design, with 4 participants in each block; 48 elderly men and women living in the nursing homes of Kerman province were randomly assigned to two groups, balance (Frenkel) exercises and aerobic exercises (walking). The two groups performed Frenkel exercises and aerobic exercises (walking) for three 10- to 15-min sessions a week for five weeks. The balance time using the Sharpened Romberg test was recorded to measure static balance and the Get Up and Go test used to measure dynamic balance before and after the exercise program. To describe the variables studied, central tendency indicators and dispersion were used. Paired t-test was used to compare the time of balance before and after intervention and independent t-test to compare changes in balance time between two groups. Results: The mean static balance (with Sharpend Römberg test) was increased from 3.16 s to 6.01 s in Frenkel exercise, and from 3.33 s to 4.95 s in aerobic training group, indicating an improvement in the static balance after intervention. The mean time of dynamic balance (in the Get Up and Go test) during Frenkel exercise reduced from 17.07 s to 12.03 s, and during aerobic training from 17.08 s to 10.9 seconds, indicating an improvement in dynamic balance (p < 0.01). However, there was no significant difference in the mean changes in the duration of dynamic and static balance before and after intervention in the two groups. Conclusion: Both Frenkel exercise and walking equally improve static and dynamic balance in the elderly in different settings.

scholarly journals A Randomized Clinical Trial Using Cyclopentolate and Tropiacmide to Compare Cycloplegic Refractions in Chinese Young Adults

2021 ◽  
Author(s):  
Ruxia Pei ◽  
Zhuzhu Liu ◽  
Hua Rong ◽  
Liqiong Zhao ◽  
Bei Du ◽  
...  
Keyword(s):  
Young Adults ◽  
Epidemiological Studies ◽  
Refractive Errors ◽  
Spherical Equivalent ◽  
Ocular Biometry ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
Chinese Young Adults ◽  
Medical University

Abstract Background: To evaluate the necessity of cycloplegia for epidemiological studies of refraction in Chinese young adults (aged 17-22 years) with dark irises, and to compare the cycloplegic effects of 1% cyclopentolate and 0.5% tropicamide in them. Methods: A total of 300 young adults (108 males and 192 females) aged 17 to 22 years ( mean 19.03±1.01 ) were recruited from Tianjin Medical University from November 2019 to January 2020. Participants were randomly divided into two groups. In the cyclopentolate group, two drops of 1% cyclopentolate eye drop were administrated (one drop every 5 min), followed by autorefraction and subjective refraction 30 to 45 min later. In the tropicamide group, four drops of 1% Mydrin P (Tropicamide 0.5%, phenylephrine HCl 0.5%) eye drop were given (one drop every 5 min), followed by autorefraction and subjective refraction 20 to 30 min later. The participants and the examiners were masked to the medication. Distance visual acuity, intraocular pressure (IOP), non-cycloplegic and cycloplegic autorefraction (Topcon KR-800, Topcon Co. Tokyo, Japan), non-cycloplegic and cycloplegic subjective refraction and ocular biometry (Lenstar LS-900) were performed.Results: The values of spherical equivalent (SE) and sphere component were significantly different before and after cycloplegia in the cyclopentolate group and the tropicamide group (p<0.05). The mean difference between noncycloplegic and cycloplegic autorefraction SE was 0.39 D (±0.66 D) in the cyclopentolate group and 0.39 D (±0.34 D) in the tropicamide group. There was no significant difference in the change of SE and sphere component after cycloplegia between the cyclopentolate group and the tropicamide group (p>0.05). In each group, no significant difference was found between autorefraction and subjective refraction after cycloplegia (p>0.05). We also found that more positive or less negative cycloplegic refraction was associated with the higher difference in SE in each group.Conclusions: Cycloplegic refractions were generally more positive or less negative than non-cycloplegic refractions. It is necessary to perform cycloplegia for Chinese young adults with dark irises to obtain accurate refractive errors. We suggest that cycloplegic autorefraction using tropicamide may be considered as a reliable method for epidemiological studies of refraction in Chinese young adults with dark irises.

Analysis of the Results of Hip Arthroplasty with the Use of Khanuja Group 6 stems

2021 ◽  
Vol 23 (5) ◽  
pp. 361-374
Author(s):  
Marek Drobniewski ◽  
Magdalena Krasińska ◽  
Marek Synder ◽  
Andrzej Borowski
Keyword(s):  
Hip Joint ◽  
Hip Osteoarthritis ◽  
Functional Results ◽  
Joint Arthroplasty ◽  
Implantation Technique ◽  
Acetabular Cup ◽  
Replacement Surgery ◽  
Hip Replacement Surgery ◽  
The Mean

Background. Total cementless hip joint arthroplasty is universally recognized as a method of treatment of ad­vanced hip osteoarthritis. Multifaceted research by a wide group of implant specialists has led to the development of special implants that fulfill their purpose even in the most severe deformities of the hip joint. The aim of the study is to present and analyse the results of hip joint arthroplasty with the Antega anatomical stem. Materials and methods. The study enrolled 533 patients (342 women and 191 men) who underwent a total of 595 hip joint arthroplasties with the Antega anatomical stem. The mean age of the patients at surgery was 56.2 years (range: 20-87 years). The mean follow-up period was 7.3 years (range: 5-15.5 years). Results. Pre-operative Merle d’Aubigne-Postel scores (modified by Charnley) were poor in all patients. Mean post-operative improvement was 6.1 points. The outcomes were classified as excellent in 419 cases (70.4%), good in 102 cases (17.1%), satisfactory in 39 (6.6%) and poor in 34 cases. Poor results were usually associated with loosening of one of the prosthetic components. Heterotopic ossification was noted in 37 cases (6.2%). According to the Kaplan-Meier estimator, 10 years’ survival probability was 89.9% for the whole implant and 96.1% for the stem alone. Conclusions. 1. Our follow-up data (from a mean follow-up period of more than 10 years) indicate that the Antega anatomical stem affords excellent clinical and functional results. 2. With good surgical technique and in the absence of complications, the risk of aseptic loosening is minimal. 3. Modification of the Antega stem implantation technique significantly reduces the risk of so-called unexplained thigh pain, which sometimes occurs following hip replacement surgery. 4. As only medium-term follow-up data are available, there may be more cases of loosening (mainly of the acetabular cup) over time, requiring regular long-term follow-up.

FEATURES OF THE ABDUCTION MECHANISM WORK BEFORE AND AFTER TOTAL HIP JOINT ARTHROPLASTY

2020 ◽  
Vol 16 (73) ◽  
pp. 134
Author(s):  
O.A. Tyazhelov ◽  
O.D. Karpinska ◽  
L.D. Goncharova ◽  
F.V. Klymovytskyi
Keyword(s):  
Hip Joint ◽  
Joint Arthroplasty ◽  
Total Hip ◽  
Before And After

scholarly journals PENGARUH LATIHAN STABILISASI POSTURAL TERHADAP KESEIMBANGAN STATIS DAN DINAMIS PADA PASIEN PASCA STROKE

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Indah Pramita ◽  
Mr Setiawan ◽  
Saifudin Zuhri
Keyword(s):  
Postural Control ◽  
Dynamic Balance ◽  
The Body ◽  
Test Design ◽  
Stroke Patients ◽  
Post Stroke ◽  
Before And After ◽  
Postural Stabilization ◽  
Post Test ◽  
The Mean

<p>ABSTRAK<br />Kasus stroke banyak dijumpai di lapangan, dimana penanganan pada pasien pasca stroke hanya menitik beratkan pada kemampuan motorik dan kurang memperhatikan kontrol postural. Sedangkan pada pasien pasca stroke memiliki masalah dengan kontrol postural yang berfungsi mengontrol posisi badan agar tetap tegak. Adanya masalah tersebut menghambat gerakan pada pasien pasca stroke dan mengakibatkan bertambahnya gangguan keseimbangan. Penelitian ini bertujuan untuk mengetahui manfaat latihan stabilisasi postural terhadap perbaikan keseimbangan statis dan dinamis pada pasien pasca stroke. Rancangan penelitian one group pre-test and post-test design dengan sampel sebanyak 6 orang yang diberikan latihan stabilisasi postural sebanyak 3x/minggu selama 1 bulan. Hasil Penelitian FRT sebelum perlakuan didapatkan rerata±SD sebesar 19,67±6,28 sedangkan rerata±SD FRT setelah perlakuan sebesar 25,50±5,28 dan p=0,004 (p&lt;0,05). Hal ini menunjukkan ada pengaruh antara latihan stabilisasi postural terhadap keseimbangan statis pada pasien pasca stroke. Hasil TUG test sebelum perlakuan didapatkan rerata±SD sebesar 31,17±1,82 sedangkan rerata±SD TUG test setelah perlakuan sebesar 18,50±5,17 dan p = 0,027 (p &lt; 0,05). Data ini juga menunjukkan ada pengaruh antara latihan stabilisasi postural terhadap keseimbangan dinamis pada pasien pasca stroke. Latihan stabilisasi postural meningkatkan keseimbangan statis dan dinamis pada pasien pasca stroke.<br />Kata kunci: Latihan, Keseimbangan , Stroke<br />ABSTRACT Many cases of stroke in the field, where the handling of post-stroke patients only focuses on motor skills and lack of attention to postural control. While in post-stroke patients have problems with postural control that controls the position of the body to remain upright. The existence of these problems hamper the movement in post-stroke patients and lead to increased disturbance of balance. This study aims to know the benefits of postural stabilization exercises to improve static and dynamic balance in patients with post stroke. This was an experimental pre using the design of a one group pre-test and post-test design. The number of subjects as many as 6 people, get as much 3x/minggu postural stabilization exercises for 1 month. Result of FRT before treatment obtained a mean ± SD of 19.67 ± 6.28 while the mean ± SD FRT after treatment for 25.50 ± 5.28 and p = 0.004 (p &lt;0.05). It shows atients with post stroke. Results TUG test before and after treatment. TUG test results obtained before treatment the mean ± SD of 31.17 ± 1.82 while the mean ± SD TUG test after treatment for 18.50 ± 5.17 and p = 0.027 (p &lt;0.05). It means there is influence between postural stabilization exercises on dynamic balance in patients with post stroke.The postural stabilization exercises enhance static and dynamic balance in patients with post stroke.<br />Keywords: Exercise, balance, Stroke</p>

Early Results of Total Cementless Hip Joint Arthroplasty with the Anatomical Stem

2021 ◽  
Vol 23 (3) ◽  
pp. 167-180
Author(s):  
Marek Drobniewski ◽  
Magdalena Krasińska ◽  
Marek Synder ◽  
Andrzej Borowski
Keyword(s):  
Hip Joint ◽  
Functional Results ◽  
Joint Arthroplasty ◽  
Acetabular Cup ◽  
Kaplan Meier ◽  
Early Results ◽  
Long Term Follow Up ◽  
The Mean ◽  
Joint Arthroplasties

Background. The aim of this study is to present the early results of hip joint arthroplasty with the EXCEPTION anatomical stem (BIOMET). Materials and methods. The study enrolled 173 patients (110 women and 63 men) who underwent a total of 190 hip joint arthroplasties with the EXCEPTION anatomical stem. The mean age of the patients at surgery was 58.2 years (range: 28-82 years). The mean follow-up period was 7.3 years (range: 5-10.1 years). Results. Pre-operative Merle d’Aubigne-Postel scores (modified by Charnley) of the study group were poor in all patients. Mean post-operative improvement was 6.7 points. The outcomes were classified as excellent in 131 cases, good in 39, satisfactory in 13 and poor in 7 cases. Poor results were always associated with implant loosening. Heterotopic ossification was noted in 14 cases (7.4%). According to the Kaplan-Meier estimator, 5 years’ survival probability was 96.31% for the whole implant and 99.47% for the stem alone. Conclusions. 1. Our follow-up data (from a mean follow-up period of more than 7 years) indicate that the EXCEPTION anatomical stem affords excellent clinical and functional results. 2. With good surgical technique and in the absence of complications, the risk of aseptic loosening is minimal. 3. Due to the relatively short duration of follow-up, there may be more cases of loosening (mainly of the acetabular cup) over time, requiring regular long-term follow-up.

scholarly journals The effect of mobilization techniques by the OMT Kaltenborn-Evjenth Koncept’s therapy for the range of motion and pain of patients with coxarthrosis

2016 ◽  
Vol 30 (1) ◽  
pp. 19-25
Author(s):  
Karolina Załoga ◽  
Krzysztof Dudziński
Keyword(s):  
Range Of Motion ◽  
Manual Therapy ◽  
Hip Joint ◽  
Degenerative Changes ◽  
Locomotor System ◽  
Physiotherapy Practice ◽  
Flexion Extension ◽  
Before And After ◽  
Joint Range ◽  
Therapy Sessions

Abstract Introduction: Degenerative changes are one of the most often appearing causes of the affliction located in the locomotor system where the hip joint is one of the most common locations. One can observe such symptoms as: limited movement, pain and muscle weakness. One of the therapy methods that are aimed at improving movement and reducing the affliction are techniques used in manual therapy (e.g. mobilization). The Kaltenborn-Evjenth method has been applied in physiotherapy practice for many years. The aim of the research was to assess the effectiveness of mobilization techniques directed at the synovial capsule (manual therapy) while treating degenerative changes of the hip joint. In literature no report that refers precisely to the subject mentioned above was found. Being assessed was the influence of therapy on the range of the joints movement and the level of pain. Material and methods: A group of 20 people with degenerative changes of the hip joint were examined (16 women and 4 men, average age - 65 years). Measurements of the hip joint range movement were performed (the flexion, extension, abduction, adduction and rotation) and the assessment of the level of felt pain (VAS) before and after the therapy. The therapy using mobilization techniques taken from the Kaltenborn-Evjenth concept was conducted in a series of 6 therapy sessions lasting 2 weeks. Results: In all comparisons of the range of motion in the hip joint an increasing was stated (p < 0.001) after the therapy. In the case of pain level a decreasing was observed (p < 0.001) after the therapy. Conclusions: It seems right to use manual therapy techniques in physiotherapy proceedings in the course of the degenerative disease of the hip joint, aimed on for e.g. the synovial capsule.

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