scholarly journals Oral prednisolone administration in postoperative period improves results of TKA in patient with severe range of motion limitation – a paired outcome study

2020 ◽  
Author(s):  
Dariusz Grzelecki ◽  
Jacek Kowalczewski ◽  
Bartłomiej Kordasiewicz ◽  
Marcin Sibinski ◽  
Łukasz Olewnik ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Postoperative Period ◽  
Oral Prednisolone ◽  
Functional Results ◽  
Clinical Score ◽  
Limited Range ◽  
Functional Score ◽  
Limited Range Of Motion ◽  
Postoperative Time ◽  
One Year

Abstract Background One of the most common problems related to total knee arthroplasty (TKA) is postoperatively limited range of motion, especially in the most difficult cases. The aim of the study was to assess the influence of oral use of prednisolone in the postoperative period on the final results in a patient after TKA with severely limited postoperative range of motion. Methods Thirty-two patients (32 knees) with a mean age of 61.2 years were selected from our prospectively-collected data base with severe knee range of motion limitation (rheumatoid arthritis, psoriasis, ankylosing spondylitis, posttraumatic and postoperative osteoarthritis). Prednisolone was administrated in two doses per day (1 mg per kg of body mass) and then the dose was slowly reduced for no more than three months. Results The prednisolone group demonstrated significantly better results one year after the operation than the non-prednisolone group in terms of range of motion (mean extension 0.5˚ and 3.0˚; p=0.02, mean flexion 100.1˚ and 88˚; p= 0.01), WOMAC (mean 85.0 and 76.8 points; p=0.02) and KSS clinical score (mean 86.9 and 81.7; p=0.001) and KSS functional score (79.3 and 71.0 points; p=0.01). No significant differences were observed between the groups in terms of postoperative systemic and surgical site complications; therefore, no complications could be defined as steroid related. Conclusions The administration of oral prednisolone for a longer postoperative time in patients with severe preoperative range of motion following TKA significantly improves functional results without steroid related complications at one year follow-up.

scholarly journals Oral prednisolone administration in postoperative period improves results of TKA in patient with severe range of motion limitation – a paired outcome study

2020 ◽  
Author(s):  
Dariusz Grzelecki ◽  
Jacek Kowalczewski ◽  
Bartłomiej Kordasiewicz ◽  
Marcin Sibinski ◽  
Łukasz Olewnik ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Postoperative Period ◽  
Oral Prednisolone ◽  
Functional Results ◽  
Clinical Score ◽  
Limited Range ◽  
Functional Score ◽  
Limited Range Of Motion ◽  
Postoperative Time ◽  
One Year

Abstract Background. One of the most common problems related to total knee arthroplasty (TKA) is postoperatively limited range of motion, especially in the most difficult cases. The aim of the study was to assess the influence of oral use of prednisolone in the postoperative period on the final results in a patient after TKA with severely limited postoperative range of motion.Methods. Thirty-two patients (32 knees) with a mean age of 61.2 years were selected from our prospectively-collected data base with severe knee range of motion limitation (rheumatoid arthritis, psoriasis, ankylosing spondylitis, posttraumatic and postoperative osteoarthritis). Prednisolone was administrated in two doses per day (1 mg per kg of body mass) and then the dose was slowly reduced for no more than three months. Results. The prednisolone group demonstrated significantly better results one year after the operation than the non-prednisolone group in terms of range of motion (mean extension 0.5˚ and 3.0˚; p=0.02, mean flexion 100.1˚ and 88˚; p= 0.01), WOMAC (mean 85.0 and 76.8 points; p=0.02) and KSS clinical score (mean 86.9 and 81.7; p=0.001) and KSS functional score (79.3 and 71.0 points; p=0.01). No significant differences were observed between the groups in terms of postoperative systemic and surgical site complications; therefore, no complications could be defined as steroid related. Conclusions. The administration of oral prednisolone for a longer postoperative time in patients with severe preoperative range of motion following TKA significantly improves functional results without steroid related complications at one year follow-up.

Simulated Compensatory Motion of Transradial Prostheses

2008 ◽  
Author(s):  
Derek Lura ◽  
Rajiv Dubey ◽  
Stephanie L. Carey ◽  
M. Jason Highsmith
Keyword(s):  
Range Of Motion ◽  
Shoulder Joint ◽  
Degrees Of Freedom ◽  
Biomechanical Model ◽  
Elbow Flexion ◽  
Limited Range ◽  
Joint Movement ◽  
Range Of Movement ◽  
Limited Range Of Motion ◽  
Compensatory Motion

The prostheses used by the majority of persons with hand/arm amputations today have a very limited range of motion. Transradial (below the elbow) amputees lose the three degrees of freedom provided by the wrist and forearm. Some myoeletric prostheses currently allow for forearm pronation and supination (rotation about an axis parallel to the forearm) and the operation of a powered prosthetic hand. Older body-powered prostheses, incorporating hooks and other cable driven terminal devices, have even fewer degrees of freedom. In order to perform activities of daily living (ADL), a person with amputation(s) must use a greater than normal range of movement from other body joints to compensate for the loss of movement caused by the amputation. By studying the compensatory motion of prosthetic users we can understand the mechanics of how they adapt to the loss of range of motion in a given limb for select tasks. The purpose of this study is to create a biomechanical model that can predict the compensatory motion using given subject data. The simulation can then be used to select the best prosthesis for a given user, or to design prostheses that are more effective at selected tasks, once enough data has been analyzed. Joint locations necessary to accomplish the task with a given configuration are calculated by the simulation for a set of prostheses and tasks. The simulation contains a set of prosthetic configurations that are represented by parameters that consist of the degrees of freedom provided by the selected prosthesis. The simulation also contains a set of task information that includes joint constraints, and trajectories which the hand or prosthesis follows to perform the task. The simulation allows for movement in the wrist and forearm, which is dependent on the prosthetic configuration, elbow flexion, three degrees of rotation at the shoulder joint, movement of the shoulder joint about the sternoclavicular joint, and translation and rotation of the torso. All joints have definable restrictions determined by the prosthesis, and task.

scholarly journals Rotator Interval Lesion and Damaged Subscapularis Tendon Repair in a High School Baseball Player

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Tomoyuki Muto ◽  
Hiroki Ninomiya ◽  
Hiroaki Inui ◽  
Masahiko Komai ◽  
Katsuya Nobuhara
Keyword(s):  
Tendon Repair ◽  
Limited Range ◽  
High Signal ◽  
Subscapularis Tendon ◽  
Rotator Interval ◽  
Glenohumeral Ligaments ◽  
Limited Range Of Motion ◽  
Arthroscopic Examination ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

In 2013, a 16-year-old baseball pitcher visited Nobuhara Hospital complaining of shoulder pain and limited range of motion in his throwing shoulder. High signal intensity in the rotator interval (RI) area (ball sign), injured subscapularis tendon, and damage to both the superior and middle glenohumeral ligaments were identified using magnetic resonance imaging (MRI). Repair of the RI lesion and partially damaged subscapularis tendon was performed in this pitcher. During surgery, an opened RI and dropping of the subscapularis tendon were observed. The RI was closed in a 90° externally rotated and abducted position. To reconfirm the exact repaired state of the patient, arthroscopic examination was performed from behind. However, suture points were not visible in the >30° externally rotated position, which indicates that the RI could not be correctly repaired with the arthroscopic procedure. One year after surgery, the patient obtained full function of the shoulder and returned to play at a national convention. Surgical repair of the RI lesion should be performed in exactly the correct position of the upper extremity.

Traumatic bilateral posterior dislocation of the shoulder: a case report

Open Medicine ◽  
2013 ◽  
Vol 8 (6) ◽  
pp. 810-813
Author(s):  
C. Garving ◽  
T. Dienstknecht ◽  
K. Horst ◽  
M. Pishnamaz ◽  
P. Kobbe ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Shoulder Dislocation ◽  
Limited Range ◽  
Clinical Suspicion ◽  
Posterior Dislocation ◽  
X Rays ◽  
Posterior Shoulder Dislocation ◽  
Limited Range Of Motion ◽  
Posterior Shoulder ◽  
Bilateral Posterior Shoulder Dislocation

AbstractIntroduction. Bilateral posterior dislocation of the shoulder is a rare injury, accounted for about 2–5% of all shoulder dislocations. Main courses are electrical shock, epilepsy or extreme trauma with uncontrolled muscle forces. We report about a case of bilateral posterior shoulder dislocation without additional fractures but with a concomitant acromioclavicular joint dislocation. Case presentation. A 46-year-old Caucasian motorcyclist presented to our facility after a fall on slippery ground. He claimed pain in both shoulders with limited range of motion. The initial X-rays were inconclusive, clinical examination showed typical findings of a Rockwood injury with an additional limited external rotation so that a posterior shoulder dislocation was suspected. The CT scan confirmed the clinical suspicion. A closed reduction was performed followed by immobilization in a shoulder abduction pillow for 4 weeks and continuous physiotherapy. Upon follow up normal function with full range of motion was observed. Conclusion. A bilateral posterior shoulder dislocation can be caused by trauma and results in a limited range of motion with often additional injuries. Due to the unusually presentation the risk of missing the injury is increased. Therefore it is most important to consider this rare diagnosis and in case of clinical suspicion perform a careful algorithm of diagnostic.

How to Replace Gears by Mechanisms (Linkages)

1959 ◽  
Vol 81 (2) ◽  
pp. 126-130
Author(s):  
Kurt Hain ◽  
Gerhard Marx
Keyword(s):  
Range Of Motion ◽  
Practical Method ◽  
Limited Range ◽  
Transmission Ratio ◽  
Limited Range Of Motion ◽  
Transmission Angle

A practical method is shown for designing four-bar mechanisms having a prescribed transmission ratio held within prescribed tolerances, for a limited range of motion. Such mechanisms may economically replace gears in many applications. Charts enable the designer to choose the mechanism having the best transmission angle possible.

scholarly journals An Unusual Presentation of Charcot Arthropathy Caused by Syringomyelia Mimicking a Soft Tissue Tumor

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Cuneyd Gunay ◽  
Ebru Atalar ◽  
Baybars Ataoglu
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Soft Tissue Tumor ◽  
Limited Range ◽  
Unusual Presentation ◽  
Charcot Arthropathy ◽  
Neuropathic Arthropathy ◽  
Tissue Tumor ◽  
Limited Range Of Motion

Charcot arthropathy is a chronic, degenerative condition and is associated with decreased sensorial innervation. Numerous causes of this arthropathy have been described. Here we report a case of neuropathic arthropathy secondary to syringomyelia which was misdiagnosed as a soft tissue tumor and treated surgically and additionally with radiotherapy at another institution. The patient had clinical and radiological signs of syringomyelia, associated with a limited range of motion, swelling, and pain in the affected joint. Neuropathic arthropathy, although less common, should be considered in cases of unexplained joint swelling, pain, and limited range of motion of the affected joint.

Limited range-of-motion lumbar extension strength training

1992 ◽  
Vol 24 (1) ◽  
pp. 128???133 ◽  
Author(s):  
JAMES E. GRAVES ◽  
MICHAEL L. POLLOCK ◽  
SCOTT H. LEGGETT ◽  
DAVID M. CARPENTER ◽  
CECILY K. FIX ◽  
...  
Keyword(s):  
Strength Training ◽  
Range Of Motion ◽  
Limited Range ◽  
Limited Range Of Motion ◽  
Lumbar Extension

scholarly journals Design of a Spherically Actuated Human Interaction Robot Head

2012 ◽  
Vol 134 (5) ◽  
Author(s):  
Nevan C. Hanumara ◽  
Alexander H. Slocum ◽  
Takeshi Mitamura
Keyword(s):  
Range Of Motion ◽  
Degrees Of Freedom ◽  
Limited Range ◽  
Human Interaction ◽  
The Other ◽  
Specific Information ◽  
Prior Art ◽  
Limited Range Of Motion ◽  
Robot Head

This paper presents the development of a mechanism for actuating a sphere holonomically about 3 degrees of freedom (DOF). The target application is a robot head for mounting inside a vehicle to provide a driver with companionship, location specific information, and other assistance, via head motions in conjunction with auditory communication. Prior art is reviewed and two designs are presented: One mechanism is located below the sphere and provides an unlimited range of motion (ROM), and the other is contained entirely within the sphere but has a limited range of motion. The latter is stable and easily mounted, provides a clean appearance, and is particularly suited to human interaction applications.

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