scholarly journals REHABILITATION OF PATIENT WITH TIBIA-FIBULA FRACTURE

2021 ◽  
Vol 10 (4) ◽  
pp. 3427-3439
Author(s):  
Saurabh Zunzunwala
Keyword(s):  
Outcome Measure ◽  
Joint Motion ◽  
Rehabilitation Process ◽  
Rehabilitation Protocol ◽  
Functional Activities ◽  
Tibial Pilon ◽  
Circular External Fixator ◽  
Two Factors ◽  
Fracture Tibia ◽  
Open Surgical Treatment

An orthopedic surgeon may find compound fractures of tibia-fibula challenging to treat. The degree of joint motion and the adequacy of reduction are the two factors that determine whether or not these fractures can be treated successfully. In many patients, open surgical treatment of comminuted tibial pilon fractures is associated with significant complications. Indirect reduction and stabilization of fractures using a circular external fixator can be a useful way of achieving adequate joint restoration, and it uses closed reduction principles to realign disturbed bones and joint structures. In this report, we describe about the effects of early rehabilitation compound grade IIIB fracture tibia, fibula of right side. The patient co-operation and motivation to return to daily functional activities also prove to very crucial for the rehabilitation process. The defect in bone is usually a result of high velocity trauma or a sudden impact. In present case open reduction and external fixation for distal one-third of tibia and fibula on right side was carried out followed by the rehabilitation protocol. Outcome measure used to check for the pain was NPRS. The patient morale and goal-oriented rehabilitation protocol progressed him to return to his functional activities.

Factors Relevant to Parental Alliance for Parents of Children with Disabilities

2003 ◽  
Vol 34 (3) ◽  
pp. 10-15 ◽  
Author(s):  
Abeer Abdo ◽  
Jerome M. Fischer
Keyword(s):  
Multiple Regression ◽  
Children With Disabilities ◽  
Strong Relationship ◽  
The Other ◽  
Rehabilitation Counselors ◽  
Rehabilitation Process ◽  
The Family ◽  
Two Factors

This study investigated factors relevant to parental alliance using the Parental Alliance Measure (PAM) with parents of children with disabilities. A total of 139 parents of children with disabilities participated in the study. Using multiple regression two factors were examined as relevant to parental alliance: satisfaction with the partnership and percent of caregiving provided by the other partner. Findings showed that parents who perceived a strong relationship with their partner and those who perceived their partner contributing a greater percent of caregiving for the child or children with disabilities in the family had a stronger parental alliance. Rehabilitation counselors may use the PAM with families to understand parenting dynamics, develop strategies, and increase involvement in the rehabilitation process.

Three-Dimensional Joint Co-Ordination Strategies of the Upper Limb during Functional Activities

1996 ◽  
Vol 210 (1) ◽  
pp. 17-26 ◽  
Author(s):  
T M Barker ◽  
A C Nicol ◽  
I G Kelly ◽  
J P Paul
Keyword(s):  
Activities Of Daily Living ◽  
Upper Limb ◽  
Shoulder Joint ◽  
Daily Living ◽  
Three Dimensional ◽  
Angular Motion ◽  
Joint Motion ◽  
Functional Activities ◽  
Quantitative Parameters ◽  
Two Parameters

A triaxial flexible electrogoniometer has been developed to measure the three-dimensional angular motion of the shoulder joint during simulated activities of daily living. The motion of the elbow, forearm and wrist were also recorded and angle-angle diagrams were mathematically analysed to provide quantitative parameters regarding the control and co-ordination of the joints of the normal and the arthritic upper limb. Two parameters (slope and movement area quotient) were derived and used in the interpretation of joint motion during different activities.

College Athletes’ Expectations About Injury Rehabilitation With an Athletic Trainer

2012 ◽  
Vol 17 (4) ◽  
pp. 18-25 ◽  
Author(s):  
Joe Hart ◽  
Damien Clement ◽  
Jordan Hamson-Utley ◽  
Monna Arvinen-Barrow ◽  
Cindra Kamphoff ◽  
...  
Keyword(s):  
Athletic Training ◽  
Student Athletes ◽  
Female Athletes ◽  
Outcome Measure ◽  
Prior Experience ◽  
Athletic Trainer ◽  
Male Athletes ◽  
Injury Rehabilitation ◽  
Rehabilitation Process ◽  
Main Outcome Measure

Context:Injured athletes begin the rehabilitation process with expectations about the nature of the working relationship with an athletic trainer. These expectations can infuence the effectiveness of the assistance provided.Objective:To determine whether male and female athletes differed in terms of expectations about injury rehabilitation services with an athletic trainer.Design:A questionnaire was administered to student athletes that assessed expectations about injury rehabilitation. Setting: Five colleges and universities.Patients or Other Participants:Questionnaire responses were provided by 679 student athletes (443 males and 236 females).Main Outcome Measure:Responses to the Expectations about Athletic Training questionnaire were used to assess factors identifed as Personal Commitment, Facilitative Conditions, Athletic Trainer Expertise, and Realism.Results:A statistically signifcant interaction between gender and prior experience was identifed. Male athletes with no prior experience had lower expectations for a facilitative environment. Female athletes with prior experience were less likely to have realistic expectations.Conclusions:Gender and prior experience infuence athletes’ expectations of injury rehabilitation with an athletic trainer.

scholarly journals Outcome evaluation after Achilles tendon ruptures. A review of the literature

Joints ◽  
2016 ◽  
Vol 04 (01) ◽  
pp. 052-061 ◽  
Author(s):  
Pietro Spennacchio ◽  
Alberto Vascellari ◽  
Davide Cucchi ◽  
Gian Canata ◽  
Pietro Randelli
Keyword(s):  
Achilles Tendon ◽  
Sports Medicine ◽  
Tendon Rupture ◽  
Outcome Measure ◽  
Achilles Tendon Rupture ◽  
Outcome Evaluation ◽  
Review Of The Literature ◽  
Rehabilitation Protocol ◽  
Specific Outcome ◽  
Tendon Ruptures

The optimal treatment and the best rehabilitation protocol after an acute Achilles tendon rupture (ATR) remain a matter of controversy in orthopaedic and sports medicine. The use of validated injury-specific outcome instruments is the only way to clarify these issues, in order to ensure that patients receive the best possible treatment.This article describes the most commonly reported outcome measures used to assess patients treated for ATR. On the basis of the available evidence, the Achilles tendon Total Rupture Score (ATRS) is the most appropriate outcome measure for evaluating the management of acute ATR.

Measurement of physical quantities in upper-limb tele-rehabilitation

2009 ◽  
Vol 15 (3) ◽  
pp. 153-155 ◽  
Author(s):  
Marco Rogante ◽  
Montserrat Bernabeu ◽  
Hermie J Hermens ◽  
Barbara Huijgen ◽  
Stephan Ilsbroukx ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Preliminary Analysis ◽  
Assessment Process ◽  
Rehabilitation Process ◽  
Rehabilitation Protocol ◽  
The One ◽  
Rehabilitation Exercises ◽  
Physical Quantities

A total of 50 patients (affected by traumatic brain injury, stroke or multiple sclerosis) were treated for one month using a rehabilitation protocol. Rehabilitation could be monitored using a Portable Unit (PU) which could be installed in a patient's home allowing the measurement of kinetic and kinematic variables during exercise. In a preliminary analysis, the variables related to four rehabilitation exercises were examined for two patients at baseline and at the end of the one-month treatment. The exercises involved movement of checkers, a pencil, a jar and a key. The results suggest that, even if the overall duration of exercise execution is an important aspect of the rehabilitation process, other variables acquired by the PU might deliver useful information for assessing the patient's status. In order to integrate such variables into the assessment process, further studies are needed to investigate their eventual correlation with traditional rehabilitation scales and variables.

scholarly journals REHABILITATION PROTOCOL AFTER HIP ARTHROSCOPY

2021 ◽  
Vol 37 ◽  
pp. 33-42
Author(s):  
Łukasz Stołowski ◽  
Jacek Mazek ◽  
Bartosz Kiedrowski ◽  
Tomasz Piontek
Keyword(s):  
Hip Joint ◽  
Functional Assessment ◽  
Hip Arthroscopy ◽  
Full Range ◽  
Cartilage Damage ◽  
Return To Sport ◽  
Functional Evaluation ◽  
Rehabilitation Process ◽  
Rehabilitation Protocol ◽  
Keywords Hip

Introduction Pain in the hip joint area related to the femoro-acetabular impingement syndrome, local cartilage damage, or labrum tear is an increasingly common cause of orthopedic consultations. In the case of failure of conservative treatment, the treatment of choice is the arthroscopic treatment of the lesions and arthroplasty. As after any surgical procedure, an important aspect is subsequent rehabilitation, which may increase the positive effect of the treatment. Aim This article aims to present the original rehabilitation procedure after hip arthroscopy. Material and methods The presented rehabilitation program lasts about 5–9 months and consists of four stages. The first stage, lasting two weeks, mainly focuses on protecting the treated structures, reducing pain, and preventing adhesions and blood clots. Stage two, which lasts up to 4–6 weeks, is to restore the correct gait pattern and progress exercises from stage one. In the third stage, which lasts up to 12 weeks, rehabilitation focuses on regaining the full range of motion, muscle strength, and endurance similar to the non-operated leg. After a positive functional assessment, the patient progresses to the fourth stage, which prepares him to return to the entire sports activity. The decision to return to sport is based on the relevant results of the functional assessment and clinical examination. Results This work presents the original protocol of rehabilitation after arthroscopic procedures of the hip joint. Comparing the rehabilitation process, criteria for progression, and the time to return to sport, the protocol proposed by us is in line with the currently accepted rehabilitation trends in the world. Conclusions The rehabilitation protocol proposed by our team was based on the authors’ experience and the available literature. The rehabilitation process has been divided into 4 phases with precise criteria for progression. Biomechanical Functional Assessment plays an important role in the control of the entire course of rehabilitation. Keywords: hip arthroscopy, rehabilitation protocol, functional evaluation

The DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure: What do we know about it now?

2001 ◽  
Vol 6 (4) ◽  
pp. 109-118 ◽  
Author(s):  
Dorcas E Beaton ◽  
Aileen M Davis ◽  
Pamela Hudak ◽  
Sara Mcconnell
Keyword(s):  
Clinical Practice ◽  
Physical Function ◽  
Outcome Measures ◽  
Musculoskeletal System ◽  
Outcome Measure ◽  
Outcome Measurement ◽  
Future Research ◽  
Strength Testing ◽  
Joint Motion ◽  
The Impact

Outcome measurement is an essential component for defining the effectiveness of clinicians’ practice (Reiman 1988) and standardised measures make that job more consistent, comparable and valid (Cole et al 1994). Hand therapists have long recognised the need for the standardisation of outcome measures, particularly for performance-based measures such as strength testing (Mathiowetz et al 1985, Woody et al 1988) or joint motion. More recently there has been an increased interest in outcome measures that capture the patient's perspective of their status, and that are standardised. The DASH (Disabilities of the Arm, Shoulder and Hand) is a standardised outcome measure that could be used for this purpose (Hudak et al 1996, McConnell et al 1999). The DASH reflects the impact of a disorder in terms of physical function and symptoms, which are the two main reasons patients seek care for a disorder of the musculoskeletal system. The DASH is becoming widely used by clinicians and researchers (McConnell et al 1999). It is now important to revisit what we know about how well the DASH is able to measure what it purports to measure. The purpose of this paper is to review the research that has been done to date on the DASH outcome measure, and to describe the implications of this for future research and for clinical practice.

Characteristics of Shoulder-Position Sense: Effects of Mode of Movement, Scapular Support, and Arm Orientation

2002 ◽  
Vol 11 (3) ◽  
pp. 157-168 ◽  
Author(s):  
Prawit Janwantanakul ◽  
Mark A. Jones ◽  
Mary E. Magarey ◽  
Timothy S. Miles
Keyword(s):  
Outcome Measure ◽  
Position Sense ◽  
Limb Movement ◽  
Passive Movement ◽  
Main Outcome Measure ◽  
Functional Activities ◽  
Shoulder Position ◽  
Associated Variables

Context:Although the repositioning test is widely used to evaluate proprioception, the effects of several test-associated variables on the test outcome are not known.Objective:To determine the effects of mode of movement, scapular support, and arm orientation on shoulder-position sense.Participants:49 healthy, randomly selected men.Methods:The repositioning test was conducted in 4 settings in which mode of movement, scapular support, and arm orientation were manipulated differently.Main Outcome Measure:Position-sense acuity was quantified as repositioning accuracy and consistency.Results:Active limb movement significantly enhanced repositioning accuracy and consistency compared with passive movement. Repositioning consistency was significantly better when the scapula was supported than when it was not. Arm orientation had no significant effect on repositioning accuracy and consistency.Conclusion:The protocol for evaluating or rehabilitating shoulder proprioception should include active limb movement with the scapula unsupported to ensure that it refects a patient’s proprioceptive demand during functional activities.

Neighborhood Change Induced by Natural Hazards

2017 ◽  
Vol 32 (3) ◽  
pp. 240-252 ◽  
Author(s):  
Dalbyul Lee
Keyword(s):  
Natural Hazards ◽  
Natural Hazard ◽  
Neighborhood Change ◽  
Exogenous Shock ◽  
Rehabilitation Process ◽  
Change Dynamics ◽  
Change Pattern ◽  
Two Factors ◽  
Trends Over Time ◽  
Basic Characteristics

This article seeks to understand neighborhood change induced by natural hazards in the context of neighborhood change dynamics. Based on the underlying systematic mechanism of neighborhood change, it suggests conceptual and methodological models in which a natural hazard, as a “transient, exogenous shock,” affects neighborhood change trends over time. The models also consider that natural hazards alter neighborhoods differentially according to their basic characteristics. After a natural hazard, two factors exogenous to neighborhoods, physical damages and rehabilitation process, are important to understand the rebuilding process and the shift in the neighborhood change pattern.

scholarly journals Maximising independence through community rehabilitation

2014 ◽  
Vol 9 ◽  
Author(s):  
Kate Phillips
Keyword(s):  
Best Practice ◽  
Rehabilitation Team ◽  
Rehabilitation Process ◽  
Functional Activities ◽  
Community Environment ◽  
Community Rehabilitation ◽  
Treatment Plans ◽  
Contextual Environment ◽  
Regular Practice ◽  
Continue Therapy

Maximising independence through community rehabilitation. Community rehabilitation is now recognized as an integral part of the rehabilitation process. The provision of such community rehabilitation within a person's home or community enables their clinicians to focus on meaningful functional activities and independence needs of a person. Providing rehabilitation in the environment where a person normally functions, whether it is for physical, cognitive or behavioural needs, maximizes outcomes as it ensures the person's learning is occurring in a contextual environment. It also maximizes independence as it enables practice of new skills to occur frequently across the day; consequently skill development is based on regular practice. As skills are acquired these can be progressed within the home or the community environment. Integral to this process is the development of functional goals. Goals must be person centered and aligned with underlying functional needs, thus goal achievement is underpinned by a rehabilitation process where all members of the rehabilitation team are working towards the same functional outcome. Carers can be trained to assist with practice of the program, this allows autonomy as clinicians don't need to be present at all times while practicing tasks or exercises. Consequently the ability to select and train carers are vital skills required by clinicians managing injured people in the community. Allowing the injured person to have a role in carer selection can facilitate a more fruitful relationship. It is expected that as the person's skills develop and evolve there will be an understanding from all involved that the person's need for carers will reduce. At times independence can be limited if clinicians and carers continue therapy and restrict a person's ability to develop confidence in their independence; best practice would indicate treatment plans are reviewed regularly so this doesn't occur. To maximize independence, all these components should be considered.

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