Physical Rehabilitation Before And After Arthroscopy

Author(s):  
Roxana Miclăuș ◽  
◽  
Radu Necula ◽  
Iosif Șamotă ◽  
Nadinne Roman ◽  
...  
2020 ◽  
pp. 014556132091321
Author(s):  
Jodi Maron Barth ◽  
Gincy L. Stezar ◽  
Gabriela C. Acierno ◽  
Thomas J. Kim ◽  
Michael J. Reilly

Objective: To determine the utility of treating facial palsy with mirror book therapy in conjunction with facial physical rehabilitation. Methods: We randomly selected and reviewed the charts of 25 patients with idiopathic facial palsy. 10 of these patients received facial physical rehabilitation including manual therapy and postural exercises. 15 of these patients received mirror book therapy in conjunction with standard facial rehabilitation. Before and after treatment, patients in both groups were rated using the Facial Grading System (FGS) score, the Facial Disability Index--Physical (FDIP) score, and the Facial Disability Index--Social (FDIS) score. Differences in response to therapy were analyzed. Results: Patients in the facial physical rehabilitation group without mirror book therapy group showed on average a 20.8% increase in the FGS score, a 19% increase in the FDIP score, and a 14.6% increase in the FDIS score. Patients in the mirror book therapy group showed an average of 24.9% increase in the Facial Grading System (FGS) score, a 21.6% increase in the Facial Disability Index--Physical (FDIP) score, and a 24.5% increase in the Facial Disability Index--Social (FDIS) score. Conclusion: The addition of mirror book therapy to standard facial rehabilitation treatments does significantly improve outcomes in the treatment of idiopathic facial palsy.


Author(s):  
Jennifer Ferrell Pleiman

This research investigates the outcomes of physical therapy by using data fusion methodology to develop a process for sequential episode grouping data in medicine. By using data fusion, data from different sources will be combined to review the use of physical therapy in orthopedic surgical procedures. The data that were used to develop sequential episode grouping consisted of insurance claims data from the Thomson Medstat MarketScan database. The data will be reviewed as a continuous time lapse for surgery date; that is, the utilization of physical therapy for a defined time period both before and after surgery will be used and studied. The methodology of this research will follow a series of preprocessing cleaning and sequential episode grouping, culminating in text mining and clustering the results to review. Through this research, it was found that the use of physical therapy for orthopedic issues is not common and was utilized in under 1% of the data sampled. Text mining was further utilized to examine the outcomes of physical rehabilitation in cardiopulmonary research. The functional independence measures score at discharge can be predicted to identify the potential benefits of physical rehabilitation on a patient by patient basis. By text mining and clustering comorbidity codes, the severity of those clusters were used in a prediction model to determine rehabilitation benefits. Other information such as preliminary functional independence scores and age (in relation to independence scores) were used in the prediction model to provide the prescribing physician a way to determine if a patient will benefit from rehabilitation after a cardiopulmonary event.


2020 ◽  
Vol 12 (1S) ◽  
pp. 38-43
Author(s):  
S. A. Ryabov ◽  
A. N. Boyko

A number of clinical trials, reviews, and meta-analyses have been recently published, which show the effectiveness of rehabilitation in patients with multiple sclerosis (MS). It is necessary to investigate the evidence basis of various rehabilitation methods that have proven to be effective in the combination treatment of other neurological diseases. At the same time, the simple transfer of these methods to the practice of managing patients with MS may not only improve, but even worsen their condition. An important task is to analyze methods for evaluating the effectiveness of physical rehabilitation, which in some cases are not without drawbacks. Owing to up-to-date technologies, there are more accurate, clear, and informative analysis methods as numerical values, the use of which can most objectively evaluate the effectiveness of rehabilitation measures before and after their implementation, which is necessary to standardize rehabilitation algorithms in patients with MS.


Author(s):  
J. Temple Black

Tool materials used in ultramicrotomy are glass, developed by Latta and Hartmann (1) and diamond, introduced by Fernandez-Moran (2). While diamonds produce more good sections per knife edge than glass, they are expensive; require careful mounting and handling; and are time consuming to clean before and after usage, purchase from vendors (3-6 months waiting time), and regrind. Glass offers an easily accessible, inexpensive material ($0.04 per knife) with very high compressive strength (3) that can be employed in microtomy of metals (4) as well as biological materials. When the orthogonal machining process is being studied, glass offers additional advantages. Sections of metal or plastic can be dried down on the rake face, coated with Au-Pd, and examined directly in the SEM with no additional handling (5). Figure 1 shows aluminum chips microtomed with a 75° glass knife at a cutting speed of 1 mm/sec with a depth of cut of 1000 Å lying on the rake face of the knife.


Author(s):  
R. F. Bils ◽  
W. F. Diller ◽  
F. Huth

Phosgene still plays an important role as a toxic substance in the chemical industry. Thiess (1968) recently reported observations on numerous cases of phosgene poisoning. A serious difficulty in the clinical handling of phosgene poisoning cases is a relatively long latent period, up to 12 hours, with no obvious signs of severity. At about 12 hours heavy lung edema appears suddenly, however changes can be seen in routine X-rays taken after only a few hours' exposure (Diller et al., 1969). This study was undertaken to correlate these early changes seen by the roengenologist with morphological alterations in the lungs seen in the'light and electron microscopes.Forty-two adult male and female Beagle dogs were selected for these exposure experiments. Treated animals were exposed to 94.5-107-5 ppm phosgene for 10 min. in a 15 m3 chamber. Roentgenograms were made of the thorax of each animal before and after exposure, up to 24 hrs.


Author(s):  
M. H. Wheeler ◽  
W. J. Tolmsoff ◽  
A. A. Bell

(+)-Scytalone [3,4-dihydro-3,6,8-trihydroxy-l-(2Hj-naphthalenone] and 1,8-di- hydroxynaphthalene (DHN) have been proposed as intermediates of melanin synthesis in the fungi Verticillium dahliae (1, 2, 3, 4) and Thielaviopsis basicola (4, 5). Scytalone is enzymatically dehydrated by V. dahliae to 1,3,8-trihydroxynaphthalene which is then reduced to (-)-vermelone [(-)-3,4- dihydro-3,8-dihydroxy-1(2H)-naphthalenone]. Vermelone is subsequently dehydrated to DHN which is enzymatically polymerized to melanin.Melanin formation in Curvularia sp., Alternaria sp., and Drechslera soro- kiniana was examined by light and electron-transmission microscopy. Wild-type isolates of each fungus were compared with albino mutants before and after treatment with 1 mM scytalone or 0.1 mM DHN in 50 mM potassium phosphate buffer, pH 7.0. Both chemicals were converted to dark pigments in the walls of hyphae and conidia of the albino mutants. The darkened cells were similar in appearance to corresponding cells of the wild types under the light microscope.


Author(s):  
T. Gulik-Krzywicki ◽  
M.J. Costello

Freeze-etching electron microscopy is currently one of the best methods for studying molecular organization of biological materials. Its application, however, is still limited by our imprecise knowledge about the perturbations of the original organization which may occur during quenching and fracturing of the samples and during the replication of fractured surfaces. Although it is well known that the preservation of the molecular organization of biological materials is critically dependent on the rate of freezing of the samples, little information is presently available concerning the nature and the extent of freezing-rate dependent perturbations of the original organizations. In order to obtain this information, we have developed a method based on the comparison of x-ray diffraction patterns of samples before and after freezing, prior to fracturing and replication.Our experimental set-up is shown in Fig. 1. The sample to be quenched is placed on its holder which is then mounted on a small metal holder (O) fixed on a glass capillary (p), whose position is controlled by a micromanipulator.


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