scholarly journals Observational Study on Lameness Recovery in 10 Dogs Affected by Iliopsoas Injury and Submitted to a Physiotherapeutic Approach

Animals ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 419
Author(s):  
Giuseppe Spinella ◽  
Benedetta Davoli ◽  
Vincenzo Musella ◽  
Ludovica Dragone
Keyword(s):  
Recovery Time ◽  
Median Number ◽  
Rehabilitation Program ◽  
Iliopsoas Muscle ◽  
Clinical Approach ◽  
Prognostic Information ◽  
Sports Activity ◽  
Muscle Strengthening ◽  
Normal Functional ◽  
Preliminary Study

This preliminary study has investigated the outcome of physiotherapy in 10 dogs affected by a primary lesion of the iliopsoas muscle and the potential effects of sex, age, and breed on recovery. Ten dogs with primary injury of the iliopsoas muscle were retrospectively included in this study. Dogs were submitted to a rehabilitation program, characterized by a multimodal approach, including physical therapies and modalities. After recovery, patients were submitted to a further support period of rehabilitation to promote muscle strengthening and limit injury recurrence during their return to normal functional and sports activity. Border collies were highly represented. The recovery of lameness occurred after a mean of 22.6 ± 14.7 (median 18) days with a median number of five sessions. None of the examined variables affected the recovery time, except for the border collie breed, which showed a significantly faster recovery time; however, there was no difference between the breeds with regard to the number of sessions. Multimodal rehabilitation therapy may promote lameness recovery of mild-to-moderate iliopsoas lesions within 3 weeks. This preliminary study reports a clinical approach and recovery of primary iliopsoas lesions, findings that can provide clinicians with useful prognostic information for dogs involved in sports activities.

scholarly journals Relationship between Serum BDNF Levels and Depressive Mood in Subacute Stroke Patients: A Preliminary Study

2018 ◽  
Vol 19 (10) ◽  
pp. 3131 ◽  
Author(s):  
Won Chang ◽  
Min Shin ◽  
Ahee Lee ◽  
Heegoo Kim ◽  
Yun-Hee Kim
Keyword(s):  
Short Form ◽  
Pearson Correlation ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Depressive Mood ◽  
Rehabilitation Program ◽  
Stroke Patients ◽  
Subacute Stroke ◽  
Preliminary Study ◽  
Serum Bdnf

The aim of this preliminary study was to investigate the potential of serum brain-derived neurotrophic factor (BDNF) as a biomarker in poststroke depressive mood in subacute stroke patients. Thirty-eight subacute stroke patients were recruited in this study. All participants underwent the standard rehabilitation program that included 2 h of physical therapy daily and 1 h of occupational therapy five days a week. The rehabilitation period lasted two weeks during the subacute stroke phase. We measured the serum BDNF, proBDNF, and matrix metalloproteinase-9 before and one and two weeks after the standard rehabilitation program. In addition, all participants were assessed using the Geriatric Depression Scale-Short Form (GDS-SF) for depressive mood at three time points. Pearson correlation analysis was performed to determine the relationship between serum BDNF levels and the GDS-SF. The GDS-SF showed significant improvement during the standard rehabilitation program period (p < 0.05). The GDS-SF was significantly correlated with serum BDNF levels at each time point (p < 0.05). These results suggest that serum BDNF may be used as a biomarker for depressive mood in subacute stroke patients. However, further studies with larger study populations are needed to clarify these results.

A pharmacokinetic/clinical approach to postulate a local action of intra-articular xylazine administration in the horse: a preliminary study

2014 ◽  
Vol 37 (5) ◽  
pp. 464-471 ◽  
Author(s):  
A. Di Salvo ◽  
G. Della Rocca ◽  
C. Bazzica ◽  
A. Giontella ◽  
P. Cagnardi ◽  
...  
Keyword(s):  
Local Action ◽  
Clinical Approach ◽  
Preliminary Study

scholarly journals Our Point of View at Rehabilitation After Anterior Cruciate Ligament Reconstruction

2020 ◽  
Vol 106 (3) ◽  
pp. 9-17
Author(s):  
I.M. Zazirnyi ◽  
O.O. Kostrub ◽  
V.V. Kotiuk ◽  
O.V. Plugatar
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Postoperative Period ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Rehabilitation Program ◽  
Early Postoperative Period ◽  
Sports Activity ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate

Summary. The article presents rehabilitation program for the patients after anterior cruciate ligament reconstruction. The program is used at the Feofaniya Hospital’s Center of Orthopedics, Traumatology and Sports Medicine and at the Department of Sports and Ballet Injuries of the SI “Institute of Traumatology and Orthopedics of NAMS of Ukraine”. The rehabilitation course is divided on five periods: 1) preoperative period; 2) early postoperative period (acute) (0–2 weeks); 3) function restoring period (up to 9 week); 4) period of preparing and gradual returning to recreation and sports activity (from 9 week); 5) period of returning to full sports activity (after 6–9 months, depending on the type of sport). Principles of postoperative care and rehabilitation in our clinics are as follows: 1) decreasing pain, swelling, and inflammation; 2) full load of the operated on limb with or without crutches; 3) immediate exercises to restore range of motion from 0° to 60–90°, with gradually increase to 120° and full flexion after 6–9 weeks postoperatively (using continuous passive motion; passive, active assisted, and active exercises); 4) exercises for training quadriceps muscle, shin flexor muscles and all lower limb and pelvis muscles, with increasing resistance in close and open kinetic chains; 5) exercises for training proprioception and coordination (from early postoperative period); 6) return to work after 3–6 weeks, health-improvement and sports activity after 4, 6, and 9 months; 7) close cooperation between a surgeon, a rehabilitologist, and a patient during rehabilitation. We focus on achieving the fastest full extension of the knee joint, muscle control and restoration of proprioception. Exercises are performed in closed and open kinetic chains, with muscles tension in the back of the thigh and shin, in the way to avoid too much stress on transplantate. In cases of athletes and recreational active patients, elements of sports specific exercises were included to the rehabilitation program (from early postoperative period). That helped to restore proper patterns of movements and to overcome physical barrier in returning to full sports activity. Return to sport was allowed patients when achieved full range of motion, normal proprioception and balance of muscles; functional tests results were about 90% of the norm and there was no pain or swelling during exercise loads.

scholarly journals RESULTS OF TREATMENT OF PLICA SYNDROME OF THE KNEE

2021 ◽  
Vol 29 (2) ◽  
pp. 72-75
Author(s):  
GILBERTO LUIS CAMANHO ◽  
RICCARDO GOMES GOBBI ◽  
MARTA HALASZ DE ANDRADE
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Rehabilitation Program ◽  
Level Of Evidence ◽  
Sports Activity ◽  
Results Of Treatment ◽  
Rehabilitation Period ◽  
Plica Syndrome ◽  
Synovial Fold ◽  
Non Surgical Treatment

ABSTRACT Objective: The synovial fold is an intra-articular structure found in more than 50% of the knees, which can cause symptoms similar to meniscal injuries. These symptoms are mostly related to hypertrophy of the synovial fold resulting from inadequate physical activity. Conservative treatment with readjustment of sports activity and muscle rebalancing solves most cases. Rare cases require surgical treatment, which is indicated due to the persistence of instability, blockage and pain. We present our experience in the treatment of this pathology. Methods: 58 patients (70 knees), with 62 knees treated conservatively and 8 treated surgically exclusively for the pathological synovial fold. Results: Description of the series and treatment results are reported. Conclusion: The non-surgical treatment of the pathological synovial fold of the knee provided good results within 60 days of rehabilitation program in almost 90% of the patients. Arthroscopic resection of the synovial fold is a surgery that has a longer and laborious rehabilitation period, despite good results in most cases. Level of Evidence IV, Case series.

scholarly journals Effect of Dynamic Neuromuscular Stabilization On Balance And Trunk Function In People With Multiple Sclerosis: Protocol For A Randomized Control Trial

2021 ◽  
Author(s):  
Laleh Abadi Marand ◽  
Shohreh Noorizadeh Dehkordi ◽  
Mahtab Roohi-Azizi ◽  
Leila Janani ◽  
Mehdi Dadgoo
Keyword(s):  
Multiple Sclerosis ◽  
Outcome Measures ◽  
Fear Of Falling ◽  
Good Alternative ◽  
Rehabilitation Program ◽  
Core Stability ◽  
Postal Code ◽  
Functional Rehabilitation ◽  
Muscle Strengthening ◽  
Core Stabilization

Abstract Background: Multiple sclerosis is a chronic and disabling neurological disease among young people. One of the major complaints in patients with multiple sclerosis (PWMS) is falling. There are a number of factors that cause falling, including: balance disorder and spasticity. Core stability (CS) exercises such as trunk muscle strengthening exercise can improve balance and mobility and reduce falling. Dynamic neuromuscular stabilization (DNS) exercise is a new functional rehabilitation strategy that optimizes motor function based on the principles of developmental kinesiology. This trial will evaluate the effectiveness of DNS in comparison to CS on balance, spasticity, and falling in PWMS.Methods: A total of 66 PWMS, between 30 and 50 years old and expanded disability status scale (EDSS) between 2 to 5, will be recruited from Tehran hospitals to participate in this 2-armed parallel study. Participants will be randomly divided into two groups to receive CS exercise or DNS exercise. All participants will receive exercise treatment for 15 sessions during a period of 5 weeks (3 sessions per week). Primary outcome measures will be trunk function and balance. Falling rate, fear of falling, patient mobility, as well as spasticity, will be measured as secondary outcomes. All outcome measures will be measured at baseline, the day after the completion of the 15th session, and after three months.Discussion: Dynamic neurostabilization exercises utilizes the subconscious stimulation of special zones to reflexively mediate the diaphragm and other core stabilization muscles, which is extremely effective for individuals with reduced somatosensory or movement awareness. Findings from the proposed study are expected to benefit the knowledge base of the physiotherapist, and it can be a good alternative for the rehabilitation program and even reduce medication use in patients with multiple sclerosis. These exercises are easy to understand and applicable for these patients and their partners as well.Trial registration: The trial was registered in Iran registry organization with code IRCT20140222016680N5 and was approved on April 7th, 2020. Address: IRCT administration team, Central Library Building, Iran University Campus, Hemmat Freeway, next to Milad tower, Tehran, Iran. postal code:14496-14535. http://www.irct.ir/search/result?query=IRCT20140222016680N5

scholarly journals REHABILITATION PROTOCOL AFTER ACHILLES TENDON RECONSTRUCTION WITH AN AUTOLOGOUS HAMSTRING GRAFT

2021 ◽  
Vol 37 (37) ◽  
pp. 43-51
Author(s):  
Bartosz Kiedrowski ◽  
Paweł Bąkowski ◽  
Łukasz Stołowski ◽  
Jakub Kaszyński ◽  
Gino Kerkhoffs ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Isometric Exercise ◽  
Rehabilitation Program ◽  
Gracilis Muscle ◽  
Hamstring Graft ◽  
Sports Activity ◽  
Rehabilitation Protocol ◽  
Tendon Reconstruction ◽  
Biomechanical Assessment ◽  
Achilles Tendon Reconstruction

Introduction One of the treatment options in chronic damage or unsuccessful suturing of the Achilles tendon is a surgical treatment consisting of its reconstruction using the tendon of semitendinosus and gracilis muscle. The multitude of types of reconstruction causes discrepancies in rehabilitation protocols. All of them aim to return to full functional fitness as the ultimate goal. Aim This study aims to present the proprietary rehabilitation protocol after Achilles tendon reconstruction using the tendon of semitendinosus and gracilis muscle. Material and methods The presented rehabilitation program lasts about 12 months and is divided into six stages. Stage I consists of standing up and anticoagulant exercises, and isometric exercise. Stage II, lasting up to 2 weeks after the procedure, consists of the patient’s independent work in the home environment. Stage III, lasting up to 4 weeks, involves learning to walk and putting weight on the limb in a cam Walker. In the third stage, after the postoperative wounds have healed, exercises in water conditions are started. Stage IV, lasting from 4 weeks after the operation, involves loading the limb with support, increasing the range of dorsiflexion motion, and progressive muscle strengthening. Stage V, which lasts up to 8–12 months after surgery, eliminates functional deficits and prepares the patient for a functional biomechanical assessment. Stage VI is the stage of work on the compensation of deficits resulting from the analysis of the results of the functional biomechanical assessment necessary to return to the full sports activity. Results The rehabilitation time, in accordance with the assumptions of the above protocol, is 8–12 months. After this time, the patient should proceed to a functional biomechanical assessment. Discussion and conclusions The rehabilitation protocol presented by our team describes in detail the stages of post-operative rehabilitation after Achilles tendon reconstruction with a hamstring graft. It provides the conditions necessary for the patient to meet before starting the next phase and returning to sport. Our requirements are consistent with the assumptions available in the scientific base. Keywords: Achilles tendon reconstruction, return to sport, rehabilitation program.

scholarly journals Effects of neuromuscular electrical stimulation and core muscle strengthening on trunk instability following stroke

2021 ◽  
Vol 9 (12) ◽  
pp. 3596
Author(s):  
Riyas Basheer K. B. ◽  
Dinesh K. V. ◽  
Subhashchandra Rai ◽  
Mohammed Arshak A. T.
Keyword(s):  
Electrical Stimulation ◽  
Neuromuscular Electrical Stimulation ◽  
Berg Balance Scale ◽  
Rehabilitation Program ◽  
Secondary Outcome ◽  
Combination Group ◽  
Muscle Strengthening ◽  
Before And After ◽  
Trunk Balance ◽  
Risk Of Fall

Background: Postural instability leads to balance dysfunction in stroke subjects, which always increase the risk of fall. This study aimed to compare the effect of neuromuscular electrical stimulation and core muscle strengthening on trunk balance following stroke.Methods: Forty five stroke subjects were participated and assigned randomly into three groups; all groups received standard rehabilitation program; and core group received additional core strengthening, neuromuscular electrical stimulation (NMES) group received added electrical stimulation over paraspinal region and combination group received core muscle strengthening and NMES along with standard rehabilitation protocol. After four weeks of the interventions, primary and secondary outcome measures are evaluated. Berg Balance Scale (BBS), Postural Assessment Scale for Stroke (PASS), Trunk Impairment Scale (TIS) and Barthel Index (BI) were evaluated before and after the intervention.Results: All the three (core MS, NMES and combination) groups showed significant improvement after the intervention (BBS 10.07, 15.54 and 18.27, PASS 6.54, 13.06 and 14.00, TIS 0.25, 0.25 and 0.51, BI 16.40, 29.93 and 36.53). The combination group (NMES and core muscle strengthening) showed better improvement than other two groups. TIS and BI total score showed positive (0.849) correlation.Conclusions: Addition of NMES along with core muscle strengthening for stroke rehabilitation will improve trunk stability, balance and ADLs.

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