Does preservation of active range of motion after acute elbow injury rule out the need for the radiography?

Background Modern multistrand repairs can withstand forces present in active flexion exercises, and this may improve the outcomes of flexor tendon repairs. We developed a simple home-based exercise regimen with free wrist and intrinsic minus splint aimed at facilitating the gliding of the flexor tendons and compared the outcomes with the modified Kleinert regimen used previously in the same institution. Methods We searched the hospital database to identify flexor tendon repair performed before and after the new regimen was implemented and invited all patients to participate. The primary outcome was total active range of motion, and secondary outcomes were Disabilities of Arm, Shoulder, and Hand; grip strength; globally perceived function; and the quality of life. Results The active range of motion was comparable between the groups (mean difference = 14; 95% confidence interval [CI], −8 to 36; P = .22). Disabilities of Arm, Shoulder, and Hand; grip strength; global perceived function; and health-related quality of life were also comparable between the groups. There was 1 (5.3%) rupture in the modified Kleinert group and 4 (15.4%) in the early active motion group (relative risk = 0.3; 95% CI, 0.04-2.5; P = .3). Conclusions Increasing active gliding with a free wrist and intrinsic minus splint did not improve the clinical outcomes after flexor tendon injury at a mean of 38-month follow-up.

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Spine Examination during COVID-19 Pandemic via Video Consultation

Zeitschrift für Orthopädie und Unfallchirurgie ◽

10.1055/a-1283-7160 ◽

2021 ◽

Author(s):

Tom Jansen ◽

Martin Gathen ◽

Amadeo Touet ◽

Hans Goost ◽

Dieter Christian Wirtz ◽

...

Keyword(s):

Pain Intensity ◽

Range Of Motion ◽

Test Results ◽

Risk Of Infection ◽

Face To Face ◽

Reliable Tool ◽

Provocation Tests ◽

Active Range Of Motion ◽

Video Consultation ◽

Good Agreement

Abstract Introduction During the current COVID-19 pandemic video consultations are increasingly common in order to minimize the risk of infection for staff and patients. The aim of this study was to evaluate the feasibility of a spine examination via video. Methods A total of 43 patients were recruited. Each participant underwent a video-based (VB) and a conventional face-to-face (FTF) spine examination. Pain intensity, active range of motion, inspection, a neurophysiologic basic exam and provocations tests were evaluated using video-based and face-to-face methods. Results The intra-rater reliability (IRR) was measured between both examinations. Good to very good IRR values were obtained in inspection (Kappa between 0,752 und 0,944), active range of motion and basic neurophysiological examination (Kappa between 0,659 und 0,969). Only moderate matches were found in specific provocation tests (Kappa between 0,407 und 0,938). A video-based spine examination is a reliable tool for measuring pain intensity, active range of motion and a basic neurophysiologic exam. Conclusion A basic spine examination during a video consultation is possible. A good agreement of the test results between video-based and face-to-face examination could be found.

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Effects of the Suboccipital Muscle Inhibition Technique on the Range of Motion of the Ankle Joint and Balance According to Its Application Duration: A Randomized Controlled Trial

Healthcare ◽

10.3390/healthcare9060646 ◽

2021 ◽

Vol 9 (6) ◽

pp. 646

Author(s):

Han-Sol Kang ◽

Hyung-Wook Kwon ◽

Di-gud Kim ◽

Kwang-Rak Park ◽

Suk-Chan Hahm ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Range Of Motion ◽

Ankle Joint ◽

Controlled Trial ◽

Balance Test ◽

Randomized Controlled ◽

Active Range Of Motion ◽

Before And After ◽

Muscle Inhibition ◽

Inhibition Technique

This study aimed to investigate the effects of suboccipital muscle inhibition technique (SMIT) on active range of motion (AROM) of the ankle joint, lunge angle (LA), and balance in healthy adults, according to the duration of its application. A total of 80 participants were randomly allocated to the 4-min suboccipital muscle inhibition (SMI) group (SMI_4M, n = 20), 8-min SMI group (n = 20), 4-min sham-SMI (SSMI) group (n = 20), and 8-min SSMI group (n = 20). Accordingly, the SMIT and sham SMIT were applied for 4 min or 8 min in the respective groups. AROM of dorsiflexion and LA were assessed, and a single leg balance test (SLBT) was performed before and after the intervention. AROM (4 min, p < 0.001; 8 min, p < 0.001), LA (4 min, p < 0.001; 8 min, p < 0.001), and SLBT (4 min, p < 0.001; 8 min, p < 0.001) significantly improved after SMI application. Compared with the SSMI group, the SMI group showed a significant increase in AROM (p < 0.001), LA (p < 0.001), and SLBT (p < 0.001). Except for SLBT (p = 0.016), there were no significant interactions between intervention and application duration. The results suggest that the SMIT, at durations of both 4 and 8 min, could be effective tools for improving AROM, LA, and balance.

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Combined Ipsilateral Humeral Shaft and Galeazzi Fractures Creating a Floating Elbow Variant

Case Reports in Orthopedics ◽

10.1155/2018/7430297 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Patrick Lee ◽

Allison Z. Piatek ◽

Michael J. DeRogatis ◽

Paul S. Issack

Keyword(s):

Internal Fixation ◽

Range Of Motion ◽

Open Reduction ◽

Humeral Fracture ◽

Humeral Shaft ◽

Proximal Ulna ◽

Elbow Injury ◽

Anatomic Reduction ◽

Elbow Injuries ◽

Floating Elbow

“Floating elbow” injuries of the arm traditionally represent a combination of humeral shaft and forearm fractures which require anatomic rigid open reduction and internal fixation of all fractures to allow for early range of motion exercises of the elbow. There are published variants of the floating elbow injury which include ipsilateral diaphyseal humeral fracture, proximal ulna fracture with proximal radioulnar joint disruption, and ipsilateral diaphyseal humeral fracture with elbow dislocation and both bones forearm fracture. We present the case of a 21-year-old woman whose left arm became caught between the side of a waterslide and adjacent rocks at a park. She sustained a torsional and axial loading injury to her left upper extremity resulting in ipsilateral humeral shaft and Galeazzi fractures. The combination of ipsilateral humeral shaft and Galeazzi fractures resulted in a rare floating elbow variant. Prompt open reduction and internal fixation of both fractures and early range of motion of the elbow and wrist resulted in an excellent clinical and radiographic result. Floating elbow injuries and their variants should be promptly recognized as early anatomic reduction, and rigid internal fixation can allow for good elbow function with minimization of stiffness.

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Assessment of shoulder active range of motion in prone versus supine: a reliability and concurrent validity study

Physiotherapy Theory and Practice ◽

10.3109/09593985.2015.1027070 ◽

2015 ◽

Vol 31 (7) ◽

pp. 489-495 ◽

Cited By ~ 8

Author(s):

James Furness ◽

Scott Johnstone ◽

Wayne Hing ◽

Allan Abbott ◽

Mike Climstein

Keyword(s):

Range Of Motion ◽

Concurrent Validity ◽

Validity Study ◽

Active Range Of Motion

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Effect of knee complex mobilization on pain and active range of motion arc in osteoarthritis knee joint

Physical Therapy in Sport ◽

10.1016/j.ptsp.2006.09.012 ◽

2006 ◽

Vol 7 (4) ◽

pp. 176

Author(s):

Suraj ◽

Sudhir Kumar

Keyword(s):

Knee Joint ◽

Range Of Motion ◽

Active Range Of Motion ◽

Osteoarthritis Knee

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Three-Dimensional Torso Motion in Tethered Front Crawl Stroke and its Implications on Low Back Pain

Journal of Applied Biomechanics ◽

10.1123/jab.2015-0024 ◽

2016 ◽

Vol 32 (1) ◽

pp. 50-58 ◽

Cited By ~ 1

Author(s):

Tanghuizi Du ◽

Ikumi Narita ◽

Toshimasa Yanai

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Range Of Motion ◽

Twist Angle ◽

Three Dimensional ◽

Low Back ◽

Front Crawl ◽

Active Range Of Motion ◽

High Incidence ◽

Competitive Swimmers

Low back pain is a common problem among competitive swimmers, and repeated torso hyperextension is claimed to be an etiological factor. The purpose of this study was to describe the three-dimensional torso configurations in the front crawl stroke and to test the hypothesis that swimmers experience torso hyperextension consistently across the stroke cycles. Nineteen collegiate swimmers underwent 2 measurements: a measurement of the active range of motion in 3 dimensions and a measurement of tethered front crawl stroke at their maximal effort. Torso extension beyond the active range of torso motion was defined as torso hyperextension. The largest torso extension angle exhibited during the stroke cycles was 9 ± 11° and it was recorded at or around 0.02 ± 0.08 s, the instant at which the torso attained the largest twist angle. No participant hyperextended the torso consistently across the stroke cycles and subjects exhibited torso extension angles during tethered front crawl swimming that were much less than their active range of motion. Therefore, our hypothesis was rejected, and the data suggest that repeated torso hyperextension during front crawl strokes should not be claimed to be the major cause of the high incidence of low back pain in swimmers.

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