Search Results for: rehabilitation

April 2013

Ready Patient One: Exer-gaming for rehabilitation

Video gaming technology is finding its way into clinical practice, and research supports its effectiveness for improving balance, strength, and function. But studies also suggest some patient populations may be more responsive to exer-gaming than others.

By Samantha Rosenblum

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March 2013

STROKE: Eight weeks of early AFO use significantly enhances benefits of stroke rehabilitation

Functional balance test scores rise – Use of an ankle foot orthosis (AFO) within six weeks of stroke results in better balance outcomes and earlier independent ambulation than if AFO use is delayed, according to research from the Netherlands.

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October 2012

Prehabilitation for TKA: Preop and postop benefits

Prehabilitation, particularly in the form of exercise, has the potential to significantly improve preoperative and postoperative outcomes in patients with knee osteo­arthritis who are undergoing total knee arthroplasty. Both physiological and psychological outcomes can be positively impacted.

By Carly McKay, PhD, and Harry Prapavessis, PhD

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January 2012

Muscle activation data suggest gap in poststroke gait rehabilitation

Improving gait and coordination among stroke survivors should involve developing rehabilitation techniques that target abnormal muscle timing characteristics, suggests recent research from the Louis Stokes Cleveland VA Medical Center, OH. The study, e-published in December by Rehabilitation Practice and Research, … Continue reading

July 2011

Prehabilitation for TJA: More than just exercise

New England Baptist Hospital’s multi­disciplinary prehabilitation program is grounded in research suggesting that outcomes after total joint replacement can be positively influenced by preoperative care that includes management of patient expectations as well as exercise.

By Claire E. Robbins, PT, DPT, MS, GCS, James V. Bono, MD, and Carl T. Talmo, MD

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April 2011

Rehabilitation following microfracture surgery

Much of the success of microfracture surgery for articular cartilage lesions in the knee depends on what happens after the surgery is over. Progressive, controlled loading of the repaired joint is the key to safe and effective rehabilitation.

By Jon Fravel, ATC, and Michael Shaffer PT, ATC, OCS

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October 2010

OA bracing may bolster prehabilitation protocols

Preoperative exercise has been shown to improve total knee arthroplasty outcomes, but may not be feasible in patients with severe pain. Bracing and other offloading methods may be able to help.

By John Kenney, CO, and Robert Hamblen, MD

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September 2010

Robot-assisted ankle rehabilitation boosts functional mobility scores

Robot-assisted ankle rehabilitation significantly improves functional mobility in stroke patients, according to research from Northwestern University in Chicago. Researchers customized a continuous passive motion machine to create a portable rehabilitation robot that is used for both passive stretching and active … Continue reading

March 2010

In the moment: Rehabilitation

The promise of platelets: People are talking about platelet rich plasma . The nonsurgical therapeutic technique has been credited with a SuperBowl comeback, and it’s been criticized in one of the most-respected journals in the literature. Not surprisingly, some are wondering if it’s too good to be true.

Plus: • Achilles benchmarks • Hip strength and PFP • AFOs and hemiplegia

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July 2014

Hip exercises boost postural control in individuals with ankle instability

Four weeks of hip external rotator and abductor strengthening significantly improves postural control in patients with functional ankle instability (FAI) and may be useful for preventing recurrent instability…

By Jordana Bieze Foster Continue reading

July 2014

out on a limb: Five-year milestones

In the five years since the launch of Lower Extremity Review, some things about lower extremity healthcare haven’t changed much. Diabetes is still an epidemic. Stem cells are still the next big…

Jordana Bieze Foster, Editor Continue reading

July 2014

The rise and fall of minimalist footwear

Once thought by some to be the next big thing in running, minimalist footwear has been scrutinized in recent years by researchers and class-action plaintiffs who claim the shoes do not provide the same benefits as barefoot running…

By Cary Groner Continue reading

July 2014

Functional movement tests and injury risk in athletes

Efficient, low-cost, field-ready functional movement tests may be useful in preparticipation physicals to identify and provide preventive treatment for individuals with an elevated risk of injury, as well as aiding return-to-sport…

By Kathryn Schwartzkopf-Phifer, PT, DPT, OCS, CSCS, and Kyle Kiesel, PT, PhD, ATC Continue reading

June 2014

Therapeutic Kickstart System

Cadence Biomedical introduces the therapeutic version of the Kickstart Walking System, a rehabilitation system designed to help physical therapists maximize rehabilitation outcomes in patients who have experienced a … Continue reading

June 2014

iWALK2.0 Hands-free Crutch

The iWALK2.0 is a hands-free crutch designed to end the pain and inconvenience of conventional crutches. It allows people with lower leg injuries to lead functional, hands-free, pain-free lives during the nonweight-bearing … Continue reading

June 2014

Strength and concussion

Torque deficits may put limbs at risk – Changes in muscle strength in athletes who have experienced a concussion may help explain the apparent association between concussion and lower extremity injury…

By Jordana Bieze Foster Continue reading

June 2014

Biomarkers suggest link between OA, stiff landing after ACL reconstruction

Knee stiffness during landing in patients who have had anterior cruciate ligament (ACL) reconstruction is associated with biomarkers for cartilage degeneration, suggesting that a stiff landing technique may increase the risk of knee osteoarthritis…

By Jordana Bieze Foster Continue reading

June 2014

Patients with MS and foot drop assess benefits and drawbacks of AFOs, FES

Patients with multiple sclerosis and foot drop find that both ankle foot orthoses (AFOs) and functional electrical stimulation (FES) have pros and cons, but that, overall, the positives of both devices outweigh the negatives, according to research from Queen Margaret University in Edinburgh, UK.

By Jordana Bieze Foster Continue reading

June 2014

Evidence-based use of metatarsal pads

Plantar pressure analysis studies are demonstrating the effectiveness of met pads for forefoot offloading and helping clinicians determine which patients are most likely to benefit from different pad designs and placement strategies.

By Greg Gargiulo Continue reading

June 2014

Managing foot and ankle injuries in baseball players

Baseball players at all skill levels routinely suffer from foot and ankle injuries, with position players being afflicted more often than pitchers or catchers. Making the correct initial diagnosis without delay can lead to more rapid and effective treatment, rehabilitation, and return to play.

By Gabriel V. Gambardella, DPM, Jeffrey Delott, DPM, and Zachary J. Korwek Continue reading

June 2014

A virtual reality approach to lower extremity rehab

When commercially available active video games are used in rehabilitation settings, often the level of challenge does not match the patient’s ability level. Customized interventions can address these limitations while capitalizing on the fun and motivating aspects of the technology.

By Rachel Proffitt, OTD, OTR/L Continue reading

June 2014

Cost-benefit data support reconstruction of ACL tears

In both the short term and the long term, anterior cruciate ligament reconstruction produced greater quality of life improvements at a lower cost compared with rehabilitation only, suggesting that limiting access to ACL reconstruction may be harmful to patients and costly to society.

By Richard C. Mather III, MD, and Lane Koenig, PhD Continue reading

June 2014

Effects of targeted exercise on chronic ankle instability

Clinicians and researchers are increasingly utilizing exercise protocols focused on improving proprioception, range of motion, and strength to influence the more active and functional deficits that have been associated with chronic ankle instability in the literature.

By Mark A. Feger, MEd, ATC, and Jay Hertel, PhD, ATC Continue reading

May 2014

Plaster outranks other pediatric casting materials for moldability

Sometimes, even when new treatment materials are available, it may be better to rely on traditional options. Such may be the case when it comes to choosing a molding material to form casts for children with clubfoot or fractures.

By Larry Hand Continue reading

May 2014

Education before ACL reconstruction reduces rates of reinjury in first year

Two hours of patient education before anterior cruciate ligament (ACL) reconstruction can significantly reduce rates of reinjury in the first year after surgery, according to research from Funabashi Orthopedic Hospital in Japan. Continue reading