Physical Rehabilitation - Science topic

Acupuncture, cupping therapy, moxa.

Some of the most effective chondroprotectors are Condrovet and Cosequin, which even prevent joint wear. They are composed of glucosamine and chondroitin sulfate, which help maintain the elasticity and flexibility of joints and cartilage.

Hi there, are you trying to establish the ''clinical utility'' of a given tool, in assessing baseline status or progress made in rehab?

The research gaps provide new research ideas.

From a thorough desk research a researcher can identify the existing research gaps. Then the identified research gaps need to be filled (for example using hypothetico deductive approach). So there should be a link between the research objectives, research questions and the identified research gaps.

You can get an idea about the research gaps in the article by Iddagoda & Opatha (2017). This is available in the ResearchGate and the reference is given below.

Reference

Iddagoda, Y. A., & Opatha, H. H. D. N. P. (2017). Identified Research Gaps in Employee Engagement. International Business Research, 10(2), 63.

Good Luck

Thank you, Dr.Langer. I am looking forward to hearing from you.

Regards, 

Panayot 

Hello Kristina,

You could also read this article:

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus Nicky van Melick et. al.; Br J Sports Med bjsports-2015-095898Published Online First: 18 August 2016

Good read about ACL and also  part about the evidence of pre-operative physical therapy.

Kind regards,

Peter

ACL reconstruction followed by ACL protocol of strengthening Hamsrings and gradual Knee bending and Quadriceps build up. Hmsrings strenghthening is more important than Quadriceps which most of the Physiotherapists do not do

Very good -- in our area of work we would certainly not get back to more reduced models; whilst adding some more markers might increase set-up time slighly, we have found that the collection and processing of the data using a functional approach is straight foreward with a decent camera and marker set-up, and that is certainly also down to the current analysis/processing framework available from Nexus incl. rather effort/painless marker labelling.

To get the best results it is useful though to have some understanding of the methodology and how the details of using these tools might impact on your results.

For example, in order to identify the location of the hip joint centre from motion data, it is not advisable to maximise e.g. hip ab/adduction. Our algorithm (SCoRE) is able to identify the CoR from a rather limited range of motion (ROM) already, and a large ROM might induce substantially more, non-recoverable soft-tissue artefact.

On a related matter, we tend to standardise the ROM that is considered for the determination of a functional knee axis rather strictly, both in terms of the minmum but also the maximum flexion angle.

I hope these suggestions help to get you started .

In orthopedics the range of motion (ROM) is measured by means of goniometer in degrees using the so-called Neutral-Null-System. Each joint has normal values of ROM. I do not see any reason not to use this measuring system  for the ankle joint. It is is exact and replicable.

Hey Sumantha,

I am researching therapeutic strategies in upper limbs of patients with Parkinson´s disease (PD). 

I have a paper to be published on Journal of Hand Therapy validating TEMPA in PD.

If you want, we can talk about this topic, ok?

Hi,

I think that each situation is very particular and requires a specific analyse, mainly to conduct the adequate treatment. In general, a primary role of MRI in the management of the patient with an ACL injury lies in allowing confident diagnosis or exclusion of a tear in patients with equivocal physical examination findings. It should be emphasized, however, that ACL injury management is critically dependent on accurate diagnosis of other coexisting knee internal derangements, in particular tears of the lateral collateral ligament (LCL), posterior cruciate ligament (PCL), and the menisci. In this way, patients with combined LCL/ACL or PCL/ACL injuries often have profound instability requiring aggressive surgical management. In the instance of a coexisting LCL tear, intervention may be hastened as LCL injuries are optimally repaired within 1-3 weeks. An unoperated LCL tear predisposes an ACL graft to early failure. With regards to clinical diagnosis, in general a physical diagnosis is particularly difficult in large patients, in patients with strong secondary muscular restraints, and in patients with an acute injury and soft-tissue swelling and guarding. Partial ACL tears are also difficult to diagnose on physical examination. However, MRI may provide pivotal diagnostic information about the ACL in all of these settings.

I hope this helps.

Hi,

Maybe you can try with the harness made by Biodex for their Offset BWS System

See link below:

Hi Patricia,

I found some materials which I believe can help you.

Best regards.

If there is amblyopia (lazy eye), that is also a problem to be rehabilitated. For this, the eye other than the amblyopic eye should be covered for a couple of hours each day. This may be done by just patching the eye. But children do not like patching. Now there are new technologic smart glasses. It has lcd glasses , transparency of which is controlled digitally. It has algorithms inside to cover the eye for certain periods.

You may check the link below.

dear Daniel Balada 

i hope next paper help you

Thank you!

What you are describing Is safe, as the goal is to protect the surgical wounds aand repairs. The mobilisation of the ankle is correctly started about 15-21 days after surgery. removal of protective boot can be done about 6 weeks post op.

Have you considered combining motor imagery with action observation as they have shared motor representations and the action observation element may make it easier for the 5 yr old? This combination has been used with some success with stroke patients and has been suggested to overcome reduced/limited imagery ability.

Dear Shadab,

see the following paper…

Biggs M, Yap C. The effect of high-intensity strength training as compared to standard medical care on muscle strength, physical function and health status, in patients with Rheumatoid Arthritis Functional Class II (2014). PT Critically Appraised Topics. Paper 44. http://commons.pacificu.edu/cgi/viewcontent.cgi?article=1039&context=ptcats

Best wishes from Germany

Martin

Spine Mouse device is useful for measurement of all joints too. It can be possible for prothesis but you must determinate exactly the axis of prothesis or standarised  it.

Thank you very much for the  protocol. I agree that mirror therapy or motor imagery might be useful. 

Hello Chris,

you should check the systematic review by Daenen et al J Rehabil Med 2013; 45: 113–122.. They refer to the predictive validity of joint position error tests in whiplash patients.

Low back pain or lumbago is a common disorder involving the muscles and bones of the back which affects about 40% of people at some point in their lives. Low back pain is pain, muscle tension, or stiffness localized below the costal margin and above the inferior gluteal folds, with or without sciatica, and is defined as chronic when it persists for 12 weeks or more. Nonspecific low back pain is pain not attributed to a recognizable pathology (e.g., infection, tumor, osteoporosis, rheumatoid arthritis, fracture, inflammation).

Here I totally agree with Alexia that pain is purely a sensory response which should be always specific to the affecting structures. Unable to locate or identify the pain prodicing structure should not be easily replace by naming it is non-specifi LBA.

Instead of misnomer, I would recommend to improve the method of assessment inorder to identify the pain producing structure (musculoskeletal, referred pain from internal organs, psychosomatic etc...). More over the choice of treatment also would be always specific. Diagnosis as non-specific should not have any specific interventions which may be a questionable whether the LBA will improve or not.

Regards

Ratan

1. Monitor pain based on nerve irritability

2. Physical fitness testing based on home fitness tests

hope this helps