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Luo Y, Chen Y, Huang G, Hu B. Exploring the impact of lighting sources on walking behavior in obstructed walkways among older adults. Exp Gerontol 2024; 196:112580. [PMID: 39270991 DOI: 10.1016/j.exger.2024.112580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Revised: 09/04/2024] [Accepted: 09/10/2024] [Indexed: 09/15/2024]
Abstract
The pandemic has reinforced older adults' reliance on their homes and the concept of "aging in place". Changes like reduced physical strength and cognitive deficit, however, have heightened the challenge of simple tasks like obstacle crossing among older adults, let alone when older adults cannot perceive the surroundings well during the nighttime. The study is, therefore, to evaluate the impact of lighting on older adults' obstacle-crossing behavior during the nighttime. Twenty-seven older adults (81 ± 6 yrs., 171 ± 12 cm, 75 ± 20 kg, 14 females) were recruited. Participants were asked to cross over the obstacle in a dark residential environment under point or line light. We found that the line light tended to (1) induce more external rotation of the trailing hip (p = 0.037) and more internal rotation of the leading ankle (p < 0.001) at leading leg liftoff; and (2) result in a more upright and erect posture during stance phase (less hip flexion, p = 0.006) and swing phase of the trailing leg (reduced pelvic flexion, p = 0.038). Postural changes induced by line light demonstrated improved body control, highlighting the influence of spatial information (horizontal & vertical directions) on crossing behavior in dark environments. The findings can provide additional evidence for the design of light systems in both retirement communities and individual homes. This is particularly important when designing built environments for the aging population, in cases where the surroundings may pose challenges such as obstructed walking, and other complex floor conditions.
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Affiliation(s)
- Yue Luo
- Department of Industrial and Systems Engineering, San José State University, San José, CA 95192, USA; Department of Industrial and Systems Engineering, University of Florida, Gainesville, FL 32611, USA
| | - Yuhao Chen
- Department of Industrial and Systems Engineering, University of Florida, Gainesville, FL 32611, USA
| | - Gaojian Huang
- Department of Industrial and Systems Engineering, San José State University, San José, CA 95192, USA
| | - Boyi Hu
- Department of Industrial and Systems Engineering, University of Florida, Gainesville, FL 32611, USA
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Zhang Z, Song J, Shi H, Wei S, Sun Y. Construction and validation of a nomogram model for predicting different sites of ankle pain in runners with chronic ankle instability. Sci Rep 2024; 14:22337. [PMID: 39333581 PMCID: PMC11437082 DOI: 10.1038/s41598-024-71688-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Accepted: 08/30/2024] [Indexed: 09/29/2024] Open
Abstract
This study aimed to establish a risk prediction nomogram model for anterolateral, mediolateral, and posterolateral ankle pain in runners with chronic ankle instability (CAI) and analyse the potential risk factors for pain at different ankle sites. Thirty recreational runners with CAI who reported ankle pain in the anterolateral, mediolateral, or posterolateral regions were recruited for this study. Kinematic, kinetic, and electromyographic data during running were collected using motion capture system, 3-D force platform, and surface electromyography system. These data were used to generate a dynamic nomogram. The results showed that anterolateral ankle pain in runners with CAI may be caused by insufficient gastrocnemius muscle strength (OR 0.85, 95% CI 0.73-0.97), excessive ground reaction force (GRF, OR 2.64, 95% CI 1.25-6.22), and an increased percentage of ankle energy absorption (OR 9.11, 95% CI 1.50-77.79). Mediolateral ankle pain might be contributed by greater ankle inversion angle (OR 1.08, 95% CI 1.01-1.00) and GRF (OR 2.13, 95% CI 1.17-4.31). Moreover, posterolateral ankle pain was predicted by increased ankle adduction angle (OR 1.06, 95% CI 1.00-1.12), increased GRF (OR 2.16, 95% CI 1.07-4.80), and decreased dynamic stability (OR 0.20, 95% CI 0.05-0.68). To prevent ankle pain, runners with CAI should be encouraged to focus on improving the neuroreceptor sensitivity of the gastrocnemius muscles, and retraining their energy absorption patterns.
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Affiliation(s)
- Zeyi Zhang
- School of Physical Education and Health Care, East China Normal University, Shanghai, 200241, China
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai, 200241, China
| | - Jian Song
- School of Physical Education and Health Care, East China Normal University, Shanghai, 200241, China
| | - Hanlin Shi
- School of Physical Education and Health Care, East China Normal University, Shanghai, 200241, China
| | - Shengmeng Wei
- School of Physical Education and Health Care, East China Normal University, Shanghai, 200241, China
| | - Youping Sun
- School of Physical Education and Health Care, East China Normal University, Shanghai, 200241, China.
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai, 200241, China.
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Nascimento LR, Boening A, Ribeiro I, Dos Santos ME, Benevides M, Santuzzi CH. Mobilization with movement is effective for improving ankle range of motion and walking ability in individuals after stroke: A systematic review with meta-analysis. PM R 2024. [PMID: 39329248 DOI: 10.1002/pmrj.13259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Revised: 05/30/2024] [Accepted: 06/06/2024] [Indexed: 09/28/2024]
Abstract
BACKGROUND Mobilization with movement has been recommended to improve foot mobility in people with ankle impairments and could improve walking after stroke. OBJECTIVE To examine the effects of the addition of mobilization with movement to commonly used exercises in physiotherapy for improving ankle range of motion and walking in people who have had a stroke. DESIGN Systematic review of randomized controlled trials. SETTINGS Not applicable. PARTICIPANTS Ambulatory adults at any time after stroke. INTERVENTION The experimental intervention was exercises plus ankle mobilization with movement, in comparison with exercises alone. MAIN OUTCOME Ankle range of motion. MEASUREMENTS Walking parameters (ie., walking speed, cadence, step length). RESULTS Six trials, involving 160 participants, were included. The mean PEDro score of the trials was 6 (range 4 to 7). Mobilization with movement in addition to exercises improved range of motion by 4° (95% CI 2 to 6), walking speed by 0.08 m/s (95% CI 0.05 to 0.11), cadence by 9 steps/min (95% CI 7 to 12), and step length by 5 cm (95% CI 3 to 7) more than exercises alone. The quality of evidence was low for range of motion and moderate for walking outcomes. CONCLUSION This systematic review provided evidence that the addition of mobilization with movement to commonly used exercises in neurological rehabilitation increases ankle dorsiflexion, and benefits are carried over to improving walking speed, cadence, and step length in moderately disabled individuals with chronic stroke. REVIEW REGISTRATION PROSPERO (CRD42023405130).
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Affiliation(s)
- Lucas R Nascimento
- CAMINHAR, Center of Health Sciences, Discipline of Physiotherapy, Universidade Federal do Espírito Santo, Brazil
| | - Augusto Boening
- CAMINHAR, Center of Health Sciences, Discipline of Physiotherapy, Universidade Federal do Espírito Santo, Brazil
| | - Isabella Ribeiro
- CAMINHAR, Center of Health Sciences, Discipline of Physiotherapy, Universidade Federal do Espírito Santo, Brazil
| | - Maria Eduarda Dos Santos
- CAMINHAR, Center of Health Sciences, Discipline of Physiotherapy, Universidade Federal do Espírito Santo, Brazil
| | - Marcelo Benevides
- CAMINHAR, Center of Health Sciences, Discipline of Physiotherapy, Universidade Federal do Espírito Santo, Brazil
| | - Cíntia H Santuzzi
- CAMINHAR, Center of Health Sciences, Discipline of Physiotherapy, Universidade Federal do Espírito Santo, Brazil
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Ferguson J, Fritsch A, Rhon DI, Young JL. Adverse Events Reported in Trials Assessing Manual Therapy to the Extremities: A Systematic Review. JOURNAL OF INTEGRATIVE AND COMPLEMENTARY MEDICINE 2024; 30:507-517. [PMID: 38452161 DOI: 10.1089/jicm.2023.0009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
Objective: This review aimed to describe the quality and comprehensiveness of adverse event (AE) reporting in clinical trials incorporating manual therapy (MT) as an intervention for extremity conditions using the Consolidated Standards of Reporting Trials (CONSORT)-Harms extension as the benchmark. The secondary aim was to determine whether the quality of AE reporting improved after the availability of the CONSORT reporting checklist. Design: Systematic review. Methods: A literature search was conducted using multiple databases to identify trials where MT was used to treat extremity conditions. Studies that reported AEs were identified and evaluated using the CONSORT-Harms extension. The frequency of trials reporting study AEs before and after the publication of the updated 2010 CONSORT statement was calculated, along with the categorization of how study AEs were reported. Results: Of the 55,539 studies initially identified, 220 trials met all inclusion criteria. Eighty trials (36.4%) reported AE occurrence. None of the studies that reported AEs adhered to all 10 criteria proposed by the 2010 CONSORT-Harms extension. The most commonly reported criterion was number four, which clarified how AE-related information was collected (30% of trials). The least reported criterion was number six, which describes the participant withdrawals for each arm due to AEs and the experience with the allocated treatment (1.3% of trials). The nomenclature used to describe AEs varied substantially. Fifty-nine of 76 trials (33.3%) were published after the updated CONSORT Harms-checklist was available, compared to 21 of 44 trials (46.7%) published before it was available. Conclusion: Reporting of AEs in trials investigating MT for extremity conditions is poor. Every included trial lacked adherence to all 10 criteria proposed by the CONSORT-Harms Extension. The quality and comprehensiveness of AE reporting did not improve after the most recent CONSORT update recommending AE reporting. Clinicians must obtain informed consent before performing any intervention, including MT, which requires disclosing potential risks, which could be better known with improved tracking, analyzing, and reporting of AEs. The authors recommend improved adherence to best practices for adequately tracking and reporting AEs in future MT trials.
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Affiliation(s)
- Jeffrey Ferguson
- Physical Therapy Program, Bellin College, Green Bay, Wisconsin, USA
| | - Adam Fritsch
- Physical Therapy Program, Bellin College, Green Bay, Wisconsin, USA
| | - Daniel I Rhon
- Physical Therapy Program, Bellin College, Green Bay, Wisconsin, USA
- Department of Rehabilitation Medicine, School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
| | - Jodi L Young
- Physical Therapy Program, Bellin College, Green Bay, Wisconsin, USA
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Gencer B, Doğan Ö, Çulcu A, Ülgen NK, Çamoğlu C, Arslan MM, Mert O, Yiğit A, Yeni TB, Hanege F, Gencer EN, Biçimoğlu A. Internet and social media preferences of orthopaedic patients vary according to factors such as age and education levels. Health Info Libr J 2024; 41:84-97. [PMID: 37526131 DOI: 10.1111/hir.12503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 05/31/2023] [Accepted: 07/19/2023] [Indexed: 08/02/2023]
Abstract
BACKGROUND Patients can often access the internet and social media for health information but it is not clear how much they trust and use the information retrieved. OBJECTIVE To investigate the social media and internet use rates and preferences of orthopaedic patients, to reveal to what extent they self-treat, and to probe the affecting factors. METHODS Two thousand fifty-eight patients admitted to an orthopaedic polyclinic were asked to fill out a survey (voluntarily) consisting of 15 items, to collect demographic data, preference for platforms and sources used, trusted sources, and the extent to which information obtained was used for self-care. RESULTS The most preferred and most trusted sources of information were Google and other search engines, and physicians' personal websites (p < 0.001). DISCUSSION Variables such as age, gender, educational level and occupation affect the research preferences. Reliance on social media decreases with increasing educational levels (p < 0.001). CONCLUSION Health information and knowledge services should work with health professionals to improve aspects of health literacy among orthopaedic patients.
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Affiliation(s)
- Batuhan Gencer
- Orthopaedics and Traumatology Clinic, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, Turkey
| | - Özgür Doğan
- Orthopaedics and Traumatology Clinic, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Ahmet Çulcu
- Orthopaedics and Traumatology Clinic, Yüksekova State Hospital, Hakkari, Turkey
| | - Nuri Koray Ülgen
- Orthopaedics and Traumatology Clinic, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Can Çamoğlu
- Orthopaedics and Traumatology Clinic, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Mehmet Murat Arslan
- Orthopaedics and Traumatology Clinic, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Orhan Mert
- Orthopaedics and Traumatology Clinic, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Alperen Yiğit
- Orthopaedics and Traumatology Clinic, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Teoman Bekir Yeni
- Orthopaedics and Traumatology Clinic, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Furkan Hanege
- Orthopaedics and Traumatology Clinic, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Elif Nur Gencer
- General Surgery Clinic, Tuzla State Hospital, Ankara City Hospital, İstanbul, Turkey
| | - Ali Biçimoğlu
- Orthopaedics and Traumatology Clinic, Ankara Bilkent City Hospital, Ankara, Turkey
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Lepesis V, Paton J, Rickard A, Latour JM, Marsden J. Effects of foot and ankle mobilisations combined with home stretches in people with diabetic peripheral neuropathy: a proof-of-concept RCT. J Foot Ankle Res 2023; 16:88. [PMID: 38057930 DOI: 10.1186/s13047-023-00690-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 11/22/2023] [Indexed: 12/08/2023] Open
Abstract
INTRODUCTION People with diabetic peripheral neuropathy (DPN) and limited joint mobility syndrome (LJMS) can experience increased forefoot peak plantar pressures (PPPs), a known risk factor for ulceration. The aim of this study was to investigate whether ankle and 1st metatarsophalangeal (MTP) joint mobilisations and home-based stretches in people with DPN improve joint range of motion (ROM) and reduce forefoot PPPs. DESIGN AND METHODS Sixty-one people with DPN (IWGDF risk 2), were randomly assigned to a 6-week programme of ankle and 1st MTP joint mobilisations (n = 31) and home-based stretches or standard care only (n = 30). At baseline (T0); 6-week post intervention (T1) and at 3 months follow-up (T2), a blinded assessor recorded dynamic ankle dorsiflexion range using 3D (Codamotion) motion analysis and the weight bearing lunge test, static 1st MTP joint dorsiflexion ROM, dynamic plantar pressure and balance. RESULTS At T1 and T2 there was no difference between both groups in ankle dorsiflexion in stance phase, plantar pressure and balance. Compared to the control group, the intervention group showed a statistically significant increase in static ankle dorsiflexion range (Left 1.52 cm and 2.9cms, Right 1.62 cm and 2.7 cm) at 6 (T1) and 18 weeks (T2) respectively p < 0.01). Between group differences were also seen in left hallux dorsiflexion (2.75°, p < 0.05) at T1 and in right hallux dorsiflexion ROM (4.9°, p < 0.01) at T2 follow up. Further, functional reach showed a significant increase in the intervention group (T1 = 3.13 cm p < 0.05 and T2 = 3.9 cm p < 0.01). Intervention adherence was high (80%). CONCLUSIONS Combining ankle and 1st MTP joint mobilisations with home-based stretches in a 6-week programme in people with DPN is effective in increasing static measures of range. This intervention may be useful for improving ankle, hallux joint mobility and anteroposterior stability limits in people with diabetes and neuropathy but not for reducing PPP or foot ulcer risk. TRIAL REGISTRATION https://classic. CLINICALTRIALS gov/ct2/show/NCT03195855 .
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Affiliation(s)
- Vasileios Lepesis
- School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.
| | - Joanne Paton
- School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK
| | - Alec Rickard
- School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK
| | - Jos M Latour
- School of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK
| | - Jonathan Marsden
- School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK
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Shadegani R, Khanmohammadi R, Olyaei G. Comparison of effects of Mulligan taping and Kinesio taping on ankle neuromuscular control in response to a sudden inversion perturbation in individuals with chronic ankle instability. Phys Ther Sport 2023; 63:58-66. [PMID: 37506655 DOI: 10.1016/j.ptsp.2023.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 07/24/2023] [Accepted: 07/24/2023] [Indexed: 07/30/2023]
Abstract
OBJECTIVES This study was aimed to compare the effects of Mulligan taping (MT) with Kinesio taping (KT) and the un-taped ankle on neuromuscular control during a sudden inversion perturbation in individuals with chronic ankle instability (CAI). DESIGN Randomized, single blind cross-over. SETTING Biomechanics lab. PARTICIPANTS 16 individuals with chronic ankle instability. MAIN OUTCOME MEASURES The outcome measures were the onset time and magnitude of short (SLR) and medium latency response (MLR) for peroneus brevis (PB), peroneus longus (PL), tibialis anterior (TA), and soleus (SOL) muscles and the TA/P and SOL/TA antagonist co-activation. RESULTS In the groups of KT and MT, the onset time was significantly decreased at post-taping compared to pre-taping, such that for the onset time of PB MLR, the groups of KT and MT had an earlier onset time than the un-taped group. For the magnitude of TA SLR and PB MLR, groups exhibited different behaviors. In the KT group, the magnitude was significantly increased post-taping, however, in the MT group, it was decreased. Regarding the TA/P and SOL/TA co-activation, the groups of KT and MT showed significant changes post-taping. CONCLUSION This study suggests that KT and MT significantly affect neuromuscular control in response to a sudden perturbation in individuals with CAI, although the behavior of KT and MT appears to be somewhat different from each other.
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Affiliation(s)
- Roghaye Shadegani
- Physical Therapy Department, Tehran University of Medical Sciences, Tehran, Iran
| | - Roya Khanmohammadi
- Physical Therapy Department, Tehran University of Medical Sciences, Tehran, Iran.
| | - Gholamreza Olyaei
- Physical Therapy Department, Tehran University of Medical Sciences, Tehran, Iran
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Hewitt RL, Brocker JL. Chiropractic Management of Chronic Ankle Pain and Limited Mobility in a Pediatric Athlete: A Case Report. J Chiropr Med 2023; 22:85-88. [PMID: 36844988 PMCID: PMC9947970 DOI: 10.1016/j.jcm.2022.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 09/26/2022] [Accepted: 10/12/2022] [Indexed: 12/15/2022] Open
Abstract
Objective The purpose of this case study was to report the chiropractic management of a teenage athlete who had chronic pain after a lateral ankle sprain. Clinical Features A 15-year-old male patient presented with persistent ankle pain due to an inversion sprain while playing soccer approximately 8.5 months prior. Emergency department records noted a left lateral ankle sprain, including the anterior talofibular ligament, calcaneofibular ligament, and posterior talofibular ligament. The examination revealed ankle tenderness upon palpation, limited active and passive dorsiflexion range of motion, restricted talocrural joint posterior glide, and moderate lateral compartment muscular hypertonicity. Intervention and Outcome Chiropractic management included high-velocity, low-amplitude chiropractic ankle manipulation and education on home-based ankle dorsiflexion stretching. After 4 treatments, the athlete returned to unencumbered athletic participation. Follow-up evaluation at 5 months revealed no pain or functional complaints. Conclusion This teen athlete's chronic pain from a lateral ankle sprain resolved with a short course of chiropractic manipulation coupled with home-based stretching.
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Wei N, Du Y, Chen S. Application of Doctor-Nurse-Patient Co-Decision-Making Nursing Intervention Based on Evidence-Based Problems in the Rehabilitation of Acute Ankle Lateral Collateral Ligament Injury. Emerg Med Int 2022; 2022:2363230. [PMID: 36034482 PMCID: PMC9417781 DOI: 10.1155/2022/2363230] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 07/15/2022] [Indexed: 11/18/2022] Open
Abstract
Objective The aim of this study is to study the application effects of doctor-nurse-patient co-decision-making nursing intervention based on evidence-based problems in the rehabilitation of acute ankle lateral collateral ligament injury. Methods 150 patients with acute ankle lateral collateral ligament injury who were treated in the hospital between December 2020 and December 2021 were selected, and they were divided into the routine group and the evidence-based group by the random number table method, with 75 cases in each group. The patients in the routine group received routine nursing intervention, while the patients in the evidence-based group adopted doctor-nurse-patient co-decision-making nursing intervention based on evidence-based problems, and both groups were intervened for 1 month. The rehabilitation time (swelling subsidence time, fixation removal time, and normal walking time), ankle active range of motion (dorsiflexion and plantar flexion), ankle function (ankle Kofoed score) before and after intervention, and the total incidence rate of complications (tendon injury, ankylosis, and traumatic arthritis) within 1 month of intervention were compared between the two groups of patients. Results The swelling subsidence time, fixed removal time, and normal walking time in the evidence-based group were significantly shorter than those in the routine group (P < 0.05). After 1 month of intervention, the ranges of motion of dorsiflexion and plantar flexion and ankle Kofoed scores of the two groups were significantly higher than those before intervention, and the abovementioned indicators in the evidence-based group were significantly higher than those in the routine group (P < 0.05). Within 1 month of intervention, the total incidence rate of tendon injury, ankylosis, and traumatic arthritis was significantly lower in the evidence-based group than that in the routine group (P < 0.05). Conclusion Nursing intervention of doctor-nurse-patient co-decision-making based on evidence-based problems in patients with acute ankle lateral collateral ligament injury can promote postoperative rehabilitation and restore the ankle function of patients.
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Affiliation(s)
- Nian Wei
- Department of Foot and Ankle Surgery, Wuhan Fourth Hospital (Wuhan Orthopedic Hospital, Puai Hospital), Wuhan, Hubei 430030, China
| | - Yuehui Du
- Department of Foot and Ankle Surgery, Wuhan Fourth Hospital (Wuhan Orthopedic Hospital, Puai Hospital), Wuhan, Hubei 430030, China
| | - Shiyu Chen
- Department of Foot and Ankle Surgery, Wuhan Fourth Hospital (Wuhan Orthopedic Hospital, Puai Hospital), Wuhan, Hubei 430030, China
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Hwang Y, Kim D, Ryu S. Decreased patient visits for ankle sprain during the COVID-19 pandemic in South Korea: A nationwide retrospective study. Prev Med Rep 2022; 26:101728. [PMID: 35169534 PMCID: PMC8830827 DOI: 10.1016/j.pmedr.2022.101728] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 02/03/2022] [Accepted: 02/05/2022] [Indexed: 01/16/2023] Open
Abstract
Social distancing measures including school closure and the cancelation of sports activity were enforced during the early phase of the coronavirus disease 2019 (COVID-19) pandemic to reduce the spread of severe acute respiratory syndrome coronavirus 2 in South Korea. To assess the impact of the COVID-19 pandemic on the nationwide burden of musculoskeletal injury in 2020, we analyzed data on the number of patient visits for ankle sprain in South Korea. We collected national reimbursement data on the number of patient visits for ankle sprain between August 2010 and July 2020. To quantify the impact of the COVID-19 pandemic on the number of reductions in patient visits for ankle sprain, we developed a regression model adjusting for the annual cycle of the patient visit during 2016/17-2018/19. During the COVID-19 pandemic in South Korea, the overall number of patient visits for ankle sprain dropped by 7.9%. The number of patient visits for ankle sprain substantially reduced by 23.4% among school-aged children (6-19 years) during the COVID-19 pandemic in South Korea. Our findings suggest that the social distancing measure has had a positive impact on reducing the burden of medical usages for ankle sprain.
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Affiliation(s)
- Youngsik Hwang
- Department of Preventive Medicine, Konyang University College of Medicine, Daejeon 35365, South Korea
| | - Dasom Kim
- Department of Preventive Medicine, Konyang University College of Medicine, Daejeon 35365, South Korea
- Myunggok Medical Research Institute, Konyang University College of Medicine, Daejeon 35365, South Korea
| | - Sukhyun Ryu
- Department of Preventive Medicine, Konyang University College of Medicine, Daejeon 35365, South Korea
- Myunggok Medical Research Institute, Konyang University College of Medicine, Daejeon 35365, South Korea
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Dinsdale A, Costin B, Dharamdasani S, Page R, Purs N, Treleaven J. What conservative interventions improve bite function in those with temporomandibular disorders? A systematic review using self-reported and physical measures. J Oral Rehabil 2022; 49:456-475. [PMID: 35108410 DOI: 10.1111/joor.13307] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 01/02/2022] [Accepted: 01/17/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Bite is an important function of the human stomatognathic system. Despite this, it is commonly impaired in temporomandibular disorder (TMD) populations. The aim of this review is to evaluate the effectiveness of conservative interventions on self-reported and physical measures of bite function in individuals with TMD. METHODS This review was performed in compliance with PRISMA guidelines. An electronic search was performed on databases including Pubmed, CINAHL, Embase, and Cochrane Central. Inclusion criteria were journal articles evaluating the effect of any non-pharmacological conservative interventions on bite function in participants diagnosed with TMD. Risk of bias for individual studies was assessed using the Cochrane risk-of-bias v2 tool, and the NIH NHLBI pre-post tool. Data was synthesised based on outcome measures of bite function, and the quality of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation approach. RESULTS Eleven studies were eligible for this review. Interventions included splinting, photobiomodulation, needling, exercise, manual therapy, and patient education; which were evaluated using mastication-related pain, self-reported chewing difficulty, and bite force/endurance outcome measures. Findings suggested manual therapy, needling, oral splinting, exercise and PBM interventions may improve bite function in TMD, although confidence in cumulative evidence ranged from moderate to very low. There was no evidence that patient education improved bite function. CONCLUSION Conservative interventions may be helpful to address bite-related impairments associated with TMD, although further research is needed to improve the quality of evidence and direct clinical guidelines.
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Affiliation(s)
- Alana Dinsdale
- School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, QLD, 4072, Australia
| | - Brianna Costin
- School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, QLD, 4072, Australia
| | - Simran Dharamdasani
- School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, QLD, 4072, Australia
| | - Ruth Page
- School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, QLD, 4072, Australia
| | - Nykeela Purs
- School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, QLD, 4072, Australia
| | - Julia Treleaven
- School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, QLD, 4072, Australia
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Diagnosis and Management of Foot and Ankle Injuries in Dancers. CURRENT PHYSICAL MEDICINE AND REHABILITATION REPORTS 2021. [DOI: 10.1007/s40141-021-00313-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Miranda JP, Silva WT, Silva HJ, Mascarenhas RO, Oliveira VC. Effectiveness of cryotherapy on pain intensity, swelling, range of motion, function and recurrence in acute ankle sprain: A systematic review of randomized controlled trials. Phys Ther Sport 2021; 49:243-249. [PMID: 33813154 DOI: 10.1016/j.ptsp.2021.03.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 03/17/2021] [Accepted: 03/21/2021] [Indexed: 12/26/2022]
Abstract
OBJECTIVE Investigate effectiveness of cryotherapy on pain intensity, swelling, range of motion, function and recurrence in acute ankle sprain. METHODS Searches were conducted on six databases for randomized or quasi-randomized controlled trials (RCTs) evaluating effectiveness of cryotherapy for pain intensity, swelling, range of motion, function and recurrence in acute ankle sprain. Selection of trials, data extraction and methodological quality assessment of included trials were conducted independently by two reviewers with discrepancies resolved by a third reviewer. Estimates were presented as mean differences (MDs) with 95% confidence intervals (CIs). The quality of the evidence was assessed using the Grading of Recommendations Assessment (GRADE) approach. RESULTS Two RCTs with high risk of bias were included. Both evaluated the additional effects of cryotherapy, comparing cryotherapy combined with other intervention versus other intervention stand-alone. Uncertain evidence shows that cryotherapy does not enhance effects of other intervention on swelling (MD = 6.0; 95%CI: 0.5 to 12.5), pain intensity (MD = -0.03; 95%CI: 0.34 to 0.28) and range of motion (p > 0.05). CONCLUSIONS Current literature lacks evidence supporting the use of cryotherapy on management of acute ankle sprain. There is an urgent call for larger high-quality randomized controlled trials.
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Affiliation(s)
- Júlio Pascoal Miranda
- Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.
| | - Whesley Tanor Silva
- Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.
| | - Hytalo Jesus Silva
- Postgraduate Program in Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil.
| | - Rodrigo Oliveira Mascarenhas
- Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.
| | - Vinícius Cunha Oliveira
- Postgraduate Program in Rehabilitation and Functional Performance, Postgraduate Program in Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.
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