Rehabilitation Protocol for Patellar Tendinopathy Applied Amongst 16-19 Year Old Volleyball Players.

Rehabilitation protocol for patellar tendinopathy applied amongst 16-19 year old volleyball players.

J Strength Cond Res. 2013 May 9;
Biernat R, Trzaskoma Z, Trzaskoma L, Czaprowski D

The aim of the study was to investigate the efficacy of rehabilitation protocol applied during competitive period for the treatment of patellar tendinopathy. A total of sixteen male volleyball players were divided into 2 groups. Fifteen from experimental group (E) and 13 from control group (C) fulfilled the same tests three times: before the training program started (1 measurement), after 12 weeks (2 measurement) and after 24 weeks (3 measurement). The above-mentioned protocol included: USG imagining with color Doppler function, clinical testing, pain intensity evaluation with VISA-P questionnaire, leg muscle strength, power and jumping ability measurements. The key element of the rehabilitation program was eccentric squat on decline board with additional unstable surface. The essential factor of the protocol was a set of preventive functional exercises, with focus on eccentric exercises of hamstrings. Patellar tendinopathy was observed in 18% of the tested young volleyball players. Implementation of the presented rehabilitation protocol with eccentric squat on decline board applied during sports season lowered the pain level of the young volleyball players. Presented rehabilitation protocol applied without interrupting the competitive period among young volleyball players together with functional exercises could be an effective method for the treatment of patellar tendinopathy. HubMed – rehab

An Uncommon Cause of Anterior Knee Pain: Patellar Chondroma.

J Pediatr Hematol Oncol. 2013 May 9;
Kaymaz B, Eroglu M, Kaymaz N, Ucar M

A 16-year-old boy presented with a patellar mass and anterior knee pain without any trauma. On physical and radiologic assessment, a mass at the superolateral edge of the patella and a hyperintense lesion on T2 sequences of magnetic resonance imaging was detected. Excisional biopsy revealed a chondroma of patella. Primary bone tumors of the patella are extremely rare and occurence of chondroma in this localization is very uncommon. Although anterior knee pain is a very frequent and usually harmless, it is essential to consider the more severe disorders such as bone tumors. HubMed – rehab

Autologous Platelet-Rich Plasma in Chronic Wounds.

Adv Skin Wound Care. 2013 May 9;

HubMed – rehab

[Vascular rehabilitation in patients with peripheral arterial disease.]

Presse Med. 2013 May 10;
de Holanda A, Aubourg M, Dubus-Bausière V, Eveno D, Abraham P

Lower limb peripheral arterial disease (PAD) is a frequent debilitating disease associated with a high morbidity and mortality rate. The benefit of rehabilitation in PAD patients has been largely demonstrated, both for patients that undergo amputation, and for patients with claudication. In these latter patients, rehabilitation programs rely on a variety of additional techniques or tools, among which: stretching, specific muscle proprioception, walking and a variety of other physical activities, exercise or situations adapted to community life, lower limb and respiratory physiotherapy, patient’s education, support for smoking cessation and healthy nutrition, social support, etc. Whether rehabilitation is performed in specialised integrated structures or performed on a home-based basis, various clinicians are involved. Despite evidence-based proof of efficacy, rehabilitation of PAD patients with claudication is still under-used. HubMed – rehab

Predictors of transfer to rehabilitation for trauma patients admitted to a level 1 trauma centre-A model derivation and internal validation study.

Injury. 2013 May 10;
Dinh M, Bein KJ, Byrne C, Nair I, Petchell J, Gabbe B, Ivers R

OBJECTIVE: Determine the predictors of transfer to rehabilitation in a cohort of trauma patients and derive a risk score based clinical prediction tool to identify such patients during the acute phase of injury management. METHODS: Trauma registry data at a single level one trauma centre were obtained for all patients aged between 15 and 65 years admitted due to injury between 2007 and 2011. Multivariable logistic regression with stepwise selection was performed to derive a prediction model for transfer to rehabilitation. The model was tested on a validation dataset using receiver operator characteristic analyses and bootstrap cross validation on the entire dataset. A clinical prediction risk score was developed based on the final model. RESULTS: There were 4900 patients included in the study. Variables found to be the strongest predictors of rehabilitation after logistic regression with stepwise selection were pelvic injuries (OR 12.6 95% CI 6.2, 25.2 p<0.001), need for intensive care unit admission (OR 7.2 95% CI 4.2, 12.3 p<0.001) and neurosurgical operation (OR 10.5 95% CI 4.7, 23.1 p<0.001). After bootstrap cross validation the mean AUC was 0.86 (95% CI 0.84, 0.89). The model had a sensitivity of 89% and specificity of 64%. CONCLUSION: Intensive unit admission, neurosurgical operation, pelvic injuries and other lower limb injuries were the most important predictors of the need for rehabilitation after trauma. The prediction model has good overall sensitivity, discrimination and could be further validated for use in clinical practice. HubMed – rehab