[Reinnervation and Neurostimulation of the Larynx.]

[Reinnervation and neurostimulation of the larynx.]

Filed under: Rehab Centers

HNO. 2012 Dec 15;
Müller AH, Förster G

Dynamic rehabilitation of vocal fold paralysis (VFP) should receive more emphasis in the future. In unilateral immobility with signs of atrophy and wide glottal gap, non-selective reinnervation with ansa cervicalis may become an alternative to augmentation and thyroplasty. For bilateral VFP progress has been made in the concepts of selective reinnervation and neurostimulation (pacing). These new therapies have the potential to restore near normal respiration-without compromising the voice quality-and may contribute to the development of larynx transplantation surgery.
HubMed – rehab

Current Concepts for Eyelid Reanimation in Facial Palsy.

Filed under: Rehab Centers

Ann Plast Surg. 2012 Dec 13;
Momeni A, Khosla RK

ABSTRACT: The treatment of facial palsy is a complex and challenging area of plastic surgery. Two distinct anatomical regions and functions are the focus of interest when managing facial palsy: (1) reanimation of the eyelids and (2) reconstruction of the smile. This review will focus on the treatment of ocular manifestations of facial palsy. The principles of eyelid rehabilitation will be presented along with a discussion of surgical and nonsurgical treatment options.
HubMed – rehab

Outpatient Management of Flexor Tenosynovitis: Use of On-Q System to Deliver Constant Antibiotic Irrigation and Pain Control Improves Rehabilitation.

Filed under: Rehab Centers

Ann Plast Surg. 2012 Dec 13;
Alizadeh K, Danielpour PJ, Brewer B, Layke J

BACKGROUND: Flexor tenosynovitis accounts for nearly 10% of all hand infections and, if untreated, can have devastating consequences. Late presentation often requires operative intervention that requires open drainage and irrigation of the flexor tendon sheath with prolonged rehabilitation. OBJECTIVE: We report the use of closed-catheter irrigation system with the On-Q delivery system that allows for simultaneous in situ antibiotic and pain control for outpatient treatment of flexor tenosynovitis. METHODS: The On-Q delivery system was placed in 6 consecutive patients who met the criteria of all 4 Knavel signs. They all underwent open drainage and closed irrigation system with 0.25% bupivacaine and 250 mg cefazolin over a 1-week period. RESULTS: In all 6 patients, there was no use of narcotic analgesics or oral antibiotics upon discharge. Postoperative hand therapy and range of motion was initiated on postoperative day 1. There was satisfactory progression of range of motion and hand therapy. CONCLUSIONS: This initial clinical case series supports the use of the closed irrigation delivery system with in situ antibiotic and analgesic delivery for more rapid rehabilitation of patients with flexor tenosynovitis.
HubMed – rehab

A qualitative study on the experiences of female firefighters.

Filed under: Rehab Centers

Work. 2012 Dec 14;
Sinden K, Macdermid J, Buckman S, Davis B, Matthews T, Viola C

Purpose: Firefighters are exposed to high physical and psychological occupational factors while providing an essential service to our communities. Female firefighters represent a minority group in this male dominated occupation. The purpose of this study was to qualitatively determine the impact of a male dominated, physically demanding occupation on women’s work health and job satisfaction through the experiences of female firefighters. Methods: A phenomenological approach was used to collect data through semi-structured, recorded interviews with female firefighters. The recorded interviews were transcribed into text and inductive thematic analysis was used to qualitatively analyze the transcripts. Results: Review and analysis of the participant responses identified seven themes: physical demands/difficulties, gender related physiological differences, compensatory strategies, equipment mal-adaptation, earning respect, negative attitudes of male counterparts: impact on social inclusion and health behaviors, recognition of injury risk.Conclusion: Female firefighters are exposed to increased risk of injury due to the psychological and physical occupational stressors in firefighting. Implications of this research are provided and include recommendations for future research to target the physical and psychosocial aspects of firefighting.
HubMed – rehab

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