Rehab Centers: Face-Protective Orthosis in Sport-Related Injuries.
Face-protective orthosis in sport-related injuries.
Filed under: Rehab Centers
Prosthet Orthot Int. 2012 Nov 9;
Ghoseiri K, Ghoseiri G, Bavi A, Ghoseiri R
Background and aim:Sport is associated with risk of injury and re-injury. A rehabilitative sport-related orthosis could protect the injured site and help in the earlier return of athlete to the match. This technical note aims to describe a potential high-prescribed face orthosis to protect/prevent a sport-related injury.Technique:Face-protective orthosis should be custom molded from negative impression of the injured athlete’s face. It is lightweight and structured as a one-piece rigid plastic shell that is secured in place with three elastic straps. Due to the diverse patterns of craniomaxillofacial injuries, the shape, length, trimline, and characteristics of face-protective orthoses could be different.Discussion:Face-protective orthoses could have prophylactic or rehabilitative roles according to task and prescription reason. Although the main action of the facial orthoses should be protection, the design of the face-protective orthosis should be improved both functionality and aesthetically to promote its use by athletes.Clinical relevanceThe craniomaxillofacial injuries have potential to be treated by custom-molded face-protective orthoses. These orthoses could have prophylactic or rehabilitative roles based on their prescription purpose. These orthoses could cause earlier return of athletes to sports matches.
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Ultrasonographic measurement of the distal femoral cartilage thickness in patients with unilateral transtibial amputation.
Filed under: Rehab Centers
Prosthet Orthot Int. 2012 Nov 9;
Akkaya N, Akkaya S, Ozçakar L, Demirkan F, Kiter E, Konukcu S, Ardic F
Background:Lower limb amputation sometimes predisposes to degenerative secondary disorders.Objectives:To evaluate the distal femoral cartilage thicknesses of patients with unilateral transtibial amputations using ultrasound and to investigate the relationship between cartilage thickness and disease-related parameters.Study Design:Cross-sectional study.Methods:Twenty-four unilateral transtibial amputees (mean age: 46.4 ± 8.5 years, range: 28-60 years) were evaluated. Duration of prosthesis use (years) and daily walking time with prosthesis (hours) were recorded. Functional status was assessed by gate velocity (m/s), and 6-min walking distance (m) with prosthesis. Ultrasound was used to measure distal femoral cartilage thicknesses bilaterally at medial/lateral condyles and the intercondylar areas. The percentages of cartilage loss (of the amputee-side in comparison with the nonamputee-side) were calculated.Results:Compared to the nonamputee-sides, distal femoral cartilage was significantly thinner at lateral condyles and the intercondylar areas on the amputee-sides (p < 0.05). Significant positive correlations were detected between the percentage of cartilage loss (at all three sites of measurement) and gate velocity, 6-min walking distance, and daily walking time with prosthesis (all p < 0.05).Conclusions:Future prospective controlled studies are warranted to determine the principles of optimum prosthetic use regarding its possible effects on the femoral cartilage of amputee patients.Clinical relevanceThe correlations between the cartilage loss in the amputee extremity with faster gait and longer daily prosthetic use suggest that abnormal gait patterns might increase the loading on the amputated extremity. HubMed – rehab
Energy expenditure in US automotive technicians and occupation-specific cardiac rehabilitation.
Filed under: Rehab Centers
Occup Med (Lond). 2012 Nov 8;
Adams J, Jordan S, Spencer K, Belanger J, Cheng D, Shock T, Karcher J
BackgroundThe standard exercise protocol for patients in a traditional cardiac rehabilitation (rehab) programme may not be adequate for preparing manual workers for a safe return to work, as these activities bear little resemblance to the physical movements and force exertion required in most industrial jobs.AimsTo measure the energy expenditure as metabolic equivalents (METs) required for automotive technicians, to compare this MET level with that normally attained in traditional cardiac rehab programmes and to suggest cardiac rehab exercises for automotive technicians based on specificity of training.MethodsAutomotive technicians who volunteered to participate had their MET levels measured while they performed a defined series of work tasks in the service department of an automobile dealership. Their daily walking distance was also determined.ResultsThirty-six of 95 eligible subjects participated; a response rate of 38%. Mean peak MET level was 7.1, less than the 8 METs target training goal often used in traditional cardiac rehab programmes. However, patients’ outcome MET levels in cardiac rehab are usually measured by a treadmill stress test, whereas the subjects reached 7.1 METs while performing work tasks. The subjects walked an average of 5 km during a normal workday.ConclusionsBecause MET level measurements are work specific, automotive technicians in a cardiac rehab programme should strive to reach and maintain a level of >7 METs while performing specific training exercises that mimic the work tasks they must do throughout the day. They can also benefit from traditional endurance training such as treadmill walking.
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