With this study and the use of the Staffelstein score we were able to establish the effectivity of rehabilitation procedures performed for several weeks after total hip arthroplasty. The rehabilitation results were independent of gender, age, and weight bearing.
Background and Aim: 25% of all injuries of musculoskeletal injuries involve the ankle. 85% concern the lateral ligament structures, 10% the anterior syndesmosis and 5% the medial ligament structures, accompanied by edema and hematoma in the respective regions. Very good results were already achieved with deep oscillation therapy for several indications, including trauma. The aim of this study was the evaluation of conservative treatment with the Aircast? brace for fresh exterior ligament injuries with an additional electro-mechanical treatment, i.?e. deep oscillation, and optimalisation of this novel combination of treatments. Methods: 43 patients were treated for acute ligament injuries of the fibular ankle with distorsion or laceration of the medial ligament, hematoma and contusion. They received a complex functional conservative treatment with the Aircast? brace with additional deep oscillation therapy. 25 of these injuries of the ankle occurred during sports and 18 during everyday activities. A questionnaire, a clinical and radiological examination of the upper ankle joint were used for evaluation. At the beginning and end of treatment, symptoms were assessed subjectively by the patients with the numerical rating scale (NRS) and by the physician with a modified 4-step rating scale. The study compares the effect of additional deep oscillation with a control group of 25 patients receiving standard treatment. Results: 30 (70%) of the 43 patients were female and 13 (30%) male. The average age was 26 years. 14 (33%) patients had a very good, 22 (51%) good, 3 (7%) satisfactory, and 4 (9%), insufficient outcome. Thus, 39 (91%) were satisfied and 4 (9%) dissatisfied. The subjective assessment of symptoms (NRS) improved significantly (p 0.001) from 9.1 (baseline) to 2.1 points after treatment. Objective assessment by the attending physician based on various clinical parameters was good or very good in 80% of the cases. Conclusions: The study shows that the conservative functional treatment described here with an Aircast? brace with the integration of deep oscillation is a very good treatment for fresh lateral ligament injuries. Based on this study, an additional positive effect of deep oscillation is observed in terms of reduction of edema and hematoma, detumescence, pain and inflammation. Also, the high patient satisfaction supports this conclusion. The treatment is gentle and thus, unlike other electrical and mechanical therapies, not contraindicated in the acute phase. It is effective, easy to apply and patients perceive it consistently as positive.
▼ Objective: Although shoulder arthroplasty with ensuing rehabilitation is a relatively common intervention, the factors infl uencing the functional outcome are still a matter of discussion. These are evaluated based on the outcome as estimated by the Constant Score and patient satisfaction. Consequently, a prediction of the outcome based on initial demographic and diagnostic parameters is shown. Methods: 57 patients received an alloplastic shoulder replacement followed by short stay inpatient rehabilitation. To estimate functional results a questionnaire including the Constant Score, clinical examination, numerical rating scale for pain estimation, radiological investigation of the shoulder joint and satisfaction were recorded. A generalized linear model was fi tted to evaluate the eff ect of covariates Constant Score at admission, discharge and the improvement in-between. Results: 47 (82 %) patients were content with the treatment received. The median Constant Score at admission of 31 ( ± 3 improved to 64 ( ± 12) at follow-up. Patients treated by senior specialist obtained 13 ( ± 2) points more at discharge than patients treated by less experienced surgeons. Patients with assisted physiotherapy between operation and rehabilitation achieved 8 ( ± 2) points more. Motivated patients did 7 ( ± 2) points. A minimal Constant Score of 40 at admission, 60 at discharge or an improvement of 30 points ensured satisfi ed patients. Conclusions: Motivated patients receiving assisted physiotherapy between operation by an experienced specialist and rehabilitation have better functional results. Age, gender, type of prosthesis and diagnosis have no eff ect. A Constant Score of ≥ 40 at admission is associated with the patients being motivated and satisfi ed with the treatment.
In addition to the routine therapy, the patients with lateral epicondylitis included into experimental group were subjected to a 12-week cell-stimulation therapy with low-intensity frequency-modulated electric current. The control group received the same routine therapy and sham stimulation (the therapeutic apparatus was not energized). The efficiency of this microcurrent therapy was estimated by comparing medical indices before therapy and at the end of a 12-week therapeutic course using a 10-point pain severity numeric rating scale (NRS) and Roles-Maudsley pain score. The study revealed high therapeutic efficiency of cell-stimulation with low-intensity electric current resulting probably from up-regulation of intracellular transmitters, interleukins, and prostaglandins playing the key role in the regulation of inflammation.
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