Rehab Centers: Arthroscopic Labral Repair Versus Selective Labral Debridement in Female Patients With Femoroacetabular Impingement: A Prospective Randomized Study.

Arthroscopic labral repair versus selective labral debridement in female patients with femoroacetabular impingement: a prospective randomized study.

Filed under: Rehab Centers

Arthroscopy. 2013 Jan; 29(1): 46-53
Krych AJ, Thompson M, Knutson Z, Scoon J, Coleman SH

The purpose of this prospective randomized study was to compare the outcomes of arthroscopic labral repair and selective labral debridement in female patients undergoing arthroscopy for the treatment of pincer-type or combined pincer- and cam-type femoroacetabular impingement.Between June 2007 and June 2009, 36 female patients undergoing arthroscopic hip treatment for pincer- or combined-type femoroacetabular impingement were randomized to 2 treatment groups at the time of surgery: labral repair or labral debridement. The repair group comprised 18 patients with a mean age of 38; the debridement group comprised 18 patients with a mean age of 39. All patients underwent the same rehabilitation protocol postoperatively. At a minimum of 1 year, all patients were assessed using a validated Hip Outcome Score (HOS) to determine hip function, and also completed a simple subjective outcome measure.All 36 patients were available for follow-up at an average time of 32 months (range, 12 to 48). In both groups, HOSs for activities of daily living (ADL) and sports improved significantly from before surgery to the final follow-up (P < .05). The postoperative ADL HOS was significantly better in the repair group (91.2; range, 73 to 100) compared with the debridement group (80.9; range, 42.6 to 100; P < .05). Similarly, the postoperative sports HOS was significantly greater in the repair group (88.7; range, 28.6 to 100) than in the debridement group (76.3; range, 28.6 to 100; P < .05). Additionally, patient subjective outcome was significantly better in the labral repair group (P = .046).Arthroscopic treatment of femoroacetabular impingement with labral repair in female patients resulted in superior improvement in hip functional outcomes compared with labral debridement. In addition, a greater number of patients in the repair group subjectively rated their hip function as normal or nearly normal after surgery compared with the labral debridement group.Level I, prospective randomized study. HubMed – rehab


Biologically Enhanced Healing of the Human Rotator Cuff: 8-month Postoperative Histological Evaluation.

Filed under: Rehab Centers

Orthopedics. 2013 Jan 1; 36(1): 38-41
Protzman NM, Stopyra GA, Hoffman JK

Given the high percentage of persistent rotator cuff defects, investigators have begun exploring techniques that use biologic adjuvants to recreate a biomechanically equivalent layer of connective tissue. To evaluate the efficacy of a mesenchymal stem cell, platelet-rich plasma, and dermal allograft construct, a histological comparison of native rotator cuff tissue and biologically enhanced rotator cuff tissue was performed. The evaluation indicated that this treatment modality in conjunction with an adjusted rehabilitation protocol may successfully recreate a transition zone and restore a synovial lining similar to native tissue.
HubMed – rehab


Transformative learning.

Filed under: Rehab Centers

Psychiatr Rehabil J. 2012 Dec; 35(6): 478-479
Nemec PB

The whole point of teaching and training is to have the learners leave in some way different from how they came in-more skilled, more knowledgeable, more self-aware. Transformative learning refers to dramatic change, where the learner achieves a shift in perspective. This shift results from a critical examination of one’s own assumptions, values, and beliefs, and of the foundations and expectations of the system in which one operates. Educators are in the change business, and educators focused on implementing psychiatric rehabilitation, recovery-oriented services, and person-centered planning are in the transformative learning business. The shift from a traditional medical model to a recovery perspective, the shift from “illness” to “disability” to “wellness,” and the shift from risk prevention to promoting opportunities for growth all require “standing outside ourselves” and looking at a “stark and highlighted picture” of the all-too-common status quo of mental health services today. With the right approach, learners can be developed, encouraged, disrupted, and transformed. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
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