Rehab Centers: Otologic and Audiology Aspects of Microtia Repair.

Otologic and audiology aspects of microtia repair.

Filed under: Rehab Centers

Semin Plast Surg. 2011 Nov; 25(4): 273-8
Lipan MJ, Eshraghi AA

Congenital abnormalities of the outer ear pose a reconstructive challenge for plastic surgeons and otologists. Many patients with microtia of the auricle have concurrent atresia of the external auditory canal. The hearing loss associated with canal atresia can have long-lasting effects if not treated promptly and appropriately. The diagnosis and workup for canal atresia requires an otologic evaluation. Audiologic and radiologic evaluations direct treatment, which varies depending on unilateral or bilateral presence of atresia. Rehabilitation of hearing loss can be performed via hearing aids, bone-anchored conductive devices or canalplasty. Due to the complexity of treatments, communication between the reconstructive plastic surgeon and the otologist is necessary to detect hearing loss and determine the best method of restoring hearing in conjunction with microtia repair.
HubMed – rehab


Clinical presentation and manual therapy for upper quadrant musculoskeletal conditions.

Filed under: Rehab Centers

J Man Manip Ther. 2011 Nov; 19(4): 201-11
Isabel de-la-Llave-Rincón A, Puentedura EJ, Fernández-de-Las-Peñas C

In recent years, increased knowledge of the pathogenesis of upper quadrant pain syndromes has translated to better management strategies. Recent studies have demonstrated evidence of peripheral and central sensitization mechanisms in different local pain syndromes of the upper quadrant such as idiopathic neck pain, lateral epicondylalgia, whiplash-associated disorders, shoulder impingement, and carpal tunnel syndrome. Therefore, a treatment-based classification approach where subjects receive matched interventions has been developed and, it has been found that these patients experience better outcomes than those receiving non-matched interventions. There is evidence suggesting that the cervical and thoracic spine is involved in upper quadrant pain. Spinal manipulation has been found to be effective for patients with elbow pain, neck pain, or cervicobrachial pain. Additionally, it is known that spinal manipulative therapy exerts neurophysiological effects that can activate pain modulation mechanisms. This paper exposes some manual therapies for upper quadrant pain syndromes, based on a nociceptive pain rationale for modulating central nervous system including trigger point therapy, dry needling, mobilization or manipulation, and cognitive pain approaches.
HubMed – rehab


Whiplash-associated disorder: musculoskeletal pain and related clinical findings.

Filed under: Rehab Centers

J Man Manip Ther. 2011 Nov; 19(4): 194-200
Sterling M

The aim of this paper was to review the physical and psychological processes associated with whiplash-associated disorders. There is now much scientific data available to indicate the presence of disturbed nociceptive processing, stress system responses, muscle and motor changes as well as psychological factors in both acute and chronic whiplash-associated disorders. Some of these factors seem to be associated with the transition from acute to chronic pain and have demonstrated prognostic capacity. Further investigation is required to determine if these processes can be modified and if modification will lead to improved outcomes for this condition. The burden of whiplash injuries, the high rate of transition to chronicity, and evidence of limited effects of current management on transition rates demand new directions in evaluation and management. The understanding of processes underlying this condition is improving and this lays the foundation for the development of more effective management approaches.
HubMed – rehab


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