Rehab Centers: Outcomes of Open Subacromial Decompression After Failed Arthroscopic Acromioplasty.

Outcomes of open subacromial decompression after failed arthroscopic acromioplasty.

Filed under: Rehab Centers

ISRN Surg. 2012; 2012: 806843
Pillai A, Eranki V, Malal J, Nimon G

Aim. To prospectively assess the effectiveness of revision with open subacromial decompression in patients who had a previous unsatisfactory outcome with the arthroscopic procedure. Methods. 11 patients were identified for the study, who did not demonstrate expected improvement in symptoms after arthroscopic acromioplasty. All patients underwent structured rehabilitation. Functional evaluation was conducted using the Hospital for Special Surgery, New York, shoulder rating questionnaire. Results. M?:?F was 7?:?4. The mean age was 57?years. The average shoulder score improved from 49.6 preoperatively to 56 postoperatively at an average followup of 16 months. Two patients showed deterioration in their shoulder scores after revision while the rest showed only marginal improvement. All except one patient stated that they would opt for surgery again if given a second chance. Conclusion. In the group of patients that fail to benefit from the arthroscopic decompression, only a marginal improvement was noted after revision with open decompression.
HubMed – rehab


Tulsa oklahoma oktoberfest tent collapse report.

Filed under: Rehab Centers

Emerg Med Int. 2012; 2012: 729795
Deal KE, Synovitz CK, Goodloe JM, King B, Stewart CE

Background. On October 17, 2007, a severe weather event collapsed two large tents and several smaller tents causing 23 injuries requiring evacuation to emergency departments in Tulsa, OK. Methods. This paper is a retrospective analysis of the regional health system’s response to this event. Data from the Tulsa Fire Department, The Emergency Medical Services Authority (EMSA), receiving hospitals and coordinating services were reviewed and analyzed. EMS patient care reports were reviewed and analyzed using triage designators assigned in the field, injury severity scores, and critical mortality. Results. EMT’s and paramedics from Tulsa Fire Department and EMSA provided care at the scene under unified incident command. Of the 23 patients transported by EMS, four were hospitalized, one with critical spinal injury and one with critical head injury. One patient is still in ongoing rehabilitation. Discussion. Analysis of the 2007 Tulsa Oktoberfest mass casualty incident revealed rapid police/fire/EMS response despite challenges of operations at dark under severe weather conditions and the need to treat a significant number of injured victims. There were no fatalities. Of the patients transported by EMS, a minority sustained critical injuries, with most sustaining injuries amenable to discharge after emergency department care.
HubMed – rehab


Measurement of harm outcomes in older adults after hospital discharge: reliability and validity.

Filed under: Rehab Centers

J Aging Res. 2012; 2012: 150473
Douglas A, Letts L, Eva K, Richardson J

Objectives. Defining and validating a measure of safety contributes to further validation of clinical measures. The objective was to define and examine the psychometric properties of the outcome “incidents of harm.” Methods. The Incident of Harm Caregiver Questionnaire was administered to caregivers of older adults discharged from hospital by telephone. Caregivers completed daily logs for one month and medical charts were examined. Results. Test-retest reliability (n = 38) was high for the occurrence of an incident of harm (yes/no; kappa = 1.0) and the type of incident (agreement = 100%). Validation against daily logs found no disagreement regarding occurrence or types of incidents. Validation with medical charts found no disagreement regarding incident occurrence and disagreement in half regarding incident type. Discussion. The data support the Incident of Harm Caregiver Questionnaire as a reliable and valid estimation of incidents for this sample and are important to researchers as a method to measure safety when validating clinical measures.
HubMed – rehab


The Passive Stiffness of the Wrist and Forearm.

Filed under: Rehab Centers

J Neurophysiol. 2012 May 30;
Formica D, Charles SK, Zollo L, Guglielmelli E, Hogan N, Krebs HI

Because wrist rotation dynamics are dominated by stiffness (Charles and Hogan 2011), understanding how humans plan and execute coordinated wrist rotations requires knowledge of the stiffness characteristics of the wrist joint. In the past, the passive stiffness of the wrist joint has been measured in 1 degree of freedom (DOF). While these 1-DOF measurements inform us of the dynamics the neuromuscular system must overcome to rotate the wrist in pure flexion-extension (FE) or pure radial-ulnar deviation (RUD), the wrist rarely rotates in pure FE or RUD. Instead, understanding natural wrist rotations requires knowledge of wrist stiffness in combinations of FE and RUD. The purpose of this paper is to present measurements of passive wrist stiffness throughout the space spanned by FE and RUD. Using a rehabilitation robot designed for the wrist and forearm, we measured the passive stiffness of the wrist joint in 10 subjects in FE, RUD, and combinations. For comparison, we measured the passive stiffness of the forearm (in pronation-supination) as well. Our measurements in pure FE and RUD agreed well with previous 1-DOF measurements. We linearized the 2-DOF stiffness measurements and present them in the form of stiffness ellipses and as stiffness matrices useful for modeling wrist rotation dynamics. We found that passive wrist stiffness was anisotropic, with greater stiffness in RUD than in FE. We also found that passive wrist stiffness did not align with the anatomical axes of the wrist; the major and minor axes of the stiffness ellipse were rotated with respect to the FE and RUD axes by approximately 20°. The direction of least stiffness was between ulnar flexion and radial extension, a direction used in many natural movements (known as the ‘dart-thrower’s motion”), suggesting that the nervous system may take advantage of the direction of least stiffness for common wrist rotations.
HubMed – rehab


CRC Health Group to Present Emerging Trends in Adolescent Treatment at West

Filed under: Rehab Centers

Their panel discussion will explore the complexity of issues facing adolescents, with CRC's experts explaining the various options for adolescent treatment available today, including residential treatment centers, wilderness therapy, …
Read more on PR Web (press release)


Infant massage classes offered at Hanover Rehab

Filed under: Rehab Centers

Hanover Hospital Rehab Centers now offers Infant Massage classes, which can provide stress relief for Mom, Dad and baby. Infant massage provides parents with an opportunity to deepen the bond with their new child and offers research-based benefits for …
Read more on Gettysburg Times


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