Rehab Centers: The Influence of Obesity on Patient Reported Outcomes Following Total Knee Replacement.

The Influence of Obesity on Patient Reported Outcomes following Total Knee Replacement.

Filed under: Rehab Centers

Arthritis. 2012; 2012: 185208
Ayyar V, Burnett R, Coutts FJ, van der Linden ML, Mercer TH

This study retrospectively analysed the effects of obesity as described by Body Mass Index (BMI) on patient reported outcomes following total knee replacement. Participants (105 females and 66 males) who had undergone surgery under the care of a single surgeon were included in the review and were grouped according to their preoperative BMI into nonobese (BMI < 30?kg/m(2)), (n = 73) obese (BMI ? 30?kg/m(2)) (n = 98). Oxford Knee Score (OKS) and Short Form 12 scores (SF12) were taken preoperatively and 6 and 12 months after surgery to analyse differences between groups in the absolute scores as well as changes from before to after surgery. Preoperatively, the obese group had a significantly poorer OKS compared to non obese (44.7 versus 41.2, P = 0.003). There were no statistically significant group effects on follow-up or change scores of the OKS and SF12. Correlations coefficients between BMI and follow-up and change scores were low (r < 0.201). There were no significant differences in the number of complications and revisions (local wound infection, 6.7% non obese, 11% obese, postoperative systemic complication, 8% non obese, 12% obese, revision, 4% nonobese, 3% obese). In conclusion, our findings indicate similar degrees of benefits from the surgery irrespective of patient BMI. HubMed – rehab


New method for fabrication of gunning splint in orthognathic surgery for edentulous patients.

Filed under: Rehab Centers

J Dent (Tehran). 2012; 9(3): 262-6
Siadat H, Arshad M, Shirani G, Alikhasi M

Treatment planning poses difficulties in edentulous patients for orthognathic surgery prediction and fixation.Treatment of severe class III malocclusion frequently requires orthognathic surgical procedures. For such patients, orthognathic surgery would be the only option before prosthetic rehabilitation.This clinical report describes step-by-step fabrication of a surgical splint for an edentulous 22-year-old patient with a severe class III malocclusion.The patient wound up in class I occlusions and stable prosthodontic rehabilitation.Using splints for planning and guiding the surgery in edentulous patients facilitates accurate positioning of the jaws and saves time in the operating room.
HubMed – rehab


The contribution of exercise testing in the prescription and outcome evaluation of exercise training in pulmonary rehabilitation.

Filed under: Rehab Centers

Maedica (Buchar). 2012 Jan; 7(1): 80-6
Stroescu C, Ionita D, Croitoru A, Toma C, Paraschiv B

Pulmonary rehabilitation is a comprehensive therapeutic intervention with proven efficacy in relieving symptoms and increasing exercise tolerance in patients with chronic respiratory diseases.One of the main components of a pulmonary rehabilitation program is lower limbs exercise training. There are several ways of establishing the optimal intensity of the exercise training, using the target heart rate, symptom scores, walking tests and laboratory exercise tests with or without ventilation or gas exchange measurements. Each of these methods has advantages and disadvantages.The gold standard in exercise capacity evaluation is cardiopulmonary exercise testing (CPET) which brings a high level of objectivity in exercise tolerance evaluation and provides information on mechanisms responsible for its decline; this allows a better training prescription and a correct evaluation of rehabilitation outcomes.
HubMed – rehab



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