Total Hip Replacement in Dancers.

Total hip replacement in dancers.

Clin Rheumatol. 2013 Apr 16;
Buyls IR, Rietveld AB, Ourila T, Emerton ME, Bird HA

A case report of a professional contemporary dancer who successfully returned to the stage after bilateral total hip replacements (THR) for osteoarthritis is presented, together with her own commentary and a retrospective cohort study of total hip replacements in dancers. In the presented cohort, there were no post-operative dislocations or infections, the original pain had been relieved, rehabilitation was objectively normal and all resumed their dance (teaching) activities. Nevertheless, they were disappointed about the prolonged rehabilitation. Due to their high demands as professional dancers, post-operative expectations were too optimistic in view of the usual quick and favourable results of THR in the older and less physically active, general population. In all dancers with unilateral osteoarthritis, the left hip was involved, which may reflect the tendency to use the left leg as standing leg and be suggestive that strenuous physical activity may lead to osteoarthritis. Better rehabilitation guidelines are needed for dancer patients undergoing THR, especially drawing their attention to realistic post-operative expectations. HubMed – rehab


[The lifetime and point prevalence of neck, upper back and low back pain of the people living in central Malatya with influencing factors].

Agri. 2013 Jan; 25(1): 27-35
Ozdemir F, Karao?lu L, Ozfirat O

Objectives: To determine the lifetime and point prevalence of neck, upper back and low back pain of people living in central Malatya with influencing factors. Methods: This research study is a cross-sectional interview survey. Thirty health house spots tied to the health clinics in the city center were chosen as thirty sets with the method of sampling and 600 people by taking 20 people from each set were included in the research. The data were collected between the 1st of June and the 1st of September. The association between pain prevalence and socio-demographic, health and behavior related characteristics were evaluated. Chi-square and backward stepwise logistic regression tests were used in the analyses. Results: Of the participants, 56.2% were women, 46.8% were men, and the mean age was 38.5±0.5 years. The lifetime neck, upper back and low back prevalence were 79.3%, 59.5% and 86.3%, respectively. The point prevalence of neck, upper back and low back were 12.0%, 3.0% and 18.3%, in that order. Gender, age, and psychological problems were determined to be the main predictors of life time pain prevalence. For point pain prevalences, the main predictors were gender, psychological problems and body mass index. Conclusion: Both lifetime and point pain prevalence showed that musculoskeletal disorders symptoms were common in the central Malatya region. In-service training of health personnel on the subject, assessment, notification, and prevention methods should be developed. HubMed – rehab


Proposal for SICSeG guidelines for rehabilitation after anatomical shoulder prosthesis in concentric shoulder osteoarthritis.

Musculoskelet Surg. 2013 Apr 16;
Fusaro I, Orsini S, Stignani S, Creta D, Cava FC, Benedetti MG

PURPOSE: The purpose of this paper is to provide up-to-date guidelines on rehabilitation after anatomical shoulder prosthesis for concentric shoulder osteoarthritis, as previous guidelines date back to late 1970s and are no longer adequate due to the evolution of prosthesis models and surgical techniques. METHODS: The physiatric committee of the Italian Society of Shoulder and Elbow Surgery (SICSeG-Società Italiana di Chirurgia della Spalla e del Gomito) performed a search for all the existing literature related to rehabilitation after shoulder replacement. A total of 29 papers concerning shoulder rehabilitation were reviewed. In addition, the main Italian orthopedic surgeons and physiatrists dealing with shoulder surgery and rehabilitation were interviewed to obtain indications when literature was not conclusive. RESULTS: From literature evaluation and expert consultation, we produced guidelines concerning: patient evaluation by means of adequate rating scales, preoperative treatment, early intermediate and advanced postoperative phases, rehabilitation of scapulo-thoracic joint, return to work and sports, length of rehabilitation and follow-up. CONCLUSIONS: This proposal for guidelines was presented during the 11th SICSeG Congress on May 2012 and to the main scientific societies concerned in shoulder surgery and rehabilitation. A consensus conference is needed in order to formalize and make them usable from all the professional figures involved in this field. HubMed – rehab


Traumatic versus non-traumatic spinal cord injuries: are there differential rehabilitation outcomes?

Spinal Cord. 2013 Apr 16;
Kennedy P, Chessell ZJ

Study design:Retrospective case review.Objectives:To compare the rehabilitation outcomes between patients with traumatic spinal cord injuries and patients with non-traumatic spinal cord injuries, using The Needs Assessment Checklist (NAC), to observe if both the groups benefit from the same rehabilitation programme.Setting:Tertiary care, spinal cord injury rehabilitation unit (National Spinal Injuries Centre), Stoke Mandeville Hospital, UK.Methods:Information obtained with the NAC at two time points during patients’ rehabilitation was examined. Statistical analysis investigated the rehabilitation outcomes both between and within groups.Results:Initial differences were observed on admission between patients with traumatic and non-traumatic spinal cord injuries in five of the ten rehabilitation domains measured, with patients with non-traumatic injuries presenting with better outcomes. At a later stage in patients’ rehabilitation, however, differences between the groups had lessened. Furthermore, the results demonstrated that the whole cohort made significant improvements in all the ten rehabilitation domains, with the same finding evident for both patients with traumatic and patients with non-traumatic spinal cord injuries.Conclusion:Patients with traumatic spinal cord injuries and patients with non-traumatic spinal cord injuries benefitted from the same rehabilitation programme in a spinal injury centre, making significant improvements in all ten rehabilitation domains measured, suggesting that it is effective to admit and rehabilitate patients with injuries resulting from both traumatic and non-traumatic aetiologies in the same specialised setting.Spinal Cord advance online publication, 16 April 2013; doi:10.1038/sc.2013.27. HubMed – rehab