Guidelines and Pitfalls for the Rehabilitation Following Hip Arthroscopy.

Guidelines and pitfalls for the rehabilitation following hip arthroscopy.

Curr Rev Musculoskelet Med. 2013 Jul 14;
Malloy P, Malloy M, Draovitch P

Rehabilitation guidelines following hip arthroscopy have been presented in the literature with common themes consisting of initial protection, restoration of lumbo-pelvic stability, neuromuscular re-education, and return to sport training. The purpose of this review is to present hip arthroscopy guidelines in 4 phases and to address common pitfalls that may delay the rehabilitative process. The goal of phase 1 should be to protect healing tissues through activity modifications. Phase 2 intends to return the patient to pain-free community ambulation without compensation or irritation. A review of hip muscular actions during gait is presented to guide exercise progressions during this phase. Phase 3 should reestablish neuromuscular control through strength and endurance training to provide the foundation for return to functional activities or sports training progressions. The last phase of rehabilitation is dedicated to reestablishing power, speed, agility, and skill for advanced sports and advanced functions. HubMed – rehab

Comparison of two protocols of transcranial magnetic stimulation for treatment of chronic tinnitus: a randomized controlled clinical trial of burst repetitive versus high-frequency repetitive transcranial magnetic stimulation.

Neurol Sci. 2013 Jul 13;
Forogh B, Yazdi-Bahri SM, Ahadi T, Fereshtehnejad SM, Raissi GR

The aim of the study was to compare the effects of two techniques of repetitive Transcranial Magnetic Stimulation (rTMS) to treat chronic tinnitus; continuous Theta Burst Stimulation (cTBS) and high-frequency rTMS. In a controlled randomized clinical trial, 55 patients with chronic tinnitus were randomly divided in two groups. They received four sessions of treatment. cTBS was tested on one group and high-frequency rTMS (10 Hz) was tested on the other. Severity of the tinnitus was assessed before treatment, after the last treatment session and then 1-month later. Both the treatments of high-frequency and cTBS had a suppressive effect on tinnitus. However, cTBS was more effective than high-frequency rTMS (P = 0.001). This study suggests that rTMS even in four sessions is effective in reducing tinnitus severity; moreover, compared to high-frequency TMS better results can be achieved with cTBS. HubMed – rehab

Early Neurodevelopment in Infants With Deformational Plagiocephaly.

J Craniofac Surg. 2013 Jul; 24(4): 1225-1228
Knight SJ, Anderson VA, Meara JG, Da Costa AC

The objective of this study was to characterize the early neurodevelopmental profile of Australian infants with deformational plagiocephaly (DP). Twenty-one infants with a confirmed diagnosis of DP (mean age, 7.9 months; SD, 2.0 months) were assessed on the Bayley Scales of Infant Development, Second Edition, before treatment. As a group, infants with DP showed significantly weaker motor skills compared with the normative population. Patients with DP did not significantly differ from normative population estimates with respect to cognitive abilities. Males with DP displayed significantly reduced motor abilities compared to females. These findings do not suggest that DP causes developmental problems, but DP could be a marker for risk of developmental problems. Screening for developmental concerns in infants with DP is therefore important. HubMed – rehab

Vertical distraction osteogenesis combined with bilateral 2-step osteotomy for preprosthetic rehabilitation of edentulous mandible.

J Craniofac Surg. 2013 Jul; 24(4): 1175-8
Marianetti TM, Leuzzi F, Foresta E, Gasparini G, Cervelli D, Amoroso PF, Pelo S

The aim of the current study was to appraise the effectiveness of distraction osteogenesis combined with bilateral 2-step osteotomy for the vertical augmentation of atrophic edentulous mandibles.To verify the predictability of this technique, we evaluated bone density and vertical bone gain of a cohort of 27 patients.The intraoral alveolar distractor was placed in the symphyseal area; then, it was left in situ for 2 months after surgery to consolidate the newly formed bone. A total of 189 implants were inserted. The main complications’ issue was tied up to the neurosensory disturbances of the inferior alveolar nerve, which disappeared few months after the surgery.At the end of the distraction osteogenesis, a mean vertical bone gain of 10.5 mm evaluated by comparing preoperative and postoperative computed tomography was reached. Three months after the surgery, the radiologic data indicated that the difference in the mean bone density, recorded in Hounsfield units (HU), between the distracted bone and the preexisting mandibular bone was not statistically significant (P > 0.05). The last measurements done showed that the osseous density in the distraction chamber was higher than the original medullary bone density: the regenerated bones were more dense (876.8 [205.9] HU) than the preexisting medullary bone (312.1 [142.3] HU) and less dense than the preexisting cortical bone (1721.1 [170.4] HU) at the ninth month.In conclusion, this approach appeared to be a viable solution for the improvement of vertical volume in atrophic mandibles. HubMed – rehab