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Background: A treatment algorithm and screening examination have been developed to guide patient management and prospectively determine potential for highly active individuals to succeed with nonoperative care after anterior cruciate ligament rupture.
Objective: To prospectively characterize and classify the entire population of highly active individuals over a 10-year period and provide final outcomes for individuals who elected nonoperative care.
Methods: Inclusion criteria included presentation within 7 months of the index injury and an International Knee Documentation Committee level I or II activity level before injury. Concomitant injury, unresolved impairments, and a screening examination were used as criteria to guide management and classify individuals as noncopers (poor potential) or potential copers (good potential) for nonoperative care.
Results: A total of 832 highly active patients with subacute anterior cruciate ligament tears were seen over the 10-year period; 315 had concomitant injuries, 87 had unresolved impairments, and 85 did not participate in the classification algorithm. The remaining 345 patients (216 men, 129 women) participated in the screening examination a mean of 6 weeks after the index injury. There were 199 subjects classified as noncopers and 146 as potential copers. Sixty-three of 88 potential copers successfully returned to preinjury activities without surgery, with 25 of these patients not undergoing anterior cruciate ligament reconstruction at the time of follow-up.
Conclusion: The classification algorithm is an effective tool for prospectively identifying individuals early after anterior cruciate ligament injury who want to pursue nonoperative care or must delay surgical intervention and have good potential to do so.
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23
Apr |
Vibration Therapy From The 19th Century May Help Today’s Parkinson’s PatientsCategory: Parkinson's Disease | Leave a Comment |
In the 19th century, Jean-Martin Charcot, the celebrated neurologist, developed a “vibration chair,” to relieve symptoms of Parkinson’s disease. Charcot reported improvements in his patients, but he died shortly thereafter and a more complete evaluation of the therapy was never conducted…
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12
Dec |
Using Eyebrain Tracker In Parkinson’s Therapy Clinical TrialCategory: Parkinson's Disease | Leave a Comment |
After Alzheimer’s, Parkinson’s disease is the second most common neurodegenerative disease, affecting 0.3% of the general population in western countries, with 100,000 sufferers in France and 8,000 new diagnoses each year. Its prevalence increases with age, reaching 1% in those above the age of 60 years, and as much as 4% in the over-80s…
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2
Dec |
Phosphorylated Alpha-Synuclein, A Substance Found In The Blood Of Parkinson’s Patients, Could Lead To Definitive Diagnostic ToolCategory: Parkinson's Disease | Leave a Comment |
A new research report appearing in the December issue of the FASEB Journal shows how scientists from the United Kingdom have developed a simple blood test to detect Parkinson’s disease even at the earliest stages…
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1
Dec |
Blood Test Detects Parkinson’s Long Before SymptomsCategory: Parkinson's Disease | Leave a Comment |
A study led by the School of Health and Medicine at the University of Lancaster in the UK suggests it may be possible to detect Parkinson’s disease in the early stages, long before external symptoms emerge, with a simple blood test that looks for a marker called phosphorylated alpha-synuclein. A report on the study appears in the December issue of the FASEB Journal…
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1
Dec |
Blood Test Detects Parkinson’s Long Before SymptomsCategory: Parkinson's Disease | Leave a Comment |
A study led by the School of Health and Medicine at the University of Lancaster in the UK suggests it may be possible to detect Parkinson’s disease in the early stages, long before external symptoms emerge, with a simple blood test that looks for a marker called phosphorylated alpha-synuclein. A report on the study appears in the December issue of the FASEB Journal…
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20
Oct |
Playing Computer Games Helps Parkinson’s PatientsCategory: Parkinson's Disease | Leave a Comment |
More than half of the people with Parkinson’s disease who took part in a small pilot study led by the University of California - San Francisco (UCSF) School of Nursing and Red Hill Studios showed small improvements in walking speed, balance and stride length after three months of playing computer-based physical therapy games…
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20
Oct |
Parkinson’s Disease Patients May Benefit From Next-Generation Brain StimulationCategory: Parkinson's Disease | Leave a Comment |
Parkinson’s disease (PD) is a devastating and incurable disease that causes abnormal poverty of movement, involuntary tremor, and lack of coordination. A technique called deep brain stimulation (DBS) is sometimes used to improve motor symptoms in patients with advanced disease…
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29
Aug |
Test For Movement Disorders Gives Physicians Better Tool To Diagnose Parkinson’s DiseaseCategory: Parkinson's Disease | Leave a Comment |
Thanks to a new diagnostic imaging technique, physicians now have an objective test to evaluate patients for parkinsonian syndromes, such as Parkinson’s disease. Northwestern Memorial Hospital is among the first institutions in the country to offer DaTscan™, the only FDA-approved imaging agent for assessment of movement disorders…
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Mar |
Recordings Of Abnormal Neural Activity From Deep In The Brain Of Parkinson’s Disease And Dystonia PatientsCategory: Parkinson's Disease | Leave a Comment |
Movement disorders such as Parkinson’s diseases and dystonia are caused by abnormal neural activity of the basal ganglia located deep in the brain. The basal ganglia are connected to the cerebral cortex in the brain surface through complex neural circuits…
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Nov |
UF-Developed Device May Reduce Swallowing Health Risk In Patients With Parkinson’s DiseaseCategory: Parkinson's Disease | Leave a Comment |
A hand-held device that strengthens the muscles involved in swallowing can address a serious symptom of Parkinson’s disease, according to a new University of Florida study…