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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.
NAVIGATION
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17
Oct |
Computerized Text Analysis Uncovers The Word Patterns Of A Psychopathic KillerCategory: Psychology / Psychiatry | Leave a Comment |
As words can be the soul’s window, scientists are learning to peer through it: Computerized text analysis shows that psychopathic killers make identifiable word choices - beyond conscious control - when talking about their crimes. This research could lead to new tools for diagnosis and treatment, and have implications law enforcement and social media…
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8
Mar |
New Version Of PAR Assessment Toolkit™ Expands Toolset For PsychologistsCategory: Psychology / Psychiatry | Leave a Comment |
As the market for mobile applications expands, psychologists can now be on the cutting edge with a mobile app that aids them in assessing and evaluating client needs. At the forefront of this technology is the updated PAR Assessment Toolkit™ Version 2.0, a convenient application that aids psychologists by providing shortcuts to the tools used on a daily basis…
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22
Feb |
Studying The Brain’s Perception Of Its Own BodyCategory: Psychology / Psychiatry | Leave a Comment |
Leave your body and shake hands with yourself, gain an extra limb or change into a robot for a while. Swedish neuroscientist Henrik Ehrsson has demonstrated that the brain’s image of the body is negotiable. Applications stretch from touch-sensitive prostheses to robotics and virtual worlds…
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22
Feb |
Studying The Brain’s Perception Of Its Own BodyCategory: Psychology / Psychiatry | Leave a Comment |
Leave your body and shake hands with yourself, gain an extra limb or change into a robot for a while. Swedish neuroscientist Henrik Ehrsson has demonstrated that the brain’s image of the body is negotiable. Applications stretch from touch-sensitive prostheses to robotics and virtual worlds…
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22
Sep |
Canadian Company Develops Subconscious Screening TechnologyCategory: Psychology / Psychiatry | Leave a Comment |
The National Mental Health Association reports that over 65 million Americans suffer from some type of mental illness and that 1 in 5 people will experience some mental illness during their life…
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25
Aug |
SureGene And The Medco Research Institute™ Enter A Collaboration To Evaluate The Ability Of Genetic Biomarkers To Enhance Drug SelectionCategory: Psychology / Psychiatry | Leave a Comment |
SureGene, LLC and the Medco Research Institute™, LLC, a wholly-owned subsidiary of Medco Health Solutions, Inc…
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25
Feb |
Columbia University Psychiatry Professors Prescribe Fisher Wallace Cranial Stimulator To Over 250 PatientsCategory: Psychology / Psychiatry | Leave a Comment |
Fisher Wallace Laboratories announced that two psychiatry professors at Columbia University, Dr. Richard Brown and Dr. Andres San Martin, have prescribed the Fisher Wallace Cranial Stimulator to more than 250 patients suffering from depression, anxiety and insomnia…
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13
Nov |
A Very Encouraging Clinical Trial For Patients With OCDCategory: Psychology / Psychiatry | Leave a Comment |
OCD affects 2% of the population and is considered a psychiatric disorder. It is the number four psychiatric pathology in terms of frequency following phobias, disorders relating to alcohol and drugs, and depression. The people affected are obsessed with cleanliness, order, and symmetry, or are overcome by doubts and irrational fears. In order to reduce their anxiety, they carry out rituals of tidying, washing or verification for several hours a day in the most serious cases.
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7
Oct |
Brain Response To Negative Comments Observed In Social Phobia PatientsCategory: Psychology / Psychiatry | Leave a Comment |
Patients with generalized social phobia respond with different brain imaging patterns when they make negative comments about themselves, according to a report released on October 6, 2008 in Archives of General Psychiatry, one of the JAMA/Archives journals. Generalized social phobia generally involves fear and avoidance of social situations, paired with fear of negative judgment from others, according to the authors.