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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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10
May |
Designing Better Prosthetic LimbsCategory: Rehabilitation / Physical Therapy | Leave a Comment |
People walking normally, women tottering in high heels and ostriches strutting all exert the same forces on the ground despite very differently-shaped feet, according to research funded by the Wellcome Trust and the Biotechnology and Biological Sciences Research Council…
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10
May |
Designing Better Prosthetic LimbsCategory: Rehabilitation / Physical Therapy | Leave a Comment |
People walking normally, women tottering in high heels and ostriches strutting all exert the same forces on the ground despite very differently-shaped feet, according to research funded by the Wellcome Trust and the Biotechnology and Biological Sciences Research Council…
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18
Jan |
Anatomically Designed Seat Developed For Wheelchairs Encourages User MovementCategory: Rehabilitation / Physical Therapy | Leave a Comment |
Empa engineers, together with the firm ‘r going’, have succeeded in developing an ergonomic seat for electric wheelchairs which encourages the user to move around frequently. True to the motto ‘life is movement’ the aim is to enhance the freedom of movement of wheelchair users with a range of disabilities. Today’s office workplaces are designed to be as ergonomic as possible…
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26
Sep |
Artificial Joints Toughen Up With Radiation BoostCategory: Rehabilitation / Physical Therapy | Leave a Comment |
A blast of gamma radiation could toughen up plastic prosthetic joints to make them strong enough to last for years, according to researchers in China writing in the current issue of the International Journal of Biomedical Engineering and Technology…
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14
Aug |
Rehab Robots Lend Stroke Patients A HandCategory: Rehabilitation / Physical Therapy | Leave a Comment |
Robot-assisted therapy has measurable benefits for patients with a weaker arm following a stroke. This is according to new research featured in the journal Clinical Rehabilitation, published by SAGE, which is the first to use accelerometers to track patients’ improvement and compare real world results…
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17
Mar |
Next-Generation Myomo System Helps People With Stroke/Neurological Impairments Move Their Arms AgainCategory: Rehabilitation / Physical Therapy | Leave a Comment |
Myomo, Inc., the developer of solutions for restoring mobility, has launched the Myomo Mobility System, a comprehensive program that helps neurologically impaired people move their arms again, maintain their movement and return to routine daily activities. The system is based on the new mPower 1000, the next-generation of Myomo’s award-winning neuro-robotic arm brace…
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6
Dec |
“Deutscher Zukunftspreis 2010″ Won By Team From Festo And Fraunhofer IPACategory: Rehabilitation / Physical Therapy | Leave a Comment |
Inspired by the elephant’s trunk, researchers have developed an entirely new robot arm. Precision-tuned and flexible, this novel high-tech helper can work in industry and in the home. For this development, on December 1, Dr.-Ing. Peter Post and Dipl.-Ing. Markus Fischer of Festo, joined by Dipl.-Ing…
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14
Aug |
Children Taught To Use Wheelchair By ROLY-RObotCategory: Rehabilitation / Physical Therapy | Leave a Comment |
A robotic wheelchair is being developed that will help children learn to ‘drive’. Researchers writing in BioMed Central’s open access Journal of NeuroEngineering and Rehabilitation describe the testing of ROLY-RObot-assisted Learning for Young drivers - in a group of children without disabilities and one child with cerebral palsy…
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25
Jun |
Potential Applications For Gait Analysis TechnologyCategory: Rehabilitation / Physical Therapy | Leave a Comment |
People recovering from injuries, the elderly and even athletes could one day benefit from a gait analysis technology being developed by a team at Oak Ridge National Laboratory. The patented system uses electrical signature analysis to measure, interpret and record the current drawn by a treadmill as a patient walks…
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16
Jun |
American Physical Therapy Association (Apta) Endorses Walkaide By Innovative Neurotronics, IncCategory: Rehabilitation / Physical Therapy | Leave a Comment |
The American Physical Therapy Association (APTA) has endorsed The WalkAide System, developed by Innovative Neurotronics, Inc. WalkAide is an intelligent functional electrical stimulation (FES) system that restores mobility to people who experience a form of lower leg paralysis known as foot drop…