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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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12
Feb |
Children With Sleep Apnea Benefit From PAP, With Improvements In Sleep, Attention, Quality Of LifeCategory: Sleep / Sleep Disorders / Insomnia | Leave a Comment |
Children and adolescents with obstructive sleep apnea had substantial improvements in attention, anxiety and quality of life after treatment with positive airway pressure (PAP) - a nighttime therapy in which a machine delivers a stream of air through a mask into the nose. “The benefits occurred even when children didn’t fully adhere to the treatment,” said study leader Carole L. Marcus, M.D…
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9
Aug |
Nighttime-Breathing Machine Is Effective Treatment For Sleep ApneaCategory: Sleep / Sleep Disorders / Insomnia | Leave a Comment |
Among the treatments for obstructive sleep apnea, the effectiveness of a nighttime-breathing machine called a “CPAP” was backed by the strongest evidence, and a mouthpiece worn at night was also shown to be effective, according to a new report funded by HHS’ Agency for Healthcare Research and Quality…
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9
Aug |
Nighttime-Breathing Machine Is Effective Treatment For Sleep ApneaCategory: Sleep / Sleep Disorders / Insomnia | Leave a Comment |
Among the treatments for obstructive sleep apnea, the effectiveness of a nighttime-breathing machine called a “CPAP” was backed by the strongest evidence, and a mouthpiece worn at night was also shown to be effective, according to a new report funded by HHS’ Agency for Healthcare Research and Quality…
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26
Jul |
Interrupted Sleep Impairs MemoryCategory: Sleep / Sleep Disorders / Insomnia | Leave a Comment |
Using new technology to disrupt continuity of sleep in mice without changing other variables, scientists have concluded that interrupted sleep impairs memory…
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14
Jun |
With Mandibular Advancement Splint Patients Better Tolerate Positive Airway PressureCategory: Sleep / Sleep Disorders / Insomnia | Leave a Comment |
According to new research that was presented Saturday, June 11, at the 20th Anniversary Meeting of the American Academy of Dental Sleep Medicine (AADSM), the apnea-hypopnea index (AHI) in patients with severe obstructive sleep apnea (OSA) was more improved by a combination treatment of a mandibular advancement splint (MAS) and positive airway pressure (PAP) therapy than by cont…
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Jun |
Most People With Obstructive Sleep Apnea Remain Undiagnosed, And Untreated OSA Can Reduce Work ProductivityCategory: Sleep / Sleep Disorders / Insomnia | Leave a Comment |
Large corporations could save millions of dollars in lost productivity by screening and treating high-risk employees for obstructive sleep apnea, suggests a research abstract that was presented Monday, June 13, in Minneapolis, Minn., at SLEEP 2011, the 25th Anniversary Meeting of the Associated Professional Sleep Societies LLC (APSS)…
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Jun |
Novel Device Quantifies The Efficacy Of Oral Appliance Therapy For Snoring And Sleep ApneaCategory: Sleep / Sleep Disorders / Insomnia | Leave a Comment |
New research that was presented Saturday, June 11, at the 20th Anniversary Meeting of the American Academy of Dental Sleep Medicine (AADSM) in Minneapolis, Minn., quantified the efficacy of mandibular advancement splints (MAS) using a self-administered, at-home device to monitor snoring and sleep-disordered breathing…
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14
Jun |
Obstructive Sleep Apnea Can Be Detected Whilst Awake By Simple Analysis Of Breathing SoundsCategory: Sleep / Sleep Disorders / Insomnia | Leave a Comment |
The analysis of breathing sounds while awake may be a fast, simple and accurate screening tool for obstructive sleep apnea, suggests a research abstract that was presented Monday, June 13, in Minneapolis, Minn., at SLEEP 2011, the 25th Anniversary Meeting of the Associated Professional Sleep Societies LLC (APSS)…
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Jun |
Patients With Obtrusive Sleep Apnea Experience High Rates Of Therapy ComplianceCategory: Sleep / Sleep Disorders / Insomnia | Leave a Comment |
According to new research that was presented Saturday, June 11, at the 20th Anniversary Meeting of the American Academy of Dental Sleep Medicine (AADSM), objective compliance measurements agree with subjective compliance estimates in patients with obstructive sleep apnea (OSA) undergoing oral appliance therapy (OAT) - a finding that is not apparent in patients using continuous …
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May |
ImThera Medical Completes European Pilot Study For OSA Neurostimulation DeviceCategory: Sleep / Sleep Disorders / Insomnia | Leave a Comment |
ImThera Medical, Inc. today announced that it has concluded its Phase I and Phase II protocols for the European Pilot study of the aura6000, a neurostimulation device for treating Obstructive Sleep Apnea (OSA). Clinical trial results from the study will be announced at the American Thoracic Society’s International Conference on May 16, 2011 in Denver, CO. Principal investigator Dr…