Download or read book Long term Effects Following an Acute Lateral Ankle Sprain in a College aged Population written by Bethany A. Wisthoff and published by . This book was released on 2019 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ankle is the most common body part injured by an athletic population with ankle sprains consisting of 77% of all ankle injuries. Approximately 72% of patients following an ankle sprain have reported residual symptoms six to 18 months later. Of those that reported residual symptoms, 40% reported at least one moderate to severe symptom, which included: perceived ankle weakness, perceived ankle instability, pain, and swelling. Previous research has shown that approximately 30% of patients suffering an initial ankle sprain will develop chronic ankle instability. Chronic ankle instability (CAI) is defined by those that have suffered recurrent ankle sprains, may have prolonged symptoms, and may exhibit mechanical and/or functional instability. Functional deficits have been seen in those with CAI, specifically to postural control or dynamic balance. The overall purpose of the current study was to determine if differences existed in the severity of the ankle sprain, pain, and dorsiflexion range-of-motion (DFROM) and the long-term effects of talocrural joint laxity, ligament thickness, and dynamic balance measures after an acute ankle sprain (AAS) in a college-aged population. Secondarily, to determine if differences occur in these measures between AAS, CAI, and to those without a history of ankle sprains (CON). Those who experienced an AAS had increased inversion (INV) stress, INV talofibular interval (TI), and anterior drawer (AD) stress compared to CON and CAI. Anterior talofibular ligament (ATFL) thickness was greater in AAS than CON, and greater in CAI than CON. In DFROM, CAI had less ROM than CON. In the Y Balance Test (YBT), CAI had less relative reach distance in anterior (ANT), posteromedial (PM), and composite (COMP) compared to CON. AAS also had less COMP percentage than CAI and CON. As clinicians, we must be aware that those who sustain a lateral ankle sprain should be assessed in the areas mentioned (range-of-motion, ankle laxity, musculoskeletal ultrasound, dynamic balance) to determine if differences exist over time. This research shows that those that have sustained an AAS, regardless of whether or not they have sprained that ankle before, still show deficits in ankle laxity, ROM, and dynamic balance 6-months later; however, those with CAI continue demonstrating deficits over time.
Download or read book Impairment in Dynamic Postural Control Following an Acute Lateral Ankle Sprain written by Anne Lorene Bryan and published by . This book was released on 2012 with total page 61 pages. Available in PDF, EPUB and Kindle. Book excerpt: Author's abstract: Lateral ankle sprains are the most common injury in sports, with an estimated 25,000 per day. Current research assesses postural control deficits following lateral ankle sprains; however most studies use static stances instead of dynamic stances. Most of the current research compares injured limb to non-injured limb, however bilateral impairments have been found to be present. Twenty Division I student athletes will be recruited to participate in this study, ten subjects will be NCAA Division I student athletes who have suffered a lateral ankle sprain. Control subjects will be healthy NCAA Division I student athletes, matched by height and gender with the injured subjects. Dynamic postural control will be evaluated by gait initiation, which will be assessed using the Vicon system and then compared to matched healthy control values. MANOVA revealed no significant difference in dynamic postural control following a lateral ankle sprain when compared to control group. Significant differences were found in range of motion assessment as well as perceived function assessment.
Download or read book Handbook of Balance Function Testing written by Gary P. Jacobson and published by Singular. This book was released on 1997 with total page 439 pages. Available in PDF, EPUB and Kindle. Book excerpt: An introductory reference on balance function testing for clinicians and technicians who assess patients with balance system disorders. Part I provides a historical framework for understanding the evolution of balance function testing. Part II begins with an overview of the anatomy and physiology of the vestibular system and principles of electro-oculography, then focuses on subtests comprising the ENG test battery. Parts III and IV describe rotational and CDP test techniques, and Part V addresses special issues such as medical and surgical treatment and assessment. Includes bandw diagrams. Annotation copyrighted by Book News, Inc., Portland, OR
Download or read book Evidence Based Sports Medicine written by Domhnall MacAuley and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition of the popular book Evidence-based Sports Medicine builds on the features that made the first edition such a valuable text and provides a completely up-to-date tool for sports medicine physicians, family practitioners and orthopedic surgeons. Updated to take into account new evidence from systematic reviews and controlled trials, Evidence-based Sports Medicine is a unique reference book on the optimum management of sports-related conditions. This second edition: contains sections on acute injury, chronic conditions, and injuries to the upper limb, groin and knee and to the lower leg pays increased attention to the important and emerging area of injury prevention features thoroughly revised methodology sections within each chapter, reflecting changes in technique and application MCQs and essay questions that allow readers to continually assess their knowledge and understanding of the topics covered
Download or read book Lateral Ankle Instability written by Hélder Pereira and published by Springer Nature. This book was released on 2021-04-28 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This superbly illustrated, up-to-date reference textbook covers all aspects of ankle instability and its management. Readers will find extensive information on biomechanics, injury prevention, current strategies for conservative treatment, and established and emerging surgical techniques. The most recent procedures, particularly those which are minimally invasive and arthroscopically assisted, are described and discussed in depth. Detailed attention is also devoted to controversies such as the indications and timing for conservative or surgical treatment, the current and future roles of arthroscopy, the definition of “anatomic” repair, and the upcoming concept of “anatomic reconstruction” (replication of anatomy by using a graft). The book is published in cooperation with ESSKA, and the chapter authors include clinicians and scientists working in the field of foot and ankle orthopaedics and sports medicine from across the world. All who are involved in the care of patients suffering from ankle instability, including amateur and high-level athletes, will find Lateral Ankle Instability to be an excellent source of knowledge and a valuable aid to clinical practice.
Download or read book Ankle Function Alterations Following Acute Ankle Sprains Over a 14 Day Period written by Michael Sean Patrick Mayes and published by . This book was released on 2014 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective: The objective of this study was to determine the effects of an acute lateral ankle sprain on self-reported function, self-reported pain, self-reported global function, joint effusion, dorsiflexion range of motion, and dynamic stability over a 14 day period following injury compared to healthy matched controls. Design and Setting: A case-control design was conducted in a laboratory setting. Subjects: Twenty-nine participants with an acute lateral ankle sprain (LAS) were assigned to a LAS group (10 males, 19 females; 20.41 ± 2.18 years; 176.44 ± 11.00 cm; 74.22 ± 14.33 kg), and twenty-two healthy participants were assigned to a control group (11 males, 11 females; 20.95 ± 2.97 years; 178.61 ± 10.96 cm; 76.39 ± 13.81 kg). Procedure: Experimental measures All participants were asked to report for a total of five tests sessions done at 36 hours, 5, 7, 10, and 14 days following initial injury; or from the day of enrollment as a healthy control. Each testing session lasted approximately 1 hour, with self-reported function and self-reported pain was assessed using the FADI, FADI Sport and VAS. Dynamic balance was assessed using the SEBT anterior, posteromedial, and posterolateral reach directions. Ankle girth was measured using the figure-of-eight method. Dorsiflexion range of motion was assessed using a goniometer. Frequency of rehabilitative exercises athletic, athletic participation and use of therapeutic modalities was collected using a treatment questionnaire. Results: Significant differences were found fourteen days following injury in all self-reported outcomes in the LAS group compared to Healthy controls (P=0.05). Significant decreases DF were found up to seven days post injury (P=0.05). Significant dynamic stability deficits were seen up to fourteen days following injury in the anterior reach and posteromedial reach of the star excursion balance text (SEBT) (P=0.05). No significant findings were seen in the posterolateral reach direction of the SEBT (P=0.05) at any time point. No significant findings were seen in ankle girth (P=0.05) at any time point. Conclusion: Those who suffer from a LAS exhibit decreased self-reported function, decreased dynamic postural control, decreased DF range of motion, increased self-reported pain, and increased ankle girth. While studies investigating acute function alterations in ankle sprains for 14 days following injury are limited, these results should be taken into consideration when making rehabilitation and return-to-play decisions. Clinicians may need to consider the possibility that a LAS return-to-play protocol time frame should be increased further than two weeks post injury. Word Count: 396.
Download or read book Orthopaedic Rehabilitation of the Athlete written by Bruce Reider and published by Elsevier Health Sciences. This book was released on 2014-12-15 with total page 1647 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prevent athletic injuries and promote optimal recovery with the evidence-based guidelines and protocols inside Orthopaedic Rehabilitation of the Athlete! Practical, expert guidance; a templated, user-friendly format make this rehab reference ideal for any practitioner working with athletes! Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Apply targeted, evidence-based strategies for all internationally popular athletic activities, including those enjoyed by older adults. Ensure optimal care from injury prevention through follow up 2 years post injury. Make safe recommendations for non-chemical performance enhancement.
Download or read book Elevation written by Jason D. Hageman and published by . This book was released on 2006 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Purpose of the Study: Ankle sprains are among the most common musculoskeletal injuries among athletes and are associated with all five signs of acute inflammation: redness, warmth, pain, edema, and loss of function. In the acute management of ankle sprains the current standard of care is to apply a treatment often referred to as R.I.C.E.(rest, ice, compression, and elevation). The elevation portion of this treatment is used in an attempt to retard edema formation. However, the efficacy of elevation in retarding edema formation following acute injury is unknown. It is unclear whether elevation plays any therapeutic role in acute injury management. Therefore, the purpose of this study is to determine whether elevation retards the formation of edema following the acute lateral ankle sprain. Research Method: Subjects are male and female varsity athletes from The Ohio State University who are within one hour of sustaining a lateral ankle sprain that will result in a loss of participation time. Subjects are randomly assigned to either the experimental group (standard care but elevation not used) or the control group (standard care including elevation). A figure-of-eight girth measurement of the injured ankle is used to assess ankle size and serve as a representation of ankle edema. The initial post-injury measurement will serve as a baseline for measurements repeated at twenty-four, forty-eight, and seventy-two hours post injury. This clinical trial was approved by the OSU Biomedical Sciences IRB, and subjects provide written informed consent prior to participating. Findings: No subjects were admitted to this clinical trial. Discussion: The following factors contributed to the inability to obtain subjects and data: specific population, short time period, rigorous inclusion criteria of injury, and possible cultural hesitance of practitioners to enroll their patients. Conclusions: Clinical research trials, such as this study, are critical to the development of the athletic training profession and to serve the best interests of the patient. Despite the difficulty in conducting clinical research trials, it is important that athletic trainers continue to attempt these studies aimed at obtaining valuable clinical evidence on the day-to-day practice of patient care.
Download or read book The Unstable Ankle written by Meir Nyska and published by Human Kinetics. This book was released on 2002 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pulls together up-to-date research on medical issues related to the unstable ankle and features contributions from an array of leading physicians and rehabilitation professionals. Complete and practical, this text addresses ankle instability problems in a variety of patient populations, including children and adolescents. Special consideration is given to at-risk individuals in selected sports and occupations.
Download or read book Spinal Reflex Alterations Following Acute Ankle Sprains written by Robyn E. Hafner and published by . This book was released on 2012 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Context: Lateral ankle sprain is the most common lower extremity injury in sport. It is well documented that previous ankle sprains can predispose an individual to future injuries and is hypothesized that altered input from the damaged ligaments may inhibit motor neuron pool excitability and lead to diminished muscle activation and chronic weakness of surrounding muscles. This phenomenon, known as arthrogenic muscle inhibition (AMI), can be a limiting factor in rehabilitation and the pathways involved with these neuromuscular deficits are not completely understood. Objective: Determine the effect of acute LAS on reflex excitability of lower leg musculature over a 14 day period compared to healthy matched controls. Additionally, to determine the relationship between H-reflex and dynamic postural control, self-reported measures of function and pain in individuals with LAS within 36 hours of injury. Design: Case-Control. Setting: Clinical Laboratory. Participants: Eight patients with acute lateral ankle sprain (3 males, 5 females; age= 21±1.85 years, height=174.63±9.77 cm, mass=73.81±19.56 kg) and eight healthy participants (3 males, 5 females: age=20.38±1.60 years, height=173.99±9.21 cm, mass=73.98±17.87 kg) volunteered to participate in this study. All participants were individuals from the University community. Interventions: All participants reported for a total of 5 test sessions at 36 hours, 5, 7, 10, and 14 days following the initial ankle sprain; or from the day of enrollment as a healthy control. Spinal reflexive excitability of the lower leg musculature was assessed bilaterally in each participant as well as self-reported function and pain, and dynamic balance. Main Outcomes: For each lower leg muscle's spinal reflex excitability, a repeated measures 2x5 ANOVA was used to determine if differences existed between groups over time. Spearman's rho correlation coefficients were calculated in the injured group between measures of lower leg spinal reflex excitability and self-reported disability, pain, function, and dynamic stability, at 36 hours following the initial injury. Alpha levels were set a priori at P
Download or read book Selected Health Conditions and Likelihood of Improvement with Treatment written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-07-12 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide disability benefits: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. SSDI provides disability benefits to people (under the full retirement age) who are no longer able to work because of a disabling medical condition. SSI provides income assistance for disabled, blind, and aged people who have limited income and resources regardless of their prior participation in the labor force. Both programs share a common disability determination process administered by SSA and state agencies as well as a common definition of disability for adults: "the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." Disabled workers might receive either SSDI benefits or SSI payments, or both, depending on their recent work history and current income and assets. Disabled workers might also receive benefits from other public programs such as workers' compensation, which insures against work-related illness or injuries occurring on the job, but those other programs have their own definitions and eligibility criteria. Selected Health Conditions and Likelihood of Improvement with Treatment identifies and defines the professionally accepted, standard measurements of outcomes improvement for medical conditions. This report also identifies specific, long-lasting medical conditions for adults in the categories of mental health disorders, cancers, and musculoskeletal disorders. Specifically, these conditions are disabling for a length of time, but typically don't result in permanently disabling limitations; are responsive to treatment; and after a specific length of time of treatment, improve to the point at which the conditions are no longer disabling.
Download or read book Core Topics in Foot and Ankle Surgery written by Andrew Robinson and published by Cambridge University Press. This book was released on 2018-04-19 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: This concise guide offers an ideal overview of both the practical and theoretical aspects of foot and ankle surgery for trainees and junior consultants. Easy to read chapters cover all areas of surgery, from examination, imaging, and the biomechanics of the foot and ankle, to specific conditions including amputations and prostheses, deformities, arthritis, cavus and flat foot, sports injuries, Achilles tendon, benign and malignant tumors and heel pain. Fractures and dislocations of the ankle, hind-, mid- and forefoot are also covered, as are the foot in diabetes and pediatrics. Written by a team of international experts, the text is an accessible way to prepare for postgraduate examinations and manage patients successfully.
Download or read book Sports Injuries of the Foot and Ankle written by Gian Luigi Canata and published by Springer. This book was released on 2019-04-12 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores in a comprehensive manner the best current treatment options for sports injuries of the foot and ankle. Particular attention is devoted to advanced surgical techniques, with practical and clear explanation of every step of the described procedures. The coverage encompasses management of the full range of ligament, bone and joint, and tendon injuries, and a concluding section addresses special considerations such as outcome assessment and advances in rehabilitation techniques. Foot and ankle injuries are extremely common in athletes and may endanger their sporting activity. The approach to these injuries is constantly evolving with the aim of achieving the best possible functional restoration. In presenting a state of the art update covering all aspects of treatment, this book will be of value for established foot and ankle surgeons, fellows and residents in orthopaedics, and all those involved in sports medicine. The authors are leading international experts renowned within their fields, and the book is published in collaboration with ISAKOS.
Download or read book Acute Rheumatic Fever and Rheumatic Heart Disease written by Dr. Scott Dougherty and published by Elsevier Health Sciences. This book was released on 2020-02-22 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute Rheumatic Fever and Rheumatic Heart Disease is a concise, yet comprehensive, clinical resource highlighting must-know information on rheumatic heart disease and acute rheumatic fever from a global perspective. Covering the major issues dominating the field, this practical resource presents sufficient detail for a deep and thorough understanding of the latest treatment options, potential complications, and disease management strategies to improve patient outcomes. Divided into four distinct sections for ease of navigation: Acute Rheumatic Fever, Rheumatic Heart Disease, Population-Based Strategies for Disease Control, and Acute and Emergency Presentations. International editors and chapter authors ensure a truly global perspective. Covers all clinical aspects, including epidemiology, pathophysiology, clinical features, diagnosis, management, and treatment. Includes key topics on population-based measures for disease control for effective primary, secondary, and tertiary prevention. Consolidates today’s available information and guidance into a single, convenient resource.
Download or read book Sleep Disorders and Sleep Deprivation written by Institute of Medicine and published by National Academies Press. This book was released on 2006-10-13 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.
Download or read book The Management of Pain in Older People written by Patricia Schofield, PhD, RGN and published by John Wiley & Sons. This book was released on 2007-04-04 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area.
Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.
