The continuum of hip range of motion: From soft‐tissue restriction to bony impingement

2020 ◽  
Vol 38 (8) ◽  
pp. 1779-1786
Author(s):  
Shuyang Han ◽  
Virgenal L. Owens ◽  
Rikin V. Patel ◽  
Sabir K. Ismaily ◽  
Melvyn A. Harrington ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Bony Impingement ◽  
Hip Range Of Motion ◽  
The Continuum

scholarly journals Arthroscopic treatment of anteromedial ankle impingement

2020 ◽  
Vol 14 (3) ◽  
pp. 260-263
Author(s):  
Guillermo Arrondo ◽  
Daniel Gómez ◽  
Germán Joannas ◽  
Xavier Martín-Oliva ◽  
Matías Iglesias ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Case Series ◽  
Functional Results ◽  
Level Of Evidence ◽  
Bony Impingement ◽  
Soft Tissue Impingement ◽  
Arthroscopic Removal ◽  
Physical Impact

Objective: Impingement syndromes are recognized as an important cause of chronic ankle pain, which results from the entrapment of an inflamed soft-tissue component between the osteophytes. The predominant site of occurrence is the anterolateral aspect of the ankle for soft-tissue impingement, and anteromedial aspect for bony impingement. Symptoms related to the physical impact of bone or soft-tissue pain often result in limited ankle range of motion. Methods: We conducted a retrospective study of 34 patients (34 ankles) with anteromedial bony impingement. All patients underwent arthroscopy, with a mean follow-up of 34 months. Results: All osteophytes were removed, and the ankle range of motion improved. The AOFAS score improved from 73 preoperatively to 95 postoperatively. Conclusion: The arthroscopic removal of the anteromedial osteophytes of the ankle had excellent functional results. It is an effective procedure that allows rapid patient recovery. Level of Evidence IV; Therapeutic Studies; Case Series.

scholarly journals Post-operative Virtual Range of Motion in Robotic-assisted THA Patients to determine Pre-operative Simulation Needs

10.29007/ld57 ◽  
2020 ◽  
Author(s):  
Matthew Thompson ◽  
Roopa Guttal ◽  
Shon Darcy ◽  
Akshay Alaghatta ◽  
Andrea Marcovigi ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Pelvic Tilt ◽  
Robotic Assisted ◽  
Total Hip ◽  
Bony Impingement ◽  
Hip Range Of Motion ◽  
Patient Reported ◽  
Pelvic Position ◽  
Hip Arthroplasties ◽  
Stem Version

For preoperative simulations of hip range of motion to be useful in predicting complications after total hip arthroplasty (THA), the factors that could affect post-operative function must be considered including, but not limited to, bony impingement, pelvic position, and implanted vs. planned differences. This study retrospectively simulates ranges of motion to prosthetic and bony impingement of THA patients with known planned and implanted component positions and pelvic tilt to determine the factors and needs to accurately simulate range of motion preoperatively.Twenty-two (22) anterolateral, cementless total hip arthroplasties were performed using robotic-arm assisted technology which allowed capture of the implanted stem version and position in addition to robotic-assisted cup placement to plan. With the known implanted positions and preoperative 3-dimentional (3D) bone models, six (6) hip maneuvers were virtually simulated in custom software. Correlations were evaluated between planned and implanted component positions, pelvic tilt, ranges of motion, and patient-reported outcomes.Average ranges of motion to impingement were similar to those of previous simulation and navigation studies. Supine tilt varied from -10 ̊ (posterior) to 15 ̊ (anterior) with an average of 3.4±6.6 ̊. Very little correlation was seen between native or planned stem version and implanted stem version. Correlations were seen between some maneuvers such as internal rotation (IR) at 90 degrees flexion (F) (IR@90F) and combined component version and pelvic tilt. Bony impingement occurred during IR@90F in 9 of the 22cases. Pelvic tilt assessment, bony impingement detection, better prediction of implanted component position or the ability to execute a plan, such as robotically, would all provide a more accurate pre-operative simulation of the post-operative patient’s function.

scholarly journals Bony Impingement Limits Design-related Increases in Hip Range of Motion

2011 ◽  
Vol 470 (2) ◽  
pp. 418-427 ◽  
Author(s):  
Adam Bunn ◽  
Clifford W. Colwell ◽  
Darryl D. D’Lima
Keyword(s):  
Range Of Motion ◽  
Bony Impingement ◽  
Hip Range Of Motion

Determinants of passive hip range of motion in adult Greyhounds

2007 ◽  
Vol 85 (6) ◽  
pp. 217-221 ◽  
Author(s):  
HL Nicholson ◽  
PG Osmotherly ◽  
BA Smith ◽  
CM McGowan
Keyword(s):  
Range Of Motion ◽  
Hip Range Of Motion

scholarly journals PERBEDAAN PENGARUH EFEK AKUT INSTRUMENT ASSISSTED SOFT TISSUE MOBILIZATION (IASTM) DAN SELF MYOFASCIAL RELEASE (SMFR) UNTUK MENINGKATKAN FLEKSIBILITAS OTOT HAMSTRING

2019 ◽  
Vol 3 (2) ◽  
pp. 9-23
Author(s):  
Wijianto . ◽  
Nizar Wazdi
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
T Test ◽  
Myofascial Release ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Soft Tissue Mobilization ◽  
Paired T Test

Latar Belakang:  Instrumen Assisted Soft Tissue Mobilization (IASTM) merupakan prosedur terapi yang mana menggunakan instrumen untuk secara mekanik menstimulus struktur jaringan lunak untuk mengurangi nyeri otot, ketidaknyamanan, dan meningkatkan secara keseluruhan mobilitas dan fungsi Self Myofascial Release (SMFR) merupakan salah satu teknik manual terapi dengan cara memberikan tekanan pada otot dan fascia yang bertujuan untuk menambah Range of Motion (ROM), mengurangi nyeri, dan meningkatkan fungsi. Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui efek akut perubahan fleksibilitas otot hamstring setelah diberikan IASTM dan SMFR, juga mengetahui adanya perbedaan efek akut antara pemberian IASTM dan SMFR pada perubahan fleksibilitas otot hamtring. Metode: Penelitian eksperimen dengan membandingan pre dan post tes dari dua kelompok yang berbeda perlakuan. Kelompok pertama diberikan perlakuan teknik IASTM, kelompok kedua diberikan perlakuan SMFR.  Data yang dikumpulkan dianalisa menggunakan paired t-test dan mann-whitney test. Hasil: Hasil penelitian menunjukkan efek akut IASTM terhadap fleksibilitas otot hamstring (p = 0,001), efek akut SMFR terhadap fleksibilitas otot hamstring  (p = 0,000), Perbedaan pengaruh antara passive dan active MFR terhadap ketegangan otot (p = 0,134). Kesimpulan: Terdapat peningkatan fleksibilitas otot hamstring pada grup 1 dan grup 2. Tidak ada beda pengaruh yang signifikan antara pemberian IASTM atau SMFR terhadap fleksibilitas otot hamstring.  Kata Kunci: Hamstring, instrumen assisted soft tissue mobilization, fleksibilitas, self  myofascial release.

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