scholarly journals Does mental practice supplemented by Mirror Therapy promote Flexion Ability After Total Knee Endoprosthesis?

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Marie Ottilie Frenkel ◽  
Simona Maltese ◽  
Jan Mayer ◽  
Gajo Thermann
Keyword(s):  
Mental Practice ◽  
Mirror Therapy ◽  
Total Knee ◽  
Knee Endoprosthesis

scholarly journals Influence of Different Patellofemoral Design Variations Based on Genesis II Total Knee Endoprosthesis on Patellofemoral Pressure and Kinematics

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Ulf G. Leichtle ◽  
Barbara Lange ◽  
Yvonne Herzog ◽  
Peter Schnauffer ◽  
Carmen I. Leichtle ◽  
...  
Keyword(s):  
Original Design ◽  
Interindividual Differences ◽  
Knee Simulator ◽  
Custom Made ◽  
Total Knee ◽  
Genesis Ii ◽  
Design Options ◽  
Patellofemoral Kinematics ◽  
Patellofemoral Pressure ◽  
Knee Endoprosthesis

In total knee arthroplasty (TKA), patellofemoral groove design varies greatly and likely has a distinct influence on patellofemoral biomechanics. To analyse the selective influence, five patellofemoral design variations were developed based on Genesis II total knee endoprosthesis (original design, being completely flat, being laterally elevated, being medially elevated, and both sides elevated) and made from polyamide using rapid prototyping. Muscle-loaded knee flexion was simulated on 10 human knee specimens using a custom-made knee simulator, measuring the patellofemoral pressure distribution and tibiofemoral and patellofemoral kinematics. The measurements were carried out in the native knee as well as after TKA with the 5 design prototypes. The overall influence of the different designs on the patellofemoral kinematics was small, but we found detectable effects for mediolateral tilt (p<0.05 for 35°–80° flexion) and translation of the patella (p<0.045 for 20°–65° and 75°–90°), especially for the completely flat design. Considering patellofemoral pressures, major interindividual differences were seen between the designs, which, on average, largely cancelled each other out. These results suggest that the elevation of the lateral margin of the patellofemoral groove is essential for providing mediolateral guidance, but smooth contouring as with original Genesis II design seems to be sufficient. The pronounced interindividual differences identify a need for more patellofemoral design options in TKA.

scholarly journals Noninvasive Strategies to Promote Functional Recovery after Stroke

2013 ◽  
Vol 2013 ◽  
pp. 1-16 ◽  
Author(s):  
Alessio Faralli ◽  
Matteo Bigoni ◽  
Alessandro Mauro ◽  
Ferdinando Rossi ◽  
Daniela Carulli
Keyword(s):  
Functional Recovery ◽  
Action Observation ◽  
Mental Practice ◽  
Mirror Therapy ◽  
Preclinical Models ◽  
Stroke Patients ◽  
The Third ◽  
Global Health Care ◽  
And Function ◽  
External Stimuli

Stroke is a common and disabling global health-care problem, which is the third most common cause of death and one of the main causes of acquired adult disability in many countries. Rehabilitation interventions are a major component of patient care. In the last few years, brain stimulation, mirror therapy, action observation, or mental practice with motor imagery has emerged as interesting options as add-on interventions to standard physical therapies. The neural bases for poststroke recovery rely on the concept of plasticity, namely, the ability of central nervous system cells to modify their structure and function in response to external stimuli. In this review, we will discuss recent noninvasive strategies employed to enhance functional recovery in stroke patients and we will provide an overview of neural plastic events associated with rehabilitation in preclinical models of stroke.

scholarly journals Analysis of inpatient costs in patients with knee osteoarthritis treated by implantation of total condylar knee endoprosthesis

2018 ◽  
Vol 75 (10) ◽  
pp. 989-997
Author(s):  
Ana Pejcic ◽  
Aleksandar Radunovic ◽  
Maja Vulovic
Keyword(s):  
Total Knee Replacement ◽  
Knee Osteoarthritis ◽  
Knee Replacement ◽  
Cost Driver ◽  
Inpatient Cost ◽  
Insurance Fund ◽  
Cost Drivers ◽  
Total Knee ◽  
Specific Material ◽  
Knee Endoprosthesis

Background/Aim. Total knee replacement is an elective and high cost surgical procedure which is performed more frequently as a result of increasing prevalence of knee osteoarthritis. The aim of this study was to provide insight into the value and structure of inpatient costs associated with total knee replacement in Serbia. Methods. This study was conducted as an in-depth, bottom-up, retrospective, case series analysis of services consumption patterns and costs associated with inpatient treatment of patients with knee osteoarthritis by implantation of primary total condylar knee endoprosthesis from perspective of the national Republic Health Insurance Fund. We obtained data on 97 patients treated with primary unilateral or bilateral total knee replacement in 2014 at the Clinic for Orthopaedic Surgery and Traumatology of the Military Medical Academy in Belgrade, a tertiary health care university hospital. Results. Mean age of entire study sample was 67.89 years. Majority of patients (60 patients; 61.9%) had unilateral implantation of total condylar knee endoprosthesis. Bilateral implantation was performed in 37 (38.1%) patients. Mean total inpatient cost per patient for both unilateral and bilateral implantation of total condylar knee endoprosthesis was EUR 2,709.1, ranging from EUR 1,685.2 to EUR 5,356.6. Mean total inpatient cost per patient was EUR 2,093.8 for unilateral implantation and EUR 3,706.8 for bilateral implantation. Two major cost drivers were surgery specific material and surgery. Cost of implants was the highest single cost driver in all observed groups of patients. Conclusion. Our findings imply that inpatient costs associated with implantation of primary total condylar knee endoprosthesis are substantial. It seems that the most important cost drivers are surgery and surgery specific material, with implants being the highest single cost driver. Further research should be focused on analyzing factors that influence these costs in order to develop effective strategies which could contribute to substantial savings in the future.

Efektifitas Terapi Komplementer dalam Meningkatkan Kekuatan Otot Pasien Stroke : A Literature Review

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Ianah Al Azizah ◽  
Ikhlas Muhammad Jenie
Keyword(s):  
Muscle Strength ◽  
Literature Review ◽  
Fast Food ◽  
Quantitative Research ◽  
Complementary Therapies ◽  
Complementary Therapy ◽  
Mental Practice ◽  
Mirror Therapy ◽  
Eating Pattern ◽  
Robotic Therapy

Abstract Background:Irregular life style such as irregular eating pattern, lack of exercise, overwork and excessive consumption of fast food has become common habit and is potential for developing a risk of stroke. Post stroke patients are generally experiencing muscle weakness on their parts of limb, postural disorder and muscle atrophy. Complementary therapy can be an alternative to increase muscle strength of patient with stroke.Objective:Identifying the effectiveness of complementary therapy to increase muscle strength of patient with stroke.Method:This literature review used database from PubMed, Proquest, and Google Scholar.  During the initial stage, the keyword of: “((Complementary AND Muscle strength AND Stroke Complementary Therapy))” resulted in the total of 12 international articles ranging from year 2016 to 2018 which all are in line with the criteria of inclusion and exclusion.Result:The research articles used were those of conducted in various countries such as: Turkey, South Korea, China, Australia, Dutch, Germany, Brazil, New Zealand, America and Indonesia. The number of articles being compiled was in total of 12 articles, the majority of the research respondents were patients with stroke. The literature review consisted of the effectiveness of several complementary therapies to increase muscle strength of patient with stroke. The review gave description of how complementary therapy intervene with the increasing of muscle strength of patient with stroke in several countries. The type of research included within the review found by the author was that of quantitative research in total of 12 articles.Conclusion:It was concluded that those various articles were related with several complementary therapies to increase muscle strength on patient with stroke. There are several complementary therapies that can be used to increase muscle strength on patient with stroke; those are: mirror therapy, mental practice (MP) and mental practice mirror therapy (MPMT), aquatic treadmill, robotic therapy, and acupuncture.

Immediate effect of mental practice with and without mirror therapy on muscle activation in hemiparetic stroke patients

2017 ◽  
Vol 21 (4) ◽  
pp. 1024-1027 ◽  
Author(s):  
Tamise Aguiar Caires ◽  
Luciane Fernanda Rodrigues Martinho Fernandes ◽  
Lislei Jorge Patrizzi ◽  
Rafael de Almeida Oliveira ◽  
Luciane Aparecida Pascucci Sande de Souza
Keyword(s):  
Muscle Activation ◽  
Mental Practice ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Hemiparetic Stroke
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