Biblio

URL:

http://www.ncbi.nlm.nih.gov/portal/utils/pageresolver.fcgi?log$=activity&recordid=1225689724320273

Keywords:

subcalcaneal pain; plantar fasciitis; nerve entrapment; neurodynamics

Abstract:

Plantar heel pain is a symptom commonly encountered by clinicians. Several conditions such as plantar fasciitis, calcaneal fracture, rupture of the plantar fascia and atrophy of the heel fat pad may lead to plantar heel pain. Injury to the tibial nerve and its branches in the tarsal tunnel and in the foot is also a common cause. Entrapment of these nerves may play a role in both the early phases of plantar heel pain and recalcitrant cases. Although the contribution of nerve entrapment to plantar heel pain has been well documented in the literature, its pathophysiology, diagnosis and management are still controversial. Therefore, the purpose of this article was to critically review the available literature on plantar heel pain of neural origin. Possible sites of nerve entrapment, effectiveness of diagnostic clinical tests and electrodiagnostic tests, differential diagnoses for plantar heel pain, and conservative and surgical treatment will be discussed.

Notes:

Ainsi, cela semble être vrai que des structures neurales soient à l'origine de douleurs au talon. Cela devrait être aidant pour nos médecins durs à convaincre. Cependant, il n'y a pas de gold standard pour le diagnostique.

URL:

http://jmmtonline.com/documents/v14n3/SchenkV14N3.pdf

Keywords:

dizziness; cervicogenic; orthopaedic manual therapy; vestibular physical therapy

Abstract:

The diagnosis and treatment of patients with dizziness of a cervical origin may pose a challenge for orthopaedic and vestibular physical therapy specialists. A thorough examination, which consists of a screening examination to rule out pathologies not amenable to sole physical therapy management and, if indicated, a physical therapy differential diagnostic process incorporating both cervical spine and vestibular tests and measures, may indicate an appropriate course of management. The treatment progression is then based on patient signs, symptoms, and response to physical therapy interventions. This case study describes the diagnosis, treatment, and outcomes of a patient with cervicogenic dizziness co-managed by a vestibular and an orthopaedic manual physical therapist.

Notes:

La conclusion: il semble y avoir un avantage à utiliser une combinaison de physiothérapie orthopédique et vestibulaire pour les étourdissements cervicogéniques. Par ailleurs, l'article est plein de références vers certains articles clés dans le champs des évidences scientifiques en ce qui a trait aux évaluation de la mobilité segmentaire et différentes techniqualitées entourant les céphalées cervicogéniques, dont d'ailleurs les excellents travaux de Jull.

URL:

http://www.ncbi.nlm.nih.gov/pubmed/18345338?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

Abstract:

CONTEXT: Hop tests are functional tests that reportedly require strength, power, and postural stability to perform. The extent to which a triple-hop distance (THD) test measures each of these characteristics is relatively unknown. OBJECTIVE: To determine the extent to which the THD predicts performance on clinical measures of power, strength, and balance in athletic individuals. DESIGN: Within-subjects correlational study. SETTING: Station-based, preseason screening of athletes. PATIENTS OR OTHER PARTICIPANTS: Forty National Collegiate Athletic Association Division I-AA men's and women's soccer student-athletes (20 women, 20 men; age = 20.0 +/- 1.4 years, height = 172.8 +/- 9.2 cm, mass = 71.9 +/- 8.9 kg). INTERVENTION(S): As part of a comprehensive preseason screening of athletes, participants completed the Balance Error Scoring System (BESS) test, 3 trials each of the THD and vertical jump, and 5 repetitions each of concentric isokinetic quadriceps and hamstrings strength testing at 60 degrees /s and 180 degrees /s. Bivariate correlations and linear regression analyses determined the extent to which THD (cm) predicted each of the strength, power, and balance measures. MAIN OUTCOME MEASURE(S): Maximal vertical jump height (cm), total BESS error scores, and quadriceps (Quad(60), Quad(180)) and hamstrings (Ham(60), Ham(180)) isokinetic maximum peak torque (Nm) at 60 degrees /s and 180 degrees /s, respectively. RESULTS: Triple-hop distance was a strong predictor of vertical jump height, explaining 69.5% of the variance (P < .01). THD also predicted 56.7% of the variance in Ham(60) (P < .01), 55.5% of the variance in Ham(180) (P < .01), 49.0% of the variance in Quad(60) (P < .01), and 58.8% of the variance in Quad(180) (P < .01). No relationships between THD and BESS scores were noted. CONCLUSIONS: Triple-hop distance is a useful clinical test to predict an athlete's lower extremity strength and power. Although THD was not a predictor of static balance, further research is needed to examine its relationship with more dynamic balance tests.

Notes:

Très bon outil...

URL:

http://www.jaoa.org/cgi/content/abstract/108/5/260

Keywords:

muncie technique; osteopathic manipulation; eustachian tube; otitis; vertigo; dizziness

Abstract:

In eustachian tube dysfunction, the eustachian tube fails to open sufficiently, resulting in a difference between the air pressure inside and outside the middle ear. This condition can cause pain and hearing loss and may lead to barotitis media, otitis media, tinnitus, and vertigo. Although several treatment options are available, from antibiotics to surgery, little documentation of osteopathic manipulative techniques exists. The current report discusses various treatment options, including the modified Muncie technique—a type of myofascial release administered inside the patient's mouth—for patients with eustachian tube dysfunction and its symptoms. An illustrative case of a 37-year-old woman who complained of intermittent vertigo and who was treated with this technique is included.

Notes:

La technique semble plutôt simple. Presque trop en fait pour croire que cela pourrait fonctionner.

URL:

http://www.ncbi.nlm.nih.gov/pubmed/12825844?ordinalpos=7&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

Keywords:

fontanels; skull; newborn

Abstract:

The diagnosis of an abnormal fontanel requires an understanding of the wide variation of normal. At birth, an infant has six fontanels. The anterior fontanel is the largest and most important for clinical evaluation. The average size of the anterior fontanel is 2.1 cm, and the median time of closure is 13.8 months. The most common causes of a large anterior fontanel or delayed fontanel closure are achondroplasia, hypothyroidism, Down syndrome, increased intracranial pressure, and rickets. A bulging anterior fontanel can be a result of increased intracranial pressure or intracranial and extracranial tumors, and a sunken fontanel usually is a sign of dehydration. A physical examination helps the physician determine which imaging modality, such as plain films, ultrasonography, computed tomographic scan, or magnetic resonance imaging, to use for diagnosis.

Notes:

Bon à savoir... On trouvait que notre plus jeune avait la fontanelle antérieure petite mais il semble que ça rentre dans la fourchette des normales.

URL:

http://www.ncbi.nlm.nih.gov/pubmed/18494229?ordinalpos=4&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

Keywords:

marfan syndrome; protusio acetabuli; kyphosis

Abstract:

N/A

Notes:

Article pour voir avec plus de précisions les manifestation squelettiques du syndrome de Marfan. Nous sommes à l'aise avec les scolioses mais cependant, la protusio acetabuli est une condition plus particulière qui vaut la peine qu'on la connaisse afin de pouvoir diriger adéquatement le patient qui viendra nous voir avec cette condition. À noter que la plupart des personnes atteintes sont diagnostiquées avant l'âge de 10 ans mais il peut arriver que le diagnostique soit porté beaucoup plus tard en raison du caractère évolutif des manifestation squelettiques.

URL:

http://www.ncbi.nlm.nih.gov/pubmed/18669505?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA&linkpos=3&log$=relatedarticles&logdbfrom=pubmed

Keywords:

motor cortex; postural control; abdominal muscles

Abstract:

Many people with recurrent low back pain (LBP) have deficits in postural control of the trunk muscles and this may contribute to the recurrence of pain episodes. However, the neural changes that underlie these motor deficits remain unclear. As the motor cortex contributes to control of postural adjustments, the current study investigated the excitability and organization of the motor cortical inputs to the trunk muscles in 11 individuals with and without recurrent LBP. EMG activity of the deep abdominal muscle, transversus abdominis (TrA), was recorded bilaterally using intramuscular fine-wire electrodes. Postural control was assessed as onset of TrA EMG during single rapid arm flexion and extension tasks. Motor thresholds (MTs) for transcranial magnetic stimulation (TMS) were determined for responses contralateral and ipsilateral to the stimulated cortex. In addition, responses of TrA to TMS over the contralateral cortex were mapped during voluntary contractions at 10% of maximum. MTs and map parameters [centre of gravity (CoG) and volume] were compared between healthy and LBP groups. The CoG of the motor cortical map of TrA in the healthy group was approximately 2 cm anterior and lateral to the vertex, but was more posterior and lateral in the LBP group. The location of the CoG and the map volume were correlated with onset of TrA EMG during rapid arm movements. Furthermore, the MT needed to evoke ipsilateral responses was lower in the LBP group, but only on the less excitable hemisphere. These findings provide preliminary evidence of reorganization of trunk muscle representation at the motor cortex in individuals with recurrent LBP, and suggest this reorganization is associated with deficits in postural control.

Notes:

Toujours intéressant de voir où en est rendu l'équipe de Hodges dans le compréhension des lombalgies. Ainsi, avec ce dernier projet de recherche, ils ont pu mettre en évidence que la zone active du cortex moteur dans le contrôle postural est différent du lombalgique que du patient non symptômatique. Il semble ainsi évident que le type d'exercices à favoriser est des exercices de contrôle moteur exigant une certaine précision, et non pas du renforcement brut. Il a par ailleurs été démontré que le transverse de l'abdomen n'est pas nécessairement faible mais présente plutôt un délai de contraction. S'il faut repositionner la zone active du cortex afin de corriger le contrôle moteur déficient, on comprend que ce n'est pas une tâche facile et surtout pas rapide, quoique il est surprenant de voir à quel point le système nerveux central peut être plastique. Finalement, il a été démontré aussi avec une autre étude qu'il y a le même déplacement de la zone du cortex activée dans le cas du cortex sensorimoteur. Ce qui fait en sorte que c'est tout de même complexe ce qui se passe dans nos centres supérieurs, surtout qu'il y a possiblement d'autres zones supraspinales affectées dans ce remaniement, tel que par exemple les neurones des troncs vestibulospinaux. À suivre. Nous suivons de près tes études cher Dr Paul Hodges...

URL:

http://www.ncbi.nlm.nih.gov/pubmed/18494226?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

Keywords:

marfan syndrome; kyphoscoliosis; aortic tear; dural ectasia

Abstract:

N/A

Notes:

Bon article pour savoir à quoi ressemble le syndrome de Marfan. En passant, pour ceux qui ne savant pas, Joey Ramones était atteint de ce syndrome... ce qui explique sa silhouette elancée.

URL:

http://www.ncbi.nlm.nih.gov/pubmed/11676769?ordinalpos=3&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

Keywords:

Central Nervous System; Nociceptors; Pain; Physical Therapy

Abstract:

Treatment of central pain mechanisms is a new horizon for manual therapists. This paper presents key points about central pain mechanisms and how they can be treated by the manual therapist. Included are facets of conditioning, memory and learning; some types of central problems and cognitive-behavioural and physical techniques for use by manual therapists. The concept of treatment through central pain mechanisms is concluded with a case study illustrating the relevant clinical application. Education of central pain mechanisms and, for that matter, the pain paradigm, should become an integral part of physiotherapy education.

Notes:

Excellent article. Lecture obligatoire!

URL:

http://www.ncbi.nlm.nih.gov/pubmed/16600922?ordinalpos=59&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

Keywords:

cachexia; pathogenesis; sarcopenia; weight loss

Abstract:

Cachexia causes weight loss and increased mortality. It affects more than 5 million persons in the United States. Other causes of weight loss include anorexia, sarcopenia, and dehydration. The pathophysiology of cachexia is reviewed in this article. The major cause appears to be cytokine excess. Other potential mediators include testosterone and insulin-like growth factor I deficiency, excess myostatin, and excess glucocorticoids. Numerous diseases can result in cachexia, each by a slightly different mechanism. Both nutritional support and orexigenic agents play a role in the management of cachexia.

Notes:

intéressant