Seronegative Spondyloarthropathies

Visit-

http://www.ncbi.nlm.nih.gov/books/NBK27224/

For the full information about seronegative spondyloarthropathies

Predictors of Clinical Outcome After Acute Achilles Tendon Ruptures

Abstract

Background: In patients with an acute Achilles tendon rupture, it has not been possible to determine the superiority of a single specific treatment modality over other treatments with respect to symptoms and function. When several pertinent treatment protocols are available for an injury, it is of interest to understand how other variables, such as age, sex, or physical activity level, affect outcome to better individualize the treatment.

Purpose: To investigate predictors of both symptomatic and functional outcomes after an acute Achilles tendon rupture.

Study Design: Cohort study (Prognosis); Level of evidence, 2.

Methods: Ninety-three patients (79 men and 14 women; mean age, 40 years) were evaluated prospectively at 3, 6, and 12 months. The main outcome measures in this study were the Achilles tendon Total Rupture Score (ATRS) for symptoms and maximum heel-rise height for function. The independent variables evaluated as possible predictors of outcome included treatment, sex, age, body mass index (BMI), physical activity level, symptoms, and quality of life.

Results: Treatment, age, BMI, physical activity level, heel-rise height at 6 months, and the ATRS at 3 months were eligible for further analysis. Only male sex was included for the prediction models. The 4 different multiple linear regression models (predicting the ATRS at 6 and 12 months and heel-rise height at 6 and 12 months) were significant (P < .001-.002), and the R 2 values for the models were 0.222 to 0.409. Surgical or nonsurgical treatment is a moderate predictor of symptoms and a weak predictor of heel-rise height after an acute Achilles tendon rupture. At the 6-month follow-up, surgical treatment was associated with a larger heel-rise height, but the opposite was seen at 12 months. Surgical treatment resulted in a lower degree of symptoms. Increasing age was a strong predictor of reduced heel-rise height, and an increase in age of 10 years reduced the expected heel-rise height by approximately 8%. A higher BMI was also a strong predictor of a greater degree of symptoms, and a 5-unit higher BMI predicted a reduction of approximately 10 points in the ATRS.

Conclusion: The present study identified important possible predictors of outcome. Despite having a wide range of clinically relevant variables, the models had a limited ability to predict the final individual outcome. In general, the models appear to be better at predicting function than symptoms.

For the full text, kindly visit-

http://m.ajs.sagepub.com/content/42/6/1448?etoc

Drug helps young women protect fertility during chemotherapy

For some young women, one of the most crushing side effects of breast cancer treatment is early menopause, which ends their chances of becoming pregnant.

A new study shows that these women have a better chance of preserving their future fertility if they temporarily turn off their ovaries during chemotherapy. The ovary glands produce estrogen and typically release one egg a month during women's fertile years.

Early menopause can cause a number of medical complications, including an increased risk of osteoporosis and bone fractures.

The procedure involves injections of an existing hormone-suppressing drug called goserelin,

which lowers estrogen levels, preventing women from getting regular menstrual cycles, according to the study of 218 women presented Friday at the annual meeting of the American Society of Clinical Oncology in Chicago. Both groups of women in the study, who were ages 18 to 49, received the same chemo regimen.

Two years later, women who had been randomly selected to take the medication saw a number of benefits, compared with women who didn't take the drug.

* Women who took the drug were 64% less likely to have their ovaries fail, which occurs when women miss their periods for six months or more. About 22% of women who got standard chemo experienced ovarian failure, compared with 8% of those who also took goserelin.

* Women who received goserelin were twice as likely to have become pregnant, according to the study, funded by the National Institutes of Health. About 21% of women who took goserelin became pregnant and 15% delivered a baby. In comparison, 11% of those who did not take goserelin became pregnant and 7% of them had a baby. About the same number of women in each group had tried to conceive.

* Women who took goserelin were also 50% more likely to be alive four years later than women who didn't receive goserelin.

"Premenopausal women beginning chemotherapy for early breast cancer should consider this new option," said lead author Halle Moore,

an oncologist at the Cleveland Clinic Foundation, in a statement.

It's possible that turning off the ovaries protects them from the effects of chemo, which fights cancer by targeting cells that are growing and dividing, says Clifford Hudis, president of the American Society of Clinical Oncology, who was not involved in the new research. While authors of the new study focused on breast cancer patients, the technique would likely benefit women being treated for other kinds of cancer, he says.

The study included only women whose breast cancers are fueled by hormones.

Nearly 11,000 women under age 40 are diagnosed with invasive breast cancer each year, according to the National Cancer Institute.

Traditionally, women looking to preserve their chances of becoming pregnant after chemo have had to undergo invasive treatments, such as harvesting and storing ovarian tissue or embryos. Banking embryos isn't an option for all women, however, such as those without partners.

Although a handful of earlier studies had suggested goserelin might be beneficial, cancer specialists haven't recommended it to women. This trial may lead many doctors to recommend it more widely, says Patricia Ganz, a breast cancer specialist at UCLA's Jonsson Cancer Center who wasn't involved in the study.

Ref.- USA Today Health

Effectiveness of powered hospital bed movers for reducing physiological strain and back muscle activation

Battery powered bed movers are becoming increasingly common within the hospital setting. The use of powered bed movers is believed to result in reduced physical efforts required by health care workers, which may be associated with a decreased risk of occupation related injuries. However, little work has been conducted assessing how powered bed movers impact on levels of physiological strain and muscle activation for the user.  The muscular efforts associated with moving hospital beds using three different methods; powered Stamina Lift Bed Mover (PBM1), powered Gzunda Bed Mover (PBM2) and manual pushing were measured on six male subjects by the authors. Fourteen muscles were assessed moving a weighted hospital bed along a standardized route in an Australian hospital environment. Trunk inclination and upper spine acceleration were also quantified.  The authors concluded that powered bed movers exhibited significantly lower muscle activation levels than manual pushing for the majority of muscles.

When using the PBM1, users adopted a more upright posture which was maintained while performing different tasks (e.g. turning a corner, entering a lift), while trunk inclination varied considerably for manual pushing and the PBM2. The reduction in lower back muscular activation levels may result in lower incidence of lower back injury.

For the whole study visit-

http://www.physiospot.com/research/effectiveness-of-powered-hospital-bed-movers-for-reducing-physiological-strain-and-back-muscle-activation/

Physiotherapist Job in Govt. of Delhi

Physiotherapist job in Delhi State Health Mission (Govt. of Delhi)

Name of post- Physiotherapist

Qualification-
1. Graduate in Physiotherapy with 03 years experience.
2. Working knowledge of computers.

Salary- Rs. 25000 per month

Last Date :09 Jun 2014

Walk-in –Interview will be held on 09th June 2014.

Place-
Conference Room, 2nd Floor, F-17, Karkardooma, Delhi-110032.

Disclaimer-
This post is purely for helping other Physiotherapists. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining.

Doctors Jobs in Saudi Arabia

MINISTRY OF HEALTH, SAUDI ARAB | INTERVIEWS FOR DOCTORS-

Urgent Requirement for Doctors for Ministry of Health Saudi Arabia in King Fahad Medical City in Riyadh,Interviews start from 7th to 9th of ,Jun in Bagalore, 11th to 13th In Delhi.
Interested candidates can send Resume, Exp Certificate, Degree Photo Copy & Passport copy on email id Qamer@al-hind.com or Contact on 9582436494.

MOH offers an attractive 100% tax-free salary with saving potential. MOH also provides free furnished accommodation or 3 months salary as HRA, plus transportation,medical, insurance and annual paid vacations upto 45 days with round trip free air ticket with family.

PHYSICIANS & SURGEONS VACANCIES-

POSITIONS OFFERINGS BY MOH-
(a) RESIDENT
(b) SPECIALISTS
(c) CONSULTANTS

1- Cardio-Vascular Surgery
2- Cardiology
3-Critical care
4-Pediatric Cardiac Surgery
5- Emergency Medicine
6- Vascular Surgery

Non Physicians :
1-Vascular Specialist
2-Electrophysiology
3-Anesthesia-CSSD
4-Perfusionist
5-Stress and ECG
6-Respiratory
7-Specialist Nursing
8-Sleep Lab Medicine

For more details contact-

AL-HIND FOREIGN SERVICE AGENCY
73, Main Road, Near State Bank, Zakir Nagar,New Delhi-110025
Ph: +91-9582436494;011-2698 3980
Email: Qamer@al-hind.com

Disclaimer-
This post is purely for helping other Physiotherapists. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining.

Does physical activity prevent cognitive decline and dementia?: A systematic review and meta-analysis of longitudinal studies

Abstract-
By 2050, it has been estimated that approximately one-fifth of the population will be made up of older adults (aged ≡60 years). Old age often comes with cognitive decline and dementia. Physical activity may prevent cognitive decline and dementia.

Methods-
Review and synthesis of prospective studies into physical activity and cognitive decline, and physical activity and dementia, published until January 2014. Forty-seven cohorts, derived from two previous systematic reviews and an updated database search, were used in the meta-analyses. Included participants were aged ≡40 years, in good health and/or randomly selected from the community. Studies were assessed for methodological quality.

Results-
Twenty-one cohorts on physical activity and cognitive decline and twenty-six cohorts on physical activity and dementia were included. Meta-analysis, using the quality-effects model, suggests that participants with higher levels of physical activity, when compared to those with lower levels, are at reduced risk of cognitive decline, RR 0.65, 95% CI 0.55-0.76, and dementia, RR 0.86, 95% CI 0.76-0.97. Sensitivity analyses revealed a more conservative estimate of the impact of physical activity on cognitive decline and dementia for high quality studies, studies reporting effect sizes as ORs, greater number of adjustments (≡10), and longer follow-up time (≡10 years). When one heavily weighted study was excluded, physical activity was associated with an 18% reduction in the risk of dementia (RR 0.82; 0.73-0.91).

Conclusions-
Longitudinal observational studies show an association between higher levels of physical activity and a reduced risk of cognitive decline and dementia. A case can be made for a causal interpretation. Future research should use objective measures of physical activity, adjust for the full range of confounders and have adequate follow-up length. Ideally, randomised controlled trials will be conducted. Regardless of any effect on cognition, physical activity should be encouraged, as it has been shown to be beneficial on numerous levels.

For the full article, kindly visit-

http://www.biomedcentral.com/content/pdf/1471-2458-14-510.pdf

H.pylori eradication therapy to prevent gastric cancer in healthy asymptomatic infected individuals

Gastric cancer is the third commonest cause of cancer death worldwide, with almost three quarters of a million deaths annually. Despite a declining incidence in many countries in the developed world, there is an increase in global mortality from the disease because of population growth and increasing longevity in developing countries.Infection withHelicobacter pylori3causes chronic gastritis which can lead to gastric atrophy and intestinal metaplasia. These are the main histological precursors to gastric cancer, and it is therefore plausible thatH pyloriinfection may cause gastric cancer.

A systematic review of nested case-control studies confirmed that individuals who tested positive forH pyloriwere between three and six times more likely to develop gastric cancer compared with uninfected controls. Such data led the International Agency for Research on Cancer toconclude thatH pyloriwas a class I human carcinogen. A policy of searching for and eradicatingH pyloriamong healthy asymptomatic individuals in populations at high risk of gastric cancer could theoretically lead to a reduction in the incidence of gastric cancer. However, healthcare providers have not considered this policy seriously, and are unlikely to do so until randomised controlled trials show such a strategy to be effective.

A randomised controlled trial was done on the same subject which was published in British Medical Journal.
You can find the whole text here-

http://www.bmj.com/content/348/bmj.g3174

Medial Meniscus Tears: Clinical Tests

On request from our readers, here is the special post for the Identifying Medial Meniscus Tears i.e. Clinical Tests for Medial Meniscus Tears.

Kindly visit following link for the Diagnostic Tests for Medial Meniscus Tears-

http://www.thesportsphysiotherapist.com/identifying-medial-meniscus-tears-the-diagnostic-accuracy-of-clinical-tests/

MERS- Causes, Symptoms, Diagnosis, Treatment

MERS (Middle East Respiratory Syndrome) is a severe pneumonia-like respiratory disease caused by a virus.It is different from SARS because MERS is caused by another subtype of the virus.

MERS causes high fever, cough, and severe shortness of breath.The infection is thought to be spread by close contact with an infected person.

Causes of MERS-

A virus called coronavirusis the cause of MERS.There are many kinds of coronavirus, some of which cause the common cold. The MERS coronavirus (MERS-CoV) was a new variant that was discovered in 2012 in the Middle East region.
How MERS spreads is not completely understood, but experts believe that the main way it spreads is through close contact with an infected person(by caring for or living with the person, or having direct contact with their respiratory secretions and body fluids). The people who have been infected by MERS have all been in a health care facility or among close family members.
MERS is different from SARS. Most importantly, the MERS virus does not appear to be as easily spread between people, whereas the SARS virus spreads very easily.

Symptoms and Complications of MERS-

The main symptoms of MERS are:
*.cough, shortness of breath and difficulty breathing
*.diarrhea
*.high fever (over 38°C or 100.4°F)
Some people also develop kidney failure.

People with existing medical conditions (e.g., heart problems, diabetes) are more likely to be affected more seriously with the infection. Many of the fatal MERS infections have been in patients who had a history of other medical conditions.

Diagnosing MERS-

See your doctor if you develop a fever, coughing, or shortness of breath within 14 days of travelling to a country in or near the Middle East (such as Saudi Arabia, Jordan, Qatar, or the United Arab Emirates).Your doctor will ask you about your travel history, especially to any Middle Eastern countries, and whether you may have come in contact with someone who has MERS.
If your doctor suspects you may have MERS, he or she may recommend that, instead of visiting the doctor's office, you go straight to a hospital.The hospital will take appropriate precautions to prevent the infection from spreading to others.
To diagnose MERS, a doctor will perform a physical examination and check for fever and swollen glands. He or she will also listen to your lungs with a stethoscope. Buildup of fluid in the lungs can be seen with a chest X-ray, CT scan, or magnetic resonance imaging (MRI) scan. The doctor will send a sample of your sputum (phlegm) to a laboratory toconfirm the diagnosis by identifying the exact strain of virus that may be causing your symptoms.

Treating and Preventing MERS-

There are currently no vaccines available for MERS.Medical care is provided to support and relieve the signs and symptoms of MERS. However,there are no treatments available to cure the infection.
There are precautions that you can take to protect yourself against infections. Wash your hands often with soap and water for at least 20 seconds, and help your children to do the same. If no soap is available, use an alcohol-based hand sanitizer. Avoid touching your eyes, nose, and mouth with unwashed hands, as they are common ways for a virus to enter your body. You should also avoid close contact (e.g., sharing cups or utensils) with those who are sick. Make sure to frequently disinfect common surfaces such as door knobs and tables with an antibacterial cleanser.

Physiotherapist Job in Haryana

Location-Kaithal, Haryana

Qualifications-B.P.T./M.P.T.

Salary -10000-16000

Contact- 8570002550

Disclaimer-
This post is purely for helping other Physiotherapists. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining.

Radical Treatment for Mesothelioma- Still Controversial

Mesothelioma is a rare form of cancer that develops from cells of the mesothelium, the protective lining that covers many of the internal organs of the body. Mesothelioma is most commonly caused by exposure to asbestos. The most common anatomical site for mesothelioma is the pleura but it can also arise in the peritoneum, the pericardium or the tunica vaginalis.

The role of radical surgery in the treatment of malignant pleural mesothelioma has been the subject of much heated debate in the last few years, as thoracic surgeons argue over the details of a small but landmark clinical trial that failed to show any benefit from a highly complex operation, extrapleural pneumonectomy (EPP).

That operation has now largely fallen out of favor, and has been replaced to some extent by a slightly less radical operation, but the role of surgery in the management of mesothelioma is still very controversial. This approach"remains experimental," experts said recently at the 2014 European Lung Cancer Conference (ELCC), while others believe that it belongs only in clinical trials.

For the full access to the article, kindly visit-

http://www.medscape.com/viewarticle/823982

Physiotherapist Jobs in Railways

East Coast Railway Recruitment 2014 – Walk in for Physiotherapist Posts

East Coast Railway has posted employment notification for the recruitment of Full Time Physiotherapist vacancies on contract basis. Eligible candidates may attend the interview on 26-05-2014 by 10.30 hrs.

East Coast Railway Vacancy Details:

Total No of Posts: 02

Name of the Posts: Physiotherapist. OBC: 01, SC: 01

Age Limit:Candidates age limit is 18 years to 33 years as on 01-01-2014.

Age relaxation is 05 years for SC/ ST and 03 years for OBC candidates.

Educational Qualification:Candidates must possess 10+2 (with Science) + Diploma/ Degree in Physiotherapy from a recognized institute.

Selection Process:Candidates will be selected based on performance in Interview.

How to Apply:Eligible candidates may attend the interview along with application in prescribed format, two passport size photographs, original and attested copies of academic and professional certificates attested by Gazetted Officer& caste certificate issued by the Competent Authority in prescribed format, held at Office of the CPO, East Coast Railway, 2nd Floor, South Block, Rail Sadan, Bhubaneswar 17 on 26-05-2014 by 10.30 hrs.

Time of Reporting: 10.30 hrs.
Date of Interview: 26-05-2014.
Venue: Office of the CPO, East Coast Railway, 2nd Floor, South Block, Rail Sadan, Bhubaneswar 17.

For more information, visit-
http://www.freejobalert.com/wp-content/uploads/2014/01/Notification-East-Coast-Railway-Physiotherapist-Posts.pdf

Disclaimer-
This post is purely for helping other Physiotherapists. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining.

Occupational Therapist Job in Delhi

Company-
Continental Parmits Services Pvt. Ltd.

Job Location-
Delhi, Noida, Gurgaon

Experience-
0 - 1 yrs

Eligibility Criteria-
1.Qualification: Candidate should be graduate/diploma
2.Experience- Candidate should have minimum 2 years of experience.
3.Good communication skills.

To apply, kindly visit-
http://www.resumeon.com/jobs/application-job-medical-healthcare-hospital-occupational-therapists-delhi-61686?utm_source=Indeed&utm_medium=organic&utm_campaign=Indeed

Disclaimer-
This post is purely for helping other Proffesionals. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining.

Medico Jobs in UAE

Job Function:Doctor / Medical Research / Dean / Medical Professors

Experience:3 to 7 years

Qualification level:Post Graduate

Skillset:Dermatologist, Cardiologist, Gynecologist, Gastroenterologist, Endocrinologist

Jobseeker Nationality:Jobseekers from any Arab/Middle East country, Jobseekers from any Asian countries.

Interested professionals kindly mail your detailed updated CV to ekta@medicamnaukri.com immediately along with the below details:
Current CTC:
Expected CTC:
Notice period:
Skype ID:

For more details, visit- http://gotogulf.com/JobDescription.aspx?JOB_ID=34334

Disclaimer-
This post is purely for helping other Physiotherapists. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining.

How Exercise Helps to Relieve Arthritis

The benefits of exercising-

The truth is people with arthritis should exercise frequently to help manage arthritis pain.Whilst you may still need medication, supportive braces, and other modes of treatment for your arthritis, exercise canalso be an integral part to any arthritis treatment plan.

Exercise can improve your arthritis symptoms by:
Reducing joint stiffness which will therefore reduce pain,
Keeping joints and muscles flexible,
Strengthening muscles surrounding the joint for better support,
Strengthening bones and cartilage in the joints,
Keeping you fit and healthy,
Improving your emotional health, managing stress, and combating depression associated with arthritis,
Losing extra pounds that can contribute to arthritis pain.

Starting an exercise routine has many benefits, both immediate and long-term. Regular exercise will not only help you feel healthier overallbut it can keep arthritis symptoms at bay. Exercise can also help with the inflammation and joint stiffness meaning that symptoms can be managed on a long term basis.

How to exercise with arthritis-

The important thing to keep in mind when starting up an exercise programme is that everyone is different.  Just because an exercise is suitable for someone with arthritis it does not mean that that particular exercise is right for you.  If a particular exercise does not work for you and is causing more pain then stop and try something different.Exercise can be broken down into three types meaning that if one particular exercise is not working for you then another exercise from that category can be easily implemented into your routine.  Ensuring that you include a variety of these types of exercise is the best way to improve joint health and reduce arthritis pain.

Simple resistance exercises such as squats, abdominal crunches or hamstring stretchs can helpstretch and strengthen muscles. These particular types of exercises can be done whilst standing, lying on the floor, or sitting in a chair which will enable you to exercise even when your symptoms are at their worst.Cardiovascular exercises such as swimming, walking or biking canboost heart health and lung capacity, and make you work up a sweat. Swimming can be a great exercise when you have arthritis due to the fact it is a low-impact exercise making all the movements easy on the joints.It is important to also to undertake range-of-motion exercises such as simple stretches or even yoga.  This will helpthe flexibility and movement of stiff joints.

When your arthritis is at its worst, don’t force your joints to do more than they are able to do but don’t stop with your exercising all together either.  Undertaking simple range-or-motion exercises will stretch out the affected joint making it feel less stiff. As you start to feel better you can work your way back up to your normal exercise regime as and when you feel able.

Effectiveness of manual therapy on low back pain with working adults

M.Sc. Markku Paatelma defends his doctoral dissertationtitled "Orthopaedic manual therapyonlow back pain with working adults; clinical tests, subclassificationand clinical trial of low back pain”. Opponent Docent Markku Kankaanpää (Pirkanmaa Hospital District) and custos Professor Ari Heinonen (University of Jyväskylä).

Abstract-

Orthopedic manual therapy on low back pain with working adults; clinical tests, subclassificationand clinical trial of low back pain. Although the natural history of low back pain (LBP) is considered to be good, most sufferers have further episodes during the first year. Debate continuesonthe comparative effectiveness of adviceonbed rest and staying active as part of the primary care management to avoid a vicious circle, preventing LBP from becoming chronic in its early phase (of < 12-week duration). LBP in its early phase is also a commonreasonto consult aphysiotherapist.The objective of this dissertationwas to evaluate the intertester and intratester reliability of selected clinical tests betweenphysiotherapists to assess LBP patients in the early phase, and to discover the sensitivity and specificity of these tests in acute/subacute and chronic LBP patients, and in a group of no “patient status” subjects. A further objective was to evaluate the intertester reliability of a pathoanatomical/pathophysiological classificationby general practitioners in primary carephysiotherapy compared to findings classified by a specialist in orthopedic manual therapy (OMT) and the findings of two OMT specialists when examining patients with early-phase LBP using selected clinical tests. The objective was also to compare effectiveness against low back and leg pain, disability, and sick leave of OMTphysiotherapy using a pathoanatomical/pathophysiological classificationto the effectiveness of the McKenzie method and effectiveness of “Advice”only to stay active.The inter- and intratester reliability of clinical tests seemed to be at an acceptable level globally, although tests had both high and low reliability among test categories. Intratester reliability was slightly better than intertester reliability.Of all the selected clinical tests, few tests were moderately sufficient in sorting the chronic low back pain patients (CLBP) from subacute low back pain patients (SLBP), and distinguishing patient groups from controls. These 31 clinical tests quite poorly sorted the CLBP or SLBP patients from the controls. It may be possible that a combinationof tests may enhance the sensitivity and specificity in sorting the CLBP or SLBP patients from the controls.Subclassificationinto clinical subgroups is reliable in the two most commonsubgroups also withphysiotherapists without specializationin OMT after a short post-graduate training. No further conclusioncould be drawn from other subgroups because of the low number of subjects in these categories.The OMT and McKenzie methods, compared to Advice-only to stay active for low back and leg pain, and disability showed no significant difference in effectiveness during aone-year follow-up of working adults. However, the OMT and McKenzie method groups showed treatment effects compared to the Advice-only group in form of the smaller number of days of sick leave because of LBP. Regarding sick leave days, there was also a statistically significant difference between OMT and McKenzie groups in favor of OMT-physiotherapy.Keywords: orthopedic manual therapy, McKenzie method, clinical tests, sub-classification, low back pain in early phase, randomized controlled trial.

For further information:
Markku Paatelma, tel. 040 501 4822, email- markku.paatelma@auron.fi

The dissertationis published in the series Jyväskylä Studies in Sport, Physical Educationand Health, no173, 98 p., Jyväskylä, 2011, ISBN 978-951-39-4428-5, ISSN 0356-1070.

Physiotherapist Vacancy in London, UK

Position:Physiotherapist

Employer:Lewisham and Greenwich NHS Trust

Department:Medicine

Location:Physiotherapy QEH, London.

Salary:£24,836 to £32,086 PA Inclusive of HCA

For further details contact:

Victoria Hampshire MSK Out-patient Physiotherapy team lead QEH – 020 8836 6060
or
Email- victoria.hampshire@nhs.net

The effectiveness of exercise interventions to prevent sports injuries

Physical activity is important in both prevention and treatment of many common diseases, but sports injuries can pose serious problems.

To determine whether physical activity exercises can reduce sports injuries and perform stratified analyses of strength training, stretching, proprioception and combinations of these, and provide separate acute and overuse injury estimates, a research was done.

You can have full access to the study here-

http://bjsm.bmj.com/content/48/11/871.short

Primary Patellar Dislocation: Management

Patellar dislocation accounts for 2 – 3% of all knee injuries, however, is the second most common cause of knee haemarthrosis (Aglietti et al., 2001). Patellar dislocation is most commonly associated with sports injuries, and therefore, is encountered commonly by the sports physiotherapist. In recent times there has been controversy on the most appropriate forms of management following primary (or first time) patellar dislocation.

Management-

A CASE FOR PRIMARY SURGERY:-

Stefancin and Parker (2007), suggest that surgery is indicated in the following cases:
*.Significant chondral injury
*.Osteochondral fractures
*.Large medial patellar stabilizer defects (i.e. MPFL, medial retinaculum, VMO)
*.Subsequent dislocation
*.Failure to improve with conservative management

CONSERVATIVE MANAGEMENT:-

The physiotherapy management of patellar dislocation should include the following:

A period immobilisation/bracing in extension (at least 3 weeks). This follows the results of Maenpaa and Lehto (1997) who found a 3-fold higher risk of redislocation in those treated with immediate mobilization, rather than a period of immobilisation.This should be followed by functional rehabilitation, with the aims of:
*.Quadriceps strengthening
*.VMO Biofeedback – aimed at reducing inhibition*.Restoration of ROM
*.Stretching of lateral structure tightness
*.Mobilisation for cartilage nutrition

The outcomes of conservative management are quite favourable. The systematic review (Stefancin and Parker, 2007) showed an excellent to good results in 76% of patients, with an average re-dislocation rate of about 48%.

ASPIRATION:-

In patients who present with significant effusion, aspiration may aid both therapy and diagnosis (Stefancin and Parker, 2007). This is because:
*.It can decrease pain and local anaesthetic injection can improve both clinical and radiographic assessment
*.It will achieve joint depression
*.Larger haemarthrosis volume will be related to a larger injury to the medial patellar stabilizers and/oran osteochondral injury
*.Analysis of the aspirate may identify the presence of fatty globules, which is indicative of an osteochondral fracture.

SURGICAL MANAGEMENT:-

As stated above, there are a number of cases in which surgical management is indicated. If the osteochondral fracture is greater than 10% of the patella articular surface, or if it is a part of the weight-bearing portion of the lateral femoral condyle, open repair is indicated (given that the fragment is amendable to fixation). Any large defects in the medial patellar stabilisers should under repair/reconstruction. A lateral release can also be performed to release tight lateral structures.The results of surgical management are positive. Subjectively there has been excellent to good results in 69% of patients, with a lower re-dislocation rate of 12%.

Effectiveness of Stretch for the Treatment and Prevention of Contractures in People With Neurological Conditions: A Systematic Review

In this study effectiveness of strech is measured to prevent the contractures in the neurological conditions.

Here is the full access to the study-

http://ptjournal.apta.org/content/91/1/11.full?sid=35251569-7056-4816-8f7a-88a4525f5112

Physiotherapy Vacancy in Fortis Healthcare- Bangalore

Physiotherapy job in Fortis Healthcare, Bangalore

Eligibility:BPT

Contact:HR, Fortis Healthcare, Bangalore

Phone:91-80-66214042

Disclaimer-
This post is purely for helping other Physiotherapists. This site doesn't take any responsibility about the jobs. One should do proper inquiry before joining.

Brain cell discovery could open doors to targeted cancer therapies

Fresh insights into the processes that control brain cell production could pave the way for treatments for brain cancer and other brain-related disorders.

Scientists have gained new understanding of the role played by a key molecule that controls howand when nerve and brain cells are formed – a process that allows the brain to develop and keeps it healthy. Their findings could help explain what happens when cell production goes out of control, which is a fundamental characteristic of many diseases including cancer.

Researchers have focused on a RNA molecule, known as miR-9, which is linked to the development of brain cells, known as neurons and glial cells. They have shown that a protein called Lin28a regulates the production of miR-9, which in turn controls the genes involved in brain cell development and function.

Scientists carried out lab studies of embryonic cells, which can develop into neurons, to determine how Lin28a controls the amount of miR-9 that is produced.They found that in embryonic cells, Lin28a prevents production of miR-9 by triggering the degradation of its precursor molecule. In developed brain cells, Lin28a is no longer produced, which enables miR-9 to accumulate and function. In cancer cells, Lin28a production is re-established, and as a result this natural process is disrupted.Researchers used a series of lab tests to unravel the complex processes that are directed by the Lin28a protein. They say further studies could help explain fully the role of Lin28a and miR-9 in brain development, and pave the way to the development of novel therapies.

Dr Gracjan Michlewski of the School of Biological Sciences, who led the study, said: “Understanding more of the complex science behind the fundamental processes of cell development will helps us learn more about what happens when this goes wrong – and what might be done to prevent it.”

Ref. from-psypost.org

Physiotherapy Vacancy Abroad

Physiotherapist vacancy in Nigeria-

Eligibility:
MPT with 3 year experience

Contact:
HRCones & Cubes Consultancy Services, Gurgaon, Haryana

Email id:
khushal@ccchr.in

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Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee

Here is a Randomized Controlled Trial to Study the Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee.

You can check the full research here-

http://annals.org/article.aspx?articleid=713255

Rehabilitation After Hallux Valgus Surgery: Importance of Physical Therapy to Restore Weight Bearing

Postoperative physical therapy and gait training lead to improved function and weight bearing of the first ray after hallux valgus surgery.

Here is the full access to the study-

http://ptjournal.apta.org/content/89/9/934.short

Spinal stimulation helps SCI patients regain voluntary movement

Four people with paraplegia can voluntarily move previously paralyzed muscles as a result of a therapy involving electrical stimulation of the spinal cord, according to a recent study.

You can find the full article here-

http://news.todayinpt.com/article/20140414/TODAYINPT04/140411001