Search results for "Upper limb"
showing 10 items of 87 documents
Validation of motor and functional scales for the evaluation of adult patients with 5q spinal muscular atrophy
2021
ABSTRACTObjectiveTo assess in adult spinal muscular atrophy (SMA) patients the construct validity and responsiveness of several outcome measures.MethodsPatients older than 15 years and followed-up at least for 6 months, between October 2015 and August 2020, with one motor function scale (Hammersmith Functional Motor Scale Expanded, HFMSE; Revised Upper Limb module, RULM) in five referral centers were included. Bedside functional scales (Egen Klassification, EK2; Revised Amyotrophic Lateral Sclerosis Functional Rating Scale, ALSFRS-R) were also collected when available. Correlations and regression models were performed to evaluate the construct validity. The monthly slopes of change were use…
Trial on the Possibility to Assess the Static and Dynamic Balance in the Elderly with Diseases on the Level of the Supporting Joints
2019
The study aims to identify human walking disorders, proposing a model to solve these disorders, regardless of what caused them. Material and method Clinical and somatometric tests, pedometric investigations and sensors were used. An outpatient trial was conducted for a period of 6 weeks with a frequency of application of the recovery program of 3 times / week. For this study, there were 21 patients over the age of 65 years, which were divided into two groups: the witness group in which 11 patients had upper limb and / or spine disorders, and the control group with 10 patients with degenerative diseases in the knees and ankles. The tests were applied to both groups following the demographic …
Effects of wrist oscillations on contralateral neurological postural tremor using a new myohaptic device ('wristalyzer')
2007
Upper limb postural tremor consists of distinct oscillations, mainly mechanical-reflex and central-neurogenic. These oscillations are superimposed upon a background of irregular fluctuations in muscle force. Muscle spindles play key-roles in the information flow to supra-spinal and spinal generators. Oscillations were delivered using a new generation portable myohaptic device, called 'wristalyzer', which takes into account the ergonomy of upper limbs allowing a fine adjustment to each configuration of upper limb segments. The nominal torque of the device is 4 Nm, with a maximal rotation velocity of 300 degrees/s and a range of motion of +45 to -45 degrees. Reliability was assessed in basal …
Bedeutung der Kalkdepot-elimination bei Tendinosis calcarea der Schulter
2000
Aim: To evaluate the effect of complete elimination of the calcific deposit on the clinical outcome in patients with a recalcitrant calcifying tendinitis of the shoulder. Patients and methods: 50 patients with a chronic calcifying tendinitis of the shoulder (Type Gartner I or II) underwent a single application of extracorporeal shock waves (3000 impulses, energy flux density 0.60mj/ mm 2 ). After one year 45 patients were evaluated radiologically and clinically. Results: Radiologically a complete absorption of the calcific deposit was observed in 21 patients (47%). In 9 patients there was no radiological change. The radiological success was closely related to the radiomorphology of the depo…
Comparison of TMS-induced arm acticvation and upper limb functional tests in hemiparetic stroke
2013
Stroke has a major impact in the total cost of healthcare in the Western world as stroke is the most common cause of long-term disability [1]. In attempts to enhance motor recovery after stroke effective treatment strategies have been developed in recent years. Appropriate evaluation of the intervention programs requires comprehensive and accurate assessment of the residual abnormal function. In the present study we compare two well-known clinical functional scoring tests developed for the assessment of hemiparetic upper limb function due to stroke and navigated transcranial magnetic stimulation (nTMS), which measures involuntary target muscle response to cortical stimulation. The aim is to…
Balloon aortic valvuloplasty, Impella insertion and complex coronary intervention: is this all feasible fully percutaneously via upper limb access?
2021
Complex high-risk indicated patients (CHIP) with a limited vascular access constitute a real challenge for percutaneous coronary interventions (PCI), particularly if they require mechanical circulatory support devices. A 73-year-old man with recent non-ST segment elevation myocardial infraction, depressed left ventricular function (ejection fraction, 40%), aortic stenosis (max/mean gradient, 50/32 mm Hg; aortic valve area and its index, 1.0 cm2 and 0.5 cm2/m2) and numerous comorbidities (including recently diagnosed lung cancer in the initial phase) was scheduled by the heart team for balloon aortic valvuloplasty (BAV) and Impella-supported complex PCI of the left main (LM) and the left ant…
Die Skaphoidpseudarthrose: Häufigkeit, Pathogenese und Verlauf
1989
Eight-three scaphoid pseudo-arthroses were found amongst 1.104 scaphoid examinations. Sixty-seven were present at the first examination and 16 pseudoarthroses developed amongst 252 scaphoid fractures. Men were affected predominantly, particularly in the 20 to 40-year old group. Fractures in the proximal third of the scaphoid and vertical oblique fractures had a particular tendency to pseudo-arthrosis formation. The operative treatment of choice is a Matti-Russe bone graft. Only one patient in seven with definite scaphoid pseudo-arthrosis showed firm fusion.
Kontrastmittelgestützte 3D-MR-Angiographie der Becken- und Beinarterien mit automatischer Tischverschiebung bei 1,0 Tesla
2000
PURPOSE Assessment of the value of contrast-enhanced MR angiography (ceMRA) using an automatic tracking technique at 1.0 Tesla in comparison with digital subtraction angiography (DSA) of the pelvic and lower limb arteries. MATERIALS AND METHODS In 15 patients with peripheral arterial occlusive disease a ceMRA (3D FLASH, TR/TE = 6.2/2.3 ms, Flip angle alpha = 30 degrees, Matrix 170 x 256) using a new automatic tracking technique was accomplished. The reference method was DSA. Twenty-one vessel segments of each patient were graded as normal, stenosed (> 50%) or occluded. Image material was evaluated independently by two radiologists. RESULTS In comparison, the interobserver agreement showed a…
Sulcus ulnaris Syndrom nach Traumen im Ellenbogenbereich
2008
For a large scaled test 52 patients with anterior transposition of the ulnar nerve and 62 patients with elbow injuries were examined by questionnaire, physical examination and electroneurography. In conformity with existing literature 24 patients out of 52 suffering from cubital tunnel syndrome had an elbow trauma previously. To our great surprise in seven patients out of 46 with elbow injuries a cubital tunnel syndrome could be found for the first time. The cubital tunnel syndrome appears to be a frequent complication of elbow injuries. Besides the well known fractures of the medial epicondyle and pericondylar fractures leading to cubital tunnel syndrome, in our study fractures of the head…