Primary Care and Rehab

Continuity of care

How restrictive baby equipment can hinder development

As parents, we rely on convenient places to keep babies safe and contained, but common pieces of baby equipment could be leading to flat heads and muscle strains. Plagiocephaly, the clinical name for asymmetrical flat-headedness in … READ MORE

Study tackles non-surgical treatment of knee osteoarthritis

This study is a head-to-head comparison of non-surgical treatment of knee osteoarthritis and total knee replacement surgery. Here is what they found. Florence Dressler illustration in Feminology 1902, page 607. Library of … READ MORE

Knee pain lasting 1 year predicts faster cartilage loss, higher OA risk

Fluctuating and persistent knee pain over 1 year predicts accelerated cartilage loss as well as an increased risk for incident and progressive radiographic osteoarthritis, according to data published in Arthritis Research & … READ MORE

Can virtual reality really transform physical therapy?

Researchers have long seen the potential of virtual reality in rehabilitating patients with movement disorders. But do treatments using VR have advantages over traditional physical therapy? By Alex Hogan, STAT August 31, 2018 … READ MORE

Massage helps ease knee arthritis pain, improves mobility

Short-term improvements in symptoms suggests massage could complement treatment. Study Determines Optimal Dose of Massage for Osteoarthritis of the Knee Pain Research. National Center for Complementary and Integrative Health (NCCIH) … READ MORE

What’s the best treatment for positional plagiocephaly in infants?

Physical therapy—with helmet therapy if needed—is the recommended treatment for most infants with position-related flattening of the skull (plagiocephaly), according to a new set of clinical guidelines in the November issue of … READ MORE

Earlier helmet therapy yields better results for infants with skull flattening

For infants with skull flattening related to sleep position, starting helmet therapy at a younger age, especially before 24 weeks, increases the treatment success rate, suggests a study in the August issue of Plastic and … READ MORE

Prehabilitation for TKA may yield shorter length of stay, better discharge disposition

Patients who participated in a prehabilitation protocol for total knee arthroplasty experienced shorter length of stay and better discharge disposition, according to results published in The Annals of Translational Medicine. Prehab … READ MORE

Inclusive water park named to ‘World’s Greatest Places’ list

Time Magazine says that a first-of-its-kind water park designed to be fully accessible to people with special needs is among the top 100 places in the world for 2018. Morgan’s Inspiration Island, a fully-accessible splash park … READ MORE

What’s the best way to find relief from your knee arthritis pain?

No one drug or therapy alone is effective — but a comprehensive approach can ease symptoms. Sustainable pain control: How a knee brace helps live a pain free life. Sharron Cowbridge, OA Knee Pain Cleveland Clinic Health Essentials … READ MORE

Three reasons to avoid – or delay – knee replacement surgery

Hitting your 50s or 60s can bring several life changes, and increasingly those include artificial joints. For much of the aging U.S. population, knees in particular are wearing out. Össur Unloader knee brace The Davis … READ MORE

Path of least resistance: Sequencing orthotic care

The higher profile the device, the more it perturbs movement, and sometimes kids reject such orthoses because of discomfort or unwieldiness. Starting with the least restrictive device and responding to subtle changes in children’s … READ MORE

What happens to your shoulder when you use crutches?

We are recruiting volunteers for our study. Participants will be asked to move with different crutches. A motion capture system will record shoulder movement and muscle activity. 3D render of a male figure with close up of shoulder … READ MORE

Personalized strength training may benefit mobility of children with cerebral palsy

Strength training has the potential to reduce muscle weakness and improve walking ability of children with cerebral palsy (CP), but should be adapted to each child’s muscle response, according to a study published in the Journal … READ MORE

Non-invasive brain stimulation may help treat symptoms of rare movement disorders

Electrical stimulation of the brain and spinal cord may help treat the symptoms of rare movement disorders called neurodegenerative ataxias, according to a study published in the August 22, 2018, online issue of Neurology, the medical … READ MORE

Physiatry Bracing/Orthotics Clinic – Foothills Medical Centre, Alberta Health Services

NEW Bracing Clinic for adults with complex conditions. Conditions include nerve injury, burns, spinal cord injury, stroke, myopathy brain injury, cerebral palsy, sports injury, or inflammatory arthritis. Referrals from Family … READ MORE

Joint mobilization plus exercise beneficial for knee osteoarthritis

Patellar mobilization therapy (PMT) plus exercise has the potential to reduce pain and improve function and quality of life for patients with knee osteoarthritis, according to a phase 2 study published Nov. 12 in the Annals of Family … READ MORE

The right trousers: Wallace and Gromit inspire artificial muscle clothing

Smart trousers could dramatically change lives of people with mobility problems. Wallace and his dog Gromit in the film The Wrong Trousers by Nick Park. Allstar photo in The Guardian. Layal Liverpool, The Guardian 11 September 2018 … READ MORE

OA knee bracing in family practice

Research indicates that primary care physicians are underprescribing exercise as a treatment for knee osteoarthritis, and experts suggest the same can be said about bracing. Townsend Design photo By Larry Hand, Lower Extremity … READ MORE

Knowledge gaps, time constraints limit use of OA guidelines in primary care

Factors influencing the limited use of core clinical practice guideline recommendations for knee osteoarthritis among general practitioners include knowledge gaps, low confidence and skill deficiencies, time and other constraints, the … READ MORE

Orthopaedic surgeons on the common knee procedure that may cause more harm than good

Nearly half of Canadians aged 65 and over experience osteoarthritis in their knees. Osteoarthritis is the most common form of arthritis and occurs when the protective cartilage on the ends of bones wears down over time leading to … READ MORE

Knee OA bracing: Longer use does not impair strength

Dose-response research refutes the common perception that increasing brace wear time leads to muscle atrophy in patients with knee osteoarthritis. In fact, longer bracing duration appears to improve hamstring strength as well as … READ MORE

Patellofemoral pain in adolescents presents a treatment challenge

PFP is occurring as early as late elementary school, calling into question traditional “overuse injury” therapies. University of Toronto Womens Varsity Blues volleyball game with Ryerson Rams, November 18, 2017. Henry Zhao, The … READ MORE

OA quickly progresses among young military officers with knee injuries

Nearly one in five military officers who have had a knee injury developed radiographic osteoarthritis before 30 years of age, according to data presented at the ACR/ARHP 2018 Annual Meeting. Military populations experience high rates … READ MORE

On bended knees: Two steps forward, one step back

Sun Media national lifestyle and food editor Rita DeMontis recently wrote about her struggles with advanced osteoarthritis knee issues, and how she faced the toughest challenge of her life: Bilateral knee surgery. In Part Four of her … READ MORE

If your knee hurts, keep exercising, says expert

If you take up exercise later in life, as a treatment for joint or hip pain, you should expect a small, temporary increase in pain. [2] But if you proceed sensibly, you will be rewarded with pain relief similar [5] to that of a … READ MORE

First 3D colour x-ray of a human using CERN technology

What if, instead of a black and white X-ray picture, a doctor of a cancer patient had access to colour images identifying the tissues being scanned? This colour X-ray imaging technique could produce clearer and more accurate pictures … READ MORE

Scientists uncover why knee joint injury leads to osteoarthritis

Knee joint injuries are typically related to sports, such as football, rugby or ice hockey, but people often do not know that such injuries may lead to joint inflammation and post-traumatic osteoarthritis. Knee joint injuries may lead … READ MORE

4-year-old Michigan girl with cerebral palsy takes first steps: ‘I’m walking!’

A little girl with cerebral palsy defied doctors’ expectations when she took her first steps much earlier than expected. Maya Tisdale. Her mother said that Maya’s dream “is to walk.” Ann Tisdale in ABC News By … READ MORE

Physical therapies underused following total knee replacement

Evidence-based physical therapy interventions for patients who undergo total knee replacement surgery are underused, and the dosage may not be adequate to achieve optimal outcomes, according to a retrospective review in Arthritis Care … READ MORE

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