A Gillette Center of Excellence. Center for Gait and Motion Analysis. at Gillette Children s Specialty Healthcare
|
|
- Martina Cross
- 6 years ago
- Views:
Transcription
1 A Gillette Center of Excellence Center for Gait and Motion Analysis at Gillette Children s Specialty Healthcare
2 Centers of Excellence at Gillette Children s Specialty Healthcare Treating people who have disabilities and complex medical conditions requires a team approach. At Gillette Children s Specialty Healthcare, our doctors, surgeons, nurses, therapists, orthotists, psychologists, social workers and other specialists work together to care for patients. Throughout our centers of excellence, we offer leading-edge medical treatments tailored to the unique needs of each patient. Gillette s centers of excellence: Center for Cerebral Palsy Center for Craniofacial Services Center for Gait and Motion Analysis Center for Pediatric Neurosciences Center for Pediatric Orthopaedics Center for Pediatric Rehabilitation Center for Pediatric Rheumatology Center for Spina Bifida
3 A Gillette Center of Excellence Center for Gait and Motion Analysis When our Center for Gait and Motion Analysis opened in 1987, it was the only one of its kind in the Upper Midwest. Our doctors were among the first in the world to use motion analysis in treating children with walking and movement problems. Today, we operate the busiest clinical motion analysis center in the nation, performing more than 600 examinations each year. We offer state-of-the-art technology and a highly trained staff committed to ongoing training, research and excellence in clinical care. We strive to help our patients achieve greater levels of mobility and independence. 3
4 Our Team Approach When a child is diagnosed with a complex medical condition, families face a world of new people, terms and responsibilities. That s why Gillette s team of specialists works together. We coordinate patient care so families can focus on what they know best: their kids. At Gillette s Center for Gait and Motion Analysis, our team includes technicians, engineers, physical therapists and orthopaedic surgeons who are experts in the study of human movement. Using advanced computer technology, we analyze how muscles, joints and nerves work together to make movement possible. Using motion analysis, our team helps physicians select the most effective treatments for walking and movement problems. Surgeons, therapists and other specialists then develop treatment plans based on the unique needs of each patient. Working together, we strive to maximize each patient s physical abilities. Our team includes technicians, engineers, physical therapists, orthopaedic surgeons and other support staff. Working together, we help doctors choose the most effective treatments for walking and movement problems. 4
5 Roy Wervey, engineer, explains motion-analysis data to Jack and his mother. You ll meet Jack and learn about his motion-analysis test in the following pages. We call our approach family-centered care because we believe that children and teens do best when families are at the center of the team. To help families become informed and involved, we thoroughly explain the process of motion analysis and its effect on treatment outcomes with each family. 5
6 Our Patients Motion analysis measures movement patterns in people who have complex conditions involving the muscles, joints, nerves and bones. We see people who have: Amputations Arthritis Brain injuries Cerebral palsy Conditions that cause toe-walking Legs of different lengths Misaligned bones and foot abnormalities Movement problems of the arms and hands Spina bifida Other neurological or orthopaedic conditions Motion Analysis for Upper Extremities Although health-care professionals use motion analysis primarily to understand walking problems, the technology also can measure movement of the arms and hands. Doctors and therapists use the data to recommend treatments that improve abilities. Caring for Adults We also evaluate teens and adults. Some are having motion analysis for the first time because, as they ve grown older, their conditions have begun causing pain and stiffness. Others have experienced difficulties since childhood and need ongoing evaluations and treatment. All of our patients receive health care tailored to their individual needs. 6
7 Motion Analysis Using innovative computer technology, motion analysis captures movements, muscle activity and forces that the eye can t see. Although some people have similar walking patterns, the way their muscles and joints work together can be very different. Motion analysis helps a patient s care team accurately identify problems specific to each patient. Information from motion analysis together with imaging scans, the patient s medical history and the results of other evaluations helps a patient s care team recommend the best treatments for abnormal movement. Options include braces, medication, physical therapy and surgery. During motion analysis, several cameras capture the movement of sensors attached to the patient s body. A special computer combines those images and constructs an animated, three-dimensional representation of the patient s walking pattern. 7
8 How It Works A physical therapist and a technician or engineer conduct motion analysis tests in a room equipped with advanced video, computer and monitoring equipment. A typical visit takes 21/2tothreehours. Jack s Visit Before testing a patient like Jack, a physical therapist explains how motion analysis works. Testing usually involves several steps. 1. Videotaping Jack walks across the room while being videotaped from many angles. 2. Plantar Pressure Testing Jack walks across a mat that senses the pattern and distribution of pressure under his feet. 3. Physical Exam Using special tools, the therapist assesses Jack s strength, range of motion, and levels of spasticity and muscle control. 4. Attaching the Equipment The therapist applies reflectors to help special cameras measure Jack s specific movements. The therapist also tapes sensors to Jack s muscles. They record when various muscles are active and at rest. Meet Jack! Jack wears a special backpack that collects information from the sensors. Like many patients who undergo motion analysis at Gillette, Jack has cerebral palsy a condition that can cause stiff (spastic) muscles that restrict arm and leg movement. Jack agreed to help us explain the steps of motion analysis. 8
9 Rocio Riveros-Charry, physical therapist, assesses Jack s range of motion. Patients like Jack have plantar-pressure testing before and after treatment to detect any changes in the pattern and distribution of pressure under their feet. Although patients can wear shirts during motion analysis, boys sometimes don t. Phala Hoeun, physical therapy aide, assists Riveros-Charry with attaching reflectors and sensors to Jack s body. 9
10 Some patients use braces, walkers or crutches during motion analysis. 4. Motion Analysis Wearing the reflectors, sensors and backpack, Jack walks across the motion analysis testing room. Special instrumentation, built into the floor, measures the forces produced by his muscles at the joints. Several cameras track the movements of the reflectors. 5. Oxygen Consumption Test After the therapist removes the reflectors, sensors and backpack, Jack wears a mask over his nose and mouth. The mask measures the amount of oxygen Jack inhales and carbon dioxide he exhales. This test helps his doctors understand how much energy Jack uses when walking. Riveros-Charry adjusts Jack s reflectors before his motion analysis. Wervey monitors and records motionanalysis information at the computer. Jack wears a special mask that helps to measure his oxygen consumption. As Jack walks, Wervey follows with a computer that collects the information. 10
11 6. Analyzing the Data The engineer processes the data and creates a series of graphs showing Jack s movements, muscle activity, force production and energy use. The therapist and an orthopaedic surgeon compare the data from Jack s motion analysis and physical exam to typical walking patterns. After reviewing the data, the therapist and the surgeon generate a list of problems and potential treatments. They give this information to Jack s specialty physician, who will discuss it with Jack and his family on their next visit. Riveros-Charry reviews Jack s motion-analysis data with Tom Novacheck, M.D., orthopaedic surgeon. 7. Follow-up Evaluation After surgery, physical therapy or a change in medication, we often bring patients back to the Center for Gait and Motion Analysis for follow-up testing. Repeated analyses help us determine whether patients have improved after treatment. We can then decide what additional treatments if any would be beneficial. Degrees Left Side Right Side Control Group Gait Comparison Gait Cycle This graph compares the movement of Jack s right and left knees with that of people who have typical walking patterns (the control group). 11
12 Case Study Andrew, 6, has the spastic quadriplegia form of cerebral palsy, which affects both arms and legs. When he underwent an evaluation at the Center for Gait and Motion Analysis, we found significant spasticity. We first recommended orthopaedic surgery to correct bone deformities and to lengthen and transfer muscles, tendons and other soft tissues. To help with rehabilitation, we recommended botulinum toxin injections to temporarily ease spasticity in his hamstrings. Motion analysis conducted seven months after surgery confirmed our previous finding of significant spasticity and indicated that Andrew would benefit from selective dorsal rhizotomy surgery. During that procedure, neurosurgeons guided by intraoperative nerve monitoring cut selected nerve rootlets to ease muscle spasticity in the legs. One year after his rhizotomy surgery, motion analysis showed that proper bone alignment and reduced spasticity had made a marked improvement in his gait. In addition, oxygen consumption testing showed that his energy expenditure had decreased in other words, he tired less easily when walking. His parents report that they are extremely satisfied with the results of his surgeries. His mother notes, He can walk much better, and he has more strength and endurance. Before treatment, Andrew walked in a crouch position, with his right foot and knee rotated inward. After treatment, the boy s gait improved dramatically. He is more upright, and his bones are properly aligned. 12
13 Research Gillette has conducted the most comprehensive study ever of motion analysis and its role in determining treatments for children with cerebral palsy. We studied the walking patterns of 135 patients with cerebral palsy. We also surveyed families to find out how well participants were doing on 22 functional skills, including walking and climbing stairs. Our goal was to find out whether surgery guided by presurgical motion analysis helps patients gain or maintain abilities. Results showed that 93 percent of the participants who were treated with rhizotomy and orthopaedic surgery improved or maintained their skills, mobility, quality of movement, and efficiency. Without treatment, walking difficulties tend to worsen in people who have cerebral palsy. Therefore, no change typically indicates an improvement over the natural course of the condition. Even in those whose conditions worsened, the magnitude of change was small when compared to the significant improvement most patients experienced. In addition, study participants decreased their energy expenditure by an average of 30 percent after treatment. That enables them to be more physically active without tiring. These results indicate that surgical intervention when guided by preoperative motion analysis is safe and successful in a majority of children who have cerebral palsy. 79% Improved Following Treatment 14% Maintained Abilities Following Treatment 7% Worsened Following Treatment Overall Patient Outcomes 13
14 Information & Referrals For more information about Gillette s Center for Gait and Motion Analysis, call or (toll-free). To refer a patient, call Gillette s Center for Gait and Motion Analysis is located on our St. Paul campus, at the intersection of Jackson Street and University Avenue in St. Paul, Minn. For a detailed map and directions, visit our Web site at LEARN MORE! For more information about motion analysis, visit our Web site at 14
15 Our Mission Gillette meets the special health-care needs of people primarily children and teens who have disabilities. Our mission is to help those we serve realize greater well-being, independence and enjoyment in life. We combine medical, nursing, therapeutic, technical, psychosocial and other expertise in family-centered programs. We provide services at our clinics, in our hospital and throughout the region, in response to community needs and often in collaboration with other organizations. We seek to build community partnerships that help continue our mission and enhance care for people who have disabilities.
16 St. Paul (Main) Campus 200 University Ave, E. St. Paul, MN (toll-free) Burnsville Clinic 305 E. Nicollet Blvd. Burnsville, MN (toll-free) Duluth Clinic Lakewalk Center 1420 London Rd. Duluth, MN (toll-free) Maple Grove Clinic 9550 Upland Ln. N. Maple Grove, MN (toll-free) Minnetonka Clinic 6060 Clearwater Dr. Minnetonka, MN (toll-free) Mobile Outreach Clinic For locations and schedules: (toll-free) St. Paul Phalen Clinic 435 Phalen Blvd. St. Paul, MN (toll-free) Copyright 2008, Gillette Children s Specialty Healthcare. All rights reserved.
A Gillette Guide for Children
All About Your EMG A Gillette Guide for Children What to Expect A Note to Parents We designed this picture book to help children understand what will happen during an electromyogram (EMG) test. Children
More informationCenter for Pediatric Orthopaedics at Gillette Children s Specialty Healthcare. A Gillette Center of Excellence
Center for Pediatric Orthopaedics at Gillette Children s Specialty Healthcare A Gillette Center of Excellence Centers of Excellence at Gillette Children s Specialty Healthcare Treating people who have
More informationCONNECTICUT CHILDREN S MEDICAL CENTER. Gait Analysis
CONNECTICUT CHILDREN S MEDICAL CENTER Gait Analysis Why do Gait Analysis? Analyzing how someone walks can be difficult from observation and clinical examination alone. Gait analysis provides objective
More informationDysphagia rehabilitation: Pathophysiology, evaluation and treatment
Dysphagia rehabilitation: Pathophysiology, evaluation and treatment Stroke is the most important cause of morbidity and long-term disability and thus imposes an enormous economic and social burden. Oropharyngeal
More informationTHE NEW BRIGHAM AND WOMEN S ORTHOPEDIC CENTER
www.brighamandwomensfaulkner.org YOUR GUIDE TO NEW PROGRAMS AND SERVICES AT BRIGHAM AND WOMEN S FAULKNER HOSPITAL THE NEW BRIGHAM AND WOMEN S ORTHOPEDIC CENTER WORLD-CLASS ORTHOPEDIC CARE, RIGHT HERE IN
More informationManagement of knee flexion contractures in patients with Cerebral Palsy
Management of knee flexion contractures in patients with Cerebral Palsy Emmanouil Morakis Orthopaedic Consultant Royal Manchester Children s Hospital 1. Introduction 2. Natural history 3. Pathophysiology
More informationSELECTIVE DORSAL RHIZOTOMY (SDR)
SELECTIVE DORSAL RHIZOTOMY (SDR) ST. LOUIS CHILDREN S HOSPITAL 280 beds, expanding to 473 in 2017 3,000 employees 800 medical staff members 1,300 auxiliary members and volunteers More than 30 pediatric
More informationKnee Replacement PROGRAM. Nightingale. Home Healthcare
Knee Replacement PROGRAM TM Nightingale Home Healthcare With the help of Nightingale s experienced and professional rehabilitation team, you will be guided through a more complete and successful recovery
More informationThe Ultimate Biomechanics Lab
myometricslab The Ultimate Biomechanics Lab ASSESSED, QUANTIFIED & VERIFIED Noraxon USA provides market-leading technology for measurement and training devices, such as EMG, gait analysis, biofeedback,
More informationClinical Policy Title: Computerized gait analysis
Clinical Policy Title: Computerized gait analysis Clinical Policy Number: 15.01.01 Effective Date: October 1, 2014 Initial Review Date: May 21, 2014 Most Recent Review Date: May 1, 2018 Next Review Date:
More informationClinical Policy Title: Computerized gait analysis
Clinical Policy Title: Computerized gait analysis Clinical Policy Number: 15.01.01 Effective Date: October 1, 2014 Initial Review Date: May 21, 2014 Most Recent Review Date: June 22, 2017 Next Review Date:
More informationSelective Dorsal Rhizotomy (SDR) Scotland Service Pathway
Selective Dorsal Rhizotomy (SDR) Scotland Service Pathway This pathway should to be read in conjunction with the attached notes. The number in each text box refers to the note that relates to the specific
More informationKNEE FOLLOW-UP. Thank you for your attention to this matter. If you have any questions, please contact us for assistance. Thomas P.
KNEE FOLLOW-UP It is important to review the status of your knee implant(s) during an office visit at four weeks, six months, one year and every other year postoperatively thereafter even though you are
More informationConsiderations in the selection of patients for Selective Dorsal Rhizotomy
Considerations in the selection of patients for Selective Dorsal Rhizotomy The best and the worst surgery I have ever been associated with. A therapist's perspective Dean Morgan, PT Disclosure Statement
More informationRehabilitation. Walkers, Crutches, Canes
Walkers, Crutches, Canes These devices provide support through your arms to limit the amount of weight on your operated hip. Initially, after a total hip replacement you will use a walker to get around.
More informationPost-op / Pre-op Page (ALREADY DONE)
Post-op / Pre-op Page (ALREADY DONE) We offer individualized treatment plans based on your physician's recommendations, our evaluations, and your feedback. Most post-operative and preoperative rehabilitation
More informationCOPD & Managing Your Disease at Home
COPD & Managing Your Disease at Home Oxygen and Activity The importance of activity: Activity is important for everyone. When you have COPD your activity level may be low because breathing is difficult
More informationA Customized Knee Replacement. Provides the Perfect Fit
A Customized Knee Replacement Provides the Perfect Fit You Can Return to Your Active Lifestyle in No Time You re struggling with a debilitating knee problem like arthritis. You can t climb the stairs without
More informationRehabilitation. Walking after Total Knee Replacement. Continuous Passive Motion Device
Walking after Total Knee Replacement After your TKR, continue using your walker or crutches until your surgeons tells you it is okay to stop using them. When turning with a walker or crutches DO NOT PIVOT
More informationA Patient s Guide. ACL Injury: Ø Frequently asked questions on injury, Ø Preoperative and postoperative. surgery and recovery.
ACL Injury: A Patient s Guide Ø Frequently asked questions on injury, surgery and recovery Ø Preoperative and postoperative guidelines Mia S. Hagen, M.D. Assistant Professor Department of Orthopaedics
More informationClub Feet, Flat Feet, Bow Legs, and Knock-Knees
Club Feet, Flat Feet, Bow Legs, and Knock-Knees CHAPTER 11 113 WHAT IS A DEFORMITY AND WHAT IS? Sometimes parents worry because they think a part of their child s body is abnormal or deformed. But in small
More informationMOTION DIAGNOSTIC IMAGING (CMDI)/ GAIT ANALYSIS
Page: 1 of 5 MEDICAL POLICY MEDICAL POLICY DETAILS Medical Policy Title COMPUTERIZED MOTION DIAGNOSTIC IMAGING (CMDI)/ GAIT ANALYSIS Policy Number 2.01.13 Category Technology Assessment Effective Date
More informationYour Orthotics service is changing
Your Orthotics service is changing Important information for service users on changes effective from July 2015 Why is the service changing? As demand for the Orthotics service increases, Livewell Southwest
More informationGIVE YOUR FEET A HAND... WITH SPECIALIZED FOOT AND ANKLE CARE. A Guide for Patients
GIVE YOUR FEET A HAND... WITH SPECIALIZED FOOT AND ANKLE CARE A Guide for Patients The Foot an Amazing Feat of Engineering The foot is an incredibly complex mechanism. Comprised of bones (26 in each foot),
More informationPilon Fractures - OrthoInfo - AAOS. Copyright 2010 American Academy of Orthopaedic Surgeons. Pilon Fractures
Copyright 2010 American Academy of Orthopaedic Surgeons Pilon Fractures Pilon fractures affect the bottom of the shinbone (tibia) at the ankle joint. In most cases, both bones in the lower leg, the tibia
More informationTheuseofgaitanalysisin orthopaedic surgical treatment in children with cerebral palsy
Theuseofgaitanalysisin orthopaedic surgical treatment in children with cerebral palsy Aim of treatment Correction of functional disorder Requires analysis of function Basis for decision making Basis for
More informationAdolescent Idiopathic Scoliosis
Adolescent Idiopathic Scoliosis Adolescent idiopathic scoliosis is characterized by a lateral bending and twisting of the spine. It is the most common spinal deformity affecting adolescents 10 to 16 years
More informationApril 2016 Can We Get Stronger as We Age? The answer to that question is
Can We Get Stronger as We Age? The answer to that question is absolutely! After age 40 or so, we all begin to lose muscle strength and bone density, and our hormone production slows. While these factors
More informationCervical Surgeries. DO NOT twist or bend your neck, or lift with your arms, without getting clearance from your doctor.
Precautions: Cervical Surgeries DO NOT twist or bend your neck, or lift with your arms, without getting clearance from your doctor. If you must bend down to pick up an object, use a grabber instead. Tighten
More information17 OSTEOARTHRITIS. What is it?
17 OSTEOARTHRITIS What is it? Osteoarthritis (OA) is the most dominant form of arthritis, affecting 13% of Canadian adults. In the foot, the most commonly affected sites for OA are the midfoot joints and
More informationYour Orthotics service is changing
Your Orthotics service is changing Important for referrers on changes effective from January 2015 Why is the service changing? As demand for the orthotics service increases and budgets remain relatively
More informationFoot and ankle fractures
Foot and ankle fractures Some fractures can be managed without surgery, but others require surgery to achieve the best possible outcome. Fractures and injuries to joints have a high risk of developing
More informationTotal Hip Replacement Exercise Guide
Total Hip Replacement Exercise Guide Regular exercise to restore strength and mobility to your hip and a gradual return to everyday activities are important for your full recovery after hip replacement.
More informationSelective Motor Control Assessment of the Lower Extremity in Patients with Spastic Cerebral Palsy
Overview Selective Motor Control Assessment of the Lower Extremity in Patients with Spastic Cerebral Palsy Marcia Greenberg MS, PT* Loretta Staudt MS, PT* Eileen Fowler PT, PhD Selective Motor Control
More informationAACPDM IC#21 DFEO+PTA 1
Roles of Distal Femoral Extension Osteotomy and Patellar Tendon Advancement in the Treatment of Severe Persistent Crouch Gait in Adolescents and Young Adults with Cerebral Palsy Instructional Course #21
More informationCase Study: Christopher
Case Study: Christopher Conditions Treated Anterior Knee Pain, Severe Crouch Gait, & Hip Flexion Contracture Age Range During Treatment 23 Years to 24 Years David S. Feldman, MD Chief of Pediatric Orthopedic
More informationSource: Exercise in Arthritis
Exercise in Arthritis Regular exercise boosts fitness and helps reverse joint stiffness with RA. Decrease Pain, Increase Energy Exercise more to decrease pain and feel more energetic? Hardly seems possible
More informationAdult Hip Dysplasia David S. Feldman, MD
Adult Hip Dysplasia David S. Feldman, MD Chief of Pediatric Orthopedic Surgery Professor of Orthopedic Surgery & Pediatrics NYU Langone Medical Center & NYU Hospital for Joint Diseases Overview Adult hip
More informationREACHING PEAK SPORTS PERFORMANCE AND PREVENTING INJURY
The Athlete s Guide to REACHING PEAK SPORTS PERFORMANCE AND PREVENTING INJURY THE ATHLETE S GUIDE TO REACHING PEAK SPORTS PERFORMANCE AND PREVENTING INJURY Table of Contents Introduction...3 Common Sports
More informationMembership Information and Application
Membership Information and Application Mission Statement The mission of the American Society of Neurorehabilitation (ASNR) is to promote the medical and social wellbeing of persons with disabling neurological
More informationCustom ToeOFF & BlueRocker
Custom ToeOFF & BlueRocker Achieving Success! After viewing this presentation you will be fully aware of the proper techniques required to fit a or BlueRocker. This presentation will cover Indications
More informationMr. Siva Chandrasekaran Orthopaedic Surgeon MBBS MSpMed MPhil (surg) FRACS
Bunion Surgery Most people with bunions find pain relief with simple treatments to reduce pressure on the big toe, such as wearing wider shoes or using pads in their shoes. However, if these measures do
More informationWhat is an ACL Tear?...2. Treatment Options...3. Surgical Techniques...4. Preoperative Care...5. Preoperative Requirements...6
Table of Contents What is an ACL Tear?....2 Treatment Options...3 Surgical Techniques...4 Preoperative Care...5 Preoperative Requirements...6 Postoperative Care...................... 7 Crutch use...8 Initial
More informationCommunity Caregivers. Effects of Immobility, Transfers and Positioning Test
Community Caregivers Effects of Immobility, Transfers and Positioning Test Name: Date: For each question, choose the best response or responses. 1. The key effect of immobility is: a. Increased incontinence
More informationDecember 3-4, 2015 Omni, Charlottesville, VA
The 21st h Annual Conference: Management Strategies for Functional Impairments in Children Presented by The University of Virginia Department of Orthopaedic Surgery Division of Pediatric Orthopaedics Motion
More informationA Patient s Guide to Rotational Deformities in Children
A Patient s Guide to Rotational Deformities in Children 2350 Royal Boulevard Suite 200 Elgin, IL 60123 Phone: 847.931.5300 Fax: 847.931.9072 DISCLAIMER: The information in this booklet is compiled from
More informationFacts about Scoliosis
Facts about Scoliosis Have you or someone in your family recently been diagnosed with scoliosis? Or do you suspect somebody you know has the condition? That is when we usually start googling to learn all
More informationIn-toeing, Out-toeing, Growing Pains, Bowlegs, Knock-Knees and Flat Feet
Jeffrey B. Neustadt, M.D. Scott W. Beck, M.D. Gregory V. Hahn, M.D. Drew E. Warnick, M.D. Paul L. Benfanti, M.D. Lee G. Phillips, M.D. Daniel C. Bland, M.D. Common Benign Orthopaedic Conditions In-toeing,
More informationANKLE SPRAIN, ACUTE. Description
Description ANKLE SPRAIN, ACUTE An acute ankle sprain involves the stretching and tearing of one or more ligaments in the ankle. A two-ligament sprain causes more disability than a single-ligament sprain.
More information.org. Tibia (Shinbone) Shaft Fractures. Anatomy. Types of Tibial Shaft Fractures
Tibia (Shinbone) Shaft Fractures Page ( 1 ) The tibia, or shinbone, is the most common fractured long bone in your body. The long bones include the femur, humerus, tibia, and fibula. A tibial shaft fracture
More informationWhile it s unlikely you ll meet all of us you can expect to see more than one physio during your stay in hospital.
Introduction: This information is provided to give you and your family a basic knowledge of the total hip replacement operation, outlining the things you should know, both before and after surgery. The
More informationPain or stiffness in joints after periods of inactivity or excessive use
Arthritis Awareness* Some older adults call it Arthur ; others refer to it as their constant compassion, but most describe it as extremely painful Arthritis is a chronic joint disease It is commonly believed
More informationIt s your knee. Help keep it that way PERSONALIZED TOTAL KNEE IMPLANTS
It s your knee Help keep it that way PERSONALIZED TOTAL KNEE IMPLANTS Osteoarthritis the disease Osteoarthritis (OA) is the most common form of arthritis, affecting tens of millions of people worldwide.
More informationWelcome Thank you for choosing the St. Cloud Hospital s Total Joint Program!
Welcome Thank you for choosing the St. Cloud Hospital s Total Joint Program! We are dedicated to providing the highest quality of care, with a goal of increasing your level of activity and decreasing your
More informationAnkle instability surgery
Ankle instability surgery Ankle instability surgery is generally reserved for people with chronic ankle instability who have failed to respond to conservative treatment. The surgical technique used will
More informationOccupational Therapy Assistant Explained
Occupational Therapy Assistant Explained OTA EXPLAINED 2 Occupational Therapy Assistant Explained Occupational therapy can best be described as the hidden gem of the medical world. Why? Because most people
More informationA Patient s Guide to Hallux Rigidus
A Patient s Guide to Hallux Rigidus Suite 11-13/14/15 Mount Elizabeth Medical Center 3 Mount Elizabeth Singapore, 228510 Phone: (65) 6738 2628 Fax: (65) 6738 2629 DISCLAIMER: The information in this booklet
More informationA Patient s Guide to Stress Fractures of the Hip
A Patient s Guide to Stress Fractures of the Hip Introduction Stress fractures of the hip once most commonly affected military personnel who marched and ran day after day. Today, stress fractures of the
More informationMETATARSAL FRACTURE (Including Jones and Dancer s Fractures)
METATARSAL FRACTURE (Including Jones and Dancer s Fractures) Description Possible Complications Metatarsal fracture is a broken bone (fracture) in the middle Nonunion (fracture does not heal, particularly
More informationA PHYSIATRIC APPROACH TO PATIENTS WITH FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY
A PHYSIATRIC APPROACH TO PATIENTS WITH FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY SUSAN KEESHIN M.D. MEDICAL DIRECTOR DAY REHAB THE SHIRLEY RYAN ABILITY LAB (FORMERLY KNOWN AS RIC) WHAT IS A PHYSIATRIST AND
More informationCEC ARTICLE: Special Medical Conditions Part 3: Hip and Knee Replacement C. Eggers
CEC ARTICLE: Special Medical Conditions Part 3: Hip and Knee Replacement C. Eggers Joint replacement surgery removes a damaged joint and replaces it with a prosthesis or artificial joint. The purpose of
More informationPRE-OPERATIVE VISIT FOR KNEE REPLACEMENT with Dr. LaReau
PRE-OPERATIVE VISIT FOR KNEE REPLACEMENT with Dr. LaReau PATIENT NAME: D.O.B.: DIAGNOSIS: L / R Knee Pain (Pre-op TKA visit) DATE of SURGERY: SUBJECTIVE: Knee Outcome Survey Activities of Daily Living:
More informationFITNESS: A Way of Life. A Physical Therapist s Perspective. American Physical Therapy Association
FITNESS: A Way of Life A Physical Therapist s Perspective American Physical Therapy Association Fitness: A Way of Life What is being fit? 1994 APTA All rights reserved. This brochure is not intended as
More information10/26/2017. Comprehensive & Coordinated Orthopaedic Management of Children with CP. Objectives. It s all about function. Robert Bruce, MD Sayan De, MD
Comprehensive & Coordinated Orthopaedic Management of Children with CP Robert Bruce, MD Sayan De, MD Objectives Understand varying levels of intervention are available to optimize function of children
More informationANTERIOR ANKLE IMPINGEMENT
ANTERIOR ANKLE IMPINGEMENT Description Possible Complications Pinching of bone or soft tissue, including scar tissue, at the Frequent recurrence of symptoms, resulting in chronically front of the ankle
More informationDecember 5-6, 2014 Darden Executive Education Center Charlottesville, VA
The 20 th Annual Conference: Management Strategies for Functional Impairments in Children with Neuromuscular Conditions Presented by The University of Virginia Department of Orthopaedic Surgery Division
More informationTherapy & Sports Medicine at the Berger Health and Wellness Center
Therapy & Sports Medicine at the Berger Health and Wellness Center The therapy and sports medicine team you ve come to know and trust is here for your therapeutic needs. 1280 North Court Street Circleville
More informationUnderstanding treatments for knee pain.
Understanding treatments for knee pain. 2 Table of Contents Why does my knee hurt? 2 Diagnosis 4 Nonsurgical treatments 5 Surgical treatments 9 Arthroscopy Partial Knee Replacement 10 What is knee replacement?
More informationCELEBRATING 169 YEARS OF TRADITION AND TRANSFORMATION IN HEALTHCARE RESEARCH
CELEBRATING 169 YEARS OF TRADITION AND TRANSFORMATION IN HEALTHCARE RESEARCH Our MISSION Building on our tradition Reaching out to the community Doing our best to serve, care and heal Together, we aim
More informationFoot and ankle. Achilles tendon rupture repair. After surgery
Foot and ankle Achilles tendon rupture repair There is no agreed single best treatment for Achilles tendon ruptures. Similar results can be achieved with non-surgical and surgical treatments. There is
More informationrestoring hope rebuilding lives
Spinal Cord Injury Brain Injury Stroke Neurologic Diseases Orthopedic Conditions Amputation Cancer Cardiac Recovery The patient experience: 2015 in review restoring hope rebuilding lives Advancing care
More informationCopyright Cardiff University
This exercise programme has been developed by physiotherapists specifically for people with movement disorders. Exercise is not without its risks and this or any other exercise programme has potential
More informationA Patient s Guide to Osgood-Schlatter Lesion of the Knee
A Patient s Guide to Osgood-Schlatter Lesion of the Knee Anatomy What part of the knee is affected? Introduction An Osgood-Schlatter lesion involves pain and swelling in the small bump of bone on the front
More informationPhysical Medicine and Rehabilitation University of Toronto Rotation Specific Goals and Objectives Pediatrics
General Requirements: Physical Medicine and Rehabilitation University of Toronto Rotation Specific Goals and Objectives Pediatrics To develop the necessary clinical skills and knowledge required in pediatric
More informationKnee Pain Solutions. Assess Your Pain. Make a Plan. Take Action
Knee Pain Solutions Assess Your Pain Make a Plan Take Action By Jared Evans Certified Strength and Conditioning Specialist Giammalva Fitness Director There are many different causes of knee pain and understanding
More informationTHE NEUROSCIENCE INSTITUTE OF NEW YORK HOSPITAL QUEENS
THE NEUROSCIENCE INSTITUTE OF NEW YORK HOSPITAL QUEENS PROVIDING A HIGHER LEVEL OF COMPREHENSIVE CARE OF THE BRAIN AND NERVOUS SYSTEM. RIGHT HERE. IN QUEENS. The Neuroscience Institute is The Center for
More informationStrong and Stable: Exercises for Core, Strength and Balance
Strong and Stable: Exercises for Core, Strength and Balance Exercise and physical activity before, during and after cancer treatment are important to recovery and general quality of life. Studies show
More informationME463 SENIOR DESIGN. Dr. Estill Maddox PROJECT NAME: Custom shoe insert and possible brace PROJECT DESCRIPTION:
ME463 SENIOR DESIGN Dr. Estill Maddox estillmaddox@gmail.com 502-220-7226 PROJECT NAME: Custom shoe insert and possible brace PROJECT DESCRIPTION: Shoe insert and possible brace made with carbon fiber
More informationBIG TOE FUSION. Patient Information
Patient Information BIG TOE FUSION This may have been caused by an old injury, previous surgery or a long-standing bunion deformity. Pain at the joint can start to affect your daily activities and even
More informationPatellofemoral Instability
Disclaimer This movie is an educational resource only and should not be used to manage Patellofemoral Instability. All decisions about the management of Patellofemoral Instability must be made in conjunction
More informationIntegra. Salto Talaris Total Ankle Prosthesis PATIENT INFORMATION
Integra Salto Talaris Total Ankle Prosthesis PATIENT INFORMATION Fibula Articular Surface Lateral Malleolus Tibia Medial Malleolus Talus Anterior view of the right ankle region Talo-fibular Ligament Calcaneal
More informationWhat happens during your hospital stay. Revised May 23, 2012
What happens during your hospital stay Revised May 23, 2012 Day of Surgery Have the Valet service park your vehicle and come into the main entrance Go to Patient Registration in the main lobby of the hospital
More informationTheraSuit Orthosis I. The History and Development of TheraSuit :
-- www.genius4kids.com -- TheraSuit Orthosis I. The History and Development of TheraSuit : TheraSuit, a soft, dynamic, proprioceptive orthotic, is a full-featured dynamic correction clothing. The invention
More informationTotal Hip Replacement
PATIENT EDUCATION Total Hip Replacement A guide to understanding total hip replacement surgery, featuring The George Archer Story. BACK TO MOBILITY George Archer s Personal Adventure On April16, 1996,
More informationRange of motion and positioning
Range of motion and positioning Learning guide Why is motion important? Most people take free, comfortable movement for granted. Motion is meant to be smooth and painless. The ligaments, tendons, muscles,
More information2012 Spine Initiative Medical Spine Centers
2012 Spine Initiative Medical Spine Centers 1/1/2015 Background Low Back Pain Model ACUTE Activated, informed patient (Shared Decision Making) Initial Care Physical Therapy Imaging Measurement Evaluation
More informationGood News Santa Monica!
Children s Hospital Los Angeles Santa Monica is located in the Saint John s Medical Plaza, one block northeast of St. John s Health Center. 1301 20th St., Ste. 460, Santa Monica, CA 90404 Appointments:
More informationWHAT IS PLANTAR FASCIITIS?
WHAT IS PLANTAR FASCIITIS? If you're finding when you climb out of bed each morning that your first couple steps cause your foot and heel to hurt, this might be a sign of plantar fasciitis. A common condition
More informationNeurodegenerative diseases Includes multiple sclerosis, Parkinson s disease, postpolio syndrome, rheumatoid arthritis, lupus
TIRR Memorial Hermann is a nationally recognized rehabilitation hospital that returns lives interrupted by neurological illness, trauma or other debilitating conditions back to independence. Some of the
More informationS p e c i a l R e p o r t. The Top 10 Things You Must Know Before Choosing Your. Dentist
S p e c i a l R e p o r t The Top 10 Things You Must Know Before Choosing Your Turtle Town Dental Introductory Letter from the Doctors of Turtle Town Dental Dear Friend, As the doctors of Turtle Town Dental,
More informationYour Spasticity Management Service: Managing spasticity with Botulinum Toxin A in children with cerebral palsy
Paediatric Unit information for parents and carers Your Spasticity Management Service: Managing spasticity with Botulinum Toxin A in children with cerebral palsy This leaflet is for children and young
More informationMotion Commotion: A Station Lab
Introduction: You arrive home after a hard day at school and trudge up the stairs to your room. You open the door, throw your backpack on the floor and sit down at your computer for a little quality time
More informationPerspective. Early Signs of Impaired Motor Development in Infants and Toddlers PEDIATRIC. Risk Factors for Cerebral Palsy. by Shani Norberg, M.D.
A Perspective PEDIATRIC Early Signs of Impaired Motor Development in Infants and Toddlers by Shani Norberg, M.D. July/August 2001 Volume 10 Number 5 Identifying an infant or young child with abnormal motor
More informationPatellar Instability. OrthoInfo Patella Instability Page 1 of 5
Patellar Instability OVERVIEW You have been diagnosed with patella instability. This means that your knee cap (patella) has been partially or completely going out of place and is not tracking well against
More informationPatellofemoral Replacement
Patellofemoral Replacement During knee replacement surgery, damaged bone and cartilage is resurfaced with metal and plastic components. Patellofemoral replacement is a type of "partial" knee replacement
More informationDecember 2015 Don t Shed Any Tears for Meniscus Tears You have been told you have a
Don t Shed Any Tears for Meniscus Tears You have been told you have a degenerative meniscus tear in your knee. Don t blame yourself you did nothing to bring this on. A degenerative condition results from
More informationPreventative Exercises for the Achilles
Preventative Exercises for the Achilles Outline 1. Toe walk x 15 each foot 2. Feet out walk x 15 each foot 3. Feet in walk x 15 each foot 4. Ankle in walk x 10 each foot 5. Ankle out walk x 10 each foot
More information