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Frederico Ribeiro Neto, Rodrigo Rodrigues Gomes Costa, Ricardo Tanhoffer, Martim Bottaro and Rodrigo Luiz Carregaro

Strength training is one of the most common interventions employed to increase functional independence during the rehabilitation of individuals with spinal cord injury (SCI) 1 , 2 and is considered essential for this purpose. 3 Previous studies have demonstrated that strength training is capable

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Leila Ahmadnezhad, Ali Yalfani and Behnam Gholami Borujeni

do not receive proper treatment; therefore, giving proper rehabilitation to these patients is essential. For these patients, rehabilitation should be directed toward increasing coordination between the activities of the local and global core muscles. 5 In general, respiratory movements in the

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Steven Eustace, Richard Michael Page and Matt Greig

changeable through rehabilitation. A study in professional male soccer reported that only 65% of players who sustain an anterior cruciate ligament (ACL) injury return to previous competitive levels 3 years after injury. 1 Secondary ACL injuries are also common among professional soccer players, attributed

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Mark A. Feger, Luke Donovan, C. Collin Herb, Geoffrey G. Handsfield, Silvia S. Blemker, Joseph M. Hart, Susan A. Saliba, Mark F. Abel, Joseph S. Park and Jay Hertel

to be more neuromuscular, rather than due to muscle size, in nature. Supervised rehabilitation programs 20 – 23 emphasizing neuromuscular and balance training for patients with CAI have been associated with improved patient-reported outcomes and sensorimotor measures, but the effects of such

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James Geiselman, Rachel Gillespie and Andrew Miller

consisted of bracing, taping, and therapy to help stabilize the elbow joint. Early diagnosis and rehabilitation techniques can provide athletes with the best possible recovery while minimizing time away from their sport. Clinical Bottom Line Having an understanding of sport-specific injuries allows

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Mark De Carlo, Thomas E. Klootwyk and K. Donald Shelbourne

Rehabilitation following intraarticular anterior cruciate ligament (ACL) reconstruction has undergone a dramatic evolution during the last decade. This paper describes our accelerated rehabilitation program, which is divided into four phases. The preoperative phase begins immediately after injury and emphasizes control of swelling and restoration of full range of motion (ROM) and strength before surgery. Phase II, which includes the first 2 weeks after surgery, emphasizes helping the patient obtain full terminal knee extension and weight bearing. The final two phases focus on improving lower extremity strength and full return to daily and athletic activities. This accelerated program has resulted in an earlier return of ROM and strength as well as a decrease in postoperative procedures, without compromising ligamentous stability.

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Maria Grazia Benedetti, Lisa Berti, Antonio Frizziero, Donata Ferrarese and Sandro Giannini

Context:

Surface replacement of the hip is aimed especially at active patients, and it seems to achieve optimal functional results in a short time if associated with a tailored rehabilitation protocol.

Objective:

To assess the functional outcome in a group of active patients after hip resurfacing.

Design:

Clinical measurement and controlled laboratory study in a case series.

Setting:

Gait-analysis laboratory.

Participants:

8 patients and a control group of 10 subjects.

Interventions:

Patients treated with Birmingham hip-resurfacing system and a tailored rehabilitation protocol

Main Outcome Measures:

Clinical assessment (Harris Hip Score [HHS]) and instrumented gait analysis including muscular electromyographic assessment. Patients were assessed preoperatively and at 3 and 9 mo follow-up after surgery.

Results:

HHS showed a significant increase from the baseline to 3- (P = .008) and 9-month (P = .014) follow-up; 5 patients returned to sport. Gait pattern in the presented case series of patients improved substantially 3 mo postoperatively, and minimal further changes were present 9 months postoperatively. Residual abnormalities of time-distance and hip-kinematics parameters were consistent with a slow gait. A complete restoration of the muscle-activation pattern during gait was achieved.

Conclusion:

Hip resurfacing associated with a rehabilitation protocol based on the characteristics of the implant provides excellent clinical and functional outcome, especially for very active patients.

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Melissa Theige and Shannon David

has been hypothesized that hip instability and poor neuromuscular control can replicate or exacerbate this mechanism of injury. 6 It stands to reason, then, that rehabilitation could address these deficits and improve symptoms, allowing patients to postpone or forgo surgical treatment. Furthermore

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Alis Bonsignore, David Field, Rebecca Speare, Lianne Dolan, Paul Oh and Daniel Santa Mina

of exercise in reducing treatment-related side effects and increasing the well-being of cancer survivors. 10 , 11 Major oncology and rehabilitation organizations have also identified the importance of incorporating exercise-based programs in comprehensive cancer care; however, access to these

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Barry Braun

The concept that participation in exercise/physical activity reduces the risk for a host of chronic diseases is undisputed. Along with adaptations to habitual activity, each bout of exercise induces beneficial changes that last for a finite period of time, requiring subsequent exercise bouts to sustain the benefits. In this respect, exercise/physical activity is similar to other “medications” and the idea of “Exercise as Medicine” is becoming embedded in the popular lexicon. Like other medications, exercise has an optimal dose and frequency of application specific to each health outcome, as well as interactions with food and other medications. Using the prevention of type-2 diabetes as an exemplar, the application of exercise/physical activity as a medication for metabolic “rehabilitation” is considered in these terms. Some recommendations that are specific to diabetes prevention emerge, showing the process by which exercise can be prescribed to achieve health goals tailored to individual disease prevention outcomes.