Pediatric dentist, German Ramirez, will talk about intercepting malocclusion from infancy through early childhood. Focusing on correcting the conditions that create malocclusion, we will learn how to teach the better habits that lead to health.
Abstract - A Comparison of Common Taping Techniques in the Management of Pate...Karli Spencer
This study compared the effects of Kinesio taping (KT), McConnell taping (MC), and sham taping (ST) on knee mechanics and pain in individuals with patellofemoral pain syndrome. Ten participants performed squat, drop jump, and step-down tasks under the different taping conditions. KT reduced anterior knee translation during squatting and tended to increase knee flexion during drop jumps compared to baseline. MC showed a tendency to reduce hip abduction during step-downs compared to KT. Both KT and ST significantly reduced pain compared to baseline during squatting. The results provide mixed evidence for the efficacy of different taping techniques but suggest they may reduce perceived pain by proprioceptive feedback. Further research is needed
This document provides an overview of the 2nd semester coursework for a dental program, including topics covered by different instructors. It includes introductions to cariology, dental charting, periodontal examination and instrumentation, general studies topics in dental physics and materials, radiology, connective tissue, bone structure, neuroscience concepts, and functional anatomy of mastication. Coursework also involves epidemiology, cell communication, and areas of the brain.
This study examined how factors like age, sex, root length, bone levels, and bone quality influence orthodontic tooth movement with clear aligners. Thirty subjects ages 19-64 had one central incisor moved 1mm over 8 weeks using aligners, and measurements were taken from digital models. Data from two similar studies was combined for analysis. The results showed a complex relationship between age and tooth movement. Limited correlations were found between cone-beam CT measurements of tooth morphology and the rate of movement. Bone quality was not correlated with movement.
The document discusses a systematic review of the use of electrical stimulation (ES) in myofunctional therapy. The review found 16 relevant studies on the use of transcutaneous electrical nerve stimulation (TENS) and neuromuscular electrical stimulation (NMES) to treat orofacial disorders. Most studies showed TENS was effective in reducing pain related to temporomandibular dysfunction. Some studies found NMES improved facial muscle tone or helped reorganize muscle structure. However, the review concluded there is insufficient evidence to fully support the use of ES in motor orofacial disorders due to weaknesses in study designs and small sample sizes. More rigorous research is still needed.
This document lists 20 research publications by S. Tashman and various co-authors on topics related to biomechanics, gait analysis, prosthetics, orthotics, and spinal cord injury rehabilitation. The publications report on studies involving pre- and postoperative gait analysis in patients with cerebral palsy, evaluation of prosthetic components, modeling of paraplegic ambulation, investigation of brain and cervical spine injuries, measurement of in vivo joint kinematics, and development of hybrid orthotic systems.
To Compare the Effect of Muscle Energy Technique and Ultrasound on Jaw Range ...ijtsrd
The document summarizes a study that compared the effectiveness of muscle energy technique (MET) and ultrasound in treating temporomandibular joint dysfunction (TMD). 20 subjects with TMD were divided into two groups - one receiving MET and the other receiving ultrasound over 5 days. Both groups showed improvement but there was no significant difference between the groups, indicating that MET and ultrasound are equally effective in increasing jaw range of motion for TMD patients. However, the study had limitations like a small sample size and short duration that did not allow assessment of long-term effects.
Brodersen_Kinesio Tape_Finalized_Jan 2017 (54 inch version) (1)Josh Brodersen
1) Researchers applied EMG electrodes to paraspinal muscles and quadriceps of 32 participants to measure muscle activation during back squats.
2) Participants performed squats with and without Kinesio tape applied to paraspinal muscles.
3) Analysis found no statistically significant changes in muscle activation of the paraspinals, quadriceps, or hamstrings with the application of Kinesio tape.
The Effect of Recombinant Bone Morphogenetic Protien-2 in Revison Tibiotaloca...skisnfeet
The document summarizes a study examining the effect of recombinant bone morphogenetic protein-2 (rhBMP-2) in revision tibiotalocalcaneal arthrodesis using an intramedullary nail. Twenty-three patients undergoing revision hindfoot and ankle arthrodesis were divided into those who received rhBMP-2 (BMP Group) and those who did not (NoBMP Group). The study found no statistically significant differences between the groups in time to partial or full weight bearing, or time to radiographic union. Both groups had high rates of fusion, with the NoBMP Group achieving union in 68.8% of cases and the BMP Group achieving union in 71.4% of cases.
Abstract - A Comparison of Common Taping Techniques in the Management of Pate...Karli Spencer
This study compared the effects of Kinesio taping (KT), McConnell taping (MC), and sham taping (ST) on knee mechanics and pain in individuals with patellofemoral pain syndrome. Ten participants performed squat, drop jump, and step-down tasks under the different taping conditions. KT reduced anterior knee translation during squatting and tended to increase knee flexion during drop jumps compared to baseline. MC showed a tendency to reduce hip abduction during step-downs compared to KT. Both KT and ST significantly reduced pain compared to baseline during squatting. The results provide mixed evidence for the efficacy of different taping techniques but suggest they may reduce perceived pain by proprioceptive feedback. Further research is needed
This document provides an overview of the 2nd semester coursework for a dental program, including topics covered by different instructors. It includes introductions to cariology, dental charting, periodontal examination and instrumentation, general studies topics in dental physics and materials, radiology, connective tissue, bone structure, neuroscience concepts, and functional anatomy of mastication. Coursework also involves epidemiology, cell communication, and areas of the brain.
This study examined how factors like age, sex, root length, bone levels, and bone quality influence orthodontic tooth movement with clear aligners. Thirty subjects ages 19-64 had one central incisor moved 1mm over 8 weeks using aligners, and measurements were taken from digital models. Data from two similar studies was combined for analysis. The results showed a complex relationship between age and tooth movement. Limited correlations were found between cone-beam CT measurements of tooth morphology and the rate of movement. Bone quality was not correlated with movement.
The document discusses a systematic review of the use of electrical stimulation (ES) in myofunctional therapy. The review found 16 relevant studies on the use of transcutaneous electrical nerve stimulation (TENS) and neuromuscular electrical stimulation (NMES) to treat orofacial disorders. Most studies showed TENS was effective in reducing pain related to temporomandibular dysfunction. Some studies found NMES improved facial muscle tone or helped reorganize muscle structure. However, the review concluded there is insufficient evidence to fully support the use of ES in motor orofacial disorders due to weaknesses in study designs and small sample sizes. More rigorous research is still needed.
This document lists 20 research publications by S. Tashman and various co-authors on topics related to biomechanics, gait analysis, prosthetics, orthotics, and spinal cord injury rehabilitation. The publications report on studies involving pre- and postoperative gait analysis in patients with cerebral palsy, evaluation of prosthetic components, modeling of paraplegic ambulation, investigation of brain and cervical spine injuries, measurement of in vivo joint kinematics, and development of hybrid orthotic systems.
To Compare the Effect of Muscle Energy Technique and Ultrasound on Jaw Range ...ijtsrd
The document summarizes a study that compared the effectiveness of muscle energy technique (MET) and ultrasound in treating temporomandibular joint dysfunction (TMD). 20 subjects with TMD were divided into two groups - one receiving MET and the other receiving ultrasound over 5 days. Both groups showed improvement but there was no significant difference between the groups, indicating that MET and ultrasound are equally effective in increasing jaw range of motion for TMD patients. However, the study had limitations like a small sample size and short duration that did not allow assessment of long-term effects.
Brodersen_Kinesio Tape_Finalized_Jan 2017 (54 inch version) (1)Josh Brodersen
1) Researchers applied EMG electrodes to paraspinal muscles and quadriceps of 32 participants to measure muscle activation during back squats.
2) Participants performed squats with and without Kinesio tape applied to paraspinal muscles.
3) Analysis found no statistically significant changes in muscle activation of the paraspinals, quadriceps, or hamstrings with the application of Kinesio tape.
The Effect of Recombinant Bone Morphogenetic Protien-2 in Revison Tibiotaloca...skisnfeet
The document summarizes a study examining the effect of recombinant bone morphogenetic protein-2 (rhBMP-2) in revision tibiotalocalcaneal arthrodesis using an intramedullary nail. Twenty-three patients undergoing revision hindfoot and ankle arthrodesis were divided into those who received rhBMP-2 (BMP Group) and those who did not (NoBMP Group). The study found no statistically significant differences between the groups in time to partial or full weight bearing, or time to radiographic union. Both groups had high rates of fusion, with the NoBMP Group achieving union in 68.8% of cases and the BMP Group achieving union in 71.4% of cases.
Patrick S. Pabian, PT, presents "Rehabilitation Considers of Lower Extremity Tendinopathy" at the 2013 9th Annual Cutting Edge Concepts in Orthopaedics & Sports Medicine Seminar presented by Orlando Orthopaedic Center Foundation.
This study compared the clinically usable bone regions of the ilium and fibula for mandible reconstruction. Measurements were taken of 241 ilia, 91 mandibles, and 60 fibulas. The ilium offered a similar total usable bone length to the fibula but maintained a more constant bone thickness throughout, whereas the fibula's dimensions varied significantly. In some fibulas, only a small portion of the total bone length could actually be used. The study suggests the ilium may be a better donor site than the fibula, especially for women requiring occlusal rehabilitation after mandible reconstruction.
Temporomandibular disorders (TMD) can affect edentulous patients. While edentulous patients generally present with fewer TMD symptoms than dentate patients, the prevalence of TMD in complete denture wearers is estimated to be 15-25%. Tooth loss is considered a predisposing factor for TMD as it reduces occlusal support and proprioceptive feedback. Several factors can contribute to the development and progression of TMD in edentulous patients, including loss of vertical dimension, parafunctions like bruxism, trauma, psychosocial stress, and hormone levels. Classification systems for TMD in edentulous patients consider the degree of TMJ changes and associated symptoms.
Assessing the Relationship between Body Composition and Spinal Curvatures in ...peertechzpublication
This study investigated the relationship between body composition and spinal curvatures in young adults. Body composition analysis was performed on 67 participants to determine ratios of total fat, body fat, visceral fat, and total muscle. Spinal curvatures of the thoracic and lumbar regions were also measured. The results showed a significant positive correlation between total fat ratio and lumbar lordosis, as well as between visceral fat ratio and lumbar lordosis. Thoracic kyphosis was positively correlated with total fat ratio and visceral fat ratio. Total muscle ratio showed a negative correlation with lumbar lordosis and thoracic kyphosis. The study suggests that increased fat ratios and decreased muscle ratios can shift spinal alignment in a way that may negatively impact
Artroplastia Total do Joelho - Dr. Cláudio Gholmia.Ricardo Montija
Nessa aula, o dr. Claudio Ghomia da Clínica Uniort faz o estudo de caso de dois pacientes que se submeteram ao procedimento de Artroplastia Total do Joelho (ATJ).
The document summarizes research on how bisphosphonates affect fracture healing. Bisphosphonates are commonly used to treat osteoporosis but their long-term use may delay fracture healing in some cases. Studies in humans found no effect on healing in most patients, but those using bisphosphonates long-term (over 10 years) showed delayed healing in about 26% of cases. Animal studies also suggest long-term bisphosphonate use may impair healing. The document reviews evidence from both human and animal studies on the implications of bisphosphonate use for fracture recovery.
This study investigated whether set shifting difficulties and weak central coherence were associated with drive for muscularity and muscularity-oriented disordered eating in male undergraduates. The study found that greater set shifting difficulties and weaker central coherence uniquely predicted higher drive for muscularity. Additionally, greater set shifting difficulties uniquely predicted higher levels of muscularity-oriented disordered eating. These findings provide preliminary evidence that cognitive biases relating to set shifting and central coherence may also play a role in male-focused body image and eating concerns centered around muscularity.
The document discusses using intraoperative endoscopy during laparoscopic Nissen fundoplication surgeries to assess the results of the procedure. In a retrospective review of 66 cases, the author found that intraoperative endoscopy resulted in alterations to the fundoplication in 15% of cases. It allowed for both endoscopic and laparoscopic evaluation of the surgery and identification of issues like the wrap being too distal, tight, or short. The conclusion is that intraoperative endoscopy provides a meaningful way to assess and refine the results of anti-reflux surgeries.
This randomized controlled trial examined the effects of two modified posterior shoulder stretching exercises (PSSEs) on shoulder mobility, pain, and dysfunction in patients with subacromial impingement syndrome (SIS). 67 patients with SIS and internal rotation deficit were assigned to receive either a modified cross-body stretch, modified sleeper stretch, or a control treatment of modalities and exercises without PSSEs. Both stretching groups demonstrated greater improvements in pain with activity, internal rotation range of motion, function, and disability compared to the control group. However, there was no significant difference between the two stretching groups. All treatments led to improvements in pain, shoulder mobility, function, and disability.
For elderly patients at risk of falls in long-term care, a nurse-led exercise program aimed at improving strength and balance, conducted twice weekly for six months, may reduce fall incidence compared to no such program. The proposed program would train nurses to lead classes incorporating balance, coordination, and lower body exercises shown to lower fall risks. Patients' balance, strength, self-efficacy, and fall risks would be measured before, during, and after the six-month program to evaluate its effectiveness in reducing falls.
- The purpose was to examine bone properties following ovariectomy (OVX) and estrogen replacement (OVE) in rats.
- Female rats underwent either OVX or OVX with estrogen pellet implantation (OVE group). Bone properties were analyzed after 2 months.
- OVX decreased bone volume and mineralization but increased body mass compared to OVE. Estrogen replacement reversed these effects by increasing osteoblast activity and bone volume.
Geriatric Rehabiltation- A detailed go throughSusan Jose
Here we, Dr. Kiran (PT), and I, present a detailed overview of geriatric rehabilitation along with the dosage. Age related changes in posture its associated neurophysiology and compensations adapted by the elderly are also decribed in easy to learn way. The pathomechanics of fractures have been illustarted in easy to learn method too.
Metastatic lesions in the spine can be osteolytic, osteoblastic, or mixed based on CT/MRI imaging. Osteolytic lesions appear destructive and lytic, risking fracture and requiring stabilization. Osteoblastic lesions stimulate new bone formation and may require decompression. Mixed lesions show both lytic and blastic features.
1) The document discusses various techniques for radiofrequency treatment of sacroiliac joint and discogenic pain, including cooled radiofrequency denervation of sacral lateral branches and dorsal rami, as well as intradiscal biacuplasty.
2) Studies show cooled radiofrequency denervation provides 50-79% pain relief in 57-64% of patients with sacroiliac joint pain at 3-6 month follow-up. Intradiscal biacuplasty uses internally cooled bipolar radiofrequency to heat the posterior disc annulus to 55-60°C to treat discogenic pain.
3) The techniques aim to denervate pain fibers while monitoring temperature to avoid excessive
Correlation between conventional clinical tests and a new movement assessment...Stavros Litsos
Correlation between conventional clinical tests and a new movement assessment battery - Bachelor thesis
Despite the complexity of movements performed in sports, physical examination is today done by conventional tests that evaluate joints and muscles individually (e.g. Smith press test, Figure1). Our study used a new movement assessment battery of 20 reach tests, which incorporates the complexity and diversity of natural human movements, taking into consideration that joints are interdependent in a movement and that the planes and sequences of a movement change during its performance. The purpose of this study was to determine whether or not there is a correlation between conventional mobility tests and the new assessment battery.
Current concept in scientific and clinical rationale behind exercises for gh ...Satoshi Kajiyama
The article provides an overview of the biomechanical and clinical implications of rehabilitation exercises for the glenohumeral and scapulothoracic joints. It reviews the function and biomechanics of specific muscles, and examines common rehabilitation exercises through the lens of electromyography and biomechanics research. The goal is to help clinicians develop safe and effective exercise programs by understanding how exercises target specific muscles and how pathology may alter muscle firing patterns. Exercises that minimize deltoid activity relative to rotator cuff muscles, avoid positions linked to impingement risk, and recruit key muscles at various angles are discussed to optimize rehabilitation.
Breve exposición teórica sobre radiculopatías y dolor radicular, que forma parte del taller compartido con Arturo Such en el III Congreso de Estudiantes de Fisioterapia de la Universidad San Jorge (Zaragoza)
Steroid myopathy is a non-inflammatory toxic myopathy typically caused by fluorinated glucocorticoids. It primarily affects postural muscles in the proximal regions. Clinical manifestations include muscle wasting, weakness, and fatigability that can present acutely or chronically. Diagnosis involves assessing clinical history, electromyography, laboratory assays, imaging, and muscle biopsy showing type 2 fiber atrophy without necrosis. Treatment focuses on reducing steroid dose when possible or switching to non-fluorinated steroids, improving nutrition, and physical activity.
Prevention perspective in orthodontics and dento facial orthopedicsAhlam Alkhubani
The document discusses prevention perspectives in orthodontics and dentofacial orthopedics. It outlines three levels of prevention - primordial, primary, and secondary. The document examines various environmental factors that can influence malocclusion development, including diet/mastication, breathing, swallowing, and oral habits. Maintaining a solid diet and preventing oral breathing, tongue thrusting, and non-nutritive sucking can help facilitate proper jaw development and prevent malocclusions. Early identification and intervention of environmental risk factors is key to orthodontic prevention.
The document summarizes discussions from an early treatment symposium regarding the treatment of skeletal open bite malocclusions. It addresses questions about defining early treatment, the differences between dental and skeletal open bites, benefits of early treatment for hyperdivergent open bites, and appropriate treatment approaches. The optimal treatment is said to be beginning between ages 7-8 and includes rapid maxillary expansion, headgear, and light muscle exercises to control vertical growth and encourage counterclockwise mandibular rotation. Early intervention is advocated to modify growth and prevent needing future surgery.
Dr. Debra Fink's presentation about how to reduce or eliminate tmd/tmj painjfink1971
This document summarizes a study on using a Movement System Impairment (MSI) approach to treat temporomandibular disorder (TMD). The MSI approach views pain as arising from impaired movements originating elsewhere in the body. The study found that a physical therapy program focusing on correcting posture and movement patterns in the head, neck, shoulders and trunk significantly improved jaw range of motion and reduced pain and clicking in patients with TMD. By addressing impairments throughout the body, not just in the jaw, the MSI approach was effective at treating and preventing recurrences of TMD.
Patrick S. Pabian, PT, presents "Rehabilitation Considers of Lower Extremity Tendinopathy" at the 2013 9th Annual Cutting Edge Concepts in Orthopaedics & Sports Medicine Seminar presented by Orlando Orthopaedic Center Foundation.
This study compared the clinically usable bone regions of the ilium and fibula for mandible reconstruction. Measurements were taken of 241 ilia, 91 mandibles, and 60 fibulas. The ilium offered a similar total usable bone length to the fibula but maintained a more constant bone thickness throughout, whereas the fibula's dimensions varied significantly. In some fibulas, only a small portion of the total bone length could actually be used. The study suggests the ilium may be a better donor site than the fibula, especially for women requiring occlusal rehabilitation after mandible reconstruction.
Temporomandibular disorders (TMD) can affect edentulous patients. While edentulous patients generally present with fewer TMD symptoms than dentate patients, the prevalence of TMD in complete denture wearers is estimated to be 15-25%. Tooth loss is considered a predisposing factor for TMD as it reduces occlusal support and proprioceptive feedback. Several factors can contribute to the development and progression of TMD in edentulous patients, including loss of vertical dimension, parafunctions like bruxism, trauma, psychosocial stress, and hormone levels. Classification systems for TMD in edentulous patients consider the degree of TMJ changes and associated symptoms.
Assessing the Relationship between Body Composition and Spinal Curvatures in ...peertechzpublication
This study investigated the relationship between body composition and spinal curvatures in young adults. Body composition analysis was performed on 67 participants to determine ratios of total fat, body fat, visceral fat, and total muscle. Spinal curvatures of the thoracic and lumbar regions were also measured. The results showed a significant positive correlation between total fat ratio and lumbar lordosis, as well as between visceral fat ratio and lumbar lordosis. Thoracic kyphosis was positively correlated with total fat ratio and visceral fat ratio. Total muscle ratio showed a negative correlation with lumbar lordosis and thoracic kyphosis. The study suggests that increased fat ratios and decreased muscle ratios can shift spinal alignment in a way that may negatively impact
Artroplastia Total do Joelho - Dr. Cláudio Gholmia.Ricardo Montija
Nessa aula, o dr. Claudio Ghomia da Clínica Uniort faz o estudo de caso de dois pacientes que se submeteram ao procedimento de Artroplastia Total do Joelho (ATJ).
The document summarizes research on how bisphosphonates affect fracture healing. Bisphosphonates are commonly used to treat osteoporosis but their long-term use may delay fracture healing in some cases. Studies in humans found no effect on healing in most patients, but those using bisphosphonates long-term (over 10 years) showed delayed healing in about 26% of cases. Animal studies also suggest long-term bisphosphonate use may impair healing. The document reviews evidence from both human and animal studies on the implications of bisphosphonate use for fracture recovery.
This study investigated whether set shifting difficulties and weak central coherence were associated with drive for muscularity and muscularity-oriented disordered eating in male undergraduates. The study found that greater set shifting difficulties and weaker central coherence uniquely predicted higher drive for muscularity. Additionally, greater set shifting difficulties uniquely predicted higher levels of muscularity-oriented disordered eating. These findings provide preliminary evidence that cognitive biases relating to set shifting and central coherence may also play a role in male-focused body image and eating concerns centered around muscularity.
The document discusses using intraoperative endoscopy during laparoscopic Nissen fundoplication surgeries to assess the results of the procedure. In a retrospective review of 66 cases, the author found that intraoperative endoscopy resulted in alterations to the fundoplication in 15% of cases. It allowed for both endoscopic and laparoscopic evaluation of the surgery and identification of issues like the wrap being too distal, tight, or short. The conclusion is that intraoperative endoscopy provides a meaningful way to assess and refine the results of anti-reflux surgeries.
This randomized controlled trial examined the effects of two modified posterior shoulder stretching exercises (PSSEs) on shoulder mobility, pain, and dysfunction in patients with subacromial impingement syndrome (SIS). 67 patients with SIS and internal rotation deficit were assigned to receive either a modified cross-body stretch, modified sleeper stretch, or a control treatment of modalities and exercises without PSSEs. Both stretching groups demonstrated greater improvements in pain with activity, internal rotation range of motion, function, and disability compared to the control group. However, there was no significant difference between the two stretching groups. All treatments led to improvements in pain, shoulder mobility, function, and disability.
For elderly patients at risk of falls in long-term care, a nurse-led exercise program aimed at improving strength and balance, conducted twice weekly for six months, may reduce fall incidence compared to no such program. The proposed program would train nurses to lead classes incorporating balance, coordination, and lower body exercises shown to lower fall risks. Patients' balance, strength, self-efficacy, and fall risks would be measured before, during, and after the six-month program to evaluate its effectiveness in reducing falls.
- The purpose was to examine bone properties following ovariectomy (OVX) and estrogen replacement (OVE) in rats.
- Female rats underwent either OVX or OVX with estrogen pellet implantation (OVE group). Bone properties were analyzed after 2 months.
- OVX decreased bone volume and mineralization but increased body mass compared to OVE. Estrogen replacement reversed these effects by increasing osteoblast activity and bone volume.
Geriatric Rehabiltation- A detailed go throughSusan Jose
Here we, Dr. Kiran (PT), and I, present a detailed overview of geriatric rehabilitation along with the dosage. Age related changes in posture its associated neurophysiology and compensations adapted by the elderly are also decribed in easy to learn way. The pathomechanics of fractures have been illustarted in easy to learn method too.
Metastatic lesions in the spine can be osteolytic, osteoblastic, or mixed based on CT/MRI imaging. Osteolytic lesions appear destructive and lytic, risking fracture and requiring stabilization. Osteoblastic lesions stimulate new bone formation and may require decompression. Mixed lesions show both lytic and blastic features.
1) The document discusses various techniques for radiofrequency treatment of sacroiliac joint and discogenic pain, including cooled radiofrequency denervation of sacral lateral branches and dorsal rami, as well as intradiscal biacuplasty.
2) Studies show cooled radiofrequency denervation provides 50-79% pain relief in 57-64% of patients with sacroiliac joint pain at 3-6 month follow-up. Intradiscal biacuplasty uses internally cooled bipolar radiofrequency to heat the posterior disc annulus to 55-60°C to treat discogenic pain.
3) The techniques aim to denervate pain fibers while monitoring temperature to avoid excessive
Correlation between conventional clinical tests and a new movement assessment...Stavros Litsos
Correlation between conventional clinical tests and a new movement assessment battery - Bachelor thesis
Despite the complexity of movements performed in sports, physical examination is today done by conventional tests that evaluate joints and muscles individually (e.g. Smith press test, Figure1). Our study used a new movement assessment battery of 20 reach tests, which incorporates the complexity and diversity of natural human movements, taking into consideration that joints are interdependent in a movement and that the planes and sequences of a movement change during its performance. The purpose of this study was to determine whether or not there is a correlation between conventional mobility tests and the new assessment battery.
Current concept in scientific and clinical rationale behind exercises for gh ...Satoshi Kajiyama
The article provides an overview of the biomechanical and clinical implications of rehabilitation exercises for the glenohumeral and scapulothoracic joints. It reviews the function and biomechanics of specific muscles, and examines common rehabilitation exercises through the lens of electromyography and biomechanics research. The goal is to help clinicians develop safe and effective exercise programs by understanding how exercises target specific muscles and how pathology may alter muscle firing patterns. Exercises that minimize deltoid activity relative to rotator cuff muscles, avoid positions linked to impingement risk, and recruit key muscles at various angles are discussed to optimize rehabilitation.
Breve exposición teórica sobre radiculopatías y dolor radicular, que forma parte del taller compartido con Arturo Such en el III Congreso de Estudiantes de Fisioterapia de la Universidad San Jorge (Zaragoza)
Steroid myopathy is a non-inflammatory toxic myopathy typically caused by fluorinated glucocorticoids. It primarily affects postural muscles in the proximal regions. Clinical manifestations include muscle wasting, weakness, and fatigability that can present acutely or chronically. Diagnosis involves assessing clinical history, electromyography, laboratory assays, imaging, and muscle biopsy showing type 2 fiber atrophy without necrosis. Treatment focuses on reducing steroid dose when possible or switching to non-fluorinated steroids, improving nutrition, and physical activity.
Prevention perspective in orthodontics and dento facial orthopedicsAhlam Alkhubani
The document discusses prevention perspectives in orthodontics and dentofacial orthopedics. It outlines three levels of prevention - primordial, primary, and secondary. The document examines various environmental factors that can influence malocclusion development, including diet/mastication, breathing, swallowing, and oral habits. Maintaining a solid diet and preventing oral breathing, tongue thrusting, and non-nutritive sucking can help facilitate proper jaw development and prevent malocclusions. Early identification and intervention of environmental risk factors is key to orthodontic prevention.
The document summarizes discussions from an early treatment symposium regarding the treatment of skeletal open bite malocclusions. It addresses questions about defining early treatment, the differences between dental and skeletal open bites, benefits of early treatment for hyperdivergent open bites, and appropriate treatment approaches. The optimal treatment is said to be beginning between ages 7-8 and includes rapid maxillary expansion, headgear, and light muscle exercises to control vertical growth and encourage counterclockwise mandibular rotation. Early intervention is advocated to modify growth and prevent needing future surgery.
Dr. Debra Fink's presentation about how to reduce or eliminate tmd/tmj painjfink1971
This document summarizes a study on using a Movement System Impairment (MSI) approach to treat temporomandibular disorder (TMD). The MSI approach views pain as arising from impaired movements originating elsewhere in the body. The study found that a physical therapy program focusing on correcting posture and movement patterns in the head, neck, shoulders and trunk significantly improved jaw range of motion and reduced pain and clicking in patients with TMD. By addressing impairments throughout the body, not just in the jaw, the MSI approach was effective at treating and preventing recurrences of TMD.
This document discusses the biological rationale for early treatment of dentofacial deformities. It addresses the growth potential of sutures and condylar cartilage, implications for modifying facial growth, and future directions. Specifically:
1) Sutures and condylar cartilage have stem cells that allow growth throughout life and can be influenced by biomechanical factors, making modification of facial growth possible.
2) The best time to intervene is debated, but growth is most modifiable early in development. Treatment effects depend on available stem cells and growth factor expression, which vary over time.
3) Future work will integrate developmental biology principles with treatment, using genetics to assess growth potential and possibly targeting growth factors for more
This document discusses the use of adult stem cells, specifically mesenchymal stem cells (MSCs), in orthopedics. It provides several examples of how MSCs derived from bone marrow have been used to treat orthopedic injuries and conditions. These include using bone marrow concentrate to treat non-unions, avascular necrosis, and promote healing in ACL reconstruction, spinal fusions, and rotator cuff injuries. Studies show MSCs can reduce healing times and promote stronger tissue regeneration compared to other treatments like corticosteroids or autografts. The document also discusses how MSCs may help regenerate cartilage and treat osteoarthritis by reducing pain and slowing degeneration.
This document summarizes the results of a study on the influence of orofacial myology therapy on the upper intercanine distance. The study found that practicing muscle exercises through orofacial myology therapy led to changes in soft tissue and facial muscle adaptation over time. Notably, the average upper intercanine distance increased by 3.2mm after 8 therapy sessions, with most of the increase occurring within the first 5 sessions. The researchers believe the increases were likely due to changes in lip and tongue position from the therapy exerting new forces on the teeth and allowing the teeth to find a new equilibrium position over time.
This document discusses periodontal regeneration and repair. It defines regeneration as the replacement of damaged tissues with new tissues that restore the original structure and function, while repair involves the reattachment of existing fibers and is inferior. True regeneration requires the formation of a new epithelial seal, connective tissue fibers inserted into the root, and new cementum and alveolar bone. However, complete regeneration may be difficult to achieve due to the complexity of biological factors involved. New approaches utilize scaffolds, growth factors, stem cells, and tissue engineering to help guide and stimulate regeneration. The future of regeneration may rely on combining technologies and biological concepts to attract cells needed for full regeneration.
Dr. Hirenkumar Rana- Faculty paper presentation.pptxHirenRana18
This document summarizes 15 studies that investigated the relationship between occlusal factors and temporomandibular disorders (TMD). It describes the studies' subjects, populations, whether a relationship was found, and what occlusal parameters were related to TMD in positive association studies. 9 of the 15 studies found a positive relationship between occlusal factors like crossbites, occlusal interferences, overjet, and TMD symptoms. However, 6 studies did not find such a relationship. The document concludes that while some studies have found links between occlusion and TMD, the etiology of TMD is multifactorial, and no simple cause-and-effect relationship exists.
Short-term effects of teriparatide versus placebo on bone biomarkers, structu...Ellen Almirol
This pilot study evaluated the effects of 8 weeks of teriparatide (TPTD) versus placebo treatment on bone biomarkers, structure, and stress fracture healing in premenopausal women with lower-extremity stress fractures. The study found that TPTD treatment led to greater increases in bone formation markers and a larger "anabolic window" compared to placebo. TPTD treatment also showed improvements in bone structure at weight-bearing sites on imaging. A higher percentage of stress fractures showed improvement or healing with TPTD versus placebo on MRI, though the results were not statistically significant. The study provides preliminary evidence that TPTD may help hasten stress fracture healing in premenopausal women.
This document discusses the relationship between restricted breathing mechanics, airway, and posture. It outlines assessments that should be performed to evaluate the temporomandibular joint (TMJ), cervical spine, breathing, and posture. These include tests of joint range of motion, muscle strength, hypermobility, and breathing efficiency. Restricted breathing is found in many patients and is linked to forward head posture. Correcting breathing mechanics and posture can help resolve TMJ and neck pain by restoring proper joint alignment in the upper body.
Abstract— Cerebral palsy (CP) is the most common physical disability of childhood. Children with CP frequently grow slowly and are more prone to fractures. So this study was aimed to explore relationship of bone mineral density (BMD) with cerebral palsy by case-control study. This study was conducted at Department of Physical Medicine and Rehabilitation of Sawai Man Singh Medical College, Jaipur. Hip bone and spine bone was used to assess BMD. Bone mineral density was measured by DEXA in both groups i.e. study group and control group after ensuring the comparability of both groups. Difference in means of BMD in both the groups was inferred by unpaired student's’ test of significance. It was found in this study that bone mineral density of hip well as spine was significantly lowered in cerebral palsy cases.
Fracture healing is a complex physiological process involving inflammation, repair, and remodeling phases. During inflammation, the fracture site fills with hematoma and swelling occurs. In repair, granulation tissue forms and a fibrocartilaginous callus develops. Remodeling involves mineralization of callus and Haversian remodeling. Many factors like nutrition, comorbidities, medications, and local/systemic inflammation can affect fracture healing. Adequate calories, protein, and other nutrients are important for providing the body with energy and materials to synthesize new proteins and tissues during healing. Both local and systemic inflammation can impair healing depending on factors like the specific inflammatory conditions and cells involved.
hip osteoarthritis is most disabling condition and surgery is a consequence of the same. but if this condition can assess on time so it can be manageable with conservative treatment and decrease the prevalence of AVN. further life of an individual become better.
This document discusses a study that evaluated the effect of ozone therapy on bone regeneration in the midpalatal suture after rapid maxillary expansion in rats. 63 rats underwent rapid maxillary expansion and were divided into 3 groups - a control group, a group that received local ozone treatment, and a group that received systemic ozone treatment. Histological sections of the midpalatal suture were analyzed at various time points after treatment. The results showed that ozone therapy, particularly systemic treatment, promoted faster and higher quality bone healing in the midpalatal suture compared to the control group. The study concluded that ozone therapy may help reduce relapse after rapid maxillary expansion by enhancing bone regeneration.
A comparative study on the clinical and functional outcome of limb salvage su...NAAR Journal
The aim of this study was to analyze the survival, recurrence, complications as well as the quality of life (QOL) in tibial osteosarcoma (OSA) patients managed by limb salvage surgery (LSS), either by a prosthesis, resection or graft or by amputation. 106 tibial osteosarcoma patients were enrolled where 39 had custom-designed endoprosthetic arthroplasty (LSS1), 36 underwent resection and bone graft (LSS2) while only 31 underwent amputation. A Comparison was done based on post-operative survival rates, postoperative recurrence, and complications. The impact of the patient’s QOL was also evaluated.
This document discusses optimal timing for Twin-block therapy to correct Class II malocclusions. It describes two groups treated at different skeletal maturity stages - an early-treated group before pubertal growth peak, and a late-treated group during/after peak. Evidence shows functional appliances work best when treatment includes the pubertal growth spurt. The document aims to evaluate skeletal and dental changes produced by Twin-block in these groups to define optimal treatment timing.
Effects of Mendelshon maneuver on hyoid movement and UES openingArshelle Kibs
This study examined the effects of the Mendelsohn maneuver on swallowing physiology in 18 individuals with dysphagia following a stroke. Participants performed the maneuver, which involves voluntarily prolonging laryngeal elevation during swallowing, for 2 weeks as a rehabilitative exercise. Videofluoroscopic swallow studies found the maneuver significantly improved the duration and extent of hyoid bone movement and increased the duration of upper esophageal sphincter opening. The results suggest the Mendelsohn maneuver can positively impact the structural components and coordination of swallowing when used as a rehabilitative exercise.
This study examined the effects of mouthpiece use on gas exchange parameters during steady-state exercise in college students. Sixteen participants performed two 10-minute treadmill runs under three conditions: with a custom-fitted mouthpiece, without a mouthpiece, and nose breathing only. Oxygen consumption, oxygen consumption per kg of body weight, and carbon dioxide production were significantly higher when using a mouthpiece compared to the other two conditions. The findings suggest that mouthpiece use improves specific gas exchange parameters during exercise.
This document provides an overview of rotator cuff disorders and evidence related to diagnosis and management. Key points include:
- Rotator cuff tears can be caused by mechanical or degenerative factors and progress from tendinosis to partial or full thickness tears.
- Physical exams have low diagnostic accuracy for tears but clusters of tests may help. Investigations like ultrasound and MRI can better identify soft tissue pathology.
- Factors like age, tear size, tendon retraction and fatty infiltration affect outcomes, with larger/retracted tears and more fatty changes correlating to poorer prognosis.
- Initial management focuses on rest, analgesics and physiotherapy, with surgery for failed non-operative treatment. Surgical techniques like
Fracture healing is a complex physiological process involving inflammation, repair, and remodeling phases. Many factors can influence fracture healing including nutrition, comorbidities, medications, and systemic inflammation. Adequate protein, calorie, mineral, and vitamin intake is important to meet the increased nutritional demands of healing. Specifically, antioxidants, zinc, copper, calcium, phosphorus, and silicon may help accelerate fracture healing by reducing inflammation and supporting new bone formation. Both local and systemic inflammation can impair healing, though local inflammation alone does not necessarily cause impaired healing. Optimizing nutrition is one approach to enhance and speed the natural fracture healing process.
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This document provides information about multiple episodes of "The Airway and Facial Development Collaborative", a podcast produced by Drs. Mark A. Cruz and Barry Raphael. It lists the episode numbers, dates, guest speakers, and brief episode titles for over 50 past episodes dating back to January 2014. The episodes discuss various topics related to airway dentistry, sleep, breathing, orthodontics, posture, and interdisciplinary collaboration between dental and medical professionals.
This document discusses respiratory and breathing physiology. It provides an overview of evaluating upper airway function, including tests like HRPO, pharyngometry, rhinometry, and CBCT. It also discusses treating conditions like UARS, LPR, and OSA with therapies like CPAP, OAT, MMA, and MFT. The document lists potential medical sequelae that can result from untreated airway and breathing issues, such as bruxism, anxiety, depression, fatigue, nocturia, hypertension, cognitive impairment, reflux, cough, asthma, mood swings, infertility, and more.
This document discusses airway and facial development, evolution, and how environmental stressors can lead to unintended physiological consequences and compromises. It explores the difference between competencies developed through genetic evolution and design, and compensations developed through environmental influences and stress, which can result in secondary dysfunctions. Specifically, it examines how competent behaviors and functions in children can be replaced by compensatory parafunctions due to environmental factors like mouth breathing, which can ultimately lead to malocclusions and other structural asymmetries if left unaddressed.
This document announces an upcoming webinar titled "Current Topics in Airway Dentistry" hosted by The Airway and Facial Development Collaborative on June 13, 2016 at 9:30 EST. The webinar will be produced by Dr. Mark A. Cruz and Dr. Barry Raphael and will discuss evolution, Darwinian dentistry, competencies, stressors, physiology, and consequences as they relate to airway dentistry.
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This document discusses bringing together different approaches to orthodontics that consider airway health, including Rogers MewAngleCrozat, myofunctional orthotropics, fixed appliances, and lightwire/cranial techniques. It advocates for interdisciplinary collaboration between orthodontics and other medical fields like pediatrics, musculo-skeletal medicine, and more to implement airway-conscious treatment protocols, improve diagnostics, and raise awareness of airway health issues. The goal is improved patient outcomes through validated multi-system diagnoses and addressing the epidemiology of airway problems.
The document announces upcoming events on airway orthodontics and a new collaborative medical/dental care model. It provides information on upcoming spreecasts and mini-residency courses on airway assessment, causes of airway dysfunctions, treatment, and practice. It also includes a call for participants in a white flag initiative and invites people to subscribe to updates, provide feedback, and share invitations with others. It closes with a parting quote about evidence-based practice and the need for ongoing curiosity and discourse.
This document discusses orthodontics and airway issues. It mentions that three orthodontists who attended an AARD meeting were curious about airway problems after one mentioned speakers on health and airway journeys. The friend spent two days promoting airway awareness and ALF programs, hoping other practitioners would understand the problems and solutions. The friend suggests crafting a vision for what they hope to achieve.
The document also lists researchers and outlines a research protocol studying the relationship between malocclusions, orofacial dysfunctions, and space conditions in primary and mixed dentition.
This email from a friend discusses a presentation they saw that focused on mandibular advancement for correcting malocclusions. The friend critiques the presentation for overlooking important factors like tongue position and swallowing pattern. They believe the actual problem in the cases was a low resting tongue level caused by issues like tongue tie or bottle feeding rather than mandibular position. Correcting mandibular position without addressing the underlying tongue issues risks open bite recurrence and TMJ problems later in life. The friend argues the study design did not fully consider all impactful information needed to accurately reflect what was occurring.
This document summarizes an episode of "The Airway and Facial Development Collaborative" podcast. The episode features Darick Nordstrom discussing the power of proper facial development. Nordstrom is a dentist from a rural practice who studied osteopathy and developed several appliance designs. He focuses on empowering practitioner teams through airway, sleep, and facial development techniques. The podcast is produced by Drs. Mark Cruz and Barry Raphael and covers topics related to the evolution of dentistry and its impact on facial development and physiology.
The document announces an upcoming Spreecast event on April 25th featuring Mark Cruz and a guest discussing a new medical/dental care collaborative model. It also advertises upcoming airway mini-residencies on the east and west coast in June 2016 that will cover assessment, causes, treatment, and practice of airway-related dysfunctions. Finally, it provides parting words questioning the concept of evidence-based practice and calls for more curiosity and discourse on what remains unknown.
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2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
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10. Define the mean QRS vector
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Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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Spreecast Ep32 Ramirez Intercept Malocclusion
1.
2. Disclosure
The concepts expressed on this
lecture are based on my studies, the
current scientific evidence and clinical
experience.
They do not represent the teaching
philosophy at the College of Dentistry,
University of Manitoba
3.
4.
5. Length
Total
Increase
140
120
100
Co-Gn
Distance
80
40
20
0
60
10.89 9.06
5.52 5.56 3.8
31.24
34.83
31.24
60.59
71.48
80.42
85.94
91.5
95.3
126.54
0.4 1 2 3 4 5 16
Age
Modified from Liu Yi-Ping, Behrents Rolf G, Buschang Peter H.
Mandibular growth, remodeling and maturation during infancy and early
childhood. Angle Orthod 2010; 80: 97-105
20. Ramirez-Yañez G.
Treatment of anterior crossbite in primary
dentition with esthetic crowns: report of 3
cases.
Pediatr Dent. 2011 Jul-Aug;33(4):339-42.
21. Anterior crossbite treatment changes
the direction of the occlusal force,
affecting the periodontal receptors,
which modify the response of the
trigeminal nerve and the muscular
activity
Sohn et al. 1997. Changes in jaw movement and jaw closing
in muscle activity after orthodontic correction of incisor
crossbite. Am. J. Orthod. Dentofacial Orthop. 112: 403
26. TAR 11.5μV TAL 11.8μV MMR 4.8μV MML 5.8μV
OOS 5.2μV ME 4.9μV DAR 0.4μV DAL 33.7μV
TAR 17.9μV TAL 24.6μV MMR 16.7μV MML 31.0μV
OOS 5.7μV ME 7.4μV DAR 11.4μV DAL 13.1μV
May 4, 2010
Aug 27, 2010
36. Development
Diferentiation – Maduration
Growth
Increase in mass and size
Adaptation
Plasticity & Compensatory Growth
37.
38.
39. 2 g/cm²
80 g/cm²
2.7 g/cm²
21 g/cm²
2 g/cm²
1 g/cm²
Thuer U et. al. 1999 Cheek and tongue posture in the molar areas and the atmospheric pressure
in the palatal vault in young adults. Eur J Orthod 21: 299-309
55. The Modus Operandi of the Trainer to
correct malocclusions?
Change the posture of the
mandible
Usumez, 2004
56.
57.
58.
59.
60. The Modus Operandi of the Trainer to
correct malocclusions?
Stimulate transverse
development
Ramirez-Yañez, 2007
61.
62.
63.
64.
65. THE FUTURE OF ORTHODONTICS
IS NOT ONLY THERAPY AND
INTERCEPTION
BUT ALSO PREVENTION
Petrovic AG, Stutzmann JJ. Research methodology and findings in applied
craniofacial growth studies. In: Dentofacial Orthopedics with Functional
Appliances, 2nd Edition Graber TM, Rakosi T, Petrovic AG. Mosby 1997
66.
67. Thank you for taking care
of my teeth and my
FACIAL GROWING
issues !!!
68. OBSERVE THE MOUTH
OF THE CHILD,
NOT ONLY THE TEETH
LISTEN TO THE NEEDS
OF THE CHILD
REMEMBER
WE CAN INTERCEPT AND
PREVENT MANY
DEVELOPING ISSUES IN
CHILDREN
Mizaru Kikazaru Iwazaru