This transcript includes highlights from the live, interactive session of our Clinical Conversation: Alternate Grips for Upper Limb Rehab.
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This review article explains the networks that the trunk in vertebrates with limbs, and also how the central nervous system acts dynamically on the musculoskeletal system.
This study looked at knee joint biomechanics in a young, healthy population with no activity restrictions, with a focus on energy storage and return (ESAR) prostheses. The authors recognise that the study had a small sample size, and discuss potential sources of error for their data collection, but are confident about the clinical application of their findings.
Abnormal gait biomechanics include asymmetric ground reaction forces, muscle activation patterns, and knee joint kinetics between limbs.
This Masterclass / review article discusses current literature and clinical practice for physiotherapists working with patients with migraines.
Carvalho, Gabriela F., Annika Schwarz, Tibor M. Szikszay, Waclaw M. Adamczyk, Débora Bevilaqua-Grossi, and Kerstin Luedtke. "Physical therapy and migraine: musculoskeletal and balance dysfunctions and their relevance for clinical practice." Brazilian Journal of Physical Therapy 24, no. 4 (2020), 306-317. doi:10.1016/j.bjpt.2019.11.001.
Migraines are under-diagnosed and under-treated.
Patients may present with episodic, highly frequent, or chronic migraines.
Neck pain is common as part of the migraine cycle, and is related to worse clinical presentations.
Most patients present with at least three of the following:
This study sought elucidate the influence that foot posture has on the relationship between toe flexor strength and functional performance in older adults. The authors recognise the study's limitations: the study cohort was limited to women, and did not measure body kinematics or muscle activity.
Kusagawa, Y., Kurihara, T., Imai, A., Maeo, S., Sugiyama, T., Kanehisa, H., & Isaka, T. (2020). Toe flexor strength is associated with mobility in older adults with pronated and supinated feet but not with neutral feet. Journal of foot and ankle research, 13(1), 55. https://doi.org/10.1186/s13047-020-00422-y
This review is a critical assessment of recent advances in the utilization of mechanical stimuli towards exploiting nervous tissue growth and formation. The authors discuss current in vitro systems designed to restate the mechanical environment of developing neural tissues, and the advancements made in integrating these systems into the clinical setting.
Pfister, Bryan J., Jonathan M. Grasman, and Joseph R. Loverde. "Exploiting biomechanics to direct the formation of nervous tissue." Current Opinion in Biomedical Engineering 14 (2020), 59-66. doi:10.1016/j.cobme.2020.05.009.
This literature review examines the relationship between shoulder kinematics and the aetiology of rotator cuff pathology.
Lawrence, Rebekah L., Jonathan P. Braman, and Paula M. Ludewig. "Shoulder kinematics impact subacromial proximities: a review of the literature." Brazilian Journal of Physical Therapy 24, no. 3 (2020), 219-230. doi:10.1016/j.bjpt.2019.07.009.
The authors of this retrospective review study hypothesised that the true thoracolumbar junction is T10-11.
The point of transition from floating to false ribs resulting in increased mobility at T10-11.
This literature review argues that clinically we need to observe functional - rather than conventional - biomechanics at the ankle and foot. Functional biomechanics observes that all segments in a joint can be simultaneously mobile. The authors suggest that:
"The reader should be able to understand how the 3-dimensional biokinetic analysis of the ankle and foot can contribute along with imaging examinations to the clinical setting, thus allowing the construction of a more complete proﬁle of the patient."
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The authors of this paper used an ethological approach to test the hypothesis that practice-related refinements of multiple behavioural features would be independently predictive of motor learning.