摘要:

LaBan MM, Gurin TL, Maltese JT: Slip of the lip—tears of the superior glenoid labrum-anterior to posterior (SLAP) syndrome: a report of four cases.Am J Phys Med Rehabil1995;74:448—452The shoulder's unique wide range of motion is largely restrained by the articular capsule and the external ligaments of the glenohumeral joint. Internally, the long head of the biceps tendon passes within the capsule and inserts on the superior lip of the glenoid labrum. Trauma distracting this tendon can tear the superior glenoid labrum, producing the superior labrum anterior to posterior (SLAP) syndrome. Four patients, two of whom were female, presented with complaints of acute shoulder pain associated with weakness in abduction and forward flexion. Routine shoulder roentgenograms were normal. Magnetic resonance imaging (MRI) studies revealed a superior glenoid labral tear consistent with a SLAP syndrome. The superior labrum, unlike the firmly bound inferior portion, is loosely attached to the glenoid fossa. This inherent mobility predisposes it to disruption. To routine ultrasonography and arthrogram, the superior labrum may be obscured by superimposed structures. Shoulder arthroscopy, computed tomography, arthrography, and MRI have relatively equal sensitivity in visualizing these labral tears. The SLAP lesion accompanies 16% of all rotator cuff tears, occurring more often than heretofore recognized. When clinically suspected, they can be readily visualized by a noninvasive MRI examination.

ISSN:0894-9115    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Mineo K, Takizawa A, Shimamoto M, Yamazaki F, Kimura A, Chino N, Izumi S-l: Graded exercise in three cases of heart rupture after acute myocardial infarction: a brief report.Am J Phys Med Rehabil1995;74:453—457Despite advances in the study of exercise for acute myocardial infarction (AMI) patients, few studies on exercise for post-AMI heart rupture patients have been reported. We assessed three cases of heart rupture (of the left ventricular free wall in two cases and of the ventricular septum in one case) in post-AMI patients who underwent three-graded exercise. Two of the three patients were operated on, whereas one patient was managed conservatively for heart rupture. Two of the three cases had also suffered cerebral infarction post-AMI.The exercise program was composed of three grades, slow level walking (grade 1), mild reconditioning and activities of daily living (ADL) exercises (grade 2), and optional endurance training using machines below 75% of predicted maximal heart rate (grade 3). Electrocardiograms and blood pressure were monitored during all exercises.All patients had muscle weakness, poor endurance capacity, as well as low cardiac function (28-47% of left ventricular ejection fraction). Two patients underwent grades 1 and 2 exercise programs, and the other performed grades 1, 2, and 3 exercise programs over a 3- to 10-wk period. We observed improvement in the double product, work capacity, and ADL without congestive heart failure, ischemic attack, or serious arrhythmias. However, the youngest patient, who underwent the grade 3 exercise program, died from a cardiac event 10 mo after onset of AMI.We conclude that post-AMI heart rupture patients should undergo delayed, gradual, low-level graded exercise (4-6 metabolic equivalents), with monitoring of blood pressure and electrocardiograms to improve work capacity, ADL, and the quality of life. However, daily activity and exercise intensity should be promptly supervised for those with severely deteriorated cardiac functions to prevent sudden cardiac event.

ISSN:0894-9115    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Granger CV, Ottenbacher KJ, Baker JG, Sehgal A: Reliability of a brief outpatient functional outcome assessment measure.Am J Phys Med Rehabil1995;74:469—475The stability of the musculoskeletal form of the Medical Rehabilitation Follow Along (MRFA) instrument was examined in 47 patients receiving outpatient rehabilitation services. The MRFA instrument was designed to provide information on quality of daily living, including physical function, pain, satisfaction, and emotional/psychological well-being. The instrument consists of thirty questions and can be administered as an interview or a written questionnaire. The MRFA instrument was developed using Rasch analysis procedures and is an extension of previous research involving the Functional Assessment Screening Questionnaire. Forty-seven patients completed the musculoskeletal form of the MRFA on two occasions separated by an interval of 1 to 7 days. The stability of responses was examined using the intraclass correlation coefficient (ICC) and kappa. ICC values for the sections of the MRFA instrument examining quality of daily living and physical functioning ranged from 0.74 to 0.97. ICC values for items assessing pain and feelings of well-being were more variable, ranging from 0.36 to 0.93. The kappa values displayed a similar pattern. The overall stability of the MRFA instrument was found to be adequate for gathering screening information in outpatient settings. Additional research is necessary to confirm the findings of this investigation and extend the results to a larger outpatient population.

ISSN:0894-9115    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0894-9115    

出版商:OVID    

年代:1995

数据来源: OVID