Infographic: Tobacco Use Is Associated With
Increased Complications After Anterior
Cruciate Ligament Reconstruction
Cancienne et al – 2016
In this Observational Study the researchers searched in the National Insurance Database of the United States to see if there was an association between Tobacco Use and complications after ACL reconstruction.
Using a total of 13358 patients, including 1659 patients with documented tobacco use, Cancienne concluded that the incidence of infection (2.0%) was higher in the group who used tobacco versus matched controls (1.0%). The incidence of VTE (venous thromboembolism) was higher as well (1.0% vs 0.5%), next to subsequent ACL reconstruction (12.6% vs 7.8%).
There appears to be an association, so a period of smoking before and after a ACL reconstruction seems to be a bad choice.
Disclaimer: The infographic is made by ECEZG with high care. The research is done by Cancienne et al. ECEZG does not claim to have done the research itself, neither did ECEZG change any of the outcomes. The main goal of this infographic is to inform fellow physiotherapists and manual therapists. Used images and artwork are owned by ECEZG.
Infographic: Immediate combined effect of gastrocnemius stretching and sustained talocrural joint mobilization in individuals with limited ankle dorsiflexion: A randomized controlled trial
Kang et al – 2015
In this RCT the researchers measured the effect of different interventions on the dorsal flexion of the talocrural (ankle) joint and their effect on gait.
Having a dorsal flexion range of motion under 10 degrees is a risk factor for lower extremity injuries, so influencing the ROM is an important intervention for the physiotherapist or manual therapist.
Combining a muscular stretch with talocrural joint mobilisation seems the best choice of interventions.
This Randomised Control Trial (RCT) is rated with use of the PEDro checklist with a score of 8/11 due to;
No information about concealing of allocation
No blinding of therapists who administered the therapy
No blinding of assessors who measured the key outcome (which were in fact the same therapists)
Disclaimer: The infographic is made by ECEZG with high care. The research is done by Kang et al. ECEZG does not claim to have done the research itself, neither did ECEZG change any of the outcomes. The main goal of this infographic is to inform fellow physiotherapists and manual therapists. Used images and artwork are owned by ECEZG.
Infographic created in January 2016 by ECEZG about “Systematic literature review of imaging features of spinal degeneration in asymptomatic populations” by Brinjikji et al (2015)
Infographic: Systematic literature review of imaging features of spinal degeneration in asymptomatic populations
Brinjikji et al – 2015
In this Systematic Review the researchers included a total of 33 articles (out of 379) and extracted the data to determine age-specific prevalence rates of imaging findings among Asymptomatic Individuals. They searched specificly for imaging findings of spinal degenerations. The prevalence of these imaging findings were in fact quite high, as can be seen in the graph. This means that these imaging findings must be interpreted with caution and in the context of the patient’s clincical condition. Above this, a physiotherapist or manual therapist should realise this when he/she refers his/her patient with lower back or neck pain for medical imaging. These conclusions can also be used during the patient education when the physiotherapists wants to explain why he/she doesn’t want to refer his/her patient.
This Systematic Review (SR) is rated with use of the AMSTAR checklist with a score of 6/11 due to;
No reference to an a priori design was disclosed
No grey literature was used
No list of excluded articles
No mention of the scientific quality of the included articles
Not clear if the scientific quality of the included studies was used appropriately in formulating conclusions due to not mentioning the scientific quality of the included articles
Disclaimer: The infographic is made by ECEZG with high care. The research is done by Brinjikji et al. ECEZG does not claim to have done the research itself, neither did ECEZG change any of the outcomes. The main goal of this infographic is to inform fellow physiotherapists and manual therapists. Used images and artwork are owned by ECEZG.
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