Costs and quality of life for prehabilitation and early rehabilitation after surgery of the lumbar spine

During the recent years improved operation techniques and administrative procedures have been developed for early rehabilitation. At the same time preoperative lifestyle intervention (prehabilitation) has revealed a large potential for additional risk reduction

Novel Microwave Fluid Sensor for Complex Dielectric Parameter Measurement of Ethanol-Water Solution

YesIn this paper, a 2.45 GHz band microwave sensor design is introduced to be utilized for the dielectric constant determination of ethanol-water solutions. The introduced microwave sensor is composed of two symmetrically positioned, directly coupled inter-connected split-ring resonators with a circular ring-shaped detection area in the middle region, into which a small amount of ethanol-water solution is dropped. The fabricated prototype of the microwave sensor has a total component size of 12 mm x 30 mm on Rogers RO4003 substrate. The sensor measurement performance is numerically evaluated and experimentally validated in good agreement. The introduced microwave sensor has the structural design novelty of possessing the main detection region in a form of a circular hollow where a disposable 3D printed fluid cup can be accommodated for multiple uses. The introduced microwave sensor has technical feasibility to be used as an ingredient identification device for the chemical solutions to figure out complex dielectric parameters of ethanol-water specimens with small, low-cost, reusable, easy-to-fabricate features as well as the determination of volume percentage concentration of ethanol content

Therapeutic Validity and Effectiveness of Preoperative Exercise on Functional Recovery after Joint Replacement: A Systematic Review and Meta-Analysis

Background: Our aim was to develop a rating scale to assess the therapeutic validity of therapeutic exercise programmes. By use of this rating scale we investigated the therapeutic validity of therapeutic exercise in patients awaiting primary total joint replacement (TJR). Finally, we studied the association between therapeutic validity of preoperative therapeutic exercise and its effectiveness in terms of postoperative functional recovery. Methods: (Quasi) randomised clinical trials on preoperative therapeutic exercise in adults awaiting TJR on postoperative recovery of functioning within three months after surgery were identified through database and reference screening. Two reviewers extracted data and assessed the risk of bias and therapeutic validity. Therapeutic validity of the interventions was assessed with a nine-itemed, expert-based rating scale (scores range from 0 to 9; score ≥6 reflecting therapeutic validity), developed in a four-round Delphi study. Effects were pooled using a random-effects model and meta-regression was used to study the influence of therapeutic validity. Results: Of the 7,492 articles retrieved, 12 studies (737 patients) were included. None of the included studies demonstrated therapeutic validity and two demonstrated low risk of bias. Therapeutic exercise was not associated with 1) observed functional recovery during the hospital stay (Standardised Mean Difference [SMD]: −1.19; 95%-confidence interval [CI], −2.46 to 0.08); 2) observed recovery within three months of surgery (SMD: −0.15; 95%-CI, −0.42 to 0.12); and 3) self-reported recovery within three months of surgery (SMD −0.07; 95%-CI, −0.35 to 0.21) compared with control participants. Meta-regression showed no statistically significant relationship between therapeutic validity and pooled-effects. Conclusion: Preoperative therapeutic exercise for TJR did not demonstrate beneficial effects on postoperative functional recovery. However, poor therapeutic validity of the therapeutic exercise programmes may have hampered potentially beneficial effects, since none of the studies met the predetermined quality criteria. Future review studies on therapeutic exercise should address therapeutic validity. (aut.ref.

Dutch guideline on total hip prosthesis

Contains fulltext : 97840.pdf (publisher's version ) (Open Access

Comparison of two hyaluronan drugs in patients with advanced osteoarthritis of the knee. A prospective, randomized, double-blind study with long term follow-up

Objectives To compare the long-term effects of high and low molecular weight hyaluronic acid (HA) applications in severe (Kellgren Lawrence stage III) osteoarthritis (OA) of the knee

The effect of preoperative physiotherapy and education on the outcome of total hip replacement: a prospective randomized controlled trial

Objective: To investigate the effects of preoperative physical therapy for patients undergoing total hip replacement