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Evaluation of Outcomes in Orthopaedic Patients.

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Presentation on theme: "Evaluation of Outcomes in Orthopaedic Patients."— Presentation transcript:

1 Evaluation of Outcomes in Orthopaedic Patients

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4  Partnerships between clinics – Labs  Open Communication / Referrals  Encourage collaboration among: ◦ Residents ◦ Fellows ◦ Medical Students ◦ Graduate Students  Scholarship & Funding

5  ACL injury / Reconstruction  Osteoarthritis  Muscle & Nerve Testing

6 0.24 ± 0.02Nm/kgm 0.22 ± 0.02Nm/kgm Kuenze CM…Hart JM. Jogging Biomechanics After Exercise in Individuals with ACL Reconstructed Knees. Med Sci Sports Exerc. (2014) Gait: Knee moment ACL-R

7 1. Isokinetic Strength ◦ 90 °/s, 180 °/s 2. Isometric Strength ◦ At 90 degrees flexion 3. Isometric Endurance ◦ 30 second % decline 4. Single-leg, Eyes-closed Balance ◦ Center of pressure velocity & area 5. Drop Landing Mechanics ◦ Landing Error Scoring System (LESS) 6. Single Leg Hop Assessments ◦ Single Hop, Triple Hop, Cross-over Hop, 6m Timed 7. Subjective Function ◦ IKDC & KOOS scores

8  Knee  Ankle  Shoulder(?)

9  Gait Kinematics & Kinetics  Surface Electromyography  Plantar Pressure  Strength & Balance

10 Tibia External Rotation Tibia Internal Rotation Rearfoot AbductionRearfoot Adduction High Variability Low Variability

11  Sensory Inputs for Postural Control  EASIL  Foot & Ankle Division

12  Clinical and Patient-Reported Outcomes Navicular Drop

13  Device Trials  Impairment-Based Rehab  Manual Therapy  EMG / Verbal/ Visual Biofeedback ◦ Ankle Instability ◦ ACL reconstruction / Deficiency ◦ Patellofemoral Pain

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15  Thank you!


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