Πάρις Ζαχαροδήμος

Πάρις Ζαχαροδήμος ΦΥΣΙΚΟΘΕΡΑΠΕΥΤΗΣ

12/10/2017

Παγκόσμια Ημέρα Αυγού
Το αυγό είναι το συνώνυμο της πλήρους διατροφής, της δίαιτας και της δύναμης.

04/08/2015

Top posts from the past year:

Musculoskeletal Wednesday by Lewis Ingram:Femoroacetabular impingement (FAI) results from morphological hip abnormalities that abut the proximal femur against the acetabular rim. Impingement typically occurs in sports such as football and hockey where combined movements of hip flexion, adduction and internal rotation are commonplace. Whilst the jury is still out regarding surgical intervention, non-operative treatments outcomes need to be evaluated in order to guide the development of rehabilitation strategies. The following systematic review aimed to establish whether people with symptomatic FAI demonstrate physical impairments and/or disability, and whether treatment affects these parameters.

- This article continues on our website. You'll find the complete summary and a link to the Pubmed summary at http://buff.ly/1fOplce - (image by: orthoinfo)

01/11/2013

Random Friday by Saif Usman, MD:

Next to the article summary below, you'll find three diagnostic instruction videos and Pubmed information at our website http://www.anatomy-physiotherapy.com/

Lateral epicondylitis (LE) is a common cause of elbow pain, affecting 1-3% of the population while medial epicondylitis (ME) is not as common. The term ‘epicondylitis’ was used initially because it was assumed both LE and ME were due to tendon inflammation and partial rupture. However, histological studies showed that the process was more degenerative in nature rather and epicondylitis is now thought to be more due to incomplete repair of repetitive microtraumata. With this change in etiology, new therapeutic modalities were considered for LE and ME treatment and the study authors attempted to determine the effectiveness of exercise and mobilization techniques for LE and ME treatment.

Initial literature search revealed 232 articles and using the inclusion criteria, 13 articles were selected, all reporting on interventions for LE and none for ME. The authors found moderate evidence for short-term effect of stretching and strengthening exercises and for short-term and mid-term effect of cervical and thoracic spine manipulation as add-on to wrist stretching and mobilization. They suggested that the short-term analgesic effect of manipulation allowed the patient to exercise and stretch more vigorously, thus allowing better and faster recovery of LE with resultant decreased pain and improved function in the mid-term. > From: Hoogvliet et al., Br J Sports Med 47 (2013) 1112-1119. All rights reserved to BMJ Publishing Group Ltd. Image taken from: orthoinfo.aaos.org

31/10/2013

Test your knowledge! by Sander van Bergen, MSc:

This week, we’ll discuss 2 radiological and magnetic resonance images. Can you tell the name of these two anatomic variants (in both foot and knee)? And what is the clinical importance of the anatomic variant in the X-ray image (i.e. the foot)? (Images taken from: raddaily.com)

>> Stay tuned for the answer to these questions, which will be posted in 8 hours! Do you wish the answer right now? Visit our new website at http://www.anatomy-physiotherapy.com/

30/10/2013

Musculoskeletal Wednesday by Willem-Paul Wiertz, MSc:

Next to the article summary below, you'll find two great informing pictures and Pubmed information at our website http://www.anatomy-physiotherapy.com/

There is still no consensus on the role of the tendon of the long head of the biceps (LHB) in providing shoulder stability. Further insight in its function can lead to improved understanding of shoulder pain, instability, ROM restriction patterns during rehabilitation and adjustment of indications for tenodesis. This study aimed to determine the rotational forces generated by tensioning of the LHB. Six cadaver specimens were prepared so that tensioning of the LHB and different degrees of glenohumeral elevation could be replicated.

It was found that loading of the LHB can either restrict or facilitate both internal and external rotation of the glenohumeral joint, depending on the degree of glenohumeral elevation. Below 10 degrees of elevation the LHB generates internal rotation and restricts external rotation; from 10 to 45 degrees of elevation this effect is reversed, and external rotation is facilitated, while tension in the LHB limits internal rotation.

Above 45 degrees of elevation both internal as well as external rotation become more restricted as tensioning of the LHB increases. Extreme rotations in an elevated arm position, such as overhead throwing, cause loading of the LHB and may therefore contribute to the development of injuries to the LHB or the biceps/ labrum complex > From Eshuis et al.; Clin Anat 25 (2012) 737-745. All rights reserved to Wiley Periodicals, Inc. Image taken from: shoulderdoc.co.uk.

29/10/2013

Musculoskeletal Monday by Jens Erik Jørgensen, MSc:

Next to the article summary below, you'll find two informing images and Pubmed information at our website http://bit.ly/1aOb2KY

Subacromial impingement, especially secondary subacromial impingement, is a common pathology. The pathology relates to poor posture, which over time may stress soft tissue structures. The treatment is correction of posture, scapular posture ,stabilisation of the scapula, including scapular movement and firing patterns. An evidence-based approach as to identification and soultion of the problem is presented.

Apart from acute injury, pathological posture, overuse and fatigue of the scapular and glenohumeral muscles, neuromuscular adaptations, and muscle imbalances are inter-related causes of secondary subacromial impingement, poor posture being the primary pathology,The muscles surrounding the scapula and the scapula provide the stable base for the glenohumerla joint.This stability is provided by the serratus anterior, trapezius, rhomboids, and pectoralis – the serratus being the most influential.

Once the clinician has identied the pathologies, the causative factors need to be corrected. First step is to relieve pain, second to correct posture whereafter correct firing patterns and muscle function must be the ultimate goal. > From: Houglum, J Orthop Trauma Rehab 17 (2013) 54-60. All rights reserved to Elsevier (Singapore) Pte Ltd. Image taken from: shoulderdoc.co.uk.

25/10/2013

Random Friday by Lewis Ingram, BSc (Hons):

Next to the article summary below, you'll find an informing videoclip and Pubmed information at our website http://www.anatomy-physiotherapy.com/

There has been a growing body of research in recent years suggesting that femoroacetabular impingement (FAI) may contribute to degenerative joint disease of the hip. To date, the success of conservative treatment is limited, with many patients experiencing a progression of osteoarthritis and mechanical symptoms. Consequently, surgical intervention is gaining momentum as conventional treatment – attempting to correct these morphological abnormalities prior to the onset of irreversible joint damage. This is a contentious issue, as up to 74% of those with radiological signs of FAI are asymptomatic and pain-free. The purpose of this systematic review was to determine whether prophylactic surgical intervention is warranted for asymptomatic patients with radiological evidence of FAI in an attempt to prevent osteoarthritis of the hip.

The results suggest that there is currently a paucity of evidence to support surgical intervention as a first-line treatment of FAI in asymptomatic patients. In essence, the current literature does not support the implementation of prophylactic surgery for asymptomatic FAI in the vast majority of cases. Nevertheless, a small body of evidence indicates that asymptomatic patients who have previously undergone total hip arthroplasty of the contralateral hip are significantly more likely to experience early osteoarthritis of their ipsilateral hip. Further research is required to further clarify indications for surgery. > From: Collins et al., Am J Sports Med (2013) (Epub ahead of print). All rights reserved to Sage. Image taken from: wikipedia.org

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