RESUMO
UNLABELLED: Recently, a strong emphasis has been placed on establishing rehabilitation protocols after primary total hip and knee arthroplasty in an attempt to shorten, improve, and standardize the postoperative period of recovery. Less invasive surgical techniques, patient demands, and the pressure of insurance regulations have forced postoperative rehabilitation to be placed on an expedited scale. With these concerns in mind, we introduce a pre- and postarthroplasty program involving the Pilates method. Modified exercises have been developed to account for the postoperative precautions and needs of total hip and knee arthroplasty patients. A patient-driven interest in the use of Pilates for postoperative rehabilitation has led to the development of our programs following total hip or knee arthroplasty. In reviewing our early observations of a small series of patients, it appears this technique can be utilized without early complications; however, further studies are necessary to confirm its utility and safety. LEVEL OF EVIDENCE: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
Assuntos
Artroplastia de Quadril/reabilitação , Artroplastia do Joelho/reabilitação , Técnicas de Exercício e de Movimento/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Amplitude de Movimento Articular , Recuperação de Função Fisiológica , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood and can profoundly affect the academic achievement, well-being, and social interactions of children; the American Academy of Pediatrics first published clinical recommendations for the diagnosis and evaluation of ADHD in children in 2000; recommendations for treatment followed in 2001.
Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Estimulantes do Sistema Nervoso Central/uso terapêutico , Fidelidade a Diretrizes , Guias de Prática Clínica como Assunto/normas , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Incidência , Masculino , Prognóstico , Medição de Risco , Índice de Gravidade de Doença , Sociedades Médicas , Resultado do Tratamento , Estados UnidosRESUMO
Rehabilitation after total hip and knee arthroplasty is a rapidly expanding discipline. With the introduction of minimally invasive techniques and the pressure of insurance regulations, postoperative rehabilitation has been placed on an accelerated track. As surgeons turn to more aggressive postoperative protocols and early entry into outpatient therapies, we introduce a pre- and postoperative program involving the Pilates method. Renewed patient interest in the use of Pilates for postoperative rehabilitation has led to the development of safe and modified exercises for patients undergoing total hip or knee arthroplasty. While this technique appears safe and effective anecdotally, further controlled trials are necessary to prove its validity.