PM & R : the journal of injury, function, and rehabilitation
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To 1) describe and validate an ultrasound-guided ischial bursa injection technique in an unembalmed cadaveric model and 2) to compare the distance between the ischial tuberosity and the sciatic nerve in a hip neutral versus 90° flexed hip position in asymptomatic volunteers. ⋯ Ultrasound-guided ischial bursa injections are technically feasible. Flexing the hip to 90° increases the distance between the ischial tuberosity and the sciatic nerve in asymptomatic volunteers, thus potentially resulting in a safer needle trajectory when ischial bursa injections are clinically indicated. Further investigation in clinical settings is warranted to validate these findings.
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Observational Study
Short-term changes in running mechanics and foot strike pattern after introduction to minimalistic footwear.
Minimalistic footwear has garnered widespread interest in the running community, based largely on the premise that the footwear may reduce certain running-related injury risk factors through adaptations in running mechanics and foot strike pattern. ⋯ Few systematic changes in running mechanics were observed among participants after 2 weeks of training in minimalistic footwear. The majority of the participants continued to use an RFS pattern after training in minimalistic footwear, and these participants experienced higher vertical loading rates. Continued exposure to these greater loading rates may have detrimental effects over time.
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Randomized Controlled Trial Comparative Study
Comparison of autologous conditioned plasma injection, extracorporeal shockwave therapy, and conventional treatment for plantar fasciitis: a randomized trial.
To evaluate the efficacy of autologous conditioned plasma (ACP) compared with extracorporeal shockwave (ESWT) and conventional treatments for plantar fasciitis. ⋯ Treatment of plantar fasciitis with ACP or ESWT plus conventional treatments resulted in improved pain and functional outcomes compared with conventional treatment alone. There was no significant difference between ACP and ESWT in terms of VAS and AOFAS ankle-hindfoot scale improvements, although the ACP group demonstrated greater reductions in plantar fascia thickness.
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Health care providers recommend an annual visit to a multiple sclerosis specialty care provider. ⋯ Access to care in rural areas and areas at a greater distance from a major medical center represent notable barriers to rehabilitation and other multiple sclerosis-related care.