The Experts below are selected from a list of 807 Experts worldwide ranked by ideXlab platform
Pedro V. Munuera-martínez - One of the best experts on this subject based on the ideXlab platform.
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Immediate and short-term radiological changes after combining static stretching and transcutaneous electrical stimulation in adults with Cavus Foot: A randomized controlled trial.
Medicine, 2019Co-Authors: Lm Fernandez-seguin, Alberto Marcos Heredia-rizo, Juan Antonio Díaz-mancha, Paula González-garcía, Javier Ramos-ortega, Pedro V. Munuera-martínezAbstract:BACKGROUND Cavus Foot is a deformity represented by an increased and rigid medial longitudinal arch, and it is often associated with persistent pain and gait disturbances. None of the conservative conventional treatments for Cavus Foot have shown conclusive evidence of effectiveness, and so further is research needed to understand how to manage this condition better. This study aimed to assess the immediate and short-term radiological changes after combining static stretching and transcutaneous electrical stimulation of the plantar fascia in adults with idiopathic Cavus Foot. METHODS A randomized, single-blinded clinical trial was conducted. Sixty-eight participants with idiopathic Cavus Foot, as determined by an internal Moreau-Costa-Bertani angle (MCBA) less than 125° in a lateral weight-bearing Foot radiograph, were equally distributed into a neuromuscular stretching group (NSG) or a control group (no intervention). The NSG underwent a single session, combining transcutaneous electrical nerve stimulation with static stretching of the plantar fascia. Primary measurements of 3 angles were taken using a lateral weight-bearing Foot radiograph: the internal MCBA; the calcaneal pitch angle (CPA); and the first metatarsal declination angle (FMDA). Outcomes were collected at baseline, immediately postintervention, and 1 week after intervention. RESULTS Analysis of variance revealed a significant group effect for all angles (all, P
Pedro V Munueramartinez - One of the best experts on this subject based on the ideXlab platform.
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immediate and short term radiological changes after combining static stretching and transcutaneous electrical stimulation in adults with Cavus Foot a randomized controlled trial
Medicine, 2019Co-Authors: L M Fernandezseguin, Alberto Marcos Herediarizo, Juan Antonio Diazmancha, Paula Gonzalezgarcia, Javier Ramosortega, Pedro V MunueramartinezAbstract:BACKGROUND Cavus Foot is a deformity represented by an increased and rigid medial longitudinal arch, and it is often associated with persistent pain and gait disturbances. None of the conservative conventional treatments for Cavus Foot have shown conclusive evidence of effectiveness, and so further is research needed to understand how to manage this condition better. This study aimed to assess the immediate and short-term radiological changes after combining static stretching and transcutaneous electrical stimulation of the plantar fascia in adults with idiopathic Cavus Foot. METHODS A randomized, single-blinded clinical trial was conducted. Sixty-eight participants with idiopathic Cavus Foot, as determined by an internal Moreau-Costa-Bertani angle (MCBA) less than 125° in a lateral weight-bearing Foot radiograph, were equally distributed into a neuromuscular stretching group (NSG) or a control group (no intervention). The NSG underwent a single session, combining transcutaneous electrical nerve stimulation with static stretching of the plantar fascia. Primary measurements of 3 angles were taken using a lateral weight-bearing Foot radiograph: the internal MCBA; the calcaneal pitch angle (CPA); and the first metatarsal declination angle (FMDA). Outcomes were collected at baseline, immediately postintervention, and 1 week after intervention. RESULTS Analysis of variance revealed a significant group effect for all angles (all, P < .05). NSG participants showed a significant increase in the internal MCBA (P = .03), and a significant decrease in the CPA (P = .01) and FMDA (P = .04) from baseline to immediately postintervention. These changes remained statistically significant 1 week after the intervention (all, P < .05). CONCLUSION The combination of static stretching and transcutaneous electrical stimulation of the plantar fascia, compared with no treatment, achieved immediate and short-term changes in the internal MCBA, the CPA, and the FMDA, which resulted in flattening the medial longitudinal plantar arch in adults with idiopathic Cavus Foot.
Arthur Manoli - One of the best experts on this subject based on the ideXlab platform.
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Posterior Fibula of Pes Cavus: Real or Artifact? Answer Based on Cross-Sectional Imaging
Journal of surgical orthopaedic advances, 2018Co-Authors: Sean C Peden, John C Tanner, Arthur ManoliAbstract:Cavus Foot deformity is an often overlooked source of pathology. In the Cavus Foot, the fibula is often noted to be posterior on lateral radiographs. The objective of the study was to determine with three-dimensional imaging if the fibula is truly posterior or just artifact. Using physical examination, patients with Cavus were selected and compared to controls. An established technique to determine fibular position on computed tomography and magnetic resonance imaging was used to compare the study group to controls. Thirty-six Cavus feet were compared to 36 controls. The average Cavus fibula was noted to be 72% more posterior than the fibula of control patients and the difference in axial malleolar index was significant between the groups. This study shows that the Cavus fibula is truly more posterior in patients with high arches. (Journal of Surgical Orthopaedic Advances 27(4):255-260, 2018).
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Clinical and new aspects of the subtle Cavus Foot: A review of an additional twelve year experience
Fuß & Sprunggelenk, 2018Co-Authors: Arthur Manoli, Brian GrahamAbstract:Abstract Background The subtle Cavus Foot (SCF) and its associated conditions have become increasing recognized over the past 12 years. Many of the commonly associated pathological conditions often cause considerable pain and disability, especially in sports and other high activity pursuits. Results/Conclusions Accurate diagnosis of an underlying SCF is essential to the understanding of why the many associated conditions develop and for their treatment. As the bones of the Foot and ankle gradually form into a cavovarus position and the joints stiffen, often with a degree of metatarsus adductus, the presenting pathology may be difficult to treat. The SCF may need to be treated either nonoperatively with specialized orthotic devices or operatively, along with the particular associated condition(s), at the time of surgical repair. Level of evidence Level V, expert opinion.
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The Subtle Cavus Foot, ‘‘the Underpronator,’ ’ a Review
2015Co-Authors: Arthur Manoli, M. Brian D. Graham, C. Ped, Mi Auburn HillsAbstract:Subtle Cavus Foot deformity is ubiquitous, yet it continues to be commonly missed. Simple physical examination maneuvers can provide information that allows well-planned nonoperative care and selection of operative procedures to correct the underlying cause as well as presenting pathology
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the Cavus Foot in athletes fundamentals of examination and treatment
Operative Techniques in Sports Medicine, 2010Co-Authors: Sarang N Desai, Randolph Grierson, Arthur ManoliAbstract:Athletes with Cavus feet present unique challenges to the orthopedic surgeon. Continuous high impact activity with this Foot deformity leads to distinct injuries. Immediate recognition of the athlete's Cavus feet and associated injuries allows prompt treatment and return to sport. If not recognized, treatment will often fail. Injuries include stress fractures, ankle instablility, impingement syndromes, and tendon disorders. Appropriate treatment requires correction of the Cavus deformity as well as the specific associated injuries. Nonoperative treatment includes specialized orthotic shoe inserts. If a course of nonoperative treatment fails, operative intervention is warranted. Operative treatment of the Cavus deformity may include a simple dorsiflexion first ray osteotomy or more complex reconstruction, including a lateralizing calcaneal osteotomy. Correction or accommodation of the deformity as well as the identification of the specific injury will likely lead to successful treatment and return to a high level of competition.
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Effectiveness of the Cavus Foot orthosis.
Journal of surgical orthopaedic advances, 2010Co-Authors: Matteo C. Lopiccolo, Margaret Chilvers, Brain Graham, Arthur ManoliAbstract:This study investigated the use of a custom Cavus Foot orthosis (CFO) in the treatment of ankle instability and pain associated with the subtle Cavus Foot, a common pathological Foot alignment in the United States population. Patients referred by a single orthopedic Foot and ankle surgeon to a single pedorthotist for a CFO over a 2-year period were eligible. Pain score pre-and postorthosis and number of instability events pre- and postorthosis were retrospectively evaluated. Ninety-three of 174 eligible patients participated. Average age was 48 years (range, 20-75) and patients suffered a variety of Foot pathologies. Average pre-CFO pain score was 7.22 (0 no pain, 10 worst pain). Post-CFO pain score average was 2.41 (p < .0005). Ninety-two percent of patients reporting ankle instability as a problem experienced a decrease in the frequency of instability events post-CFO. The custom Cavus Foot orthosis is effective at relieving pain and reducing ankle instability in the patient with the subtle Cavus Foot alignment.
Lm Fernandez-seguin - One of the best experts on this subject based on the ideXlab platform.
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Immediate and short-term radiological changes after combining static stretching and transcutaneous electrical stimulation in adults with Cavus Foot: A randomized controlled trial.
Medicine, 2019Co-Authors: Lm Fernandez-seguin, Alberto Marcos Heredia-rizo, Juan Antonio Díaz-mancha, Paula González-garcía, Javier Ramos-ortega, Pedro V. Munuera-martínezAbstract:BACKGROUND Cavus Foot is a deformity represented by an increased and rigid medial longitudinal arch, and it is often associated with persistent pain and gait disturbances. None of the conservative conventional treatments for Cavus Foot have shown conclusive evidence of effectiveness, and so further is research needed to understand how to manage this condition better. This study aimed to assess the immediate and short-term radiological changes after combining static stretching and transcutaneous electrical stimulation of the plantar fascia in adults with idiopathic Cavus Foot. METHODS A randomized, single-blinded clinical trial was conducted. Sixty-eight participants with idiopathic Cavus Foot, as determined by an internal Moreau-Costa-Bertani angle (MCBA) less than 125° in a lateral weight-bearing Foot radiograph, were equally distributed into a neuromuscular stretching group (NSG) or a control group (no intervention). The NSG underwent a single session, combining transcutaneous electrical nerve stimulation with static stretching of the plantar fascia. Primary measurements of 3 angles were taken using a lateral weight-bearing Foot radiograph: the internal MCBA; the calcaneal pitch angle (CPA); and the first metatarsal declination angle (FMDA). Outcomes were collected at baseline, immediately postintervention, and 1 week after intervention. RESULTS Analysis of variance revealed a significant group effect for all angles (all, P
L M Fernandezseguin - One of the best experts on this subject based on the ideXlab platform.
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immediate and short term radiological changes after combining static stretching and transcutaneous electrical stimulation in adults with Cavus Foot a randomized controlled trial
Medicine, 2019Co-Authors: L M Fernandezseguin, Alberto Marcos Herediarizo, Juan Antonio Diazmancha, Paula Gonzalezgarcia, Javier Ramosortega, Pedro V MunueramartinezAbstract:BACKGROUND Cavus Foot is a deformity represented by an increased and rigid medial longitudinal arch, and it is often associated with persistent pain and gait disturbances. None of the conservative conventional treatments for Cavus Foot have shown conclusive evidence of effectiveness, and so further is research needed to understand how to manage this condition better. This study aimed to assess the immediate and short-term radiological changes after combining static stretching and transcutaneous electrical stimulation of the plantar fascia in adults with idiopathic Cavus Foot. METHODS A randomized, single-blinded clinical trial was conducted. Sixty-eight participants with idiopathic Cavus Foot, as determined by an internal Moreau-Costa-Bertani angle (MCBA) less than 125° in a lateral weight-bearing Foot radiograph, were equally distributed into a neuromuscular stretching group (NSG) or a control group (no intervention). The NSG underwent a single session, combining transcutaneous electrical nerve stimulation with static stretching of the plantar fascia. Primary measurements of 3 angles were taken using a lateral weight-bearing Foot radiograph: the internal MCBA; the calcaneal pitch angle (CPA); and the first metatarsal declination angle (FMDA). Outcomes were collected at baseline, immediately postintervention, and 1 week after intervention. RESULTS Analysis of variance revealed a significant group effect for all angles (all, P < .05). NSG participants showed a significant increase in the internal MCBA (P = .03), and a significant decrease in the CPA (P = .01) and FMDA (P = .04) from baseline to immediately postintervention. These changes remained statistically significant 1 week after the intervention (all, P < .05). CONCLUSION The combination of static stretching and transcutaneous electrical stimulation of the plantar fascia, compared with no treatment, achieved immediate and short-term changes in the internal MCBA, the CPA, and the FMDA, which resulted in flattening the medial longitudinal plantar arch in adults with idiopathic Cavus Foot.