By Howard Choi, Ross Sugar, David E. Fish, Matthew Shatzer, Brian Krabak
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Steroids, anesthetics) are mixed with an acoustic coupling medium, which are then driven into the tissue by US. Common uses include OA, bursitis, capsulitis, tendonitis, strains, contractures, scar tissue, and neuromas. Iontophoresis - Electrical currents are used to drive medications across biological membranes into the symptomatic areas, while theoretically avoiding the systemic side effects of the medications. References: 1. Judovich BD: Lumbar traction therapy: elimination of physical factors that prevent lumbar stretch.
Its stabilizing effects are similar to other poster orthoses, but donning/doffing are relatively easier. The Halo vest (right) is frequently used to treat cervical fxs and dislocations and is the only option between C0 and C2. The rigid headpiece, secured to the skull by four pins, is bolted to four posters that connect to a rigid polyethylene vest or plaster cast. Studies have shown that there is some movement between cervical segments (snaking phenomenon) and that PT does not increase motion between segments1.
Pelvic rotation in the horizontal plane - The pelvis rotates 4o to each side, which occurs maximally during double support, elevating the nadir of the COG pathway curve about 3/8”. 2. Pelvic tilt in the frontal plane - The pelvis drops 5o on the side of the swinging leg, shaving 3/16” from the apex of the COG pathway curve. 3. Knee flexion - KF lowers the COG 7/16” during midstance. 4, 5. Knee and ankle motion - These two determinants smoothen the pathway of the COG at the nadir, making it more sinusoidal.