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  • 1
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    German Medical Science GMS Publishing House; Düsseldorf
    In:  Kongress Medizin und Gesellschaft 2007; 20070917-20070921; Augsburg; DOC07gmds157 /20070906/
    Publication Date: 2007-09-07
    Keywords: environment ; socioeconomic status ; health effects ; bias ; ddc: 610
    Language: English
    Type: conferenceObject
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  • 2
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    German Medical Science GMS Publishing House; Düsseldorf
    In:  82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie; 20110601-20110605; Freiburg i. Br.; DOC11hnod277 /20110419/
    Publication Date: 2011-04-19
    Keywords: ddc: 610
    Language: German
    Type: conferenceObject
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  • 3
    ISSN: 1433-0431
    Keywords: Key words Spondylolysis ; Spondylolisthesis ; Etiology ; Therapy ; Exercise tolerance ; Schlüsselwörter Spondylolyse ; Spondylolisthese ; Ursache ; Therapie ; Belastbarkeit
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Spondylolyse und Spondylolisthese treten vorwiegend im unteren Lendenwirbelbereich auf. Neben angeborenen Schäden als Ursache der Spondylolyse ist der Zusammenhang einer erhöhten Spondylolyseinzidenz bei leistungssportlicher Belastung belegt. Im Frühstadium kommt es unter konservativer Therapie (Sportpause für 3 Monate, Lendenstützmieder) zur Ausheilung. Beschwerdepersistenz, neurologische Ausfälle und Progredienz des Wirbelgleitens erfordern operative Maßnahmen (Isthmusrekonstruktion oder dorsoventrale Spondylodese). Die sportliche Belastbarkeit ist abhängig vom Ausmaß der Instabilität, der Progredienz des Wirbelgleitens und den Beschwerden. Die Belastbarkeitsgrenze ist persönlichkeitsabhängig und erfordert individuelle Entscheidungen des Arztes. Rückenschwimmen, kräftigende Übungen für die Bauch- und Rückenmuskulatur sowie Sportarten mit gleichmäßigen Bewegungsabläufen sind zu empfehlen. Bei stabilen Spondylolysen und Spondylolisthesen ohne ungünstige Begleitfaktoren ist Schulsport uneingeschränkt möglich.
    Notes: Summary Spondylolysis and spondylolisthesis occur predominantly in the lower lumbar spine. Besides congenital defects such as predisposition of spondylolysis the correlation between competitive sports activities and an increased incidence of spondylolysis is proved. In early stages, complete healing can be achieved by conservative treatment (abstinence from sports activities for 3 months, orthesis). Persistence of pain, neurologic symptoms and progression of vertebral slipping are indications for operative treatment (reconstruction of the isthmus, dorso-ventral spondylodesis). The exercise tolerance depends on the extent of instability, progression of vertebral slipping and clinical symptoms. The limits of exercise tolerance vary among the individual athletes and require the decision of the physician. Backstroke swimming, abdominal and back muscle strengthening exercises, and types of sport involving smooth movements are advisable. Sports education in school is possible without restriction in patients with stable spondylolysis and in those with spondylolisthesis without unfavourable concomitant factors.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1434-3924
    Keywords: Schlüsselwörter Knietrauma ; Propriozeption ; Neuromuskuläre Veränderungen ; Koordination ; Rehabilitation ; Keywords Knee trauma ; Proprioception ; Neuromuscular alterations ; Coordination ; Rehabilitation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Despite some alterations of receptor thresholds after knee trauma and surgical treatment joint receptors provide the prerequisites for correct proprioception. The peripheral afferent pathway, the spinal and central stimulus processing and the peripheral efferent pathway are intact. Alterated peripheral sensory perception is caused by the knee trauma induced change of proprioception. A reduction of absolute torque, active range of movement, modified muscle selection and delay in neuromuscular latency time are observed. Postoperative exercise should enable the patient to gather positive sensory experience enclose to activities of daily living.
    Notes: Nach Knietraumen und operativer Versorgung sind die Voraussetzungen zur korrekten Propriozeption gegeben. Der peripher-afferente Schenkel, die spinale und zentrale Reizverarbeitung sowie der peripher-efferente Schenkel sind nach Kniebinnentraumen und -operationen intakt. Veränderte peripher-sensorische Wahrnehmungen (Afferenzen) sind durch das Knietrauma bedingt. Es kommt zu einer Reduktion des absoluten Krafteinsatzes und der aktiven Beweglichkeit, zu einer Veränderung der Muskelselektion sowie zu Verlängerungen neuromuskulärer Reaktionszeiten. Postoperative Übungen müssen es dem Patienten ermöglichen, alltagsnahe positive sensorische Erfahrungen zu sammeln.
    Type of Medium: Electronic Resource
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  • 5
    Publication Date: 2018-03-06
    Description: Objectives Fibre-endoscopic evaluation of swallowing (FEES) to detect dysphagia is gaining more and more importance as a diagnostic tool. Therefore, we have investigated the impact of FEES in neurological patients in a clinical setting. Design Cross-sectional hospital-based registry. Setting Primary acute care in a neurological department of a German university hospital. Participants 241patients with various neurological diseases who underwent FEES procedure. Primary and secondary outcome measures Dysphagia and related comorbidities. Results 267 FEES were performed in 241 patients with various neurological diagnoses. Dysphagia was diagnosed in 68.9% of the patients. In only 33.1% of the patients, appropriate oral diet was chosen prior to FEES. A relevant dysphagia occurred more often in patients with structural brain lesions (83.1% vs 65.3%, P=0.001), patients with dysphagia had a longer hospitalisation (median 18 (IQR 12–30) vs 15 days (IQR 9.75–22.75), P=0.005) and had a higher mortality (8.4% vs 1.3%, P=0.041). When the oral diet was changed, we observed a lower pneumonia rate (36% vs 50%, P=0.051) and a lower mortality (3.7% vs 11.3%, P=0.043) in comparison to no change of oral diet. A restriction of oral diet was identified more often in older patients (median 75 years (IQR 66.3–82 years) vs median 72 years (IQR 60–79 years), P=0.01) and in patients with structural brain lesions (86.8% vs 73.1%, P=0.05). Conclusion On clinical investigation, dysphagia was misjudged for the majority of the patients. FEES might help to compensate this drawback, revising the diet regime in nearly 70% of the patients.
    Keywords: Open access, Neurology
    Electronic ISSN: 2044-6055
    Topics: Medicine
    Published by BMJ Publishing
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