Functional Performance And Rehabilitation Expert Guide

Functional Performance And Rehabilitation

Fpr is a membership site where Function is the basis for Performance and Rehabilitation. Fpr takes the approach to performance and rehabilitation where sound clinical and evidence based rationale is used for corrective exercise to negate movement impairments and dysfunctions. Fpr looks through a functional pair of lenses at other parts of the body and how those body parts contribute to movement dysfunction. All this is brought to the members through articles, videos, and presentations. Fpr has a mission to collect the newest research articles on performance and rehabilitation topics that members perhaps dont have time to read on their own. Fpr will not only read articles but will develop an application to the learned concepts for allied health professions, coaches, and athletes to utilize. The end result is members training and rehabilitation programs become more functional and efficient. The key to designing any functional rehabilitation or performance program is to first assess what the functional deficits are. With this exercise you get the benefits of core stabilization, glute activation, and lower trap stabilization. You achieve core stabilization by having your patient/client maintain a neutral spine positioning through a flexionextension dynamic movement but you also obtain neutral spine from the glute max activation.

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Detection Of Neural Tube Defects

AFP is produced primarily from the fetal liver and levels in the fetal blood are very high. Therefore any interruption in the fetal skin integrity or functional performance of the feto-placental unit will alter amniotic, and therefore maternal serum (ms) levels of, AFP. A number of fetal structural abnormalities will elevate MSAFP, such as abdominal wall defects (gastroschisis, exomphalos) and open NTDs. Falsely elevated MSAFP can be due to an underestimation of fetal age, multiple pregnancy or fetal demise, thus emphasizing the standard practice to perform an ultrasound scan before interpretation of serum biochemistry. A maternal serum threshold of 2.5 MoMs will correctly identify 79 of the fetuses with open spina bifida (UK Collaborative Study, 1982). Recent reports suggest that the detection of open spina bifida can be as high as 80-100 with ultrasound alone when using sonographic features discussed earlier. Some units have now abandoned MSAFP screening for the detection of NTDs,...

Skin and Soft Tissue Reconstruction

Muscle flaps are used when a moderate to large soft tissue defect is present. Although muscle flaps may be harvested with a skin component, we prefer to harvest muscle alone. This is then covered with a nonmeshed split-thickness skin graft. In the arm and elbow, the latissimus dorsi can be used as a one-stage distal pedicle rotational flap. Most other reconstructions are done with a free muscle transfer using the gracilis, rectus abdominis, latissimus dorsi, or serratus anterior. When a functional deficit is present, consideration should be given to using a functional free muscle transfer to provide both functional restoration and soft-tissue coverage. The gracilis is most commonly used for this transfer.

Plasticity Driven Gene Expression in the Adult Mammalian Retina

We showed that undisturbed (UD) rats, which remained housed in standard laboratory cages, and handled-only (HO) controls displayed only a few immunolabeled cells in the inner nuclear layer (INL) and ganglion cell layer (GCL), when compared to animals exposed to an EE (Pinaud et al., 2002b) (Fig. 5.1). Animals in the latter group had a marked increase of NGFI-A labeling in these retinal layers. In addition, Arc immunoreactivity was found in an upregulated fashion in the inner and outer plexiform layers of EE animals, but not in UD and HO controls (discussed below) (Fig. 5.1). These findings suggest that enhanced complexity of the visual environment triggers a cascade of gene expression that might be correlated with circuit rewiring. We postulate that these putative wiring modifications may be associated with the optimization of information capture and processing and thus, increased functional capacity. In fact, it has been demonstrated that exposure of mice to an enriched environment...

Organ Based Technologies

Generally focused on one pathway or target (e.g., pharmaceutical) or possibly two therapeutic benefits, such as structural and functional restoration (e.g., cartilage repair products). However, those products replacing an entire organ (e.g., kidney) or body part (e.g., limbs) will need to consider broad functional testing of both exocrine excre-tory and endocrine functions before clinical testing can be considered.

Wound Location and Kinetics

Elbow flexion can be obtained by substituting the function of the biceps muscle in longstanding brachial plexus injuries. Flexion and extension of the digits may also be restored by free muscle transfer in patients with Volkman's ischemic contracture, severe avulsion injuries or extensive electrical burns. Similarly functional restoration