Digital Commons Network^™

When Descriptor Is Diagnosis: An Autoethnographic Response To The Medical Treatment Of Women With Vulvodynia, Josephine Taylor, Alexandra Ridgway

Research outputs 2022 to 2026

Women with chronic vulvar pain experience symptoms that can affect their everyday functioning. These women are often diagnosed with vulvodynia, defined as vulvar pain without a medical explanation lasting at least three months. Yet while vulvodynia is presented by medical authorities as a diagnosis it is, more accurately, a descriptor of the physical condition. As such it does not have the ability to explain what causes this vulvar pain and, consequently, cannot determine an appropriate treatment pathway for all patients. As women with vulvodynia (‘V women’), we use this article to highlight the issues posed by a descriptor camouflaging as …

The Role Of Team Compassion In Mitigating The Impact Of Hierarchical Bullying, Ben Farr-Wharton, Ace V. Simpson, Yvonne Brunetto, Tim Bentley

Research outputs 2022 to 2026

Hierarchical bullying in public healthcare organizations is an entrenched negative behaviour that results in a range of adverse outcomes for staff, including diminished wellbeing. This study integrates social exchange and conservation of resources theories as a lens for formulating hypotheses and employs multilevel statistical modelling to examine whether team-level compassion moderates the impact of hierarchical bullying on wellbeing. Using multilevel statistical modelling, the study analysed cross-sectional data from 632 healthcare workers nested within 48 teams in a single public health district in Australia. The findings indicate that work teams with higher levels of team compassion can mitigate the negative effects …

Provision Of A Daily High Protein And High Energy Meal: Effects On The Physical And Psychological Wellbeing Of Community-Dwelling, Malnourished Older Adults; A Randomised Crossover Trial, Lauren Struszczak, Mary Hickson, Irene Mcclelland, Brad Metcalf, Manuela Barreto, Luciana Torquati, Jon Fulford, Rachael Allen, Claire Hulme, Mary F. O'Leary, Joanna L. Bowtell

School of Health Professions

Objectives: To determine whether daily provision of a high protein, high energy meal for 12-weeks to under-nourished older adults living independently in the community can improve physical, physiological, and psychological outcomes. Design: A randomised crossover trial. Setting: Participant homes within a 15-mile radius to meal supplier; Dartmoor Community Kitchen Hub. Participants: Fifty-six community dwelling older adults (82 ± 7 years, 70% female) were randomised (stratified for baseline mini nutritional assessment (MNA) score and cohabiting or living alone) to receive 12-weeks of meal provision followed by 12-weeks no intervention (meals first group, n = 28), or, 12-weeks without intervention followed by …

Exploring Barriers And Facilitators To Dietary Assessment And Advice In The Paediatric Population Attending Dental Clinics: A Scoping Review, Lauren Hallewell, Raul Bescos, Zoe Brookes, Robert Witton, Patricia Casas-Agustench

School of Health Professions

OBJECTIVES: This scoping review aimed to identify barriers and facilitators, from both dental clinic staff and caregivers, to effectively providing and implementing dietary assessment and advice (for both oral and/or systemic health) in dental clinics managing paediatric patients.

METHODS: A protocol was developed a priori (Open Science Framework- https://osf.io/bp4ts.) and followed the PRISMA-ScR guidelines. Studies published in English from 1990 to December 2024 in MEDLINE, Cochrane Library, Embase and CINAHL databases were searched. Additional journal searches targeted articles on dietary assessment or advice in dental clinics treating paediatric patients (aged ≤ 18 years), exploring barriers and facilitators for caregivers and …

Which Factors Predict Outcome From Specialist Physiotherapy For Functional Motor Disorder? Prognostic Modelling Of The Physio4fmd Intervention, Glenn Nielsen, Teresa C. Lee, Louise Marston, Alan Carson, Mark J. Edwards, Laura H. Goldstein, Rachael Maree Hunter, Kate Holt, Jon Marsden, Markus Reuber, Jon Stone, Irwin Nazareth

School of Health Professions

Objectives: Physiotherapy is considered part of first line treatment for functional motor disorder (FMD) although not all patients benefit. Predictors of treatment outcome may help to inform triage decisions. We aimed to determine which baseline variables predicted treatment outcome in the pragmatic multicentre Physio4FMD randomised controlled trial of specialist physiotherapy for FMD. Methods: Participants randomised to the specialist physiotherapy arm of the trial were included in the analysis. Treatment outcome was dichotomised into improvement vs no improvement, based on two measures, Short Form 36 Physical Functioning (SF36 PF) and participant-rated Clinical Global Impression Scale of Improvement (CGI-I). Predictors of outcome …

Interactions Of Anthropogenic Microfibres With The Marine Macroalga, Ulva Lactuca, Adam Collins, Andrew Turner

School of Geography, Earth and Environmental Sciences

Little information exists on the interactions between microfibres (MFs) and marine macroalgae. In this study, the translucent green seaweed, Ulva lactuca, has been exposed to ∼2 mg L⁻¹ suspensions of MFs prepared from dryer lint under controlled conditions, with MFs on the alga surface and remaining in seawater subsequently counted and characterised. MFs were mainly <2 mm and cellulosic, and contained various additives and chemicals used in textile treatment. Interactions of MFs with U. lactuca were spatially heterogeneous but correcting for pre-existent MFs on the surface, mean trapping efficiencies on a dry mass and surface area basis were 252 mL g⁻¹ and 0.858 mL cm⁻², respectively. Despite this heterogeneity, there was evidence of differential trapping based on fibre colour and length. Interactions between the amphiphilic algal surface and MFs are likely both hydrophobic and electrostatic and are not fully reversible, with only …

Anthropogenic Microfibres And Other Microplastics In The Sediments And Soils Of A Small, Moorland Reservoir (Burrator, Southwest England), Alexandra Sutton, Andrew Turner

School of Geography, Earth and Environmental Sciences

Little is known about the sources, transport and fate of anthropogenic microfibres (AMFs) and other microplastics (MPs) in dammed reservoirs. The aim of this study was to determine the concentrations, characteristics and pathways of anthropogenic particles in sediments and soils from a small, upland reservoir (Burrator, southwest England) and its influent and effluent river. Surface and subsurface (5 cm) sediments and soils were collected and characterised for organic matter and key geochemical (Ca, Fe and Rb) and anthropogenic (Pb and Zn) elements. AMFs and MPs were isolated from samples by flotation in ZnCl₂ and analysed microscopically; a selection was …

Patient-Reported Outcomes, Postoperative Pain And Pain Relief After Day Case Surgery (Poppy): Methodology For A Prospective, Multicentre Observational Study*, William M. Hare, Martha Belete, Adam B. Brayne, Harriet Daykin, Matthew Everson, Anna Ratcliffe, Katie Samuel, Lexy Sorrell, Mark Rockett

Peninsula Medical School

Background: In the UK, approximately 70% of surgical procedures are undertaken as day-cases. Little information exists about recovery from day-case surgery, yet international data highlights patients are at risk of developing significant longer-term health problems including chronic post-surgical pain and persistent postoperative opioid use. The Patient-reported Outcomes, Postoperative Pain and pain relief after daY case surgery (POPPY) study was a national prospective multicentre observational study, measuring short- and longer-term patient-reported outcomes, postoperative pain and pain relief after day-case surgery. Methods: This was a collaborative project led by resident anaesthetists under the Research and Audit Federation of Trainees umbrella. Adult day-case …

The Current Clinical Practice And Experiences In Buccal Midazolam Prescribing In Community For Status Epilepticus Termination In The United Kingdom: The Rescue Epilepsy Medication And Training (Remit) Study, Rohit Shankar

Peninsula Medical School

Background: Epilepsy is one of the commonest neurological conditions worldwide and confers a significant mortality risk, partly driven by status epilepticus (SE). Terminating SE is the goal of pharmaceutical rescue therapies. This survey evaluates UK-based healthcare professionals’ clinical practice and experience in community-based rescue therapy prescribing. Methods: A cross-sectional, 21 item questionnaire composed of Likert-style and free-text based questions was administered online. It was distributed through a non-discriminative snow-balling methodology to members of the Epilepsy Specialist Nurses’ Association (ESNA) and the British International League Against Epilepsy (ILAE). Quantitative analysis used Chi-squared, Fishers’ exact and Mann-Whitney tests. Qualitative data were analysed …

Serious Games For Constipation Management For People With Intellectual Disabilities: A Scoping Review And Narrative Synthesis, Serena Daniel, Ruth Bishop, Ellie Killner, Alison Whight, Sarah Lennard, Stephen Howard, Richard Laugharne, Rohit Shankar

Peninsula Medical School

Introduction: People with intellectual disability (PwID) are 2% of the UK population. Constipation and bowel movement (BM) problems (diarrhoea/faecal incontinence etc.) affects over a third of PwID and is a serious cause of morbidity and mortality. Pw ID rely heavily on outside support (family/professional carers/healthcare professionals), many of whom are ignorant to bowel related harms. There is significant stigma to discuss BM particularly constipation. Serious Games (SG) are increasingly used for education of health needs. This review examines if game-based technology can assist improving knowledge and reducing stigma of BM problems particularly constipation. Objective: To identify and gain evidence of …

Why We Must Stop Assuming And Estimating Menstrual Cycle Phases In Laboratory And Field-Based Sport Related Research, Kirsty Jayne Elliott-Sale, Marco Altini, Patricia Doyle-Baker, Eva Ferrer, Tessa Rose Flood, Rachel Harris, Franco Milko Impellizzeri, Xanne Janse De Jonge, Katrine Okholm Kryger, Gary Lewin, Constance M. Lebrun, Alan Mccall, Sophia Nimphius, Stuart M. Phillips, Paul A. Swinton, Madison Taylor, Evert Verhagen, Richard James Burden

Research outputs 2022 to 2026

The increased growth, popularity, and media interest in women’s sport has led to calls for greater prioritisation of female-specific research and innovation. In response, science and medicine researchers have increased the volume of sport-related studies investigating female-specific matters, such as the menstrual cycle. Whilst the accelerated rate of published studies with female participants is welcome, the emerging trend of using assumed or estimated menstrual cycle phases to characterise ovarian hormone profiles is a significant concern. Replacing direct measurements of key characteristics of the menstrual cycle (e.g. the surge in luteinising hormone prior to ovulation via urine detection and sufficient luteal …

Work Smarter Not Harder: Mapping Interprofessional Education Collaboration Core Competencies Across Curricula, Hanlie Pitout, Paula Barnard-Ashton, Fasloen Adams, Sanetta H.J. Du Toit

Research outputs 2022 to 2026

Integrating Interprofessional Education and Collaborative Practice (IPECP) into health professions curricula is recognized as a challenging task due to factors such as timing, curriculum overload, and resource availability. This study aimed to identify opportunities within courses across all health professions that would help students achieve the Interprofessional Education Collaborative (IPEC) Core Competencies. These competencies include (1) Values and Ethics, (2) Roles and Responsibilities, (3) Interprofessional Communication, and (4) Teams and Teamwork. A quantitative, cross-sectional document review was conducted, analyzing curriculum maps and documents from 11 healthcare professions at a South African university. This process involved 22 participants, comprising two representatives …

Extraction Of Triterpenoids From Carya Cathayensis Sarg. Husks And Enhancement Of Their Antibacterial Properties By Loading Into Chitosan Aerogels, Haixin Sun, Xinya Gu, Baozhu Shi, Tianhua Huang, Junlai Nian, Jidong Sun, Tarun Belwal, Liezhou Zhong, Benu Adhikari, Zisheng Luo

Research outputs 2022 to 2026

Carya cathayensis Sarg. is widely cultivated in China as a specialized nut crop, and its discarded husks (outer pericarp) are rich in triterpenoids with known antibacterial properties. In this study, triterpenoids were extracted from Carya cathayensis Sarg. husks (CCSHs) using a surfactant-mediated, ultrasound-assisted extraction method optimized via response surface methodology, the optimized extraction yield was 33.92 ± 0.52 mg UAE/g DW. Ab-8 macroporous resin was used to purify the triterpenoids from the crude extracts, achieving a 4.3-fold increase in purity. Mesoporous chitosan aerogels were prepared, and their morphology, pore size, and specific surface area were evaluated using microscopic and nitrogen …

Psychosocial Workplace Hazards And Industrial Relations: An Introduction, Alexis Vassiley, Tom Barratt, Kantha Dayaram, John Burgess

Research outputs 2022 to 2026

This article introduces the special issue, bringing together research on psychosocial workplace hazards (PSWH) which engages industrial relations (IR) perspectives. This is important as PSWH are increasingly studied and regulated, with new regulatory frameworks creating opportunity and necessity for IR perspectives to engage with PSWH. These hazards are intimately related to power relations between employers, workers and the broader society within which they interact, a topic of longstanding investigation within IR. To date, PSWH research has largely occurred in the work, health and safety (WHS) field, reflecting a broader historical separation between WHS and IR in scholarship and practice. While …

The Effects Of Interventions On Health-Related Quality Of Life Of People Living With Cardiovascular Disease: A Systematic Review, Amineh Rashidi, Lisa Whitehead, Lisa Newson, Helen Walthall, Clare Van Miert, Vivien Kemp, Ian Jones

Research outputs 2022 to 2026

Aim: To synthesise the evidence from randomised controlled trials on the effectiveness of interventions to improve health-related quality of life in people living with cardiovascular disease. Design: Systematic review and narrative synthesis. Data Sources: A systematic search of eight databases was conducted to identify relevant papers that were published in English and peer-reviewed. Review Methods: The titles and abstracts of the articles were screened by two independent reviewers. The remaining articles underwent full text screening, followed by quality appraisal conducted by two independent reviewers. Results: This review included 13 studies. The intervention in all studies was cardiac rehabilitation. In spite …

Detection Of Vkorc1 Single Nucleotide Polymorphisms Indicates The Presence Of Anticoagulant Rodenticide Resistance In Australia's Introduced Rats, Alicia F. Gorbould, Quinton F. Burnham, Michael T. Lohr, Annette Koenders

Research outputs 2022 to 2026

BACKGROUND: Anticoagulant rodenticides (ARs) are used globally to manage pest rodent populations. However, resistance to ARs in target rodent populations challenges pest control efforts and can increase risks to nontarget species. Resistance is frequently associated with nonsynonymous single nucleotide polymorphisms (nsSNPs) in the Vkorc1 gene, and this study carried out the first Vkorc1 survey of introduced rats on the Australian mainland. RESULTS: We identified three species of introduced rat using the cytochrome b gene across Brisbane, Melbourne, Perth and Sydney: Rattus rattus (Linnaeus 1758) (Lineage I); Rattus norvegicus (Berkenhout 1769); and Rattus tanezumi (Temminck 1844) (Lineage II). Three nsSNPs were …

High Diversity Of Dietary Flavonoid Intake Is Associated With A Lower Risk Of All-Cause Mortality And Major Chronic Diseases, Benjamin H. Parmenter, Alysha S. Thompson, Nicola P. Bondonno, Amy Jennings, Kevin Murray, Aurora Perez-Cornago, Jonathan M. Hodgson, Anna Tresserra-Rimbau, Tilman Kühn, Aedín Cassidy

Research outputs 2022 to 2026

Higher habitual intakes of dietary flavonoids have been linked with a lower risk of all-cause mortality and major chronic disease. Yet, the contribution of diversity of flavonoid intake to health outcomes remains to be investigated. Here, using a cohort of 124,805 UK Biobank participants, we show that participants who consumed the widest diversity of dietary flavonoids, flavonoid-rich foods and/or specific flavonoid subclasses had a 6–20% significantly lower risk of all-cause mortality and incidence of cardiovascular disease, type 2 diabetes, cancer, respiratory disease and neurodegenerative disease. Furthermore, we report that both quantity and diversity of flavonoids are independent predictors of mortality …

Cobotic Ultrasound Systems In Obstetric Assessment: A Scoping Review, Caterina Watson, Leisa Armstrong, David Cook, T. M.Shahriar Sazzad, Nayana Parange

Research outputs 2022 to 2026

Surgical subspecialties have successfully combined robotic technology with traditional practices. In doing so, they have benefited from increased precision in techniques, reduced incidence of surgical complications, and reduced MSK disorders. This scoping review aims to examine the extent of cobotics in obstetric ultrasound. The review was conducted using the JBI PRISMA protocol to map the topic of robotics in obstetric ultrasound. Teleoperated remote ultrasound formed the largest combined clinical cohort of 67 patients. Limitations of the 20-week scan concerned incomplete visualization of fetal structures. These included cavum septi pellucidi, cardiac outflow tracts, kidneys, lips and spine. Third trimester scans omitted …

Community Service Organizations And Actions For Climate Justice: An Exploration Of The Western Australian Context, Naomi Joy Godden, Bronte Alston, Kylie Wrigley, Shajimon Peter, Julie Nyanjom, Graham Hansen, Raphaela Raaber, Janine Joyce, Elizabeth Jackson-Barrett, Mehran Nejati, Doreen Wijekoon, Katharine Marsh, Caroline Porteous, Susan Bailey

Research outputs 2022 to 2026

This study utilized Feminist Participatory Action Research in collaboration with community service organizations (CSOs) in Western Australia to assess knowledges, capacities and capabilities regarding climate justice. Through surveys, interviews, and workshops, CSO workers explored organizational responses to climate change and social justice. Participants self-reported a low-to-medium understanding of climate justice and a desire for capacity building, especially in decolonial practice. Half of participating organizations had policies regarding climate change and social justice and engaged in climate advocacy, but identified a lack of sectorial and organizational leadership. Participants recommended opportunities for CSOs to operationalize climate justice and disaster resilience via climate …

Concept-Based Curriculum: An Evidence-Based Approach To Developing A New Framework For Dietetics Education?, Andrea Begley, Janica Jamieson, Gemma Jenkins, Janeane Dart, Lauren T. Williams, Simone Gibson, Fiona E. Pelly, Hattie H. Wright, Claire Palermo

Research outputs 2022 to 2026

Aims: Concept-based approaches to curricula have been proposed as a solution to this issue, and 56 concepts have been proposed for dietetics curricula. This study aimed to develop a framework for a dietetic concept-based curriculum. Methods: A pragmatic approach was employed by a team of nine experienced Australian dietetic educators. Iterative processes of idea generation, reflection, group discussion, and consensus formation were applied by seven of the academics in a two-day face-to-face workshop and four online meetings to further develop the 56 curriculum concepts previously identified for dietetics by Tweedie et al. The discussions were supported by document analysis and …

Impact Of Perceived Discrimination And Social Exclusion On Wellbeing Of Black African Immigrants In Australia, Obed Adonteng-Kissi, Matthew Mabefam, Elizabeth Archibong, Nnaemeka Meribe, Frank Darkwa Baffour

Research outputs 2022 to 2026

Across the globe, a significant number of immigrants frequently encounter discrimination and social exclusion in their host nations, prompting discussions regarding policies and societal attitudes toward these groups. This study is guided by the structural social work framework which provides a very important structure to understand the experiences of Black African immigrants in Australia. Drawing on the case of Black African immigrants in Australia, this study investigates the effects of discrimination and social exclusion on their wellbeing. This research builds upon existing literature concerning the discrimination and social exclusion of immigrants, incorporating the perspectives of 27 social workers and immigrants …

From Attention To Action: Advancing Inclusivity In The Landscape Of Anatomy Education, Siobhan M. Moyes, Lily Evans, Katie Snow, Aiden Jayanth

Peninsula Medical School

Conversations about inclusivity in anatomy education are at a critical juncture. While the need for a more equitable discipline is widely recognised, significant challenges remain. As this project aimed to reimagine what a truly inclusive learning experience could like and how it might be best achieved, an inclusive approach to research methodology was essential to ensure robust and representative results. Due to the paucity in anatomical literature on this topic, the authors applied concepts from sociological research methodology and innovative methods of demographic data collection to their own discipline.

The study utilised questionnaires and focus groups to collect diverse data …

Hemiplegic Shoulder Pain: A Narrative Review, Yeh-Kai Liao, Chueh-Hung Wu, Levent Özçakar

Rehabilitation Practice and Science

Hemiplegic shoulder pain is a common post-stroke complication that negatively affects functional recovery. It is caused by both mechanical and neurological factors. Prevention focuses on proper positioning, patient education, and maintenance of motion. Treatment remains largely conservative; with increasing research surrounding injection therapies, including intra-articular corticosteroid injection, subacromial hyaluronic acid injection, suprascapular nerve blocks, and botulinum toxin injection, all of which have demonstrated improved pain control. Functional electrical stimulation appears to be beneficial, and adjunct therapies such as supportive devices and robotic training may further enhance conventional treatment. Herewith, evidence regarding medications and acupuncture remains limited. Emerging treatments including high-intensity …

Current Injection Treatment For Adhesive Capsulitis, A Narrative Review, Laurence Roy-Bélanger, Tian Yue Ding, Édouard Marcoux, Mathieu Boudier-Revéret

Rehabilitation Practice and Science

This narrative review outlines the current practices related to ultrasound-guided (USG) injection treatments for adhesive capsulitis (AC), including injection sites, approaches, medications, and doses.

USG procedures are increasingly accessible for AC, offering diverse injection approaches and medication dosing. Given the methodological variations in existing studies, a summary of current practices is essential. We conducted a narrative review of recent literature retrieved from computerized databases.

Glenohumeral (GH) and coracohumeral ligament (CHL) injections may improve outcomes for AC, with some evidence suggesting potential benefits of targeting the CHL. Subacromial bursa injections alone appear to be less effective. Multi-site injection techniques show promising …

Axillary Web Syndrome Following Breast Cancer Surgery: A Review Of Current Literature, Christina Soong, Tyng-Guey Wang, Shaw-Gang Shyu

Rehabilitation Practice and Science

Axillary web syndrome (AWS), a complication primarily following breast cancer surgeries involving axillary lymph node dissection (ALND), presents as painful cords extending from the axilla, impairing shoulder mobility and potentially delaying cancer treatment. This review consolidates existing knowledge on AWS, covering its clinical presentation, risk factors, pathophysiology, and management strategies. AWS typically arises within weeks post-surgery but may develop later, manifesting as fibrous cords that hinder arm movement. Diagnosis relies primarily on clinical examination, and the reported incidence varies significantly across different populations and study designs. Risk factors include ALND, younger age, low body mass index, and adjuvant therapies. The …

Multidisciplinary Approach To Managing Hypotonia And Developmental Delays Due To A Novel Gtpbp3 Mutation, Fan Mei, Ru-Lan Hsieh

Rehabilitation Practice and Science

Introduction: Hypotonia in early life is often challenging to diagnose due to its diverse etiologies, with genetic disorders accounting for about one-third of cases. A precise diagnosis using a comprehensive, multidisciplinary approach is crucial for determining prognosis, guiding treatment, and providing genetic counseling.

Case Presentation: We report the first case in Taiwan involving compound heterozygous mutations in the GTPBP3 gene. A 13-month-old girl presented with developmental delays and hypotonia despite normal prenatal screenings and a year of rehabilitation therapy. Next-generation sequencing revealed two novel mutations: c.785A>C (p.Gln262Pro), a missense mutation in Exon 5, and c.1175_1181dup (p.Ser395GlufsTer4) …

Principles And Practices Of Selecting Screening Tools For Oropharyngeal Dysphagia: A Narrative Review, Yu-Hsuan Lai, Tyng-Guey Wang, Nai-Hsin Meng

Rehabilitation Practice and Science

Oropharyngeal dysphagia is a potentially life-threatening condition, particularly affecting individuals with neurological diseases, head and neck cancers, and age-related issues. Its prevalence in the general population ranges from 2.3% to 16%, with much higher rates among patients with stroke, Parkinson’s disease, and traumatic brain injury. Dysphagia is prevalent in geriatric and long-term care settings, where over 50% of elderly residents may experience swallowing difficulties. Given its high prevalence and serious consequences, early detection through dysphagia screening in at-risk populations is essential. Since the 1990s, numerous screening tools for dysphagia have been developed, with over 160 non-instrumental tools identified in review …

Ambulation Challenges Post High-Voltage Electrical Burn Involving Three Extremities, Complicated With Osteomyelitis: A Case Report, Chiang-Hui Huang, Katie Pei-Hsuan Wu

Rehabilitation Practice and Science

High-voltage electrical burns in occupational settings can leave detrimental injuries with immediate impact and long-term sequel. Despite extensive literature on the injury mechanism, comprehensive long-term rehabilitation descriptions for such devastating cases remain scarce. This report presents a significant traumatized high-voltage electrical injury involved three out of four extremities. A late complication with extensive tibial osteomyelitis affecting two-thirds of the bone severely compromised the patient’s ambulation potential, emphasizing the importance of segmental rehabilitation with progressive tolerance in ambulatory weight-bearing. We evaluated the patient’s physical, mental, and social component using Barthel Index, Veterans RAND 12-Item Health Survey (VR-12), and Patient-Reported Outcomes Measurement …

Clinical Application Of Intraoperative Neurophysiological Monitoring During Detethering Surgery Of A Newborn: A Case Report, Mu-Yun Lin, Hsin-Hung Chen, Tsui-Fen Yang

Rehabilitation Practice and Science

Background:

Tethered cord syndrome (TCS) is a rare congenital condition that causes abnormal tension on the spinal cord and often requires early surgical intervention to prevent progressive neurological and orthopedic deficits. However, performing detethering surgery in neonates presents unique challenges due to their immature neural pathways, which complicate intraoperative neuromonitoring (IONM).

Case Description:

We report the case of a 13-day-old neonate with TCS who underwent successful detethering surgery under advanced IONM. Double-train stimulation with a linked quadripolar montage was employed to elicit motor evoked potentials (MEPs), overcoming the challenge of monitoring immature corticospinal tracts. Additionally, subdural strip electrodes were used …

Late-Onset Sciatic Nerve Compression Due To Distal Femoral Osteochondroma, I-Fan Hsieh, Tian-Shin Yeh

Rehabilitation Practice and Science

Osteochondroma is one of the most common benign bone tumors, typically asymptomatic, and rarely causes nerve compression. Previous case reports documented nerve compression by osteochondroma arising from the proximal fibula, pelvic bone, and spine. We report a rare case of osteochondroma at the distal femur causing sciatic nerve compression with symptom onset at 42 years old. This case highlights that osteochondroma can develop at any skeletal location, and even though these lesions typically cease to grow after skeletal maturity. Individuals with a history of osteochondroma should consider it as a differential diagnosis for new symptoms even in older age to …