http://www.europapress.es/salud/asistencia/noticia-clinica-cemtro-realiza-primer-implante-condrocitos-cadera-espana-20130930110207.html

ESTA TÉCNICA PERMITE RETRASAR LA NECESIDAD DE LA PRÓTESIS

La Clínica CEMTRO realiza el primer implante de condrocitos de cadera en España

Foto: COMSALUD

MADRID, 30 Sep. (EUROPA PRESS) -

   La Clínica CEMTRO ha realizado este jueves el primer implante de condrocitos de cadera en España, una intervención "novedosa" que permite retrasar la necesidad de prótesis de cadera al paciente que se somete a ella.

   Esta técnica que, sólo se había realizado hasta ahora en rodilla y tobillo, está indicada para pacientes jóvenes y el retraso que se obtiene con su empleo en la instalación de la prótesis es "de varios años", indican.

   Los encargados de llevar a cabo el proceso fueron los miembros de un equipo formado por el jefe de la Unidad de Cadera de la Clínica CEMTRO, el doctor Raúl Torres; el jefe del Servicio de Traumatología, el profesor Pedro Guillén, y el director de la Unidad de Cadera, el doctor Luis Betancourt.

   En cuanto al paciente intervenido, el cual se recupera "con normalidad", es un varón de 34 años que sufría dos lesiones en el cartílago de la cadera, "una en la cabeza femoral y otra en el techo del cótilo o acetábulo, la cavidad articular que une la pelvis con el fémur", explica Guillén.

ES UNA CIRUGÍA DIFÍCIL

   Esta cirugía es "difícil", ya que primero hay que luxar la articulación para abordar la lesión, algo que se prolongó durante dos horas y media, y que se realizó mediante técnica combinada. En concreto, se ha usado cirugía convencional y artroscopia, después de haber realizado hace unas semanas la extracción de una muestra de cartílago para su cultivo.

   Precisamente, esto último se llevó a cabo en la propia sala blanca de cultivo celular de la Clínica CEMTRO, que es la única existente en España. Para él, el implante de condrocitos autólogos es una técnica que asegura la máxima cantidad de condrocitos por milímetro cuadrado de lesión, "lo que mejora los resultados".

   En la misma línea se muestra Torres, que afirma que, en el caso de este paciente, se implantaron membranas con condrocitos en las dos  lesiones de cartílago, siendo éstas "la de la cabeza femoral y la del acetábulo".

   Además, mantiene que haber realizado la operación en parte por artroscopia es "beneficioso" también para el enfermo, y es que al tratarse de una cirugía mínimamente invasiva, "el postoperatorio es menos doloroso", manifiesta al tiempo que confirma que "lo normal es que, pasadas 12 semanas, el paciente pueda volver a su actividad habitual".

   Ahondando en las lesiones de cadera, Torres sostiene que las más frecuentes se deben "a traumatismos, pinzamientos o choques femoroacetabulares, desgarros del labrum, osteonecrosis, osteocondritis, displasias o enfermedades degenerativas".

   El tratamiento para ellas depende "del grado de afectación del cartílago, de las causas de la lesión, y de la edad y las condiciones generales del paciente", indica. De hecho, expone que si el paciente es mayor "se opta por la artroplastia o prótesis de cadera".

Novedades de las revistas más importantes en Condroprotección

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A continuación le mostramos las novedades de las revistas más importantes en Condroprotección.
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Kaeley   Biomarkers: Project Update from the GRAPPA 2012 Annual Meeting Oliver FitzGerald and Philip J. Mease   Psoriasis and Psoriatic Arthritis Video Project: An Update from the 2012 GRAPPA Annual Meeting Kristina Callis Duffin, April W. Armstrong, and Philip J. Mease   GRAPPA Educational Initiatives: A report from the GRAPPA 2012 Annual Meeting Philip J. Mease   Peripheral Spondyloarthritis and Psoriatic Arthritis; Overlaps and Distinctions: A Report from the GRAPPA 2012 Annual Meeting Philip S. Helliwell, Philip J. Mease, Oliver FitzGerald, William J. Taylor, and Désirée van der Heijde   Osteoarthritis and Cartilage Volume 21, Issue 8, Pages 1009-1142 (August 2013)  Cartilage adaptation after anterior cruciate ligament injury and reconstruction: implications for clinical management and research? A systematic review of longitudinal MRI studies A. Van Ginckel, P. Verdonk, E. Witvrouw   Knee joint stabilization therapy in patients with osteoarthritis of the knee: a randomized, controlled trial J. Knoop, J. Dekker, M. van der Leeden, M. van der Esch, C.A. Thorstensson, M. Gerritsen, R.E. Voorneman, W.F. Peter, M. de Rooij, S. Romviel, W.F. Lems, L.D. Roorda, M.P.M. Steultjens   Randomized double-blind crossover study of the efficacy of a tart cherry juice blend in treatment of osteoarthritis (OA) of the knee H.R. Schumacher, S. Pullman-Mooar, S.R. Gupta, J.E. Dinnella, R. Kim, M.P. McHugh   OARSI recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis F. Dobson, R.S. Hinman, E.M. Roos, J.H. Abbott, P. Stratford, A.M. Davis, R. Buchbinder, L. Snyder-Mackler, Y. Henrotin, J. Thumboo, P. Hansen, K.L. Bennell   The association between metacarpal ratio, radiographic hand and knee osteoarthritis and its progression after meniscectomy P.T. Paradowski, L.S. Lohmander, M. Englund   Cartilage morphology and T1ρ and T2 quantification in ACL-reconstructed knees: a 2-year follow-up F. Su, J.F. Hilton, L. Nardo, S. Wu, F. Liang, T.M. Link, C.B. Ma, X. Li   Bone density is higher in cam-type femoroacetabular impingement deformities compared to normal subchondral bone A.D. Speirs, P.E. Beaulé, K.S. Rakhra, M.E. Schweitzer, H. Frei   Categorization of two-photon microscopy images of human cartilage into states of osteoarthritis T. Bergmann, U. Maeder, M. Fiebich, M. Dickob, T.W. Nattkemper, D. Anselmetti   Correlation of meniscal T2* with multiphoton microscopy, and change of articular cartilage T2 in an ovine model of meniscal repair M.F. Koff, P. Shah, S. Pownder, B. Romero, R. Williams, S. Gilbert, S. Maher, L.A. Fortier, S.A. Rodeo, H.G. Potter   The layered structure of the articular surface R. Fujioka, T. Aoyama, T. Takakuwa   Protective effect of a new biomaterial against the development of experimental osteoarthritis lesions in rabbit: a pilot study evaluating the intra-articular injection of alginate-chitosan beads dispersed in an hydrogel F. Oprenyeszk, M. Chausson, V. Maquet, J.-E. Dubuc, Y. Henrotin   An animal model of Kashin-Beck disease induced by a low-nutrition diet and exposure to T-2 toxin ☆ P. Kang, Y. Yao, J. Yang, B. Shen, Z. Zhou, F. Pei   Inflammatory stimuli differentially modulate the transcription of paracrine signaling molecules of equine bone marrow multipotent mesenchymal stromal cells R. Vézina Audette, A. Lavoie-Lamoureux, J.-P. Lavoie, S. Laverty   Prevalence of naturally occurring cartilage defects in the ovine knee J.-M. Vandeweerd, F. Hontoir, N. Kirschvink, P. Clegg, J.-F. Nisolle, N. Antoine, P. Gustin   Localized 3D analysis of cartilage composition and morphology in small animal models of joint degeneration T. Thote, A.S.P. Lin, Y. Raji, S. Moran, H.Y. Stevens, M. Hart, R.V. Kamath, R.E. Guldberg, N.J. Willett   The Journal of Bone and Joint Surgery August 09, 2013 | Vol. 95. Issue 15 Clinical Research Fails to Support More Aggressive Management of Pediatric Upper Extremity Fractures Emily A. Eismann, MS; Kevin J. Little, MD; Samuel T. Kunkel, MS; Roger Cornwall, MD   Operative Versus Nonoperative Treatment of Displaced Intra-Articular Calcaneal Fractures: A Prospective, Randomized, Controlled Multicenter Trial Per-Henrik Ågren, MD; Per Wretenberg, MD, PhD; Arkan S. Sayed-Noor, MD, PhD, FRCS   Long-Term Results of Intralesional Curettage and Cryosurgery for Treatment of Low-Grade Chondrosarcoma Morteza Meftah, MD; Patricia Schult, BS; Robert M. Henshaw, MD   Improved Fixation in Cementless Unicompartmental Knee Replacement: Five-Year Results of a Randomized Controlled Trial H. Pandit, DPhil, FRCS(Orth); A.D. Liddle, BSc, MRCS; B.J.L. Kendrick, BSc, FRCS(Orth); C. Jenkins, MSc; A.J. Price, DPhil, FRCS(Orth); H.S. Gill, DPhil; C.A.F. Dodd, FRCS; D.W. Murray, MD, FRCS(Orth)   Prevention of Nerve Injury During Arthroscopic Capsulectomy of the Elbow Utilizing a Safety-Driven Strategy Davide Blonna, MD; Jennifer Moriatis Wolf, MD; James S. Fitzsimmons, BSc; Shawn W. O'Driscoll, MD, PhD, FRCS(C)   Outcomes of Ankle Arthroplasty with Preoperative Coronal-Plane Varus Deformity of 10° or Greater Tomce Trajkovski, MD; Ellie Pinsker, BA⪼ Anthony Cadden, MBBS, FRACS(Ortho); Timothy Daniels, MD, FRCS(C)   The Stabilizing Mechanism of the Latarjet Procedure: A Cadaveric Study Nobuyuki Yamamoto, MD, PhD; Takayuki Muraki, PhD; Kai-Nan An, PhD; John W. Sperling, MD; Robert H. Cofield, MD; Eiji Itoi, MD, PhD; Gilles Walch, MD; Scott P. Steinmann, MD   Incidence of Displacement After Nondisplaced Distal Radial Fractures in Adults Kevin M. Roth, MD; Philip E. Blazar, MD; Brandon E. Earp, MD; Roger Han, MD; Albert Leung, BS   Medium to Long-Term Outcome of Thoracoscapular Arthrodesis with Screw Fixation for Facioscapulohumeral Muscular Dystrophy Alexander Van Tongel, MD; Ehud Atoun, MD; Ali Narvani, FRCS; Giuseppe Sforza, MD; Stephen Copeland, FRCS; Ofer Levy, MD, MCh(Orth), FRCS   Preoperative Diagnosis of Infection in Patients with Nonunions Charlton Stucken, MD; Dana C. Olszewski, MD, MPH; William R. Creevy, MD; Akira M. Murakami, MD; Paul Tornetta, III, MD   Clinical Results and Functional Outcomes of Primary and Revision Spinal Deformity Surgery in Adults Hamid Hassanzadeh, MD; Amit Jain, MD; Mostafa H. El Dafrawy, MD; Addisu Mesfin, MD; Philip R. Neubauer, MD; Richard L. Skolasky, ScD; Khaled M. Kebaish, MD   Surgical Treatment of Hip Abductor Tendon Tears Joseph F. Davies, MD; James B. Stiehl, MD; Joseph A. Davies, BA; Patrick B. Geiger, PAC   Classification of Postoperative Acromial Fractures Following Reverse Shoulder Arthroplasty Jonathan C. Levy, MD; Christopher Anderson, MS, CCRP; Anil Samson, MBBS   Clinical Presentation of Posterolateral Rotatory Instability of the Elbow in Children Lisa L. Lattanza, MD; Charles A. Goldfarb, MD; Mia Smucny, MD; Douglas T. Hutchinson, MD   Limb-Length Discrepancy After Hip Arthroplasty Vincent Y. Ng, MD; John R. Kean, MD; Andrew H. Glassman, MD   Occupational Injury Among Orthopaedic Surgeons William T. Davis, BS; Vasanth Sathiyakumar, BA; A. Alex Jahangir, MD; William T. Obremskey, MD, MPH; Manish K. Sethi, MD   Critical Analysis of a Trauma Fellowship-Modeled, Six-Year Orthopaedic Surgery Training Program Alan H. Daniels, MD; Matthew McDonnell, MD; Christopher T. Born, MD; Roman A. Hayda, MD; Michael G. Ehrlich, MD; Peter G. Trafton, MD; Staci A. Fischer, MD; Christopher W. DiGiovanni, MD   Journal of the American Academy of Orthopaedic Surgeons August 2013; 21 (8)  Epinephrine in Local Anesthesia in Finger and Hand Surgery: The Case for Wide-awake Anesthesia Donald Lalonde and Alison Martin   Pelvic Fractures: Part 1. Evaluation, Classification, and Resuscitation Joshua R. Langford, Andrew R. Burgess, Frank A. Liporace,and George J. Haidukewych   Pelvic Fractures: Part 2. Contemporary Indications and Techniques for Definitive Surgical Management Joshua R. Langford, Andrew R. Burgess, Frank A. Liporace,and George J. Haidukewych   Cysts About the Knee: Evaluation and Management Drew Stein, Matthew Cantlon, Brendan MacKay, and Christian Hoelscher   Sarcoma Chemotherapy Brian E. Walczak and Ronald B. Irwin   Tendon Transfers for Irreparable Rotator Cuff Tears Reza Omid and Brian Lee   Treatment of Distal Radius Fractures Jayson Murray and Leeaht Gross   Rheumatology Volume 52 Issue 8 August 2013  Small molecules targeting JAKs-a new approach in the treatment of rheumatoid arthritis Eugen Feist and Gerd R. Burmester   Seronegative antiphospholipid syndrome Rabih Nayfe, Imad Uthman, Jessica Aoun, Ehab Saad Aldin, Mira Merashli, andMunther A. Khamashta   The role of α-defensin-1 and related signal transduction mechanisms in the production of IL-6, IL-8 and MMPs in rheumatoid fibroblast-like synoviocytes Joong Kyong Ahn, Bo Huang, Eun-Kyung Bae, Eun-Jung Park, Ji-Won Hwang, Jaejoon Lee, Eun-Mi Koh, and Hoon-Suk Cha   Simvastatin attenuates the development of pulmonary and cutaneous fibrosis in a murine model of systemic sclerosis Gianluca Bagnato, Alessandra Bitto, Gabriele Pizzino, Natasha Irrera, Donatella Sangari, Maurizio Cinquegrani, William Neal Roberts, Marco Matucci Cerinic,Francesco Squadrito, Domenica Altavilla, Gianfilippo Bagnato, and Antonino Saitta   Characterization of a new regulatory CD4+ T cell subset in primary Sjögren's syndrome Alessia Alunno, Maria Grazia Petrillo, Giuseppe Nocentini, Onelia Bistoni, Elena Bartoloni, Sara Caterbi, Rodolfo Bianchini, Chiara Baldini, Ildo Nicoletti, Carlo Riccardi, and Roberto Gerli   GAPSS: the Global Anti-Phospholipid Syndrome Score Savino Sciascia, Giovanni Sanna, Veronica Murru, Dario Roccatello, Munther A. Khamashta, and Maria Laura Bertolaccini   Rate of adjudication of radiological progression in rheumatoid arthritis randomized controlled trials depending on preset limits of agreement: a pooled analysis from 15 randomized trials Victoria Navarro-Compán, Robert Landewé, Harris A. Ahmad, Colin G. Miller, Dong Xu, Ron Wolterbeek, and Désirée van der Heijde   Ayurvedic medicine offers a good alternative to glucosamine and celecoxib in the treatment of symptomatic knee osteoarthritis: a randomized, double-blind, controlled equivalence drug trial Arvind Chopra, Manjit Saluja, Girish Tillu, Sanjeev Sarmukkaddam, Anuradha Venugopalan, Gumdal Narsimulu, Rohini Handa, Venil Sumantran, Ashwinikumar Raut, Lata Bichile, Kalpana Joshi, and Bhushan Patwardhan   Optimizing the identification of patients with axial spondyloarthritis in primary care-the case for a two-step strategy combining the most relevant clinical items with HLA B27 Annalina Braun, Holger Gnann, Ertan Saracbasi, Joachim Grifka, Uta Kiltz, Katrin Letschert, and Jürgen Braun   The value of colour Doppler sonography of the knee joint: a useful tool to discriminate inflammatory from non-inflammatory disease? Nelly Beitinger, Boris Ehrenstein, Benno Schreiner, Martin Fleck, Joachim Grifka,Christian Lüring, and Wolfgang Hartung   Fatigue-related brain white matter changes in granulomatosis with polyangiitis Neil Basu, Alison D. Murray, Gareth T. Jones, David M. Reid, Gary J. Macfarlane, andGordon D. Waite   A simple model that suggests possible cost savings when modified-release prednisone 5 mg/day is added to current treatment in patients with active rheumatoid arthritis Maarten Boers and Frank Buttgereit   Predicting Sjögren's syndrome in patients with recent-onset SLE Gabriela Hernández-Molina, Tatiana Zamora-Legoff, Juanita Romero-Díaz, Carlos A. Nuñez-Alvarez, Francisco Cárdenas-Velázquez, Carlos Hernández-Hernández, Maria Luisa Calderillo, Martha Marroquín, Claudia Recillas-Gispert, Carmen Ávila-Casado,and Jorge Sánchez-Guerrero   Dynamic ultrasound assessment of medial meniscal subluxation in knee osteoarthritis Carlos Acebes, Fredeswinda I. Romero, Maria A. Contreras, Ignacio Mahillo, andGabriel Herrero-Beaumont   A central role of plasmin in cardiac injury initiated by fetal exposure to maternal anti-Ro autoantibodies Paraskevi Briassouli, Marc K. Halushka, Joanne H. Reed, Yair Molad, Karen Fox-Talbot, Lucas Buyon, Edwin Guzman, Achiau Ludomirsky, Robert M. Clancy, and Jill P. Buyon   Assessing tactile acuity in rheumatology and musculoskeletal medicine-how reliable are two-point discrimination tests at the neck, hand, back and foot? Mark J. Catley, Abby Tabor, Benedict M. Wand, and G. Lorimer Moseley   Progression of structural damage is not related to rituximab serum levels in rheumatoid arthritis patients Maria Boumans, Onno Teng, Rogier Thurlings, Johannes Bijlsma, Danielle Gerlag,Tom Huizinga, Koen Vos, Steven Stapel, Gertjan Wolbink, Janneke Tekstra, Jaap van Laar, and Paul P. Tak   A subgroup of juvenile idiopathic arthritis patients who respond well to methotrexate are identified by the serum biomarker MRP8/14 protein Halima Moncrieffe, Simona Ursu, Dirk Holzinger, Fiona Patrick, Laura Kassoumeri,Angie Wade, Johannes Roth, and Lucy R. Wedderburn   Reduced joint assessment vs comprehensive assessment for ultrasound detection of synovitis in juvenile idiopathic arthritis Paz Collado, Esperanza Naredo, Cristina Calvo, Mari Luz Gamir, Inmaculada Calvo,Maria Luz García, Rosa Merino, Jenaro Graña, Sagrario Bustabab, and Jesús Garridoon behalf of the ECO-JIA Study Group   Cost-effectiveness of exercise therapy after corticosteroid injection for moderate to severe shoulder pain due to subacromial impingement syndrome: a trial-based analysis Sue Jowett, Dickon P. Crawshaw, Philip S. Helliwell, Elizabeth M. A. Hensor, Elaine M. Hay, and Philip G. Conaghan   Percentage of patients with spondyloarthritis in patients referred because of chronic back pain and performance of classification criteria: experience from the Spondyloarthritis Caught Early (SPACE) cohort Rosaline van den Berg, Manouk de Hooge, Floris van Gaalen, Monique Reijnierse,Tom Huizinga, and Désirée van der Heijde   Treatment changes and improved outcomes in RA: an overview of a large inception cohort from 1989 to 2009 Wietske Kievit, Jaap Fransen, Maarten C. de Waal Malefijt, Alfons A. den Broeder,and Piet L. C. M. van Riel   Tactile acuity is disrupted in osteoarthritis but is unrelated to disruptions in motor imagery performance Tasha R. Stanton, Chung-Wei Christine Lin, Helen Bray, Rob J. E. M. Smeets,Deborah Taylor, Roberta Y. W. Law, and G. Lorimer Moseley   Systemic sclerosis sine scleroderma: distinct features in a large Brazilian cohort Roberta Gonçalves Marangoni, Luiza Fuoco Rocha, Ana Paula T. Del Rio, Natalino H. Yoshinari, João Francisco Marques-Neto, and Percival D. Sampaio-Barros   Systemic sclerosis patients with and without pulmonary arterial hypertension: a nailfold capillaroscopy study Valeria Riccieri, Massimiliano Vasile, Nicoletta Iannace, Katia Stefanantoni, Iliana Sciarra, Carmine D. Vizza, Roberto Badagliacca, Roberto Poscia, Silvia Papa, Mario Mezzapesa, Martina Nocioni, and Guido Valesini   Expression of cathepsin K and tartrate-resistant acid phosphatase is not confined to osteoclasts but is a general feature of multinucleated giant cells: systematic analysis Jin Kyun Park, Antony Rosen, Jeffrey E. Saffitz, Angeliki Asimaki, Silvio H. Litovsky,Shannon M. Mackey-Bojack, and Marc K. Halushka   Journal of Clinical Rheumatology August 2013 - Volume 19 - Issue 5  Consumer Perspectives on Pediatric Rheumatology Care and Service Delivery: A Qualitative Study Tong, Allison; Jones, Julie; Speerin, Robyn; More   A 3-Day Delay in Synovial Fluid Crystal Identification Did Not Hinder the Reliable Detection of Monosodium Urate and Calcium Pyrophosphate Crystals Tausche, Anne-Kathrin; Gehrisch, Siegmund; Panzner, Ines; More   Disease Severity in Adult Patients of Turkish Ancestry With Familial Mediterranean Fever Living in Germany or Turkey. Does the Country of Residence Affect the Course of the Disease? Giese, Arnd; Örnek, Ahmet; Kilic, Levent; More   Pneumocystis jirovecii Pneumonia in Systemic Lupus Erythematosus From Southern Taiwan Weng, Chia-Tse; Liu, Ming-Fei; Weng, Meng-Yu; More   Treatment of Multicentric Reticulohistiocytosis With Tocilizumab Pacheco-Tena, César; Reyes-Cordero, Greta; Ochoa-Albíztegui, Rosa; More   Ainhum (Dactylolysis Spontanea): A Case With Hands and Feet Involvement de Araujo, Daniel Brito; Lima, Sônia Maria Alvarenga Anti Loduca; Giorgi, Rina Dalva Neubarth; More   British Medical Journal 24 August 2013 (Vol 347, Issue 7922) Clinical effectiveness of collaborative care for depression in UK primary care (CADET): cluster randomised controlled trial David A Richards, professor, Jacqueline J Hill, PhD student, Linda Gask, professor, Karina Lovell, professor, Carolyn Chew-Graham, professor, Peter Bower, professor, John Cape, head of psychology, Stephen Pilling, professor,Ricardo Araya, professor, David Kessler, consultant senior lecturer, J Martin Bland, professor, Colin Green, professor, Simon Gilbody, professor, Glyn Lewis, professor, Chris Manning, public and patient advocate, Adwoa Hughes-Morley, research fellow, Michael Barkham, professor   Use of antidepressants near delivery and risk of postpartum hemorrhage: cohort study of low income women in the United States Kristin Palmsten, postdoctoral research fellow, Sonia Hernández-Díaz, associate professor, Krista F Huybrechts, instructor, Paige L Williams, senior lecturer,Karin B Michels, associate professor, Eric D Achtyes, assistant professor, Helen Mogun, programmer, Soko Setoguchi, associate professor   Unhealthy behaviours and disability in older adults: Three-City Dijon cohort study Fanny Artaud, PhD candidate, Aline Dugravot, statistician, Séverine Sabia, research associate, Archana Singh-Manoux, research director, Christophe Tzourio, professor of epidemiology, Alexis Elbaz, research director   Performance of English stop smoking services in first 10 years: analysis of service monitoring data Robert West, professor of health psychology, Sylvia May, consultant researcher, Matthew West, consultant researcher, Emma Croghan, director of public health and lifestyle services, Andy McEwen, senior research associate   American Family Physician August 15, 2013 Vol. 88 N. 4 Management of Common Sleep Disorders Kannan Ramar ; Eric J. Olson   Childhood Eye Examination Amanda L. Bell ; Mary Elizabeth Rodes ; Lisa Collier Kellar   Parathyroid Disorders Thomas C. Michels ; Kevin M. Kelly   Physical Therapy August 2013, Volume 93, Issue 8  Effect of Therapeutic Exercise on Pain and Disability in the Management of Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis of Randomized Trials Lucia Bertozzi, Ivan Gardenghi, Francesca Turoni, Jorge Hugo Villafañe,Francesco Capra, Andrew A. Guccione, and Paolo Pillastrini   Longitudinal Change in Physical Activity and Its Correlates in Relapsing-Remitting Multiple Sclerosis Robert W. Motl, Edward McAuley, and Brian M. Sandroff   Acute Cartilage Loading Responses After an In Vivo Squatting Exercise in People With Doubtful to Mild Knee Osteoarthritis: A Case-Control Study Ans Van Ginckel and Erik Witvrouw   Incidence and Factors Associated With Falls in Independent Ambulatory Individuals With Spinal Cord Injury: A 6-Month Prospective Study Sirisuda Phonthee, Jiamjit Saengsuwan, Wantana Siritaratiwat,and Sugalya Amatachaya   Home-Based Versus In-Hospital Cardiac Rehabilitation After Cardiac Surgery: A Nonrandomized Controlled Study Simonetta Scalvini, Emanuela Zanelli, Laura Comini, Margherita Dalla Tomba,Giovanni Troise, Oreste Febo, and Amerigo Giordano   Exercise Intensity Levels in Children With Cerebral Palsy While Playing With an Active Video Game Console Maxime Robert, Laurent Ballaz, Raphael Hart, and Martin Lemay   Facial Pain Associated With Fibromyalgia Can Be Marked by Abnormal Neuromuscular Control: A Cross-Sectional Study Maísa Soares Gui, Cristiane Rodrigues Pedroni, Luana M. Martins Aquino,Marcele Jardim Pimentel, Marcelo Correa Alves, Sueli Rossini,Rubens Reimão, Fausto Berzin, Amélia Pasqual Marques,and Célia Marisa Rizzatti-Barbosa   Psychometric Properties of the Mini-Balance Evaluation Systems Test (Mini-BESTest) in Community-Dwelling Individuals With Chronic Stroke Charlotte S.L. Tsang, Lin-Rong Liao, Raymond C.K. Chung,and Marco Y.C. Pang   Psychometric Properties and Practicability of the Self-Report Urinary Incontinence Questionnaire in Patients With Pelvic-Floor Dysfunction Seeking Outpatient Rehabilitation Ying-Chih Wang, Dennis L. Hart, Daniel Deutscher, Sheng-Che Yen,and Jerome E. Mioduski   Cognitive-Behavioral-Based Physical Therapy to Improve Surgical Spine Outcomes: A Case Series Kristin R. Archer, Nicole Motzny, Christine M. Abraham, Donna Yaffe,Caryn L. Seebach, Clinton J. Devin, Dan M. Spengler, Matthew J. McGirt,Oran S. Aaronson, Joseph S. Cheng, and Stephen T. Wegener