Search

Your search keyword '"Balyk, Robert"' showing total 12 results
Start Over Author "Balyk, Robert" Publication Year Range Last 50 years
12 results on '"Balyk, Robert"'

7. Arthroscopic Versus Mini-open Rotator Cuff Repair: A Randomized Trial and Meta-analysis.

Author

MacDermid, Joy C., Bryant, Dianne, Holtby, Richard, Razmjou, Helen, Faber, Kenneth, Balyk, Robert, Boorman, Richard, Sheps, David, McCormack, Robert, Athwal, George, Hollinshead, Robert, Lo, Ian, Bicknell, Ryan, Mohtadi, Nicholas, Bouliane, Martin, Glasgow, Donald, Lebel, Marie-Eve, Lalani, Aleem, Moola, Farhad O., and Litchfield, Robert

Subjects
ROTATOR cuff injuries, CONFIDENCE intervals, RANGE of motion of joints, META-analysis, ARTHROSCOPY, PLASTIC surgery, MAGNETIC resonance imaging, HEALTH outcome assessment, ACTIVITIES of daily living, RANDOMIZED controlled trials, TREATMENT effectiveness, COMPARATIVE studies, QUALITY of life, STATISTICAL sampling
Abstract

Background: Patients with complete rotator cuff tears who fail a course of nonoperative therapy can benefit from surgical repair. Purpose: This randomized trial compared mini-open (MO) versus all-arthroscopic (AA) rotator cuff repair. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Patients with rotator cuff tears were randomized to undergo MO or AA repair at 9 centers by 23 surgeons. The primary outcome (Western Ontario Rotator Cuff Index [WORC]) and secondary outcomes (American Shoulder and Elbow Surgeons [ASES] score, Shoulder Pain and Disability Index [SPADI] pain subscale, 12-Item Short Form Health Survey [SF-12], reported medication use, adverse events), as well as measurements of range of motion and strength, were collected at 1 month before surgery; at 2 and 6 weeks postoperatively; and at 3, 6, 12, 18, and 24 months postoperatively. A blinded radiologist evaluated rotator cuff integrity on magnetic resonance imaging (MRI) at baseline and 1 year. Intention-to-treat analysis of covariance with the preoperative WORC score, age, and tear size as covariates assessed continuous outcomes. Sex differences were assessed. A meta-analysis synthesized the primary outcome between MO and AA repair with previous trials. Results: From 954 patients screened, 411 were ineligible (276 because of recovery with physical therapy), 449 were screened at surgery (175 ineligible), and 274 completed follow-up (138 MO and 136 AA). The AA and MO groups were similar before surgery. WORC scores improved from 40 preoperatively to 89 (AA) and 93 (MO) at 2 years, for an adjusted mean difference of 3.4 (95% CI, –0.4 to 7.2). There were no statistically significant differences between the AA and MO groups at any time point. All secondary patient-reported outcomes were not significantly different between the MO and AA groups, except the 2-year SPADI pain score (8 vs 12, respectively; P =.02). A similar recovery in range of motion and strength occurred in both groups over time. MRI indicated minimal improvement in muscle relative to fat (AA: n = 3; MO: n = 2), with most worsening (AA: n = 25; MO: n = 24) or remaining unchanged (AA: n = 70; MO: n = 70). Opioid use was significantly reduced after surgery (from 21% to 5%). The meta-analysis indicated no significant standardized mean difference between groups in the primary outcome across all pooled studies (standardized mean difference, –0.06 [95% CI, –0.34 to 0.22]). Conclusion: Both AA and MO rotator cuff repair provide large clinical benefits, with few adverse events. There is strong evidence of equivalent clinical improvements. Trial Registration: NCT00128076. [ABSTRACT FROM AUTHOR]

Published
2021
Full Text
View/download PDF

8. A006 Patterns of Sedentary Behaviour and Physical Activity in Older Adults Post Hip Fracture

Author

Hamilton, Clayon B., Chesworth, Bert M., Zusman, Enav Zipora, Dawes, Martin, Fleig, Lena, McAllister, Megan M., Cook, Wendy L., McKay, Heather A., Khan, Karim M., Brasher, Penelope, Ashe, Maureen C., Dewan, Neha, MacDermid, Joy, MacIntyre, Norma, Grewal, Ruby, Fricke, Moni, Harvey, Liz, Pereira, Gisele, Garrett, Mark, Babatunde, Folarin Omoniyi, MacDermid, Joy C., McGowan, Emer, Martin, Gillian, Stokes, Emma, Sharma, Vivek, Zia, Nayeem, Kaur, Harraman, Christie, Heather Joyce, Rapko, Sarah Michelle, Stobart, Lori Patricia Graumann, Levac, Danielle E., Miller, Patricia A., Glegg, Stephanie M. N., Colquhoun, Heather, Wright, F. Virginia, Young, Rozlyn, Chan, Catherine, Dawes, Stacey, Tse, Emily, Greig, Alison M., Murphy, Sue, Lowe, Eric, Miles, Luke, Richards, Scott, von Schellwitz, Christopher, Wark, Krysta, Dawson, Lynn, Harrington, Kristyn, Dessureault, Liam, Martin, Anne-Michelle, Tehrani, Pooneh, DeVries, Zachary, Howe, Jo-Anne Adelle, Salbach, Nancy Margaret, Tee, Alda, Moller, Jason, French, Esme, Lang, Melissa, Hoens, Alison, Westby, Marie D., Longstaff, Steven, Duggan, Maureen, Young, Steven James, Tait, James Curtis, Jawl, Bradley, Hoens, Alison Alice Maria, Houghton, Pamela, Nussbaum, Ethne L., Shay, Barbara L., Musselman, Kristin, Miller, Stuart, Pollock, Courtney, Miller, Kimberly, Garland, Jayne, Carvajal, Jennifer, Sheppard, Phillip, Harris, Susan R., Moreside, Janice Marie, Scannell, Joan P., Roots, Robin K., Murphy, Susan, Worthington, Anne, Yeung, Euson, Gibson, Barbara, Shaw, jay, Kuper, Ayelet, Nixon, Stephanie, Switzer-McIntyre, Sharon, Song, Wonju, Sharkey, Megan, Norman, Kathleen, Hopkins-Rosseel, Diana, Miller, Carol E., Puri, Carol, Nilson, JoAnn Kathryn, Mulder, Kathy J., Wittmeier, Kristy, Schachter, Candice L., Arnold, Cathy, Oosman, Sarah, Lomotey, Richard, Beavers, Lindsay, Miller, Erin, Manns, Patricia, Kwok, Alyson, Nazarali, Jenna, Schroeder, Linaya, Sehn, Megan, Stout, Kirsten, Potter, Jadon, Singh, Lauren, Durocher, Liz, Roy, Thomas, Abonyi, Sylvia, Oosman, Sarah N., Roberts, Kerrie Anne, Lowcock, Janet Elizabeth, Dhir, Jasdeep, Walton, Dave, Millard, Jim, Mori, Brenda, Evans, Cathy, Webber, Sandra C., Harvey, Elizabeth H., Dean, Brenda G., Proctor, Peggy L., Lindsay, Jane, Harvey, Drew, Hunter, Susan, Batchelor, Frances, Hill, Keith, Hill, Anne-Marie, Mackintosh, Shylie, Payne, Michael, Arnold, Catherine, Johnston, JoAnn Walker, Lanovaz, Joel, Lattimer, Lauren, Richardson, Julie Anne, Letts, Lori, Chan, David, Sinclair, Susanne, Mangin, Derelie, Sarah, Sanford, Wojkowski, Sarah, Donnelly, Catherine, Benson, Katie, Schimmell, Alex, Truong, Devonna, Dunkley, Magen, DePaul, Vincent G., Esculier, Jean-Francois, Bouyer, Laurent Julien, Roy, Jean-Sébastien, Whittaker, Jackie L., Toomey, Clodagh, Nettel-Aguirre, Alberto, Jaremko, Jacob, Woodhouse, Linda J., Emery, Carolyn A., Kennedy, Deborah M., Stratford, Paul, Massei, Michael, Sanzo, Paolo, Przysucha, Eryk, Dhaidan, Ghaith, Maunula, Mikko, Solomon, Vaeda, Souza-Barros, Leanna, Gabison, Sharon, Lilge, Lothar, Ezeugwu, Victor E., Garga, Neera, Manns, Patricia J., Barclay, Ruth, Miller, Pat, Pooyania, Sepideh, Nixon, Stephanie A., Cameron, Cathy, Chambers, Lori, Kassam, Aly, Montgomery, Robin, Worthington, Catherine, Maimbolwa, Margaret, Mbulaheni, Tola, Pierre-Pierre, Valerie, Tattle, Stephen, Katz, Shikma, Kalichman, Leonid, Zaltzman, Yacov, Arad, Racheli, Nachmani, Hadas, Hauser, Daniele, Marcus, Esther-Lee, Bernard, Stephanie, Moffet, Helene, Dumoulin, Chantale, Ouellet, Marie-Pier, Plante, Marie, Odole, Adesola Christiana, Olugbenga-Alfred, Adenike Agnes, Siu, Henry, Razmjou, Helen, Robarts, Susan, Kennedy, Deborah, Holtby, Richard, Bognar, Stephanie, DeFaria, AnneMarie, O’Dwyer, Casey, Pankiw, Elana, Simic, Jennifer, Nyhof-Young, Joyce, Teixeira, Suzanne, Barker, Meghan, Nasopoulos, Theodora, Noad, Jennifer, Patterson, Kara K., Sibley, Kathryn M., Adams, Meaghan Shearer, Staines, W. Richard, Smetaniuk, Tracey, Johnson, Darren, Block, Kristi, Creurer, Jeremy, Schlegel, Magdalena, Verchere, Cynthia, Bellows, Doria B., Durlacher, Kim, Pike, Jeffrey, Bucevska, Marija, Fitzsimmons, Matthew, Bostick, Geoff, Holly, Janet Teresa, Grieve, Sharon, Perez, Roberto SGM., Birklein, Frank, Brunner, Florian, Bruehl, Stephen, Harden, Norm, Packham, Tara, Gobeil, Francois, McCabe, Candy, Moskovitz, Peter, Haigh, Richard, Handford, Midori, Lepine, Kiera, Boccia, Kristina, Ruddick, Francesca, Alyeksyeyeva, Darya, Thompson, Aaron, Holness, Linn, MacDermid, Joy Christine, Gogia, Pritika, Bello-Haas, Vanina Dal, O’Connell, Megan E., Morgan, Debra, Smith, Jenna, Richardson, Julie, Wong, Andy, Charchun, Sarabjeet, Feehan, Lynne, Cooper, Nicole S., Chong, Evelyn, Cheng, Isabella, Horner, Stephanie, Stairs, Emily, Howland, Raymond, Alsharafi, Zuhair, DasGupta, Tracey, Cho, Nancy Joywynne, Woods, Kyleigh Alexandra, Taylor, Kristin Leigh, Publicover, Cathy, Hatchette, Jill E., Yungblut, Susan M., Parsons, Trisha, Gasparelli, Katie, McKenzie, Brooke, Crowley, Hilary, Virag, Olivia, Seng-iad, Sirirat, Maximos, Melody, McLeod, Kate, Smart, Amanda, Sauvé, Dorianne, Landry, Michel D., Raman, Sudha, Macdonald, Allan Andrew, Kane, Kyra, Ezzat, Allison M., Whittaker, Jackie, Doyle-Baker, Patricia, Rosiers, Piaf Des, MacKay-Lyons, Marilyn, Parker, Robin, Keeler, Laura, McArthur, Caitlin, Patel, Ruchit, Gatobu, Sospeter, Papaioannou, Alexandra, Laprade, Judi, Cheung, Angela M., Jain, Ravi, Lee, Linda, Giangregorio, Lora, Silveira, Anelise, Beaupre, Lauren, Styles-Tripp, Fiona, Luciak-Corea, Charlene, Bouliane, Martin, Balyk, Robert, Lalani, Aleem, Glasgow, Robert, Bergman, Joseph, Sheps, David, Petitclerc, Émilie, Hébert, Luc J., Desrosiers, Johanne, Mathieu, Jean, Gagnon, Cynthia, O’Donovan, Mary Jane, McLean, Linda, Hunter, Judith, Pukall, Caroline, Krupa, Terry, Montpetit-Tourangeau, Katherine, Hudon, Anne, Windsor, Monica, Dyer, Joseph-Omer, Charlin, Bernard, Mamede, Sílvia, van Gog, Tamara, Coghlan, Cara, Mallinger, Hilary, Richard, Jocelynn, Stern, Arlee, Deslauriers, Simon, Raymond, Marie-Hélène, Laliberté, Maude, Lavoie, Amélie, Desmeules, François, Feldman, Debbie E., Perreault, Kadija, Pierre, Alec St, Turpin, Danielle, Piccinin, Adam, Toscan, Jordan, Gross, Anita, Gandhi, Payal, Chan, Katherine, Verrier, Molly, Persadie, Nicholas R., Obeid, Joyce, Scott, Lisa, Piscione, Janine, Mabbott, Donald J., Timmons, Brian W., Sivarajah, Lavan, Bisaro, Derek, Oates, Alison, Ouellet, Philippe, Décary, Simon, Vendittoli, Pascal-André, Macri, Erin M., Crossley, Kay M., d’Entremont, Agnes, Hart, Harvi, Forster, Bruce, Wilson, David, Ratzlaff, Charles, Louie, Dennis R., Eng, Janice, Miller, Jordan, Wideman, Timothy H., Desmeules, Francois, Jaindl, Bryna, Dykes, Lorenne, Coulthard, Jason, Naylen, Jessica, Rochelau, Noelle, Bath, Brenna, Clay, Lynne, Idrees, Muhammed, Trask, Catherine, Boudreau, Kaitlyn Sarah, McNeely, Margaret, Hung, Stanley H., Rafn, Bolette S., Hoens, Alison M., McNeely, Margaret L., Singh, Chiara, Kwan, Winkle, Dingee, Carol K., McKevitt, Elaine C., Kuusk, Urve, Goldsmith, Charles H., Campbell, Kristin L., Ospina, Paula Alejandra, Decary, Simon, Fallaha, Michel, Pelletier, Bruno, Frémont, Pierre, Martel-Pelletier, Johanne, Pelletier, Jean-Pierre, Feldman, Debbie, Massé, Vincent, Sylvestre, Marie-Pierre, Kriellaars, Dean, Stefanik, Joshua J., Bell, Chris, Brigham, L. Keltie, Cyr, Scott, Deneiko, Melanie, Okrainec, Matthew, Kzyzyk, Joanne, Madill, Stéphanie Jane, AlOnazi, Mona M., Miazga, Kirsten J., Culos-Reed, S. Nicole, Yurick, Janice, and Smith-Turchyn, Jenna

Subjects
Poster Presentations, Innovation in Education, Abstract Presentations, Student Abstracts, Proposal Presentations, Physiotherapy Research: from Basic Science to Population Health, Article, Best Practice, Practice Models and Health Policy
Published
2016

12. An evaluation of the responsiveness and discriminant validity of shoulder questionnaires among patients receiving surgical correction of shoulder instability.

Author

Kemp KA, Sheps DM, Beaupre LA, Styles-Tripp F, Luciak-Corea C, and Balyk R

Subjects
Adolescent, Adult, Arthroplasty methods, Discriminant Analysis, Female, Follow-Up Studies, Humans, Male, Prospective Studies, Quality of Life, Recurrence, Reproducibility of Results, Sensitivity and Specificity, Shoulder Dislocation surgery, Shoulder Injuries, Treatment Outcome, Young Adult, Joint Instability surgery, Shoulder Joint surgery, Surveys and Questionnaires
Abstract

Health-related quality-of-life (HRQL) measures must detect clinically important changes over time and between different patient subgroups. Forty-three patients (32 M, 13 F; mean age = 26.00 ± 8.19 years) undergoing arthroscopic Bankart repair completed three validated shoulder questionnaires (Western Ontario Shoulder Instability index (WOSI), American Shoulder and Elbow Surgeons Standardized Shoulder Assessment form (ASES), Constant score) preoperatively, and at 6, 12, and 24 months postoperatively. Responsiveness and discriminant validity was assessed between those with a satisfactory outcome and those with (1) a major recurrence of instability, (2) a single episode of subluxation, (3) any postoperative episode of instability. Eight (20%) patients reported recurrent instability. Compared to baseline, the WOSI detected improvement at the 6- (P < 0.001) and 12-month (P = 0.011) evaluations. The ASES showed improvement at 6 months (P = 0.003), while the Constant score did not report significant improvement until 12 months postoperatively (P = 0.001). Only the WOSI detected differential shoulder function related to shoulder instability. Those experiencing even a single episode of subluxation reported a 10% drop in their WOSI score, attaining the previously established minimal clinically important difference (MCID). Those experiencing a frank dislocation or multiple episodes of subluxation reported a 20% decline. The WOSI allows better discrimination of the severity of postoperative instability symptoms following arthroscopic Bankart repair.

Published
2012
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results