ObjectiveTo investigate the prognostic factors predicting the recovery of pre-fracture functional mobility, we evaluated this by the use of ambulatory assistive devices in short-term follow-up.MethodsFive hundred and fifty-three elderly patients who had undergone hip fracture operations from January 2006 to June 2013 were enrolled in this retrospective study. Clinical characteristics and predicted factors affecting functional recovery, such as the delay of rehabilitation after the operation, were reviewed. The functional status of the gait was classified as either a bedridden state, wheelchair-bound state, walker gait, single cane gait, and self-gait without any ambulatory assistance device. When this functional grade in patients who recovered after the surgery was compared to before the surgery, this state was considered 'functional recovery'.ResultsOne hundred and ninety-two patients (34.7%) showed recovery of preoperative mobility in the first month after their operation. Multiple logistic regression analysis identified that the following four factors were significantly associated with a deterioration of functional recovery: old age (odds ratio [OR], 0.95; 95% confidence interval [CI], 0.92-0.97), delays in rehabilitation after operation (OR, 0.94; 95% CI, 0.89-0.98), the presence of cognitive dysfunction (OR, 0.36; 95% CI, 0.18-0.71), and trochanteric fracturing (OR, 0.58; 95% CI, 0.36-0.94).ConclusionWe found that old age, cognitive dysfunction, trochanteric fracture type, and delay of rehabilitation were associated with the deterioration of functional recovery after a hip fracture operation in the short-term. Therefore, early rehabilitation was required to acquire functional recovery after a hip fracture operation in the short-term.

Appropriate physical and psychological interventions, including providing accurate information and reassurance of physical activity safety, are necessary to prevent arm weakness and physical dysfunction in patients with breast cancer-related lymphedema.

Male, 24 years old, without relevant history. Case Description: Begins in August of 2013 with limited functional for marching, throbbing pain, edema in lower legs, loss of 26% of weight, hypoesthesia in left median and ulnar sural anesthesia left superficial peroneal, deep peroneal bilateral alterations in grafiesthesia coldfeeling heat and proprioception in calves and ankles. Check-in to the CREE of Toluca in October 2013 with wasting and prolonged rest syndrome motor and sensory condition in upper and lower limbs and bilaterally symmetrical. Evaluation and Results: CMAPS and SNAPS were conducted to median ulnar, sural, deep peroneal, superficial peroneal and tibial myography with monopolar needle electrode to the muscles: deltoideus, first palmar interossei, vastus medialis, gastrocnemius medial head and lumbar paraspinal L4 L5 bilaterally and automatic method for the analysis of motor unit potential with CMAPS and SNAPS: amplitudes greatly diminished and differences at the expense of left upper limb. Myography: no data of membrane instability MUAPS (PAUM) with large amplitude in upper limbs. Polyphase in lower limbs. FR increased, decreased IR, incomplete interference pattern. Discussion and Relevance: Peripheral neuropathies are disorders of the nervous system inflammatory or degenerative nature. Incidence is 1:400 persons and in many instances underdiagnosed. Mononeuropathy multiplex is a condition of 2 or more nerves in more than one limb roots and cranial nerves spontaneously or sequentially affecting nerves in different regions completely random sometimes it is the only manifestation of systemic disease. Conclusions: What were found corresponds to the description of the bibliography about the overlapped multiple mononeuropathy which was exacerbated by the presence of prolonged rest and worn-out syndrome so for that reason the electroneuromyography was essential for the differential diagnosis.