Physical Therapy Management of Older Adults With Hip Fracture.

Hip fracture is a leading cause of profound morbidity in individuals aged 65 years and older, ranking in the top 10 causes of loss of disability-adjusted life-years for older adults. Worldwide, the number of people with hip fracture is expected to rise significantly due to the aging population and other factors. Physical therapist management is recommended within medical, surgical, and multidisciplinary clinical practice guideline (CPGs) and is considered to be the standard of care in rehabilitation for people with hip fracture. The goal of this CPG was to review the evidence relevant to physical therapist management and to provide evidence-based recommendations for physical therapy diagnosis, prognosis, intervention, and assessment of outcome in adults with hip fracture. J Orthop Sports Phys Ther 2021;51(2):CPG1-CPG81. doi:10.2519/jospt.2021.0301.

Generative Modeling of InSAR Interferograms.

Interferometric synthetic aperture radar (InSAR) has become an essential technique to detect surface variations due to volcanoes, earthquakes, landslides, glaciers, and aquifers. However, Earth's ionosphere, atmosphere, vegetation, surface runoff, etc., introduce noise that requires post-processing to separate its components. This work defines a generator to create interferograms that include each of those components. Our approach leverages deformation models with real data, either directly or through machine learning using geostatistical methods. These methods result from previous developments to more efficiently and better simulate spatial variables and could replace some statistical approaches used in InSAR processing. We illustrate the use of the generator to simulate an artificial interferogram based on the 2015 Illapel earthquake and discuss the improved performance offered by geostatistical approaches compared with classical statistical ones. The generator establishes a tool for multiple applications (1) to evaluate InSAR correction workflows in controlled scenarios with known ground truth; (2) to develop training sets and generative methods for machine learning algorithms; and (3) to educate on InSAR and its principles.

Greenland supraglacial lake drainages triggered by hydrologically induced basal slip.

Water-driven fracture propagation beneath supraglacial lakes rapidly transports large volumes of surface meltwater to the base of the Greenland Ice Sheet. These drainage events drive transient ice-sheet acceleration and establish conduits for additional surface-to-bed meltwater transport for the remainder of the melt season. Although it is well established that cracks must remain water-filled to propagate to the bed, the precise mechanisms that initiate hydro-fracture events beneath lakes are unknown. Here we show that, for a lake on the western Greenland Ice Sheet, drainage events are preceded by a 6-12 hour period of ice-sheet uplift and/or enhanced basal slip. Our observations from a dense Global Positioning System (GPS) network allow us to determine the distribution of meltwater at the ice-sheet bed before, during, and after three rapid drainages in 2011-2013, each of which generates tensile stresses that promote hydro-fracture beneath the lake. We hypothesize that these precursors are associated with the introduction of meltwater to the bed through neighbouring moulin systems (vertical conduits connecting the surface and base of the ice sheet). Our results imply that as lakes form in less crevassed, interior regions of the ice sheet, where water at the bed is currently less pervasive, the creation of new surface-to-bed conduits caused by lake-draining hydro-fractures may be limited.