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Archives of Physical Medicine and Rehabilitation

Amreen Mahmood, Sundar Kumar Veluswamy, Aditi Hombali, Aditi Mullick, Manikandan N, John M Solomon
OBJECTIVES: 1. To determine the effect of transcutaneous electrical nerve stimulation (TENS) on post-stroke spasticity. 2a. To determine the effect of different parameters (intensity, frequency, and duration) of TENS on spasticity reduction in adults with stroke; 2b. To determine the influence of time since stroke on the effectiveness of TENS on spasticity. DATA SOURCES: PubMed, PEDro, CINAHL, Web of Science, CENTRAL and EMBASE databases were searched from inception to March 2017...
November 16, 2018: Archives of Physical Medicine and Rehabilitation
Rachel Mulheren, Alba Azola, Marlís González-Fernández
OBJECTIVE: To determine differences between continuous videofluoroscopic swallow studies (VFSS) with a pulse rate and frame rate of 30 and the same swallows reduced to 15 frames per second (fps) on measures of swallowing function in patients after acute ischemic stroke. DESIGN: Blinded comparison. SETTING: Acute hospital. PARTICIPANTS: 20 patients after ischemic stroke. INTERVENTIONS: Not applicable...
November 16, 2018: Archives of Physical Medicine and Rehabilitation
Adam T C Booth, Annemieke I Buizer, Jaap Harlaar, Frans Steenbrink, Marjolein M van der Krogt
OBJECTIVE: To investigate the immediate response to avatar-based biofeedback on three clinically important gait parameters; step length, knee extension and ankle power, in children with cerebral palsy (CP). DESIGN: Repeated measures design. SETTING: Rehabilitation clinic. PARTICIPANTS: Twenty-two children with spastic paresis (10y4m±3y1m), able to walk without assistive devices. INTERVENTION: Children walked on a treadmill with virtual reality environment...
November 14, 2018: Archives of Physical Medicine and Rehabilitation
John W Chow, Dobrivoje S Stokic
OBJECTIVE: To describe gait characteristics of patients without clinical evidence of lower limb hypertonia within 2 months of stroke and explore the relationship between gait and residual motor function. DESIGN: Cohort study. SETTING: Motion analysis laboratory in a tertiary-care free-standing rehabilitation hospital. PARTICIPANTS: Consecutive sample of 73 eligible inpatients (first-known stroke <2 months post-onset, walking independently, modified Ashworth score of 0 in the paretic lower limb) and 27 healthy controls...
November 14, 2018: Archives of Physical Medicine and Rehabilitation
Mahbubeh Mandehgary Najafabadi, Akram Azad, Hajar Mehdizadeh, Saeed Behzadipour, Maliheh Fakhar, Parvaneh Taghavi Azar Sharabiani, Mohamad Parnianpour, Ghorban Taghizadeh, Kinda Khalaf
OBJECTIVES: To investigate the effects of competitive and non-competitive volleyball exercises on the functional performance and motor control of the upper limbs in chronic stroke survivors. DESIGN: Randomized clinical trial. SETTING: Outpatient rehabilitation center. PARTICIPANTS: Forty-eight chronic stroke survivors. INTERVENTIONS: Participants were randomly assigned to competitive (n=16) or non-competitive (n=16) volleyball exercise groups (60 min/day volleyball exercise + 30 min/day traditional rehabilitation, 3 day/week for 7 weeks) and control group (n=16)...
November 9, 2018: Archives of Physical Medicine and Rehabilitation
Carol Y Scovil, Jude J Delparte, Saagar Walia, Heather M Flett, Stacey D Guy, Michelle Wallace, Anthony S Burns, Dalton L Wolfe
OBJECTIVE: To utilize the theoretical frameworks of implementation science to implement pressure injury (PI) prevention best practices in spinal cord injury (SCI) rehabilitation. DESIGN: Quality Improvement SETTING: Six Canadian SCI rehabilitation centers PARTICIPANTS: Inpatients admitted 2011-2015 INTERVENTIONS: The SCI Knowledge Mobilization Network (SCI KMN) selected and implemented two PI prevention best practices at six Canadian SCI rehabilitation centers: (1) completing a comprehensive PI risk assessment comprised of a structured risk assessment instrument followed by an individualized, interprofessional risk factor determination and prevention plan; and (2) providing structured and individualized PI prevention patient education...
November 9, 2018: Archives of Physical Medicine and Rehabilitation
Ghazala T Saleem, Jewel E Crasta, Beth Slomine, Gabriela Lucila Cantarero, Stacy J Suskauer
OBJECTIVE: To systematically examine the safety and effectiveness of transcranial direct current stimulation (tDCS) interventions in pediatric motor disorders. DATA SOURCES: PubMed, EMBASE, Cochrane, CINAHL, Web of Science, and ProQuest databases were searched from inception to August 2018. STUDY SELECTION: tDCS randomized controlled trials (RCTs), observational studies, conference proceedings and dissertations in pediatric motor disorders were included...
November 7, 2018: Archives of Physical Medicine and Rehabilitation
Kedar Kv Mate, Ayse Kuspinar, Sara Ahmed, Nancy E Mayo
OBJECTIVE: To estimate the extent to which sex/gender differences affect the relationships between tests of physical performance and self-reports about function in everyday life activities. Ecological validity is an important psychometric property when choosing tests of physical function, as they need to relate to everyday function. In Multiple Sclerosis (MS), the EQUI scale, modified Canadian Aerobic Fitness Test, grip strength, vertical jump, push-up, partial curl-up, gait speed (comfortable/fast), six-minute walk test, and nine-hole peg test are commonly used but the extent to which they relate to everyday function is understudied and the extent to which ecological validity of these tests differ between women and men is unknown...
November 4, 2018: Archives of Physical Medicine and Rehabilitation
Danielle S Abraham, Erik Barr, Glenn V Ostir, J Richard Hebel, Justine Golden, Ann L Gruber-Baldini, Jack M Guralnik, Marc C Hochberg, Denise L Orwig, Barbara Resnick, Jay S Magaziner
OBJECTIVE: To examine trends in 12-month post-fracture residual disability, nursing home placement, and mortality among patients with a hip fracture between 1990 and 2011. DESIGN: Secondary analysis of 12-month outcomes from three cohort studies and control arms of two randomized controlled trials. SETTING: Original studies were conducted as part of the Baltimore Hip Studies (BHS). PARTICIPANTS: Community-dwelling patients ≥65 years of age hospitalized for surgical repair of a non-pathological hip fracture (n=988)...
November 1, 2018: Archives of Physical Medicine and Rehabilitation
Kelly Penke, Korre Scott, Yunna Sinskey, Michael Lewek
OBJECTIVE: To investigate the effect of timing and magnitude of horizontally directed propulsive forces to the center of mass (COM) on the metabolic cost of walking for individuals following stroke. DESIGN: Repeated measures, within-subjects design SETTING: Research laboratory PARTICIPANTS: Nine individuals with chronic hemiparesis post-stroke and seven unimpaired similarly aged controls INTERVENTION: Individuals walked on a treadmill in two separate studies. First, we compared the metabolic cost of walking with an anterior force applied to the COM that 1) coincided with paretic propulsion or 2) was applied throughout the gait cycle...
November 1, 2018: Archives of Physical Medicine and Rehabilitation
Yoshihiko Kumai, Takumi Miyamoto, Keigo Matsubara, Yasuhiro Samejima, Naoya Yoshida
OBJECTIVES: To clarify the reliability of fiberoptic endoscopic evaluation of swallowing (FEES) compared to videofluoroscopic swallowing studies (VFSSs). Second, we explored the effect of the chin-down maneuver in the presence or absence of vocal fold paralysis (VFP) using FEES in patients with three-field lymphadenectomy (3FL) post-esophagectomy. DESIGN: Retrospective data collection from FEES and VFSS SETTING: Dysphagic clinics at ENT department. PARTICIPANTS: Fifteen patients underwent esophagectomy with 3FL at the Department of Gastroenterological Surgery, during a period of 12 months...
November 1, 2018: Archives of Physical Medicine and Rehabilitation
Heather A Feldner, Darrin Howell, Valerie E Kelly, Sarah Westcott McCoy, Katherine M Steele
OBJECTIVE: To examine the perceived value, benefits, drawbacks, and ideas for technology development and implementation of surface electromyography (sEMG) recordings in neurologic rehabilitation practice from clinical stakeholder perspectives. DESIGN: A qualitative, phenomenological study was conducted. In-depth, semi-structured interviews and focus groups were completed. Sessions included questions about clinician perspectives and demonstrations of four sEMG systems to garner perceptions of specific system features...
October 27, 2018: Archives of Physical Medicine and Rehabilitation
Patrick Duong, Katrine Sauvé-Schenk, Mary Y Egan, Matthew J Meyer, Tricia Morrison
OBJECTIVE: To examine operational definitions of return-to-work (RTW) after stroke and provide more precise estimates of RTW through meta-analysis. DATA SOURCES: A systematic search was conducted using MEDLINE, CINAHL, PsycINFO, and SCOPUS (2005 to March 26, 2018). The search strategy involved expansion of medical subjective headings using terms related to 'stroke' and 'work'. The reference lists of review articles and included studies where checked for additional relevant studies...
October 24, 2018: Archives of Physical Medicine and Rehabilitation
Chandrasekaran Jayaraman, Chaitanya Krishna Mummididetty, Alexandra Loesch, Sandi Kaur, Shenan Hoppe-Ludwig, Manfred Staat, Arun Jayaraman
OBJECTIVE: To investigate the postural and metabolic benefits a walker with adjustable elbow support (LifeWalker (LW)) can provide for ambulation in population with impairment. The clinical outcomes from the elbow support walker will be compared with standard rollator (SR) and participants predicate device (PD). DESIGN: Case-crossover study design SETTING: Clinical laboratory PARTICIPANTS: Individuals aged between 18 and 85 years using a rollator walker as primary mode of assistance and certified as medically stable by their primary physician...
October 24, 2018: Archives of Physical Medicine and Rehabilitation
Angelle M Sander, Robin A Hanks, Phillip A Ianni, Nicholas R Boileau, Anna L Kratz, Elizabeth A Hahn, David S Tulsky, Noelle E Carlozzi
OBJECTIVE: To investigate the association of the sociocultural variables race/ethnicity, education, and poverty level to caregivers' positive and negative appraisals following traumatic brain injury. DESIGN: Survey. SETTING: Community. PARTICIPANTS: 344 caregivers (216 White; 69 Black; 39 Hispanic) of persons with complicated mild to severe TBI at least one-year post-injury. INTERVENTION: Not applicable...
October 23, 2018: Archives of Physical Medicine and Rehabilitation
Mauro Mondelli, Federica Ginanneschi, Alessandro Aretini
OBJECTIVE: The main objective is to investigate the diagnostic accuracy and the relation of touch sensation and subjective sensory symptoms in the medial aspect of the hand dorsum, and neurography of the dorsal ulnar cutaneous nerve (DUCN) in ulnar neuropathy at the elbow (UNE). Secondary objective is to report the electrophysiological occurrence of anatomical variant of sensory innervation of the medial aspect of the hand dorsum from superficial radial nerve (SRN). DESIGN: Prospective, cohort study...
October 20, 2018: Archives of Physical Medicine and Rehabilitation
Andrea Polli, Kelly Ickmans, Lode Godderis, Jo Nijs
Epigenetic mechanisms represent a link between the environment and gene function. Recent evidence shows how early-life stress, inflammation, and physical activity can influence gene expression through epigenetic mechanisms. Epigenetic changes - such as DNA methylation and microRNA interference - can be measured in humans and might soon become important biological markers. Epigenetic marks can accompany clinical assessment to measure the effectiveness of various interventions, such as exercise therapy. In addition, epigenetics is improving the understanding of important underlying mechanisms related to the central nervous system, the opioidergic system, and stress responses...
October 20, 2018: Archives of Physical Medicine and Rehabilitation
Ching-Fang Chiang, Meng-Ting Lin, Ming-Yen Hsiao, Yi-Chun Yeh, Yun-Chieh Liang, Tyng-Guey Wang
OBJECTIVE: To investigate the effectiveness of non-invasive neurostimulation therapies in patients with post-stroke dysphagia. DATA SOURCES: Electronic databases, including EMBASE, PubMed, Scopus, and the Cochrane Library were searched up to May 31, 2018. STUDY SELECTION: All published randomized controlled trials (RCTs) comparing neurostimulation therapies including repetitive transcranial magnetic stimulation (rTMS), transcranial direct current stimulation (tDCS), surface neuromuscular electrical stimulation (NMES), and pharyngeal electrical stimulation (PES) in patients with acute and subacute post-stroke dysphagia were included...
October 20, 2018: Archives of Physical Medicine and Rehabilitation
Kênia Kiefer Parreiras de Menezes, Lucas Rodrigues Nascimento, Louise Ada, Patrick Roberto Avelino, Janaine Cunha Polese, Maria Tereza Mota Alvarenga, Mariana Hoffman Barbosa, Luci Fuscaldi Teixeira-Salmela
OBJECTIVE: To examine whether high-intensity home-based respiratory muscle training, ie, with higher loads, delivered more frequently and for longer duration, than previously applied, would increase the strength and endurance of the respiratory muscles, reduce dyspnea and respiratory complications, and improve walking capacity after stroke. DESIGN: Randomized trial with concealed allocation, blinded participants and assessors, and intention-to-treat analysis. SETTING: Community patients...
October 11, 2018: Archives of Physical Medicine and Rehabilitation
Olivia A Bernal, Heather F McClintock, Jibby E Kurichi, Pui L Kwong, Dawei Xie, Joel E Streim, Liliana E Pezzin, Hillary R Bogner
OBJECTIVE: To examine the association between activity limitation stages and patient satisfaction and perceived quality of medical care among younger Medicare beneficiaries. DESIGN: Cross-sectional study. SETTING: Medicare Current Beneficiary Survey (MCBS) for calendar years 2001-2011. PARTICIPANTS: A population-based sample (n=9323) of Medicare beneficiaries less than 65 years of age living in the community. INTERVENTIONS: Not applicable...
October 11, 2018: Archives of Physical Medicine and Rehabilitation
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