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Journal of Rehabilitation Research and Development

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https://www.readbyqxmd.com/read/27898162/residual-limb-skin-temperature-and-thermal-comfort-in-people-with-amputation-during-activity-in-a-cold-environment
#1
Ava D Segal, Glenn K Klute
Thermal comfort remains a common problem for people with lower-limb amputation. Both donning a prosthesis and engaging in activity at room temperature can increase residual limb skin temperature; however, the effects of activity on skin temperature and comfort in more extreme environments remain unknown. We examined residual limb skin temperatures and perceived thermal comfort (PTC; 11-point Likert scale) of participants with unilateral transtibial amputation (n = 8) who were snowshoeing in a cold environment...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27898161/reliability-and-validity-of-the-inertial-sensor-based-timed-up-and-go-test-in-individuals-affected-by-stroke
#2
Seline Wüest, Fabien Massé, Kamiar Aminian, Roman Gonzenbach, Eling D de Bruin
The instrumented Timed "Up and Go" test (iTUG) has the potential for playing an important role in providing clinically useful information regarding an individual's balance and mobility that cannot be derived from the original single-outcome Timed "Up and Go" test protocol. The purpose of this study was to determine the reliability and validity of the iTUG using body-fixed inertial sensors in people affected by stroke. For test-retest reliability analysis, 14 individuals with stroke and 25 nondisabled elderly patients were assessed...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27898160/haptic-feedback-improves-surgeons-user-experience-and-fracture-reduction-in-facial-trauma-simulation
#3
Sabine Girod, Sara C Schvartzman, Dyani Gaudilliere, Kenneth Salisbury, Rebeka Silva
Computer-assisted surgical (CAS) planning tools are available for craniofacial surgery, but are usually based on computer-aided design (CAD) tools that lack the ability to detect the collision of virtual objects (i.e., fractured bone segments). We developed a CAS system featuring a sense of touch (haptic) that enables surgeons to physically interact with individual, patient-specific anatomy and immerse in a three-dimensional virtual environment. In this study, we evaluated initial user experience with our novel system compared to an existing CAD system...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27898159/interagency-partnership-to-deliver-veteran-directed-home-and-community-based-services-interviews-with-aging-and-disability-network-agency-personnel-regarding-their-experience-with-partner-department-of-veterans-affairs-medical-centers
#4
Kali S Thomas, Susan M Allen
Veteran-Directed Home and Community-Based Services (VD-HCBS) is a consumer-directed program that began in 2009 and is jointly administered in a partnership between the Veterans Health Administration and the Administration for Community Living. The objective of this article is to describe the Aging and Disability Network agency (ADNA) personnel's perceptions of the implementation of the VD-HCBS program with partner Department of Veterans Affairs medical centers (VAMCs). Qualitative interviews with 26 ADNA VD-HCBS personnel across the country were transcribed, coded, and analyzed...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27898158/multivariate-assessment-of-subjective-and-objective-measures-of-social-and-family-satisfaction-in-veterans-with-history-of-traumatic-brain-injury
#5
Henry J Orff, Chelsea C Hays, Elizabeth W Twamley
Approximately 20% of current-era Veterans have sustained a traumatic brain injury (TBI), which can result in persistent postconcussive symptoms. These symptoms may disrupt family and social functioning. We explored psychiatric, postconcussive, and cognitive factors as correlates of objective functioning and subjective satisfaction in family and social relationships. At entry into a supported employment study, 50 unemployed Veterans with a history of mild to moderate TBI and current cognitive impairment were administered baseline assessments...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27898157/everyday-sitting-behavior-of-full-time-wheelchair-users
#6
Sharon E Sonenblum, Stephen H Sprigle, James S Martin
The objective of this study was to describe the in-seat movement and weight-shifting behavior of full-time wheelchair users. We measured everyday sitting behavior for 192 d across 28 individuals who used manual wheelchairs as their primary mobility device. To obtain the measurements, we used eight thin force sensors placed under participants' wheelchair cushions. On a typical day, participants spent an average of 10.6 +/- 3.0 h in their wheelchair and transferred out of the wheelchair 8.4 +/- 4.3 times. Participants only performed pressure reliefs (90% off-loading of the entire buttocks for at least 15 s) 0...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27898156/scoping-review-of-mobility-scooter-related-research-studies
#7
W Ben Mortenson, Jenny Kim
Mobility scooters are three- or four-wheeled power mobility devices regularly used by people who have difficulty ambulating. They also differ from power wheelchairs in terms of their driving controls, programmability, seating, and mounting method. Given their growing popularity and anecdotal concerns around their use, a scoping review was undertaken to identify empirical research about mobility scooters and to analyze their study design and purpose. Data sources included MedLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, and PsychINFO...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27898155/balance-confidence-and-activity-of-community-dwelling-patients-with-transtibial-amputation
#8
Alena Mandel, Kailan Paul, Ruby Paner, Michael Devlin, Steve Dilkas, Tim Pauley
The purpose of this study was to examine the relationship between balance confidence and community-based physical activity. Twenty-two community-dwelling patients with right or left unilateral transtibial amputation who reported no falls in the past 6 mo completed the Activities-Specific Balance Confidence Scale (ABC) and wore a StepWatch Activity Monitor for 7 consecutive d in the community. Subjects were subsequently stratified as low ( <3,000 steps/d) or high (>/=3,000) steps/d) activity groups. Balance confidence was significantly lower among the low activity weekday group (LAG, 70...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27898154/randomized-controlled-trial-of-a-brief-internet-based-intervention-for-families-of-veterans-with-posttraumatic-stress-disorder
#9
Alejandro Interian, Anna Kline, Deborah Perlick, Lisa Dixon, Ann Feder, Marc D Weiner, Marjorie F Goldstein, Kerry Hennessy, Lauren St Hill, Miklos Losonczy
: Veterans with posttraumatic stress disorder (PTSD) and their families require resources to cope with postdeployment readjustment. Responding to this need, the current study examined a brief Internet-based intervention that provided Veterans' families with psychoeducation on postdeployment readjustment. Participants were 103 dyads of Veterans with probable PTSD and a designated family member/partner. Dyads were randomized to an intervention group, in which the family member completed the intervention, or to a control group with no intervention...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27898153/postconcussive-symptom-overreporting-in-iraq-afghanistan-veterans-with-mild-traumatic-brain-injury
#10
Sarah M Jurick, Elizabeth W Twamley, Laura D Crocker, Chelsea C Hays, Henry J Orff, Shahrokh Golshan, Amy J Jak
A comprehensive evaluation, including the assessment of neurobehavioral symptoms, has been instituted at the Department of Veterans Affairs (VA) healthcare system to address the large number of Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans returning with mild traumatic brain injuries (mTBIs). The Validity-10 is measure of symptom overreporting embedded within the Neurobehavioral Symptom Inventory, a component of the comprehensive evaluation that assesses postconcussive symptom severity...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27533747/an-exploratory-pilot-investigation-of-neurosteroids-and-self-reported-pain-in-female-iraq-afghanistan-era-veterans
#11
Jennifer C Naylor, Jason D Kilts, Jennifer L Strauss, Steven T Szabo, Charlotte E Dunn, H Ryan Wagner, Robert M Hamer, Lawrence J Shampine, Joseph R Zanga, Christine E Marx
Female Veterans are the most rapidly growing segment of new users of the Veterans Health Administration (VHA), and a significant proportion of female Veterans receiving treatment from VHA primary care providers report persistent pain symptoms. Currently, available data characterizing the neurobiological underpinnings of pain disorders are limited. Preclinical data suggest that neurosteroids may be involved in the modulation of pain symptoms, potentially via actions at gamma-aminobutyric acid (GABA) and N-methyl-D-aspartate (NMDA) receptors...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27533628/case-study-gluteal-compartment-syndrome-as-a-cause-of-lumbosacral-radiculoplexopathy-and-complex-regional-pain-syndrome
#12
Andrew Lederman, David Turk, Antonio Howard, Srinivas Reddy, Michelle Stern
We present the case of a 24 yr old male who was diagnosed with gluteal compartment syndrome and was subsequently found to have developed lumbosacral radiculoplexopathy and complex regional pain syndrome. The patient's gluteal compartment syndrome was diagnosed within 24 h of presentation to the emergency room, and he underwent emergent compartment release. While recovering postoperatively, persistent weakness was noted in the right lower limb. Results of electrodiagnostic testing were consistent with a lumbosacral radiculoplexopathy...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27533475/lessons-learned-in-a-clinical-trial-for-military-sexual-trauma-related-posttraumatic-stress-disorder
#13
EDITORIAL
Alina Surís, Nicholas Holder, Ryan Holliday, E Ellen Morris, Alina Surís, Nicholas Holder, Ryan Holliday, E Ellen Morris
No abstract text is available yet for this article.
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27533301/interdisciplinary-development-of-an-ergonomic-prone-mobility-cart
#14
Steven W Brose, Martin J Kilbane, Elizabeth Harpster, Steven J Mitchell, Chester Ho, Ken J Gustafson
Pressure ulcers remain a major source of morbidity and mortality in Veterans with neurologic impairment. Management of pressure ulcers typically involves pressure relief over skin regions containing wounds, but this can lead to loss of mobility and independence when the wounds are located in regions that receive pressure during sitting. An innovative, iterative design process was undertaken to improve prone cart design for persons with spinal cord injury and pressure ulceration. Further investigation of ways to improve prone carts is warranted to enhance the quality of life of persons with pressure ulcers...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27533042/capturing-nighttime-symptoms-in-parkinson-disease-technical-development-and-experimental-verification-of-inertial-sensors-for-nocturnal-hypokinesia
#15
Roongroj Bhidayasiri, Jirada Sringean, Poonpak Taechalertpaisarn, Chusak Thanawattano
Although nocturnal hypokinesia represents one of the most common nocturnal disabilities in Parkinson disease (PD), it is often a neglected problem in daily clinical practice. We have developed a portable ambulatory motion recorder (the NIGHT-Recorder), which consists of 16-bit triaxial integrated microelectromechanical system inertial sensors that are specifically designed to measure movements, register the position of the body with respect to gravity, and provide information on rotations on the longitudinal axis while lying in bed...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27532880/home-based-hand-rehabilitation-after-chronic-stroke-randomized-controlled-single-blind-trial-comparing-the-musicglove-with-a-conventional-exercise-program
#16
Daniel K Zondervan, Nizan Friedman, Enoch Chang, Xing Zhao, Renee Augsburger, David J Reinkensmeyer, Steven C Cramer
UNLABELLED: Individuals with chronic stroke have limited options for hand rehabilitation at home. Here, we sought to determine the feasibility and efficacy of home-based MusicGlove therapy. Seventeen participants with moderate hand impairment in the chronic phase of stroke were randomized to 3 wk of home-based exercise with either the MusicGlove or conventional tabletop exercises. The primary outcome measure was the change in the Box and Blocks test score from baseline to 1 mo posttreatment...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27532681/case-study-head-orientation-and-neck-electromyography-for-cursor-control-in-persons-with-high-cervical-tetraplegia
#17
Matthew R Williams, Robert F Kirsch
We evaluated the ability of an individual with a high cervical spinal cord injury (SCI) to control a cursor on a computer screen using two different user interfaces: (1) head movements measured via a head-mounted orientation sensor and (2) electromyography (EMG) signals from four head and neck muscles acquired using a 4-channel implanted upper-limb neuroprosthesis that had been deployed in an earlier study. The subject moved the cursor to a set of targets on the screen in a two-dimensional, center-out, target-acquisition task, and his performance was evaluated with a variety of performance measures to assess both position and velocity control accuracy...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27532493/effects-of-cognitive-load-and-prosthetic-liner-on-volitional-response-times-to-vibrotactile-feedback
#18
Aman Sharma, Matthew J Leineweber, Jan Andrysek
Artificial tactile feedback systems can improve prosthetic function for people with amputation by substituting for lost proprioception in the missing limb. However, limited data exists to guide the design and application of these systems for mobility and balance scenarios. The purpose of this study was to evaluate the performance of a noninvasive artificial sensory feedback (ASF) system on lower-limb function in the presence of a cognitive load and a liner interface. Reaction times (RTs) and accuracy of leg-movement responses to vibratory stimuli at the thigh were recorded for 12 nondisabled individuals and 3 participants with transfemoral amputation using a custom-built testing apparatus...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27532337/validity-of-the-8-foot-up-and-go-timed-up-and-go-and-activities-specific-balance-confidence-scale-in-older-adults-with-and-without-cognitive-impairment
#19
Elyse Rolenz, Jennifer C Reneker
The purpose of this study was to determine whether (1) mild cognitive impairment (MCI) alters the validity of the Timed Up and Go (TUG), the 8-Foot Up and Go (8UG), or the Activities-Specific Balance Confidence (ABC) scale in the identification of fallers and nonfallers and (2) there were differences in the concurrent validity between the TUG and ABC when compared with the 8UG and ABC in those with and without MCI.. The classification of MCI was based on a score of <26 points on the Montreal Cognitive Assessment...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27532260/high-density-force-myography-a-possible-alternative-for-upper-limb-prosthetic-control
#20
Ashkan Radmand, Erik Scheme, Kevin Englehart
Several multiple degree-of-freedom upper-limb prostheses that have the promise of highly dexterous control have recently been developed. Inadequate controllability, however, has limited adoption of these devices. Introducing more robust control methods will likely result in higher acceptance rates. This work investigates the suitability of using high-density force myography (HD-FMG) for prosthetic control. HD-FMG uses a high-density array of pressure sensors to detect changes in the pressure patterns between the residual limb and socket caused by the contraction of the forearm muscles...
2016: Journal of Rehabilitation Research and Development
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