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European Journal of Physical and Rehabilitation Medicine

Mohanasuntharaam Nadarajah, Mazlina Mazlan, Lydia Abdul-Latif, Hui T Goh
BACKGROUND: Post stroke fatigue (PSF) is a common complaint among stroke survivors and has significant impacts on recovery and quality of life. Limited tools that measure fatigue have been validated in stroke. AIMS: The purpose of this study was to determine the psychometric properties of Fatigue Severity Scale (FSS) in patients with stroke. DESIGN: Cross-sectional study. SETTING: Teaching hospital outpatient setting...
October 21, 2016: European Journal of Physical and Rehabilitation Medicine
Kênia K Menezes, Christina D Faria, Aline S Scianni, Patrick R Avelino, Iza I Faria-Fortini, Luci F Teixeira-Salmela
BACKGROUND: Similar to the findings with the upper limbs, previous dominance of the lower limbs could also interfere with measures of impairment and activity of individuals with stroke. If this occurs, rehabilitation interventions should be planned, considering previous lower limb dominance. AIM: To investigate the impact of having the dominant versus the non-dominant lower limb affected by the stroke on measures of impairment and activity. DESIGN: Cross-sectional study...
October 21, 2016: European Journal of Physical and Rehabilitation Medicine
Bernhard Elsner, Joachim Kugler, Marcus Pohl, Jan Mehrholz
INTRODUCTION: Idiopathic Parkinson's disease (IPD) is a neurodegenerative disorder. The severity of disability usually increases with disease duration and affects patients' impairment, disability and health-related quality of life. A possible adjunct to improve outcomes in patients with IPD might be transcranial direct current stimulation (tDCS) to modulate cortical excitability and hence improving outcomes in people with IPD. EVIDENCE ACQUISITION: Until February 2016 we searched the following databases: the Cochrane Central Register of Controlled Trials (CENTRAL; the Cochrane Library; 2016, Issue 2), MEDLINE, EMBASE, CINAHL, AMED, Science Citation Index, the Physiotherapy Evidence Database (PEDro), Rehabdata, and Inspec and handsearched conference proceedings, and contacted authors and equipment manufacturers...
October 4, 2016: European Journal of Physical and Rehabilitation Medicine
Simone Thomas, Wolfgang Sauter, Ulrike Starrost, Marcus Pohl, Jan Mehrholz
BACKGROUND: Treatment of critical illness on intensive-care-units (ICU) results often in persistent invasive endotracheal intubation which might delay rehabilitation and increases the risk of mortality. Recent longitudinal studies have described the recovery of critically ill people, but the detailed time course of decannulation in patients with chronic critical illness with ICU- acquired muscle weakness (ICUAW) is not well known. AIM: The aim of our study was therefore to describe the decannulation times and associated risk factors in patients who are chronic critically ill with ICU acquired weakness...
September 27, 2016: European Journal of Physical and Rehabilitation Medicine
Roberto Colombo, Fabrizio Pisano, Carmen Delconte, Alessandra Mazzone, Giuseppe Grioni, Marisa Castagna, Giacomo Bazzini, Chiara Imarisio, Giorgio Maggioni, Caterina Pistarini
BACKGROUND: Several robotic devices have been proposed for upper limb rehabilitation, but they differ in terms of application fields and the technical solutions implemented. AIM: To compare the effectiveness of three different robotic devices for shoulder-elbow rehabilitation in reducing motor impairment and improving motor performance in post-stroke patients. DESIGN: Retrospective multi-center study. SETTING: Inpatient rehabilitation hospital...
September 27, 2016: European Journal of Physical and Rehabilitation Medicine
Anna M Aloisi, Vanna Berlincioni, Riccardo Torta, Rossella E Nappi, Cristina Tassorelli, Francesco Barale, Valentina Ieraci, Emanuele M Giusti, Giada Pietrabissa, Stefano Tamburin, Gian M Manzoni, Gianluca Castelnuovo
Pain is frequent in patients undergoing neurorehabilitation, but there is a number of still unanswered questions on this topic. The Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) was constituted with the purpose to identify the best practices that can be used in this context. In this article we summarize the existing evidence and recommendations provided by the ICCPN about the role of gender, psycho-social factors and anthropological-cultural dimensions on pain in neurorehabilitation. Sex, gender, psycho-social variables, anthropological and cultural features may influence pain expression, and its pharmacological and non-pharmacological outcome, but the role of these factors has not been consistently explored in neurorehabilitation...
September 16, 2016: European Journal of Physical and Rehabilitation Medicine
Nicola Lamberti, Sofia Straudi, Anna M Malagoni, Matteo ARGIRò, Michele Felisatti, Eleonora Nardini, Christel Zambon, Nino Basaglia, Fabio Manfredini
BACKGROUND: Chronic stroke survivors are exposed to long-term disability and physical deconditioning, effects that may impact their independence and quality of life. Community-based programs optimizing the dose of exercise therapy that are simultaneously low risk and able to achieve high adherence should be identified. AIM: We tested the hypothesis that an 8-week, community-based, progressive mixed endurance- resistance exercise program at lower cardiovascular and muscular load yielded more mobility benefits than a higher-intensity program in chronic stroke survivors...
September 14, 2016: European Journal of Physical and Rehabilitation Medicine
Cosimo Costantino, Laura Galuppo, Davide Romiti
BACKGROUND: In recent years, local muscle vibration received considerable attention as a useful method for muscle stimulation in clinical therapy. Some studies described specific vibration training protocol, and few of them were conducted on post-stroke patients. Therefore there is a general uncertainty regarding the vibrations protocol. AIM: The aim of this study was to evaluate the effects of local muscle high frequency mechano-acoustic vibratory treatment on grip muscle strength, muscle tonus, disability and pain in post-stroke individuals with upper limb spasticity...
September 6, 2016: European Journal of Physical and Rehabilitation Medicine
Giulio E Lancioni, Nirbhay Singh, Mark F O'Reilly, Jeff Sigafoos, Fiora D'Amico, Francesca Buonocunto, Jorge Navarro, Crocifissa Lanzilotti, Pietro Fiore, Marisa Megna, Sabino Damiani, Riccardo Marvulli
BACKGROUND: Post-coma persons in a minimally conscious state (MCS) and with extensive motor impairment cannot independently access and control environmental stimulation. AIM: Assessing the effects of a microswitch-aided program aimed at helping MCS persons develop responding and stimulation control and conducting a social validation/evaluation of the program. DESIGN: A single-subject ABAB design was used for each participant to determine the impact of the program on his or her responding...
September 1, 2016: European Journal of Physical and Rehabilitation Medicine
Domenico Intiso, Andrea Fontana, Giuseppe Maruzzi, Maurizio Tolfa, Massimiliano Copetti, Filomena Di Rienzo
BACKGROUND: Medical and surgical complications are common after brain lesions and may require acute care unit readmission (ACUR) during the rehabilitation stay. This clinical phenomenon has not been explored in subjects with severe brain injury (sBI). AIM: Because sBI patients come from the intensive care unit (ICU), patients may be transferred to rehabilitation before complete clinical stabilization. We investigated ACUR and causes as well as whether those who required ACUR had different functional outcomes...
September 1, 2016: European Journal of Physical and Rehabilitation Medicine
Marie Demonceau, Didier Maquet, Boris Jidovtseff, Anne F Donneau, Thierry Bury, Jean L Croisier, Jean M Crielaard, Carlos Rodriguez DE LA Cruz, Valérie Delvaux, Gaëtan Garraux
BACKGROUND: Physical exercises in addition to standard care (SC) in patients with Parkinson's disease (PD) are now common practice in many care units. However, exercises can cover a wide range of interventions, and the specific effects of different interventions still deserve to be further investigated. AIM: To compare the effects of 12 weeks of two different types of physical exercises with SC in patients suffering from PD. DESIGN: Pseudo-randomized controlled trial...
September 1, 2016: European Journal of Physical and Rehabilitation Medicine
Felice Sirico, Flavia Ricca, Franca DI Meglio, Daria Nurzynska, Clotilde Castaldo, Rocco Spera, Stefania Montagnani
BACKGROUND: Lateral epicondylitis is a common painful elbow disorder. Several approaches to treatment have been proposed, with a local injection of corticosteroids being the most frequently used. Recent insights into the pathophysiology encouraged the introduction of autologous blood injections as an alternative treatment method. AIM: The aim of this meta-analysis is to summarize quantitatively the evidence regarding the efficacy of corticosteroids and autologous blood injections for treatment of pain in lateral epicondylitis...
September 1, 2016: European Journal of Physical and Rehabilitation Medicine
Stefano Tamburin, Marco R Lacerenza, Gianluca Castelnuovo, Michela Agostini, Stefano Paolucci, Michelangelo Bartolo, Sara Bonazza, Angela Federico, Fabio Formaglio, Emanuele M Giusti, Gian M Manzoni, Susanna Mezzarobba, Giada Pietrabissa, Andrea Polli, Andrea Turolla, Giorgio Sandrini
The interplay between pain and neurorehabilitation is very complex, in that pain may be a target for treatment, but can also have negative effects on neurorehabilitation procedures. Moreover, side effects of drugs, which are currently used to treat pain, may negatively influence rehabilitation outcomes. Because of the lack of guidelines or consensus, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) was aimed to answer some open questions on the treatment of pain in this setting. To this aim, we collected evidence on the pharmacological and non-pharmacological strategies and their role in the integrated approach to pain...
August 31, 2016: European Journal of Physical and Rehabilitation Medicine
Michelangelo Bartolo, Adriano CHIò, Sergio Ferrari, Cristina Tassorelli, Stefano Tamburin, Micol Avenali, Eva Azicnuda, Andrea Calvo, Augusto T Caraceni, Giovanni Defazio, Roberto DE Icco, Rita Formisano, Simone Franzoni, Elena Greco, Iwona Jedrychowska, Francesca Magrinelli, Umberto Manera, Enrico Marchioni, Sara Mariotto, Salvatore Monaco, Andrea Pace, Donatella Saviola, Isabella Springhetti, Michele Tinazzi, Antonio DE Tanti
BACKGROUND: Pain is an important non-motor symptom in several neurological diseases, such as Parkinson's disease, cervical dystonia, amyotrophic lateral sclerosis, severe acquired brain injury, disorders of consciousness and dementia, as well as in oncology and neuroinfectivology. AIMS: To overcome the lack of evidence-based data on pain management in these diseases, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) defined criteria for good clinical practice among Italian neurorehabilitation professionals...
August 31, 2016: European Journal of Physical and Rehabilitation Medicine
Stefano Paolucci, Andrea Martinuzzi, Giorgio Scivoletto, Nicola Smania, Claudio Solaro, Irene Aprile, Michela Armando, Roberto Bergamaschi, Eliana Berra, Giulia Berto, Elena Carraro, Monica Cella, Marialuisa Gandolfi, Marcella Masciullo, Marco Molinari, Emanuela Pagliano, Cristiano Pecchioli, Laura Roncari, Monica Torre, Erika Trabucco, Gabriella Vallies, Paolo Zerbinati, Stefano Tamburin
Pain is a common and disabling symptom in patients with stroke, multiple sclerosis (MS), cerebral palsy (CP), spinal cord injury (SCI) and other conditions associated with spasticity, but data on its prevalence, and natural history, as well as guidelines on its assessment and treatment in the field of neurorehabilitation, are largely lacking. The Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) searched and evaluated current evidence on the frequency, evolution, predictors, assessment, and pharmacological and non-pharmacological treatment of pain in patients with stroke, MS, CP, SCI and other conditions associated with spasticity...
August 31, 2016: European Journal of Physical and Rehabilitation Medicine
Carlo A Porro, Giorgio Sandrini, Andrea Truini, Valeria Tugnoli, Enrico Alfonsi, Laura Berliocchi, Carlo Cacciatori, Silvia LA Cesa, Francesca Magrinelli, Paola Sacerdote, Massimiliano Valeriani
Pain is very common in neurorehabilitation, where it may be a target for treatment and have a negative effect on rehabilitation procedures and outcomes. Promising preliminary preclinical data support some therapeutic approaches to pain, but there is a strong need of adequate preclinical models, experimental settings, outcome measures, and biomarkers that could be more relevant for pain within the neurorehabilitation field. Data on diagnosis and assessment of nociceptive and neuropathic pain (NP) are very scanty in neurorehabilitation, but those from other contexts can be adapted and translated in this specific setting...
August 31, 2016: European Journal of Physical and Rehabilitation Medicine
Daniele Munari, Anna Pedrinolla, Nicola Smania, Alessandro Picelli, Marialuisa Gandolfi, Leopold Saltuari, Federico Schena
BACKGROUND: Stroke is a major cause of death and long-term disability across the globe. Previous studies have demonstrated the trainability of stroke survivors and documented beneficial effects of aerobic exercises on cardiovascular fitness and gait ability. AIM: The main aim of this study was to compare the effects of a high-intensity treadmill training (HITT) against low-intensity treadmill training (LITT) on gait ability, quality of life, cardiorespiratory fitness and cost of walking in chronic stroke subjects...
August 30, 2016: European Journal of Physical and Rehabilitation Medicine
Marco Tramontano, Giovanni Morone, Andrea Curcio, Giulia Temperoni, Alessandra Medici, Daniela Morelli, Carlo Caltagirone, Stefano Paolucci, Marco Iosa
BACKGROUND: Dual task paradigm is common mechanism of daily life, it is often used for investigating the effect on cognitive processing of motor behavior. AIM: In the present study we investigate the dual task interference during walking on upright gait stability. DESIGN: cross-sectional study. SETTING: Inpatient neurorehabilitation unit and children neurorehabilitation unit. POPULATION: Eighty-five subjects were enrolled, divided into five groups: healthy young, healthy elderly, children with typical development, children with cerebral palsy and adults with stroke in subacute phase...
August 30, 2016: European Journal of Physical and Rehabilitation Medicine
Ibrahim M Moustafa, Aliaa A Diab, Deed E Harrison
BACKGROUND: Cervicogenic dizziness is a disabling condition commonly associated with cervical dysfunction. Although the growing interest with the importance of normal sagittal configuration of cervical spine, the missing component in the management of cervicogenic dizziness might be altered structural alignment of the cervical spinal region itself. AIM: To investigate the immediate and long-term effects of a 1-year multimodal program, with the addition of cervical lordosis restoration and anterior head translation (AHT) correction, on the severity of dizziness, disability, cervicocephalic kinesthetic sensibility, and cervical pain in patients with cervicogenic dizziness...
August 30, 2016: European Journal of Physical and Rehabilitation Medicine
Yu C Huang, Chau P Leong, Lin Wang, Lin Y Wang, Yu C Yang, Chien Y Chuang, Yi J Hsin
BACKGROUND: Hemiplegic shoulder pain (HSP) impedes functional motor recovery of the affected limbs and negatively affects quality of life and daily activities. Kinesiology taping (KT) may provide improvement in hemiplegic shoulder pain and upper extremity function after an acute stroke. AIM: To assess the impact of KT on HSP, upper extremity functional outcomes, and the prevention of shoulder soft tissue injury in subacute stroke patients with hemiplegic shoulders during rehabilitation...
August 30, 2016: European Journal of Physical and Rehabilitation Medicine
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