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Rehabilitation Research and Practice

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https://www.readbyqxmd.com/read/29225972/modulation-of-h-reflex-depression-with-paired-pulse-stimulation-in-healthy-active-humans
#1
Preeti D Oza, Shauna Dudley-Javoroski, Richard K Shields
Depression of the Hoffman reflex (H-reflex) is used to examine spinal control mechanisms during exercise, fatigue, and vibration and in response to training. H-reflex depression protocols frequently use trains of stimuli; this is time-consuming and prevents instantaneous assessment of motor neuronal excitability. The purpose of this study was to determine if paired-pulse H-reflex depression is reproducible and whether paired-pulse stimulation adequately estimates the depression induced by the more traditional ten-pulse train...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/29209539/proposing-development-and-utility-of-a-mobility-composite-measure-in-patients-with-a-neurologic-disorder
#2
Chad Swank, Sattam Almutairi, Ann Medley
Background: Outcome measures typically assess single domains making holistic assessment difficult. Our purpose was to develop a mobility composite measure (MCM) based on four commonly used outcome measures and compare this composite score to the individual measures in patients with neurologic disorders. Methods: We retrospectively reviewed 148 medical records for inclusion of primary neurologic diagnosis and scoring for 5 times sit-to-stand test (5TSST), 10-meter walk test (10MWT), 2-minute walk test (2MWT), and activities-specific balance confidence (ABC) scale...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/29098087/exergame-grading-scheme-concept-development-and-preliminary-psychometric-evaluations-in-cancer-survivors
#3
Hsiao-Lan Wang, Chiung-Ju Liu, Marcus Kilpatrick, Heather Jim, Susan McMillan, Nisha Vijayakumar, Sally McDonald, Tapan Padhya, Jeffery Russell, Karen Vondruska, Constance Visovsky
The challenge of using exergames to promote physical activity among cancer survivors lies in the selection of the exergames that match their fitness level. There is a need for a standardized grading scheme by which to judge an exergame's capacity to address specific physical fitness attributes with different levels of physical engagement. The study aimed to develop an Exergame Grading Scheme and preliminarily evaluate its psychometric properties. Fourteen (14) items were created from the human movement and exergame literature...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/29082044/effect-of-modified-shaker-exercise-on-the-amplitude-and-duration-of-swallowing-sounds-evidence-from-cervical-auscultation
#4
Sonia Babu, Radish Kumar Balasubramaniam, Ancy Varghese
OBJECTIVE: Anecdotal evidence shows that the Shaker exercise and its modifications improve pharyngeal muscle contraction. However, there is no experimental evidence for the same. Thus, the present study examined the effect of modified Shaker exercise on the amplitude and duration of pharyngeal muscle contraction using cervical auscultation. DESIGN: The study follows a cross-sectional study design, where 50 healthy individuals (23 males and 27 females) performed modified Shaker exercise and noneffortful swallow during 10 ml water swallowing...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28536658/understanding-the-connection-between-cognitive-impairment-and-mobility-what-can-be-gained-from-neuropsychological-assessment
#5
Marykay A Pavol, Joel Stein, Foyruz M Kabir, Jonathan Yip, Lyssa Y Sorkin, Randolph S Marshall, Ronald M Lazar
The ability of neuropsychological tests to predict rehabilitation outcome is unclear, particularly when other ratings of cognition are available. Neuropsychological test scores and functional ratings of cognition (Functional Independence Measure (FIM) Cognition score) were used to predict improvement in patient mobility and self-care skill, as measured by the FIM Motor score. Regression models used both raw neuropsychology test scores and age-adjusted scores. Retrospective chart review was performed for patients on an inpatient rehabilitation unit and referred for neuropsychological assessment...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28529804/unilateral-discomfort-increases-the-use-of-contralateral-side-during-sit-to-stand-transfer
#6
Simisola O Oludare, Charlie C Ma, Alexander S Aruin
Individuals with unilateral impairment perform symmetrical movements asymmetrically. Restoring symmetry of movements is an important goal of rehabilitation. The aim of the study was to evaluate the effect of using discomfort-inducing devices on movement symmetry. Fifteen healthy individuals performed the sit-to-stand (STS) maneuver using devices inducing unilateral discomfort under the left sole and left thigh or right sole and right thigh and without them. 3D body kinematics, ground reaction forces, electrical activity of muscles, and the level of perceived discomfort were recorded...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28491477/the-effect-of-diabetic-peripheral-neuropathy-on-ground-reaction-forces-during-straight-walking-in-stroke-survivors
#7
Amirah Mustapa, Maria Justine, Nadia Mohd Mustafah, Haidzir Manaf
Purpose. The aim of this present study was to investigate the ground reaction forces (GRFs) alterations in stroke survivors with diabetic peripheral neuropathy (DPN). Methods. Ten stroke survivors with DPN, 10 stroke survivors without DPN, and 10 healthy controls with matched body weight between groups participated in this case-control cross-sectional study. Three-dimensional GRFs (anterior-posterior, medial-lateral, and vertical) were collected at a comfortable walking speed using the Nexus Vicon motion analysis system and force plate...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28386484/an-examination-of-women-s-self-presentation-social-physique-anxiety-and-setting-preferences-during-injury-rehabilitation
#8
Molly V Driediger, Carly D McKay, Craig R Hall
Objectives. This study investigated whether women experience self-presentational concerns related to rehabilitation settings and explored preferences for characteristics of the social and physical treatment environment in relation to women's Social Physique Anxiety (SPA). Methods. Two cross-sectional studies were conducted. In Study 1, female undergraduate students (n = 134) completed four questionnaires (Social Physique Anxiety Scale; three bespoke questionnaires assessing self-presentation in rehabilitation and social and physical environment preferences) with respect to hypothetical rehabilitation scenarios...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28367332/self-reported-ability-to-walk-run-and-lift-objects-among-older-canadians
#9
Jacek A Kopec, Lara Russell, Eric C Sayre, M Mushfiqur Rahman
Aims. The purpose of the study was to develop new self-report instruments to measure the ability to walk, run, and lift objects and describe the distribution of these abilities among older Canadians. Methods. Questions were developed following a focus group. We carried out an online survey among members of the Canadian Association of Retired Persons. The distribution of each ability was described and presented graphically according to age, sex, and number of health conditions. We calculated summary scores for each ability and assessed their reliability and relationships with health status and use of health services...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28331638/effect-on-gait-speed-balance-motor-symptom-rating-and-quality-of-life-in-those-with-stage-i-parkinson-s-disease-utilizing-lsvt-big%C3%A2
#10
Beth Millage, Erin Vesey, Marsha Finkelstein, Mattie Anheluk
Individuals with Parkinson's Disease (PD) are often not referred to Physical Therapy (PT) until there are issues with mobility in later Hoehn and Yahr Stages. There have been no studies outlining the benefits of PT intervention in Stage I only. For persons with PD, deficits in motor function increase over time due to destruction of dopamine-producing cells. LSVT BIG, an exercise program for PD, has been shown to be effective in improving mobility. The purpose of this study was to assess participants functional improvement at a level of minimal clinically important difference (MCID) in one of four outcome measures: Gait Speed, Berg Balance Assessment, Functional Gait Assessment, and Unified Parkinson's Disease Rating Scale Motor Section...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28265472/long-term-use-and-perceived-benefits-of-goal-oriented-attentional-self-regulation-training-in-chronic-brain-injury
#11
Fred Loya, Tatjana Novakovic-Agopian, Deborah Binder, Annemarie Rossi, Scott Rome, Michelle Murphy, Anthony J-W Chen
Primary Objective. To investigate the long-term use and perceived benefit(s) of strategies included in Goal-Oriented Attentional Self-Regulation (GOALS) training (Novakovic-Agopian et al., 2011) by individuals with acquired brain injury (ABI) and chronic executive dysfunction. Research Design. Longitudinal follow-up of training. Methods and Procedures. Sixteen participants with chronic ABI participated in structured telephone interviews 20 months (range 11 to 31 months) following completion of GOALS training...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28250992/constraint-induced-movement-therapy-combined-with-transcranial-direct-current-stimulation-over-premotor-cortex-improves-motor-function-in-severe-stroke-a-pilot-randomized-controlled-trial
#12
Suellen M Andrade, Larissa M Batista, Lídia L R F Nogueira, Eliane A de Oliveira, Antonio G C de Carvalho, Soriano S Lima, Jordânia R M Santana, Emerson C C de Lima, Bernardino Fernández-Calvo
Objective. We compared the effects of transcranial direct current stimulation at different cortical sites (premotor and motor primary cortex) combined with constraint-induced movement therapy for treatment of stroke patients. Design. Sixty patients were randomly distributed into 3 groups: Group A, anodal stimulation on premotor cortex and constraint-induced movement therapy; Group B, anodal stimulation on primary motor cortex and constraint-induced movement therapy; Group C, sham stimulation and constraint-induced movement therapy...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28239495/a-pulmonary-rehabilitation-decisional-score-to-define-priority-access-for-copd-patients
#13
Michele Vitacca, Laura Comini, Marilena Barbisoni, Gloria Francolini, Mara Paneroni, Jean Pierre Ramponi
This retrospective study aimed to evaluate, through an ad hoc 17-item tool, the Pulmonary Rehabilitation Decisional Score (PRDS), the priority access to PR prescription by respiratory specialists. The PRDS, scoring functional, clinical, disability, frailty, and participation parameters from 0 = low priority to 34 = very high priority for PR access, was retrospectively calculated on 124 specialist reports sent to the GP of subjects (aged 71 ± 11 years, FEV1%  51 ± 17) consecutively admitted to our respiratory outpatient clinic...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28197341/a-mixed-methods-small-pilot-study-to-describe-the-effects-of-upper-limb-training-using-a-virtual-reality-gaming-system-in-people-with-chronic-stroke
#14
Rachel C Stockley, Deborah A O'Connor, Phil Smith, Sylvia Moss, Lizzie Allsop, Wendy Edge
Introduction. This small pilot study aimed to examine the feasibility of an upper limb rehabilitation system (the YouGrabber) in a community rehabilitation centre, qualitatively explore participant experiences, and describe changes after using it. Methods and Material. Chronic stroke participants attending a community rehabilitation centre in the UK were randomised to either a YouGrabber or a gym group and completed 18 training sessions over 12 weeks. The motor activity log, box and block, and fatigue severity score were administered by a blinded assessor before and after the intervention...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28168056/the-influence-of-speech-language-hearing-therapy-duration-on-the-degree-of-improvement-in-poststroke-language-impairment
#15
Hitoshi Hayashi, Eisaku Okada, Yosuke Shibata, Mieko Nakamura, Toshiyuki Ojima
Background. The relevance of speech-language-hearing therapy (ST) duration to language impairment remains unclear. Objective. To determine the effect of ST duration on improvement in language impairment as a stroke sequela and to compare the findings with those for occupational therapy (OT) and physical therapy (PT). Methods. Data regarding patients with stroke sequelae who were registered in the Japanese Association of Rehabilitation Medicine database were analyzed. Propensity scores for ST, OT, and PT duration were calculated using logistic regression, followed by inverse probability weighting in generalized estimating equations to examine the odds ratio for improvement in the Functional Independence Measures scores for comprehension, expression, and memory...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28133549/a-maximum-muscle-strength-prediction-formula-using-theoretical-grade-3-muscle-strength-value-in-daniels-et-al-s-manual-muscle-test-in-consideration-of-age-an-investigation-of-hip-and-knee-joint-flexion-and-extension
#16
Hideyuki Usa, Masashi Matsumura, Kazuna Ichikawa, Hitoshi Takei
This study attempted to develop a formula for predicting maximum muscle strength value for young, middle-aged, and elderly adults using theoretical Grade 3 muscle strength value (moment fair: Mf )-the static muscular moment to support a limb segment against gravity-from the manual muscle test by Daniels et al. A total of 130 healthy Japanese individuals divided by age group performed isometric muscle contractions at maximum effort for various movements of hip joint flexion and extension and knee joint flexion and extension, and the accompanying resisting force was measured and maximum muscle strength value (moment max, Mm ) was calculated...
2017: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28127471/factors-which-facilitate-or-impede-interpersonal-interactions-and-relationships-after-spinal-cord-injury-a-scoping-review-with-suggestions-for-rehabilitation
#17
REVIEW
Delena Amsters, Sarita Schuurs, Kiley Pershouse, Bettina Power, Yvonne Harestad, Melissa Kendall, Pim Kuipers
Interpersonal interactions and relationships can influence an individual's perceptions of health and quality of life in the presence of disability. In the case of people with spinal cord injury (SCI), positive interpersonal interactions and relationships have been shown to contribute to resilience and adaptability. Understanding factors which facilitate or impede the development and maintenance of relationships after SCI may form the basis for proactive relationship support for people with SCI. To gain a broad insight into these factors, a scoping review was undertaken...
2016: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28078141/experiences-of-habitual-physical-activity-in-maintaining-roles-and-functioning-among-older-adults-a-qualitative-study
#18
Hadeel Halaweh, Ulla Svantesson, Carin Willén
Physically active older adults have reduced risk of functional restrictions and role limitations. Several aspects may interrelate and influence habitual physical activity (PA). However, older adults' own perspectives towards their PA need to be addressed. The aim of this study was to explore the experiences of habitual physical activity in maintaining roles and functioning among older adult Palestinians ≥60 years. Data were collected through in-depth interviews based on a narrative approach. Seventeen participants were recruited (aged 64-84 years)...
2016: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28025624/impact-of-a-revised-curriculum-focusing-on-clinical-neurology-and-musculoskeletal-care-on-a-required-fourth-year-medical-student-physical-medicine-and-rehabilitation-clerkship
#19
John W Norbury, Clinton E Faulk, Kelly M Harrell, Luan E Lawson, Daniel P Moore
Background. A Required Fourth-Year Medical Student Physical Medicine and Rehabilitation (PM&R) Clerkship was found to increase students' knowledge of PM&R; however the students' overall rotation evaluations were consistently lower than the other 8 required clerkships at the medical school. Objective. To describe the impact of a revised curriculum based upon Entrustable Professional Activities and focusing on basic pain management, musculoskeletal care, and neurology. Setting. Academic Medical Center. Participants...
2016: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/27990302/does-deep-cervical-flexor-muscle-training-affect-pain-pressure-thresholds-of-myofascial-trigger-points-in-patients-with-chronic-neck-pain-a-prospective-randomized-controlled-trial
#20
Pavlos Bobos, Evdokia Billis, Dimitra-Tania Papanikolaou, Constantinos Koutsojannis, Joy C MacDermid
Background. We need to understand more about how DNF performs in different contexts and whether it affects the pain threshold over myofascial trigger points (MTrPs). Purpose. The objectives were to investigate the effect of neck muscles training on disability and pain and on pain threshold over MTrPs in people with chronic neck pain. Methods. Patients with chronic neck pain were eligible for participation with a Neck Disability Index (NDI) score of over 5/50 and having at least one MTrP on either levator scapulae, upper trapezoid, or splenius capitis muscle...
2016: Rehabilitation Research and Practice
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