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https://www.readbyqxmd.com/read/27908251/effects-of-an-outpatient-service-rehabilitation-programme-in-patients-affected-by-pulmonary-arterial-hypertension-an-observational-study
#1
Maurizio Bussotti, Paola Gremigni, Roberto Fe Pedretti, Patrycja Kransinska, Silvia Di Marco, Paola Corbo, Giovanni Marchese, Paolo Totaro, Marinella Sommaruga
BACKGROUND: Pulmonary arterial hypertension (PAH) is a rare disease characterised by a severe impairment of functional status and quality of life (QoL). Use of rehabilitative programmes may help to improve outcomes. The aim of this pre/post test case series was to evaluate the impact of a training program, including sessions of aerobic and resistance exercise, inspiratory muscle reinforcement, slow breathing, relaxation, and psychological support, on functional outcomes. METHODS: Fifteen patients affected by PAH, in World Health Organization (WHO) Functional Class (FC) II or III and in stable clinical condition, were included in a 4-week cardiorespiratory training programme conducted in outpatient service...
November 30, 2016: Cardiovascular & Hematological Disorders Drug Targets
https://www.readbyqxmd.com/read/27830949/motor-control-exercises-of-the-lumbar-pelvic-region-improve-respiratory-function-in-obese-men-a-pilot-study
#2
Emanuela Bezzoli, Dianne Andreotti, Lucia Pianta, Martina Mascheroni, Lorena Piccinno, Luca Puricelli, Veronica Cimolin, Alberto Salvadori, Franco Codecasa, Paolo Capodaglio
PURPOSE: Obese subjects have decreased pulmonary function. The hypothesis of our study was that poor coordination of the lumbar-pelvic musculature secondary to obesity may hinder the synergic activation of the respiratory muscles. The aim of the paper was to evaluate whether specific motor control exercises of the lumbar-pelvic musculature were able to improve respiratory function. METHOD: Twenty obese male patients underwent a rehabilitation program including adapted physical activity and respiratory physiotherapy...
November 10, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27822310/anaphylactic-shock-during-cement-implantation-of-a-total-hip-arthroplasty-in-a-patient-with-underlying-mastocytosis-case-report-of-a-rare-intraoperative-complication
#3
Anita Ten Hagen, Pieter Doldersum, Tom van Raaij
BACKGROUND: Cemented total hip arthroplasty (THA) is a safe and common procedure. In rare cases life threatening bone cement implantation syndrome (BCIS) may occur, which is commonly caused by pulmonary embolism (PE). CASE PRESENTATION: We describe the rare case of a 70-year old patient who underwent an elective total hip replacement. Before surgery he was diagnosed with underlying systemic indolent mastocytosis, a rare pathological disorder that may result in anaphylaxis after massive systemic mast cell activation...
2016: Patient Safety in Surgery
https://www.readbyqxmd.com/read/27784405/neuropsychological-function-in-patients-with-acute-tetraplegia-and-sleep-disordered-breathing
#4
Rachel Schembri, Jo Spong, Marnie Graco, David J Berlowitz
STUDY OBJECTIVES: To investigate the relationship between apnoea severity and neuropsychological function in patients with acute onset tetraplegia and sleep disordered breathing. METHODS: Polysomnography and neuropsychological testing were performed on 104 participants (age M=45.60, SD=16.38; 10 female) across 11 international sites, two months post-injury (M=60.70 days, SD=39.48). Neuropsychological tests assessed attention, information processing, executive function, memory, learning, mood, and quality of life...
October 20, 2016: Sleep
https://www.readbyqxmd.com/read/27741132/pulmonary-rehabilitation-coupled-with-negative-pressure-ventilation-decreases-decline-in-lung-function-hospitalizations-and-medical-cost-in-copd-a-5-year-study
#5
Hung-Yu Huang, Pai-Chien Chou, Wen-Ching Joa, Li-Fei Chen, Te-Fang Sheng, Horng-Chyuan Lin, Lan-Yan Yang, Yu-Bin Pan, Fu-Tsai Chung, Chun-Hua Wang, Han-Pin Kuo
Pulmonary rehabilitation (PR) brings benefits to patients with chronic obstructive pulmonary disease (COPD). Negative pressure ventilation (NPV) increases ventilation and decreases hyperinflation as well as breathing work in COPD. We evaluated the long-term effects of a hospital-based PR program coupled with NPV support in patients with COPD on clinical outcomes.One hundred twenty-nine patients with COPD were followed up for more than 5 years, with the NPV group (n = 63) receiving the support of NPV (20-30 cm H2O delivery pressure for 60 min) and unsupervised home exercise program of 20 to 30 min daily walk, while the control group (n = 6) only received unsupervised home exercise program...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27739881/pulmonary-rehabilitation-improves-outcomes-in-chronic-obstructive-pulmonary-disease-independent-of-disease-burden
#6
Praful Schroff, Jason Hitchcock, Christopher Schumann, J Michael Wells, Mark T Dransfield, Surya P Bhatt
Rationale Current practice guidelines recommend pulmonary rehabilitation as an adjunct to standard pharmacologic therapy for individuals with moderate to severe chronic obstructive pulmonary disease (COPD). Whether pulmonary rehabilitation benefits all subjects with COPD independent of baseline disease burden is not known. Objective To test whether pulmonary rehabilitation benefits patients with COPD independent of baseline exercise capacity, dyspnea and lung function. Methods Data from a prospectively maintained database of participants with COPD enrolled in pulmonary rehabilitation at the University of Alabama at Birmingham from 1996 to 2013 was retrospectively analyzed...
October 14, 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27730298/internet-based-training-of-coronary-artery-patients-the-heart-cycle-trial
#7
Erik Skobel, Christian Knackstedt, Alvaro Martinez-Romero, Dario Salvi, Cecilia Vera-Munoz, Andreas Napp, Jean Luprano, Ramon Bover, Sigrid Glöggler, Birna Bjarnason-Wehrens, Nikolaus Marx, Alan Rigby, John Cleland
Low adherence to cardiac rehabilitation (CR) might be improved by remote monitoring systems that can be used to motivate and supervise patients and tailor CR safely and effectively to their needs. The main objective of this study was to evaluate the feasibility of a smartphone-guided training system (GEX) and whether it could improve exercise capacity compared to CR delivered by conventional methods for patients with coronary artery disease (CAD). A prospective, randomized, international, multi-center study comparing CR delivered by conventional means (CG) or by remote monitoring (IG) using a new training steering/feedback tool (GEx System)...
October 11, 2016: Heart and Vessels
https://www.readbyqxmd.com/read/27721661/short-term-pulmonary-rehabilitation-for-a-female-patient-with-chronic-scleroderma-under-a-single-case-research-design
#8
Jirakrit Leelarungrayub, Decha Pinkaew, Khanittha Wonglangka, Wichai Eungpinichpong, Jakkrit Klaphajone
Although previously proposed that chronic scleroderma should be cared for clinically and early rehabilitation should be performed in hospital by a chest physical therapist, little evidence is currently available on its benefits. Therefore, this study demonstrated the benefits of short-term pulmonary rehabilitation during hospitalization in a female patient with chronic scleroderma. The aim of rehabilitation was to improve ventilation and gas exchange by using airway clearance, chest mobilization, and breathing-relearning techniques, including strengthening the respiratory system and the muscles of the limbs by using the BreathMax(®) device and elastic bands...
2016: Clinical Medicine Insights. Circulatory, Respiratory and Pulmonary Medicine
https://www.readbyqxmd.com/read/27677047/sleep-breathing-disorders-and-cognitive-decline-in-healthy-elderly-followed-for-eight-years-the-proof-cohort
#9
Magali Saint Martin, Emilia Sforza, Emilie Crawford-Achour, Lefèvre Pascal, Georges Lienard, Roche Frédéric
OBJECTIVE: Sleep breathing disorders (SBD) are the most common sleep disorders frequently under-diagnosed in elderly populations. However, it is it well known that this disorder may contribute to the age-related cognitive decline. In a cohort of healthy elderly subjects, we performed an 8-year longitudinal study to assess whether changes in cognitive function occur in untreated SBD elderly and the nocturnal factors implicated in these changes. MATERIAL/PATIENTS AND METHODS: A total of 559 participants of the community-based PROOF study aged 67years at the study entry and free from neurological disorders were examined...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676907/home-base-rehabilitation-and-telerehabilitation-a-promising-strategy-to-improve-service-offering-in-patient-with-chronic-lung-disease
#10
Didier Saey
With more than 700,000 patients, chronic obstructive pulmonary disease (COPD), a sickness characterized by a progressive alteration of lungs function, presents a major burden in Canada. Even though COPD is primarily a respiratory system disease, progressive sedentary lifestyle, reduced exercise capacity and a restricted participation in daily life activities, which all contribute to a poor health-related quality of life are common consequences of the disease progression. Cornerstone of the COPD management, there is unequivocal evidence that pulmonary rehabilitation is the most effective treatment to improve shortness of breath, exercise tolerance and quality of life of patients with COPD...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676744/shoulder-joint-moment-work-and-power-during-slow-underwater-scapular-plane-abduction-adduction
#11
Jessy Lauer, Stéphane Vigier, Frédéric Delage, Alain Meudec, Jean-Michel Pollet, João Paulo Vilas-Boas, Annie Rouard
OBJECTIVE: Aquatic shoulder exercises are widely implemented into rehabilitation programs to provide early muscle strengthening and improved joint mobility. However, since the drag - the force exerted by the water on the moving segments - is very hard to measure, an in-depth knowledge of internal joint load is lacking, which ultimately prevents healthcare professionals from understanding all clinical implications. For the first time, shoulder joint moment, work, and power were calculated through a novel, validated numerical approach coupling fluid flow simulations and inverse dynamics...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676715/bladder-rupture-secondary-to-emphysematous-bladder-a-diabetic-patient-report
#12
Astrid Balança
OBJECTIVE: We report an emphysematous cystitis in a diabetic patient complicated by peritonitis. OBSERVATIONS: A 66-year-old male presented to the emergency with septic shock. Patient's history: poorly controlled diabetes and prostate adenoma. Clinical examination revealed a surgical abdomen and signs of shock. Blood sugar was 6g/L. CRP 274mg/L. The abdomino-pelvic CT scan showed a perforated bladder with emphysema of the bladder wall and endoluminal air bubbles...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27636761/-local-anesthesia-selection-algorithm-in-patients-with-concomitant-somatic-diseases
#13
T Z Chkadua, M D Ivanova, L A Brusova, I V Pogabalo, A V Rassadina, D M Savvateeva
Clinical analysis of the nasolabial complex in patients suffering of the unilateral cleft lip and palate deformity after cheilorhinoplasty is presented in the article. Functional disorders such as nasal breathe impairment and it's relation to the nasolabial muscle dystonia in the dependency of primary cheilorhinoplasty type are analyzed. The plan of surgical treatment as well as the postoperative rehabilitation using the botulotoxin injections is offered.
2016: Stomatologii︠a︡
https://www.readbyqxmd.com/read/27594801/exploring-virtual-mental-practice-in-maintenance-task-training
#14
Tim Bauerle, Michael J Brnich, Jason Navoyski
PURPOSE: - This paper aims to contribute to a general understanding of mental practice by investigating the utility of and participant reaction to a virtual reality maintenance training among underground coal mine first responders. DESIGN/METHODOLOGY/APPROACH: - Researchers at the National Institute for Occupational Safety and Health's Office of Mine Safety and Health Research (OMSHR) developed software to provide opportunities for mine rescue team members to learn to inspect, assemble and test their closed-circuit breathing apparatus and to practice those skills...
2016: Journal of Workplace Learning
https://www.readbyqxmd.com/read/27567496/perspectives-of-healthcare-professionals-and-patients-on-the-application-of-mindfulness-in-individuals-with-chronic-obstructive-pulmonary-disease
#15
Samantha L Harrison, Annemarie Lee, Roger S Goldstein, Dina Brooks
OBJECTIVE: To explore the views of healthcare professionals (HCPs) and patients towards mindfulness for individuals with COPD. METHODS: A qualitative study design informed by and analyzed using deductive thematic analysis. Twenty HCPs, with at least one year's clinical experience in COPD management and 19 individuals with moderate to severe COPD participated in semi-structured interviews. RESULTS: Analysis revealed seven themes. 1. Mindfulness is difficult to articulate and separate from relaxation...
August 20, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27554701/endovascular-management-of-concomitant-thoracic-and-abdominal-aortic-ruptures-resulting-from-brucellosis-aortitis
#16
Samuel L Chen, Isabella J Kuo, Roy M Fujitani, Nii-Kabu Kabutey
INTRODUCTION: Acute aortic symptomatology is an unusual manifestation of Brucella melitensis infection. We present a rare case of acute multifocal thoracic and abdominal aortic ruptures arising from Brucellosis aortitis managed exclusively with endovascular surgery. METHODS: A 71 year-old Hispanic male with a history of atrial fibrillation and prior stroke on chronic anticoagulation, presented with shortness of breath and malaise. In addition, he had been treated approximately one year previously in Mexico for Brucella melitensis bacteremia after eating fresh unpasteurized cheese...
August 20, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27551969/smartphone-based-cardiac-rehabilitation-program-feasibility-study
#17
Heewon Chung, Hoon Ko, Tharoeun Thap, Changwon Jeong, Se-Eung Noh, Kwon-Ha Yoon, Jinseok Lee
We introduce a cardiac rehabilitation program (CRP) that utilizes only a smartphone, with no external devices. As an efficient guide for cardiac rehabilitation exercise, we developed an application to automatically indicate the exercise intensity by comparing the estimated heart rate (HR) with the target heart rate zone (THZ). The HR is estimated using video images of a fingertip taken by the smartphone's built-in camera. The introduced CRP app includes pre-exercise, exercise with intensity guidance, and post-exercise...
2016: PloS One
https://www.readbyqxmd.com/read/27545747/yoga-based-pulmonary-rehabilitation-for-the-management-of-dyspnea-in-coal-miners-with-chronic-obstructive-pulmonary-disease-a-randomized-controlled-trial
#18
Rajashree Ranjita, Alex Hankey, H R Nagendra, Soubhagylaxmi Mohanty
BACKGROUND: Coal mine dust exposure causes chronic airflow limitation in coal miners resulting in dyspnea, fatigue, and eventually chronic obstructive pulmonary disease (COPD). Yoga can alleviate dyspnea in COPD by improving ventilatory mechanics, reducing central neural drive, and partially restoring neuromechanical coupling of the respiratory system. OBJECTIVES: To evaluate the effectiveness of Integrated Approach of Yoga Therapy (IAYT) in the management of dyspnea and fatigue in coal miners with COPD...
July 2016: Journal of Ayurveda and Integrative Medicine
https://www.readbyqxmd.com/read/27542313/exercise-training-induced-modification-in-autonomic-nervous-system-an-update-for-cardiac-patients
#19
Florent Besnier, Marc Labrunée, Atul Pathak, Anne Pavy-Le Traon, Céline Galès, Jean-Michel Sénard, Thibaut Guiraud
Patients with cardiovascular disease show autonomic dysfunction, including sympathetic activation and vagal withdrawal, which leads to fatal events. This review aims to place sympathovagal balance as an essential element to be considered in management for cardiovascular disease patients who benefit from a cardiac rehabilitation program. Many studies showed that exercise training, as non-pharmacologic treatment, plays an important role in enhancing sympathovagal balance and could normalize levels of markers of sympathetic flow measured by microneurography, heart rate variability or plasma catecholamine levels...
August 16, 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27525315/physiotherapy-scoliosis-specific-exercises-a-comprehensive-review-of-seven-major-schools
#20
REVIEW
Hagit Berdishevsky, Victoria Ashley Lebel, Josette Bettany-Saltikov, Manuel Rigo, Andrea Lebel, Axel Hennes, Michele Romano, Marianna Białek, Andrzej M'hango, Tony Betts, Jean Claude de Mauroy, Jacek Durmala
In recent decades, there has been a call for change among all stakeholders involved in scoliosis management. Parents of children with scoliosis have complained about the so-called "wait and see" approach that far too many doctors use when evaluating children's scoliosis curves between 10° and 25°. Observation, Physiotherapy Scoliosis Specific Exercises (PSSE) and bracing for idiopathic scoliosis during growth are all therapeutic interventions accepted by the 2011 International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT)...
2016: Scoliosis and Spinal Disorders
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