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Anne Marit Mengshoel, Åse Skarbø
OBJECTIVE: The aim of the present study was to examine the characteristics of patients referred to occupational therapists (OTs), physiotherapists (PTs) and social workers (SWs) at a rehabilitation unit in a hospital specializing in rheumatology, and the rehabilitation needs that clinicians and patients agreed should be addressed in the encounters with the particular health professional groups. METHODS: Consecutive hospitalized patients at a rheumatism hospital were recruited by the health professionals...
October 17, 2016: Musculoskeletal Care
James W DeVocht, Dean L Smith, Cynthia R Long, Lance Corber, Bridget Kane, Thomas M Jones, Christine M Goertz
BACKGROUND: Chiropractic care is commonly used to treat musculoskeletal conditions and has been endorsed by clinical practice guidelines as being evidence-based and cost-effective for the treatment of patients with low back pain. Gaps in the literature exist regarding the physiological outcomes of chiropractic treatment. Previous pilot work has indicated the possibility of improvements in response time following the application of chiropractic treatment. However, it is unknown whether or not chiropractic treatment is able to improve reaction and response times in specific populations of interest...
September 20, 2016: Trials
Victoria Hastings, Adrienne Marie McCallister, Sarah A Curtis, Roseanna J Valant, Sheldon Yao
CONTEXT: Pain is one of the most common postpartum complaints by women in the United States, and the pain varies in its location. Research on intervention strategies for postpartum pain has focused primarily on the lower back, but pain management for other types of postpartum pain remains unclear. OBJECTIVE: To investigate the effects of osteopathic manipulative treatment (OMT) on postpartum pain; the location, quality, and timing of pain; and the difference in pain between vaginal and cesarean delivery...
August 1, 2016: Journal of the American Osteopathic Association
Yueh-Ling Hsieh, Chen-Chia Yang, Shih-Heng Sun, Shu-Ya Chan, Tze-Hsuan Wang, Hong-Ji Luo
PURPOSE: To evaluate the effects of hippotherapy on body functions, activities, and participation in children with CP of various functional levels by using the International Classification of Functioning, Disability and Health-Children and Youth (ICF-CY) checklist. METHODS: Fourteen children with cerebral palsy (CP) (3-8 years of age) were recruited for a 36-week study composed of baseline, intervention, and withdrawal phases (12 weeks for each phase, ABA design)...
July 20, 2016: Disability and Rehabilitation
David J Saxby, Luca Modenese, Adam L Bryant, Pauline Gerus, Bryce Killen, Karine Fortin, Tim V Wrigley, Kim L Bennell, Flavia M Cicuttini, David G Lloyd
We explored the tibiofemoral contact forces and the relative contributions of muscles and external loads to those contact forces during various gait tasks. Second, we assessed the relationships between external gait measures and contact forces. A calibrated electromyography-driven neuromusculoskeletal model estimated the tibiofemoral contact forces during walking (1.44±0.22ms(-1)), running (4.38±0.42ms(-1)) and sidestepping (3.58±0.50ms(-1)) in healthy adults (n=60, 27.3±5.4years, 1.75±0.11m, and 69.8±14...
September 2016: Gait & Posture
Di Ao, Rong Song, Jin-Wu Gao
Although the merits of electromyography (EMG)-based control of powered assistive systems have been certified, the factors that affect the performance of EMG-based human-robot cooperation, which are very important, have received little attention. This study investigates whether a more physiologically appropriate model could improve the performance of human-robot cooperation control for an ankle power-assist exoskeleton robot. To achieve the goal, an EMG-driven Hill-type neuromusculoskeletal model (HNM) and a linear proportional model (LPM) were developed and calibrated through maximum isometric voluntary dorsiflexion (MIVD)...
June 22, 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
David J Saxby, Adam L Bryant, Luca Modenese, Pauline Gerus, Bryce Killen, Jason Konrath, Karine Fortin, Tim V Wrigley, Kim L Bennell, Flavia M Cicuttini, Christopher Vertullo, Julian A Feller, Tim Whitehead, Price Gallie, David G Lloyd
PURPOSE: To investigate differences in ACL reconstructed (ACLR) and healthy individuals in terms of the magnitude of the tibiofemoral contact forces, as well as the relative muscle and external load contributions to those contact forces, during walking, running and sidestepping gait tasks. METHODS: A computational electromyography-driven neuromusculoskeletal model was used to estimate the muscle and tibiofemoral contact forces in those with combined semitendinosus and gracilis tendon autograft ACLR (n=104, 29...
June 23, 2016: Medicine and Science in Sports and Exercise
Carmen Rodríguez-Blázquez, Javier Damián, María José Andrés-Prado, Javier Almazán-Isla, Enrique Alcalde-Cabero, Maria João Forjaz, Juan Manuel Castellote, Jesús González-Enríquez, Pablo Martínez-Martín, Magdalena Comín, Jesús de Pedro-Cuesta
OBJECTIVES: To analyse the relationships between chronic conditions, body functions, activity limitations and participation restrictions in the International Classification of Functioning, Disability and Health (ICF) framework. DESIGN: A cross-sectional study. SETTING: 2 geographical areas in the Autonomous Region of Aragon, Spain, namely, a rural area, Cinco Villas, and an urban area in the city of Zaragoza. PARTICIPANTS: 864 individuals selected by simple random sampling from the register of Social Security card holders, aged 50 years and over, positive to disability screening...
2016: BMJ Open
Scott W Shaffer, Josef H Moore
Musculoskeletal injuries are a leading cause of health care utilization, medical evacuation, and disability. US Army physical therapists (PTs) have served as physician extenders for the management of nonsurgical neuromusculoskeletal injuries since the Vietnam conflict. The roles and evidence supporting US Army physical therapy continue to evolve. This article discusses the different levels of care and roles of US Army PTs, the contributions and evidence regarding US Army physical therapy, and physical therapy lessons learned during Operations Enduring Freedom and Iraqi Freedom...
April 2016: U.S. Army Medical Department Journal
Gil Serrancolí, Allison L Kinney, Benjamin J Fregly, Josep M Font-Llagunes
Though walking impairments are prevalent in society, clinical treatments are often ineffective at restoring lost function. For this reason, researchers have begun to explore the use of patient-specific computational walking models to develop more effective treatments. However, the accuracy with which models can predict internal body forces in muscles and across joints depends on how well relevant model parameter values can be calibrated for the patient. This study investigated how knowledge of internal knee contact forces affects calibration of neuromusculoskeletal model parameter values and subsequent prediction of internal knee contact and leg muscle forces during walking...
August 1, 2016: Journal of Biomechanical Engineering
Go Yamako, Gang Deng, Koji Totoribe, Etsuo Chosa
BACKGROUND: The development of simple approaches to quantitatively estimate functional motor performance in a wide range of ages is crucial for early detection of locomotive syndrome (LS). Sit-to-stand (STS) movements from a chair are important in activities of daily living (ADL), although such tasks are the most mechanically demanding among all ADL. Here, we propose a novel test to score STS abilities to estimate individual functional motor status and investigated age-related changes in STS scores as a method to evaluate reduction in performance...
July 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Rimke C Vos, Jules G Becher, Jeanine M Voorman, Jan Willem Gorter, Mirjam van Eck, Jetty van Meeteren, Dirk-Wouter Smits, Jos W Twisk, Annet J Dallmeijer
OBJECTIVE: To examine associations over longitudinal measurements between neuromusculoskeletal function and gross motor capacity in children and youth with cerebral palsy (CP). DESIGN: A prospective cohort study. SETTING: Rehabilitation departments of university medical centers and rehabilitations centers. PARTICIPANTS: A sample (N=327) consisting of 148 children (aged 5-9y) and 179 youth (aged 11-20y) with CP, Gross Motor Function Classification System level I (n=180), level II (n=44), level III (n=36), level IV (n=34), and level V (n=33)...
August 2016: Archives of Physical Medicine and Rehabilitation
Ashutosh Khandha, Kurt Manal, Elizabeth Wellsandt, Jacob Capin, Lynn Snyder-Mackler, Thomas S Buchanan
The objective of the study was to evaluate differences in gait mechanics five years after unilateral anterior cruciate ligament reconstruction surgery, for non-osteoarthritic (n = 24) versus osteoarthritic (n = 9) subjects. For the involved knee, the osteoarthritic group demonstrated significantly lower peak knee flexion angles (non- osteoarthritic = 24.3 ± 4.6°, osteoarthritic = 19.1 ± 2.9°, p = 0.01) and peak knee flexion moments (non-osteoarthritic = 5.3 ± 1.2% Body Weight * Height, osteoarthritic = 4...
April 15, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Pınar Borman, Yeşim Gökçe-Kutsal, Füsun Terzioğlu, Muyesser Okumuş, Esma Ceceli, Sevilay Karahan, Kazım Şenel, Kutay Ordu Gökkaya, Asuman Doğan, Nurten Eskiyurt, Rezan Günaydın, Sibel Eyigör, Nilay Şahin, Mehtap Şahin
PURPOSE: In this study, we aimed to describe the socio-demographic characteristics of caregivers of patients in a geriatric unit and to clarify the relationship between caregiver burden and specific clinical variables in the patients and the characteristics of the caregivers. DESIGN: Cross sectional multi-center study. METHODS: 123 patients and 123 caregiver dyads, with mean ages of 72.5 ± 7.7 years and 51 ± 14.7 years, respectively were included...
April 14, 2016: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
William B Stason, Grant A Ritter, Timothy Martin, Jeffrey Prottas, Christopher Tompkins, Donald S Shepard
BACKGROUND: Moderately convincing evidence supports the benefits of chiropractic manipulations for low back pain. Its effectiveness in other applications is less well documented, and its cost-effectiveness is not known. These questions led the Centers for Medicaid and Medicare Services (CMS) to conduct a two-year demonstration of expanded Medicare coverage for chiropractic services in the treatment of beneficiaries with neuromusculoskeletal (NMS) conditions affecting the back, limbs, neck, or head...
2016: PloS One
J Chu, F Bruyninckx, D V Neuhauser
Chronic pain with a 30.3% global prevalence significantly impacts universal health. Low back pain has a 9.4% prevalence worldwide causing the most widespread disability. Neck pain ranks 4th highest regarding years lived with disability with a 4.9% prevalence worldwide. The principal cause of pain in 85% of patients visiting a tertiary pain clinic has a myofascial origin. The root cause is multifocal neuromuscular ischaemia at myofascial trigger points from muscle tightening and shortening following spondylotic radiculopathy induced partial denervation...
2016: BMJ Case Reports
Soichiro Fujiki, Shinya Aoi, Dai Yanagihara, Tetsuro Funato, Yota Sato, Kei Senda, Kazuo Tsuchiya
In this study, we investigated the adaptive behavior during hindlimb locomotion of rats on a split-belt treadmill. We measured and analyzed the movement of intact rats walking by the hindlimbs on the splitbelt treadmill with two conditions: symmetric and asymmetric belt speed. In addition, we conducted the dynamic simulation of a neuromusculoskeletal model of rat's hindlimb walking on a split-belt treadmill. We investigated the immediate modulations of the duty factors and relative phase between the right and left limbs depending on the conditions of the treadmill...
2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Luca Tagliapietra, Michele Vivian, Massimo Sartori, Dario Farina, Monica Reggiani
A main challenge in the development of robotic rehabilitation devices is how to understand patient's intentions and adapt to his/her current neuro-physiological capabilities. A promising approach is the use of electromyographic (EMG) signals which reflect the actual activation of the muscles during the movement and, thus, are a direct representation of user's movement intention. However, EMGs acquisition is a complex procedure, requiring trained therapists and, therefore, solutions based on EMG signals are not easily integrable in devices for home-rehabilitation...
August 2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Shinya Aoi, Tetsuro Funato
Humans and animals walk adaptively in diverse situations by skillfully manipulating their complicated and redundant musculoskeletal systems. From an analysis of measured electromyographic (EMG) data, it appears that despite complicated spatiotemporal properties, muscle activation patterns can be explained by a low dimensional spatiotemporal structure. More specifically, they can be accounted for by the combination of a small number of basic activation patterns. The basic patterns and distribution weights indicate temporal and spatial structures, respectively, and the weights show the muscle sets that are activated synchronously...
March 2016: Neuroscience Research
Alice Mantoan, Claudio Pizzolato, Massimo Sartori, Zimi Sawacha, Claudio Cobelli, Monica Reggiani
BACKGROUND: Neuromusculoskeletal modeling and simulation enable investigation of the neuromusculoskeletal system and its role in human movement dynamics. These methods are progressively introduced into daily clinical practice. However, a major factor limiting this translation is the lack of robust tools for the pre-processing of experimental movement data for their use in neuromusculoskeletal modeling software. RESULTS: This paper presents MOtoNMS (matlab MOtion data elaboration TOolbox for NeuroMusculoSkeletal applications), a toolbox freely available to the community, that aims to fill this lack...
2015: Source Code for Biology and Medicine
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