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https://www.readbyqxmd.com/read/27881044/promoting-physical-activity-in-hospitalized-patients-with-mild-ischemic-stroke-a-pilot-study
#1
Masashi Kanai, Masafumi Nozoe, Kazuhiro P Izawa, Yuka Takeuchi, Hiroki Kubo, Kyoshi Mase, Shinichi Shimada
BACKGROUND: Patients with acute stroke spend most of their hospital day inactive. However, a method to promote physical activity (PA) in stroke has not been established. OBJECTIVE: To evaluate the effectiveness of promoting PA by enhancing self-efficacy in hospitalized patients with mild ischemic stroke. DESIGN: Pre-post interventional study. METHODS: Hospitalized patients with mild ischemic stroke who could walk without assistance were recruited...
November 24, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27792056/concussion-in-sports-what-do-orthopaedic-surgeons-need-to-know
#2
Patrick J Cahill, Christian Refakis, Eileen Storey, William C Warner
A concussion is a relatively common sports-related injury that affects athletes of all ages. Although orthopaedic surgeons are not expected to replace sports medicine physicians and neurologists with regard to the management of concussions, orthopaedic surgeons, particularly those who are fellowship-trained in sports medicine, must have a current knowledge base of what a concussion is, how a concussion is diagnosed, and how a concussion should be managed. Orthopaedic surgeons should understand the pathophysiology, assessment, and management of concussion so that they have a basic comprehension of this injury, which is at the forefront of the academic literature and North American media...
December 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27762171/decrease-of-spasticity-after-hybrid-assistive-limb-%C3%A2-training-for-a-patient-with-c4-quadriplegia-due-to-chronic-sci
#3
Akira Ikumi, Shigeki Kubota, Yukiyo Shimizu, Hideki Kadone, Aiki Marushima, Tomoyuki Ueno, Hiroaki Kawamoto, Yasushi Hada, Akira Matsumura, Yoshiyuki Sankai, Masashi Yamazaki
CONTEXT: Recently, locomotor training with robotic assistance has been found effective in treating spinal cord injury (SCI). Our case report examined locomotor training using the robotic suit hybrid assistive limb (HAL) in a patient with complete C4 quadriplegia due to chronic SCI. This is the first report examining HAL in complete C4 quadriplegia. FINDINGS: The patient was a 19-year-old man who dislocated C3/4 during judo 4 years previously. Following the injury, he underwent C3/4 posterior spinal fusion but remained paralyzed despite rehabilitation...
October 20, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27748688/influence-of-skill-and-exercise-training-parameters-on-locomotor-recovery-during-stroke-rehabilitation
#4
T George Hornby, Jennifer L Moore, Linda Lovell, Elliot J Roth
PURPOSE OF REVIEW: Research findings from the fields of motor learning and exercise physiology suggest specific training parameters that can be manipulated during physical rehabilitation profoundly influence skilled task performance. This review details the rationale for some of these training variables and their application in selected intervention studies focused on improving walking function in patients poststroke. RECENT FINDINGS: Basic and applied studies have shown that the amount, intensity, and variability of specific task practice applied during rehabilitation interventions can affect recovery of walking poststroke...
December 2016: Current Opinion in Neurology
https://www.readbyqxmd.com/read/27689608/enhanced-medical-rehabilitation-effectiveness-of-a-clinical-training-model
#5
Marghuretta D Bland, Rebecca L Birkenmeier, Peggy Barco, Emily Lenard, Catherine E Lang, Eric J Lenze
BACKGROUND: Patient engagement in medical rehabilitation can be greatly influenced by their provider during therapy sessions. We developed Enhanced Medical Rehabilitation (EMR), a set of provider skills grounded in theories of behavior change. EMR utilizes 18 motivational techniques focused on providing frequent feedback to patients on their effort and progress and linking these to patient goals. OBJECTIVE: To examine the effectiveness of a clinical training protocol for clinicians to do EMR, as measured by clinician adherence...
September 27, 2016: NeuroRehabilitation
https://www.readbyqxmd.com/read/27676890/one-handed-intermittent-self-urinary-catheterism-with-an-adaptive-equipment-case-report-of-an-amputee-patient-suffering-from-multiple-sclerosis
#6
Helene Dessort, Evelyne Castel-Lacanal, Xavier de Boissezon, Philippe Marque
OBJECTIVE: Intermittent self-catheterization is the gold standard for patients with central neurologic bladder. It allows to reduce all urinary tract complications and to improve the quality of life. The factors of good compliance are continence and autonomy regarding the introduction of the catheter. Nevertheless, self-catheterization can be difficult because of the usual shortcomings associated with bladder and sphincter disorders (motor, sensory…). We found only one study about one adaptive equipment to facilitate the gesture for monoplegic patients...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676853/pediatric-rehabilitation-and-pediatric-oncology-a-winner-association-the-experience-of-grenoble-pediatric-hospital
#7
Véronique Bourg, Anne Descotes, Anne Pagnier, Jacques Griffet, Dominique Plantaz
The Child and Family Hospital of Grenoble is one of the rare university hospitals in France to benefit from the presence of a physician specializing in rehabilitation medicine. This hospital includes both inpatient and outpatient units. During the temporary closure of one department, certain members of the rehabilitation unit were reassigned to the acute care wards of the pediatric department, including physical therapists, occupational therapists, and speech therapists. Over the course of one year, these therapists completed more than 150 interventions in this department, more than half of which were in the hematology and oncology ward...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27671540/a-feasibility-study-to-prevent-falls-in-older-people-who-are-sight-impaired-the-vip2uk-randomised-controlled-trial
#8
Heather Waterman, Claire Ballinger, Caroline Brundle, Sebastien Chastin, Heather Gage, Robert Harper, David Henson, Bob Laventure, Lisa McEvoy, Mark Pilling, Nicky Olleveant, Dawn A Skelton, Penelope Stanford, Chris Todd
BACKGROUND: Published evaluations of successful interventions to prevent falls in people with sight impairment (SI) are limited. The aim of this feasibility study is to optimise the design and investigation of home safety (HS) and home exercise (HE) programmes to prevent falls in older people with SI. METHODS: A community-based feasibility study in north-west England comprising a three-arm randomised controlled trial (RCT) allocated participants to (1) a control group receiving usual care and social visits, (2) an experimental group receiving the HS programme and (3) an experimental group receiving the HS + HE programme...
September 26, 2016: Trials
https://www.readbyqxmd.com/read/27634471/technology-assisted-stroke-rehabilitation-in-mexico-a-pilot-randomized-trial-comparing-traditional-therapy-to-circuit-training-in-a-robot-technology-assisted-therapy-gym
#9
Karla Bustamante Valles, Sandra Montes, Maria de Jesus Madrigal, Adan Burciaga, María Elena Martínez, Michelle J Johnson
BACKGROUND: Stroke rehabilitation in low- and middle-income countries, such as Mexico, is often hampered by lack of clinical resources and funding. To provide a cost-effective solution for comprehensive post-stroke rehabilitation that can alleviate the need for one-on-one physical or occupational therapy, in lower and upper extremities, we proposed and implemented a technology-assisted rehabilitation gymnasium in Chihuahua, Mexico. The Gymnasium for Robotic Rehabilitation (Robot Gym) consisted of low- and high-tech systems for upper and lower limb rehabilitation...
2016: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/27616005/psychological-distress-following-a-motor-vehicle-crash-a-systematic-review-of-preventative-interventions
#10
Rebecca Guest, Yvonne Tran, Bamini Gopinath, Ian D Cameron, Ashley Craig
INTRODUCTION: Psychological distress following a motor vehicle crash (MVC) is prevalent, especially when the person sustains an associated physical injury. Psychological distress can exhibit as elevated anxiety and depressive mood, as well as presenting as mental disorders such as Post Traumatic Stress Disorder (PTSD) or Major Depressive Disorder (MDD). If unmanaged, psychological distress can contribute to, or exacerbate negative outcomes such as social disengagement (e.g., loss of employment) and poor health-related quality of life, as well as contribute to higher costs to insurers...
September 5, 2016: Injury
https://www.readbyqxmd.com/read/27609901/development-of-an-international-clinical-education-extracurricular-experience-through-a-collaborative-partnership-a-case-study
#11
MaryBeth Mandich, Mia Erickson, Beth Nardella
BACKGROUND AND PURPOSE: Participating in global healthcare through international clinical education may enhance development of cultural competence and professionalism. There are many logistical issues to be resolved in developing international clinical education experiences which meet program requirements. The purpose of this case study is to describe how one university developed such an experience for students by partnering with Amizade Global Service Learning, an organization that facilitates global learning experiences...
September 8, 2016: Physical Therapy
https://www.readbyqxmd.com/read/27579937/fatigue-in-children-and-adolescents-with-cancer-from-the-perspective-of-health-professionals
#12
Michele Cristina Miyauti da Silva, Luís Carlos Lopes, Lucila Castanheira Nascimento, Regina Aparecida Garcia de Lima
OBJECTIVE: to investigate health professionals' knowledge about the concept, assessment and intervention in fatigue in children and adolescents with cancer. METHOD: exploratory study with qualitative approach, with 53 health professionals (10 nurses, 33 assistant nurses, 3 physicians, 3 nutritionists, 2 psychologists and 2 physical therapists). Semi structured interviews were held, which were recorded and analyzed by means of inductive thematic content analysis...
2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27525188/pertinent-dry-needling-considerations-for-minimizing-adverse-effects-part-one
#13
John S Halle, Rob J Halle
BACKGROUND: Dry needling is an evidence-based treatment technique that is accepted and used by physical therapists in the United States. This treatment approach focuses on releasing or inactivating muscular trigger points to decrease pain, reduce muscle tension, and assist patients with an accelerated return to active rehabilitation. ISSUE: While commonly used, the technique has some patient risk and value of the treatment should be based on benefit compared to the potential risk...
August 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27497781/multidisciplinary-production-of-interactive-environments-to-support-occupational-therapies
#14
Héctor Cardona Reyes, Jaime Muñoz Arteaga
This work focuses on proposing a multidisciplinary production of interactive environments as a technological support for rehabilitation of people with physical disabilities attending occupational therapy. Nowadays, some technologies and methods are used to develop software in order to assist the people who suffer some kind of physical disability but the physical therapies aren't limited to only one technique of rehabilitation. Current work promotes establish a multidisciplinary team such as therapists and technologists, they can collaborate for the production of interactive environments according the evolution of every patient's rehabilitation...
August 3, 2016: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/27466692/pilot-study-of-intensive-exercise-on-endurance-advanced-mobility-and-gait-speed-in-adults-with-chronic-severe-acquired-brain-injury
#15
Ann L Charrette, Laura S Lorenz, Jeffrey Fong, Therese M O'Neil-Pirozzi, Karen Lamson, Michelle Demore-Taber, Ross Lilley
BACKGROUND AND PURPOSE: Effects of high-intensity exercise on endurance, mobility and gait speed of adults with chronic moderate-to-severe acquired brain injury (ABI) were investigated. It was hypothesized that intensive exercise would be associated with improvements in impairment and activity limitation measures. PARTICIPANTS: Fourteen adults with chronic ABI in supported independent living who could stand with minimal or no assist and walk with or without ambulation device were studied...
2016: Brain Injury: [BI]
https://www.readbyqxmd.com/read/27453154/improving-biofeedback-for-the-treatment-of-fecal-incontinence-in-women-implementation-of-a-standardized-multi-site-manometric-biofeedback-protocol
#16
A D Markland, J E Jelovsek, W E Whitehead, D K Newman, U U Andy, K Dyer, I Harm-Ernandes, S Cichowski, J McCormick, C Rardin, G Sutkin, A Shaffer, S Meikle
BACKGROUND: Standardized training and clinical protocols using biofeedback for the treatment of fecal incontinence (FI) are important for clinical care. Our primary aims were to develop, implement, and evaluate adherence to a standardized protocol for manometric biofeedback to treat FI. METHODS: In a Pelvic Floor Disorders Network (PFDN) trial, participants were enrolled from eight PFDN clinical centers across the United States. A team of clinical and equipment experts developed biofeedback software on a novel tablet computer platform for conducting standardized anorectal manometry with separate manometric biofeedback protocols for improving anorectal muscle strength, sensation, and urge resistance...
July 24, 2016: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/27437047/using-electronic-case-summaries-to-elicit-multi-disciplinary-expert-knowledge-about-referrals-to-post-acute-care
#17
Kathryn H Bowles, Sarah Ratcliffe, Sheryl Potashnik, Maxim Topaz, John Holmes, Nai-Wei Shih, Mary D Naylor
BACKGROUND: Eliciting knowledge from geographically dispersed experts given their time and scheduling constraints, while maintaining anonymity among them, presents multiple challenges. OBJECTIVES: Describe an innovative, Internet based method to acquire knowledge from experts regarding patients who need post-acute referrals. Compare, 1) the percentage of patients referred by experts to percentage of patients actually referred by hospital clinicians, 2) experts' referral decisions by disciplines and geographic regions, and 3) most common factors deemed important by discipline...
2016: Applied Clinical Informatics
https://www.readbyqxmd.com/read/27417168/origins-in-the-womb-potential-role-of-the-physical-therapist-in-modulating-the-deleterious-effects-of-obesity-on-maternal-and-offspring-health-through-movement-promotion-and-prescription-during-pregnancy
#18
Rachel A Tinius, Alison G Cahill, W Todd Cade
Maternal obesity and associated metabolic disease contribute to adverse outcomes in women and their offspring, many of which have significant acute and chronic implications for both mother and neonate. Targeted movement (i.e. physical activity, exercise training) during pregnancy has been shown to be safe and effective in normal-weight and obese women for improving many of these outcomes. However, movement prescription and advice during pregnancy is often not addressed by health care providers; thus, creating a unique opportunity for physical therapists to utilize their expertise in movement with pregnant patients...
July 14, 2016: Physical Therapy
https://www.readbyqxmd.com/read/27390439/propensity-matched-analysis-of-the-gap-between-capacity-and-actual-performance-of-dressing-in-patients-with-stroke
#19
Takaaki Fujita, Atsushi Sato, Yuichi Yamamoto, Koji Otsuki, Kazuaki Iokawa, Toshimasa Sone, Manabu Midorikawa, Kenji Tsuchiya, Lee Bumsuk, Fusae Tozato
[Purpose] Dressing is an activity of daily living for which stroke patients often show discrepancies between capacity and actual performance. The aim of this study was to elucidate the physical function and unilateral spatial neglect in stroke patients that reduce their level of actual performance despite having the capacity for dressing independently. [Subjects and Methods] This retrospective study included 60 first-time stroke patients judged by occupational therapists as able to dress independently. The patients were divided into two groups according to their FIM(®) instrument scores for dressing the upper and lower body: an independent group with both scores ≥6 and an assistance group with one or both scores ≤5...
June 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27355306/knowledge-of-healthcare-professionals-on-the-evaluation-and-treatment-of-neonatal-pain
#20
Marialda Moreira Christoffel, Thaíla Corrêa Castral, Mariana Firmino Daré, Liciane Langona Montanholi, Carmen Gracinda Silvan Scochi
OBJECTIVE: to identify knowledge of healthcare professionals on the management, evaluation and treatment of pain in a neonatal unit in a municipality of Rio de Janeiro. METHOD: descriptive, exploratory study with quantitative analysis. Data were analyzed using the software R. Core Team Results: of the 96 healthcare professionals who participated in the study, 42 nursing aides/technicians responded, along with 22 nurses, 20 physicians and 2 physical therapists. The results showed that 40...
June 2016: Revista Brasileira de Enfermagem
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