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Assessment for rehabilitation tool

Sara Izadi-Najafabadi, Shie Rinat, Jill G Zwicker
AIM: The aim of this study was to systematically review evidence about rehabilitation-induced neuroplasticity measured by magnetic resonance imaging (MRI) in children with neurodevelopmental disorders. METHOD: The following databases were searched: MEDLINE, EMBASE, CINAHL, and PsycINFO. Two independent reviewers screened articles according to inclusion criteria: (1) peer-review study published in a scientific journal; (2) studies that evaluated a rehabilitation-based intervention; (3) participants aged less than 19 years with a neurodevelopmental disorder; (4) studies that used at least one MRI modality as an outcome measure...
December 11, 2018: International Journal of Developmental Neuroscience
Sara Korlén, Anne Richter, Isis Amer-Wåhlin, Peter Lindgren, Ulrica von Thiele Schwarz
BACKGROUND: In publicly funded health care systems, governance models are developed to push public service providers to use tax payers' money more efficiently and maintain a high quality of service. Although this implies change in staff behaviors, evaluation studies commonly focus on organizational outputs. Unintended consequences for staff have been observed in case studies, but theoretical and methodological development is necessary to enable studies of staff experience in larger populations across various settings...
December 12, 2018: BMC Health Services Research
Masahiro Waza, Keisuke Maeda, Chihiro Katsuragawa, Atsuko Sugita, Ryotarou Tanaka, Asako Ohtsuka, Tomo Matsui, Keiko Kitagawa, Taiki Kishimoto, Hiroko Fukui, Katsuhisa Kawai, Masahiko Yamamoto, Michio Isono
OBJECTIVE: To determine the influence of the Kuchi-kara Taberu (KT) index on rehabilitation outcomes during hospitalized convalescent rehabilitation. DESIGN: A historical controlled study. SETTING AND PARTICIPANTS: A rehabilitation hospital. PARTICIPANTS: Patients who were admitted to a convalescent rehabilitation ward from June 2014 to May 2017. MEASURES: Patients' background characteristics included age, sex, nutritional status, activities of daily living (ADL) assessed using the Functional Impedance Measure (FIM), dysphagia assessed using the Functional Oral Intake Scale (FOIS), and reasons for rehabilitation...
December 6, 2018: Journal of the American Medical Directors Association
Anastasia Zarkou, Samuel C K Lee, Laura A Prosser, Sungjae Hwang, John Jeka
BACKGROUND: Stochastic Resonance (SR) Stimulation has been used to enhance balance in populations with sensory deficits by improving the detection and transmission of afferent information. Despite the potential promise of SR in improving postural control, its use in individuals with cerebral palsy (CP) is novel. The objective of this study was to investigate the immediate effects of electrical SR stimulation when applied in the ankle muscles and ligaments on postural stability in children with CP and their typically developing (TD) peers...
December 10, 2018: Journal of Neuroengineering and Rehabilitation
Popi Kasvis, MariaLuisa Vigano, Antonio Vigano
Cancer cachexia (CC) is common in advanced cancer and is accompanied by negative effects on health-related quality of life (HRQOL). However, methods to identify the impact of CC on HRQOL are limited. Single questionnaire items may provide insight on the effect of CC on HRQOL. Specifically, the use of "feeling of wellbeing" (FWB) on the Edmonton Symptom Assessment System (ESAS) questionnaire and the Distress Thermometer (DT) have been explored. Assessing how these two surrogate measures of HRQOL are impacted among CC stages and what drives these negative effects may allow for focused treatments...
September 5, 2018: Annals of Palliative Medicine
Ana Lúcia Faria, Maria Salomé Pinho, Sergi Bermúdez I Badia
BACKGROUND: Cognitive impairments after stroke are not always given sufficient attention despite the critical limitations they impose on activities of daily living (ADLs). Although there is substantial evidence on cognitive rehabilitation benefits, its implementation is limited because of time and human resource's demands. Moreover, many cognitive rehabilitation interventions lack a robust theoretical framework in the selection of paper-and-pencil tasks by the clinicians. In this endeavor, it would be useful to have a tool that could generate standardized paper-and-pencil tasks, parameterized according to patients' needs...
December 6, 2018: JMIR Rehabilitation and Assistive Technologies
Alice Rose, Sheeba Rosewilliam, Andy Soundy
OBJECTIVES: To assess the extent of shared decision-making within goal-setting meetings and explore patient-reported factors that influenced their participation to shared decision-making about their goals. DESIGN: A two-phase explanatory sequential mixed-methods study, using questionnaires and interviews. SETTING: A rehabilitation centre and patients' homes. SUBJECTS: Frail elderly patients. MAIN MEASURES: Quantitative data were collected after every patient's goal-setting meeting using the Multifocal Approach to Sharing in Shared Decision Making (MAPPIN'SDM) questionnaire that assesses competencies relevant to shared decision-making...
December 4, 2018: Clinical Rehabilitation
Muireann Dee, Olive Lennon, Cliona O'Sullivan
PURPOSE: Approximately 70% of strokes occur in low and middle income countries, yet the effectiveness of physical rehabilitation in these contexts remains undetermined. This systematic review identifies and summarises the current evidence supporting physical rehabilitation interventions post-stroke in low and lower-middle income countries. METHODS: Five databases were comprehensively searched (April 2017) for randomised controlled trials, clinical controlled trials, and cohort studies testing rehabilitation interventions post-stroke in these countries...
December 3, 2018: Disability and Rehabilitation
Olga A Klein, Roshan das Nair, Joanne Ablewhite, Avril Drummond
BACKGROUND: People diagnosed with Multiple Sclerosis often have cognitive problems. However, it is unclear how cognitive impairment is currently assessed and managed in the UK. AIMS: To understand current clinical practice of assessment and management of cognitive impairment in people with MS and to highlight any national variation. METHODS: A survey was posted to 150 MS centres and large hospitals and an online version was shared via e-mail and on social media...
December 3, 2018: International Journal of Clinical Practice
Riley M Bove, Gillian Rush, Chao Zhao, William Rowles, Priya Garcha, John Morrissey, Adrian Schembri, Titi Alailima, Dawn Langdon, Katherine Possin, Adam Gazzaley, Anthony Feinstein, Joaquin Anguera
INTRODUCTION: Self-administered in-home digital therapeutics could expand access to cognitive rehabilitation for individuals with multiple sclerosis (MS), over half of whom experience cognitive impairment (CI). However, feasibility in an MS population must be clarified. This study was conducted to assess the feasibility of deploying a videogame-like digital treatment for CI in MS, including initial efficacy and barriers to adherence. METHODS: In this pilot study, 21 participants with MS completed an in-clinic baseline neurological evaluation...
November 30, 2018: Neurology and Therapy
Elizabeth Wellsandt, Michael J Axe, Lynn Snyder-Mackler
Background: The risk for knee osteoarthritis (OA) is substantially increased after anterior cruciate ligament (ACL) injury. Tools are needed to identify characteristics of patients after ACL injury who are most at risk for posttraumatic OA. Purpose: To determine whether clinical measures of knee function after ACL injury are associated with the development of radiographic knee OA 5 years after injury. Study Design: Cohort study; Level of evidence, 2...
November 2018: Orthopaedic Journal of Sports Medicine
Cosima Prahm, Fares Kayali, Agnes Sturma, Oskar Aszmann
BACKGROUND: Prosthetic motor rehabilitation usually relies on the highly repetitive training of movements. Patients might drop out of training because the rehabilitation process is long and often discouraging. Game-based interventions provide a potentially useful alternative to standard myoelectric (electromyographic [EMG]) training and can increase engagement with training. OBJECTIVE: To assess the short-term impact of a game-based rehabilitation protocol on parameters for EMG control, evaluate how game-based interventions affect patient motivation, performance, and effort, and compare the game-based intervention with a standard tool in rehabilitation (MyoBoy)...
November 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
Clare A Corish, Laura A Bardon
Older adults are at risk of protein-energy malnutrition (PEM). PEM detrimentally impacts on health, cognitive and physical functioning and quality of life. Given these negative health outcomes in the context of an ageing global population, the Healthy Diet for a Healthy Life Joint Programming Initiative Malnutrition in the Elderly (MaNuEL) sought to create a knowledge hub on malnutrition in older adults. This review summarises the findings related to the screening and determinants of malnutrition. Based on a scoring system that incorporated validity, parameters used and practicability, recommendations on setting-specific screening tools for use with older adults were made...
December 3, 2018: Proceedings of the Nutrition Society
B Steiger, K Welsch, N Niederstrasser, S Hartmann, P Nilges, A Ljutow, D Ettlin
INTRODUCTION: Occupational and social rehabilitation can be influenced by perceived injustice that results from pain. Currently, the Injustice Experience Questionnaire (IEQ), the tool most commonly used to assess perceived injustice, is not available in German. The aim of this study was the validation of the German-language version of the IEQ. MATERIALS AND METHODS: The validation of the IEQ was carried out via a web-based survey. For this purpose, participants completed the IEQ and construct-related scales analogous to the original study Tampa Scale of Kinesiophobia (TSK), Depression scale of the Depression Anxiety and Stress Scales (D-DASS), Pain Disability Index (PDI), and McGill Pain Questionnaire (MPQ)...
November 28, 2018: Der Schmerz
Johannes Blomgren, Erika Strandell, Gwendolen Jull, Irene Vikman, Ulrik Röijezon
BACKGROUND: Neck pain is a major health issue with high rates of recurrence. It presents with a variety of altered sensorimotor functions. Exercise is a cornerstone of rehabilitation and many training methods are used. Exercise is evaluated in most randomized controlled trials on its pain relieving effects. No review has assessed the effect of exercise on the altered physiological functions or determined if there are differential effects of particular training methods. This review investigated the effects of deep cervical flexor (DCF) training, a training method commonly used for patients with neck pain, and compared it to other training methods or no training on outcomes of cervical neuromuscular function, muscle size, kinematics and kinetics...
November 28, 2018: BMC Musculoskeletal Disorders
Anne Mucha, Sheri Fedor, Danielle DeMarco
The assessment and treatment of sport-related concussion (SRC) often requires a multifaceted approach. Vestibular dysfunction represents an important profile of symptoms and pathology following SRC, with high prevalence and association with prolonged recovery. Signs and symptoms of vestibular dysfunction may include dizziness, vertigo, disequilibrium, nausea, and visual impairment. Identifying the central and peripheral vestibular mechanisms responsible for pathology can aid in management of SRC. The most common vestibular disturbances after SRC include benign paroxysmal positional vertigo, vestibulo-ocular reflex impairment, visual motion sensitivity, and balance impairment...
2018: Handbook of Clinical Neurology
Nancy M Salbach, Patricia Solomon, Kelly K O'Brien, Catherine Worthington, Larry Baxter, Georgina Blanchard, Alan Casey, Will Chegwidden, Le-Ann Dolan, Sarah Eby, Nicole Gervais
RATIONALE, AIMS, AND OBJECTIVES: A comprehensive electronic guide (e-module) describing an interprofessional, evidence-informed approach to HIV rehabilitation was developed as an education resource for rehabilitation professionals. We developed a guideline implementation tool, consisting of a 10-week, case-based education intervention delivered by email, that was perceived to increase rehabilitation professionals' (occupational therapists (OTs), physical therapists (PTs), and speech language pathologists (SLPs)) knowledge and confidence to apply best practices in HIV rehabilitation...
November 26, 2018: Journal of Evaluation in Clinical Practice
Arrate Pinto-Carral, Antonio J Molina, Álvaro de Pedro, Carlos Ayán
OBJECTIVES: To identify and evaluate the characteristics and methodological quality of the studies that have proposed Pilates as a rehabilitation strategy for women with breast cancer and to determine its benefits on health outcomes in this population. METHODS: A systematic review and meta-analysis were conducted. Medline/PubMed, Pedro, SPORTDiscuss, Scopus and Web of Science were systematically searched up to January 2017. The methodological quality was evaluated by means of the Jadad Scale and the Quality Assessment Tool for Before-After Studies with No Control Group...
December 2018: Complementary Therapies in Medicine
Sophie Germain, Vinciane Wojtasik, Françoise Lekeu, Anne Quittre, Catherine Olivier, Vinciane Godichard, Eric Salmon
INTRODUCTION: The benefit of cognitive rehabilitation (CR) for patients with early-stage Alzheimer disease (AD) remains difficult to assess. METHOD: An observational, prospective study was conducted in a sample of 52 patients with AD included in a clinical, individualized CR program. Cognitive rehabilitation consisted of 1 weekly session during 3 months at home, followed by 1 monthly contact for 9 months. Rehabilitation techniques were used by experienced therapists to adapt activities important for the patient...
November 26, 2018: Journal of Geriatric Psychiatry and Neurology
Tonderai W Shumba, Indres Moodley
Background: Evaluation of Community-Based Rehabilitation (CBR) programmes in Namibia has been primarily quantitative, focusing mainly on outputs, including numbers of persons with disabilities served, referrals made and activities implemented. Little or no evidence is available on experiences and quality of life of persons with disabilities, despite the CBR programme being operational for more than 20 years. The 2011 World Report on Disability recommended the use of appropriate tools to fill the research gap by integrating the experiences of persons with disabilities and their quality of life...
2018: African Journal of Disability
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