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Assessment for rehabilitation tool

Chantal M den Bakker, Johannes R Anema, AnneClaire G N M Zaman, Henrika C W de Vet, Linda Sharp, Eva Angenete, Marco E Allaix, Rene H J Otten, Judith A F Huirne, Hendrik J Bonjer, Angela G E M de Boer, Frederieke G Schaafsma
BACKGROUND: Colorectal cancer is diagnosed progressively in employed patients due to screening programs and increasing retirement age. The objective of this study was to identify prognostic factors for return to work and work disability in patients with colorectal cancer. METHODS: The research protocol was published at PROSPERO with registration number CRD42017049757. A systematic review of cohort and case-control studies in colorectal cancer patients above 18 years, who were employed when diagnosed, and who had a surgical resection with curative intent were included...
2018: PloS One
Masoumeh Sadeghi, Hossein Khosravi-Broujeni, Amin Salehi-Abarghouei, Ramin Heidari, Gholamreza Masoumi, Hamidreza Roohafza
BACKGROUND: This systematic review and meta-analysis aimed to assess the effect of cardiac rehabilitation (CR) on serum C-reactive protein (CRP) as an indicator of the inflammatory state and predictor of recurrent cardiovascular events. METHODS: PubMed, SCOPUS, Cochrane library, and Google Scholar databases were searched up to January 2014 for original articles which investigated the effect of CR on CRP among adult patients with previous cardiovascular events. The random effects model was used to assess the overall effect of CR on the variation in serum CRP levels...
March 2018: ARYA Atherosclerosis
Jaap Swanenburg, Karin Wild, Dominik Straumann, Eling D de Bruin
Background: The use of Exergames designed to improve physical and cognitive functioning is relatively new in rehabilitation. Exergaming allows the training of skills, the handling of tools, and procedures; however, often, the potential of these aspects are not assessed before they are adopted in clinical settings. This study aimed at exploring the effects of exergaming on vestibular functions and gait in healthy community dwelling older adults using a proof-of-concept study design registered under ClinicalTrials...
2018: Frontiers in Physiology
Miles Saitta, Hemakumar Devan, Pauline Boland, Meredith A Perry
BACKGROUND: Park-based physical activity (PA) interventions improve health in the general population, but it is unknown if the evidence can be translated to persons with disabilities. OBJECTIVES: To conduct a mixed-methods systematic synthesis of the evidence for park-based physical activity interventions for persons with disabilities and secondarily, to consider the health benefits across the lifespan (children and adolescents, young, middle, and older adults)...
July 31, 2018: Disability and Health Journal
Robert Gailey, Anat Kristal, Jennifer Lucarevic, Shane Harris, Brooks Applegate, Ignacio Gaunaurd
BACKGROUND: Prosthetic socket fit is an important element associated with successful ambulation and use of a prosthesis. Prosthetists and rehabilitation clinicians would benefit from an assessment tool that discriminates between and quantifies the multiple determinants that influence the lower limb amputee's performance and satisfaction of a prosthetic socket. OBJECTIVES: To determine the internal consistency of the comprehensive lower limb amputee socket survey, a new self-report measure of prosthetic socket satisfaction that quantifies suspension, stability, comfort, and appearance...
August 10, 2018: Prosthetics and Orthotics International
Martijn Hulsmans, Steven Ferree, Marijn Houwert, Marcel Dijkgraaf, Egbert Jan Verleisdonk, Mark van Heijl
PURPOSE: The purpose of this study was to develop a clavicle-specific questionnaire with patient-reported and objective measures. METHODS: The present study used data of DASH and Constant scores from a previously performed randomized-controlled trial comparing plate and intramedullary pin fixation of clavicle fractures. Exploratory factor analysis was used to identify the most relevant items and the underlying structure of the questionnaires. To optimize the applicability to patients with a clavicle fracture, the selected items were reformulated...
August 9, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Lucia Maria Sacheli, Laura Zapparoli, Matteo Preti, Carlo De Santis, Catia Pelosi, Nicola Ursino, Alberto Zerbi, Elena Stucovitz, Giuseppe Banfi, Eraldo Paulesu
Studies on athletes or neurological patients with motor disorders have shown a close link between motor experience and motor imagery skills. Here we evaluated whether a functional limitation due to a musculoskeletal disorder has an impact on the ability to mentally rehearse the motor patterns of walking, an overlearned and highly automatic behaviour. We assessed the behavioural performance (measured through mental chronometry tasks) and the neural signatures of motor imagery of gait in patients with chronic knee arthrosis and in age-matched, healthy controls...
2018: NeuroImage: Clinical
Batur Gonenc Kanar, Ipek Ozmen, Elif Ozari Yildirim, Murat Ozturk, Murat Sunbul
BACKGROUND: Although right ventricular (RV) dysfunction in pulmonary diseases has been associated with increased morbidity, tools for RV dysfunction identification are not well defined. OBJECTIVE: The aim of this study was to evaluate the magnitude of RV dysfunction by means of speckle tracking echocardiography (STE) in patients with chronic obstructive pulmonary disease (COPD) and to investigate whether STE could be used as an index of RV improvement after a pulmonary rehabilitation (PR) program...
August 6, 2018: Arquivos Brasileiros de Cardiologia
Cuiling Shen, Fang Liu, Liqun Yao, Zhongyuan Li, Li Qiu, Suzhu Fang
OBJECTIVE: To estimate the effectiveness of MOTOmed® movement therapy in increasing mobility and activities of daily living in stroke patients with hemiplegia. DESIGN: Systematic review. DATA SOURCES: English- and Chinese-language articles published from the start of database coverage through 20 June 2018 were retrieved from the Embase, Web of Science, PubMed, OVID, Cochrane Central Register of Controlled Trials, Cochrane Systematic Reviews, Wanfang, Chinese National Knowledge Infrastructure, VIP, and Chinese Biomedicine databases...
August 8, 2018: Clinical Rehabilitation
Yann Morère, Guy Bourhis, Kévin Cosnuau, Georges Guilmois, Emilie Rumilly, Emmanuelle Blangy
The powered wheelchair (PW) has become an essential mobility assistive technology for people with motor disabilities. A critical step involved in maximizing the end-user experience is evaluating individual functional abilities to identify driving difficulties PW users experience during their daily activities. There are certain limitations, however, associated with on-road driving assessments, such as the practical concern of safety. And while extracting quantitative parameters such as joystick control or trajectory tracking from real wheelchairs is feasible, it requires modifications to the PW hardware architecture and, in some cases, to the physical test environment...
August 7, 2018: Assistive Technology: the Official Journal of RESNA
Lucie Kalisova, Marek Pav, Petr Winkler, Jiri Michalec, Helen Killaspy
Background: In the region of Central and Eastern Europe, long-term departments at psychiatric hospitals provide a large proportion of the care for people with complex mental health needs. The System of United Psychiatric Rehabilitation (S.U.P.R.) project focussed on the implementation of a complex set of interventions of psychosocial rehabilitation to increase the quality of care. The aim of this study was to assess the effect of the S.U.P.R. psychosocial rehabilitation programme on the quality of care at the longer-term inpatient psychiatric departments...
August 6, 2018: European Journal of Public Health
Peter R Worsley, Caitlan Conington, Holly Stuart, Alice Patterson, Dan L Bader
Background: The ankle joint is a common site of musculoskeletal pathology. Measurement of its functional range of motion is a primary indicator for rehabilitation outcomes in therapy settings. The present study was designed to assess reliability and validity of a new standardised method using a D-Flex device to assess ankle range of motion. Methods: A cohort of 20 healthy volunteers were recruited to measure the weight-bearing ankle range of motion using three assessment tools, namely, a goniometer, inclinometer and the D-Flex measurement devices...
2018: Journal of Foot and Ankle Research
Anne Hurren, Nick Miller, Paul Carding
Perceptual assessment of tracheoesophageal voice quality following total laryngectomy with surgical voice restoration is essential to investigate functional outcomes in relation to surgical procedure and rehabilitation regimes. There is no current tool with established reliability and validity to fulfill this purpose. This study describes the development of a set of new perceptual scales, in relation to core validity and reliability issues. These were investigated using voice stimuli from 55 voice prosthesis speakers and evaluated by 22 judges-12 speech and language therapists (SLTs), 10 Ear, Nose, and Throat surgeons-classified into experienced or not at assessing voice...
July 30, 2018: Journal of Voice: Official Journal of the Voice Foundation
Antonia Pierobon, Laura Ranzini, Valeria Torlaschi, Elisa Sini Bottelli, Anna Giardini, Claudio Bruschi, Roberto Maestri, Simona Callegari, Rita Raccanelli, Marinella Sommaruga
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a complex multi-component disorder characterized by progressive irreversible respiratory symptoms and extrapulmonary comorbidities, including anxiety-depression and mild cognitive impairment (MCI). However, the prevalence of these impairments is still uncertain, due to non-optimal screening methods. This observational cross-sectional multicentre study aimed to evaluate the prevalence of anxiety-depressive symptoms and MCI in COPD patients, identify the most appropriate cognitive tests to screen MCI, and investigate specific cognitive deficits in these patients and possible predictive factors...
2018: PloS One
Francesco Fattirolli, Ornella Bettinardi, Elisabetta Angelino, Letizia da Vico, Marina Ferrari, Antonia Pierobon, Daniele Temporelli, Susanna Agostini, Marco Ambrosetti, Barbara Biffi, Silvana Borghi, Silvia Brazzo, Pompilio Faggiano, Manuela Iannucci, Barbara Maffezzoni, Maria Luisa Masini, Antonio Mazza, Roberto Pedretti, Marinella Sommaruga, Sabrina Barro, Raffaele Griffo, Massimo Piepoli
Background In cardiovascular prevention and rehabilitation, care activities are carried out by different professionals in coordination, each with their own specific competence. This GICR-IACPR position paper has analysed the interventions performed by the nurse, physiotherapist, dietician and psychologist in order to identify what constitutes minimal care, and it lists the activities that are fundamental and indispensable for each team member to perform in clinical practice. Results In analysing each type of intervention, the following dimensions were considered: the level of clinical care complexity, determined both by the disease and by environmental factors; the 'area' complexity, i...
August 1, 2018: European Journal of Preventive Cardiology
Albert Puig-Pijoan, Eva Giralt-Steinhauer, Ana Zabalza de Torres, Rosa Maria Manero Borràs, Gonzalo Sánchez-Benavides, Greta García Escobar, Carmen Pérez Enríquez, Alejandra Gómez-González, Ángel Ois, Ana Rodríguez-Campello, Elisa Cuadrado-Godía, Jordi Jiménez-Conde, Jordi Peña-Casanova, Jaume Roquer
OBJECTIVES: Unilateral spatial neglect (USN) is the incapacity to respond to stimuli presented opposite to a dysfunctional cerebral hemisphere. It is usually caused by non-dominant hemisphere lesions, leads to poorer prognosis and might be underdiagnosed. The objectives of the study were to ascertain the presence of USN in acute stroke patients and analyze the possible degree of underdiagnosis in a Stroke Unit. MATERIALS AND METHODS: Prospective study of consecutive non-dominant hemisphere stroke patients within a period of 21 months...
July 30, 2018: Acta Neurologica Scandinavica
Ingerid Kleffelgaard, Helene Lundgaard Soberg, Anne-Lise Tamber, Kari Anette Bruusgaard, Are Hugo Pripp, Maria Sandhaug, Birgitta Langhammer
OBJECTIVE: To investigate the effects of group-based vestibular rehabilitation in patients with traumatic brain injury. DESIGN: A single-blind randomized controlled trial. SETTING: University Hospital (recruitment and baseline assessments) and Metropolitan University (experimental intervention). SUBJECTS: A total of 65 patients (45 women) with mild-to-moderate traumatic brain injury (mean age 39.4 ± 13.0 years) were randomly assigned to intervention ( n = 33) or control group ( n = 32)...
July 30, 2018: Clinical Rehabilitation
Ingrid Yeend, Elizabeth Francis Beach, Mridula Sharma
OBJECTIVE: The purpose of this study was to identify the main factors that differentiate listeners with clinically normal or "near-normal" hearing with regard to their speech-in-noise perception and to develop a regression model to predict speech-in-noise difficulties in this population. We also aimed to assess the potential effectiveness of the formula produced by the regression model as a "diagnostic criterion" for clinical use. DESIGN: Data from a large-scale behavioral study investigating the relationship between noise exposure and auditory processing in 122 adults (30 to 57 years) was re-examined...
July 26, 2018: Ear and Hearing
Melinda Anderson, Varsha Rallapalli, Tim Schoof, Pamela Souza, Kathryn Arehart
Clinicians have long used self-report methods to assess hearing aid benefit. However, there are fewer data as to whether self-report instruments can be used to compare differences between signal processing settings. This study examined how self-perceived performance varied as a function of modifications in signal processing using two self-report measures. Data were collected as part of a double-blind randomised crossover clinical trial. Participants were fit with two fittings: mild processing (slow time constants, disabled frequency lowering) and strong processing (fast time constants, frequency lowering enabled)...
July 27, 2018: International Journal of Audiology
Flávio Taira Kashiwagi, Regina El Dib, Huda Gomaa, Nermeen Gawish, Erica Aranha Suzumura, Taís Regina da Silva, Fernanda Cristina Winckler, Juli Thomaz de Souza, Adriana Bastos Conforto, Gustavo José Luvizutto, Rodrigo Bazan
Background: Unilateral spatial neglect (USN) is the most frequent perceptual disorder after stroke. Noninvasive brain stimulation (NIBS) is a tool that has been used in the rehabilitation process to modify cortical excitability and improve perception and functional capacity. Objective: To assess the impact of NIBS on USN after stroke. Methods: An extensive search was conducted up to July 2016. Studies were selected if they were controlled and noncontrolled trials examining transcranial direct current stimulation (tDCS), repetitive transcranial magnetic stimulation (rTMS), and theta burst stimulation (TBS) in USN after stroke, with outcomes measured by standardized USN and functional tests...
2018: Neural Plasticity
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