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Assessment for rehabilitation tool

H S Chhabra, Sunil Sharma, Shalini Verma
BACKGROUND: Mobile health (mHealth) is emerging as the most convenient way to deliver rehabilitation services remotely, and collect outcomes in real time, thus contributing to disease management by transferring care from hospital to home. It facilitates accessibility to healthcare, enhances patients' understanding of their condition, and their willingness to engage in self-management, giving way to high-quality care to the satisfaction of both patients and healthcare professionals. PURPOSE: The purpose of this study was to examine the effect of using a smartphone app (called Snapcare) on pain and function in patients suffering from chronic low back pain...
October 15, 2018: European Spine Journal
Matteo Vandoni, Luca Correale, Mariangela Valentina Puci, Christel Galvani, Roberto Codella, Fabio Togni, Antonio La Torre, Francesco Casolo, Alberto Passi, Claudio Orizio, Cristina Montomoli
The 6-minute walking test (6MWT) is a simple assessment tool to evaluate exercise capacity. The result of the test is the distance that a subject can walk at a constant and normal pace within 6 minutes (6MWD) and reflects the aerobic/fitness performance related to walking function. Use of 6MWT has been relevant to assess exercise tolerance either in healthy children or in patients with, heart, lung and metabolic diseases. Our aim was to find 6MWT reference values in healthy Italian children. The 6MWT was performed in 5614 children aged 6-11 years recruited from primary Italian schools...
2018: PloS One
Maxence Bobin, Margarita Anastassova, Mehdi Boukallel, Mehdi Ammi
This paper presents a new platform to monitor the arm and hand activity of stroke patients during rehabilitation exercises in the hospital and at home during their daily living activities. The platform provides relevant data to the therapist in order to assess the patients physical state and adapt the rehabilitation program if necessary. The platform consists of a self-contained smart cup that can be used to perform exercises that are similar to everyday tasks such as drinking. The first smart cup prototype, the design of which was based on interviews regarding the needs of therapists, contains various sensors that collect information about its orientation, the liquid level, its position compared to a reference target and tremors...
2018: IEEE Journal of Translational Engineering in Health and Medicine
Vincent Chi-Kwan Cheung, Chuanxin Minos Niu, Si Li, Qing Xie, Ning Lan
The past decades have witnessed remarkable progresses in neural technologies such as functional electrical stimulation (FES) and their applications in neuro-rehabilitation and neuromodulation. These advances are powered by new neuroscientific understandings of the organization and compositionality of neuromuscular control illuminating how muscle groups may be activated together as discrete units known as muscle synergies. These parallel developments have promoted novel approaches to clinical rehabilitation for neurological disorders that are insurmountable to current treatments...
October 11, 2018: IEEE Reviews in Biomedical Engineering
Claire Morris, Christopher Barr, Stacey George, Maria Crotty, Maayken van den Berg
BACKGROUND AND AIMS: Effective strategies are needed to address the need for scheduling support in the unique setting of a home rehabilitation service, providing home based therapy, as well as telerehabilitation. One approach is an electronic avatar-directed scheduling and memory aid in the form of an app. The aim of this study is to investigate clinician perspectives on the use of this type of technology. METHODS: In this mixed method study a total of sixteen clinicians from various disciplines based at a metropolitan hospital in Adelaide (SA, Australia) participated in 2 semi-structured focus groups aimed to explore experiences and attitudes towards scheduling support in the form of an avatar-directed app, perceptions on the usefulness of the app, as well as acceptability...
2018: Studies in Health Technology and Informatics
N Niederstrasser, B Steiger, K Welsch, S Hartmann, P Nilges, A Ljutow, D Ettlin
BACKGROUND: Occupational and social rehabilitation is influenced by perceived injustice as a result of injury. To assess perceived injustice, the Injustice Experience Questionnaire (IEQ) has been developed and is available in English. The aim of this study was to translate and culturally adapt the English version of the IEQ into German. MATERIALS AND METHODS: The IEQ was translated into German according to the criteria for the transcultural adaptation of self-assessment tools...
October 10, 2018: Der Schmerz
Débora Medeiros Rios, Mino Correia Rios, Igor Dórea Bandeira, Fernanda Queiros Campbell, Daniel de Carvalho Vaz, Rita Lucena
Introduction: Rehabilitation techniques have been used to facilitate reading acquisition in dyslexia. However, many individuals continue to present academic impairment throughout life. New intervention strategies are necessary to further help this population. Objectives: Assess the impact of transcranial direct current stimulation on reading skills in children and adolescents with dyslexia. Methods: The study was conducted with one-group pretest-posttest...
2018: Child Neurology Open
Simon Svanborg Kjeldsen, Søren Søndergaard, Lone Ramer Mikkelsen, Jørgen Feldbaek Nielsen
INTRODUCTION: In Denmark, specialised neurorehabilitation is centralised in two centres; one is Hammel Neurocentre. The neurointensive stepdown unit at Silkeborg Regional Hospital offers intensive care in addition to specialised neurorehabilitation of patients transferring to Hammel. Knowledge on patient's characteristics and course of rehabilitation in this kind of setting is sparse. OBJECTIVE: To characterise the patients, their change in function and to identify variables associated with referral time to Hammel...
October 10, 2018: Disability and Rehabilitation
Egle Tamuleviciute-Prasciene, Kristina Drulyte, Greta Jurenaite, Raimondas Kubilius, Birna Bjarnason-Wehrens
The aim of this literature review was to evaluate existing evidence on exercise-based cardiac rehabilitation (CR) as a treatment option for elderly frail patients with valvular heart disease (VHD). Pubmed database was searched for articles between 1980 and January 2018. From 2623 articles screened, 61 on frailty and VHD and 12 on exercise-based training for patients with VHD were included in the analysis. We studied and described frailty assessment in this patient population. Studies reporting results of exercise training in patients after surgical/interventional VHD treatment were analyzed regarding contents and outcomes...
2018: BioMed Research International
Gihan Shantha Jayasinghe
Scapula dyskinesis is prevalent in athletes conducting forceful overhead movements. This review summarizes our current understanding of the condition and evaluates the different options for assessing dyskinesis. Current methods for assessing scapula dyskinesis involve clinical observations, three-dimensional kinematics and three-dimensional wing computer tomography. Clinical observation is the most pragmatic method for assessing dyskinesis yielding inter-rater agreement of 79% and sensitivity of 76%. Similar sensitivities have been recorded using three-dimensional kinematics...
October 2018: Current Sports Medicine Reports
Peter Nugus, Geetha Ranmuthugala, Josianne Lamothe, David Greenfield, Joanne Travaglia, Kendall Kolne, Julia Kryluk, Jeffrey Braithwaite
PURPOSE: Health service effectiveness continues to be limited by misaligned objectives between policy makers and frontline clinicians. While capturing the discretion workers inevitably exercise, the concept of "street-level bureaucracy" has tended to artificially separate policy makers and workers. The purpose of this paper is to understand the role of social-organizational context in aligning policy with practice. DESIGN/METHODOLOGY/APPROACH: This mixed-method participatory study focuses on a locally developed tool to implement an Australia-wide strategy to engage and respond to mental health services for parents with mental illness...
September 17, 2018: Journal of Health Organization and Management
Barry J Make, Barbara P Yawn
As seen in this CME online activity (available at, COPD is characterized by pulmonary airflow obstruction that is not completely reversible. COPD presents clinically with diverse phenotypes ranging from relatively asymptomatic people to patients with severe chronic cough, abnormal sputum production, and dyspnea with exertion. Exacerbations accelerate the downward cycle of breathing difficulties, activity avoidance, and physical decline that characterizes progressive COPD...
October 2018: Chest
Yu Guo, Mingmin Xu, Meiqi Ji, Jialei Zhang, Qingchuan Hu, Zeren Wei, Jian Yan, Yue Chen, Jiaxuan Lyu, Xiaoqian Shao, Ying Wang, Jiamei Guo, Yulong Wei
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide with a substantial and increasing social and economic burden. Liuzijue Qigong is a kind of traditional Chinese Qigong exercises that Traditional Chinese Medicine practitioners prescribe to individuals with COPD to strengthen the internal organs' function. Liuzijue Qigong was recommended for use in COPD rehabilitation, and some clinical trials indicate that Liuzijue Qigong would produce better functional capacity and quality of life of individuals with COPD...
October 2018: Medicine (Baltimore)
Bruno Bonnechère, Bart Jansen, Inès Haack, Lubos Omelina, Véronique Feipel, Serge Van Sint Jan, Massimo Pandolfo
BACKGROUND: Friedreich ataxia (FRDA) is a disease with neurological and systemic involvement. Clinical assessment tools commonly used for FRDA become less effective in evaluating decay in patients with advanced FRDA, particularly when they are in a wheelchair. Further motor worsening mainly impairs upper limb function. In this study, we tested if serious games (SG) developed for rehabilitation can be used as an assessment tool for upper limb function even in patients with advanced FRDA...
October 4, 2018: Journal of Neuroengineering and Rehabilitation
Carrie Stewart, Selvarani Subbarayan, Pamela Paton, Elliot Gemmell, Iosief Abraha, Phyo Kyaw Myint, Denis O'Mahony, Alfonso J Cruz-Jentoft, Antonio Cherubini, Roy L Soiza
Globally, stroke remains a leading cause of death and disability, with older adults disproportionately affected. Numerous non-pharmacological stroke rehabilitation approaches are in use to address impairments, but their efficacy in older persons is largely unknown. This systematic review examined the evidence for such interventions as part of the Optimal Evidence-Based Non-Drug Therapies in Older Persons (ONTOP) project conducted under an European Union funded project called the Software Engine for the Assessment and Optimisation of Drug and Non-Drug Therapies in Older Persons (SENATOR) [http://www...
2018: PloS One
Dimitrios Skempes, John Melvin, Per von Groote, Gerold Stucki, Jerome Bickenbach
BACKGROUND: Rehabilitation is crucial for the realization of the right to health and a proper concern of global health. Yet, reliable information to guide rehabilitation service planning is unavailable in many countries in part due to the lack of appropriate indicators. To ensure universal health coverage and meet the central imperative of "leaving no one behind" countries must be able to assess key aspects of rehabilitation policy and provision and monitor how they have discharged their human rights responsibilities towards those most disadvantaged, including people with disability...
October 1, 2018: Globalization and Health
Mini E Jacob, Thomas G Travison, Rachel E Ward, Nancy K Latham, Suzanne G Leveille, Alan M Jette, Jonathan F Bean
Background: The Short Physical Performance Battery (SPPB) is advocated as a screening tool in geriatric care for predicting future disability. We aimed to identify the leg neuromuscular attributes to be targeted in rehabilitative care among older adults with poor SPPB scores. Methods: Boston Rehabilitative Impairment Study of the Elderly (Boston RISE) participants (n = 430) underwent assessment of neuromuscular attributes (leg strength, leg velocity, trunk extensor endurance, knee flexion range of motion [ROM], ankle ROM, and foot sensation)...
October 4, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Simonetta Panerai, Valentina Catania, Francesco Rundo, Raffaele Ferri
Background: Virtual Reality (VR) is acquiring increasing credibility as a tool for teaching independent living skills to people with Intellectual Disability (ID). Generalization of skills acquired during VR training into real environment seems to be feasible. Objective: To assess feasibility and verify effectiveness of a remote home-based rehabilitation, focused on functional living skills, for adolescents and young adults with ID, by using virtual apps installed on tablets. In particular, to assess if this tool can be managed independently, if it is enjoyable and simple to be used, and if the acquired skills can be generalized to the real environment of everyday life...
2018: Frontiers in Psychology
Bilal A Mateen, Karen Baker, E Diane Playford
BACKGROUND: Stroke is a leading cause of disability worldwide. The most common impairment resulting from stroke is upper-limb weakness. OBJECTIVES: To determine the usefulness and psychometric validity of the upper-limb subscale of the STREAM in an acute stroke population. METHODS: Rasch Analysis, including unidimensionality assumption testing, determining model fit, and analysis of: reliability, residual correlations, and differential item functioning...
October 3, 2018: Topics in Stroke Rehabilitation
Tonya M Pan, Maria Kryza-Lacombe, Jeffrey Burkeen, Jona Hattangadi-Gluth, Vanessa L Malcarne, Carrie R McDonald
OBJECTIVES: The objectives of this systematic review were to: (1) identify supportive-care (psychosocial/behavioral, pharmacological, complementary or alternative) interventions that have been evaluated via randomized controlled trials (RCTs) to improve patient-reported health-related quality of life (HRQoL) among adults with brain tumors; (2) evaluate the quality of the intervention studies; and (3) evaluate if developed interventions have been efficacious at improving HRQoL, as compared to control conditions in RCTs...
October 2, 2018: Psycho-oncology
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