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https://www.readbyqxmd.com/read/29772607/mechanisms-and-drivers-of-social-inequality-in-phase-ii-cardiac-rehabilitation-attendance-a-convergent-mixed-methods-study
#1
Maria Pedersen, Dorthe Overgaard, Ingelise Andersen, Marie Baastrup, Ingrid Egerod
AIM: To explore the extent to which the qualitative and quantitative data converge and explain mechanisms and drivers of social inequality in cardiac rehabilitation attendance. BACKGROUND: Social inequality in cardiac rehabilitation attendance has been a recognized problem for many years. However, to date the mechanisms driving these inequalities are still not fully understood. DESIGN: The study was designed as a convergent mixed methods study...
May 17, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29758963/force-control-of-wire-driving-lower-limb-rehabilitation-robot
#2
Yupeng Zou, Huizi Ma, Zhiyuan Han, Yang Song, Kai Liu
BACKGROUND: To solve the technical problems associated with the research on lower limb rehabilitation robot in terms of configuration design, human-machine compatibility, lightweight, and multimodel rehabilitation. OBJECTIVE: This study introduced a parallel wire driving lower limb rehabilitation robot. The robot featured modular design, reconfiguration, multimodel, and good human-machine compatibility. METHODS: The dynamics model of the wire driving module (WDM) was built based on which a multiple feedback loop controller (including a forward controller and a surplus force compensator) was designed...
April 24, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29745503/-implementation-of-control-system-and-software-design-for-limbs-rehabilitation-training-based-on-pci-1240
#3
Wenchao Zhu, Xiulin Xu, Xiufang Hu, Meijun An
This article presents the design of a motion control system for seated lower-limb rehabilitation training. The system is composed of lower limb exoskeleton, motor drive circuit, program of motion control, and so forth. The power of lower limbs joints is provided by six motors. The PCI-1240 motion control card is used as the core. This study achieved repetitive rotation training and gait trajectory training of lower limbs joints, of which the velocity, angle and time can be accurately controlled and adjusted...
June 1, 2017: Sheng Wu Yi Xue Gong Cheng Xue za Zhi, Journal of Biomedical Engineering, Shengwu Yixue Gongchengxue Zazhi
https://www.readbyqxmd.com/read/29740569/kinetic-analysis-of-downward-step-posture-according-to-the-foothold-heights-and-visual-information-blockage-in-cargo-truck
#4
Seung-Hyun Hyun, Che-Cheong Ryew
The study was undertaken to compare and analyze kinetic variables during downward foot-on according to the foothold heights under interrupted-visual information on 25-t cargo truck. Skilled adult male drivers (n=10) engaged in cargo truck driving over 1 year participated in the experiment. The results obtained from cinematographic and ground reaction force data during downward foot-on as follows; First, leg stiffness, peak vertical force (PVF) and loading rate showed significant difference as an increase of foothold heights, that is, interrupted-visual information showed greater impulse force than as was not...
April 2018: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29710754/structural-analysis-of-a-rehabilitative-training-system-based-on-a-ceiling-rail-for-safety-of-hemiplegia-patients
#5
Kyong Kim, Won Kyung Song, Woo Suk Chong, Chang Ho Yu
The body-weight support (BWS) function, which helps to decrease load stresses on a user, is an effective tool for gait and balance rehabilitation training for elderly people with weakened lower-extremity muscular strength, hemiplegic patients, etc. This study conducts structural analysis to secure user safety in order to develop a rail-type gait and balance rehabilitation training system (RRTS). The RRTS comprises a rail, trolley, and brain-machine interface. The rail (platform) is connected to the ceiling structure, bearing the loads of the RRTS and of the user and allowing locomobility...
April 17, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29689754/hydrogen-absorbing-alloy-based-metal-hydride-actuation-for-application-in-rehabilitative-systems
#6
Kyong Kim, Seong Hyun Kim, Sung Hoon Kim, Chang Ho Yu
BACKGROUND: A lightweight rehabilitation assisting system is required to help the aged and disabled with daily life activities, thereby improving the quality of their lives. OBJECTIVE: This paper discusses the development of a metal-hydride (MH) actuator, with excellent heat transfer performance, for application in a rehabilitative system incorporating an MH module. METHODS: The operating mechanism of MH actuators requires that the mechanical power of the pneumatic actuator only be generated via heat transfer through a Peltier element and the absorption/desorption of a hydrogen-contained MH module...
April 10, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29649827/effects-of-driving-skill-training-on-safe-driving-in-older-adults-with-mild-cognitive-impairment
#7
Hiroyuki Shimada, Ryo Hotta, Hyuma Makizako, Takehiko Doi, Kota Tsutsumimoto, Sho Nakakubo, Keitaro Makino
BACKGROUND: Driving cessation is strongly associated with adverse health outcomes in the older adults. Although there were numerous documentations of driving rehabilitation in disabled adults, the effects of interventions on safe driving were not clear in older adults with cognitive impairment who had low driving skills. OBJECTIVE: This randomized controlled trial was designed to determine whether a safe driving skill program consisting of classroom and on-road training could enhance driving performance of older drivers with cognitive impairment in Japan...
April 12, 2018: Gerontology
https://www.readbyqxmd.com/read/29628911/estimation-of-muscle-force-based-on-neural-drive-in-a-hemispheric-stroke-survivor
#8
Chenyun Dai, Yang Zheng, Xiaogang Hu
Robotic assistant-based therapy holds great promise to improve the functional recovery of stroke survivors. Numerous neural-machine interface techniques have been used to decode the intended movement to control robotic systems for rehabilitation therapies. In this case report, we tested the feasibility of estimating finger extensor muscle forces of a stroke survivor, based on the decoded descending neural drive through population motoneuron discharge timings. Motoneuron discharge events were obtained by decomposing high-density surface electromyogram (sEMG) signals of the finger extensor muscle...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29616218/recent-insights-into-the-contribution-of-the-changing-hypertrophic-chondrocyte-phenotype-in-the-development-and-progression-of-osteoarthritis
#9
REVIEW
Ellen G J Ripmeester, Ufuk Tan Timur, Marjolein M J Caron, Tim J M Welting
Osteoarthritis (OA) is an extremely prevalent age-related condition. The economic and societal burden due to the cost of symptomatic treatment, inability to work, joint replacement, and rehabilitation is huge and increasing. Currently, there are no effective medical therapies that delay or reverse the pathological manifestations of OA. Current treatment options are, without exception, focused on slowing down progression of the disease to postpone total joint replacement surgery for as long as possible and keeping the associated pain and joint immobility manageable...
2018: Frontiers in Bioengineering and Biotechnology
https://www.readbyqxmd.com/read/29600743/what-types-of-recommendations-are-we-giving-patients-a-survey-of-clinical-neuropsychologists
#10
Molly Z Meth, John P K Bernstein, Matthew Calamia, Daniel Tranel
OBJECTIVE: To identify types of recommendations that neuropsychologists most frequently give to patients, and determine which specific recommendations are most and least consistently given to patients across and within different diagnostic populations. METHOD: A total of 309 clinical neuropsychologists completed a survey evaluating the frequency with which they made particular types of recommendations (e.g. driving, employment and education, health and rehabilitation referrals) to patients with various disorders (e...
March 30, 2018: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/29599953/intelligent-control-wheelchair-using-a-new-visual-joystick
#11
Yassine Rabhi, Makrem Mrabet, Farhat Fnaiech
A new control system of a hand gesture-controlled wheelchair (EWC) is proposed. This smart control device is suitable for a large number of patients who cannot manipulate a standard joystick wheelchair. The movement control system uses a camera fixed on the wheelchair. The patient's hand movements are recognized using a visual recognition algorithm and artificial intelligence software; the derived corresponding signals are thus used to control the EWC in real time. One of the main features of this control technique is that it allows the patient to drive the wheelchair with a variable speed similar to that of a standard joystick...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29567874/-a-case-of-segmental-dysgenesis-at-the-terminal-portion-c1-of-the-internal-carotid-artery-with-an-anomalous-collateral-vessel-containing-plexiform-twig-like-networks-as-a-possible-cause-of-intracerebral-hemorrhage
#12
Shota Higami, Keisuke Ozono, Ryujiro Ushijima, Daiki Uchida, Takeshi Hiu, Ichiro Kawahara, Tomonori Ono, Keisuke Toda, Keisuke Tsutsumi
A 65-year-old woman was transferred to our hospital because of loss of consciousness along with a right hemiplegia due to an intracerebral hematoma(ICH)that extended from the left temporal lobe to the lateral part of the basal ganglia. CT angiograms(CTA)and 3D-rotational angiograms showed an absence of the distal C1 segment of the left internal carotid artery(ICA), and an anomalous collateral vessel arising from the proximal end of the left A2 with plexiform(twig-like)arterial networks, supplying antegrade blood flow to the left middle cerebral artery territory...
March 2018: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/29549875/soil-uranium-concentration-at-ranger-uranium-mine-land-application-areas-drives-changes-in-the-bacterial-community
#13
Saqib Mumtaz, Claire Streten, David L Parry, Keith A McGuinness, Ping Lu, Karen S Gibb
Soil microorganisms may respond to metal stress by a shift in the microbial community from metal sensitive to metal resistant microorganisms. We assessed the bacterial community from low (2-20 mg kg-1 ), medium (200-400 mg kg-1 ), high (500-900 mg kg-1 ) and very high (>900 mg kg-1 ) uranium soils at Ranger Uranium Mine in northern Australia through pyrosequencing. Proteobacteria (28.85%) was the most abundant phylum at these sites, followed by Actinobacteria (9.31%), Acidobacteria (7.33%), Verrucomicrobia (2...
September 2018: Journal of Environmental Radioactivity
https://www.readbyqxmd.com/read/29532649/contralateral-effect-of-short-duration-unilateral-neuromuscular-electrical-stimulation-and-focal-vibration-in-healthy-subjects
#14
Marco A Minetto, Alberto Botter, Giulia Gamerro, Ilaria Varvello, Giuseppe Massazza, Rosa G Bellomo, Nicola A Maffiuletti, Raoul Saggini
BACKGROUND: The "contralateral effect" phenomenon refers to the strength gain in the opposite, untrained homonymous muscle following unilateral training. Previous studies showed that neuromuscular electrical stimulation (NMES) of the right quadriceps facilitated maximal voluntary strength and efferent neural drive of the left knee extensors, while no previous study investigated the contralateral effect elicited by focal muscle vibration. AIM: To investigate whether quadriceps NMES and focal vibration, when applied unilaterally, have the same potential to enhance the contralateral muscle strength and the associated neural drive...
March 12, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29528875/cost-effectiveness-of-ci-in-developing-countries
#15
Isabelle Magro, Susan D Emmett, James Saunders
PURPOSE OF REVIEW: Cost-effectiveness of cochlear implants is a major concern for expanding these services to low-income and middle-income developing countries. RECENT FINDINGS: Recent studies have applied appropriate methodology to make determination of cost-effectiveness for cochlear implants in developing countries. In addition, important parameters that effect cost-effectiveness have been reviewed in a systematic way. The combination of these new studies along with existing reports of cochlear implant programmes in developing countries allows for a discussion of cost and outcomes determinants that drive cost-effectiveness in these environments...
June 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/29518375/interdisciplinary-approaches-to-facilitate-return-to-driving-and-return-to-work-in-mild-stroke-a-position-paper
#16
Suzanne Perea Burns, Jaclyn K Schwartz, Shannon L Scott, Hannes Devos, Mark Kovic, Ickpyo Hong, Abiodun Akinwuntan
Adults with mild stroke face substantial challenges resuming valued roles in the community. The term "mild" provides false representation of the lived experience for many adults with mild stroke who may continue to experience persistent challenges and unmet needs. Rehabilitation practitioners can identify and consequently intervene to facilitate improved independence, participation, and quality of life by facilitating function and reducing the burden of lost abilities among adults with mild stroke...
March 6, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29514376/contemporary-perioperative-analgesia-in-total-knee-arthroplasty-multimodal-protocols-regional-anesthesia-and-peripheral-nerve-blockade
#17
Jacob M Drew, Jonathan Neilio, Lisa Kunze
Perioperative care of the total knee arthroplasty (TKA) patient has evolved considerably over the past decade. Among the changes driving this evolution toward shorter hospitalization and accelerated rehabilitation have been regional anesthesia, peripheral nerve blockade, and multimodal analgesia protocols. These complementary techniques are increasingly supported by scientific evidence, though considerable uncertainty persists regarding the optimal combination of strategies. Continued refinement of technique and critical evaluation is trending toward greater characterization of the comparative effectiveness of myriad options...
March 7, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29493638/-cochrane-rehabilitation-a-new-field-for-evidence-production-and-dissemination
#18
Chiara Arienti, Francesca Gimigliano, Joel Pollet, Carlotte Kiekens, Stefano Negrini
INTRODUCTION: After approval by Cochrane Steering Group, Cochrane Rehabilitation has been launched on 16th December 2016. The aim of Cochrane Rehabilitation is to bridge between Cochrane and Rehabilitation stakeholders, systematically identifying and spreading evidence, but also improving its quality and quantity production per clinical needs. METHODS: Cochrane Rehabilitation is a network of individuals, coming from all continents. Therefore, a clear and well-structured organisation is required to make Cochrane Rehabilitation functioning effectively...
February 2018: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/29488407/predicting-fitness-to-drive-following-stroke-using-the-occupational-therapy-driver-off-road-assessment-battery
#19
Carolyn A Unsworth, Anne Baker, Natasha Lannin, Priscilla Harries, Janene Strahan, Matthew Browne
INTRODUCTION: It is difficult to determine if, or when, individuals with stroke are ready to undergo on-road fitness-to-drive assessment. The Occupational Therapy - Driver Off Road Assessment Battery was developed to determine client suitability to resume driving. The predictive validity of the Battery needs to be verified for people with stroke. AIM: Examine the predictive validity of the Occupational Therapy - Driver Off Road Assessment Battery for on-road performance among people with stroke...
February 28, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29463192/home-based-exercise-for-elderly-patients-with-intermittent-claudication-limited-by-osteoarticular-disorders-feasibility-and-effectiveness-of-a-low-intensity-programme
#20
Nicola Lamberti, Sofia Straudi, Efisio Lissia, Lorenza Cavazzini, Sergio Buja, Roberto Manfredini, Nino Basaglia, Fabio Manfredini
BACKGROUND: Peripheral arterial disease (PAD) is a common cardiovascular pathology affecting mobility in elderly. Osteoarticular diseases (ODs), responsible for functional limitations and confounding leg symptoms, may interfere with exercise therapy. This study evaluates the feasibility and effectiveness of a structured home-based exercise programme on rehabilitative outcomes in a cohort of elderly PAD patients with and without coexisting ODs. PATIENTS AND METHODS: Patients were enrolled from 2002 to 2016 in an exercise programme prescribed and controlled at the hospital and based on two daily 10-minute home walking sessions below the self-selected speed...
April 2018: VASA. Zeitschrift Für Gefässkrankheiten
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