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Driving rehabilitation

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https://www.readbyqxmd.com/read/28077661/characterizing-differential-post-stroke-corticomotor-drive-to-the-dorsi-and-plantarflexor-muscles-during-resting-and-volitional-muscle-activation
#1
Jacqueline Ann Palmer, Ryan Zarzycki, Susanne M Morton, Trisha M Kesar, Stuart A Binder-Macleod
Imbalance of corticomotor excitability between the paretic and nonparetic limbs has been associated with the extent of upper extremity motor recovery post-stroke, is greatly influenced by specific testing conditions such as the presence or absence of volitional muscle activation, and may vary across muscle groups. However, despite its clinical importance, post-stroke corticomotor drive to lower extremity muscles has not been thoroughly investigated. Additionally, while conventional gait rehabilitation strategies for stroke survivors focus on paretic limb foot drop and dorsiflexion impairments, most contemporary literature has indicated that paretic limb propulsion and plantarflexion impairments are the most significant limiters to post-stroke walking function...
January 11, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28056045/further-development-of-the-assessment-of-military-multitasking-performance-iterative-reliability-testing
#2
Margaret M Weightman, Karen L McCulloch, Mary V Radomski, Marsha Finkelstein, Amy S Cecchini, Leslie F Davidson, Kristin J Heaton, Laurel B Smith, Matthew R Scherer
The Assessment of Military Multitasking Performance (AMMP) is a battery of functional dual-tasks and multitasks based on military activities that target known sensorimotor, cognitive, and exertional vulnerabilities after concussion/mild traumatic brain injury (mTBI). The AMMP was developed to help address known limitations in post concussive return to duty assessment and decision making. Once validated, the AMMP is intended for use in combination with other metrics to inform duty-readiness decisions in Active Duty Service Members following concussion...
2017: PloS One
https://www.readbyqxmd.com/read/28050933/interrater-reliability-of-western-university-s-on-road-assessment
#3
Sherrilene Classen, Sarah Krasniuk, Melissa Knott, Liliana Alvarez, Miriam Monahan, Sarah Morrow, Tim Danter
BACKGROUND: Little empirical support exists for interrater reliability between evaluators from different backgrounds when assessing on-road outcomes of drivers. PURPOSE: We quantified interrater reliability of on-road outcomes between a certified driving school instructor (DI) and an occupational therapist and certified driver rehabilitation specialist (CDRS). METHOD: Both raters used the Global Rating Score (GRS) with two levels (pass, fail), the GRS with four levels (pass, pass with recommendations, fail remediable, fail), and the priority error rating score (PERS; most frequently occurring on-road errors in priority order) to assess 35 drivers (age, M = 48...
December 2016: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
https://www.readbyqxmd.com/read/28034325/skill-training-preferences-and-technology-use-in-persons-with-neck-and-low-back-pain
#4
Jonas Verbrugghe, Mieke Haesen, Ruth Spierings, Kim Willems, Guido Claes, Enzo Olivieri, Karin Coninx, Annick Timmermans
BACKGROUND: Neck pain (NP) and low back pain (LBP) are highly prevalent. Exercise therapy helps, but effect sizes and therapy compliance remain low. Client-centred therapy and technology use may play a role to improve therapy outcomes. To offer technology supported rehabilitation matching patient's goals, training preferences for rehabilitation and technology familiarity need to be known. PURPOSE: This study aims to (1) inventory training preferences and motives, (2) evaluate whether these change during rehabilitation, and (3) evaluate familiarity with using technologies, in persons with NP/LBP...
December 30, 2016: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28025254/shaping-the-output-of-lumbar-flexor-motoneurons-by-sacral-neuronal-networks
#5
Meir Cherniak, Lili Anglister, Aharon Lev-Tov
: The ability to improve motor function in spinal cord injury patients by reactivating spinal central pattern generators (CPGs) requires the elucidation of neurons and pathways involved in activation and modulation of spinal networks in accessible experimental models. Previously we reported on adrenoceptor-dependent sacral control of lumbar-flexor motoneuron firing in newborn rats. The current work focuses on clarification of the circuitry and connectivity involved in this unique modulation and its potential use...
December 26, 2016: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/27984221/strengthening-rehabilitation-in-health-systems-worldwide-by-integrating-information-on-functioning-in-national-health-information-systems
#6
Gerold Stucki, Jerome Bickenbach, John Melvin
A complete understanding of the experience of health requires information relevant not merely to the health indicators of mortality and morbidity but also to functioning-that is, information about what it means to live in a health state, "the lived experience of health." Not only is functioning information relevant to healthcare and the overall objectives of person-centered healthcare but to the successful operation of all components of health systems.In light of population aging and major epidemiological trends, the health strategy of rehabilitation, whose aim has always been to optimize functioning and minimize disability, will become a key health strategy...
December 15, 2016: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/27983626/design-and-optimization-of-a-hybrid-driven-waist-rehabilitation-robot
#7
Bin Zi, Guangcai Yin, Dan Zhang
In this paper a waist rehabilitation robot driven by cables and pneumatic artificial muscles (PAMs) has been conceptualized and designed. In the process of mechanism design, the human body structure, the waist movement characteristics, and the actuators' driving characteristics are the main considerable factors to make the hybrid-driven waist rehabilitation robot (HWRR) cost-effective, safe, flexible, and well-adapted. A variety of sensors are chosen to measure the position and orientation of the recovery patient to ensure patient safety at the same time as the structure design...
December 14, 2016: Sensors
https://www.readbyqxmd.com/read/27981912/probing-the-human-spinal-locomotor-circuits-by-phasic-step-induced-feedback-and-by-tonic-electrical-and-pharmacological-neuromodulation
#8
Ursula S Hofstoetter, Maria Knikou, Pierre A Guertin, Karen Minassian
The mammalian lumbar spinal cord experimentally isolated from supraspinal and afferent feedback input remains capable of expressing some basic locomotor function when appropriately stimulated. This ability has been attributed to spinal neural circuits referred to as central pattern generators (CPGs). In individuals with a severe spinal cord injury, rhythmic activity in paralyzed leg muscles can be generated by phasic proprioceptive feedback during therapist- or robotic-assisted stepping on a motorized treadmill...
December 14, 2016: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/27976926/experiences-of-using-information-and-communication-technology-within-the-first-year-after-stroke-a-grounded-theory-study
#9
Martha Gustavsson, Charlotte Ytterberg, Mille Nabsen Marwaa, Kerstin Tham, Susanne Guidetti
PURPOSE: The purpose of this study was to identify how people 6-12 months after stroke were using and integrating information and communication technology (ICT) in their everyday lives. METHOD: To capture the participants' experiences, one focus group and 14 individual interviews were carried out in Sweden and Denmark regarding the use of ICT in everyday life. The participants comprised 11 men and seven women aged 41-79 years. A grounded theory approach was used throughout the study and a constant comparative method was used in the analysis...
December 15, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27965588/unilateral-eccentric-contraction-of-the-plantarflexors-leads-to-bilateral-alterations-in-leg-dexterity
#10
Akira Nagamori, Francisco J Valero-Cuevas, James M Finley
Eccentric contractions can affect musculotendon mechanical properties and disrupt muscle proprioception, but their behavioral consequences are poorly understood. We tested whether repeated eccentric contractions of plantarflexor muscles of one leg affected the dexterity of either leg. Twenty healthy male subjects (27.3 ± 4.0 yrs) compressed a compliant and slender spring prone to buckling with each isolated leg. The maximal instability they could control (i.e., the maximal average sustained compression force, or lower extremity dexterity force, LEDforce) quantified the dexterity of each leg...
2016: Frontiers in Physiology
https://www.readbyqxmd.com/read/27873553/real-time-control-of-an-exoskeleton-hand-robot-with-myoelectric-pattern-recognition
#11
Zhiyuan Lu, Xiang Chen, Xu Zhang, Kay-Yu Tong, Ping Zhou
Robot-assisted training provides an effective approach to neurological injury rehabilitation. To meet the challenge of hand rehabilitation after neurological injuries, this study presents an advanced myoelectric pattern recognition scheme for real-time intention-driven control of a hand exoskeleton. The developed scheme detects and recognizes user's intention of six different hand motions using four channels of surface electromyography (EMG) signals acquired from the forearm and hand muscles, and then drives the exoskeleton to assist the user accomplish the intended motion...
October 6, 2016: International Journal of Neural Systems
https://www.readbyqxmd.com/read/27845945/early-rehabilitation-after-stroke
#12
Julie Bernhardt, Erin Godecke, Liam Johnson, Peter Langhorne
PURPOSE OF REVIEW: Early rehabilitation is recommended in many guidelines, with limited evidence to guide practice. Brain neurobiology suggests that early training, at the right dose, will aid recovery. In this review, we highlight recent trials of early mobilization, aphasia, dysphagia and upper limb treatment in which intervention is commenced within 7 days of stroke and discuss future research directions. RECENT FINDINGS: Trials in this early time window are few...
February 2017: Current Opinion in Neurology
https://www.readbyqxmd.com/read/27830643/driving-intervention-for-returning-combat-veterans-interim-analysis-of-a-randomized-controlled-trial
#13
Sherrilene Classen, Sandra Winter, Miriam Monahan, Abraham Yarney, Amanda Link Lutz, Kyle Platek, Charles Levy
Increased crash incidence following deployment and veterans' reports of driving difficulty spurred traffic safety research for this population. We conducted an interim analysis on the efficacy of a simulator-based occupational therapy driving intervention (OT-DI) compared with traffic safety education (TSE) in a randomized controlled trial. During baseline and post-testing, OT-Driver Rehabilitation Specialists and one OT-Certified Driver Rehabilitation Specialist measured driving performance errors on a DriveSafety CDS-250 high-fidelity simulator...
November 8, 2016: OTJR: Occupation, Participation and Health
https://www.readbyqxmd.com/read/27762657/rehabilitation-strategies-after-spinal-cord-injury-inquiry-into-the-mechanisms-of-success-and-failure
#14
Marie-Pascale Côté, Marion Murray, Michel A Lemay
Body-weight supported locomotor training (BWST) promotes recovery of load-bearing stepping in lower mammals, but its efficacy in individuals with a spinal cord injury (SCI) is limited and highly dependent on injury severity. While animal models with complete spinal transections recover stepping with step-training, motor complete SCI individuals do not, despite similarly intensive training. In this review, we examine the significant differences between humans and animal models that may explain this discrepancy in the results obtained with BWST...
November 21, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27725006/visuospatial-memory-improvement-in-patients-with-diffuse-axonal-injury-dai-a-1-year-follow-up-study
#15
Ana Luiza Zaninotto, Jessica Elias Vicentini, Davi Jorge Fontoura Solla, Tatiana Tateishi Silva, Vinicius Monteiro de Paula Guirado, Fabrício Feltrin, Mara Cristina Souza de Lucia, Manoel Jacobsen Teixeira, Wellingson Silva Paiva
OBJECTIVE: Diffuse axonal injury (DAI) is prevalent in traumatic brain injury (TBI), and is often associated with poor outcomes and cognitive impairment, including memory deficits. Few studies have explored visual memory after TBI and its relationship to executive functioning. Executive functioning is crucial for remembering an object's location, operating devices, driving, and route finding. We compared visual memory performance via the Rey-Osterrieth Complex Figure (ROCF) test 6 and 12 months after DAI...
October 11, 2016: Acta Neuropsychiatrica
https://www.readbyqxmd.com/read/27724945/a-robot-based-behavioural-task-to-quantify-impairments-in-rapid-motor-decisions-and-actions-after-stroke
#16
Teige C Bourke, Catherine R Lowrey, Sean P Dukelow, Stephen D Bagg, Kathleen E Norman, Stephen H Scott
BACKGROUND: Stroke can affect our ability to perform daily activities, although it can be difficult to identify the underlying functional impairment(s). Recent theories highlight the importance of sensory feedback in selecting future motor actions. This selection process can involve multiple processes to achieve a behavioural goal, including selective attention, feature/object recognition, and movement inhibition. These functions are often impaired after stroke, but existing clinical measures tend to explore these processes in isolation and without time constraints...
October 10, 2016: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/27718011/gun-barrel-view-of-the-anterior-pelvic-ring-for-percutaneous-anterior-column-or-superior-pubic-ramus-screw-placement
#17
Nicholas Quercetti, Brandon Horne, Zac DiPaolo, Michael J Prayson
BACKGROUND: Traditionally, operative fixation of pelvic and acetabular injuries involves complex approaches and significant complications. Accelerated rehabilitation, decreased soft tissue stripping and decreased wound complications are several benefits driving a recent interest in percutaneous fixation. We describe a new fluoroscopic view to guide the placement of screws within the anterior pelvic ring. METHODS: Twenty retrograde anterior pelvic ring screws were percutaneously placed in ten cadaveric specimens...
October 7, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27697874/effect-of-day-case-unilateral-cochlear-implantation-in-adults-on-general-and-disease-specific-quality-of-life-postoperative-complications-and-hearing-results-tinnitus-vertigo-and-cost-effectiveness-protocol-for-a-randomised-controlled-trial
#18
Laura S M Derks, Inge Wegner, Adriana L Smit, Hans G X M Thomeer, Vedat Topsakal, Wilko Grolman
INTRODUCTION: Cochlear implantation is an increasingly common procedure in the treatment of severe to profound sensorineural hearing loss (SNHL) in children and adults. It is often performed as a day-case procedure. The major drive towards day-case surgery has been from a logistical, economical and societal perspective, but we also speculate that the patient's quality of life (QoL) is at least equal to inpatient surgery if not increased as a result of rapid discharge and rehabilitation...
October 3, 2016: BMJ Open
https://www.readbyqxmd.com/read/27676940/effects-of-an-8-week-local-vibration-training-on-corticospinal-properties-of-the-tibialis-anterior-muscle
#19
Robin Souron, Adrien Farabet, Léonard Féasson, Alain Belli, Guillaume Y Millet, Thomas Lapole
OBJECTIVE: It has been recently proposed the use of vibration as a neuromuscular rehabilitation technique. A recent study showed significant strength improvement after 14days of local vibration training on the Achilles tendon. An improvement of the motor drive from the cortical level has been proposed to be one of the mechanisms involved. The aim of the current study was to assess the effects of an 8-week local vibration training (24 sessions of 1h each) on: - the maximal voluntary contraction (MVC); - the cortical voluntary activation (VATMS) assessed using transcranial magnetic stimulation (TMS) technique for the tibialis anterior (TA) muscle...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676898/creation-of-a-brochure-for-amputees-living-with-an-amputation
#20
Aurelie Vouilloz, François Luthi
OBJECTIVE: A lower limb amputation is a major event for a patient with many questions arising for him and his family. Individual and environmental factors could influence patient's quality of life and adaptation to amputation. Most of the time brochures concern post operative care after limb amputation (surgery type, stump medical care, prosthetics…). Rehabilitation is often only briefly dealt with these brochures. OBJECTIVES OF THIS STUDY: (1) To write a brochure specifically concerning rehabilitation for lower limb amputees...
September 2016: Annals of Physical and Rehabilitation Medicine
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