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Driving rehabilitation

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https://www.readbyqxmd.com/read/29144107/safe-return-to-driving-following-severe-acquired-brain-injury-role-of-a-short-neuropsychological-assessment
#1
Donatella Saviola, Antonio DE Tanti, Jessica Conforti, Lucio Posteraro, Alessia Manfredini, Chiara Bagattini, Benedetta Basagni
BACKGROUND: Driving is a complex ability requiring a broad range of motor, cognitive- behavioural and visual skills that may be impaired after severe Acquired Brain Injury (sABI). Resumption of driving is perceived as a major need by patients, being closely linked to personal autonomy, work and social activities. AIM: The objective of this study was to identify a short battery of neuropsychological tests with predictive value with regard to safe return to driving after sABI...
November 16, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29137639/proactive-ethical-design-for-neuroengineering-assistive-and-rehabilitation-technologies-the-cybathlon-lesson
#2
REVIEW
Marcello Ienca, Reto W Kressig, Fabrice Jotterand, Bernice Elger
BACKGROUND: Rapid advancements in rehabilitation science and the widespread application of engineering techniques are opening the prospect of a new phase of clinical and commercial maturity for Neuroengineering, Assistive and Rehabilitation Technologies (NARTs). As the field enters this new phase, there is an urgent need to address and anticipate the ethical implications associated with novel technological opportunities, clinical solutions, and social applications. MAIN IDEA: In this paper we review possible approaches to the ethics of NART, and propose a framework for ethical design and development, which we call the Proactive Ethical Design (PED) framework...
November 14, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29129793/the-interval-between-vns-tone-pairings-determines-the-extent-of-cortical-map-plasticity
#3
Michael S Borland, Crystal T Engineer, William A Vrana, Nicole A Moreno, Navzer D Engineer, Sven Vanneste, Pryanka Sharma, Meghan C Pantalia, Mark C Lane, Robert L Rennaker, Michael P Kilgard
Repeatedly pairing vagus nerve stimulation (VNS) with a tone or movement drives highly-specific and long-lasting plasticity in auditory or motor cortex, respectively. Based on this robust enhancement of plasticity, VNS paired with rehabilitative training has emerged as a potential therapy to improve recovery, even when delivered long after the neurological insult. Development of VNS delivery paradigms that reduce therapy duration and maximize efficacy would facilitate clinical translation. The goal of the current study was to determine whether primary auditory cortex (A1) plasticity can be generated more quickly by shortening the interval between VNS-tone pairing events or by delivering fewer VNS-tone pairing events...
November 9, 2017: Neuroscience
https://www.readbyqxmd.com/read/29119363/the-effects-of-visual-feedback-distortion-with-unilateral-leg-loading-on-gait-symmetry
#4
Carlos Tobar, Eva Martinez, Nada Rhouni, Seung-Jae Kim
Our prior work provides evidence that visual feedback distortion drives an implicit adaptation; a gradual distortion of visual representation of step length modulated subjects' step lengths away from symmetry. To further explore the effect of the visual feedback distortion on unconscious change in step symmetry, we investigated whether such adaptation would occur even in the presence of altered limb mechanics by adding mass to one side of the leg. 26 subjects performed three 8-min trials (weight only, weight plus visual feedback, and weight plus visual feedback distortion) of treadmill walking...
November 8, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/29110135/the-effect-of-visual-contrast-on-human-vestibulo-ocular-reflex-adaptation
#5
M Muntaseer Mahfuz, Michael C Schubert, Christopher J Todd, William V C Figtree, Serajul I Khan, Americo A Migliaccio
The vestibulo-ocular reflex (VOR) is the main retinal image stabilising mechanism during rapid head movement. When the VOR does not stabilise the world or target image on the retina, retinal image slip occurs generating an error signal that drives the VOR response to increase or decrease until image slip is minimised, i.e. VOR adaptation occurs. Visual target contrast affects the human smooth pursuit and optokinetic reflex responses. We sought to determine if contrast also affected VOR adaptation. We tested 12 normal subjects, each over 16 separate sessions...
November 6, 2017: Journal of the Association for Research in Otolaryngology: JARO
https://www.readbyqxmd.com/read/29092651/virtual-community-centre-for-power-wheelchair-training-experience-of-children-and-clinicians
#6
Caryne Torkia, Stephen E Ryan, Denise Reid, Patrick Boissy, Martin Lemay, François Routhier, Resi Contardo, Janet Woodhouse, Phillipe S Archambault
PURPOSE: To: 1) characterize the overall experience in using the McGill immersive wheelchair - community centre (miWe-CC) simulator; and 2) investigate the experience of presence (i.e., sense of being in the virtual rather than in the real, physical environment) while driving a PW in the miWe-CC. METHOD: A qualitative research design with structured interviews was used. Fifteen clinicians and 11 children were interviewed after driving a power wheelchair (PW) in the miWe-CC simulator...
November 2, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29083517/uncovering-state-dependent-relationships-in-shallow-lakes-using-bayesian-latent-variable-regression
#7
Kelsey Vitense, Mark A Hanson, Brian R Herwig, Kyle D Zimmer, John Fieberg
Ecosystems sometimes undergo dramatic shifts between contrasting regimes. Shallow lakes, for instance, can transition between two alternative stable states: a clear state dominated by submerged aquatic vegetation and a turbid state dominated by phytoplankton. Theoretical models suggest that critical nutrient thresholds differentiate three lake types: highly resilient clear lakes, lakes that may switch between clear and turbid states following perturbations, and highly resilient turbid lakes. For effective and efficient management of shallow lakes and other systems, managers need tools to identify critical thresholds and state-dependent relationships between driving variables and key system features...
October 30, 2017: Ecological Applications: a Publication of the Ecological Society of America
https://www.readbyqxmd.com/read/29081392/hybrid-assistive-limb-exoskeleton-hal%C3%A2-in-the-rehabilitation-of-chronic-sci-proof-of-concept-the-results-of-21-patients
#8
Oliver Jansen, Dennis Grasmuecke, Renate C Meindl, Martin Tegenthoff, Peter Schwenkreis, Matthias Sczesny-Kaiser, Martin Wessling, Thomas A Schildhauer, Christian Fisahn, Mirko Aach
INTRODUCTION: The use of mobile exoskeletons is becoming more and more common in the field of spinal cord injury rehabilitation. The hybrid assistive limb exoskeleton (HAL) provides a tailored support depending on the patient's voluntary drive. MATERIALS AND METHODS: After a pilot study which included 8 chronic SCI patients (2014), this study of 21 chronic SCI patients serves as a proof of concept. It was conducted to provide further evidence regarding the efficacy of exoskeletal-based rehabilitation...
October 25, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29072545/comparison-of-seating-powered-characteristics-and-functions-and-costs-of-electrically-powered-wheelchairs-in-a-general-population-of-users
#9
Michael John Dolan, Megan Jennifer Bolton, Graham Iain Henderson
PURPOSE: To profile and compare the seating and powered characteristics and functions of electrically powered wheelchairs (EPWs) in a general user population including equipment costs. METHOD: Case notes of adult EPW users of a regional NHS service were reviewed retrospectively. Seating equipment complexity and type were categorized using the Edinburgh classification. Powered characteristics and functions, including control device type, were recorded. RESULTS: 482 cases were included; 53...
October 26, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29055579/quantifying-longitudinal-land-use-change-from-land-degradation-to-rehabilitation-in-the-headwaters-of-tekeze-atbara-basin-ethiopia
#10
T G Gebremicael, Y A Mohamed, P van der Zaag, E Y Hagos
The spatiotemporal variability of the Land Use/Cover (LULC) is a strong influence on the land management and hydrological processes of a river basin. In particular in semi-arid regions like the Tekeze-Atbara (T-A) basin, accurate information about LULC change is a prerequisite for improved land and water management. The human-induced landscape transformations in the T-A basin, one of the main tributaries of the Nile River, were investigated for the last four decades (1972-2014). Separate LULC maps for the years 1972, 1989, 2001, and 2014 were developed based on satellite images, Geographic Information System (GIS) and ground information...
October 18, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29042813/rehabilitation-management-of-low-back-pain-it-s-time-to-pull-it-all-together
#11
Yannick Tousignant-Laflamme, Marc Olivier Martel, Anand B Joshi, Chad E Cook
In the past, rehabilitation research initiatives for low back pain (LBP) have targeted outcome enhancement through personalized treatment approaches, namely through classification systems (CS). Although the use of CS has enhanced outcomes, common management practices have not changed, the prevalence of LBP is still high, and only selected patients meet the CS profile, namely those with a nociceptive context. Similarly, although practice guidelines propose some level of organization and occasionally a timeline of care provision, each mainly provides best practice for isolated treatment approaches...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/29035007/large-soil-organic-carbon-increase-due-to-improved-agronomic-management-in-the-north-china-plain-from-1980s-to-2010s
#12
Daorui Han, Martin Wiesmeier, Richard T Conant, Anna Kühnel, Zhigang Sun, Ingrid Kögel-Knabner, Ruixing Hou, Peifei Cong, Rubiao Liang, Zhu Ouyang
Agricultural soils are widely recognized to be capable of carbon sequestration that contributes to mitigating CO2 emissions. To better understand soil organic carbon (SOC) stock dynamics and its driving and controlling factors corresponding with a period of rapid agronomic evolution from the 1980s to the 2010s in the North China Plain (NCP), we collected data from two region-wide soil sampling campaigns (in the 1980s and 2010s) and conducted an analysis of the controlling factors using the random forest model...
September 7, 2017: Global Change Biology
https://www.readbyqxmd.com/read/29022422/investigating-cognitive-ability-and-self-reported-driving-performance-of-post-stroke-adults-in-a-driving-simulator
#13
Alison Blane, Torbjörn Falkmer, Hoe C Lee, Tania Dukic Willstrand
Background Safe driving is a complex activity that requires calibration. This means the driver can accurately assess the level of task demand required for task completion and can accurately evaluate their driving capability. There is much debate on the calibration ability of post-stroke drivers. Objectives The aim of this study was to assess the cognition, self-rated performance, and estimation of task demand in a driving simulator with post-stroke drivers and controls. Methods A between-groups study design was employed, which included a post-stroke driver group and a group of similarly aged older control drivers...
October 12, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28994667/relative-contribution-of-different-altered-motor-unit-control-to-muscle-weakness-in-stroke-a-simulation-study
#14
Henry Shin, Nina Suresh, William Zev Rymer, Xiaogang Hu
Chronic muscle weakness impacts the majority of individuals after a stroke. The origins of this hemiparesis is multifaceted, and an altered spinal control of the motor unit (MU) pool can lead to muscle weakness. However, the relative contribution of different MU recruitment and discharge organization is not well understood. In this study, we sought to examine these different effects by utilizing a MU simulation with variations set to mimic the changes of MU control in stroke. Approach: Using a well-established model of the MU pool, this study quantified the changes in force output caused by changes in MU recruitment range and recruitment order, as well as MU firing rate organization at the population level...
October 10, 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/28992769/knee-extensor-rate-of-torque-development-before-and-after-arthroscopic-partial-meniscectomy-with-analysis-of-neuromuscular-mechanisms
#15
Daniel G Cobian, Cameron M Koch, Annunziato Amendola, Glenn N Williams
Study Design Descriptive, prospective single-cohort longitudinal study. Background Rapid torque development is essential in activities of daily living and sports, but isn't specifically tested by most physical therapists or incorporated into rehabilitation programs until late in the treatment process. Little evidence is available on quadriceps rate of torque development capacity before and after arthroscopic knee surgery. Objectives To study knee extensor rate of torque development, contributing mechanisms, and associations with strength and patient-reported outcomes, before and during the first six weeks after arthroscopic partial meniscectomy...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28927228/management-of-chronic-pain-through-pain-management-programmes
#16
I R Wilson
Introduction: Chronic pain carries significant impact and is difficult to treat with limited success. Pain management programmes (PMPs) use cognitive behavioural therapy (CBT)-based multidisciplinary rehabilitative approaches to drive functional improvement. Sources of data: A search was conducted using Medline and the Cochrane Library to identify published literature about PMPs or CBT to treat chronic pain. Areas of agreement: PMPs have significant benefit on functioning for some patients but relatively little impact on the pain...
September 13, 2017: British Medical Bulletin
https://www.readbyqxmd.com/read/28915837/professional-groups-driving-change-toward-patient-centred-care-interprofessional-working-in-stroke-rehabilitation-in-denmark
#17
Viola Burau, Kathrine Carstensen, Stina Lou, Ellen Kuhlmann
BACKGROUND: Patient-centred care based on needs has been gaining momentum in health policy and the workforce. This creates new demand for interprofessional teams and redefining roles and tasks of professionals, yet little is known on how to implement new health policies more effectively. Our aim was to analyse the role and capacity of health professions in driving organisational change in interprofessional working and patient-centred care. METHODS: A case study of the introduction of interprofessional, early discharge teams in stroke rehabilitation in Denmark was conducted with focus on day-to-day coordination of care tasks and the professional groups' interests and strategies...
September 16, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28906387/a-nearly-full-recovery-from-avm-hemorrhagic-stroke-17-years-after-insult-using-a-new-integrated-neurodevelopmental-approach-a-case-report
#18
Alberto J Friedmann
RATIONAL: With the prevalence of stroke increasing in the USA and the world along with increased survival and longevity due to medical advancements, it has become increasingly necessary to look at the chronic phase of stroke recovery. Previous paradigms of stroke treatment have proven ineffective when looking at 10, 15, or 20 years of survival post insult. PATIENT CONCERNS: The patient, being a young man just out of high school, was concerned with his overall morbidity...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28900573/the-effects-of-a-multimodal-rehabilitation-program-on-pain-kinesiophobia-and-function-in-a-runner-with-patellofemoral-pain
#19
Samuele Passigli, Pietro Capacci, Emanuele Volpi
BACKGROUND AND PURPOSE: Multimodal interventions possess the strongest evidence in the long-term management of patellofemoral pain, but despite receiving evidence-based treatments that are initially effective many patients report recurrent or persistent symptoms for years after the initial diagnosis. Untreated psychological factors could be a possible explanation for persistent symptoms and poor treatment outcome. The purpose of this case report was to describe and evaluate the effects of a multimodal rehabilitation program that included pain education, a graded program of lower limb strengthening, and running retraining on pain, kinesiophobia, and function in a runner with patellofemoral pain...
August 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28893295/a-brain-computer-interface-driven-by-imagining-different-force-loads-on-a-single-hand-an-online-feasibility-study
#20
Kun Wang, Zhongpeng Wang, Yi Guo, Feng He, Hongzhi Qi, Minpeng Xu, Dong Ming
BACKGROUND: Motor imagery (MI) induced EEG patterns are widely used as control signals for brain-computer interfaces (BCIs). Kinetic and kinematic factors have been proved to be able to change EEG patterns during motor execution and motor imagery. However, to our knowledge, there is still no literature reporting an effective online MI-BCI using kinetic factor regulated EEG oscillations. This study proposed a novel MI-BCI paradigm in which users can online output multiple commands by imagining clenching their right hand with different force loads...
September 11, 2017: Journal of Neuroengineering and Rehabilitation
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