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Driving rehabilitation

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
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
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
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
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
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
Houda Migaou Miled, Hichem Ben Brahim, Yafa Hadj Hassine, Soumaya Boudokhane, Aymen Haj Salah, Nesrine Abdelkafi, Sana Salah, Anis Jellad, Zohra Ben Salah Frih
OBJECTIVE: The objective of this study was to assess the functional and socio-professional future of lower limb-amputated patients. PATIENTS AND METHODS: This is a 3-year-prospective study of lower limb-amputated patients, followed at the Physical Medicine and Rehabilitation department of the University Hospital of Monastir. The data analyzed were epidemiological, clinical, functional [the index of locomotion (ICL), the score "Special interest group of the amputee physician" (SIGAM)] and socio-professionals...
September 2016: Annals of Physical and Rehabilitation Medicine
Tiphaine Bourseau, Flavie Fremondière, Valérie Dubus, Bénédicte Gohier, Dewi Le Gal, Fabien Cave, Isabelle Richard, Nicolas Lerolle
OBJECTIVE: After critical illness, some survivors experience long-term physical, functional, neurocognitive and/or mental health impairments, which has been termed "Post-Intensive Care syndrome" (PICS) [1]. A specific follow-up is required and many specialized follow-up clinics have been created both abroad and in France. The aim of this study is to evaluate long-term outcomes after critical illness, through the International Classification of Functioning, Disability and Health, and to analyse rehabilitation needs after intensive care unit (ICU) discharge...
September 2016: Annals of Physical and Rehabilitation Medicine
Philippe S Archambault, Émilie Blackburn, Denise Reid, François Routhier, William C Miller
: Mobility is important for participation in daily activities and a power wheelchair (PW) can improve quality of life of individuals with mobility impairments. A virtual reality simulator may be helpful in complementing PW skills training, which is generally seen as insufficient by both clinicians and PW users. To this end, specific, ecologically valid activities, such as entering an elevator and navigating through a shopping mall crowd, have been added to the McGill wheelchair (miWe) simulator through a user-centred approach...
September 27, 2016: Disability and Rehabilitation
Kerry Louise Hanna, Lauren Rachel Hepworth, Fiona Rowe
PURPOSE: To provide a systematic overview of the various tools available to screen for post-stroke visual impairment. METHODS: A review of the literature was conducted including randomised controlled trials, controlled trials, cohort studies, observational studies, systematic reviews and retrospective medical note reviews. All languages were included and translation was obtained. Participants included adults ≥18 years old diagnosed with a visual impairment as a direct cause of a stroke...
September 26, 2016: Disability and Rehabilitation
Adina M Piovesana, Stephanie Ross, Owen Lloyd, Koa Whittingham, Jenny Ziviani, Robert S Ware, Roslyn N Boyd
: Purpose state: Determine the efficacy of Move-it-to-improve-it (Mitii™), a multi-modal web-based program, in improving Executive Function (EF) in children with unilateral cerebral palsy (UCP). METHOD: Participants (n = 102) were matched in pairs then randomized to: intervention (Mitii™ for 20 weeks; n = 51; 26 males; mean age = 11 years 8 months (SD = 2 years 4 months); Full Scale IQ = 84.65 (SD = 15.19); 28 left UCP; GMFCS-E&R (I = 20, II = 31) or waitlist control (n = 50; 25 males; mean age = 11 years 10 months (SD = 2 years 5 months); Full Scale IQ = 80...
September 24, 2016: Disability and Rehabilitation
Yingzhou Han, Yalu Cao, Jingjing Zhao, Yajiang Yin, Liangchen Ye, Xiaofeng Wang, Zheng You
Biomechanical energy harvesting is a feasible solution for powering wearable sensors by directly driving electronics or acting as wearable self-powered sensors. A wearable insole that not only can harvest energy from foot pressure during walking but also can serve as a self-powered human motion recognition sensor is reported. The insole is designed as a sandwich structure consisting of two wavy silica gel film separated by a flexible piezoelectric foil stave, which has higher performance compared with conventional piezoelectric harvesters with cantilever structure...
2016: Sensors
Gunilla Stenberg, Britt-Marie Stålnacke, Paul Enthoven
PURPOSE: To explore professional perspectives on how to start and work with multimodal pain rehabilitation within primary healthcare. METHODS: Fourteen healthcare professionals (11 women, 3 men) were individually interviewed about their experiences of starting and working with multimodal pain. Interviews were transcribed and analyzed by qualitative content analysis. This study was part of a larger project, which aimed at evaluating multimodal pain rehabilitation in primary care...
September 19, 2016: Disability and Rehabilitation
Sébastien Lacroix, Jennifer Cantin, Anil Nigam
In this article, we discuss certain contemporary and controversial topics in cardiovascular (CV) nutrition including recent data regarding the health benefits of the Mediterranean diet, the role of saturated fatty acids, red meat and the microbiome in CV disease and the current role of personalized CV nutrition. Findings from the PREDIMED study now demonstrate the health benefits of the Mediterranean diet even in the absence of heart disease. The study highlighted that even small, sustained and easily implementable changes to diet can provide significant health benefits even in Mediterranean regions...
September 15, 2016: Annals of Physical and Rehabilitation Medicine
Pierachille Santus, Dejan Radovanovic, Giovanni Balzano, Matteo Pecchiari, Rita Raccanelli, Nicola Sarno, Fabiano Di Marco, Paul W Jones, Mauro Carone
BACKGROUND: Lung diffusing capacity (DLCO) and lung volume distribution predict exercise performance and are altered in COPD patients. If pulmonary rehabilitation (PR) can modify DLCO parameters is unknown. OBJECTIVES: To investigate changes in DLCO and ventilation inhomogeneity following a PR program and their relation with functional outcomes in patients with COPD. METHODS: This was a prospective, observational, multicentric study. Patients were evaluated before and after a standardized 3-week PR program...
September 7, 2016: Respiration; International Review of Thoracic Diseases
Maud Ranchet, Emmanuel Broussolle, Laurence Paire-Ficout
BACKGROUND/AIMS: (1) To investigate how specific executive functions change over 2 years in drivers with Parkinson's disease (PD) compared to controls, using both neuropsychological and driving simulator tasks; and (2) to explore the association between the decline of specific executive functions and changes in driving habits in PD. METHODS: Sixteen PD patients and 21 controls underwent neuropsychological testing twice and performed tasks on a driving simulator, with an interval of approximately 2 years...
September 2, 2016: European Neurology
Alberto Ruano-Ravina, Carlos Pena-Gil, Emad Abu-Assi, Sergio Raposeiras, Arnoud van 't Hof, Esther Meindersma, Eva Irene Bossano Prescott, Jose Ramón González-Juanatey
Acute myocardial infarction (AMI) is an important health problem. Cardiac rehabilitation (CR) programs following AMI have shown to be effective in reducing mortality. We aim to systematically review the existing literature that analyzes the factors that affect participation and adherence to cardiac rehabilitation programs. We reviewed Medline, EMBASE and Cochrane databases from 01/01/2004 to June 2016 using predefined inclusion and exclusion criteria. We classified the results into factors affecting participation and factors influencing adherence to CR programs...
November 15, 2016: International Journal of Cardiology
Rajashree Ranjita, Alex Hankey, H R Nagendra, Soubhagylaxmi Mohanty
BACKGROUND: Coal mine dust exposure causes chronic airflow limitation in coal miners resulting in dyspnea, fatigue, and eventually chronic obstructive pulmonary disease (COPD). Yoga can alleviate dyspnea in COPD by improving ventilatory mechanics, reducing central neural drive, and partially restoring neuromechanical coupling of the respiratory system. OBJECTIVES: To evaluate the effectiveness of Integrated Approach of Yoga Therapy (IAYT) in the management of dyspnea and fatigue in coal miners with COPD...
July 2016: Journal of Ayurveda and Integrative Medicine
Alex R Bowers
Driving is an important rehabilitation goal for patients with homonymous field defects (HFDs); however, whether or not people with HFDs should be permitted to drive is not clear. Over the last 15 years, there has been a marked increase in the number of studies evaluating the effects of HFDs on driving performance. This review of the literature provides a much-needed summary for practitioners and researchers, addressing the following topics: regulations pertaining to driving with HFDs, self-reported driving difficulties, pass rates in on-road tests, the effects of HFDs on lane position and steering stability, the effects of HFDs on scanning and detection of potential hazards, screening for potential fitness to drive, evaluating practical fitness to drive and the efficacy of interventions to improve driving of persons with HFDs...
September 2016: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
Sherrilene Classen, Liliana Alvarez, Peter J M Ferreira, Chien H Chen, Carly K Meyer, Amy G Nywening
UNLABELLED: The Fitness-to-Drive Screening Measure(©) (FTDS) is a valid and reliable screening tool that identifies at-risk older drivers. Although 12,300 Canadians have used the FTDS in the last 2 years, the resources/recommendations targeted the U.S. CONTEXT: The objective of this article is to identify the FTDS resources/recommendations appropriate for Canadian users and the barriers that Canadian stakeholders experience when promoting older driver fitness. Twenty stakeholders from three provinces (eight occupational therapists, three certified driver rehabilitation specialists, four physicians, and five members of advocacy organizations) participated in semi-structured interviews...
April 2016: OTJR: Occupation, Participation and Health
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