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Postural rehabilitation

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https://www.readbyqxmd.com/read/29147083/spinal-cord-stimulation-in-failed-back-surgery-syndrome-effects-on-posture-and-gait-a-preliminary-3d-biomechanical-study
#1
L Brugliera, A De Luca, S Corna, M Bertolotto, G A Checchia, M Cioni, P Capodaglio, C Lentino
We studied 8 patients with spinal cord stimulation (SCS) devices which had been previously implanted to treat neuropathic chronic pain secondary to Failed Back Surgery Syndrome. The aim of our study was to investigate the effects of SCS on posture and gait by means of clinical scales (Short Form Health Survey-36, Visual Analogue Scale for pain, and Hamilton Depression Rating Scale) and instrumented evaluation with 3D Gait Analysis using a stereophotogrammetric system. The latter was performed with the SCS device turned both OFF and ON...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29143126/-spinal-orthoses-in-the-treatment-of-vertebral-fractures-with-osteoporosis-a-systematic-review-article
#2
REVIEW
M Pfeifer, M Gehlen, C Hinz
This literature search concerning the potential role of spinal orthoses for rehabilitation and treatment of atraumatic vertebral fractures between Th4 and L5 with osteoporosis and without any evidence for a secondary cause, provided no evidence for the benefits of traditional rigid thoracolumbar corsets, which only had a poor compliance. In addition, there are indications that these rigid corsets may even worsen the disease condition especially in the long-term. Wearing these corsets can result in further loss of muscle mass and strength followed by loss of bone and bone mass...
November 15, 2017: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/29138873/effects-of-cognitive-load-on-the-amount-and-temporal-structure-of-postural-sway-variability-in-stroke-survivors
#3
Hajar Mehdizadeh, Kinda Khalaf, Hamed Ghomashchi, Ghorban Taghizadeh, Ismaeil Ebrahimi, Parvaneh Taghavi Azar Sharabiani, Seyed Javad Mousavi, Mohamad Parnianpour
This study aimed to investigate the variability in postural sway patterns during quiet standing in stroke survivors. The postural sway was measured in 19 stroke survivors, as well as 19 healthy demographically matched participants, at 3 levels of postural difficulty (rigid surface with closed and open eyes, and foam surface with closed eyes), and 3 levels of cognitive difficulty (without a cognitive task, easy and difficult cognitive tasks). Both linear analyses (the amount of postural sway variability, including the standard deviation of the COP velocity in both the anteroposterior (AP) and mediolateral (ML) directions), as well as non-linear analyses [the temporal structure of the COP variability, including % Recurrence, % Determinism, Shannon Entropy, Trend and the maximum diagonal line (D max)] were employed...
November 14, 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/29136550/cerebellar-transcranial-direct-current-stimulation-improves-adaptive-postural-control
#4
Peter Poortvliet, Billie Hsieh, Andrew Cresswell, Jacky Au, Marcus Meinzer
OBJECTIVE: Rehabilitation interventions contribute to recovery of impaired postural control, but it remains a priority to optimize their effectiveness. A promising strategy may involve transcranial direct current stimulation (tDCS) of brain areas involved in fine-tuning of motor adaptation. This study explored the effects of cerebellar tDCS (ctDCS) on postural recovery from disturbance by Achilles tendon vibration. METHODS: Twenty-eight healthy volunteers participated in this sham-ctDCS controlled study...
October 20, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29132250/the-influence-of-pilates-exercises-on-body-balance-in-the-standing-position-of-hearing-impaired-people
#5
Jagoda Walowska, Bartosz Bolach, Eugeniusz Bolach
PURPOSE: Hearing impairment may affect the body posture maintenance. The aim of the study was to evaluate the effect of modified Pilates exercise program on the body posture maintenance in hearing impaired people. METHODS: Eighty students (aged 13-24) were enrolled and randomly allocated into two groups: test group (n = 41) which attended an original program based on modified Pilates exercises and control group (n = 39) which attended standard physical education classes...
November 13, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29131728/yoga-practice-is-associated-with-superior-motor-imagery-performance
#6
Susannah H Hartnoll, T David Punt
Yoga is an activity that aims to integrate physical, mental and spiritual elements and is an increasingly popular approach to enhancing physical fitness. The integration of imagery within yoga practice is considered an important component and may be critical in contributing to the benefits of yoga that have been reported. In this study, we tested whether individuals who practice yoga demonstrate superior performance on an objective measure of implicit motor imagery. Thirty-six participants (18 yoga, 18 non-yoga) matched for age, sex and handedness, undertook the hand laterality recognition task; an objective measure of implicit motor imagery performance...
November 2017: International Journal of Yoga Therapy
https://www.readbyqxmd.com/read/29112981/adjustment-of-the-dynamic-weight-distribution-as-a-sensitive-parameter-for-diagnosis-of-postural-alteration-in-a-rodent-model-of-vestibular-deficit
#7
Brahim Tighilet, David Péricat, Alais Frelat, Yves Cazals, Guillaume Rastoldo, Florent Boyer, Olivier Dumas, Christian Chabbert
Vestibular disorders, by inducing significant posturo-locomotor and cognitive disorders, can significantly impair the most basic tasks of everyday life. Their precise diagnosis is essential to implement appropriate therapeutic countermeasures. Monitoring their evolution is also very important to validate or, on the contrary, to adapt the undertaken therapeutic actions. To date, the diagnosis methods of posturo-locomotor impairments are restricted to examinations that most often lack sensitivity and precision...
2017: PloS One
https://www.readbyqxmd.com/read/29107706/effects-of-transcranial-direct-current-stimulation-over-the-supplementary-motor-area-body-weight-supported-treadmill-gait-training-in-hemiparetic-patients-after-stroke
#8
Atsushi Manji, Kazu Amimoto, Tadamitsu Matsuda, Yoshiaki Wada, Akira Inaba, Sangkyun Ko
Transcranial direct current stimulation (tDCS) is used in a variety of disorders after stroke including upper limb motor dysfunctions, hemispatial neglect, aphasia, and apraxia, and its effectiveness has been demonstrated. Although gait ability is important for daily living, there were few reports of the use of tDCS to improve balance and gait ability. The supplementary motor area (SMA) was reported to play a potentially important role in balance recovery after stroke. We aimed to investigate the effect of combined therapy body weight-supported treadmill training (BWSTT) and tDCS on gait function recovery of stroke patients...
October 28, 2017: Neuroscience Letters
https://www.readbyqxmd.com/read/29097056/a-community-based-bionic-leg-rehabilitation-program-for-patients-with-chronic-stroke-clinical-trial-protocol
#9
Amy Wright, Keeron Stone, Danielle Lambrick, Simon Fryer, Lee Stoner, Edward Tasker, Simon Jobson, Grace Smith, John Batten, Jo Batey, Vicky Hudson, Helen Hobbs, James Faulkner
Stroke is a major global health problem whereby many survivors have unmet needs concerning mobility during recovery. As such, the use of robotic-assisted devices (i.e., a bionic leg) within a community setting may be an important adjunct to normal physiotherapy in chronic stroke survivors. This study will be a dual-center, randomized, parallel group clinical trial to investigate the impact of a community-based training program using a bionic leg on biomechanical, cardiovascular, and functional outcomes in stroke survivors...
October 30, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29092684/wheelchair-service-provision-education-and-training-in-low-and-lower-middle-income-countries-a-scoping-review
#10
Elizabeth McSweeney, Rosemary Joan Gowran
PURPOSE: Improving access to education and training for those providing wheelchair and seating assistive technology to meet personal posture and mobility requirements, as a basic human right, is a priority. This review considers education and training available to personnel within low and lower middle income countries (LLMIC), to ascertain where gaps in knowledge exist and identify human resource education priorities. METHOD: A scoping review, mapping out existing scientific and grey literature within the field between 1993 and 2017 was conducted...
November 1, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29092683/motor-performance-of-individuals-with-cerebral-palsy-in-a-virtual-game-using-a-mobile-phone
#11
Juliana Nobre de Paula, Carlos Bandeira de Mello Monteiro, Talita Dias da Silva, Camila Miliani Capelini, Lilian Del Cielo de Menezes, Thais Massetti, James Tonks, Suzanna Watson, Alessandro Hervaldo Nicolai Ré
OBJECTIVES: Cerebral palsy (CP) is a permanent disorder of movement, muscle tone or posture that is caused by damage to the immature and developing brain. Research has shown that Virtual Reality (VR) technology can be used in rehabilitation to support the acquisition of motor skills and the achievement of functional tasks. The aim of this study was to explore for improvements in the performance of individuals with CP with practice in the use of a virtual game on a mobile phone and to compare their performance with that of the control group...
November 1, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29092649/evaluation-of-the-keeogo%C3%A2-dermoskeleton
#12
Jonathan C Mcleod, Susie Jm Ward, Audrey L Hicks
PURPOSE: (1) To determine the specific functional characteristics of individuals with neurological impairments that may predict successful use of Keeogo™ dermoskeleton and (2) to quantify the specific benefit Keeogo™ provides to a regular user of the device. METHODS: Thirteen individuals (seven males; six females; 52 ± 4.6 years old) with mobility impairments due to neurological disease or injury were recruited. Berg Balance Sale (BBS) score and Timed Up and Go (TUG) performance were used to identify baseline characteristics in participants...
November 2, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29089683/ganglion-impar-block-in-patients-with-chronic-coccydynia
#13
Nitesh Gonnade, Neeraj Mehta, Pushpinder Singh Khera, Dewesh Kumar, Rengarajan Rajagopal, Pramod Kumar Sharma
INTRODUCTION: Coccydynia refers to pain in the terminal segment of the spinecaused by abnormal sitting and standing posture. Coccydynia is usually managed conservatively, however in nonresponsive patients, ganglion impar block is used as a good alternate modality for pain relief. This article studies the effect of ganglion impar block in coccydynia patients who were not relieved by conservative management. MATERIALS AND METHODS: The study was carried out at the pain clinic in the departments of Physical Medicine and Rehabilitation and Radiology in a tertiary centre in India...
July 2017: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/29089111/trunk-response-and-stability-in-standing-under-sagittal-symmetric-pull-push-forces-at-different-orientations-elevations-and-magnitudes
#14
Z El Ouaaid, A Shirazi-Adl, A Plamondon
To reduce lifting and associated low back injuries, manual material handling operations often involve pulling-pushing of carts at different weights, orientations, and heights. The loads on spine and risk of injury however need to be investigated. The aim of this study was to evaluate muscle forces, spinal loads and trunk stability in pull-push tasks in sagittal-symmetric, static upright standing posture. Three hand-held load magnitudes (80, 120 and 160 N) at four elevations (0, 20, 40 and 60 cm to the L5-S1) and 24 force directions covering all pull/push orientations were considered...
October 25, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/29068644/research-on-safety-and-compliance-of-a-new-lower-limb-rehabilitation-robot
#15
Yongfei Feng, Hongbo Wang, Hao Yan, Xincheng Wang, Zhennan Jin, Luige Vladareanu
The lower limb rehabilitation robot is an application of robotic technology for stroke people with lower limb disabilities. A new applicable and effective sitting/lying lower limb rehabilitation robot (LLR-Ro) is proposed, which has the mechanical limit protection, the electrical limit protection, and the software protection to prevent the patient from the secondary damage. Meanwhile, as a new type of the rehabilitation robots, its hip joint rotation ranges are different in the patient sitting training posture and lying training posture...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29065636/iterative-learning-impedance-for-lower-limb-rehabilitation-robot
#16
Chenhui Guo, Shuai Guo, Jiancheng Ji, Fengfeng Xi
This paper discusses the problem of squatting training of stroke patients. The main idea is to correct the patient's training trajectory through an iterative learning control (ILC) method. To obtain better rehabilitation effect, a patient will typically be required to practice a reference posture for many times, while most of active training methods can hardly keep the patients training with correct posture. Instead of the conventional ILC strategy, an impedance-based iterative learning method is proposed to regulate the impedance value dynamically and smartly which will help patients correct their posture gradually and perform better...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29065571/research-on-safety-and-compliance-of-a-new-lower-limb-rehabilitation-robot
#17
Yongfei Feng, Hongbo Wang, Hao Yan, Xincheng Wang, Zhennan Jin, Luige Vladareanu
The lower limb rehabilitation robot is an application of robotic technology for stroke people with lower limb disabilities. A new applicable and effective sitting/lying lower limb rehabilitation robot (LLR-Ro) is proposed, which has the mechanical limit protection, the electrical limit protection, and the software protection to prevent the patient from the secondary damage. Meanwhile, as a new type of the rehabilitation robots, its hip joint rotation ranges are different in the patient sitting training posture and lying training posture...
2017: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29060804/a-new-robotic-approach-to-characterize-mechanical-impedance-and-energetic-passivity-of-the-human-ankle-during-standing
#18
Varun Nalam, Hyunglae Lee
This paper presents the quantitative characterization of ankle impedance and ankle passivity during upright standing. A novel multi-axis robotic platform allows for the quantification of these neuromuscular properties in two degrees-of-freedom of the ankle, specifically, dorsiflexion-plantarflexion (DP) and inversion-eversion (IE). For the slow sinusoid perturbations of low frequencies ranging up to 1.5 Hz, ankle impedance was accurately approximated by stiffness and damping, while the contribution of inertia and reflex feedback was minimal...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29060542/posturography-stability-score-generation-for-stroke-patient-using-kinect-fuzzy-based-approach
#19
Oishee Mazumder, Kingshuk Chakravarty, Debatri Chatterjee, Aniruddha Sinha, Abhijit Das
Aim of this paper is to formulate a posturography stability score for stroke patients using fuzzy logic. Postural instability is one of the prominent symptoms of stroke, dementia, parkinsons disease, myopathy, etc. and is the major precursor of fall. Conventional scoring techniques used to assess postural stability require manual intervention and are dependent on live interaction with physiotherapist. We propose a novel scoring technique to calculate static stability of a person using posturography features acquired by Kinect sensor, which do not require any manual intervention or expert guidance, is cost effective and hence are ideal for tele rehabilitation purpose...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29060412/evaluation-of-postural-instability-in-stroke-patient-during-quiet-standing
#20
Wei Wang, Ke Li, Na Wei, Cuiping Yin, Shouwei Yue
This study was designed to investigate the postural instability in stroke survivals during quiet standing. Eleven stroke patients and 11 healthy volunteers (gender- and age-matched) were recruited for this experiment. The center of pressure (COP) signals from both planta in anterior-posterior (AP) and medial-lateral (ML) directions were recorded using a three-dimensional motion capture system (BTS Bioengineering Corp, Italy) when subjects stood on the two adjacent force platforms quietly with their eyes open (EO) for 30 s and with their eyes close (EC) for another 30 s...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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