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Hand rehabilitation

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https://www.readbyqxmd.com/read/29777713/development-and-psychometric-validation-of-capacity-assessment-of-prosthetic-performance-for-the-upper-limb-cappful
#1
Nathan T Kearns, Jennifer K Peterson, Lisa Smurr Walters, Warren T Jackson, John M Miguelez, Tiffany Ryan
OBJECTIVES: (1) Develop a performance-based measure for adult upper limb (UL) prosthetic functioning through broad (i.e. overall performance) and functional domain-specific (e.g., control skills) assessment of commonplace activities; (2) conduct initial psychometric evaluation of the Capacity Assessment of Prosthetic Performance for the Upper Limb (CAPPFUL). DESIGN: Internal consistency of CAPPFUL and interrater reliability for task, functional domain, and full scale (sub)scores among three independent raters were estimated...
May 16, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29773846/appetite-during-the-recovery-phase-of-critical-illness-a-cohort-study
#2
Judith L Merriweather, David M Griffith, Timothy S Walsh
BACKGROUND/OBJECTIVES: Reduced appetite is a recognised physiological symptom in survivors of critical illness. While reduced appetite has been reported by patients after intensive care unit (ICU) discharge, quantification using visual analogue scales (VAS) has not been previously performed, and follow-up duration has been limited. We aimed to describe appetite scores in ICU survivors during the first 3 months after ICU discharge and explore association with systemic inflammation. SUBJECTS/METHODS: Secondary analysis of data collected in a complex rehabilitation intervention trial (RECOVER)...
May 17, 2018: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29764869/tele-upcat-study-protocol-of-a-randomised-controlled-trial-of-a-home-based-tele-monitored-upper-limb-children-action-observation-training-for-participants-with-unilateral-cerebral-palsy
#3
Giuseppina Sgandurra, Francesca Cecchi, Elena Beani, Irene Mannari, Martina Maselli, Francesco Paolo Falotico, Emanuela Inguaggiato, Silvia Perazza, Elisa Sicola, Hilde Feys, Katrijn Klingels, Adriano Ferrari, Paolo Dario, Roslyn N Boyd, Giovanni Cioni
INTRODUCTION: A new rehabilitative approach, called UPper Limb Children Action Observation Training (UPCAT), based on the principles of action observation training (AOT), has provided promising results for upper limb rehabilitation in children with unilateral cerebral palsy (UCP). This study will investigate if a new information and communication technology platform, named Tele-UPCAT, is able to deliver AOT in a home setting and will test its efficacy on children and young people with UCP...
May 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29758954/the-use-of-transcranial-magnetic-stimulation-to-evaluate-cortical-excitability-of-lower-limb-musculature-challenges-and-opportunities
#4
Trisha M Kesar, James W Stinear, Steven L Wolf
Neuroplasticity is a fundamental yet relatively unexplored process that can impact rehabilitation of lower extremity (LE) movements. Transcranial magnetic stimulation (TMS) has gained widespread application as a non-invasive brain stimulation technique for evaluating neuroplasticity of the corticospinal pathway. However, a majority of TMS studies have been performed on hand muscles, with a paucity of TMS investigations focused on LE muscles. This perspective review paper proposes that there are unique methodological challenges associated with using TMS to evaluate corticospinal excitability of lower limb muscles...
May 5, 2018: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/29757682/a-scoping-review-of-the-nature-and-outcomes-of-extended-rehabilitation-programmes-after-very-severe-brain-injury
#5
Lucy Knox, Jacinta M Douglas
PRIMARY OBJECTIVE: Many adults with very severe acquired brain injury (ABI) do not receive adequate rehabilitation, limiting their recovery and leading to admission to inappropriate living environments. The aim of this scoping review was to map the existing literature relating to the nature and outcomes of rehabilitation programmes for adults experiencing prolonged recovery after very severe ABI. DESIGN: A comprehensive scoping of the literature was undertaken, including systematic searching of databases, grey literature, and hand searching...
May 14, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29757261/design-of-an-inertial-sensor-based-data-glove-for-hand-function-evaluation
#6
Bor-Shing Lin, I-Jung Lee, Shu-Yu Yang, Yi-Chiang Lo, Junghsi Lee, Jean-Lon Chen
Capturing hand motions for hand function evaluations is essential in the medical field. Various data gloves have been developed for rehabilitation and manual dexterity assessments. This study proposed a modular data glove with 9-axis inertial measurement units (IMUs) to obtain static and dynamic parameters during hand function evaluation. A sensor fusion algorithm is used to calculate the range of motion of joints. The data glove is designed to have low cost, easy wearability, and high reliability. Owing to the modular design, the IMU board is independent and extensible and can be used with various microcontrollers to realize more medical applications...
May 13, 2018: Sensors
https://www.readbyqxmd.com/read/29755169/interrater-reliability-of-three-versions-of-the-chedoke-arm-and-hand-activity-inventory
#7
Denise Johnson, Jocelyn E Harris, Paul Stratford, Julie Richardson
Purpose: The purpose of this study was to estimate the interrater reliability of three shortened versions of the Chedoke Arm and Hand Activity Inventory (CAHAI-7, CAHAI-8, CAHAI-9) when used with persons with acquired brain injury (ABI). The CAHAI is an assessment of upper limb function with high reliability in the stroke and ABI populations. In the stroke population, three shortened versions of the measure have established reliability. Clinicians report time constraints as a barrier to using standardized assessments; thus, establishing the reliability of the shortened versions of the CAHAI in the ABI population may increase the use of this measure...
2018: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/29752028/the-cognitive-orientation-to-daily-occupational-performance-co-op-approach-best-responders-in-children-with-cerebral-palsy-and-brain-injury
#8
Michelle Jackman, Iona Novak, Natasha A Lannin, Claire Galea, Elspeth Froude
BACKGROUND: Identifying the characteristics of individuals who are most likely to respond to a certain rehabilitation intervention is advantageous for the child, family, clinicians and the healthcare system. AIM: To investigate the individual characteristics of children with cerebral palsy or brain injury who responded best to the Cognitive Orientation to daily Occupational Performance (CO-OP) Approach. METHODS: Post hoc analyses were conducted on 30 participants who participated in CO-OP within a larger randomized controlled trial...
May 8, 2018: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29747540/anodal-transcranial-direct-current-stimulation-to-enhance-rehabilitation-in-individuals-with-rotator-cuff-tendinopathy-a-triple-blind-randomized-control-trial
#9
Amélie Fournier Belley, Catherine Mercier, Maude Bastien, Guillaume Léonard, Nathaly Gaudreault, Jean-Sébastien Roy
Study Design Triple-blind parallel-group randomized control trial. Background Anodal transcranial direct current stimulation (a-tDCS) has been shown to enhance the effects of sensorimotor training in neurological populations. For treatment of rotator cuff (RC) tendinopathy, sensorimotor training leads to reduce pain and increase function. Addition of a-tDCS during a rehabilitation program centered on sensorimotor training could improve treatment outcome. Objective To compare a group receiving a rehabilitation program centered on sensorimotor training with a-tDCS to a group receiving the same rehabilitation program with sham a-tDCS in individuals with RC tendinopathy...
May 10, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29746965/spine-and-lower-extremity-kinematics-during-gait-in-cervical-spondylotic-myelopathy-patients
#10
Ram Haddas, Sujal Patel, Raj Arakal, Akwasi Boah, Theodore Belanger, Kevin L Ju
BACKGROUND CONTEXT: CSM typically manifests with a slow, progressive stepwise decline in neurologic function, including hand clumsiness and balance difficulties. Gait disturbances are frequently seen in CSM patients, with more advanced cases exhibiting a stiff, spastic gait. PURPOSE: To evaluate the spatiotemporal parameters and spine and lower extremity kinematics during the gait cycle of adult cervical spondylotic myelopathy (CSM) patients prior to surgical intervention...
May 7, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29744627/vocational-rehabilitation-of-young-adults-with-psychological-disabilities
#11
Silke Tophoven, Nancy Reims, Anita Tisch
Objective Vocational rehabilitation measures support youth and young adults with disabilities to obtain vocational training and to enter the labor market. In Germany, a growing number of young people with psychological disabilities in vocational rehabilitation can be observed. The study at hand focuses on this group and examines their (un-)unemployment biographies before vocational rehabilitation, their access to vocational rehabilitation and identifies their individual challenges within the process of vocational rehabilitation...
May 10, 2018: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/29744058/video-evidence-of-improved-hand-function-following-repetitive-transcranial-magnetic-stimulation-combined-with-physical-therapy-in-stroke-a-case-report
#12
James R Carey, Mo Chen, Christopher D Streib
In a 46-year-old female 6 months poststroke who presented with minimal paretic hand function, repetitive transcranial magnetic stimulation (rTMS), and exercises considerably improved her function beyond that accomplished with conventional rehabilitation. However, intermittent rTMS (2 sessions/week) was required to sustain the benefits. Research is required to determine the critical frequency of intermittent rTMS needed to sustain functional gains long term.
May 2018: Clinical Case Reports
https://www.readbyqxmd.com/read/29737823/rehabilitation-nutrition-in-pressure-ulcer-management-with-type-2-diabetes-a-case-report
#13
Yoko Saino, Hidetaka Wakabayashi, Keisuke Maeda, Shinta Nishioka, Takako Hao, Kenji Mimatsu
BACKGROUND AND OBJECTIVES: Severe infection, inadequate food intake, and pressure ulcers in patients with type 2 diabetes can result in malnutrition. We describe a case in which rehabilitation nutrition was effective for treat-ing a pressure ulcer in a malnourished patient with type 2 diabetes. METHODS AND RESULTS: A 58-year-old man with type 2 diabetes was diagnosed with hidradenitis suppurativa on the left buttock and thigh and a severe pres-sure ulcer on his left kneecap...
2018: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29732046/semg-signal-acquisition-strategy-towards-hand-fes-control
#14
Cinthya Lourdes Toledo-Peral, Josefina Gutiérrez-Martínez, Jorge Airy Mercado-Gutiérrez, Ana Isabel Martín-Vignon-Whaley, Arturo Vera-Hernández, Lorenzo Leija-Salas
Due to damage of the nervous system, patients experience impediments in their daily life: severe fatigue, tremor or impaired hand dexterity, hemiparesis, or hemiplegia. Surface electromyography (sEMG) signal analysis is used to identify motion; however, standardization of electrode placement and classification of sEMG patterns are major challenges. This paper describes a technique used to acquire sEMG signals for five hand motion patterns from six able-bodied subjects using an array of recording and stimulation electrodes placed on the forearm and its effects over functional electrical stimulation (FES) and volitional sEMG combinations, in order to eventually control a sEMG-driven FES neuroprosthesis for upper limb rehabilitation...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29724706/a-challenge-based-approach-to-body-weight-supported-treadmill-training-poststroke-protocol-for-a-randomized-controlled-trial
#15
Avantika Naidu, David Brown, Elliot Roth
BACKGROUND: Body weight support treadmill training protocols in conjunction with other modalities are commonly used to improve poststroke balance and walking function. However, typical body weight support paradigms tend to use consistently stable balance conditions, often with handrail support and or manual assistance. OBJECTIVE: In this paper, we describe our study protocol, which involved 2 unique body weight support treadmill training paradigms of similar training intensity that integrated dynamic balance challenges to help improve ambulatory function post stroke...
May 3, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29723421/oral-rehabilitation-of-the-cancer-patient-a-formidable-challenge
#16
Ivana Petrovic, Evan B Rosen, Evan Matros, Joseph M Huryn, Jatin P Shah
Rehabilitation of oral functions following surgery on the jaws is a goal that is often difficult to achieve. Removable dentures supported by remaining teeth or gum are often unstable and seldom satisfactory. On the other hand, endosseous (dental) implants offer a mechanism to provide stability to the dentures. This review, discusses factors related to the tumor, patient, treatment, and physicians which impact upon the feasibility and success of dental implants in patients with oral cancer.
May 3, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29721010/targeted-neuromodulation-of-abnormal-interhemispheric-connectivity-to-promote-neural-plasticity-and-recovery-of-arm-function-after-stroke-a-randomized-crossover-clinical-trial-study-protocol
#17
Michael R Borich, Steven L Wolf, Andrew Q Tan, Jacqueline A Palmer
Background: Despite intensive rehabilitation efforts, most stroke survivors have persistent functional disability of the paretic arm and hand. These motor impairments may be due in part to maladaptive changes in structural and functional connections between brain regions. The following early stage clinical trial study protocol describes a noninvasive brain stimulation approach to target transcallosally mediated interhemispheric connections between the ipsi- and contralesional motor cortices (iM1 and cM1) using corticocortical paired associative stimulation (ihPAS)...
2018: Neural Plasticity
https://www.readbyqxmd.com/read/29720096/celiac-crisis-a-rare-and-profound-presentation-of-celiac-disease-a-case-report
#18
Elizabeth Ann Forrest, Mark Wong, Srinivasa Nama, Siddharth Sharma
BACKGROUND: Celiac crisis is a life-threatening manifestation of celiac disease and is rare in adults, with only a handful of cases documented worldwide and mostly in children. CASE PRESENTATION: A profoundly emaciated 43-year-old female presented with profuse diarrhoea, shortness of breath, left leg swelling with ulceration and immobility (Body Mass Index (BMI) = 14.7 kg/m2 ). The patient had normal anion-gap metabolic acidosis (pH = 7.16) with persisting hypokalemia, hyponatremia, hypomagnesemia and hypophosphatemia...
May 2, 2018: BMC Gastroenterology
https://www.readbyqxmd.com/read/29715597/a-systematic-review-of-game-technologies-for-pediatric-patients
#19
REVIEW
Sandra Jurdi, Jorge Montaner, Fernando Garcia-Sanjuan, Javier Jaen, Vicente Nacher
Children in hospital are subjected to multiple negative stimuli that may hinder their development and social interactions. Although game technologies are thought to improve children's experience in hospital, there is a lack of information on how they can be used effectively. This paper presents a systematic review of the literature on the existing approaches in this context to identify gaps for future research. A total of 1305 studies were identified, of which 75 were thoroughly analyzed according to our review protocol...
April 25, 2018: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/29710749/a-novel-hand-gesture-recognition-method-based-on-2-channel-semg
#20
Hailong Yu, Xueli Fan, Lebin Zhao, Xiaoyang Guo
Hand gesture recognition is getting more and more important in the area of rehabilitation and human machine interface (HMI). However, most current approaches are difficult to achieve practical application because of an excess of sensors. In this work, we proposed a method to recognize six common hand gestures and establish the optimal relationship between hand gesture and muscle by utilizing only two channels of surface electromyography (sEMG). We proposed an integrated approach to process the sEMG data including filtering, endpoint detection, feature extraction, and classifier...
April 14, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
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