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Hand rehabilitation

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https://www.readbyqxmd.com/read/28074464/investigation-of-hand-function-among-children-diagnosed-with-autism-spectrum-disorder-with-upper-extremity-trauma-history
#1
Meral Huri, Sedef Şahin, Hülya Kayıhan
BACKGROUND: The present study was designed to compare hand function in autistic children with history of upper extremity trauma with that of autistic children those who do not have history of trauma. METHODS: The study group included total of 65 children diagnosed with autism spectrum disorder (ASD) and was divided into 2 groups: children with trauma history (Group I) and control group (Group II) (Group I: n=28; Group II: n=37). Hand function was evaluated with 9-Hole Peg Test and Jebsen Hand Function Test...
November 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28068293/a-hybrid-bmi-based-exoskeleton-for-paresis-emg-control-for-assisting-arm-movements
#2
Toshihiro Kawase, Takeshi Sakurada, Yasuharu Koike, Kenji Kansaku
OBJECTIVE: Brain-machine interface (BMI) technologies have succeeded in controlling robotic exoskeletons, enabling some paralyzed people to control their own arms and hands. We have developed an exoskeleton asynchronously controlled by EEG signals. In this study, to enable real-time control of the exoskeleton for paresis, we developed a hybrid system with EEG and EMG signals, and the EMG signals were used to estimate its joint angles. APPROACH: Eleven able-bodied subjects and two patients with upper cervical spinal cord injuries (SCIs) performed hand and arm movements, and the angles of the metacarpophalangeal (MP) joint of the index finger, wrist, and elbow were estimated from EMG signals using a formula that we derived to calculate joint angles from EMG signals, based on a musculoskeletal model...
January 9, 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/28062082/the-effect-of-a-rehabilitation-nursing-intervention-model-on-improving-the-comprehensive-health-status-of-patients-with-hand-burns
#3
Lin Li, Jia-Xi Dai, Le Xu, Zhen-Xia Huang, Qiong Pan, Xi Zhang, Mei-Yun Jiang, Zhao-Hong Chen
AIMS AND OBJECTIVES: To observe the effect of a rehabilitation intervention on the comprehensive health status of patients with hand burns. BACKGROUND: Most studies of hand-burn patients have focused on functional recovery. There have been no studies involving a biological-psychological-social rehabilitation model of hand-burn patients. DESIGN: A randomized controlled design was used. METHODS: Patients with hand burns were recruited to the study, and sixty patients participated...
January 3, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28049002/reliability-and-agreement-of-neck-functional-capacity-evaluation-tests-in-patients-with-chronic-multifactorial-neck-pain
#4
M F Reneman, M Roelofs, H R Schiphorst Preuper
OBJECTIVE: To analyze test-retest reliability and agreement, and to explore safety of Neck Functional Capacity Evaluation tests (Neck-FCE) in patients with chronic multifactorial neck pain. DESIGN: test-retest; 2 FCE sessions were held with a 2 week interval. SETTING: university based outpatient rehabilitation center. PARTICIPANTS: n=18 participants, 14 females, mean age of 34 years. INTERVENTIONS: not applicable...
December 31, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28042926/the-potential-impact-of-gut-microbiota-on-your-health-current-status-and-future-challenges
#5
Stitaya Sirisinha
Our health and probably also our behaviors and mood depend not only on what we eat or what we do (lifestyle behaviors), but also on what we host. It is well established for decades that all vertebrates including humans are colonized by a wide array of bacteria, fungi, eukaryotic parasites and viruses, and that, at steady state (homeostasis), this community of microbes establishes a friendly mutual relationship with the host. The term microbiota was originally meant to represent an ecological community of commensals and potentially pathogenic microbes that live within our bodies, but it is now used interchangeably with the term microbiome which was initially meant to represent a collective genome of the microbiota...
December 2016: Asian Pacific Journal of Allergy and Immunology
https://www.readbyqxmd.com/read/28039539/a-wearable-proprioceptive-stabilizer-for-rehabilitation-of-limb-and-gait-ataxia-in-hereditary-cerebellar-ataxias-a-pilot-open-labeled-study
#6
Luca Leonardi, Maria Gabriella Aceto, Christian Marcotulli, Giuseppe Arcuria, Mariano Serrao, Francesco Pierelli, Paolo Paone, Alessandro Filla, Alessandro Roca, Carlo Casali
The aim of this pilot study is to test the feasibility and effectiveness of a wearable proprioceptive stabilizer that emits focal mechanical vibrations in patients affected by hereditary cerebellar ataxias. Eleven adult patients with a confirmed genetic diagnosis of autosomal dominant spinocerebellar ataxia or Friedreich's ataxia were asked to wear an active device for 3 weeks. Assessments were performed at baseline, after the device use (T1), and 3 weeks after (T2). SARA, 9-HPT, PATA, 6MWT, and spatial and temporal gait parameters, measured with a BTS-G-Walk inertial sensor, were used as study endpoints...
December 31, 2016: Neurological Sciences
https://www.readbyqxmd.com/read/28035841/rehabilitation-robotics-for-the-upper-extremity-review-with-new-directions-for-orthopaedic-disorders
#7
Renée M Hakim, Brandon G Tunis, Michael D Ross
The focus of research using technological innovations such as robotic devices has been on interventions to improve upper extremity function in neurologic populations, particularly patients with stroke. There is a growing body of evidence describing rehabilitation programs using various types of supportive/assistive and/or resistive robotic and virtual reality-enhanced devices to improve outcomes for patients with neurologic disorders. The most promising approaches are task-oriented, based on current concepts of motor control/learning and practice-induced neuroplasticity...
December 30, 2016: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28027679/the-comparison-of-telerehabilitation-and-face-to-face-rehabilitation-after-total-knee-arthroplasty-a-systematic-review-and-meta-analysis
#8
Shuihua Jiang, Jie Xiang, Xiuming Gao, Kaijin Guo, Baohua Liu
Introduction The objective of this study was to assess the efficacy of telerehabilitation for patients after total knee arthroplasty (TKA) compared with face-to-face rehabilitation. Methods Medline, SCOPUS, Google Scholar, EMBASE, Springer, Science Direct, and Cochrane databases were searched electronically. Relevant journals and references of studies included were hand-searched for randomized controlled trials (RCTs) regarding the efficacy of telerehabilitation on functional recovery in patients after TKA...
January 1, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28027178/influence-of-two-types-of-connections-in-driver-retention-screw-assembly
#9
Magnus Sérgio Martins de Paiva, Samila Neres de Oliveira, Jéssyca Viviane Andrade Dias, Cypriano Galvão da Trindade Neto, José Renato Cavalcante de Queiroz, Erika Almeida de Oliveira, Amílcar Chagas Freitas Júnior
Rehabilitation with implant-supported prostheses has reached high success rates. However, mechanical failures are still reported, mainly in retention screws of abutments in single implant-supported crowns; which is designed to be the weakest structure and the first component to fail under overloading. In this sense, the aim of this in vitro study was to evaluate the influence of different joint designs (square or hexagonal) on resistance to deformation of driver-retention screw assembly of 3 commercial brands (Neodent, Singular, and Sin)...
December 23, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28027048/alignment-of-outcome-instruments-used-in-hand-therapy-with-the-occupational-therapy-practice-framework-domain-and-process-and-the-international-classification-of-functioning-disability-and-health-a-scoping-review
#10
Danielle Ann-Marie Lesher, M J Mulcahey, Peter Hershey, Donna Breger Stanton, Andrea C Tiedgen
OBJECTIVE: We sought to identify outcome instruments used in rehabilitation of the hand and upper extremity; to determine their alignment with the constructs of the International Classification of Functioning, Disability and Health (ICF) and the Occupational Therapy Practice Framework: Domain and Process; and to report gaps in the constructs measured by outcome instruments as a basis for future research. METHOD: We searched CINAHL, MEDLINE, OTseeker, and the Cochrane Central Register of Controlled Trials using scoping review methodology and evaluated outcome instruments for concordance with the ICF and the Framework...
January 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28026726/-intra-articular-application-of-tranexamic-acid-significantly-reduces-blood-loss-and-transfusion-requirement-in-primary-total-knee-arthroplasty
#11
J Lošťák, J Gallo, J Špička, K Langová
PURPOSE OF THE STUDY The aim of this prospective study was to investigate the effect of topical application of tranexamic acid (TXA, Exacyl) on the amount of post-operative blood loss, and blood transfusion requirement in patients undergoing primary total knee arthroplasty (TKA). Attention was paid to early complications potentially associated with TXA administration, such as haematoma, wound exudate, or knee swelling. In addition, the economic benefit of TXA treatment was also taken into account. MATERIAL AND METHODS The study included 238 patients (85 men and 153 women) who underwent primary total knee arthroplasty (TKA) at our department between January 2013 and November 2015...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28025624/impact-of-a-revised-curriculum-focusing-on-clinical-neurology-and-musculoskeletal-care-on-a-required-fourth-year-medical-student-physical-medicine-and-rehabilitation-clerkship
#12
John W Norbury, Clinton E Faulk, Kelly M Harrell, Luan E Lawson, Daniel P Moore
Background. A Required Fourth-Year Medical Student Physical Medicine and Rehabilitation (PM&R) Clerkship was found to increase students' knowledge of PM&R; however the students' overall rotation evaluations were consistently lower than the other 8 required clerkships at the medical school. Objective. To describe the impact of a revised curriculum based upon Entrustable Professional Activities and focusing on basic pain management, musculoskeletal care, and neurology. Setting. Academic Medical Center. Participants...
2016: Rehabilitation Research and Practice
https://www.readbyqxmd.com/read/28024459/post-acute-hospital-healthcare-services-for-people-with-mild-stroke-a-scoping-review
#13
Tenelle Hodson, Louise Gustafsson, Petrea Cornwell, Amanda Love
BACKGROUND: People with mild stroke comprise a significant proportion of the overall stroke population. Previously this population has been viewed as having limited impairments, receiving minimal services following hospital discharge. Recent findings demonstrate that the implications of mild stroke are more significant than originally comprehended, warranting further services. OBJECTIVES: To identify the evidence-base regarding services for people with mild stroke, post-acute hospital discharge, that target secondary prevention and/or changes following stroke...
December 26, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28018979/increasing-access-to-cost-effective-home-based-rehabilitation-for-rural-veteran-stroke-survivors
#14
S N Housley, A R Garlow, K Ducote, A Howard, T Thomas, D Wu, K Richards, A J Butler
INTRODUCTION: An estimated 750,000 Americans experience a stroke annually. Most stroke survivors require rehabilitation. Limited access to rehabilitation facilities has a pronounced burden on functional outcomes and quality of life. Robotic devices deliver reproducible therapy without the need for real-time human oversight. This study examined the efficacy of using home-based, telerobotic-assisted devices (Hand and Foot Mentor: HM and FM) to improve functional ability and reduce depression symptoms, while improving access and cost savings associated with rehabilitation...
August 25, 2016: Austin Journal of Cerebrovascular Disease & Stroke
https://www.readbyqxmd.com/read/28009677/effectiveness-of-temporary-deafferentation-of-the-arm-on-somatosensory-and-motor-functions-following-stroke-a-systematic-review
#15
Emmanuelle Opsommer, Camille Zwissig, Natalya Korogod, Thomas Weiss
BACKGROUND: After stroke, regaining functional use of the upper limb can be challenging. Temporary deafferentation (TD) is a novel approach used in neurorehabilitation to voluntarily reduce the somatosensory input in a body part by temporary anesthesia; which has been shown to improve sensorimotor functions in the affected limb. OBJECTIVES: The primary objective of this systematic review was to present the best available evidence related to the effects of TD of the affected arm on the recovery of motor function and activity of the upper limb (arm and hand) following stroke...
December 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28008364/interfacial-pressure-and-shear-sensor-system-for-fingertip-contact-applications
#16
Maria Valero, Nick Hale, Jing Tang, Liudi Jiang, Mike McGrath, Jianliang Gao, Piotr Laszczak, David Moser
This Letter presents a capacitive-based sensor system for fingertip contact applications. It is capable of simultaneously measuring normal (pressure) and tangential (shear) stresses at the interface between a fingertip and external objects. This could be potentially exploitable for applications in the fields of upper limb prosthetics, robotics, hand rehabilitation and so on. The system was calibrated and its performance was tested using a test machine. To do so, specific test protocols reproducing typical stress profiles in fingertip contact interactions were designed...
December 2016: Healthcare Technology Letters
https://www.readbyqxmd.com/read/28005539/an-investigation-into-traditional-chinese-medicine-hospitals-in-china-development-trend-and-medical-service-innovation
#17
Liang Wang, Sizhuo Suo, Jian Li, Yuanjia Hu, Peng Li, Yitao Wang, Hao Hu
BACKGROUND: This paper aims to investigate the development trend of traditional Chinese medicine (TCM) hospitals in China and explore their medical service innovations, with special reference to the changing co-existence with western medicine (WM) at TCM hospitals. METHODS: Quantitative data at macro level was collected from official databases of China Health Statistical Yearbook and Extracts of Traditional Chinese Medicine Statistics. Qualitative data at micro level was gathered through interviews and second-hand material collection at two of the top-level TCM hospitals...
June 7, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28002243/smile-reanimation-after-unilateral-facial-palsy-by-lengthening-temporalis-myoplasty-objective-and-subjective-evaluation-on-25-cases
#18
Claire Foirest, Benjamin Granger, Peggy Gatignol, Isabelle Bernat, Yann Nguyen, Georges Lamas, Frederic Tankere
Comparison of functional results of Lengthening Temporalis Myoplasty (LTM) relies in current practice on subjective scales. The goal of this study was to define a simple, reproducible objective scale validated through a comparison with a subjective scale for smile symmetrization results after temporal muscle myoplasty.This retrospective study was conducted on 25 patients having an unilateral facial palsy and rehabilitated with LTM. Evaluation consisted in objectives measures (smile horizontal symmetry between left and right side dsmile vertical symmetry dV, and smile width on Healthy (Hs) and Paretic side (Ps) on pre- and postoperative photos...
December 19, 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27993587/percutaneous-needle-tenotomy-for-the-treatment-of-muscle-and-tendon-contractures-in-adults-with-brain-damage-results-and-complications
#19
Flavia Coroian, Claire Jourdan, Jérome Froger, Claire Anquetil, Olivier Choquet, Bertand Coulet, Isabelle Laffont
OBJECTIVE: To study the results and complications of percutaneous needle tenotomy (PNT) of superficial retracted tendons in brain damaged patients. Muscle and tendon contractures are common in this population and can lead to severe functional impairment. Care management is commonly based on open surgical tenotomy. PNT is a mini-invasive surgical procedure suspected to be safer among frail patients. DESIGN: Prospective observational study SETTING: University Hospital Physical Medicine and Rehabilitation (PM&R) and Orthopedic Surgery Departments...
December 16, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27993582/the-association-between-orthostatic-hypotension-and-handgrip-strength-with-successful-rehabilitation-in-elderly-hip-fracture-patients
#20
L C Hartog, A M Winters, H Roijen, A M Kamper, H Inia, N Kleefstra, H J G Bilo, K J J van Hateren
OBJECTIVE: Our objectives were to investigate the relationship between orthostatic hypotension (OH) and muscle strength versus time to successful rehabilitation within elderly hip fracture patients. DESIGN: A prospective observational cohort study. Handgrip strength was measured at the day of admission and OH as soon as possible after surgery. Cox proportional hazard modelling was used to investigate the relationship between OH, or handgrip strength (kg) and time to successful rehabilitation, expressed as hazard ratios (HR)...
December 16, 2016: Archives of Physical Medicine and Rehabilitation
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