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https://www.readbyqxmd.com/read/28545498/feasibility-of-a-systematic-comprehensive-one-to-one-training-scoot-program-for-new-scooter-users-study-protocol-for-a-randomized-control-trial
#1
W Ben Mortenson, Sharon Jang, Charlie H Goldsmith, Laura Hurd Clarke, Sandra Hobson, Richelle Emery
BACKGROUND: Mobility scooters can facilitate community participation among individuals with mobility limitations. However, accidents are a serious concern with scooter use. Scooter training has been recommended to improve safety, but there are currently few validated programs available. Therefore, we developed a Systematic, Comprehensive, One-to-One Training (SCOOT) program for scooter users. We will conduct a study to evaluate the outcomes produced by the provision SCOOT. METHODS: This feasibility study will use a mixed-methods, rater-blinded, randomized control trial, with a two-step wedge design...
May 25, 2017: Trials
https://www.readbyqxmd.com/read/28543819/classifying-trunk-strength-impairment-according-to-the-activity-limitation-caused-in-wheelchair-rugby-performance
#2
Viola C Altmann, Brenda E Groen, Anne L Hart, Yves C Vanlandewijck, Noël L W Keijsers
International Federations in Paralympic sport should develop evidence based classification, based on the relative strength of association between impairment and activities that determine sport specific performance. The purpose of the current study was to assess the relationship between trunk strength impairment and three activities that determine performance in Wheelchair Rugby, and to determine whether this relationship supports the concept of "natural classes". Trunk muscle strength and three determinants of performance were assessed in 27 athletes The correlations between lateral trunk muscle strength and the determinant tilting the chair, and between forward trunk muscle strength and the determinants 1 m acceleration and sprint momentum were calculated...
May 24, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28543186/clinical-biochemical-and-genetic-aspects-of-sj%C3%A3-gren-larsson-syndrome
#3
REVIEW
Kye Hee Cho, Sung Han Shim, MinYoung Kim
Sjögren-Larsson syndrome (SLS) is caused by an autosomal recessive mutation in ALDH3A2, which encodes the fatty aldehyde dehydrogenase responsible for the metabolism of long-chain aliphatic aldehydes and alcohols. The pathophysiologic accumulation of aldehydes in various organs, including the skin, brain, and eyes, leads to characteristic features of ichthyosis, intellectual disability, spastic di-/quadriplegia, and low visual acuity with photophobia. The severity of the clinical manifestations thereof can vary greatly, although most patients are bound to a wheelchair due to contractures...
May 23, 2017: Clinical Genetics
https://www.readbyqxmd.com/read/28532968/off-loading-wheelchair-cushion-provides-best-case-reduction-in-tissue-deformation-as-indicated-by-mri
#4
Evan Call, Thomas Hetzel, Chad McLean, Joshua N Burton, Craig Oberg
Off-loading or the Orthotic approach to wheelchair seating has been used successfully to provide seating that optimizes tissue protection at the ischial tuberosities (ITs), sacrum and greater trochanters. Recent publications indicate the significance of preventing tissue compression to reduce ulcer formation. Comparative Magnetic Resonance Imaging (MRI) of individuals seated on two cushion types provides direct evidence of tissue unloading resulting in the reduction in tissue compression. Measurement of tissue compression in MRI images provides the cumulative impact of compression and shear resulting in ultimate tissue thickness documented here...
May 18, 2017: Journal of Tissue Viability
https://www.readbyqxmd.com/read/28531301/a-political-case-of-penetrating-cranial-trauma-the-injury-of-james-scott-brady
#5
Richard Menger, Piyush Kalakoti, Rimal Hanif, Osama Ahmed, Anil Nanda, Bharat Guthikonda
James Brady, the White House press secretary during President Ronald Reagan's first term in office, was 1 of 4 people (including the President) wounded during an attempted assassination attempt on President Reagan's life on March 30, 1981. John Hinckley, Jr. was found not guilty of this attempt by reason of insanity. The assassination attempt was a ploy by Hinckley, Jr. to impress the actress Jodie Foster. Brady was the most seriously injured of the 4 who were wounded. He suffered a gunshot wound to the left forehead that traveled through the left frontal lobe, corpus callosum, and then into the right frontal and temporal lobes...
May 22, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28530452/overground-propulsion-kinematics-and-acceleration-in-elite-wheelchair-rugby
#6
David S Haydon, Ross A Pinder, Paul N Grimshaw, William S P Robertson
PURPOSE: Maximal acceleration from standstill has been identified as a key performance indicator in wheelchair rugby; however, the impact of classification and kinematic variables on performance has received limited attention. This study aimed to investigate kinematic variables during maximal acceleration, with level of activity limitation accounted for using sport classification scores. METHODS: 25 elite wheelchair rugby players were analysed in high-, mid-, and low-point groups based on their sporting classification score, which reflects the combined trunk, arm, and hand function, before completing five 5m sprints from a stationary position...
May 22, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28508888/association-among-practice-frequency-on-depression-and-stress-among-competitive-us-male-wheelchair-rugby-athletes-with-tetraplegia
#7
S L Silveira, T Ledoux, M Cottingham, D C Hernandez
STUDY DESIGN: Cross-sectional. OBJECTIVES: To determine whether frequency of training is related to self-reported lower psychological distress, defined as depressive symptomology and perceived stress, among the US male wheelchair rugby athletes with tetraplegia. SETTING: United States. METHODS: Survey data were collected on a convenience sample at wheelchair rugby tournaments from January-April 2016. Participants self-reported depressive symptomology (CES-D-10), perceived stress scale (PSS), and frequency of rugby practice...
May 16, 2017: Spinal Cord
https://www.readbyqxmd.com/read/28503322/changes-in-oxidized-ldl-during-a-half-marathon-in-athletes-with-spinal-cord-injuries
#8
Toshihito Mitsui, Tomoyuki Ito, Yusuke Sasaki, Takashi Kawasaki, Takeshi Nakamura, Yukihide Nishimura, Tatsuru Ibusuki, Yukiharu Higuchi, Sayoko Hosoe, Fumiaki Ito, Fumihiro Tajima
INTRODUCTION: We reported previously that exercise significantly increases plasma adrenaline and oxidized low-density lipoprotein (oxLDL) in healthy subjects but not in persons with spinal cord injury (SCI). Since oxLDL and adrenaline levels are associated with oxidant/antioxidant balance, and exercise training elicits production of reactive oxygen species, we elucidated the effects of exercise on adrenaline, oxidant/antioxidant balance and oxLDL in individuals with SCI. CASE PRESENTATION: Eight subjects with cervical spinal cord injury (CSCI) and nine subjects with lower lesion of SCI (lower SCI (LSCI)) participated in a wheelchair half marathon race, and blood samples were collected before (pre), immediately after (post) and 1 h after the race (post 1 h)...
2017: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/28495360/fractures-and-osteomalacia-in-a-patient-treated-with-frequent-home-hemodialysis
#9
Mark R Hanudel, Larry Froch, Barbara Gales, Harald Jüppner, Isidro B Salusky
Bone deformities and fractures are common consequences of renal osteodystrophy in the dialysis population. Persistent hypophosphatemia may be observed with more frequent home hemodialysis regimens, but the specific effects on the skeleton are unknown. We present a patient with end-stage renal disease treated with frequent home hemodialysis who developed severe bone pain and multiple fractures, including a hip fracture and a tibia-fibula fracture complicated by nonunion, rendering her nonambulatory and wheelchair bound for more than a year...
May 9, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/28491917/understanding-the-burden-experienced-by-caregivers-of-older-adults-who-use-a-powered-wheelchair-a-cross-sectional-study
#10
Paula W Rushton, Delphine Labbé, Louise Demers, William C Miller, William B Mortenson, R Lee Kirby
Objective: In this study, we aimed to describe the burden of family caregivers providing powered wheelchair-related and overall assistance and test the hypotheses that caregiver burden correlates with participation, wheelchair skills capacity, anxiety, depression, and social support. Methods: Cross-sectional study. Participants included 35 family caregivers of powered wheelchair users. Caregivers were assessed using the Power Mobility Caregiver Assistive Technology Outcome Measure, Late Life Disability Instrument, Wheelchair Skills Test Questionnaire for caregivers, Hospital Anxiety and Depression Scale, and Interpersonal Support Evaluation List-12...
January 2017: Gerontology & Geriatric Medicine
https://www.readbyqxmd.com/read/28485185/exploring-the-ecological-validity-and-variability-of-a-10-min-bout-of-wheeling
#11
Megan K MacGillivray, Tania Lam, Marc Klimstra, E Paul Zehr, Bonita J Sawatzky
PURPOSE: To determine the ecological validity of using able-bodied participants to perform a 10-min wheeling trial by (1) evaluating changes in biomechanics over the trial in manual wheelchair users and able-bodied participants naïve to wheeling and (2) describing differences in changes and variability between groups. MATERIALS AND METHODS: Manual wheelchair users (n = 7, 2-27 years' experience) and able-bodied participants (n = 11) wheeled for 10 min...
May 9, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28484488/progress-in-eeg-based-brain-robot-interaction-systems
#12
REVIEW
Xiaoqian Mao, Mengfan Li, Wei Li, Linwei Niu, Bin Xian, Ming Zeng, Genshe Chen
The most popular noninvasive Brain Robot Interaction (BRI) technology uses the electroencephalogram- (EEG-) based Brain Computer Interface (BCI), to serve as an additional communication channel, for robot control via brainwaves. This technology is promising for elderly or disabled patient assistance with daily life. The key issue of a BRI system is to identify human mental activities, by decoding brainwaves, acquired with an EEG device. Compared with other BCI applications, such as word speller, the development of these applications may be more challenging since control of robot systems via brainwaves must consider surrounding environment feedback in real-time, robot mechanical kinematics, and dynamics, as well as robot control architecture and behavior...
2017: Computational Intelligence and Neuroscience
https://www.readbyqxmd.com/read/28480812/morbidity-and-mortality-after-fragility-hip-fracture-in-a-saudi-arabian-population-report-from-a-single-center
#13
Mir Sadat-Ali, Moaad Alfaraidy, Abdulaziz AlHawas, Ahmed Abdallah Al-Othman, Dakheel A Al-Dakheel, Badar K Tayara
Objective To determine the functional morbidity and mortality after fragility hip fracture and compare the mortality with three other common diseases. Methods Data were collected from patients admitted to King Fahd Hospital of the University, AlKhobar from January 2010 to December 2014. Demographic data included the preoperative American Society of Anesthesiologists (ASA) score as assessed by the anesthetist and the type of surgery. Personal and telephone interviews were performed, and data were entered into a database and analyzed...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28479912/locally-manufactured-wheelchairs-in-tanzania-are-users-satisfied
#14
Seyi Amosun, Aston Ndosi, Helen Buchanan
BACKGROUND: The government of Tanzania created opportunity for the production of wheelchairs that would be appropriate to the local needs and environment. OBJECTIVES: The study assessed the extent to which the wheelchairs met the activity and participation needs of the users, as well as the users' level of satisfaction with the provision, repair and maintenance of these wheelchairs. METHODS: A descriptive cross-sectional analytical design was utilized to collect data through the administration of a questionnaire among 75 adult wheelchair users...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28478914/late-onset-limb-girdle-muscular-dystrophy-caused-by-gmppb-mutations
#15
Hasan Balcin, Johanna Palmio, Sini Penttilä, Inger Nennesmo, Mikaela Lindfors, Göran Solders, Bjarne Udd
Mutations in GMPPB gene have been reported in patients with early-onset disease ranging from severe congenital muscular dystrophies to limb-girdle muscular dystrophy (LGMD) with mental retardation. More recently mutations in GMPPB have been identified with congenital myasthenic syndromes as well as milder phenotypes. We report two unrelated cases with LGMD that underwent clinical, histopathological and genetic studies. In both cases, we found identical compound heterozygous GMPPB mutations c.79G>C p.D27H and c...
April 18, 2017: Neuromuscular Disorders: NMD
https://www.readbyqxmd.com/read/28475062/spelling-with-a-small-mobile-brain-computer-interface-in-a-moving-wheelchair
#16
Qasem Obeidat, Tom Campbell, Jun Kong
Research into Brain-Computer Interfaces (BCIs), which spell words using brain signals, has revealed that a desktop version of such a speller, the edges paradigm, offers several advantages: This edges paradigm outperforms the benchmark row-column paradigm in terms of accuracy, bitrate, and user experience. It has remained unknown whether these advantages prevailed with a new version of the edges paradigm designed for a mobile device. This paper investigated and evaluated in a rolling wheelchair a mobile BCI, which implemented the edges paradigm on small displays with which visual crowding tends to occur...
May 2, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28475060/the-implementation-and-validation-of-a-virtual-environment-for-training-powered-wheelchair-manoeuvres
#17
Nigel W John, Serban R Pop, Thomas W Day, Panagiotis D Ritsos, Christopher J Headleand
Navigating a powered wheelchair and avoiding collisions is often a daunting task for new wheelchair users. It takes time and practice to gain the coordination needed to become a competent driver and this can be even more of a challenge for someone with a disability. We present a cost-effective virtual reality (VR) application that takes advantage of consumer level VR hardware. The system can be easily deployed in an assessment centre or for home use, and does not depend on a specialized high-end virtual environment such as a Powerwall or CAVE...
May 2, 2017: IEEE Transactions on Visualization and Computer Graphics
https://www.readbyqxmd.com/read/28472894/resting-energy-expenditure-in-male-athletes-with-a-spinal-cord-injury
#18
Fiona E Pelly, Elizabeth M Broad, Natalie Stuart, Mark A Holmes
OBJECTIVE: To investigate whether there are differences in the resting energy expenditure (REE) and body composition of athletes with a spinal cord injury (SCI) compared to active able-bodied controls. DESIGN: In this cross sectional study, male athletes with a SCI were compared to active able-bodied controls matched for age, stretch stature and body mass. In addition, the accuracy of standard REE prediction equations in estimating REE was assessed. PARTICIPANTS: Seven male wheelchair athletes with a SCI and six matched active able-bodied controls volunteered to participate...
May 4, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28465225/association-of-pectoralis-minor-muscle-extensibility-shoulder-mobility-and-duration-of-manual-wheelchair-use
#19
Margaret Finley, David Ebaugh
OBJECTIVE: To assess the relationship of pectoralis minor muscle (PMm) length and extensibility to shoulder pain, shoulder girdle motion, and duration of manual wheelchair (MWC) use and compare differences in muscle length, muscle extensibility, peak humeral elevation and pain among groups based on duration of wheelchair use. DESIGN: Cross-sectional cohort study; SETTING: Laboratory setting PARTICIPANTS: Twenty-two individuals with SCI who used a MWC for daily community and home mobility (18 males, mean age 41...
April 29, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28454679/a-pilot-study-comparing-custom-contoured-and-planar-support-surfaces-for-pressure-ulcer-risk-over-the-heels-for-night-time-postural-management-using-interface-pressure-mapping-and-discomfort-scores
#20
J Hosking
PURPOSE: Custom contouring techniques are effective for reducing pressure ulcer risk in wheelchair seating. These techniques may assist the management of pressure ulcer risk during sleep for night time postural management. OBJECTIVES: To investigate the effectiveness of custom contoured night time postural management components against planar support surfaces for pressure ulcer risk measures over the heels. METHOD: Supine posture was captured from five healthy participants using vacuum consolidation and 3-dimensional laser scanning...
April 21, 2017: Journal of Tissue Viability
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