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https://www.readbyqxmd.com/read/27921146/bone-loss-at-the-distal-femur-and-proximal-tibia-in-persons-with-spinal-cord-injury-imaging-approaches-risk-of-fracture-and-potential-treatment-options
#1
REVIEW
C M Cirnigliaro, M J Myslinski, M F La Fountaine, S C Kirshblum, G F Forrest, W A Bauman
Persons with spinal cord injury (SCI) undergo immediate unloading of the skeleton and, as a result, have severe bone loss below the level of lesion associated with increased risk of long-bone fractures. The pattern of bone loss in individuals with SCI differs from other forms of secondary osteoporosis because the skeleton above the level of lesion remains unaffected, while marked bone loss occurs in the regions of neurological impairment. Striking demineralization of the trabecular epiphyses of the distal femur (supracondylar) and proximal tibia occurs, with the knee region being highly vulnerable to fracture because many accidents occur while sitting in a wheelchair, making the knee region the first point of contact to any applied force...
December 5, 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27918765/development-of-a-biochemical-diagnosis-of-parkinson-disease-by-detection-of-%C3%AE-synuclein-misfolded-aggregates-in-cerebrospinal-fluid
#2
Mohammad Shahnawaz, Takahiko Tokuda, Masaaki Waragai, Nicolas Mendez, Ryotaro Ishii, Claudia Trenkwalder, Brit Mollenhauer, Claudio Soto
Importance: Parkinson disease (PD) is a highly prevalent and incurable neurodegenerative disease associated with the accumulation of misfolded α-synuclein (αSyn) aggregates. An important problem in this disease is the lack of a sensitive, specific, and noninvasive biochemical diagnosis to help in clinical evaluation, monitoring of disease progression, and early differential diagnosis from related neurodegenerative diseases. Objective: To develop a novel assay with high sensitivity and specificity to detect small quantities of αSyn aggregates circulating in cerebrospinal fluid (CSF) of patients affected by PD and related synucleinopathies...
December 5, 2016: JAMA Neurology
https://www.readbyqxmd.com/read/27918675/biomechanics-in-paralympics-implications-for-performance
#3
Floor Morriën, Matthew J D Taylor, Florentina J Hettinga
PURPOSE: To provide an overview of biomechanical studies in Paralympic research and their relevance for performance in Paralympic sports. METHODS: Search terms ' Paralympic Biomechanics', 'Paralympic Sport Performance', 'Paralympic Athlete Performance', and Paralympic Athlete' were entered into the electronic database PubMed. RESULTS: Thirty-four studies were included. Biomechanical studies in Paralympics mainly contributed to performance enhancement by technical optimization (n=32) and/or injury prevention (n=6)...
December 5, 2016: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/27910723/powered-mobility-intervention-understanding-the-position-of-tool-use-learning-as-part-of-implementing-the-alp-tool
#4
Lisbeth Nilsson, Josephine Durkin
PURPOSE: To explore the knowledge necessary for adoption and implementation of the Assessment of Learning Powered mobility use (ALP) tool in different practice settings for both adults and children. To consult with a diverse population of professionals working with adults and children, in different countries and various settings; who were learning about or using the ALP tool, as part of exploring and implementing research findings. METHOD: Classical grounded theory with a rigorous comparative analysis of data from informants together with reflections on our own rich experiences of powered mobility practice and comparisons with the literature...
December 2, 2016: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/27904226/paraplegic-flexion-contracture-of-hip-joints-an-unsolvable-problem
#5
Sailendra Bhattacharyya
Paraplegic flexion contracture of hip joints beyond 90° is a difficult condition to treat for any orthopedic surgeon. There is no fixed protocol of treatment described, by and large it is individualized. A 20 year old female presented with paraplegia for last 15 years due to irrecoverable spinal cord disease with complete sensory and motor loss of both lower extremities and was admitted with acute flexion contracture of both hip joints with trunk resting on thighs. She underwent bilateral proximal femoral resection...
November 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27900176/systematic-review-of-physical-activity-and-exercise-interventions-to-improve-health-fitness-and-well-being-of-children-and-young-people-who-use-wheelchairs
#6
Thomas D O'Brien, Jane Noyes, Llinos Haf Spencer, Hans-Peter Kubis, Richard P Hastings, Rhiannon Whitaker
AIM: To perform a systematic review establishing the current evidence base for physical activity and exercise interventions that promote health, fitness and well-being, rather than specific functional improvements, for children who use wheelchairs. DESIGN: A systematic review using a mixed methods design. DATA SOURCES: A wide range of databases, including Web of Science, PubMed, BMJ Best Practice, NHS EED, CINAHL, AMED, NICAN, PsychINFO, were searched for quantitative, qualitative and health economics evidence...
2016: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/27898157/everyday-sitting-behavior-of-full-time-wheelchair-users
#7
Sharon E Sonenblum, Stephen H Sprigle, James S Martin
The objective of this study was to describe the in-seat movement and weight-shifting behavior of full-time wheelchair users. We measured everyday sitting behavior for 192 d across 28 individuals who used manual wheelchairs as their primary mobility device. To obtain the measurements, we used eight thin force sensors placed under participants' wheelchair cushions. On a typical day, participants spent an average of 10.6 +/- 3.0 h in their wheelchair and transferred out of the wheelchair 8.4 +/- 4.3 times. Participants only performed pressure reliefs (90% off-loading of the entire buttocks for at least 15 s) 0...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27898156/scoping-review-of-mobility-scooter-related-research-studies
#8
W Ben Mortenson, Jenny Kim
Mobility scooters are three- or four-wheeled power mobility devices regularly used by people who have difficulty ambulating. They also differ from power wheelchairs in terms of their driving controls, programmability, seating, and mounting method. Given their growing popularity and anecdotal concerns around their use, a scoping review was undertaken to identify empirical research about mobility scooters and to analyze their study design and purpose. Data sources included MedLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, and PsychINFO...
2016: Journal of Rehabilitation Research and Development
https://www.readbyqxmd.com/read/27896193/multidisciplinary-approach-to-an-extended-pressure-sore-at-the-lumbosacral-area
#9
Sehoon Yoon, Euicheol Jeong, Hudson Alex Lázaro
A pressure sore wound is often extensive or complicated by local infection involving adjacent soft tissue and bone. In this case, a regional flap after simple debridement is not adequate. Here, we present a case of an extensive pressure sore in the sacral area with deep tissue infection. A 43-year-old female patient with a complicated sore with deep tissue infection had a presacral abscess, an iliopsoas abscess, and an epidural abscess in the lumbar spine. After a multidisciplinary approach performed in stages, the infection had subsided and removal of the devitalized tissue was possible...
November 2016: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/27894118/nutritional-status-and-changes-in-body-weight-in-patients-with-multiple-system-atrophy
#10
Tomoe Sato, Maho Shiobara, Masatoyo Nishizawa, Takayoshi Shimohata
INTRODUCTION: The importance of nutritional management in neurodegenerative diseases is increasingly recognized in the clinical setting. However, few reports have examined the nutritional intake in patients with multiple system atrophy (MSA). Here, we investigated changes in daily caloric intake, body mass index (BMI) and nutritional status during the disease course of MSA. METHODS: We performed a single-hospital study of 82 consecutive patients with probable MSA according to the consensus criteria...
November 29, 2016: European Neurology
https://www.readbyqxmd.com/read/27881807/sarcopenia-is-highly-prevalent-in-older-medical-patients-with-mobility-limitation-comparisons-according-to-ambulatory-status
#11
Keisuke Maeda, Hiroshi Shamoto, Hidetaka Wakabayashi, Junji Akagi
BACKGROUND: The association of sarcopenia with disability with ambulatory status is uncertain because most studies have targeted people who could walk independently. This study explored the prevalence of sarcopenia regardless of ambulatory status and the impact of ambulatory status on sarcopenia. MATERIALS AND METHODS: In total, 778 consecutive patients, aged ≥65 years and admitted to a hospital, were enrolled. Ambulatory status was divided into 4 grades according to mobility as described in the Barthel index...
November 23, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27881124/effects-of-variable-practice-on-the-motor-learning-outcomes-in-manual-wheelchair-propulsion
#12
Marika T Leving, Riemer J K Vegter, Sonja de Groot, Lucas H V van der Woude
BACKGROUND: Handrim wheelchair propulsion is a cyclic skill that needs to be learned during rehabilitation. It has been suggested that more variability in propulsion technique benefits the motor learning process of wheelchair propulsion. The purpose of this study was to determine the influence of variable practice on the motor learning outcomes of wheelchair propulsion in able-bodied participants. Variable practice was introduced in the form of wheelchair basketball practice and wheelchair-skill practice...
November 23, 2016: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/27879982/resistance-band-exercises-reduce-depression-and-behavioral-problems-of-wheelchair-bound-older-adults-with-dementia-a-cluster-randomized-controlled-trial
#13
Kuei-Min Chen, Chang-Chih Kuo, Ya-Hui Chang, Hsin-Ting Huang, Yin-Yin Cheng
OBJECTIVES: To test the effects of a 15-month wheelchair-bound resistance band exercise program on depression and behavioral problems of wheelchair-bound older adults with dementia. DESIGN: Single-blind, cluster-randomized controlled trial with repeated measures. SETTING: Eight nursing homes in southern Taiwan. PARTICIPANTS: Wheelchair-bound nursing home older adults with dementia who participated voluntarily (N = 150) were cluster-randomized to two groups (experimental or control group); 127 completed the study (experimental: four nursing homes, n = 65; control: four nursing homes, n = 62)...
November 23, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27874302/sprint-performance-of-elite-wheelchair-basketball-players-applicability-of-a-laser-system-for-describing-the-velocity-curve
#14
Amelia Ferro, Jorge Villacieros, Javier Pérez-Tejero
The purpose of this study was to develop a methodology to accurately analyze sprint performance of elite wheelchair basketball (WB) players in their own training context using a laser system and to analyze the velocity curve performed by the players regarding their functional classification and their playing position. Twelve WB players, from the Spanish men's national team, took part in an oncourt 20-m-sprint test. BioLaserSport® was used to obtain time, mean velocities (Vm), maximum velocities (Vmax), and distances at 90%, 95%, and 98% of their Vmax...
October 2016: Adapted Physical Activity Quarterly: APAQ
https://www.readbyqxmd.com/read/27858684/a-survey-of-deep-tissue-injury-in-elite-female-wheelchair-basketball-players
#15
Yukiyo Shimizu, Hirotaka Mutsuzaki, Kaori Tachibana, Kenji Tsunoda, Kazushi Hotta, Takashi Fukaya, Eiji Ikeda, Masashi Yamazaki, Yasuyoshi Wadano
OBJECTIVE: To investigate deep tissue injuries (DTIs) in elite female wheelchair basketball players and identify factors associated with their occurrence. METHODS: Study participants were 22 female wheelchair basketball players on the Japanese national team. The sacral and bilateral ischial regions of each participant were examined using ultrasonography to detect DTIs. RESULTS: DTIs were found in 15 players (68.2%). DTIs were more frequent in players with a central nervous system disorder (CNSd) (85...
November 11, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27852520/evaluating-the-impact-of-watercell-%C3%A2-technology-on-pressure-redistribution-and-comfort-discomfort-of-adults-with-limited-mobility
#16
Carol Bartley, Melanie Stephens
AIM OF THE STUDY: The aim of the study was to evaluate the effect of WaterCell(®) Technology on pressure redistribution and self-reported comfort and discomfort scores of adults with mobility problems who remain seated for extended periods of time. METHODS: Twelve participants, were recruited and ranged in gender, age, height, weight, and body mass index. Five were male, seven were female, and five were permanent wheelchair users. Each participant was randomly allocated a chair, whose seat comprised of visco-elastic memory foam, high-elastic reflex foam, and watercells, to trial for a week...
November 5, 2016: Journal of Tissue Viability
https://www.readbyqxmd.com/read/27847716/effects-of-extracorporeal-shockwave-therapy-in-chronic-stroke-patients-with-knee-osteoarthritis-a-pilot-study
#17
Sung Jun Cho, Ja Ryung Yang, Hee Seung Yang, Hea-Eun Yang
OBJECTIVE: To evaluate the effects of extracorporeal shockwave therapy (ESWT) on pain, function, and ultrasonographic features of chronic stroke patients with knee osteoarthritis (OA). METHODS: A total of 18 chronic stroke patients (33 knee joints) with unilateral or bilateral knee OA (Kellgren-Lawrence grade ≥1) were enrolled in this study. The patients were randomly allocated to an experimental group receiving ESWT (n=9) or a control group receiving sham ESWT (n=9)...
October 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27847676/retentive-cup-arthroplasty-in-selected-hip-fracture-patients-a-prospective-series-with-a-minimum-3-year-follow-up
#18
Mustafa Yassin, Avraham Garti, Muhammad Khatib, Moshe Weisbrot, Dror Robinson
OBJECTIVE: To evaluate the efficacy of the use of retentive cup primary total hip replacement (THR) in high-dislocation risk subcapital fracture patients. METHODS: During the years 2008 to 2012, 354 patients with displaced subcapital fracture were operated at our institute. The patients were selected to undergo primary constrained THR according to the following criteria: (1) a preinjury grade 4 or more on the Functional Independence Measure mobility item "5. Locomotion: walking/wheelchair" and grade 4 is defined as "4...
December 2016: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/27846371/data-logger-technologies-for-manual-wheelchairs-a-scoping-review
#19
François Routhier, Josiane Lettre, William C Miller, Jaimie F Borisoff, Kate Keetch, Ian M Mitchell, CanWheel Research Team
In recent years, studies have increasingly employed data logger technologies to record objective driving and physiological characteristics of manual wheelchair users. However, the technologies used offer significant differences in characteristics such as measured outcomes, ease of use and level of burden. In order to identify and describe the extent of published research activity that relies on data logger technologies for manual wheelchair users, we performed a scoping review of the scientific and grey literature...
November 15, 2016: Assistive Technology: the Official Journal of RESNA
https://www.readbyqxmd.com/read/27834572/a-comparison-of-speed-profiles-during-training-and-competition-in-elite-wheelchair-rugby-players
#20
James M Rhodes, Barry S Mason, Thomas A W Paulson, Victoria L Goosey-Tolfrey
PURPOSE: To investigate the speed profiles of individual training modes in comparison to wheelchair rugby (WCR) competition across player classifications. METHODS: Speed profiles of fifteen international WCR players were determined using a radio-frequency based indoor tracking system. Mean and peak speed (m∙s-1), work-rest ratios, the relative time spent (%) and the number of high speed activities performed were measured across training sessions (n = 464) and international competition (n = 34)...
November 11, 2016: International Journal of Sports Physiology and Performance
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