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Neuromusculoskeletal rehabilitation

Guillaume Durandau, Dario Farina, Massimo Sartori
OBJECTIVE: Current clinical biomechanics involves lengthy data acquisition and time-consuming offline analyses and current biomechanical models cannot be used for real-time control in man-machine interfaces. We developed a method that enables online analysis of neuromusculoskeletal function in vivo in the intact human. METHODS: We used electromyography (EMG)-driven musculoskeletal modeling to simulate all transformations from muscle excitation onset (EMGs) to mechanical moment production around multiple lower-limb degrees of freedom (DOFs)...
May 12, 2017: IEEE Transactions on Bio-medical Engineering
Manuel González-Sánchez, Maria Ruiz-Muñoz, Guang Zhi Li, Antonio I Cuesta-Vargas
PURPOSE: To perform a cross-cultural adaptation and validation of the Foot Function Index (FFI) questionnaire to develop the Chinese version. MATERIALS AND METHODS: Three hundred and six patients with foot and ankle neuromusculoskeletal diseases participated in this observational study. Construct validity, internal consistency and criterion validity were calculated for the FFI Chinese version after the translation and transcultural adaptation process. RESULTS: Internal consistency ranged from 0...
May 11, 2017: Disability and Rehabilitation
Claudio Pizzolato, Monica Reggiani, David J Saxby, Elena Ceseracciu, Luca Modenese, David G Lloyd
Biofeedback assisted rehabilitation and intervention technologies have the potential to modify clinically relevant biomechanics. Gait retraining has been used to reduce the knee adduction moment, a surrogate of medial tibiofemoral joint loading often used in knee osteoarthritis research. In this study we present an electromyogram-driven neuromusculoskeletal model of the lower-limb to estimate, in real-time, the tibiofemoral joint loads. The model included 34 musculotendon units spanning the hip, knee, and ankle joints...
April 18, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
Diana R Bueno, L Montano
OBJECTIVE: Neuromusculoskeletal models involve many subject-specific physiological parameters that need to be adjusted to adequately represent muscle properties. Traditionally, neuromusculoskeletal models have been calibrated with a forward-inverse dynamic optimization which is time-consuming and unfeasible for rehabilitation therapy. Non self-calibration algorithms have been applied to these models. To the best of our knowledge, the algorithm proposed in this work is the first on-line calibration algorithm for muscle models that allows a generic model to be adjusted to different subjects in a few steps...
April 2017: Journal of Neural Engineering
Sean Robinson Smith
Sarcomas are a relatively rare cancer that, depending on the location, can cause significant neuromusculoskeletal dysfunction and require rehabilitation interventions to reduce pain, restore function, and improve quality of life. This review focuses on sarcoma subtypes that frequently cause these complications: bony and soft tissue sarcomas leading to limb salvage or amputation, desmoid tumors, and malignant peripheral nerve sheath tumors. Rehabilitation approaches and outcomes are discussed, as well as considerations for childhood sarcoma survivors transitioning to adulthood...
February 2017: Physical Medicine and Rehabilitation Clinics of North America
Anne Marit Mengshoel, Åse Skarbø
OBJECTIVE: The aim of the present study was to examine the characteristics of patients referred to occupational therapists (OTs), physiotherapists (PTs) and social workers (SWs) at a rehabilitation unit in a hospital specializing in rheumatology, and the rehabilitation needs that clinicians and patients agreed should be addressed in the encounters with the particular health professional groups. METHODS: Consecutive hospitalized patients at a rheumatism hospital were recruited by the health professionals...
October 17, 2016: Musculoskeletal Care
Yueh-Ling Hsieh, Chen-Chia Yang, Shih-Heng Sun, Shu-Ya Chan, Tze-Hsuan Wang, Hong-Ji Luo
PURPOSE: To evaluate the effects of hippotherapy on body functions, activities, and participation in children with CP of various functional levels by using the International Classification of Functioning, Disability and Health-Children and Youth (ICF-CY) checklist. METHODS: Fourteen children with cerebral palsy (CP) (3-8 years of age) were recruited for a 36-week study composed of baseline, intervention, and withdrawal phases (12 weeks for each phase, ABA design)...
July 20, 2016: Disability and Rehabilitation
Rimke C Vos, Jules G Becher, Jeanine M Voorman, Jan Willem Gorter, Mirjam van Eck, Jetty van Meeteren, Dirk-Wouter Smits, Jos W Twisk, Annet J Dallmeijer
OBJECTIVE: To examine associations over longitudinal measurements between neuromusculoskeletal function and gross motor capacity in children and youth with cerebral palsy (CP). DESIGN: A prospective cohort study. SETTING: Rehabilitation departments of university medical centers and rehabilitations centers. PARTICIPANTS: A sample (N=327) consisting of 148 children (aged 5-9y) and 179 youth (aged 11-20y) with CP, Gross Motor Function Classification System level I (n=180), level II (n=44), level III (n=36), level IV (n=34), and level V (n=33)...
August 2016: Archives of Physical Medicine and Rehabilitation
Pınar Borman, Yeşim Gökçe-Kutsal, Füsun Terzioğlu, Muyesser Okumuş, Esma Ceceli, Sevilay Karahan, Kazım Şenel, Kutay Ordu Gökkaya, Asuman Doğan, Nurten Eskiyurt, Rezan Günaydın, Sibel Eyigör, Nilay Şahin, Mehtap Şahin
PURPOSE: In this study, we aimed to describe the socio-demographic characteristics of caregivers of patients in a geriatric unit and to clarify the relationship between caregiver burden and specific clinical variables in the patients and the characteristics of the caregivers. DESIGN: Cross sectional multi-center study. METHODS: 123 patients and 123 caregiver dyads, with mean ages of 72.5 ± 7.7 years and 51 ± 14.7 years, respectively were included...
April 14, 2016: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
J Chu, F Bruyninckx, D V Neuhauser
Chronic pain with a 30.3% global prevalence significantly impacts universal health. Low back pain has a 9.4% prevalence worldwide causing the most widespread disability. Neck pain ranks 4th highest regarding years lived with disability with a 4.9% prevalence worldwide. The principal cause of pain in 85% of patients visiting a tertiary pain clinic has a myofascial origin. The root cause is multifocal neuromuscular ischaemia at myofascial trigger points from muscle tightening and shortening following spondylotic radiculopathy induced partial denervation...
January 13, 2016: BMJ Case Reports
Luca Tagliapietra, Michele Vivian, Massimo Sartori, Dario Farina, Monica Reggiani
A main challenge in the development of robotic rehabilitation devices is how to understand patient's intentions and adapt to his/her current neuro-physiological capabilities. A promising approach is the use of electromyographic (EMG) signals which reflect the actual activation of the muscles during the movement and, thus, are a direct representation of user's movement intention. However, EMGs acquisition is a complex procedure, requiring trained therapists and, therefore, solutions based on EMG signals are not easily integrable in devices for home-rehabilitation...
August 2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Shinya Aoi, Tetsuro Funato
Humans and animals walk adaptively in diverse situations by skillfully manipulating their complicated and redundant musculoskeletal systems. From an analysis of measured electromyographic (EMG) data, it appears that despite complicated spatiotemporal properties, muscle activation patterns can be explained by a low dimensional spatiotemporal structure. More specifically, they can be accounted for by the combination of a small number of basic activation patterns. The basic patterns and distribution weights indicate temporal and spatial structures, respectively, and the weights show the muscle sets that are activated synchronously...
March 2016: Neuroscience Research
H De la Corte-Rodriguez, E C Rodriguez-Merchan
INTRODUCTION: Haemophilic arthropathy (HA) is an inevitable consequence of repeated haemarthroses in people with haemophilia, and principally affects their ankles, knees and elbows. It is advisable that haematological treatment be complemented with rehabilitation therapy and surgery. Orthoses are devices that are used within the framework of rehabilitation, in order to change the functional or structural characteristics of the neuromusculoskeletal system. MATERIALS AND METHODS: This article reviews the design, the materials and characteristics of orthoses and the indications for the various orthoses used in HA...
November 2015: Haemophilia: the Official Journal of the World Federation of Hemophilia
Damaris F Estrella-Castillo, Lizzette Gómez-de-Regil
BACKGROUND: As the population with a disability increases both in number and life expectancy, so does its demand for health services. Very little original research has been done in Mexican populations regarding the effect of disability on quality of life. OBJECTIVES: 1) Assessing the subjective quality of life of patients with neuromusculoskeletal and movement-related function disabilities and, 2) Analyzing the possible effect of the medical condition (diseases of the nervous system vs...
January 2016: Disability and Health Journal
Samar Allouch, Sofiane Boudaoud, Rafic Younès, Khalil Ben-Mansour, Frederic Marin
PURPOSE: The purpose of this study is to develop an inverse dynamic model of the human middle finger in order to identify the muscle activation, muscle force, and neural activation of the muscles involved during motion. Its originality comes from the coupling of biomechanical and physiological models and the proposition of a dedicated optimization procedure and cost function for identifying the model unknowns. METHODS: Three sub-models work in interaction: the first is the biomechanical model, primarily consisting of the dynamic equations of the middle finger system; the second is the muscle model, which helps to identify the muscle force from muscle activation and dynamic deformation for six involved muscles...
August 2015: Computers in Biology and Medicine
Rosemarie Newitt, Fiona Barnett, Melissa Crowe
PURPOSE: This review aims to describe the factors that influence participation in physical activity (PA) in people with neuromusculoskeletal (NMS) conditions. METHODS: A systematic search of six databases was conducted. Articles were included if the study qualitatively explored factors that influence participation in PA by individuals with a NMS condition. Fifteen peer-reviewed articles published between 2003 and 2013 were analysed for common themes and critically appraised...
2016: Disability and Rehabilitation
Jill Hanass-Hancock, Hellen Myezwa, Stephanie A Nixon, Andrew Gibbs
PURPOSE: HIV-related disability is an emerging issue in countries where HIV is endemic. This study aimed to understand experiences of disability in patients living with HIV in South Africa using the International Classification of Functioning, Disability and Health (ICF) as a guiding framework. METHODS: In-depth interviews were conducted with 19 HIV-positive people receiving ART through a public hospital in KwaZulu-Natal. Data were analyzed using collaborative qualitative content analysis...
2015: Disability and Rehabilitation
Marco Testa, Tommaso Geri, Alessio Signori, Silvestro Roatta
The assessment of the individual ability of modulating and coordinating the right and left bite force is poorly investigated. The present study describes a methodology for the assessment of the bilateral control of the biting force and evaluates the test-retest reliability in a sample of 13 healthy subjects. By modulating the intensity and the left/right balance of the biting force, the subject was able to drive a cursor on the screen to "reach and hold" targets, randomly generated within the physiological "range of force" of the subject...
October 2015: Motor Control
Warrick McNeill
Movement screens have been suggested as an appropriate tool to identify 'uncontrolled movement' within the human neuromusculoskeletal system. Movement screens test the Central Nervous System along with the muscular system, for their combined ability to successfully control low threshold forces, such as those affecting posture and alignment, or, high threshold forces, such as those requiring muscular strength to control. Further information such as the identification of an anatomical site and direction of a potential uncontrolled movement can be elicited by this type of testing...
July 2014: Journal of Bodywork and Movement Therapies
Warrick McNeill
The presence of 'uncontrolled movement' within the human neuromusculoskeletal system can be found if the movement control system (mind) and muscular system (body) is tested for their combined ability to successfully control low threshold forces, such as those affecting posture and alignment, or, high threshold forces, such as those requiring muscular strength to control. Deciding which exercises are the best to 'fix' the uncontrolled movements found is a fundamental part of the rehabilitative process. It has been suggested that specific exercises are best suited to fix specific faults...
January 2014: Journal of Bodywork and Movement Therapies
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