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Rehabilitation and musculoskeletal diseases

J Lamprecht, M Robinski, W Mau
Background: The social network is one of the most significant resources during the course of the rehabilitation. However, there is a lack of short instruments in questionnaire format for the assessment of social relations in the chronically ill. We therefore developed a network generator (NWG), and tested its performance in patients with different diseases during medical rehabilitation. Methods: We tested its reliability, validity and acceptance in 882 inpatients participating in medical rehabilitation programs (cancer N=290, musculoskeletal diseases N=292, and psychosomatic diseases N=300)...
October 2016: Die Rehabilitation
Toshiaki Homma
Chronic respiratory disease, such as chronic obstructive pulmonary disease(COPD)continues to cause a heavy health and economic burden in the world. Lower-limb muscle dysfunction is a prominent and major extrapulmonary features in individuals with moderate-to-very severe COPD and has important clinical implications, such as reduced exercise tolerance, activity of daily living(ADL), health related quality of life(HRQOL)and even survival. Osteoporosis is also an important systemic feature of COPD. Osteoprotic fracture cause many symptoms and complications, including the impairment of ventilation, and create a heavy economic burden...
2016: Clinical Calcium
Marwin Gutierrez, Cristina Hernandez-Diaz, Lucio Ventura-Rios, Lina María Saldarriaga-Rivera, Santiago Ruta, Magaly Alva, Claudia Mora -Trujillo, Wilkerson Pérez, Henry Terrazas, Rodolfo Del Carmen Arape Toyo, Maritza Quintero, Carla Solano, Oscar Sedano Santiago, Janet Grisel Huamán Sotomayor, Cesar Cefferino, Guillermo E Py, Marcelo J Audisio, Walter Javier Spindler, Horacio Berman, Carla Airoldi, Rómulo Wong, Ana Laura Álvarez Del Castillo Araujo, Mario E Díaz, Carmen Cerón Villaquiran, Rubén Darío Mantilla, José Alexandre Mendonça, Inês Guimarães da Silveira, Aline Defaveri do Prado, Melissa Cláudia Bisi, Violeta Rosario, Jeannette Medrano-Sánchez, Roberto Muñoz-Louis, Ana Cecilia Lozada-Navarro, Araceli Bernal, Maribel Lozano, Carlos Pineda
This study aimed to perform an overview of how ultrasound (US) is being used, implemented, and applied in rheumatologic centers in Latin America (LA). A retrospective, multicenter 1-year experience study was undertaken. Eighteen centers from eight countries were involved. The following information were collected: demographic data, indication to perform an US examination, physician that required the examination, and the anatomical region required for the examination. A total of 7167 patients underwent an US examination...
August 30, 2016: Clinical Rheumatology
Yoon Soo Cho, So Young Joo, Huisong Cui, Sung-Rae Cho, Haejun Yim, Cheong Hoon Seo
BACKGROUND: Extracorporeal shock wave therapy (ESWT) has been used to reduce pain in patients with various musculoskeletal diseases and wounds. We investigated the effect of ESWT on scar pain after complete wound epithelialization in burn patients. METHODS: A prospective, single-blind, placebo-controlled study was conducted from February 2014 to 2015. Forty patients with burn scar pain despite standard therapy (medication, physical therapy, and burn rehabilitation massage therapy) were randomized into ESWT or control (sham ESWT) groups...
August 2016: Medicine (Baltimore)
Susanna Maddali Bongi, Gianluca Paoletti, Michael Calà, Angela Del Rosso, Khadija El Aoufy, Svetlana Mikhaylova
BACKGROUND: Fibromyalgia Syndrome (FMS) is characterized by musculoskeletal pain, muscle tenderness leading to disability, impaired quality of life (QoL), fatigue and it is accompanied by sleep disorders and psychological distress. Mind body therapies (MBT), such as Tai Ji Quan (TJQ), use different techniques to facilitate the ability of the mind to influence disease characteristics and symptoms. Some studies showed that TJQ, in patients with rheumatic diseases, particularly FMS, improved QoL, disability and psychological distress...
August 2016: Complementary Therapies in Clinical Practice
Любовь В Смаглюк, Алевтина Н Белоус
INTRODUCTION: In planning of orthodontic treatment, as well as the alleged end of the treatment of orthodontic patients with transversal malocclusion should first pay attention to the treatment of opportunistic diseases that can affect the outcome of treatment of orthodontic patients (for example, rehabilitation of the nasopharynx, the treatment of rickets, the treatment of scoliosis posture, scoliosis ). THE AIM: definition of related factors affecting the volume and timing of the treatment of patients with transversal malocclusion...
2016: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Jaqueline Basilio Lupi, Daniela Cristina Carvalho de Abreu, Mariana Candido Ferreira, Renê Donizeti Ribeiro de Oliveira, Thais Cristina Chaves
PURPOSE: This study aimed to culturally adapt and validate the Revised Fibromyalgia Impact Questionnaire (FIQR) to Brazilian Portuguese, by the use of analysis of internal consistency, reliability, and construct and structural validity. METHOD: A total of 100 female patients with fibromyalgia participated in the validation process of the Brazilian Portuguese version of the FIQR (FIQR-Br).The intraclass correlation coefficient (ICC) was used for statistical analysis of reliability (test-retest), Cronbach's alpha for internal consistency, Pearson's rank correlation for construct validity, and confirmatory factor analysis (CFA) for structural validity...
July 21, 2016: Disability and Rehabilitation
Michael Saulino, Cindy B Ivanhoe, John R McGuire, Barbara Ridley, Jeffrey S Shilt, Aaron L Boster
INTRODUCTION: When spasticity interferes with comfort, function, activities of daily living, mobility, positioning, or caregiver assistance, patients should be considered for intrathecal baclofen (ITB) therapy. METHODS: An expert panel consulted on best practices. RESULTS: ITB can be considered for problematic spasticity involving muscles/muscle groups during all phases of diseases, including progressive neurologic diseases. ITB alone or with other treatments should not be exclusively reserved for individuals who have failed other approaches...
August 2016: Neuromodulation: Journal of the International Neuromodulation Society
Brent Leininger, Christine McDonough, Roni Evans, Tor Tosteson, Anna N A Tosteson, Gert Bronfort
BACKGROUND CONTEXT: Chronic neck pain is a prevalent and disabling condition among older adults. Despite the large burden of neck pain, little is known regarding the cost-effectiveness of commonly used treatments. PURPOSE: This study aimed to estimate the cost-effectiveness of home exercise and advice (HEA), spinal manipulative therapy (SMT) plus HEA, and supervised rehabilitative exercise (SRE) plus HEA. STUDY DESIGN/SETTING: Cost-effectiveness analysis conducted alongside a randomized clinical trial (RCT) was performed...
June 23, 2016: Spine Journal: Official Journal of the North American Spine Society
Igor Larrañaga, Myriam Soto-Gordoa, Arantzazu Arrospide, María Luz Jauregi, Jesús Millas, Ricardo San Vicente, Jabier Aguirrebeña, Javier Mar
INTRODUCTION: The chronic nature of musculoskeletal diseases requires an integrated care which involves the Primary Care and the specialities of Rheumatology, Traumatology and Rehabilitation. The aim of this study was to assess the implementation of an integrated organizational model in osteoporosis, low back pain, shoulder disease and knee disease using Deming's continuous improvement process and considering referrals and resource consumption. MATERIAL AND METHODS: A simulation model was used in the planning to predict the evolution of musculoskeletal diseases resource consumption and to carry out a Budget Impact Analysis from 2012 to 2020 in the Goierri-Alto Urola region...
June 16, 2016: Reumatología Clinica
Erhan Arif Ozturk, Ibrahim Gundogdu, Bilge Kocer, Selcuk Comoglu, Aytul Cakci
BACKGROUND: Although there are studies evaluating pain in Parkinson's disease (PD), to our knowledge, there is no study evaluating the following topics in a cohort of PD patients; (1) frequency of chronic pain, (2) characteristics of chronic pain, (3) severity of chronic pain, (4) types of chronic pain, (5) independent predictors of chronic pain, (6) impact of chronic pain on health-related quality of life (HRQoL), and (7) the role of chronic pain among the independent predictors of HRQoL...
June 3, 2016: Journal of Back and Musculoskeletal Rehabilitation
Israel Fernandez-Pineda, M M Hudson, A S Pappo, M W Bishop, J L Klosky, T M Brinkman, D K Srivastava, M D Neel, B N Rao, A M Davidoff, K R Krull, D A Mulrooney, L L Robison, K K Ness
PURPOSE: This study compared measured physical performance, health-related quality of life (HRQOL), and social role attainment between extremity sarcoma survivors and controls, and evaluated associations between disease and treatment exposures, health conditions, and performance measures. METHODS: Survivors of extremity sarcoma from the St. Jude Lifetime cohort and controls frequency matched by age-, sex-, and race completed physical performance testing and questionnaires...
June 4, 2016: Journal of Cancer Survivorship: Research and Practice
I V Cherkashina, N V Nenasheva, A V Volchok, A V Aleksandrov, V K Degtyarev, M V Nikitin, I A Zborovskaya
UNLABELLED: The methods for the rehabilitative treatment play an important role in the management of the patients presenting with the diseases of the musculoskeletal system. One of these techniques is chronomagnetic therapy. AIM: The objective of the present study was to evaluate the influence of chronomagnetic therapy on the patient's quality of life. PATIENTS AND METHODS: The patients of the main group included 30 ones with osteoarthrosis, 30 with rheumatoid arthritis, 20 with ankylosing spondylitis, 6 with podagric arthritis, 6 with psoriatic arthritis, and 6 others with reactive arthritis...
March 2016: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
Lori K Myers
Neuroplasticity theory has gained considerable attention in recent years in the professions of medicine, psychology and neuroscience. Most research on neuroplasticity has been in neurology focusing on stroke and other central nervous system disease and injury. Further research is necessary to advance the connection of neuroplasticity theory to musculoskeletal conditions and rehabilitation. The theory of neuroplasticity as it applies to the acquisition of new skills and modification of maladaptive, pain-perpetuating and inefficient movement patterns is fundamental to the Feldenkrais Method...
April 2016: Journal of Bodywork and Movement Therapies
H Kerr Graham, Peter Rosenbaum, Nigel Paneth, Bernard Dan, Jean-Pierre Lin, Diane L Damiano, Jules G Becher, Deborah Gaebler-Spira, Allan Colver, Dinah S Reddihough, Kylie E Crompton, Richard L Lieber
Cerebral palsy is the most common cause of childhood-onset, lifelong physical disability in most countries, affecting about 1 in 500 neonates with an estimated prevalence of 17 million people worldwide. Cerebral palsy is not a disease entity in the traditional sense but a clinical description of children who share features of a non-progressive brain injury or lesion acquired during the antenatal, perinatal or early postnatal period. The clinical manifestations of cerebral palsy vary greatly in the type of movement disorder, the degree of functional ability and limitation and the affected parts of the body...
2016: Nature Reviews. Disease Primers
Elisabetta Bravini, Andrea Giordano, Francesco Sartorio, Giorgio Ferriero, Stefano Vercelli
OBJECTIVE: To investigate dimensionality and the measurement properties of the Italian Lower Extremity Functional Scale using both classical test theory and Rasch analysis methods, and to provide insights for an improved version of the questionnaire. DESIGN: Rasch analysis of individual patient data. SETTING: Rehabilitation centre. PARTICIPANTS: A total of 135 patients with musculoskeletal diseases of the lower limb...
May 2, 2016: Clinical Rehabilitation
Yasuaki Kusumoto, Osamu Nitta, Atsushi Matsuo, Kenji Takaki, Tadamitsu Matsuda
BACKGROUND: The recognition of required treatments for cerebral palsy (CP) patients, including orthopedic surgery, differs according to region. This study was performed to identify factors associated with satisfactory changes in physical function after orthopedic surgery. METHODS: 358 patients were selected for the questionnaire survey. The following information was collected: gender, primary disease, age of initial surgery, total procedural count, operated sites, satisfaction of postoperative rehabilitation frequency, ideal amount of postoperative rehabilitation sessions per week, frequency of voluntary home training per week, satisfaction of the timing of surgery and the current satisfaction with the changes in physical function after the orthopedic surgery...
2016: PloS One
Rainer Rauramaa, Katriina Kukkonen-Harjula, Jari Arokoski, Hannele Hohtari, Eeva Ketola, Jyrki Kettunen, Pirjo Komulainen, Urho Kujala, Jari Laukkanen, Liisa Pylkkänen, Salla Savela, Kai Savonen, Heikki Tikkanen
The purpose of the guideline is to promote physical activity in the prevention, treatment and rehabilitation of diseases. Physical activity plays a key role in the management of several chronic noncommunicable diseases. In this guideline, the following diseases are discussed: endocrinological, cardiovascular, musculoskeletal and respiratory diseases, as well as depression and cancer. In addition, physical activity during pregnancy and in senior citizens is reviewed. Exercise counseling should be included as part of disease management and lifestyle guidance...
2016: Duodecim; Lääketieteellinen Aikakauskirja
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
Krystyna Księżopolska-Orłowska, Anna Pacholec, Joanna Bugajska, Teresa Sadura-Sieklucka, Katarzyna Kowalik, Karolina Pawłowska-Cyprysiak, Elżbieta Łastowiecka-Moras
BACKGROUND: This study aimed to compare the effectiveness of conventional and cryotherapy-based rehabilitation with respect to its impact on selected clinical parameters in AS patients. MATERIAL AND METHODS: Fifty working males aged 22-66 years were included in this study. Twenty-five of them underwent cryotherapy-based rehabilitation (cryogenic chamber, local cryotherapy; individual, instrumental, and nonweight-bearing exercises) for 3 weeks. The others received 3 weeks of conventional rehabilitation (magnetic field therapy; electrotherapy; individual and instrumental exercises)...
January 2016: Ortopedia, Traumatologia, Rehabilitacja
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