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Musculoskeletal rehabilitation

Emily Dalton, Natasha A Lannin, Kate Laver, Leo Ross, Stephen Ashford, Annie McCluskey, Anne Cusick
PURPOSE: The Disabilities of Arm, Shoulder and Hand (DASH) questionnaire is a patient reported outcome measure for evaluating upper limb function in people with musculoskeletal conditions. While the DASH has good psychometric properties when used with people with musculoskeletal conditions, it has not been tested with adults after stroke. METHODS: Data for n = 61 adults following stroke (aged 32-93 years, 44% male) were analyzed to test validity and reliability of the DASH for use with a stroke population...
October 21, 2016: Disability and Rehabilitation
Ben Schram, Wayne Hing, Mike Climstein
BACKGROUND: Stand up paddle boarding (SUP) is a rapidly growing sport and recreational activity where anecdotal evidence exists for its proposed health, fitness and injury rehabilitation benefits. While limited scientific evidence exists to substantiate these claims, previous studies have shown that high levels of fitness, strength and balance exists amongst participants of this sport. The purpose of this study was to conduct a training intervention on a group of previously untrained individuals to ascertain the potential of SUP on various health parameters...
2016: BMC Sports Science, Medicine and Rehabilitation
Simon Deslauriers, Marie-Hélène Raymond, Maude Laliberté, Amélie Lavoie, François Desmeules, Debbie E Feldman, Kadija Perreault
PURPOSE: Problems with access to outpatient physiotherapy services have been reported in publicly funded healthcare systems worldwide. A few studies have reported management strategies aimed at reducing extensive waiting lists, but their association with waiting times is not fully understood. The purpose of this study was to document access to public outpatient physiotherapy services for persons with musculoskeletal disorders in hospitals and explore organizational factors associated with waiting time...
October 19, 2016: Disability and Rehabilitation
Stephen P Bird, William J Markwick
BACKGROUND AND PURPOSE: Youth participation in basketball is on the rise, with basketball one of the top five participation sports in Australia. With increased participation there is a need for greater awareness of the importance of the pre-participation examination, including musculoskeletal screening and functional performance testing as part of a multidisciplinary approach to reducing the risk for future injuries. As majority of all basketball injuries affect the lower extremities, pre-participation musculoskeletal screening and functional performance testing should assess fundamental movement qualities throughout the kinetic chain with an emphasis on lower extremity force characteristics, specifically eccentric loading tasks...
October 2016: International Journal of Sports Physical Therapy
Keith H May, Andrew A Guccione, Michael C Edwards, Marc S Goldstein
BACKGROUND: Although the relationship of self-efficacy to sports performance is well established, little attention has been paid to self-efficacy in the movements or actions that are required to perform daily activities and prepare the individual to resume sports participation following an injury and associated period of rehabilitation. There are no instruments to measure self-confidence in movement validated in an adolescent population. PURPOSE: The purpose of this paper is to report on the development of the AMCaMP, a self-report measure of confidence in movement and provide some initial evidence to support its use as a measure of confidence in movement...
October 2016: International Journal of Sports Physical Therapy
Teresa E Flaxman, Tine Alkjær, Erik B Simonsen, Michael R Krogsgaard, Daniel L Benoit
INTRODUCTION: Knee muscles are commonly labelled as flexors or extensors and aptly stabilize the knee against sagittal plane loads. However, how these muscles stabilize the knee against adduction-abduction and rotational loads remains unclear. Our study sought to: (1) classify muscle roles as they relate to joint stability by quantifying the relationship between individual muscle activation patterns and internal net joint moments in all three loading planes, and (2) determine if these roles change with increasing force levels...
October 14, 2016: Medicine and Science in Sports and Exercise
Mariarosa Rottoli, Sara La Gioia, Barbara Frigeni, Valeria Barcella
Fatigue is one of the most common symptoms associated with multiple sclerosis, affecting almost 80% of patients with 55% of them reporting it as one of the worst symptoms experienced, often independently of the level of disability. Areas covered: We review the main pathophysiological hypothesis, fatigue assessment scales, and its management. Expert commentary: Fatigue pathophysiology is complex and is often influenced by other secondary but relevant factors (e.g. psychological disturbances, musculoskeletal problems, sleep disorders and medication side effects) which may vary over time...
October 11, 2016: Expert Review of Neurotherapeutics
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
C Pizzolato, M Reggiani, L Modenese, D G Lloyd
Real-time estimation of joint angles and moments can be used for rapid evaluation in clinical, sport, and rehabilitation contexts. However, real-time calculation of kinematics and kinetics is currently based on approximate solutions or generic anatomical models. We present a real-time system based on OpenSim solving inverse kinematics and dynamics without simplifications at 2000 frame per seconds with less than 31.5 ms of delay. We describe the software architecture, sensitivity analyses to minimise delays and errors, and compare offline and real-time results...
October 10, 2016: Computer Methods in Biomechanics and Biomedical Engineering
Shailesh Agarwal, Shawn Loder, David Cholok, John Li, Chris Breuler, James Drake, Cameron Brownley, Joshua Peterson, Shuli Li, Benjamin Levi
: : Trauma-induced heterotopic ossification (HO) occurs after severe musculoskeletal injuries and burns, and presents a significant barrier to patient rehabilitation. Interestingly, the incidence of HO significantly increases with repeated operations and after resection of previous HO. Treatment of established heterotopic ossification is challenging because surgical excision is often incomplete, with evidence of persistent heterotopic bone. As a result, patients may continue to report the signs or symptoms of HO, including chronic pain, nonhealing wounds, and joint restriction...
October 5, 2016: Stem Cells Translational Medicine
Catharina A Nordin, Peter Michaelson, Gunvor Gard, Margareta K Eriksson
BACKGROUND: Web-based interventions with a focus on behavior change have been used for pain management, but studies of Web-based interventions integrated in clinical practice are lacking. To emphasize the development of cognitive skills and behavior, and to increase activity and self-care in rehabilitation, the Web Behavior Change Program for Activity (Web-BCPA) was developed and added to multimodal pain rehabilitation (MMR). OBJECTIVE: The objective of our study was to evaluate the effects of MMR in combination with the Web-BCPA compared with MMR among persons with persistent musculoskeletal pain in primary health care on pain intensity, self-efficacy, and copying, as part of a larger collection of data...
October 5, 2016: Journal of Medical Internet Research
Mansueto Gomes-Neto, Jordana Moura Lopes, Cristiano Sena Conceição, Anderson Araujo, Alécio Brasileiro, Camila Sousa, Vitor Oliveira Carvalho, Fabio Luciano Arcanjo
AIM: We performed a systematic review with a meta-analysis to examine the efficacy of stabilization exercises versus general exercises or manual therapy in patients with low back pain. DESIGN: We searched MEDLINE, Cochrane Controlled Trials, Scielo, and CINAHL (from the earliest date available to November 2014) for randomized controlled trials that examined the efficacy of stabilization exercises compared to general exercises or manual therapy on pain, disability, and function in patients with low back pain...
August 18, 2016: Physical Therapy in Sport
Jonathan Hoffman, C Philip Gabel
Background: Over recent decades, mind-body exercise methods have gained international popularity and importance in the management of musculoskeletal disorders. Objectives: The scope of this paper was to investigate: the origins of Western mind-body methods, their philosophies, exercises, and relationship with mainstream healthcare over the last two centuries. Major findings: Within a few decades of the turn of the 20th century, a cluster of mind-body exercise methods emerged from at least six pioneering founders: Checkley, Müller, Alexander, Randell, Pilates, and Morris...
November 2, 2015: Physical Therapy Reviews: PTR
Chien-Min Chen, Yao-Hsu Yang, Chia-Hao Chang, Chih-Cheng Chen, Pau-Chung Chen
INTRODUCTION: Rehabilitation plays an important role in the physical health of patients with hemophilia. However, comprehensive information regarding the utilization of rehabilitation for such patients remains scarce. AIM: This population-based study aimed to examine the characteristics, trends, and most important factors affecting rehabilitation usage in patients with hemophilia A using a nationwide database in Taiwan. METHODS: Data from 777 patients with hemophilia A who were registered in the National Health Insurance Research Database between 1998 and 2008 were analyzed using SAS 9...
2016: PloS One
Zineb Benhissen, Michel Konzelmann, Philippe Vuistiner, Bertrand Leger, François Luthi, Charles Benaim
OBJECTIVE: The HFS is a pictorial questionnaire with 62 items; it is a self-report functional capacity evaluation of the upper limb [1]. The MCID is important in assessing the effectiveness of a therapy. It has not been estimated for HFS-F [2]. The aim of this study was to estimate the MCID of the HFS-F for patients hospitalized in musculoskeletal rehabilitation for chronic pain of the upper limb. As a comparison, the MCID of the DASH (disabilities of the arm, shoulder and hand) was also estimated...
September 2016: Annals of Physical and Rehabilitation Medicine
François Luthi
OBJECTIVE: Activity behaviour patterns influence the development and perpetuation of musculoskeletal pain. Three major patterns have been observed in chronic pain patients: avoidance, pacing and persistence (also labelled "overdoing", "confronting" or "endurance" pattern). MATERIAL/PATIENTS AND METHODS: Relationships between these patterns and clinical outcomes remain inconclusive. Associations between pain, disability, depressive symptoms, and poor self-efficacy have been consistently demonstrated for the avoidance model...
September 2016: Annals of Physical and Rehabilitation Medicine
Gad Alon
The mechanisms that govern the application of noninvasive functional electrical stimulation (FES) have been delineated and clearly described in numerous evidenced-based research publications. The aim of this review is to summarize the primary, multi-system effects of noninvasive FES on the musculoskeletal system, the peripheral vascular system, and the central nervous systems. The presentation will relate these effects to multiple efficacious clinical studies in neuro-rehabilitation. The presentation will include discussion of the latest technological advancement in wearable FES systems and their critical role in achieving functional recovery following damage to the brain...
September 2016: Annals of Physical and Rehabilitation Medicine
Marie-France Coutu, Valérie Albert, Marie-Elise Labrecque
OBJECTIVE/INTRODUCTION: The Revised Illness Perception Questionnaire adapted for Work Disability (IPQR-WD) is an adaptation of Illness Perception Questionnaire-Revised: the most used and most comprehensive tool for measuring illness perceptions. Evaluating representations is crucial, since it is a main determinant of return to work in cases of persistent pain due to musculoskeletal disorders. OBJECTIVE: This study aim at facilitating systematic assessment of work disability representations by assessing the usability of the Web platform and the usefulness of automatic interpretation of the results...
September 2016: Annals of Physical and Rehabilitation Medicine
Germain Maberou Houngbedji, Etienne Alagnide, Didier Niama, Bibiane S Dagba, Toussaint G Kpadonou
OBJECTIVE: To assess the effect of early rehabilitation on the cutaneous and musculoskeletal impairments in burn patients in sub-Sahara Africa. MATERIAL/PATIENTS AND METHODS: This is a prospective comparative study of 67 patients divided into two groups G1 and G2. The patients of G1 received in addition to their emergency care, their rehabilitation therapy. On the other hand, the patients of G2 have started their physical therapy only after complete stabilization of their clinical status...
September 2016: Annals of Physical and Rehabilitation Medicine
Sana Salah, Mariem Rekik, Iheb Bel Haj Youssef, Soumaya Boudokhane, Houda Migaou, Anis Jellad, Zohra Ben Salah Frih
OBJECTIVE: The objective of this study was to assess the musculoskeletal disorders (MSD) of diabetes mellitus (DM) patients in a Physical Medicine and Rehabilitation (PMR) department. MATERIAL/PATIENTS AND METHODS: We carried out a retrospective study (January-December 2013) in which we enrolled 193 patients with DM. General (epidemic and clinical) characteristics were measured. Statistical analysis was performed using the statistical software SPSS 16. RESULTS: The participants' median age was 58 years (20-86), 98 men (50...
September 2016: Annals of Physical and Rehabilitation Medicine
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