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https://www.readbyqxmd.com/read/27912155/home-based-interventions-improve-trained-but-not-novel-dual-task-balance-performance-in-older-adults-a-randomized-controlled-trial
#1
Suleeporn Wongcharoen, Somporn Sungkarat, Peeraya Munkhetvit, Vipul Lugade, Patima Silsupadol
The purpose of this study was to compare the efficacy of four different home-based interventions on dual-task balance performance and to determine the generalizability of the four trainings to untrained tasks. Sixty older adults, aged 65 and older, were randomly assigned to one of four home-based interventions: single-task motor training, single-task cognitive training, dual-task motor-cognitive training, and dual-task cognitive-cognitive training. Participants received 60-min individualized training sessions, 3 times a week for 4 weeks...
November 22, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27909356/effects-of-three-weeks-of-whole-body-vibration-training-on-joint-position-sense-balance-and-gait-in-children-with-cerebral-palsy-a-randomized-controlled-study
#2
Myung-Sook Ko, Yon Ju Sim, Do Hyun Kim, Hye-Seon Jeon
Purpose : To observe the effects of whole-body vibration (WBV) training in conjunction with conventional physical therapy (PT) on joint-position sense (JPS), balance, and gait in children with cerebral palsy (CP). Methods: In this randomized controlled study, 24 children with CP were randomly selected either to continue their conventional PT or to receive WBV in conjunction with their conventional PT programme. Exposure to the intervention was intermittent (3 min WBV, 3 min rest) for 20 minutes, twice weekly for 3 weeks...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27904240/effectiveness-of-exercise-on-functional-mobility-in-adults-with-cerebral-palsy-a-systematic-review
#3
Hillary Lawrence, Sara Hills, Nicole Kline, Kyra Weems, Antonette Doty
Purpose: We identified evidence evaluating the effect of exercise on functional mobility in adults (aged 18 y or older) with cerebral palsy (CP). Method: An exhaustive search was conducted using the electronic databases PubMed, MEDLINE, CINAHL, PsycINFO, SPORTDiscus, and Cochrane Database of Systematic Reviews from the earliest available evidence (1975) to the present (January 2016) for studies whose participants were ambulatory adults with CP receiving conservative treatment to address functional mobility limitations...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27888736/activity-engagement-and-physical-function-in-old-age-sample
#4
Krupa N Shah, Feng V Lin, Fang Yu, James M McMahon
OBJECTIVES: To describe the patterns of engagement in mental, physical, and social activity (MA, PA, and SA) and to examine the relationship between combined activity engagement and physical function among community-dwelling older adults. DESIGN: Cross-sectional correlational study. SETTING: Multiple communities. PARTICIPANTS: A total of 466 individuals aged 55 years or older. MEASUREMENTS: Physical function was assessed using grip strength and gait speed...
November 17, 2016: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27888696/underwater-gait-analysis-in-parkinson-s-disease
#5
Daniele Volpe, Davide Pavan, Meg Morris, Annamaria Guiotto, Robert Iansek, Sofia Fortuna, Giuseppe Frazzitta, Zimi Sawacha
Although hydrotherapy is one of the physical therapies adopted to optimize gait rehabilitation in people with Parkinson disease, the quantitative measurement of gait-related outcomes has not been provided yet. This work aims to document the gait improvements in a group of parkinsonians after a hydrotherapy program through 2D and 3D underwater and on land gait analysis. Thirty-four parkinsonians and twenty-two controls were enrolled, divided into two different cohorts. In the first one, 2 groups of patients underwent underwater or land based walking training; controls underwent underwater walking training...
November 10, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27886695/pathogenesis-and-management-of-sarcopenia
#6
REVIEW
Robinder J S Dhillon, Sarfaraz Hasni
Sarcopenia represents a loss of muscle strength and mass in older individuals. Sarcopenia in the elderly has now become a major focus of research and public policy debate due to its impact on morbidity, mortality, and health care expenditure. Despite its clinical importance, sarcopenia remains under-recognized and poorly managed in routine clinical practice. This is, in part, due to a lack of available diagnostic testing and uniform diagnostic criteria. The management of sarcopenia is primarily focused on physical therapy for muscle strengthening and gait training...
February 2017: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/27884739/structural-and-functional-improvements-due-to-robot-assisted-gait-training-in-the-stroke-injured-brain
#7
Hea Eun Yang, Sunghyon Kyeong, Seung Hwa Lee, Won-Jae Lee, Sang Won Ha, Seung Min Kim, Hyunkoo Kang, Won Min Lee, Chang Soon Kang, Dae Hyun Kim
Robot-assisted gait training (RAGT) can improve walking ability after stroke. Because the underlying mechanisms are still unknown, we analyzed changes in post-stroke injured brains after RAGT. Ten non-ambulatory patients receiving inpatient rehabilitation were examined within 3 months of stroke onset. RAGT consisted of 45minutes of training, 3days per week. We acquired diffusion tensor imaging (DTI) data before and after 20 sessions of RAGT. Fractional anisotropy (FA) maps were then used to determine neural changes after RAGT...
November 21, 2016: Neuroscience Letters
https://www.readbyqxmd.com/read/27883988/real-time-feedback-to-improve-gait-in-children-with-cerebral-palsy
#8
Linda van Gelder, Adam T C Booth, Ingrid van de Port, Annemieke I Buizer, Jaap Harlaar, Marjolein M van der Krogt
Real-time feedback may be useful for enhancing information gained from clinical gait analysis of children with cerebral palsy (CP). It may also be effective in functional gait training, however, it is not known if children with CP can adapt gait in response to real-time feedback of kinematic parameters. Sixteen children with cerebral palsy (age 6-16; GMFCS I-III), walking with a flexed-knee gait pattern, walked on an instrumented treadmill with virtual reality in three conditions: regular walking without feedback (NF), feedback on hip angle (FH) and feedback on knee angle (FK)...
November 11, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27879960/effectiveness-of-music-based-interventions-on-motricity-or-cognitive-functioning-in-neurological-populations-a-systematic-review
#9
Lousin Moumdjian, Teppo Sarkamo, Carmela Leone, Marc Leman, Peter Feys
INTRODUCTION: Motor and cognitive symptoms are frequent in persons with neurological disorders and often require extensive long-term rehabilitation. Recently, a variety of musicbased interventions have been introduced into neurological rehabilitation as training tools. AIM: This review aims to a) describe and define music-based intervention modalities and content which are applied in experimental studies, and b) describe the effects of these interventions on motor and/or cognitive symptoms in the neurological population...
November 23, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27879959/balance-versus-resistance-training-on-postural-control-in-patients-with-parkinson-s-disease-a-randomised-controlled-trial
#10
Suhaila M Santos, Rubens A Da Silva, Marcelle B Terra, Isabela A Almeida, Lucio B De Melo, Henrique B Ferraz
BACKGROUND: Evidences have shown that physiotherapy programs may improve the balance of individuals with Parkinson's disease (PD); although it is not clear which specific exercise program is better. AIM: Compare the effectiveness of balance versus resistance training on postural control measures in PD patients. DESIGN: Randomised controlled trial. SETTING: The study was conducted in a physiotherapy outpatient clinic of a university hospital...
November 23, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27865154/a-narrow-bimalleolar-width-is-a-risk-factor-for-ankle-inversion-injury-in-male-military-recruits-a-prospective-study
#11
Hannah Rice, Michael Nunns, Carol House, Joanne Fallowfield, Adrian Allsopp, Sharon Dixon
BACKGROUND: Ankle inversion injuries are one of the most common and burdensome injuries in athletic populations. Research that prospectively identifies characteristics associated with this injury is lacking. This prospective study compared baseline anthropometric and biomechanical gait characteristics of military recruits who sustained an ankle inversion injury during training, with those who remained injury-free. METHODS: Bilateral plantar pressure and three-dimensional lower limb kinematics were recorded in 1065 male, injury-free military recruits, during barefoot running...
November 10, 2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/27861407/long-term-training-with-a-brain-machine-interface-based-gait-protocol-induces-partial-neurological-recovery-in-paraplegic-patients
#12
Jingyi Liu, Muhammad Abd-El-Barr, John H Chi
No abstract text is available yet for this article.
December 2016: Neurosurgery
https://www.readbyqxmd.com/read/27860515/a-bespoke-kinect-stepping-exergame-for-improving-physical-and-cognitive-function-in-older-people-a-pilot-study
#13
Jaime A Garcia, Daniel Schoene, Stephen R Lord, Kim Delbaere, Trinidad Valenzuela, Karla Felix Navarro
BACKGROUND: Systematic review evidence has shown that step training reduces the number of falls in older people by half. This study investigated the feasibility and effectiveness of a bespoke Kinect stepping exergame in an unsupervised home-based setting. MATERIALS AND METHODS: An uncontrolled pilot trial was conducted in 12 community-dwelling older adults (mean age 79.3 ± 8.7 years, 10 females). The stepping game comprised rapid stepping, attention, and response inhibition...
November 18, 2016: Games for Health
https://www.readbyqxmd.com/read/27858384/efficacy-of-lumboperitoneal-shunting-in-patients-with-normal-pressure-hydrocephalus
#14
Mehmet Akif Bayar, Ayhan Tekiner, Haydar Celik, Ali Yilmaz, Guner Menekse, Timur Yildirim, Fatih Alagoz, Yahya Guvenc, Yavuz Erdem
AIM: To evaluate the effectiveness of lumboperitoneal shunt procedures in the treatment of normal pressure hydrocephalus Material and Methods: A medical record review was conducted to obtain demographic, clinical, laboratory data, as well as pre-, intra, -post-operative details of 65 patients who underwent lumboperitoneal shunt surgery between January 1, 2001 and January 1, 2014 in the Neurosurgery Clinics of Ankara Training and Research Hospital and Ankara Numune Hospital. RESULTS: At about 3 months after LP shunt surgery, the complaint of headache resolved in almost all patients; at the end of the first year, while statistically significant improvements were noted in the Modified Rankin Scores and Mini Mental Test Scores, gait disturbance, urinary incontinence and cognitive functions improved by 86%, 72% and 65% of the patients, respectively...
October 14, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27853668/the-effectiveness-and-safety-of-exoskeletons-as-assistive-and-rehabilitation-devices-in-the-treatment-of-neurologic-gait-disorders-in-patients-with-spinal-cord-injury-a-systematic-review
#15
Christian Fisahn, Mirko Aach, Oliver Jansen, Marc Moisi, Angeli Mayadev, Krystle T Pagarigan, Joseph R Dettori, Thomas A Schildhauer
Study Design Systematic review. Clinical Questions (1) When used as an assistive device, do wearable exoskeletons improve lower extremity function or gait compared with knee-ankle-foot orthoses (KAFOs) in patients with complete or incomplete spinal cord injury? (2) When used as a rehabilitation device, do wearable exoskeletons improve lower extremity function or gait compared with other rehabilitation strategies in patients with complete or incomplete spinal cord injury? (3) When used as an assistive or rehabilitation device, are wearable exoskeletons safe compared with KAFO for assistance or other rehabilitation strategies for rehabilitation in patients with complete or incomplete spinal cord injury? Methods PubMed, Cochrane, and Embase databases and reference lists of key articles were searched from database inception to May 2, 2016, to identify studies evaluating the effectiveness of wearable exoskeletons used as assistive or rehabilitative devices in patients with incomplete or complete spinal cord injury...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27848247/hospital-rehabilitation-for-patients-with-obesity-a-scoping-review
#16
Jennifer C Seida, Arya M Sharma, Jeffrey A Johnson, Mary Forhan
PURPOSE: To explore the evidence on rehabilitation for hospitalized patients with obesity. METHODS: Medline, Embase, CENTRAL, CINAHL, and PubMed were searched from 1994 to May 2016. Grey literature was hand-searched. Two reviewers independently selected studies examining patients with obesity receiving hospital-based therapy for a physical impairment. One reviewer extracted the data and a second reviewer verified a random sample. RESULTS: Thirty-nine studies (two trials, 37 observational) were included...
November 16, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27843743/comparison-of-a-robotic-assisted-gait-training-program-with-a-program-of-functional-gait-training-for-children-with-cerebral-palsy-design-and-methods-of-a-two-group-randomized-controlled-cross-over-trial
#17
Alicia J Hilderley, Darcy Fehlings, Gloria W Lee, F Virginia Wright
BACKGROUND: Enhancement of functional ambulation is a key goal of rehabilitation for children with cerebral palsy (CP) who experience gross motor impairment. Physiotherapy (PT) approaches often involve overground and treadmill-based gait training to promote motor learning, typically as free walking or with body-weight support. Robotic-assisted gait training (RAGT), using a device such as the Lokomat(®)Pro, may permit longer training duration, faster and more variable gait speeds, and support walking pattern guidance more than overground/treadmill training to further capitalize on motor learning principles...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27842562/locomotor-training-through-a-novel-robotic-platform-for-gait-rehabilitation-in-pediatric-population-short-report
#18
C Bayón, S Lerma, O Ramírez, J I Serrano, M D Del Castillo, R Raya, J M Belda-Lois, I Martínez, E Rocon
BACKGROUND: Cerebral Palsy (CP) is a disorder of posture and movement due to a defect in the immature brain. The use of robotic devices as alternative treatment to improve the gait function in patients with CP has increased. Nevertheless, current gait trainers are focused on controlling complete joint trajectories, avoiding postural control and the adaptation of the therapy to a specific patient. This paper presents the applicability of a new robotic platform called CPWalker in children with spastic diplegia...
November 14, 2016: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/27830790/a-brain-spine-interface-alleviating-gait-deficits-after-spinal-cord-injury-in-primates
#19
Marco Capogrosso, Tomislav Milekovic, David Borton, Fabien Wagner, Eduardo Martin Moraud, Jean-Baptiste Mignardot, Nicolas Buse, Jerome Gandar, Quentin Barraud, David Xing, Elodie Rey, Simone Duis, Yang Jianzhong, Wai Kin D Ko, Qin Li, Peter Detemple, Tim Denison, Silvestro Micera, Erwan Bezard, Jocelyne Bloch, Grégoire Courtine
Spinal cord injury disrupts the communication between the brain and the spinal circuits that orchestrate movement. To bypass the lesion, brain-computer interfaces have directly linked cortical activity to electrical stimulation of muscles, and have thus restored grasping abilities after hand paralysis. Theoretically, this strategy could also restore control over leg muscle activity for walking. However, replicating the complex sequence of individual muscle activation patterns underlying natural and adaptive locomotor movements poses formidable conceptual and technological challenges...
November 9, 2016: Nature
https://www.readbyqxmd.com/read/27825837/effects-of-functional-electrical-stimulation-on-reducing-falls-and-improving-gait-parameters-in-multiple-sclerosis-and-stroke
#20
Elisa Gervasoni, Riccardo Parelli, Marcin Uszynski, Alessandro Crippa, Alberto Marzegan, Angelo Montesano, Davide Cattaneo
BACKGROUND: Loss of neuromuscular control of the ankle joint is a common impairment in neurologic conditions, leading to abnormal gait and a greater risk of falling. Limited information, however, is available on the effectiveness of functional electrical stimulation (FES) on reducing falls, and no studies have investigated its usefulness in improving lower limbs kinematics related to foot clearance and energy recovery. SETTING: Clinical setting. STUDY DESIGN: Prospective longitudinal study...
November 4, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
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