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https://www.readbyqxmd.com/read/28813915/vibrofocus-design-of-a-focal-vibro-tactile-robotic-assistive-system-for-spasticity-rehabilitation
#1
Tijana Jevtic Vojinovic, Aleksandar Zivanovic, Tom Carlson, Rui C V Loureiro
The main focus of spasticity treatment is to alleviate pain, improve function and reduce risk of additional complications. In this paper the design of a robotic system with enhanced focal vibro-tactile stimulation for the treatment of spasticity in the upper limbs is presented. Building on emerging evidence on the use of vibrations in the treatment of spasticity, we propose a new integrated approach. Our design combines the use of vibro-tactile stimulation of the high tone muscle with robotic movement assistance to augment rehabilitation outcomes in patients with spasticity in the upper limbs...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813844/soft-stop-knee-brace-for-rehabilitation-from-ligament-injuries-design-and-pilot-trial
#2
James R J Greenfield, Haram Francis Hwang, Claire Davies, Andrew J McDaid
Ligaments within the human knee are commonly torn or injured as a result of sports that involve sharp direction changes, pivoting and landing. For this reason, athletes are often side-lined from their respective sports for up to 18 months after injury to rehabilitate. As part of the rehabilitation process, knee braces are often prescribed in an attempt to decrease the recovery period of the injured individual by restraining and minimizing the motion at the knee. However, the true efficacy of knee bracing is yet to be fully evaluated as studies show mixed results to whether braces actually decrease the rehabilitation period for patients...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813833/an-integrated-gait-rehabilitation-training-based-on-functional-electrical-stimulation-cycling-and-overground-robotic-exoskeleton-in-complete-spinal-cord-injury-patients-preliminary-results
#3
S Mazzoleni, E Battini, A Rustici, G Stampacchia
The aim of this study is to investigate the effects of an integrated gait rehabilitation training based on Functional Electrical Stimulation (FES)-cycling and overground robotic exoskeleton in a group of seven complete spinal cord injury patients on spasticity and patient-robot interaction. They underwent a robot-assisted rehabilitation training based on two phases: n=20 sessions of FES-cycling followed by n= 20 sessions of robot-assisted gait training based on an overground robotic exoskeleton. The following clinical outcome measures were used: Modified Ashworth Scale (MAS), Numerical Rating Scale (NRS) on spasticity, Penn Spasm Frequency Scale (PSFS), Spinal Cord Independence Measure Scale (SCIM), NRS on pain and International Spinal Cord Injury Pain Data Set (ISCI)...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28812392/psychometric-properties-of-the-performing-arts-module-of-the-disabilities-of-the-arm-shoulder-and-hand-questionnaire
#4
Vera Baadjou, Rob de Bie, Christine Guptill, Rob Smeets
BACKGROUND: The Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) offers an optional performing arts module. The goal was to examine the psychometric properties of this module in musicians. METHODS: This study is a secondary analysis of a randomized controlled trial on the effectiveness of a biopsychosocial intervention to prevent or reduce playing-related disability in conservatory students. Baseline data were used to examine internal consistency and discriminative validity of the performing arts module of the DASH questionnaire...
August 16, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28810990/gait-and-functional-outcomes-for-young-active-males-with-traumatic-unilateral-transfemoral-limb-loss
#5
Caitlin E Mahon, Alison L Pruziner, Brad D Hendershot, Erik J Wolf, Benjamin J Darter, K Bo Foreman, Joseph B Webster
OBJECTIVE: Altered body structures that occur with the loss of a lower limb can impact mobility and quality of life. Specifically, biomechanical changes that result from wearing a prosthesis have been associated with an increased risk of falls or joint degeneration, as well as increased energy demands. While previous studies describing these outcomes are typically limited by number of outcome measures and/or small, diverse patient groups, recent military conflicts present a unique opportunity to collect outcomes from a relatively homogenous, active patient population with limb loss...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28809870/-case-report-iatrogenic-shoulder-pain-syndrome-following-spinal-accessory-nerve-injury-during-lateral-cervical-neck-dissection-for-tongue-cancer-the-role-of-rehabilitation-and-ethical-deontological-issues
#6
Gianpaolo Ronconi, Antonio Gioacchino Spagnolo, Giorgio Ferriero, Silvia Giovannini, Eugenia Amabile, Giulio Maccauro, Paola Emilia Ferrara
The shoulder pain syndrome is the most frequent complication of lateral cervical neck dissection and may be caused by iatrogenic injury to the spinal accessory nerve, causing pain and functional limitation of the upper limb and of the cervical spine. Interdisciplinary collaboration and early rehabilitation can reduce the consequences of disability and the possible issues that can arise due to inadequate management of the problem.
May 2017: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/28809628/-the-effect-of-activation-of-the-shoulder-girdle-muscles-on-functional-outcomes-of-rehabilitation-in-patients-with-surgically-treated-distal-radius-fractures
#7
V Jančíková, J Opavský, P Dráč, A Krobot, I Čižmář
PURPOSE OF THE STUDY The aim of the study was to assess the functional outcomes of rehabilitation in patients with surgically treated distal radius fractures in the early postoperative period. We compared the functional outcomes of patients undergoing standard rehabilitation with the group of patients whose postoperative rehabilitation was extended with shoulder girdle exercises of the affected upper limb while the wrist was immobilized. Several indices and variables were used for the assessment of the functional therapeutic outcomes of the affected wrist...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28809391/determinants-of-resilience-among-people-who-sustained-spinal-cord-injury-from-the-2015-earthquake-in-nepal
#8
M Bhattarai, K Maneewat, W Sae-Sia
STUDY DESIGN: Cross-sectional study. OBJECTIVES: To assess the level of resilience, compare resilience by demographic and injury-related characteristics, and identify significant determinants of resilience in Nepalese people who sustained spinal cord injury (SCI) from the 2015 earthquake. SETTING: Spinal Injury Rehabilitation Center, Kavre and 14 communities in Nepal. METHODS: Eighty-two participants were included using a convenience sampling technique...
August 15, 2017: Spinal Cord
https://www.readbyqxmd.com/read/28807651/recommendations-for-the-prescription-of-physical-exercise-for-patients-with-spondyloarthritis
#9
Mariano Tomás Flórez García, Loreto Carmona, Raquel Almodóvar, César Fernández de Las Peñas, Fernando García Pérez, M Ángeles Pérez Manzanero, José Manuel García García, Lidón Soriano Segarra, José Fernando Jiménez Díaz, Nuria Mendoza Laiz, Eugenio de Miguel Mendieta, Juan Carlos Torre Alonso, Luis Francisco Linares Ferrando, Eduardo Collantes Estévez, Jesús Sanz Sanz, Pedro Zarco Montejo
OBJECTIVE: To develop expert-based recommendations on physical activity and exercise for patients with spondyloarthritis (SpA). METHODS: Two discussion groups, one of physical therapists, rehabilitation physicians, and professionals of physical activity and sports, and another of rheumatologists interested in SpA, were held to discuss the results of a survey of rheumatologists on exercise and two focus groups with patients on barriers to exercise. Preliminary recommendations were drafted...
August 11, 2017: Reumatología Clinica
https://www.readbyqxmd.com/read/28805585/understanding-and-treating-pain-syndromes-in-parkinson-s-disease
#10
Marialuisa Gandolfi, Christian Geroin, Angelo Antonini, Nicola Smania, Michele Tinazzi
Pain affects many people with Parkinson's disease (PD) and diminishes their quality of life. Different types of pain have been described, but their related pathophysiological mechanisms remain unclear. The aim of this chapter is to provide movement disorders specialists an update about the pathophysiology of pain and a practical guide for the management of pain syndromes in clinical practice. This chapter reviews current knowledge on the pathophysiological mechanisms of sensory changes and pain in PD, as well as assessment and treatment procedures to manage these symptoms...
2017: International Review of Neurobiology
https://www.readbyqxmd.com/read/28805094/how-balance-task-specific-training-contributes-to-improving-physical-function-in-older-subjects-undergoing-rehabilitation-following-hip-fracture-a-randomized-controlled-trial
#11
Marco Monticone, Emilia Ambrosini, Roberto Brunati, Antonio Capone, Giulia Pagliari, Claudio Secci, Giovanni Zatti, Simona Ferrante
OBJECTIVE: To evaluate the efficacy of a rehabilitation programme including balance task-specific training in improving physical function, pain, activities of daily living (ADL), balance and quality of life in subjects after a hip fracture. DESIGN: Randomized controlled trial. SUBJECTS: A total of 52 older subjects selected for internal fixation due to extra-capsular hip fracture were randomized to be included in an experimental ( n = 26) and control group ( n = 26)...
August 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28803720/impact-of-the-self-care-education-program-on-quality-of-life-in-patients-with-type-ii-diabetes
#12
Shahram Baraz, Kourosh Zarea, Hajiee Bibi Shahbazian
INTRODUCTION: Diabetes is an irreversible disease requiring lifetime self-care and rehabilitation. Patient education to improve their ability in administering self-care is also effective, lowering the risks of developing complications and promoting the quality of life. This study was conducted to assess the effect of self-care educational programs in promoting the quality of life of diabetic patients. METHODS: In this pre-test/post-test intervention study design, 30 diabetes patients were included on the basis of a non-randomized sampling, using each subject as her/his own control...
August 1, 2017: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/28802926/nonmotor-symptoms-and-natural-history-of-parkinson-s-disease-evidence-from-cognitive-dysfunction-and-role-of-noninvasive-interventions
#13
Roberta Biundo, Eleonora Fiorenzato, Angelo Antonini
Parkinson's disease (PD) is a common neurodegenerative disorder, characterized by motor and nonmotor symptoms (NMS). Several subsequent studies substantiate the great functional burden related to NMS, their progression, and negative effect on quality of life in PD. Additional evidence indicates interesting relationships between striatal dopaminergic function and NMS. The basal ganglia are implicated in the modulation and integration of sensory information and pain, bladder function is under control of both inhibitory (D1) and facilitatory (D2) dopaminergic inputs, finally reduced dopaminergic activity in the mesocortical and mesolimbic pathways is involved in the development of several NMS including mood, motivational, and cognitive alterations...
2017: International Review of Neurobiology
https://www.readbyqxmd.com/read/28802773/active-physiotherapy-interventions-following-total-knee-arthroplasty-in-the-hospital-and-inpatient-rehabilitation-settings-a-systematic-review-and-meta-analysis
#14
REVIEW
Kate G Henderson, Jason A Wallis, David A Snowdon
BACKGROUND: Physiotherapy is a routine component of postoperative management following total knee arthroplasty (TKA). As the demand for surgery increases it is vital that postoperative physiotherapy interventions are effective and efficient. OBJECTIVES: Determine the most beneficial active physiotherapy interventions in acute hospital and inpatient rehabilitation for improving pain, activity, range of motion and reducing length of stay for adults who have undergone TKA...
February 1, 2017: Physiotherapy
https://www.readbyqxmd.com/read/28800443/a-novel-approach-to-spinal-3-d-kinematic-assessment-using-inertial-sensors-towards-effective-quantitative-evaluation-of-low-back-pain-in-clinical-settings
#15
Sajad Ashouri, Mohsen Abedi, Masoud Abdollahi, Farideh Dehghan Manshadi, Mohamad Parnianpour, Kinda Khalaf
This paper presents a novel approach for evaluating LBP in various settings. The proposed system uses cost-effective inertial sensors, in conjunction with pattern recognition techniques, for identifying sensitive classifiers towards discriminate identification of LB patients. 24 healthy individuals and 28 low back pain patients performed trunk motion tasks in five different directions for validation. Four combinations of these motions were selected based on literature, and the corresponding kinematic data was collected...
August 4, 2017: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/28799973/cross-sectional-and-prospective-correlates-of-recovery-expectancies-in-the-rehabilitation-of-whiplash-injury
#16
Rachel A Elphinston, Pascal Thibault, Junie S Carriere, Pierre Rainville, Michael J L Sullivan
OBJECTIVES: Investigations have shown that expectancies are significant prognostic indicators of recovery outcomes following whiplash injury. However, little is currently known about the determinants of recovery expectancies following whiplash injury. The purpose of the present study was to examine the cross-sectional and prospective correlates of recovery expectancies in individuals admitted to a rehabilitation program for whiplash injury. METHODS: Participants (N=96) completed measures of recovery expectancies, psychosocial variables, symptom severity, symptom duration and disability at Time 0 (admission) and Time 1 (discharge)...
August 9, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28799964/the-effect-of-adductor-canal-block-on-knee-extensor-muscle-strength-6-weeks-after-total-knee-arthroplasty-a-randomized-controlled-trial
#17
Nicolas Rousseau-Saine, Stephan R Williams, François Girard, Luc J Hébert, Florian Robin, Luc Duchesne, Frédéric Lavoie, Monique Ruel
BACKGROUND: Total knee arthroplasty (TKA) reduces knee extensor muscle strength (KES) in the operated limb for several months after the surgery. Immediately after TKA, compared to either inguinal femoral nerve block or placebo, adductor canal block (ACB) better preserves KES. Whether this short-term increase in KES is maintained several weeks after surgery remains unknown. We hypothesized that 48 hours of continuous ACB immediately after TKA would improve KES 6 weeks after TKA, compared to placebo...
August 9, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28797281/the-efficacy-of-transcutaneous-electrical-nerve-stimulation-on-the-improvement-of-walking-distance-in-patients-with-peripheral-arterial-disease-with-intermittent-claudication-study-protocol-for-a-randomised-controlled-trial-the-tens-pad-study
#18
Florent Besnier, Jean-Michel Sénard, Vincent Grémeaux, Mélanie Riédel, Damien Garrigues, Thibaut Guiraud, Marc Labrunée
BACKGROUND: In patients with peripheral arterial disease (PAD), walking improvements are often limited by early pain onset due to vascular claudication. It would thus appear interesting to develop noninvasive therapeutic strategies, such as transcutaneous electrical nerve stimulation (TENS), to improve the participation of PAD patients in rehabilitation programmes, and thus improve their quality of life. Our team recently tested the efficacy of a single 45-min session of 10-Hz TENS prior to walking...
August 10, 2017: Trials
https://www.readbyqxmd.com/read/28797176/living-with-chronic-headache-a-qualitative-study-exploring-goal-management-in-chronic-headache
#19
Yvette Ciere, Annemieke Visser, Bram Jacobs, Marielle Padberg, John Lebbink, Robbert Sanderman, Joke Fleer
OBJECTIVES: Effective goal management may potentially prevent or reduce disability in chronic pain. The aim of this study was to gain insight into the nature of goal management in the context of chronic headache (CH). METHODS: Interviews with 20 patients were conducted, coded, and analyzed using a combined data-driven and theory-driven approach. The dual process model (DPM) was used as a theoretical framework for this study. RESULTS: Participants used a combination of strategies to regain and maintain a balance between personal goals and resources available for goal pursuit...
August 10, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28795657/body-system-effects-of-a-multi-modal-training-program-targeting-chronic-motor-complete-thoracic-spinal-cord-injury
#20
Katie Gant, Kathleen Nagle, Rachel Cowan, Edelle Field-Fote, Mark Nash, Jochen Kressler, Christine K Thomas, Mabelin Castellanos, Eva Widerstrom-Noga, Kimberly D Anderson
The safety and efficacy of pharmacologic and cellular transplantation strategies are currently being evaluated in people with spinal cord injury. In studies of people with chronic spinal cord injuries, it is thought that functional recovery will be best achieved when drug or cell therapies are combined with rehabilitation protocols. However, any functional recovery due to the therapy may be confounded by the conditioned state of the body and by training-induced effects on neuroplasticity. For this reason, we sought to investigate the effects of a multi-modal training program on several body systems...
August 10, 2017: Journal of Neurotrauma
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