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https://www.readbyqxmd.com/read/28926482/is-there-an-optimal-time-to-initiate-an-active-rehabilitation-protocol-for-concussion-management-in-children-a-case-series
#1
Danielle M Dobney, Lisa Grilli, Helen Kocilowicz, Christine Beaulieu, Meghan Straub, Debbie Friedman, Isabelle J Gagnon
OBJECTIVE: To estimate the time frame during which initiating an active rehabilitation intervention (aerobic exercise, balance, and sport specific skills) after concussion contributed to improvement in symptoms at follow-up in children and adolescents who are slow to recover (symptoms persisting beyond 2 weeks) from concussion. SETTING: Concussion clinic at a tertiary care pediatric teaching hospital. PARTICIPANTS: A total of 677 children and adolescents with concussion aged 7 to 18 years...
September 18, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/28924245/understanding-the-factors-affecting-self-management-of-copd-from-the-perspectives-of-healthcare-practitioners-a-qualitative-study
#2
Oladapo J Ogunbayo, Sian Russell, James J Newham, Karen Heslop-Marshall, Paul Netts, Barbara Hanratty, Eileen Kaner
Self-management is recognised as an essential criteria for the provision of high quality care for chronic obstructive pulmonary disease (COPD). The management of COPD is usually delivered by a wide range of healthcare practitioners. This study aimed to understand the factors affecting self-management of COPD from the perspectives of the different multidisciplinary healthcare teams involved in COPD care. Semi-structured interviews were conducted with participants from primary care, specialist respiratory and pulmonary rehabilitation (PR) teams...
September 18, 2017: NPJ Primary Care Respiratory Medicine
https://www.readbyqxmd.com/read/28918790/-bandages-for-knee-problems
#3
Marius Henriksen, Søren Thorgaard Skou
The use of knee braces is common, and there is an abundance of different brace types available both "over the counter" and as "prescription devices". The braces are used for a range of knee problems ranging from minor knee discomfort to post-surgical rehabilitation. The available evidence is generally in favour of brace applications although the amount and quality of evidence is moderate to low with a positive benefit-harm balance. However, braces should generally not be used as a stand-alone or primary treatment strategy, but can be used as a potentially beneficial supplement to patients with knee disorders if needed...
September 18, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28918755/mosaic-decisionmaking-and-reemergent-agency-after-severe-brain-injury
#4
Joseph J Fins
In this article, I will discuss the challenge posed by the reemergent agency of individuals with severe brain injury whose ability to communicate has been partially restored by neuroprosthetics, drugs, and rehabilitation. Instead of categorically distinguishing patients as either competent or incompetent, these technologies necessitate a more nuanced approach to intermediate states of decisionmaking capacity. This indeterminacy is addressed through a mosaic approach to decisionmaking, which seeks to achieve a proportionate and prudent balance between unbridled self-determination and conventional surrogate representation...
September 18, 2017: Cambridge Quarterly of Healthcare Ethics: CQ: the International Journal of Healthcare Ethics Committees
https://www.readbyqxmd.com/read/28918002/effect-of-natural-sagittal-trunk-lean-on-standing-balance-in-untreated-scoliotic-girls
#5
Sébastien Leteneur, Émilie Simoneau-Buessinger, Franck Barbier, Charles-Hilaire Rivard, Paul Allard
BACKGROUND: Generally, scoliotic girls have a tendency to lean further back than a comparable group of non-scoliotic girls. To date, no study has addressed how standing balance in untreated scoliotic girls is affected by a natural backwardly or forwardly inclined trunk. METHODS: 27 able-bodied young girls and 27 young girls with a right thoracic curve were classified as leaning forward or backward according to the median of their trunk sagittal inclination. Participants stood upright barefoot...
September 6, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28916208/intra-and-inter-session-reliability-of-traditional-and-entropy-based-variables-describing-stance-on-a-wobble-board
#6
Lucia Bizovska, Miroslav Janura, Zdenek Svoboda, Martin Cerny, Jana Krohova, Maros Smondrk
A wobble board (WB) is a balance rehabilitation tool that is used in physiotherapy to improve strength and stability. The WB tested in this study includes a sensory module for measuring patients' tilt and rotation during stance. The aim of this study was to assess the reliability and validity of a balance measurement using a WB. Thirty healthy young adults participated in this study. The participants stood on the WB to simultaneously record the tilt of the WB and the center of pressure data using a force plate...
September 12, 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28915856/exercise-prescription-for-patients-with-multiple-sclerosis-potential-benefits-and-practical-recommendations
#7
Farzin Halabchi, Zahra Alizadeh, Mohammad Ali Sahraian, Maryam Abolhasani
BACKGROUND: Multiple sclerosis (MS) can result in significant mental and physical symptoms, specially muscle weakness, abnormal walking mechanics, balance problems, spasticity, fatigue, cognitive impairment and depression. Patients with MS frequently decrease physical activity due to the fear from worsening the symptoms and this can result in reconditioning. Physicians now believe that regular exercise training is a potential solution for limiting the reconditioning process and achieving an optimal level of patient activities, functions and many physical and mental symptoms without any concern about triggering the onset or exacerbation of disease symptoms or relapse...
September 16, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28906387/a-nearly-full-recovery-from-avm-hemorrhagic-stroke-17-years-after-insult-using-a-new-integrated-neurodevelopmental-approach-a-case-report
#8
Alberto J Friedmann
RATIONAL: With the prevalence of stroke increasing in the USA and the world along with increased survival and longevity due to medical advancements, it has become increasingly necessary to look at the chronic phase of stroke recovery. Previous paradigms of stroke treatment have proven ineffective when looking at 10, 15, or 20 years of survival post insult. PATIENT CONCERNS: The patient, being a young man just out of high school, was concerned with his overall morbidity...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28900575/energy-system-development-and-load-management-through-the-rehabilitation-and-return-to-play-process
#9
Scot Morrison, Patrick Ward, Gregory R duManoir
Return-to-play from injury is a complex process involving many factors including the balancing of tissue healing rates with the development of biomotor abilities. This process requires interprofessional cooperation to ensure success. An often-overlooked aspect of return-to-play is the development and maintenance of sports specific conditioning while monitoring training load to ensure that the athlete's training stimulus over the rehabilitation period is appropriate to facilitate a successful return to play...
August 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28899584/evaluating-the-past-to-improve-the-future-a-qualitative-study-of-icu-patients-experiences
#10
Kristin Dahle Olsen, Marit Nester, Britt Sætre Hansen
BACKGROUND: The recovery period for patients who have been in an intensive care unitis often prolonged and suboptimal. Anxiety, depression and post-traumatic stress disorder are common psychological problems. Intensive care staff offer various types of intensive aftercare. Intensive care follow-up aftercare services are not standard clinical practice in Norway. OBJECTIVE: The overall aim of this study is to investigate how adult patients experience theirintensive care stay their recovery period, and the usefulness of an information pamphlet...
September 9, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28895998/-effects-of-an-intensive-thalassotherapy-and-aquatic-therapy-program-in-stroke-patients-a-pilot-study
#11
C Morer, C Boestad, P Zuluaga, A Alvarez-Badillo, F Maraver
INTRODUCTION: Stroke remains the leading cause of acquired disability. Health and social planning and management may vary and although prevention is crucial, having better treatments and strategies to reduce disability is needed. AIM: To determine the effect of an intensive program of thalassotherapy and aquatic therapy in stroke patients, valuing clinical parameters and functional validated scales. PATIENTS AND METHODS: A quasi-experimental prospective study consisting of a specific program assessed pre- and post- 3 weeks treatment to 26 stroke patients with a mild-moderate disability...
September 16, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/28891352/development-of-the-italian-version-of-the-trunk-impairment-scale-in-subjects-with-acute-and-chronic-stroke-cross-cultural-adaptation-reliability-validity-and-responsiveness
#12
Marco Monticone, Emilia Ambrosini, Geert Verheyden, Flavia Brivio, Roberto Brunati, Luca Longoni, Gaia Mauri, Alessandro Molteni, Claudia Nava, Barbara Rocca, Simona Ferrante
PURPOSE: To cross-culturally adapt and psychometrically analyse the Italian version of the Trunk Impairment Scale on acute (cohort 1) and chronic stroke patients (cohort 2). METHODS: The Trunk Impairment Scale was culturally adapted in accordance with international standards. The psychometric testing included: internal consistency (Cronbach's alpha), inter- and intra-rater reliability (intraclass correlation coefficient; standard error of measurement and minimal detectable change), construct validity by comparing Trunk Impairment Scale score with Barthel Index, motor subscale of Functional Independence Measure, and Trunk Control Test (Pearson's correlation), and responsiveness (Effect Size, Effect Size with Guyatt approach, standardized response mean, and Receiver Operating Characteristics curves)...
September 10, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28890847/the-contribution-of-nintendo-wii-fit-series-in-the-field-of-health-a-systematic-review-and-meta-analysis
#13
Julien Tripette, Haruka Murakami, Katie Rose Ryan, Yuji Ohta, Motohiko Miyachi
BACKGROUND: Wii Fit was originally designed as a health and fitness interactive training experience for the general public. There are, however, many examples of Wii Fit being utilized in clinical settings. This article aims to identify the contribution of Wii Fit in the field of health promotion and rehabilitation by: (1) identifying the health-related domains for which the Wii Fit series has been tested, (2) clarifying the effect of Wii Fit in those identified health-related domains and (3) quantifying this effect...
2017: PeerJ
https://www.readbyqxmd.com/read/28886676/validity-reliability-and-minimal-detectable-change-of-the-balance-evaluation-systems-test-bestest-mini-bestest-and-brief-bestest-in-patients-with-end-stage-renal-disease
#14
Cristina Jácome, Inês Flores, Filipa Martins, Conceição Castro, Charlotte C McPhee, Ellen Shepherd, Sara Demain, Daniela Figueiredo, Alda Marques
PURPOSE: This study determined the validity, test-retest reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-balance evaluation systems test (Mini-BESTest) and brief-balance evaluation systems test (Brief-BESTest) in patients with end-stage renal disease. METHODS: A cross-sectional study with 74 patients with end-stage renal disease (male 66.2%; 63.9 ± 15.1 years old) was conducted. Participants were asked to report the number of falls during the previous 12 months and to complete the activity-specific balance confidence (ABC) scale...
September 8, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28885933/a-qualitative-study-of-participation-in-cardiac-rehabilitation-programs-in-an-integrated-health-care-system
#15
Nathalie McIntosh, Gemmae M Fix, Kelly Allsup, Martin Charns, Sarah McDannold, Kenneth Manning, Daniel E Forman
INTRODUCTION: Despite strong incentives to use cardiac rehabilitation (CR), patient participation is low in the Veterans Health Administration (VHA). This is paradoxical given that VHA is an integrated health care system that offers a range of CR programs which should logically reduce barriers to access to CR participation. The purpose of this study was to better understand the contextual factors that influence patient participation in CR and how patients consider factors together when making decisions about CR participation...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28885287/whether-orthotic-management-and-exercise-are-equally-effective-to-the-patients-with-adolescent-idiopathic-scoliosis-in-mainland-china-a-randomized-controlled-trial-study
#16
Yu Zheng, Yini Dang, Yan Yang, Huabo Li, Lijie Zhang, Edmond H M Lou, Chengqi He, M S Wong
STUDY DESIGN: Prospective randomized controlled trial OBJECTIVE.: To investigate the effectiveness of orthotic management versus exercise on spinal curvature, body symmetry and quality of life. SUMMARY OF BACKGROUND DATA: A number of well-designed studies comparing conservative treatment of adolescent idiopathic scoliosis have been conducted and the evidence becomes stronger. However, there is a lack of the information on the effectiveness of orthotic management versus exercise...
September 6, 2017: Spine
https://www.readbyqxmd.com/read/28882774/how-prospective-physical-medicine-and-rehabilitation-trainees-rank-residency-training-programs
#17
Michael J Auriemma, Curtis L Whitehair
BACKGROUND: From the inception of the National Resident Matching Program, multiple studies have investigated the factors applicants consider important to ranking prospective residency programs. However, only two previous studies focused on prospective physical medicine and rehabilitation (PM&R) trainees, and the most recent of these studies was published in 1993. It is unknown whether these previous studies are reflective of current prospective PM&R residents. OBJECTIVE: The objective of this study was to assess various factors that contribute to prospective PM&R residents' decision making in choosing a residency program and compare these findings to previous studies...
September 4, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28880130/the-effects-of-semi-immersive-virtual-reality-therapy-on-standing-balance-and-upright-mobility-function-in-individuals-with-chronic-incomplete-spinal-cord-injury-a-preliminary-study
#18
Chang-Man An, Young-Hyun Park
Background Individuals with chronic incomplete spinal cord injury (iSCI) commonly face persistent balance or mobility impairments. Virtual reality (VR) therapy is a useful rehabilitation approach; however, little is known about its effects in individuals with chronic iSCI. Objective To investigate the effects of semi-immersive VR therapy on standing balance and upright mobility function in individuals with chronic iSCI. Methods Ten subjects with chronic iSCI underwent VR therapy 30 minutes a day, 3 days a week, for 6 weeks...
September 7, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28877750/mit-skywalker-considerations-on-the-design-of-a-body-weight-support-system
#19
Rogério Sales Gonçalves, Hermano Igo Krebs
BACKGROUND: To provide body weight support during walking and balance training, one can employ two distinct embodiments: support through a harness hanging from an overhead system or support through a saddle/seat type. This paper presents a comparison of these two approaches. Ultimately, this comparison determined our selection of the body weight support system employed in the MIT-Skywalker, a robotic device developed for the rehabilitation/habilitation of gait and balance after a neurological injury...
September 6, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/28877185/feet-deformities-are-correlated-with-impaired-balance-and-postural-stability-in-seniors-over-75
#20
Ewa Puszczalowska-Lizis, Przemyslaw Bujas, Jaroslaw Omorczyk, Slawomir Jandzis, Marek Zak
OBJECTIVE: Understanding the factors and mechanisms that determine balance in seniors appears vital in terms of their self-reliance and overall safety. The study aimed to determine the relationship between the features of feet structure and the indicators of postural stability in the elderly. METHODS: The study group comprised 80 seniors (41F, 39M; aged 75-85 years). CQ-ST podoscope and the CQ-Stab 2P two-platform posturograph were used as primary research tools...
2017: PloS One
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