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https://www.readbyqxmd.com/read/29474995/evaluation-of-performance-based-outcome-measures-for-the-upper-limb-a-comprehensive-narrative-review
#1
REVIEW
Sophie Wang, Janice Hsu, Lauren Trent, Tiffany Ryan, Nathan Kearns, Eugene Civillico, Kimberly Kontson
Objective performance-based outcome measures (OMs) have the potential to provide unbiased and reproducible assessments of limb function. However, very few of these performance-based OMs have been validated for upper limb (UL) prosthesis users. OMs validated in other clinical populations (e.g. neurological or musculoskeletal conditions) could be used to fill gaps in existing performance-based OMs for UL amputees. Additionally, a joint review might reveal consistent gaps across multiple clinical populations. Therefore, the objective of this review was to systematically characterize prominent measures utilized in both sets of clinical populations with regard to (1) location of task performance around the body, (2) possible grips employed, (3) bilateral vs...
February 20, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29473352/-effects-of-pricking-and-cupping-combined-with-rehabilitation-training-on-elbow-flexion-spasticity-of-upper-limb-after-stroke-and-its-iemg-value
#2
Zhiqiang Huang, Ning Zhao, Zhaoyuan Su, Jiafu Su, Qiang Wu
OBJECTIVE: Based on rehabilitation training, to observe the clinical effect difference between pricking combined with cupping and western medication for elbow flexion spasticity of upper limb of stroke patients. METHODS: Sixty patients were randomly assigned by SPSS software random number generator into a comprehension group and a western medication group, 30 cases in each one. Rehabilitation was used in the two groups. Pricking and cupping were applied at the affected abdominal center of biceps brachii muscle on Tuesday and Friday continuously for 4 weeks in the comprehensive group...
February 12, 2018: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29461882/genetic-analyses-identified-a-sall4-gene-mutation-associated-with-holt-oram-syndrome
#3
Bojian Li, Sun Chen, Kun Sun, Rang Xu, Yurong Wu
Holt-Oram syndrome (HOS) is an autosomal dominant disorder, which is characterized by deformities of upper limbs and congenital heart defects. Alterations of TBX5 gene have been identified to be the leading cause of HOS, while some cases could not be explained by TBX5 mutations. In our study, we preliminarily diagnosed a newborn baby, who had Tetralogy of Fallot, thumb agenesis, facial dysplasia, and right ear canal malformation, as HOS. Chromosome microarray analyses showed no pathological deletions or replications of chromosome segments; whole exome sequencing screened out six candidate genes that were involved in cardiac diseases or syndromes among which SALL4 has been reported as HOS related gene...
February 20, 2018: DNA and Cell Biology
https://www.readbyqxmd.com/read/29457388/-case-control-study-of-therapeutic-effects-between-extreme-lateral-interbody-fusion-and-conventional-posterior-operation-for-the-treatment-of-upper-lumbar-disc-herniation
#4
Can-Hua Xu, Zeng-Hui Wu, Rong-Chun Chen, Hong-Fa Zhong, Qing-Shun Zhang, Ning Liu, Bi Zhang
OBJECTIVE: To evaluate the clinical outcomes between extreme lateral interbody fusion and conventional posterior operation in the treatment of upper lumbar disc herniation. METHODS: Among 60 patients with upper lumbar disc herniation were treated with extreme lateral interbody fusion(XLIF) or conventional posterior operation from June 2010 to December 2014, 30 patients(19 males and 11 females) were treated with XLIF (XLIF group); and the other 30 patients(17 males and 13 females) were treated with conventional posterior operation (conventional group)...
November 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29456499/can-we-achieve-intuitive-prosthetic-elbow-control-based-on-healthy-upper-limb-motor-strategies
#5
Manelle Merad, Étienne de Montalivet, Amélie Touillet, Noël Martinet, Agnès Roby-Brami, Nathanaël Jarrassé
Most transhumeral amputees report that their prosthetic device lacks functionality, citing the control strategy as a major limitation. Indeed, they are required to control several degrees of freedom with muscle groups primarily used for elbow actuation. As a result, most of them choose to have a one-degree-of-freedom myoelectric hand for grasping objects, a myoelectric wrist for pronation/supination, and a body-powered elbow. Unlike healthy upper limb movements, the prosthetic elbow joint angle, adjusted prior to the motion, is not involved in the overall upper limb movements, causing the rest of the body to compensate for the lack of mobility of the prosthesis...
2018: Frontiers in Neurorobotics
https://www.readbyqxmd.com/read/29453980/virtual-reality-for-upper-limb-rehabilitation-in-sub-acute-and-chronic-stroke-a-randomized-controlled-trial
#6
Pawel Kiper, Andrzej Szczudlik, Michela Agostini, Jozef Opara, Roman Nowobilski, Laura Ventura, Paolo Tonin, Andrea Turolla
OBJECTIVE: To evaluate the effectiveness of reinforced feedback in virtual environment (RFVE) treatment combined with conventional rehabilitation (CR) in comparison with CR alone, and to study whether changes are related to stroke aetiology (i.e. ischemic or hemorrhagic). DESIGN: Randomized controlled trial. SETTING: Inpatients in a hospital facility for intensive rehabilitation. PARTICIPANTS: 136 patients within one year from onset of a single stroke...
February 14, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29439843/development-and-reliability-of-the-rating-of-compensatory-movements-in-upper-limb-prosthesis-wearers-during-work-related-tasks
#7
Tallie M J van der Laan, Sietke G Postema, Michiel F Reneman, Raoul M Bongers, Corry K van der Sluis
STUDY DESIGN: Reliability study. INTRODUCTION: Quantifying compensatory movements during work-related tasks may help to prevent musculoskeletal complaints in individuals with upper limb absence. PURPOSE OF THE STUDY: (1) To develop a qualitative scoring system for rating compensatory shoulder and trunk movements in upper limb prosthesis wearers during the performance of functional capacity evaluation tests adjusted for use by 1-handed individuals (functional capacity evaluation-one handed [FCE-OH]); (2) to examine the interrater and intrarater reliability of the scoring system; and (3) to assess its feasibility...
February 10, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29439829/effects-of-dry-needling-trigger-point-therapy-in-the-shoulder-region-on-patients-with-upper-extremity-pain-and-dysfunction-a-systematic-review-with-meta-analysis
#8
REVIEW
Michelle Louise Hall, Angela Claire Mackie, Daniel Cury Ribeiro
QUESTION: What is the effectiveness and what are the adverse effects. DESIGN: Systematic review with meta-analysis. PARTICIPANTS: Patients with shoulder or upper extremity pain or dysfunction. INTERVENTION: Trigger point dry needling (TDN) compared to control, another intervention or another needling technique. OUTCOME MEASURES: Primary outcome measures included shoulder or upper limb pain, shoulder or upper limb dysfunction...
August 7, 2017: Physiotherapy
https://www.readbyqxmd.com/read/29439365/adaptive-motor-cortex-plasticity-following-grip-reconstruction-in-individuals-with-tetraplegia
#9
Lina Bunketorp Käll, Robert J Cooper, Johanna Wangdell, Jan Fridén, Malin Björnsdotter
BACKGROUND: Tendon transfer is a surgical technique for restoring upper limb motor control in patients with cervical spinal cord injuries (SCI), and offers a rare window into cortical neuroplasticity following regained arm and hand function. OBJECTIVE: Here, we aimed to examine neuroplasticity mechanisms related to re-established voluntary motor control of thumb flexion following tendon transfer. METHODS: We used functional Magnetic Resonance Imaging (fMRI) to test the hypothesis that restored limb control following tendon transfer is mediated by activation of that limb's area of the primary motor cortex...
2018: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/29439363/effects-of-posture-and-coactivation-on-corticomotor-excitability-of-ankle-muscles
#10
Trisha M Kesar, Steven Eicholtz, Bethany J Lin, Steven L Wolf, Michael R Borich
BACKGROUND: The use of transcranial magnetic stimulation (TMS) to evaluate corticomotor excitability of lower limb (LL) muscles can provide insights about neuroplasticity mechanisms underlying LL rehabilitation. However, to date, a majority of TMS studies have focused on upper limb muscles. Posture-related activation is an important under-investigated factor influencing corticomotor excitability of LL muscles. OBJECTIVE: The purpose of this study was to evaluate effects of posture and background activation on corticomotor excitability of ankle muscles...
2018: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/29439359/effects-of-combining-high-and-low-frequency-repetitive-transcranial-magnetic-stimulation-on-upper-limb-hemiparesis-in-the-early-phase-of-stroke
#11
Hua Long, Hongbin Wang, Chenguang Zhao, Qiang Duan, Feng Feng, Nan Hui, Li Mao, Huiling Liu, Xiang Mou, Hua Yuan
BACKGROUND: Both high-frequency repetitive transcranial magnetic stimulation (HF-rTMS) and low-frequency rTMS (LF-rTMS) are reported to benefit upper limb motor function rehabilitation in patients with stroke. However, the efficacy of combining LF- and HF-rTMS (LF-HF rTMS) has not been adequately explored, especially in the early phase of stroke. OBJECTIVE: To compare the effects of LF- and LF-HF rTMS on the upper limb motor function in the early phase post stroke...
2018: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/29438680/ischemia-reperfusion-injury-alters-skin-microvascular-responses-to-local-heating-of-the-index-finger
#12
Gregory W McGarr, Gary J Hodges, Matthew M Mallette, Stephen S Cheung
BACKGROUND: Ischemia-reperfusion (IR) injury impairs microcirculatory function by reducing nitric oxide (NO) bioavailability and increasing sympathetic tone. This study non-invasively examined the effects of acute upper limb IR injury on local thermal hyperemia (LTH) in glabrous and non-glabrous finger skin. MATERIALS AND METHODS: In ten healthy males, LTH was examined twice (~7-10 d apart) for each skin type on the index finger using laser-Doppler flowmetry in a counterbalanced design with either 1) 20 min ischemia, followed by reperfusion (ISCH) or 2) time-matched control (SHAM)...
February 10, 2018: Microvascular Research
https://www.readbyqxmd.com/read/29436374/kinesio-taping-associated-with-acupuncture-in-the-treatment-of-the-paretic-upper-limb-after-stroke
#13
Moisés Schabarum Dall'Agnol, Fernanda Cechetti
Consider the leading cause of disability in adults, stroke leads to different consequences, like hemiparesis and loss of function in the upper limb which can impair the performance of activities during daily life. Different techniques have been used to soften this process, like Acupuncture and Kinesio Taping (KT). However, there is no consensus on their concomitant effect on neurological patients. This study aimed to analyze the effects of acupuncture associated with KT on the upper limb of patients with chronic hemiparesis after stroke...
January 4, 2018: Journal of Acupuncture and Meridian Studies
https://www.readbyqxmd.com/read/29436126/aerobic-exercise-prior-to-task-specific-training-to-improve-poststroke-motor-function-a-case-series
#14
S R Valkenborghs, M M Visser, M Nilsson, R Callister, P van Vliet
BACKGROUND: Aerobic exercise can improve upper limb motor function in both healthy and stroke populations. Research in animals after stroke has shown that aerobic exercise combined with forelimb motor training improved forelimb motor function more than aerobic exercise or motor training alone. There is a lack of knowledge about this combined intervention in humans after stroke. PURPOSE: These 2 case reports describe the exploratory implementation of a combined aerobic exercise and task-specific training intervention to improve upper limb motor function in one person in subacute stroke recovery and one person in chronic stroke recovery...
February 13, 2018: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://www.readbyqxmd.com/read/29436054/sensorimotor-network-alterations-in-children-and-youth-with-prenatal-alcohol-exposure
#15
Xiangyu Long, Graham Little, Christian Beaulieu, Catherine Lebel
Children with prenatal alcohol exposure (PAE) often have impaired sensorimotor function. While altered brain structure has been noted in sensorimotor areas, the functional brain alterations remain unclear. This study aims to investigate sensorimotor brain networks in children and youth with PAE using resting-state functional magnetic resonance imaging (rs-fMRI). A parcellation-based network analysis was performed to identify brain networks related to hand/lower limb and face/upper limb function in 59 children and youth with PAE and 50 typically developing controls...
February 12, 2018: Human Brain Mapping
https://www.readbyqxmd.com/read/29432117/closed-loop-continuous-hand-control-via-chronic-recording-of-regenerative-peripheral-nerve-interfaces
#16
Philip P Vu, Zachary T Irwin, Autumn J Bullard, Shoshana W Ambani, Ian C Sando, Melanie G Urbanchek, Paul S Cederna, Cynthia A Chestek
Loss of the upper limb imposes a devastating interruption to everyday life. Full restoration of natural arm control requires the ability to simultaneously control multiple degrees of freedom of the prosthetic arm and maintain that control over an extended period of time. Current clinically available myoelectric prostheses do not provide simultaneous control or consistency for transradial amputees. To address this issue, we have implemented a standard Kalman filter for continuous hand control using intramuscular electromyography (EMG) from both regenerative peripheral nerve interfaces (RPNI) and an intact muscle within non-human primates...
February 2018: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/29432112/the-development-and-preliminary-test-of-a-powered-alternately-walking-exoskeleton-with-the-wheeled-foot-for-paraplegic-patients
#17
Qingchuan Ma, Linhong Ji, Rencheng Wang
Upright walking has both physical and social meanings for paraplegic patients. The main purpose of this paper is to reduce the automatic functioning of the powered exoskeleton and enable the user to fully control the walking procedure in real-time, aiming to further improve the engagement of the patient during rehabilitation training. For this prototype, a custom-made hub motor was placed at the bottom of the exoskeleton's foot, and a pair of crutches with the embedded wireless controller were utilized as the auxiliary device...
February 2018: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/29430940/positive-effects-of-a-short-term-intense-elastic-resistance-training-program-on-body-composition-and-physical-functioning-in-overweight-older-women
#18
Nicole B Fritz, Álvaro Juesas, Pedro Gargallo, Joaquín Calatayud, Julio Fernández-Garrido, Michael E Rogers, Juan C Colado
The aim of this study was to investigate the effects of a resistance training program (RTP) in older overweight women (OOW) using two different types of elastic devices. METHODS: This study was a randomized controlled trial with pre- and postintervention measures. Participants included OOW, aged 60-85 years, with no medical history of disease that would preclude them from engaging in physical exercise. Participants were randomly divided into the following groups: elastic tubes with handles group (ETG; n = 22), traditional elastic bands group ( n = 21), and control group (CG; n = 20)...
January 1, 2018: Biological Research for Nursing
https://www.readbyqxmd.com/read/29426574/short-term-clinical-outcome-of-orthosis-alone-vs-combination-of-orthosis-nerve-and-tendon-gliding-exercises-and-ultrasound-therapy-for-treatment-of-carpal-tunnel-syndrome
#19
Sze En Sim, Jayaletchumi Gunasagaran, Khean-Jin Goh, Tunku Sara Ahmad
STUDY DESIGN: Prospective randomized study. INTRODUCTION: Carpal tunnel syndrome (CTS) has been described as the most common compression neuropathy. Many modalities exist for conservative treatment. Efficacy of each modality has been described in the literature. However, the effectiveness of combination of these modalities is not well established. The purpose of this study is to assess the short-term clinical outcome of conservative treatment for CTS comparing orthosis alone with combination of orthosis, nerve/tendon gliding exercises, and ultrasound therapy...
February 7, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29422881/encouragement-induced-real-world-upper-limb-use-after-stroke-by-a-tracking-and-feedback-device-a-study-protocol-for-a-multi-center-assessor-blinded-randomized-controlled-trial
#20
Jeremia P O Held, Andreas R Luft, Janne M Veerbeek
Introduction: Retraining the paretic upper limb after stroke should be intense and specific to be effective. Hence, the best training is daily life use, which is often limited by motivation and effort. Tracking and feedback technology have the potential to encourage self-administered, context-specific training of upper limb use in the patients' home environment. The aim of this study is to investigate post-intervention and long-term effects of a wrist-worn activity tracking device providing multimodal feedback on daily arm use in hemiparetic subjects beyond 3 months post-stroke...
2018: Frontiers in Neurology
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