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https://www.readbyqxmd.com/read/28104593/validation-of-two-risk-prediction-models-for-recurrent-falls-in-the-first-year-after-stroke-a-prospective-cohort-study
#1
Mary E Walsh, Rose Galvin, Fiona Boland, David Williams, Joseph A Harbison, Sean Murphy, Ronan Collins, Morgan Crowe, Dominick J H McCabe, Frances Horgan
BACKGROUND: several multivariable models have been derived to predict post-stroke falls. These require validation before integration into clinical practice. The aim of this study was to externally validate two prediction models for recurrent falls in the first year post-stroke using an Irish prospective cohort study. METHODOLOGY: stroke patients with planned home-discharges from five hospitals were recruited. Falls were recorded with monthly diaries and interviews 6 and 12 months post-discharge...
January 18, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28099988/exercise-based-rehabilitation-programmes-for-pulmonary-hypertension
#2
REVIEW
Norman R Morris, Fiona D Kermeen, Anne E Holland
BACKGROUND: Individuals with pulmonary hypertension (PH) have reduced exercise capacity and quality of life. Despite initial concerns that exercise training may worsen symptoms in this group, several studies have reported improvements in functional capacity and well-being following exercise-based rehabilitation in PH. OBJECTIVES: To assess the efficacy and safety of exercise-based rehabilitation for people with PH. Primary outcomes were exercise capacity, adverse events during the intervention period and health-related quality of life (HRQoL)...
January 19, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28093928/functional-electrical-stimulation-therapy-for-severe-hemiplegia-randomized-control-trial-revisited
#3
Cesar Marquez-Chin, Shaghayegh Bagher, Vera Zivanovic, Milos R Popovic
BACKGROUND: Stroke is the leading cause of long-term disability. Stroke survivors seldom improve their upper-limb function when their deficit is severe, despite recently developed therapies. PURPOSE: This study aims to assess the efficacy of functional electrical stimulation therapy in improving voluntary reaching and grasping after severe hemiplegia. METHOD: A post hoc analysis of a previously completed randomized control trial ( clinicaltrials...
January 1, 2017: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
https://www.readbyqxmd.com/read/28091278/brief-activity-performance-measure-for-upper-limb-amputees-bam-ula
#4
Linda Resnik, Matthew Borgia, Frantzy Acluche
BACKGROUND: Measures of activity performance for adults with upper limb amputation are needed. The purposes of this study were to evaluate the measurement properties of a new measure of activity performance for adults with upper limb amputation, which we call the Brief Activity Measure for Upper Limb Amputees (BAM-ULA) and to compare BAM-ULA scores for users of different types of prostheses. METHODS: In all, 35 persons with upper limb amputation were administered the BAM-ULA, twice within 1 week...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28087285/apert-syndrome-a-consensus-on-the-management-of-apert-hands
#5
David A Pettitt, Zeeshaan Arshad, Anuj Mishra, Paul McArthur
INTRODUCTION: Apert Syndrome is a congenital condition characterised by primary craniosynostosis, midfacial malformations and complex symmetrical malformations of the hands and feet. The hands demonstrate one of the most complex collections of congenital upper limb deformities, posing a significant challenge for the paediatric hand surgeon. This study examines the extant literature and current practice of the four UK specialist craniofacial units regarding the management of Apert hands in order to provide a basis for guideline development...
December 10, 2016: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28078196/prosthetic-jamming-terminal-device-a-case-study-of-untethered-soft-robotics
#6
Nadia Cheng, John Amend, Todd Farrell, Debra Latour, Carlos Martinez, Jen Johansson, Anthony McNicoll, Marek Wartenberg, Samuel Naseef, William Hanson, William Culley
This article illuminates the major and often overlooked challenge of untethering soft robotic systems through the context of recent work, in which soft robotic gripper technology enabled by jamming of granular media was applied to a prosthetic jamming terminal device (PJTD). The PJTD's technical and market feasibility was evaluated in a pilot study with two upper-limb amputees. A PJTD prototype was tested against a commercial device (Motion Control electric terminal service with a one degree-of-freedom pinching mechanism) using two existing hand function tests: the first quantified the device's speed in picking and placing small blocks and the second evaluated a person's ability to perform activities of daily living (ADLs)...
December 1, 2016: Soft Robotics
https://www.readbyqxmd.com/read/28078071/electrical-stimulation-to-reduce-the-overload-in-upper-limbs-during-sitting-pivot-transfer-in-paraplegic-a-preliminary-study
#7
Ana Claudia G Lopes, Claudia Ochoa-Diaz, Roberto S Baptista, Lucas O Fonseca, Charles Fattal, Christine Azevedo Coste, Antônio P L Bó, Emerson Fachin-Martins
Transfer is a key ability and allows greater interact with the environment and social participation. Conversely, paraplegics have great risk of pain and injury in the upper limbs due to joint overloads during activities of daily living, like transfer. The main goal of this study is to verify if the use of functional electrical stimulation (FES) in the lower limbs of paraplegic individuals can assist the sitting pivot transfer (SPT). The secondary objective is to verify if there is a greater participation of the lower limbs during lift pivot phase...
September 15, 2016: European Journal of Translational Myology
https://www.readbyqxmd.com/read/28077661/characterizing-differential-post-stroke-corticomotor-drive-to-the-dorsi-and-plantarflexor-muscles-during-resting-and-volitional-muscle-activation
#8
Jacqueline Ann Palmer, Ryan Zarzycki, Susanne M Morton, Trisha M Kesar, Stuart A Binder-Macleod
Imbalance of corticomotor excitability between the paretic and nonparetic limbs has been associated with the extent of upper extremity motor recovery post-stroke, is greatly influenced by specific testing conditions such as the presence or absence of volitional muscle activation, and may vary across muscle groups. However, despite its clinical importance, post-stroke corticomotor drive to lower extremity muscles has not been thoroughly investigated. Additionally, while conventional gait rehabilitation strategies for stroke survivors focus on paretic limb foot drop and dorsiflexion impairments, most contemporary literature has indicated that paretic limb propulsion and plantarflexion impairments are the most significant limiters to post-stroke walking function...
January 11, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28073076/spastic-diplegia-in-preterm-born-children-executive-function-impairment-and-neuroanatomical-correlates
#9
Maria Chiara Di Lieto, Paola Brovedani, Chiara Pecini, Anna Maria Chilosi, Vittorio Belmonti, Franco Fabbro, Cosimo Urgesi, Simona Fiori, Andrea Guzzetta, Silvia Perazza, Elisa Sicola, Giovanni Cioni
BACKGROUND: The neuropsychological literature on preterm-born children with spastic diplegia due to periventricular leukomalacia is convergent in reporting deficits in non-verbal intelligence and in visuo-spatial abilities. Nevertheless, other cognitive functions have found to be impaired, but data are scant and not correlated with neuroimaging findings. AIMS: This study analyzes the neuropsychological strengths and weaknesses in preterm-born children with spastic diplegia (pSD) and their relationships with neuroanatomical findings, investigated by a novel scale for MRI classification...
January 7, 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/28069760/axotomized-corticospinal-neurons-increase-supra-lesional-innervation-and-remain-crucial-for-skilled-reaching-after-bilateral-pyramidotomy
#10
Alice C Mosberger, Jenifer C Miehlbradt, Nadja Bjelopoljak, Marc P Schneider, Anna-Sophia Wahl, Benjamin V Ineichen, Miriam Gullo, Martin E Schwab
Skilled upper limb function heavily depends on the corticospinal tract. After bilateral lesions to this tract, motor control is disrupted but can be partially substituted by other motor systems to allow functional recovery. However, the remaining roles of motor cortex and especially of axotomized corticospinal neurons (CSNs) are not well understood. Using the single pellet retrieval task in adult rats, we induced significant recovery of skilled reaching after bilateral pyramidotomy by rehabilitative reaching training, and show that reach-related motor cortex activity, recorded in layer V, topographically reappeared shortly after axotomy...
January 8, 2017: Cerebral Cortex
https://www.readbyqxmd.com/read/28066527/concurrent-validity-of-the-continuous-scale-physical-functional-peformance-10-cs-pfp-10-test-in-transfemoral-amputees
#11
M Jason Highsmith, Jason T Kahle, Rebecca M Miro, M Elaine Cress, William S Quillen, Stephanie L Carey, Rajiv V Dubey, Larry J Mengelkoch
The Continuous Scale-Physical Functional Performance-10 (CS-PFP-10) test consists of 10 standardized daily living tasks that evaluate overall physical functional performance and performance in five individual functional domains: upper body strength (UBS), upper body flexibility (UBF), lower body strength (LBS), balance and coordination (BAL), and endurance (END). This study sought to determine the concurrent validity of the CS-PFP-10 test and its functional domains that involve the lower extremities (LBS, BAL, or END) in comparison to measures that have established validity for use in persons with transfemoral amputation (TFA)...
September 2016: Technology and Innovation
https://www.readbyqxmd.com/read/28063787/the-development-and-examination-of-a-new-walking-executive-function-test-for-people-over-50years-of-age
#12
Arturo Leyva, Anoop Balachandran, Jennifer C Britton, Moataz Eltoukhy, Christopher Kuenze, Nicholas D Myers, Joseph F Signorile
A reduction in executive function (EF) performance is a major factor associated with the loss of functional independence among older adults. Computer-based tests are commonly used to evaluate EF; however, these mouse or keyboard tests are upper limb dominant while most activities of daily living (ADL, e.g. crossing a street) are lower limb dominant. The purpose of this study was to examine the utility of a newly developed walking EF test called the Walking Response and Inhibition Test (WRIT). The WRIT was validated by comparing its results a number of established computer-based tests and to an ADL-related test known to require EF, the Timed "Up & Go" Test (TUG)...
January 4, 2017: Physiology & Behavior
https://www.readbyqxmd.com/read/28060689/-schwannoma-of-the-upper-extremity-retrospective-analysis-of-17-cases
#13
Ângelo Sá, Leandro Nobre Azevedo, Luísa Cunha
INTRODUCTION: Schwannoma or neurilemmoma is a benign peripheric nerve tumor that usually presents as a slow growing single lesion; it has origin in Schwann cells proliferation. Although it represents a small percentage of the benign tumors of the upper arm, it is the most frequent of neural origin. We present a retrospective study of upper limb schwannomas; our aim is establish the appropriate preoperative approach, to recognise the efficiency of the treatment and the pos-operative follow-up...
September 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28060054/patient-reported-and-objectively-measured-function-before-and-after-reverse-shoulder-arthroplasty
#14
Wendy J Hurd, Melissa M Morrow, Emily J Miller, Robert A Adams, John W Sperling, Kenton R Kaufman
BACKGROUND AND PURPOSE: Documenting functional outcomes after reverse shoulder arthroplasty (RSA) is critical to advancing patient care. The interplay been self-reported and objectively measured outcome measures has not been widely described. The utilization of wearable devices to document upper extremity limb activity is a new approach for objectively measuring outcomes. Therefore, the purpose of this study was to evaluate changes in pain, and self-reported function and objectively measured limb activity after RSA...
January 5, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28056872/a-limb-girdle-myopathy-phenotype-of-runx2-mutation-in-a-patient-with-cleidocranial-dysplasia-a-case-study-and-literature-review
#15
Sung-Ju Hsueh, Ni-Chung Lee, Shu-Hua Yang, Han-I Lin, Chin-Hsien Lin
BACKGROUND: Cleidocranial dysplasia (CCD) is a rare hereditary disorder that arises from heterozygous loss of function mutations in the runt-related transcription factor 2 (RUNX2) gene. As RUNX2 is mainly expressed in osteoblasts, CCD typically affects the skeletal and dental systems. Few studies have investigated RUNX2 mutation effects on non-skeletal systems. Here, we describe limb-girdle myopathy, an uncommon phenotype of CCD, in a patient with a heterozygous missense mutation (p.R225Q) in the RUNX2 gene...
January 6, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28052130/cervical-spine-injuries-a-whole-body-musculoskeletal-model-for-the-analysis-of-spinal-loading
#16
Dario Cazzola, Timothy P Holsgrove, Ezio Preatoni, Harinderjit S Gill, Grant Trewartha
Cervical spine trauma from sport or traffic collisions can have devastating consequences for individuals and a high societal cost. The precise mechanisms of such injuries are still unknown as investigation is hampered by the difficulty in experimentally replicating the conditions under which these injuries occur. We harness the benefits of computer simulation to report on the creation and validation of i) a generic musculoskeletal model (MASI) for the analyses of cervical spine loading in healthy subjects, and ii) a population-specific version of the model (Rugby Model), for investigating cervical spine injury mechanisms during rugby activities...
2017: PloS One
https://www.readbyqxmd.com/read/28050492/efficacy-of-modified-constraint-induced-movement-therapy-in-the-treatment-of-hemiparetic-upper-limb-in-stroke-patients-a-randomized-controlled-trial
#17
Raj Kumar Yadav, Rajendra Sharma, Diganta Borah, S Y Kothari
INTRODUCTION: Paretic upper limb in stroke patients has a significant impact on the quality of life. Modified Constraint Induced Movement Therapy (mCIMT) is one of the treatment options used for the improvement of the function of the paretic limb. AIM: To investigate the efficacy of four week duration mCIMT in the management of upper extremity weakness in hemiparetic patients due to stroke. MATERIALS AND METHODS: Prospective single blind, parallel randomized controlled trial in which 30 patients received conventional rehabilitation programme (control group) and 30 patients participated in a mCIMT programme in addition to the conventional rehabilitation programme (study group)...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28032336/systematic-review-of-mirror-therapy-compared-with-conventional-rehabilitation-in-upper-extremity-function-in-stroke-survivors
#18
REVIEW
David Pérez-Cruzado, Jose Antonio Merchán-Baeza, Manuel González-Sánchez, Antonio I Cuesta-Vargas
BACKGROUND/AIM: Stroke is a leading cause of disability in developed countries. One of the most widespread techniques in clinical practice is mirror therapy (MT). To determine the effectiveness of MT over other methods of intervention in the recovery of upper limb function in people who have had a stroke. METHODS: A systematic review was conducted. The search string was established based on the last systematic review about MT that dated from 2009: "upper extremity" OR "upper limb "AND "mirror therapy" AND stroke...
December 29, 2016: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/28032253/effect-of-cadence-on-locomotor-respiratory-coupling-during-upper-body-exercise
#19
Nicholas B Tiller, Mike J Price, Ian G Campbell, Lee M Romer
INTRODUCTION: Asynchronous arm-cranking performed at high cadences elicits greater cardiorespiratory responses compared to low cadences. This has been attributed to increased postural demand and locomotor-respiratory coupling (LRC), and yet, this has not been empirically tested. This study aimed to assess the effects of cadence on cardiorespiratory responses and LRC during upper-body exercise. METHODS: Eight recreationally-active men performed arm-cranking exercise at moderate and severe intensities that were separated by 10 min of rest...
December 28, 2016: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/28029356/comparison-of-patient-reported-outcomes-after-traumatic-upper-extremity-amputation-replantation-versus-prosthetic-rehabilitation
#20
Mitchell A Pet, Shane D Morrison, Jacob S Mack, Erika D Sears, Thomas Wright, Alisha D Lussiez, Kenneth R Means, James P Higgins, Jason H Ko, Paul S Cederna, Theodore A Kung
BACKGROUND: After major upper extremity traumatic amputation, replantation is attempted based upon the assumption that outcomes for a replanted limb exceed those for revision amputation with prosthetic rehabilitation. While some reports have examined functional differences between these patients, it is increasingly apparent that patient perceptions are also critical determinants of success. Currently, little patient-reported outcomes data exists to support surgical decision-making in the setting of major upper extremity traumatic amputation...
October 19, 2016: Injury
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