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https://www.readbyqxmd.com/read/29044770/effects-of-forced-passive-and-voluntary-exercise-on-spinal-motoneurons-changes-after-peripheral-nerve-injury
#1
Ariadna Arbat-Plana, Xavier Navarro, Esther Udina
After peripheral nerve injury, there are important changes at the spinal level that can lead to disorganization of the central circuitry and thus, compromise functional recovery even if axons are able to successfully regenerate and reinnervate their target organs. Physical rehabilitation is a promising strategy to modulate these plastic changes and thus, to improve functional recovery after damage of the nervous system. Forced exercise in a treadmill is able to partially reverse the synaptic stripping and the loss of perineuronal nets that motoneurons suffer after peripheral nerve injury in animal models...
October 17, 2017: European Journal of Neuroscience
https://www.readbyqxmd.com/read/29044679/predictors-of-long-term-bladder-management-in-spinal-cord-injury-patients-upper-extremity-function-may-matter-most
#2
Dimitar V Zlatev, Kazuko Shem, Christopher S Elliott
INTRODUCTION: Clean intermittent catheterization (CIC) is the gold standard for neurogenic bladder management in most patients with spinal cord injury (SCI). There is nonetheless a lack of long-term adherence to CIC, with up to 50% discontinuance at 5-year follow-up. We hypothesize that limitations in upper extremity (UE) motor function represent a strong predictor for long-term CIC adoption. METHODS: We assessed Forms I and II data from the 2000-2013 National SCI Database...
October 17, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29042299/non-pharmacological-interventions-for-spasticity-in-adults-an-overview-of-systematic-reviews
#3
REVIEW
Fary Khan, Bhasker Amatya, Djamel Bensmail, Alain Yelnik
OBJECTIVES: Spasticity causes significant long-term disability-burden, requiring comprehensive management. This review evaluates evidence from published systematic reviews of clinical trials for effectiveness of non-pharmacological interventions for improved spasticity outcomes. METHODS: Data sources: A literature search was conducted using medical and health science electronic (MEDLINE, EMBASE, CINAHL, PubMed, and the Cochrane Library) databases for published systematic reviews up to 15(th) June 2017...
October 14, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29042001/recovery-from-vegetative-state-of-patients-with-a-severe-brain-injury-a-4-year-real-practice-prospective-cohort-study
#4
Alessio Baricich, A de Sire, E Antoniono, F Gozzerino, G Lamberti, C Cisari, M Invernizzi
Patients who have suffered severe traumatic or nontraumatic brain injuries can show a progressive recovery, transitioning through a range of clinical conditions. They may progress from coma to a vegetative state (VS) and/or a minimally conscious state (MCS). A longer duration of the VS is known to be related to a lower probability of emergence from it; furthermore, the literature seems to lack evidence of late improvements in these patients. This real-practice prospective cohort study was conducted in inpatients in a VS following a severe brain injury, consecutively admitted to a vegetative state unit (VSU)...
July 2017: Functional Neurology
https://www.readbyqxmd.com/read/29041954/combined-cognitive-and-vocational-interventions-after-mild-to-moderate-traumatic-brain-injury-study-protocol-for-a-randomized-controlled-trial
#5
Emilie I Howe, Knut-Petter S Langlo, Hans Christoffer Aargaard Terjesen, Cecilie Røe, Anne-Kristine Schanke, Helene L Søberg, Unni Sveen, Eline Aas, Heidi Enehaug, Daniele E Alves, Pål Klethagen, Kjersti Sagstad, Christine M Moen, Karin Torsteinsbrend, Anne-Margrethe Linnestad, Tonje Haug Nordenmark, Birte Sand Rismyhr, Grete Wangen, Juan Lu, Jennie Ponsford, Elizabeth W Twamley, Helene Ugelstad, Øystein Spjelkavik, Marianne Løvstad, Nada Andelic
BACKGROUND: A considerable proportion of patients with mild to moderate traumatic brain injury (TBI) experience long-lasting somatic, cognitive, and emotional symptoms that may hamper their capacity to return to work (RTW). Although several studies have described medical, psychological, and work-related factors that predict RTW after TBI, well-controlled intervention studies regarding RTW are scarce. Furthermore, there has traditionally been weak collaboration among health-related rehabilitation services, the labor and welfare sector, and workplaces...
October 17, 2017: Trials
https://www.readbyqxmd.com/read/29038953/current-concepts-in-rehabilitation-for-traumatic-anterior-shoulder-instability
#6
REVIEW
Richard Ma, Olubusola A Brimmo, Xinning Li, Lindsey Colbert
PURPOSE OF REVIEW: The objectives of this review are to evaluate the current evidence-based literature and concepts surrounding rehabilitation in patients with anterior shoulder instability injuries and surgical repair. RECENT FINDINGS: The current literature evidence for shoulder rehabilitation for anterior shoulder instability and labral repair is limited. As a result, there are variations among surgeons and physical therapists in rehabilitation protocols after anterior shoulder instability injuries and repair...
October 16, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29038897/-acute-achilles-tendon-rupture-state-of-the-art
#7
REVIEW
M Braunstein, S F Baumbach, V Herterich, W Böcker, H Polzer
The most favorable treatment for acute Achilles tendon ruptures remains controversial. In particular, three key questions are intensively debated: is operative or non-operative treatment superior? If surgery is performed, should open or minimally invasive percutaneous techniques be used? How should the follow-up treatment be carried out? The aim of this article is to answer these essential questions based on the currently available evidence. Non-operative treatment leads to a higher rate of re-ruptures and inferior functional results when compared to operative treatment...
October 16, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/29037642/rebound-boots-change-lower-limb-muscle-activation-and-kinematics-during-different-fitness-exercises
#8
Mateus Rossato, Rodolfo André Dellagrana, Juliane Cristine Lopes Dos Santos, Felipe P Carpes, Rodrigo Ghedini Gheller, De Angelys de Ceselles Seixas da Silva, Ewertton de Souza Bezerra, João Otacílio Libardoni Dos Santos
The purpose of this study was to evaluate electromyography and kinematic parameters of the lower limbs using rebound boots (RB) and barefoot during a gym workout. This information can be helpful to practitioners to schedule rehabilitation and training programs. Ten women (25 ± 9 years) volunteered for the study; inclusion criteria were as follows: subjects must have experienced the use of RB and the analyzed exercises for at least 6 months, and have no previous injuries in the lower limbs. Seven exercises were performed for 30 s with the RB and subsequently barefoot...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29037337/-social-cognition-and-its-contribution-to-the-rehabilitation-of-behavioural-disorders-in-traumatic-brain-injury
#9
José Ignacio Quemada, Olga Rusu, Paola Fonseca
Social behaviour disorders in traumatic brain injury are caused by the dysfunction of cognitive processes involved in social and interpersonal interaction. The concept of social cognition was introduced by authors studying schizophrenia, autism or mental retardation. The boundaries and the content of the concept have not yet been definitively defined, but theory of mind, empathy and emotional processing are included in all the models proposed. The strategies proposed to improve social behaviour focus on the restoration of cognitive processes such as working memory, emotional recognition and processing, and empathy, as well as social skills...
October 2017: Revista Colombiana de Psiquiatría
https://www.readbyqxmd.com/read/29037112/peer-led-transformative-learning-approaches-increase-classroom-engagement-in-care-self-management-classes-during-inpatient-rehabilitation-of-individuals-with-spinal-cord-injury
#10
Julie Gassaway, Michael L Jones, W Mark Sweatman, Tamara Young
OBJECTIVE: Evaluate effects of revised education classes on classroom engagement during inpatient rehabilitation for individuals with spinal cord injury/disease (SCI/D). DESIGN: Multiple-baseline, quasi-experimental design with video recorded engagement observations during conventional and revised education classes; visual and statistical analysis of difference in positive engagement responses observed in classes using each approach. PARTICIPANTS/SETTING: 81 patients (72% male, 73% white, mean age 36 SD 15...
October 16, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29036864/employment-pathways-of-individuals-with%C3%A2-spinal-cord-injury-living-in%C3%A2-switzerland-a-qualitative-study
#11
Albert Marti, Reuben Escorpizo, Urban Schwegler, Stefan Staubli, Bruno Trezzini
BACKGROUND: Labour market participation (LMP) represents a key goal of rehabilitation for individuals with spinal cord injury (SCI). To achieve this goal, Swiss SCI rehabilitation centres seek, together with their clients, viable follow-up solutions for returning to work after initial rehabilitation. However, the long-term outcomes of such vocational follow-up solutions have not been investigated so far, and there is a paucity of knowledge regarding the various types of employment pathways that persons with SCI living in Switzerland may experience...
October 9, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29036852/rehabilitation-modality-and-onset-differentially-influence-whisker-sensory-hypersensitivity-after-diffuse-traumatic-brain-injury-in-the-rat
#12
Theresa Currier Thomas, Ellen Magee Stockhausen, L Matthew Law, Aida Khodadad, Jonathan Lifshitz
BACKGROUND: As rehabilitation strategies advance as therapeutic interventions, the modality and onset of rehabilitation after traumatic brain injury (TBI) are critical to optimize treatment. Our laboratory has detected and characterized a late-onset, long-lasting sensory hypersensitivity to whisker stimulation in diffuse brain-injured rats; a deficit that is comparable to visual or auditory sensory hypersensitivity in humans with an acquired brain injury. OBJECTIVE: We hypothesize that the modality and onset of rehabilitation therapies will differentially influence sensory hypersensitivity in response to the Whisker Nuisance Task (WNT) as well as WNT-induced corticosterone (CORT) stress response in diffuse brain-injured rats and shams...
October 9, 2017: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/29036841/home-and-family-in-cognitive-rehabilitation-after-brain-injury-implementation-of-social-reserves
#13
Jesper Mogensen, Camilla Wulf-Andersen
The focus of the present article is the home and family environment of patients suffering acquired brain injury. In order to obtain the optimal outcome of posttraumatic cognitive rehabilitation it is important (a) to obtain a sufficient intensity of rehabilitative training, (b) to achieve the maximum degree of generalization from formalized training to the daily environment of the patient, and (c) to obtain the best possible utilization of "cognitive reserves" in the form of cognitive abilities and "strategies" acquired pretraumatically...
October 11, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/29035068/effects-of-animal-assisted-therapy-on-concentration-and-attention-span-in-patients-with-acquired-brain-injury-a-randomized-controlled-trial
#14
Vanya Gocheva, Margret Hund-Georgiadis, Karin Hediger
OBJECTIVE: Previous studies have reported that brain-injured patients frequently suffer from cognitive impairments such as attention and concentration deficits. Numerous rehabilitation clinics offer animal-assisted therapy (AAT) to address these difficulties. The authors' aim was to investigate the immediate effects of AAT on the concentration and attention span of brain-injured patients. METHOD: Nineteen patients with acquired brain injury were included in a randomized, controlled, within-subject trial...
October 16, 2017: Neuropsychology
https://www.readbyqxmd.com/read/29034801/gluteus-minimus-and-gluteus-medius-muscle-activity-during-common-rehabilitation-exercises-in-healthy-postmenopausal-women
#15
Charlotte Ganderton, Tania Pizzari, Jill Cook, Adam Semciw
Study Design Controlled laboratory study, cross-sectional. Background The gluteus medius (GMed) and minimus (GMin) provide dynamic stability of the hip joint and pelvis and are susceptible to atrophy and injury with menopause, ageing and disease. Numerous exercises have been reported in the literature to elicit high levels of GMed activity, however few have differentiated between the portions of the GMed, and none have examined GMin. Objectives To quantify and rank the level of muscle activity of the 2 segments of GMin (anterior and posterior fibers) and 3 segments of GMed (anterior, middle and posterior fibers) during 4 isometric and 3 dynamic exercises in a group of healthy, post-menopausal women...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034799/measurement-properties-of-a-test-battery-to-assess-postural-orientation-during-functional-tasks-in-patients-undergoing-acl-injury-rehabilitation
#16
Jenny Nae, Mark W Creaby, Gustav Nilsson, Kay M Crossley, Eva Ageberg
Study Design Cross-sectional study. Background Visual rating of postural orientation (PO) during functional tasks may be a valuable tool to track rehabilitation progress following anterior cruciate ligament (ACL) injury. A valid test battery assessing PO as a separate construct is lacking. Objectives To evaluate measurement properties of a test battery to assess PO in patients with ACL injury. Methods Content validity of functional tasks was assessed by expert focus group discussions. 51 patients (45% women) with ACL injury performed nine functional tasks of varying difficulty...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29033079/polytrauma-patients-in-the-netherlands-and-the-usa-a-bi-institutional-comparison-of-processes-and-outcomes-of-care
#17
Suzan Dijkink, Gwendolyn M van der Wilden, Pieta Krijnen, Lisa Dol, Steven Rhemrev, David R King, Marc A DeMoya, George C Velmahos, Inger B Schipper
BACKGROUND: Modern trauma systems differ worldwide, possibly leading to disparities in outcomes. We aim to compare characteristics and outcomes of blunt polytrauma patients admitted to two Level 1 Trauma Centers in the US (USTC) and the Netherlands (NTC). METHODS: For this retrospective study the records of 1367 adult blunt trauma patients with an Injury Severity Score (ISS) ≥ 16 admitted between July 1, 2011 and December 31, 2013 (640 from NTC, 727 from USTC) were analysed...
October 10, 2017: Injury
https://www.readbyqxmd.com/read/29033043/in%C3%A2-vivo-lung-perfusion-rehabilitates-sepsis-induced-lung-injury
#18
J Hunter Mehaffey, Eric J Charles, Sarah Schubert, Morgan Salmon, Ashish K Sharma, Dustin Money, Mark H Stoler, Victor E Laubach, Curtis G Tribble, Mark E Roeser, Irving L Kron
BACKGROUND: Sepsis is the leading cause of lung injury in adults and can lead to acute respiratory distress syndrome (ARDS). Using a novel technique of isolated in vivo lung perfusion (IVLP), we hypothesized that normothermic IVLP will improve oxygenation and compliance in a porcine model of sepsis-induced lung injury. METHODS: Mature adult swine (n = 8) were administered lipopolysaccharide (LPS; 50 μg/kg over 2 hours) via the external jugular vein, followed by sternotomy and central extracorporeal membrane oxygenation (ECMO) cannulation (right atrium to ascending aorta)...
September 14, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29032484/young-athletes-return-too-early-to-knee-strenuous-sport-without-acceptable-knee-function-after-anterior-cruciate-ligament-reconstruction
#19
Susanne Beischer, Eric Hamrin Senorski, Christoffer Thomeé, Kristian Samuelsson, Roland Thomeé
PURPOSE: The purpose of this study was to evaluate the return to knee-strenuous sport rate, muscle function and subjective knee function among adolescent patients (15-20 years of age) and adult patients (21-30 years of age) 8 and 12 months, respectively, after anterior cruciate ligament (ACL) reconstruction. It was hypothesised that no differences in outcome would be found between age groups at 8 or 12 months after ACL reconstruction. METHODS: Cross-sectional data from five tests of muscle function, from the Knee injury and Osteoarthritis Outcome Score (KOOS) and the Tegner Activity Scale (Tegner), performed at 8 and 12 months after a primary ACL reconstruction, were extracted from a rehabilitation outcome register...
October 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29031347/rehabilitation-needs-of-the-elder-with-traumatic-brain-injury
#20
REVIEW
Manuel F Mas, Amy Mathews, Ekua Gilbert-Baffoe
The incidence of traumatic brain injury (TBI) in older adults is increasing. As the expected life expectancy increases, there is a heightened need for comprehensive rehabilitation for this population. Elderly patients with TBI benefit from rehabilitation interventions at all stages of injury and can achieve functional gains during acute inpatient rehabilitation. Clinicians should be vigilant of unique characteristics of this population during inpatient rehabilitation, including vulnerability to polypharmacy, posttraumatic hydrocephalus, neuropsychiatric sequelae, sleep disturbances, and sensory deficits...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
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