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Trunk impairment scale

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https://www.readbyqxmd.com/read/28289633/improved-gait-speed-after-robot-assisted-gait-training-in-patients-with-motor-incomplete-spinal-cord-injury-a-preliminary-study
#1
Seungwon Hwang, Hye-Ri Kim, Zee-A Han, Bum-Suk Lee, Soojeong Kim, Hyunsoo Shin, Jae-Gun Moon, Sung-Phil Yang, Mun-Hee Lim, Duk-Youn Cho, Hayeon Kim, Hye-Jin Lee
OBJECTIVE: To evaluate the clinical features that could serve as predictive factors for improvement in gait speed after robotic treatment. METHODS: A total of 29 patients with motor incomplete spinal cord injury received 4-week robot-assisted gait training (RAGT) on the Lokomat (Hocoma AG, Volketswil, Switzerland) for 30 minutes, once a day, 5 times a week, for a total of 20 sessions. All subjects were evaluated for general characteristics, the 10-Meter Walk Test (10MWT), the Lower Extremity Motor Score (LEMS), the Functional Ambulatory Category (FAC), the Walking Index for Spinal Cord Injury version II (WISCI-II), the Berg Balance Scale (BBS), and the Spinal Cord Independence Measure version III (SCIM-III) every 0, and 4 weeks...
February 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28288334/trunk-biomechanics-during-hemiplegic-gait-after-stroke-a-systematic-review
#2
REVIEW
Tamaya Van Criekinge, Wim Saeys, Ann Hallemans, Silke Velghe, Pieter-Jan Viskens, Luc Vereeck, Willem De Hertogh, Steven Truijen
Stroke commonly results in trunk impairments that are associated with decreased trunk coordination and limited trunk muscle strength. These impairments often result in biomechanical changes during walking. Additionally, the so-called pelvic step might be influenced by these impairments. Therefore, the aim of this review was twofold. First, to gain more insight into trunk biomechanics during walking in stroke patients compared to healthy individuals. Second, to investigate the influence of walking speed on trunk biomechanics...
March 4, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28222555/effects-of-scapulohumeral-rehabilitation-protocol-on-trunk-control-recovery-in%C3%A2-patients-with-subacute-stroke-a%C3%A2-pilot%C3%A2-randomized-controlled-trial
#3
Dell'Uomo Daniela, Morone Giovanni, Centrella Antonio, Paolucci Stefano, Caltagirone Carlo, Grasso Maria Grazia, Traballesi Marco, Iosa Marco
BACKGROUND: Despite upper limb rehabilitation is widely investigated in patients with stroke, the effects of rehabilitation of scapulohumeral on trunk stabillization are mainly unknown. OBJECTIVE: To test the effects of scapulohumeral rehabilitation protocol on trunk control recovery in patients with subacute stroke. METHODS: A pilot randomized controlled trial with two groups of 14 patients each one performing 20 minutes per day, 5 days a week, for 6 weeks in add on to standard therapy...
February 8, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28145396/a-randomized-controlled-trial-on-the-immediate-and-long-term-effects-of-arm-slings-on-shoulder-subluxation-in-stroke-patients
#4
Anke VAN Bladel, Gert Lambrecht, Kristine M Oostra, Guy Vanderstraeten, Dirk Cambier
BACKGROUND: Arm slings are often used in clinical practice to support the hemiplegic arm aiming to prevent or treat glenohumeral subluxation. Evidence supporting the corrective effect of slings on subluxation is scarce and long-term studies are lacking. AIM: To determine both the immediate and long-term effect on acromiohumeral distance using the Actimove® sling (BSN medical SA-NV, Leuven, Belgium) and Shoulderlift (V!GO, Belgium) and to determine the effect of slings on pain and passive range of motion of the shoulder in stroke patients with glenohumeral subluxation...
January 30, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28138865/effect-of-sensory-training-of-the-posterior-thigh-on-trunk-control-and-upper-extremity-functions-in-stroke-patients
#5
Esra Dogru Huzmeli, Sibel Aksu Yildirim, Muhammed Kilinc
Some studies show that sensorial rehabilitation is effective on functionality. The aim of this study is to investigate the effect of sensory training of the posterior thigh on the functionality of upper extremity and trunk control in stroke patients. Thirteen subjects (53.23 ± 6.82 years) were included in the intervention group and 13 subjects (58.69 ± 5.94 years) in the control group. The control and intervention groups were treated for ten sessions. The control group was treated only with neurodevelopmental treatment, and the intervention group was treated with sensorial training on the posterior thigh in addition to the neurodevelopmental treatment...
January 30, 2017: Neurological Sciences
https://www.readbyqxmd.com/read/28128088/gestational-pityriasis-rosea-suggestions-for-approaching-affected-pregnant-women
#6
Alexandra Monastirli, Efstathia Pasmatzi, George Badavanis, Dionysios Tsambaos
Dear Editor, Pityriasis rosea is a common, acute, and self-limiting dermatosis, which is associated with the endogenous systemic reactivation of human herpesvirus (HHV)-6 and/or HHV-7 (1). It predominantly affects individuals of both sexes in their second or third decade of life and is clinically characterized by the occurrence of an initial erythematosquamous plaque followed by the appearance of disseminated similar but smaller lesions one or two weeks later. Several patients develop systemic symptoms such as nausea, anorexia, malaise, headache, fever, arthralgia, and lymphadenopathy that may precede or accompany the eruption; the latter follows the cleavage lines of the trunk creating the configuration of a Christmas tree and spontaneously resolves within 4 to 8 weeks...
December 2016: Acta Dermatovenerologica Croatica: ADC
https://www.readbyqxmd.com/read/28118259/comparisons-in-muscle-function-and-training-rehabilitation-outcomes-between-avoidance-endurance-model-subgroups
#7
Elisabeth Fehrmann, Kerstin Tuechler, Thomas Kienbacher, Patrick Mair, Juliane Spreitzer, Linda Fischer, Josef Kollmitzer, Gerold Ebenbichler
OBJECTIVES: Evidence suggests that chronic low back pain (cLBP) patients with fear-avoidance or endurance behavior are at risk of treatment failure and pain maintenance, with bodily over- or underuse being assumed as mediating mechanisms for pain chronification. This study sought to examine whether or not the avoidance-endurance model (AEM)-subgroups: fear-avoiders (FAR), distress-endurers (DER), eustress-endurers (EER), and adaptive responders (AR), differed in physical measures and outcomes after training therapy...
January 21, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28114023/training-the-unimpaired-arm-improves-the-motion-of-the-impaired-arm-and-the-sitting-balance-in-chronic-stroke-survivors
#8
Alice De Luca, Psiche Giannoni, Honore Vernetti, Cristina Capra, Cinzia Cassiano, Luca Loguercio, Ivano Pisu, Federica Gaito, Laura Barone, Rosaria Carioti, Carmelo Lentino, Giovanni Checchia, Maura Casadio
Robot-assisted rehabilitation of stroke survivors mainly focuses on the impaired side of the body while the role of the unimpaired side in the recovery after stroke is still controversial. The goal of this study is to investigate the influence on sitting balance and paretic arm functions of a training protocol based on movements of the unimpaired arm. Sixteen chronic stroke survivors underwent nineteen training sessions, in which they performed active movements with the unimpaired arm supported by a passive exoskeleton...
December 5, 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28051880/the-effect-of-additional-virtual-reality-training-on-balance-in-children-with-cerebral-palsy-after-lower-limb-surgery-a-feasibility-study
#9
Pieter Meyns, Liene Pans, Kaat Plasmans, Lieve Heyrman, Kaat Desloovere, Guy Molenaers
OBJECTIVE: Impaired balance is disabling for children with cerebral palsy (CPc), especially for CPc who recently underwent lower limb surgery. Positive results of using virtual reality (VR) in balance rehabilitation have been published in several outpatient populations. We investigated the feasibility of applying additional VR training focused on sitting balance in CP inpatients of a rehabilitation center after lower limb surgery. Additionally, we investigated the rate of enjoyment of VR training compared with conventional physiotherapy...
February 2017: Games for Health
https://www.readbyqxmd.com/read/28033958/balance-improvement-after-physical-therapy-training-using-specially-developed-serious-games-for-cerebral-palsy-children-preliminary-results
#10
Bruno Bonnechère, Lubos Omelina, Bart Jansen, Serge Van Sint Jan
PURPOSE: Cerebral palsy (CP) leads to various clinical signs mainly induced by muscle spasticity and muscle weakness. Among these ones impaired balance and posture are very common. Traditional physical therapy exercise programs are focusing on this aspect, but it is difficult to motivate patients to regularly perform these exercises, especially at home without therapist supervision. Specially developed serious games (SG) could therefore be an interesting option to motivate children to perform specific exercise for balance improvement...
February 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27924492/progression-of-gait-ataxia-in-patients-with-degenerative-cerebellar-disorders-a-4-year-follow-up-study
#11
Mariano Serrao, Giorgia Chini, Carlo Casali, Carmela Conte, Martina Rinaldi, Alberto Ranavolo, Christian Marcotulli, Luca Leonardi, Gaia Fragiotta, Fabiano Bini, Gianluca Coppola, Francesco Pierelli
In the present study, the progression of gait impairment in a group of patients with primary degenerative cerebellar ataxias was observed over a period of 4 years. A total of 30 patients underwent an initial gait analysis study, and thereafter only 12 were evaluated because they completed the 2- and 4-year follow-up evaluations. Time-distance parameters, trunk and joint range of motion (RoM), and variability parameters (e.g., coefficients of variation) were measured at the baseline and at each follow-up evaluation...
December 6, 2016: Cerebellum
https://www.readbyqxmd.com/read/27858698/low-back-pain-prevalence-in-healthcare-professionals-and-identification-of-factors-affecting-low-back-pain
#12
Ozge Cınar-Medeni, Bulent Elbasan, Irem Duzgun
BACKGROUND: Work-related musculoskeletal system diseases are commonly observed among nurses, physiotherapists, dentists, and dieticians. OBJECTIVE: To assess working postures of nurses, physiotherapists, dentists and dieticians, to identify whether low back pain (LBP) is present, and to put forth the correlation between LBP, working posture, and other factors. METHODS: Twenty seven physiotherapists, 34 nurses, 30 dentists, and 16 dieticians were included...
November 11, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27821673/effect-of-core-stability-training-on-trunk-function-standing-balance-and-mobility-in-stroke-patients
#13
Koshiro Haruyama, Michiyuki Kawakami, Tomoyoshi Otsuka
BACKGROUND: Trunk function is important for standing balance, mobility, and functional outcome after stroke, but few studies have evaluated the effects of exercises aimed at improving core stability in stroke patients. OBJECTIVE: To investigate the effectiveness of core stability training on trunk function, standing balance, and mobility in stroke patients. METHODS: An assessor-blinded, randomized controlled trial was undertaken in a stroke rehabilitation ward, with 32 participants randomly assigned to an experimental group or a control group (n = 16 each)...
March 2017: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/27799722/prone-positioning-reduces-severe-pushing-behavior-three-case-studies
#14
Yuji Fujino, Kazu Amimoto, Satoshi Sugimoto, Kazuhiro Fukata, Masahide Inoue, Hidetoshi Takahashi, Shigeru Makita
[Purpose] Pushing behavior is classically described as a disorder of body orientation in the coronal plane. Most interventions for pushing behavior have focused on correcting the deviation in vertical perception. However, pushing behavior seems to involve erroneous movements associated with excessive motor output by the non-paretic limbs and trunk. The present study aimed to inhibit muscular hyper-activity by placing the non-paretic limbs and trunk in the prone position. [Subjects and Methods] The subjects of the present study were 3 acute stroke patients with severe pushing behavior...
September 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27753982/sy-08-2-hypertension-management-for-secondary-prevention-of-stroke
#15
Kazuyuki Shimada
Stroke is known to frequently recur in patients with a history of cerebrovascular disease, and the control of hypertension is extremely important for the treatment of those patients. The robust relationship between the recurrent cerebrovascular disease and blood pressure control has been demonstrated in large-scale clinical studies. The antihypertensive drug therapy significantly reduces the recurrence rate of all types of cerebrovascular disease, incidences of myocardial infarction and all vascular events...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753145/effects-of-weight-shifting-exercise-combined-with-transcutaneous-electrical-nerve-stimulation-on-muscle-activity-and-trunk-control-in-patients-with-stroke
#16
Kyoung-Sim Jung, Jin-Hwa Jung, Tae-Sung In, Hwi-Young Cho
This study investigated the effects of weight-shifting exercise (WSE) combined with transcutaneous electrical nerve stimulation (TENS), applied to the erector spinae and external oblique (EO) muscles, on muscle activity and trunk control in patients with hemiparetic stroke. Sixty patients with stroke were recruited to this study and randomly distributed into three treatment groups: (1) WSE + TENS, (2) WSE + placebo TENS, and (3) control. All participants underwent 30 sessions of training (30 minutes five times per week for 6 weeks) and received 1 hour of conventional physical therapy five times per week for 6 weeks...
December 2016: Occupational Therapy International
https://www.readbyqxmd.com/read/27642893/sy-08-2-hypertension-management-for-secondary-prevention-of-stroke
#17
Kazuyuki Shimada
Stroke is known to frequently recur in patients with a history of cerebrovascular disease, and the control of hypertension is extremely important for the treatment of those patients. The robust relationship between the recurrent cerebrovascular disease and blood pressure control has been demonstrated in large-scale clinical studies. The antihypertensive drug therapy significantly reduces the recurrence rate of all types of cerebrovascular disease, incidences of myocardial infarction and all vascular events...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27631655/what-could-posturography-tell-us-about-balance-problems-in-parkinson-s-disease
#18
Marcos Rossi-Izquierdo, Andrés Soto-Varela, Arne Ernst, Juan Pedro Rubio-Rodríguez, Sofía Santos-Pérez, Ángel Sesar, Miguel Alberte-Woodward, Mónica Guijarro-Del Amo, Elena San Román-Rodríguez, Ana Faraldo-García, Alfonso Zubizarreta-Gutiérrez, Dietmar Basta
OBJECTIVE: Impaired balance in patients with Parkinson's disease (PD) leads to loss of balance and frequent falls. Computerized dynamic posturography allows the assessment of stance tasks whereas mobile posturography analyzes the balance in free-field conditions, where falls among PD patients commonly occur (e.g. sitting down or standing up). The aim of the present study is to assess postural stability in PD patients with both techniques. STUDY DESIGN: Prospective study...
October 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27568864/therapy-with-eculizumab-for-patients-with-cd59-p-cys89tyr-mutation
#19
Dror Mevorach, Inna Reiner, Amir Grau, Uri Ilan, Yackov Berkun, Asaf Ta-Shma, Orly Elpeleg, Zamir Shorer, Simon Edvardson, Adi Tabib
OBJECTIVE: The objective of this work was to report on the outcome of eculizumab treatment in pediatric patients with recurrent acute predominantly motor, demyelinating neuropathy with conduction block, and chronic hemolysis attributed to p.Cys89Tyr mutation in the CD59 gene. METHODS: Four patients were recruited from our new registry of patients with homozygosity for the p.Cys89Tyr mutation on CD59. Participants received repeated intravenous eculizumab. In this 24-month open-label phase IIa study, we aimed to determine whether eculizumab reduces chronic hemolysis, and cumulative doses of steroids and intravenous immunoglobulin (IVIG), and ameliorates neurological deficits, compared to pretreatment status...
November 2016: Annals of Neurology
https://www.readbyqxmd.com/read/27490823/comparison-of-ai-chi-and-impairment-based-aquatic-therapy-for-older-adults-with-balance-problems-a-clinical-study
#20
Laura G Covill, Cynthia Utley, Cheryl Hochstein
BACKGROUND AND PURPOSE: Older adults with balance deficits often fear falling and limit their mobility. Poor balance is multifactorial, influenced by medication interactions, musculoskeletal and sensory system changes, and poor neuromuscular response to changes in body positions. Aquatic physical therapy (APT) is an intervention used to improve balance and decrease falls. Ai Chi is a water-based exercise program. It incorporates slow movements of progressive difficulty utilizing the upper and lower extremities and trunk coordinated with deep breathing...
August 3, 2016: Journal of Geriatric Physical Therapy
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