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European Journal of Physical and Rehabilitation Medicine

Michela Goffredo, Eleonora Guanziroli, Sanaz Pournajaf, Marina Gaffuri, Giulio Gasperini, Serena Filoni, Silvano Baratta, Carlo Damiani, Marco Franceschini, Franco Molteni
BACKGROUND: Wearable powered exoskeletons provide intensive overground gait training with patient's active participation: these features promote a successful active motor relearning of ambulation in stroke survivors. AIM: To investigate the feasibility and the clinical effects of an Overground Exoskeleton-Assisted Gait Training (OEAGT) in subacute stroke patients. DESIGN: Prospective, pilot pre-post, open label, non-randomized experimental study...
February 4, 2019: European Journal of Physical and Rehabilitation Medicine
María C García-Ríos, Santiago Navarro-Ledesma, Rosa M Tapia-Haro, Sonia Toledano-Moreno, Antonio Casas-Barragán, María Correa-Rodríguez, María E Aguilar-Ferrándiz
INTRODUCTION: Fibromyalgia (FM) is a chronic illness characterised by the presence of generalised musculoskeletal pain among other symptoms, which reduce the quality of life of the patient. Clinical interventions such as patient education on central pain management could lead to promising results. The aim of this study is to evaluate the effectiveness of education techniques on the main symptoms such as pain, quality of life, anxiety, functionality or catastrophisation in the treatment of FM...
January 28, 2019: European Journal of Physical and Rehabilitation Medicine
Sigune Kaske, Rolf Lefering, Bertil Bouillon, Marc Maegele
BACKGROUND: Trauma registries provide knowledge about the pathophysiological events that follow severe injuries but only little is known about outpatient care and socioeconomic consequences at later stages in case of survival. We introduce a novel questionnaire to specifically assess the quality of post-discharge outpatient care and socioeconomic burden up to two years after severe multiple injury. DESIGN: Observational Study. SETTING: Post-discharge outpatient treatment and socioeconomic burden within two years after severe trauma...
January 28, 2019: European Journal of Physical and Rehabilitation Medicine
Gisele M Pena, Silvia L Pavão, Maria F Oliveira, Ana C de Campos, Nelci A Rocha
INTRODUCTION: Based on the assumption that motor actions result from the interaction between cognitive, perceptual, mechanical and neurological mechanisms, neuromotor dysfunctions are expected to impair central coordination processes required to perform dual-tasks. To systematically review the literature concerning the effects of dual-task in the activities performed by children with neuromotor dysfunctions. EVIDENCE ACQUISITION: A tailored search strategy in relevant databases was conducted by two independent reviewers in August 2018 seeking for online articles published in English evaluating dual-task (motor-motor, cognitive-cognitive or cognitive-motor) effects on activities in subjects with neuromotor dysfunctions younger than 18 years old...
January 8, 2019: European Journal of Physical and Rehabilitation Medicine
Ernesta Magistroni, Giorgio Ferriero, Elisabetta Peri, Giulia Parodi, Giuseppe Massazza, Franco Franchignoni
BACKGROUND: In upper-limb peripheral nerve injured patients, cold intolerance is the most bothersome, prolonged and disabling symptom, negatively affecting work and leisure activities. The Cold Intolerance Symptom Severity (CISS) questionnaire is widely used to assess this symptom, though its psychometric properties have not been examined in depth and no validated Italian version exists. AIM: To examine in depth the psychometric properties of the Italian version of CISS (CISS-It) in a sample of patients with upper-limb peripheral nerve injury...
January 8, 2019: European Journal of Physical and Rehabilitation Medicine
Antonio Valera-Calero, Enrique Lluch, Tomás Gallego-Izquierdo, Anneleen Malfliet, Daniel Pecos-Martín
BACKGROUND: Most of the research on the effects of spinal manipulation on endocrine function has been done on healthy subjects and has yielded contradictory results. The potential role of cervical manual therapy intervention in order to induce changes in the endocrine system has not yet been investigated. AIM: To compare the effects on salivary cortisol levels and clinical outcomes of cervical manipulation versus cervical mobilization or sham manipulation in patients with chronic mechanical neck pain...
January 8, 2019: European Journal of Physical and Rehabilitation Medicine
Antonio Frizziero, Filippo Vittadini, Alessandra Del Felice, Domenico Creta, Erika Ferlito, Roberto Gasparotti, Stefano Masiero
BACKGROUND: Axillary nerve injuries are uncommon, although the incidence is higher in athletes, both related to direct contusion or quadrilateral space syndrome. While few studies have investigated conservative strategies that could be proposed to avoid surgery, no previous case report documented the possible role of rehabilitation in axillary nerve re- injuries. CASE REPORT: Our patient is a 27-year-old male professional rugby player who experienced a recurrent episode of deltoid strength loss, after a previous axillary nerve injury...
December 21, 2018: European Journal of Physical and Rehabilitation Medicine
Catharine Vander Linden, Helena Verhelst, Ellen Deschepper, Guy Vingerhoets, Karel Deblaere, Karen Caeyenberghs
BACKGROUND: Executive dysfunctioning after pediatric traumatic brain injury (TBI) has been linked to poor outcomes in school performance, social functioning and employment. The credibility of training-induced cognitive enhancement in TBI is threatened by its limited proof of benefit in executive skills of daily living. AIM: Our primary aim was to investigate if cognitive intervention for improving impairments in executive functions in the chronic stage of traumatic brain injury is effective during adolescence...
December 14, 2018: European Journal of Physical and Rehabilitation Medicine
Jacopo A Vitale, Giuseppe Banfi, Ennio Belli, Francesco Negrini, Antonio La Torre
BACKGROUND: Isolated patellar tendon rupture (PTR) is the final stage of a long-standing tendon chronic degeneration. PTR requires immediate repair in order to avoid important muscle retraction and tendon fibrosis. The aim was to describe the effects of a rehabilitation protocol after chronic-degenerative PTR on subjective functional outcomes, knee range of motion (ROM), size, and strength in a professional football player. CASE REPORT: A 26-years-old football player who experienced RPT after a 3-year history of proximal patellar tendinopathy...
December 14, 2018: European Journal of Physical and Rehabilitation Medicine
Sanaz Pornajaf, Michela Goffredo, Maurizio Agosti, Maurizio Massucci, Salvatore Ferro, Marco Franceschini
BACKGROUND: Despite the importance of walking recovery in real life contexts, only 7% of stroke survivors at discharge from neuro-rehabilitation units recover independent walking in the community. However, studies on outcome indicators of walking ability restoration following stroke rarely regard the community ambulation. AIM: To investigate how socio-demographic and sub-acute clinical characteristics of stroke survivors at admission and at discharge may predict a good participation in community walking activity 6 months post-stroke...
December 13, 2018: European Journal of Physical and Rehabilitation Medicine
Che-Li Lin, Chi-Chang Huang, Shih-Wei Huang
BACKGROUND: Rotator cuff lesions are common causes of shoulder pain. Although patients with symptoms caused by chronic rotator cuff tendinopathy can be treated using conservative treatments, some of them may still experience refractory symptoms. Hypertonic dextrose prolotherapy (DPT) may be another treatment choice for these refractory symptoms. AIM: To evaluate the effects of an ultrasound-guided hypertonic dextrose injection for patients with chronic supraspinatus tendinopathy...
December 13, 2018: European Journal of Physical and Rehabilitation Medicine
Federico Scarponi, Mauro Zampolini, Chiara Zucchella, Stefano Bargellesi, Chiara Fassio, Francesca Pistoia, Michelangelo Bartolo
BACKGROUND: Literature shows that occurrence of comorbidities in people with severe acquired brain injury (sABI) is a common problem in rehabilitation stay. Consequently, patients could require an increase of interventions for diagnosis and treatment of clinical conditions, with a reduction of the rehabilitative take in charge for both clinical and organizational aspects. AIM: The first aim was to evaluate the rate of clinical conditions of sABI patients at admission in rehabilitation and the types of rehabilitative interventions performed in the first week; second objective was to explore the impact of clinical conditions on real rehabilitative take in charge...
December 13, 2018: European Journal of Physical and Rehabilitation Medicine
Na R Yun, Min C Joo, Seungchan Kim, Min-Su Kim
BACKGROUND: Some stroke patients are known to use nonparetic extremities to push toward the paretic side, a movement known as lateropulsion. Lateropulsion impairs postural balance and interferes with rehabilitation. AIM: The aim of the present study was to investigate the effect of robot-assisted gait training (RAGT) on recovery from lateropulsion compared with conventional physical therapy (CPT). DESIGN: This was a single-blinded, randomized controlled trial...
December 3, 2018: European Journal of Physical and Rehabilitation Medicine
Avraam Ploumis, Soultana L Papadopoulou, Stavroula J Theodorou, George Exarchakos, Panagiotis Givissis, Alexander Beris
BACKGROUND: Hemiparesis following stroke can cause cervical spine scoliosis, kyphosis or hyperlordosis. These abnormal cervical alignments can contribute to dysphagia. The benefit of cervical isometric exercises to improve swallowing has not been previously studied. AIM: To evaluate the use of cervical isometric exercises in dysphagic adult patients with cervical spine alignment disorders due to hemiparesis after stroke. DESIGN: A randomized controlled trial...
December 2018: European Journal of Physical and Rehabilitation Medicine
Giovanni Morone, Marta Matamala-Gomez, Maria V Sanchez-Vives, Stefano Paolucci, Marco Iosa
BACKGROUND: After discharge, most patients who have suffered a stroke remain with some limitations in their stair climbing ability. This is a critical factor in order to be independent in real-life mobility. Although there are several studies on prognostic factors for gait recovery, few of them have focused on the recovery of stair climbing. AIM: The aim of this study was to identify prognostic risk factors for the recovery of stair climbing ability in a large sample of subjects with subacute stroke...
December 2018: European Journal of Physical and Rehabilitation Medicine
Gabor Fazekas, Filipe Antunes, Stefano Negrini, Nikolaos Barotsis, Susanne R Schwarzkopf, Andreas Winkelmann, Enrique Varela Donoso, Nicolas Christodoulou
BACKGROUND: Pain is a frequent complaint from patients undergoing rehabilitation. It can be a major problem and can lead to several activity limitations and participation restrictions. For this reason, when the Professional Practice Committee (PPC) of the Physical and Rehabilitation Medicine (PRM) Section of the European Union of Medical Specialists (UEMS) decided to prepare evidence-based practice position papers (EBPPs) on the most relevant fields of PRM, a paper on the role of the PRM specialist on pain conditions was also included...
December 2018: European Journal of Physical and Rehabilitation Medicine
Gianluigi Galizia, Giulio Balestrieri, Beatrice De Maria, Cinzia Lastoria, Mauro Monelli, Stefano Salvaderi, Giuseppe Romanelli, Laura A Dalla Vecchia
BACKGROUND: Any acute event, either primary or secondary to a chronic disease, is generally followed by some degree of physical impairment. Subacute care (SAC) represents one of the inpatient intermediate care settings aimed at completing recovery and restoring functional capacity. Debate exists on the role of the rehabilitation treatment in the SAC setting. AIM: The aim of this study was to compare the outcomes of patients managed in two different SAC Units where A) patients undergo an individualized rehabilitation program on top of optimal medical therapy (OMT) B) patients receive OMT only...
December 2018: European Journal of Physical and Rehabilitation Medicine
Bernardo Gialanella, Laura Comini, Marta Gaiani, Adriana Olivares, Simonetta Scalvini
BACKGROUND: To date, there are no published data on the use of devices in the management of rotator cuff tear (RCT). AIM: The aim of this study was to evaluate the effect of supervised arm cycloergometer training on pain during activities and shoulder functionality in patients with symptomatic full-thickness RCT. DESIGN: This is a prospective randomized controlled pilot study. SETTING: Outpatients of our Rehabilitation Unit...
December 2018: European Journal of Physical and Rehabilitation Medicine
Gopal Nambi, Walid Kamal, Shanmugananth Es, Siddhart Joshi, Parth Trivedi
BACKGROUND: Low back pain (LBP) is a common musculoskeletal disorder causing pain and disability in most of the countries. In recent years, new approaches such as Spinal manipulation and laser therapy have been considered as an alternative to conventional exercise and also found contradicting results in terms of its effectiveness. AIM: A study to compare the combined effects of spinal manipulation, Laser and exercise versus Laser and exercise alone in chronic non-specific low back pain (cnLBP)...
December 2018: European Journal of Physical and Rehabilitation Medicine
Bazah M Almubark, Allegra Cattani, Caroline Floccia
BACKGROUND: The use of cognitive assessment tools is central to the detection of cognitive impairment in acquired brain injury patients. The Cognistat is a commonly used cognitive screening tool that can detect cognitive deficits among patients with neurological and psychiatric conditions. The Cognistat examines different major ability areas including level of language, construction, memory, calculation, reasoning, consciousness, orientation and attention. To date the Cognistat has not been translated/adapted for use in Arabic speaking countries...
November 21, 2018: European Journal of Physical and Rehabilitation Medicine
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