Ndivhaleni R Lavhelani, Mary Maluleke, Mulatedzi P Mulaudzi, Thingahangwi C Masutha, Takalani E Makhubele, Duppy Manyuma, Muofheni Nemathaga, Ndiambani A Makhavhu, Martha L Kharivhe, Takalani E Mbedzi, Muvhango R Ramovha, Dorah U Ramathuba, Mutshinyalo L Netshikweta
Background: State patients are admitted to a psychiatric hospital after being declared as such by the magistrate courts as a result of not found fit to stand trial for the offence they had committed. After successful rehabilitation of state patients at the psychiatric hospital, they need to be re-integrated into their families. Family members' perceptions regarding re-integration of male state patients are not largely explored in the scientific body of knowledge. Aim: The aim of the study was to determine the perceptions of family members regarding reintegration of male state patients into their families...
2020: South African Journal of Psychiatry: SAJP
Muhammad Raza Ul Islam, Asim Waris, Ernest Nlandu Kamavuako, Shaoping Bai
Introduction: While surface-electromyography (sEMG) has been widely used in limb motion detection for the control of exoskeleton, there is an increasing interest to use forcemyography (FMG) method to detect motion. In this paper, we review the applications of two types of motion detection methods. Their performances were experimentally compared in day-to-day classification of forearm motions. The objective is to select a detection method suitable for motion assistance on a daily basis...
January 2020: Journal of Rehabilitation and Assistive Technologies Engineering
Karen S W Chia, Karen Brown, Eugene Kotlyar, Peter K K Wong, Steven G Faux, Christine T Shiner
Patients with pulmonary hypertension are more sedentary than the general population, but attitudes and experiences that may influence their exercise behaviour remain poorly understood. This study identified patterns of behaviour, attitudes towards exercise, barriers and enablers of exercise for people living with pulmonary hypertension. Accessibility of rehabilitation services from a patient perspective was also explored. A voluntary, international survey of people living with pulmonary hypertension was conducted, with mixed quantitative and qualitative data collection...
October 2020: Pulmonary Circulation
Min-Gu Kang, Seo Jung Yun, Sang Yoon Lee, Byung-Mo Oh, Hyun Haeng Lee, Shi-Uk Lee, Han Gil Seo
Background: Although there have been many trials and interventions for reducing upper-extremity impairment in stroke survivors, it remains a challenge. A novel intervention is needed to provide high-repetition task-specific training early after stroke. Objective: This study aimed to investigate the effect of smart glove training (SGT) for upper-extremity rehabilitation in patients with subacute stroke. Methods: A prospective, multicenter, randomized, controlled study was conducted in patients with upper-extremity hemiparesis with Brunnstrom stage for arm 2-5 in the subacute phase after stroke...
2020: Frontiers in Neurology
Michelangelo Bartolo, Chiara Zucchella, Hend Aabid, Beatrice Valoriani, Mauro Mancuso, Domenico Intiso
Background: Hospital-acquired infections (HAIs) and microbial colonization are a worldwide serious threat for human health. Neurological patients with infections who undergo rehabilitation have a significantly poor recovery. The effect of microbial colonization on the functional outcome in severe acquired brain injury (sABI) subjects is still unclear. Aim: The aim of this multicenter observational study was to describe the clinical impact of HAIs and colonization on the functional outcome of sABI subjects admitted to inpatient neurorehabilitation...
2020: Frontiers in Neurology
Emilie Isager Howe, Silje C R Fure, Marianne Løvstad, Heidi Enehaug, Kjersti Sagstad, Torgeir Hellstrøm, Cathrine Brunborg, Cecilie Røe, Tonje Haug Nordenmark, Helene L Søberg, Elizabeth Twamley, Juan Lu, Nada Andelic
Aims: Knowledge regarding the most effective return to work (RTW) approaches after traumatic brain injury (TBI) is lacking. This trial aimed to compare the effectiveness of a combined cognitive and vocational intervention to treatment as usual (TAU) on RTW and work stability after TBI. Methods: We performed a parallel-group randomized controlled trial (RCT) at a TBI outpatient clinic at Oslo University Hospital (OUH), Norway. Patients with a history of mild-to-moderate TBI ( n = 116) aged 18-60 were randomized (1:1) by an independent investigator to receive group-based compensatory cognitive training (CCT) and supported employment (SE) ( n = 60) or TAU consisting of individualized multidisciplinary treatment ( n = 56)...
2020: Frontiers in Neurology
Oshin Tyagi, Yibo Zhu, Connor Johnson, Ranjana K Mehta, Farzan Sasangohar, Madhav Erraguntla, Khalid Qaraqe
Type 1 diabetes (T1D) is associated with reduced muscular strength and greater muscle fatigability. Along with changes in muscular mechanisms, T1D is also linked to structural changes in the brain. How the neurophysiological mechanisms underlying muscle fatigue is altered with T1D and sex related differences of these mechanisms are still not well investigated. The aim of this study was to determine the impact of T1D on the neural correlates of handgrip fatigue and examine sex and T1D related differences in neuromuscular performance parameters, neural activation and functional connectivity patterns between the motor regions of the brain...
2020: Frontiers in Human Neuroscience
Xin-Ying Cai, Dong-Qi Lin, Zhi-Zhen Xiao, Dan-Dan Zhang, Ying Lin, Han-Yu Chen, Yan-Xing Xu, Yu-Hua Zhou
Background: Postoperative functional training for fracture or osteoarthritis is mainly focused on functional self-exercise, which aims to recover the function of the lower limbs. Purpose: To compare the function and life quality recovery in patients with fracture or arthritis treated with novel muscle training device (NMT) or conventional rehabilitation training (CRT) following surgery. Patients and Methods: A total of 32 fracture patients were randomly divided into the NMT or the CRT groups...
2020: Clinical Interventions in Aging
Haleluya I Moshi, Mubashir A Jusabani, Sakina M Rashid, Marieke C J Dekker
STUDY DESIGN: Prospective Study. OBJECTIVES: To describe a unique site-specific injury mechanism for spinal cord injury: incidents involving ox-carts. SETTING: Main referral hospital for North-eastern Tanzania. METHODS: A prospective cohort study on Spinal Cord Injury (SCI) in a tertiary referral center in North-eastern Tanzania was examined for accidents related to the use of ox-carts, a major means of transport in a rugged rural area where the economy is largely based on agricultural practices...
November 25, 2020: Spinal Cord Series and Cases
Linda L Morris, Mary Kuncis, Debra Perleberg, Anna Kuczek, Kristen Kashul, Douglas Zabel, Allen W Heinemann, Patrick Semik
PURPOSE: This study compared the use of the tracheostomy dressing applicator (TDA) to the standard procedure for tracheostomy dressing changes. DESIGN: A prospective quasi-experimental study was performed. METHODS: Nineteen patients and 117 nurses answered a survey after changing the tracheostomy dressing with the TDA and using standard procedure. FINDINGS: Nurses rated the TDA easier to use in patients with average-sized necks and more favorably on observed discomfort in patients with average-sized and larger necks...
November 21, 2020: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
Huan Chen, Yu Liu, Jiani Wu, Fanrong Liang, Zhishun Liu
BACKGROUND: Postprostatectomy incontinence (PPI) is a clinically significant condition that is caused by surgery of prostate. Study showed that electroacupuncture can reduce urine leakage among women with stress urinary incontinence (SUI), but few was known about its efficacy and safety for men with PPI. This study aims to conduct a systematic review to evaluate efficacy and safety of acupuncture for men with PPI compared with other non-surgical treatment. METHODS: Seven databases were searched for all randomised controlled trials (RCTs) on acupuncture for men with PPI up to August 2020...
November 25, 2020: BMJ Supportive & Palliative Care
Kate Gamble, April Chiu, Casey Peiris
OBJECTIVE: To systematically review the effect of core stability exercises in addition to usual care physiotherapy on patient outcomes after stroke. DATA SOURCES: Cumulative Index to Nursing and Allied Health, MEDLINE, Physiotherapy Evidence Database (PEDro), PubMed, and EMBASE were searched to November 2018. STUDY SELECTION: Eleven randomized controlled trials that compared usual care physiotherapy with usual care physiotherapy with additional core stability exercises in people with stroke were included...
October 22, 2020: Archives of Physical Medicine and Rehabilitation
Sheryl R Levin, Andrew I Gitkind, Matthew N Bartels
The response to the coronavirus disease 2019 (COVID-19) pandemic in the United States has resulted in rapid modifications in the delivery of health care. Key among them has been surge preparation to increase both acute care hospital availability and staffing while using state and federal waivers to provide appropriate and efficient delivery of care. As a large health system in New York City, the epicenter of the pandemic in the United States, we were faced with these challenges early on, including the need to rapidly transition patients from acute care beds to provide bed capacity for the acute care hospitals...
October 23, 2020: Archives of Physical Medicine and Rehabilitation
Jerome Bickenbach, Carla Sabariego, Gerold Stucki
Recent research and the actions of the World Health Organization (WHO) have clarified the nature and value of rehabilitation as a key health strategy of the 21st century. However, strengthening rehabilitation in national health systems around the world is a challenge, partly because there is not an evidence-based argument that rehabilitation is a good economic and social investment. This argument, in turn, depends on characterizing the current and potential beneficiaries of rehabilitation, namely the individuals who could benefit from rehabilitation services whether or not they currently receive these services...
October 22, 2020: Archives of Physical Medicine and Rehabilitation
Jain Anne Holmes, Philippa Logan, Richard Morris, Kathryn Radford
BACKGROUND: Rehabilitation research does not always improve patient outcomes because of difficulties implementing complex health interventions. Identifying barriers and facilitators to implementation fidelity is critical. Not reporting implementation issues wastes research resources and risks erroneously attributing effectiveness when interventions are not implemented as planned, particularly progressing from single to multicentre trials. The Consolidated Framework for Implementation Research (CFIR) and Conceptual Framework for Implementation Fidelity (CFIF) facilitate identification of barriers and facilitators...
November 25, 2020: Systematic Reviews
Daniela Franco Bueno, Gerson Shigueru Kabayashi, Carla Cristina Gomes Pinheiro, Daniela Y S Tanikawa, Cassio Eduardo Raposo-Amaral, Diogenes Laercio Rocha, José Ricardo Muniz Ferreira, Yoichiro Shibuya, Akishige Hokugo, Reza Jarrahy, Patricia A ZuK, Maria Rita Passos-Bueno
BACKGROUND: Bone reconstruction in congenital craniofacial differences, which affect about 2-3% of newborns, has long been the focus of intensive research in the field of bone tissue engineering. The possibility of using mesenchymal stromal cells in regenerative medicine protocols has opened a new field of investigation aimed at finding optimal sources of multipotent cells that can be isolated via non-invasive procedures. In this study, we analyzed whether levator veli palatini muscle fragments, which can be readily obtained in non-invasive manner during palatoplasty in cleft palate patients, represent a novel source of MSCs with osteogenic potential...
November 25, 2020: Stem Cell Research & Therapy
Elizabeth A Hubbard, Robert W Motl, David J Elmer
BACKGROUND: There is considerable evidence for the efficacy of moderate-intensity continuous exercise benefitting clinically relevant outcomes in persons with multiple sclerosis (MS). However, persons with MS who have walking disability (pwMS-wd) are severely deconditioned and may achieve superior benefits by engaging in high-intensity interval training (HIIT), especially while utilizing adaptive equipment, such as recumbent arm/leg stepping (RSTEP). The proposed study will assess the feasibility of a 12-week, RSTEP HIIT program in pwMS-wd...
November 25, 2020: Trials
Juehong Li, Zhixiao Yao, Hao Xiong, Haomin Cui, Xu Wang, Wei Zheng, Yun Qian, Cunyi Fan
BACKGROUND: Peritendinous fibrosis represents a fibrotic healing process that usually occurs after tendon injury or surgery. This worldwide challenge hampers the functional rehabilitation and the mobility of extremities. However, effective treatment is still lacking at present. The aim of our study was to explore the effect of extracellular vesicles derived from hydroxycamptothecin primed human umbilical cord stem cells (HCPT-EVs) on post-traumatic tendon adhesion. METHODS: Extracellular vesicles derived from unprimed human umbilical cord mesenchymal stem cells (Unprimed EVs) or HCPT-EVs were isolated and characterized...
November 25, 2020: Stem Cell Research & Therapy
Sally Lindsay, Kendall Kolne
BACKGROUND: Gender is an important social determinant of health; however, clinicians often lack training in how to provide gender-sensitive care. Offering appropriate and relevant training could help to address some gender-based health inequalities. Our objective was to identify and describe the training needs for gender-sensitive care among pediatric rehabilitation healthcare providers. METHODS: This study used an interpretive descriptive qualitative design to conduct interviews with 23 pediatric rehabilitation healthcare providers (19 women, 3 men, 1 transgender man), from a pediatric rehabilitation hospital in a large urban center, in Ontario, Canada from a range of disciplines...
November 25, 2020: BMC Medical Education
Chisato Hayashi, Haruka Tanaka, Soshiro Ogata
BACKGROUND: The purpose of this study was to examine the differences of timewise changes in life-space mobility between elderly people living alone and those living with others among community-dwelling elderly people from a day care facility with a rehabilitation service for seniors. METHODS: The present study used a longitudinal design with repeated measures every 3 months. In conformity with our inclusion criteria, this study included 233 community-dwelling elderly users of a day care facility with rehabilitation services for seniors in Japan...
November 25, 2020: BMC Geriatrics
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