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Assessment for rehabilitation tool

E Wainwright, D Wainwright, N Coghill, J Walsh, R Perry
BACKGROUND: Resilience is a developing concept in relation to pain, but has not yet been reviewed in return-to-work (RTW) contexts. AIMS: To explore the role of resilience enhancement in promoting work participation for chronic pain sufferers, by reviewing the effectiveness of existing interventions. METHODS: Resilience was operationalized as: self-efficacy, active coping, positive affect, positive growth, positive reinforcement, optimism, purpose in life and acceptance...
March 21, 2019: Occupational Medicine
Shelly Dhawan, Rachel Andrews, Lalit Kumar, Sanjay Wadhwa, Garima Shukla
BACKGROUND: Chemotherapy-induced peripheral neuropathy (CIPN) is the presence of tingling, burning, itching, and unpleasant sensations in hands and feet due to nerve damage by chemotherapy. Exercise rehabilitation has potential to prevent or alleviate CIPN. OBJECTIVE: The aim of this study was to assess the effectiveness of muscle strengthening and balancing exercises on CIPN pain and quality of life (QOL) among cancer patients. METHODS: The randomized controlled trial included 45 cancer patients from a tertiary care hospital in India receiving chemotherapeutic drugs paclitaxel and carboplatin and found to have CIPN...
March 18, 2019: Cancer Nursing
Daniel McEwen, Jennifer O'Neil, Marcel Miron-Celis, Lucie Brosseau
BACKGROUND: Therapeutic exercise in the form of group circuit-class training can improve mobility and gait while being cost-effective among patients who survived a stroke. Accurate clinical replication of interventions, especially when they are effective, is needed to advance research and treatment. However, replication is difficult when reporting is not detailed. OBJECTIVE: The objective of this study was to assess the quality of reporting of interventions within the selected studies using three different scales and to assess the criterion validity between the scales...
March 19, 2019: Topics in Stroke Rehabilitation
Emily M Mugler, Goran Tomic, Aparna Singh, Saad Hameed, Eric W Lindberg, Jon Gaide, Murad Alqadi, Elizabeth Robinson, Katherine Dalzotto, Camila Limoli, Tyler Jacobson, Jungwha Lee, Marc W Slutzky
BACKGROUND: Abnormal muscle co-activation contributes to impairment after stroke. We developed a myoelectric computer interface (MyoCI) training paradigm to reduce abnormal co-activation. MyoCI provides intuitive feedback about muscle activation patterns, enabling decoupling of these muscles. OBJECTIVE: To investigate tolerability and effects of MyoCI training of 3 muscle pairs on arm motor recovery after stroke, including effects of training dose and isometric versus movement-based training...
March 19, 2019: Neurorehabilitation and Neural Repair
Anna F Rumbach, Emma Finch, Grace Stevenson
This aim of this study was to identify assessment practices for non-progressive dysarthria used by Australian speech-language pathologists (SLPs) and to describe these practices within the framework of the World Health Organization's International Classification of Functioning Disability, and Health (ICF). A 23-item online survey was distributed to Australian SLPs, with 56 responses suitable for data analysis. The majority of SLPs prescribed 'high importance' to the assessment of impairment to speech function (96%, n = 54), activity limitations (91%, n = 51) and participation in society (91%, n = 51) in non-progressive dysarthria...
March 8, 2019: Journal of Communication Disorders
Sophia M Häußler, Steffen Knopke, Philipp Wiltner, Manuel Ketterer, Stefan Gräbel, Heidi Olze
OBJECTIVE: Cochlear implantation (CI) is a common treatment modality for unilaterally and bilaterally deafened patients as well as patients with severe to profound hearing loss. The aim of our study is the complex evaluation of the improvement and influence of health related quality of life (HRQoL) and auditory performance in cochlear implant patients during a long-term follow-up. METHODS: Sixty-one bilaterally, postlingually deafened patients with unilateral CI were included in this prospective study...
April 2019: Otology & Neurotology
Lisa Ouss, Dorothee Leunen, Jacques Laschet, Nicole Chemaly, Giulia Barcia, Emma M Losito, Aveline Aouidad, Zoe Barrault, Isabelle Desguerre, Delphine Breuillard, Rima Nabbout
Objective: We aimed to assess a cohort of young patients with Dravet syndrome (DS) for intellectual disability (ID) and autism spectrum disorder (ASD) using standardized tools and parental questionnaires to delineate their specific profiles. Methods: We included 35 patients with DS aged 24 months to 7 years, excluding patients with a developmental age (DA) <18 months (n = 5). We performed specific tests adapted for ID (Psychoeducational Profile, Third Edition [PEP-3]), in addition to the Child Development Inventory (CDI) and Vineland Adaptive Behavior Scales, Second Edition (VABS-II) questionnaires...
March 2019: Epilepsia Open
Christian Nissler, Markus Nowak, Mathilde Connan, Stefan Büttner, Jörg Vogel, Ingo Kossyk, Zoltán-Csaba Márton, Claudio Castellini
OBJECTIVE: Currently, there are some 95 000 people in Europe suffering from upper-limb impairment. Rehabilitation should be undertaken right after the impairment occurs and should be regularly performed thereafter. Moreover, the rehabilitation process should be tailored specifically to both patient and impairment. APPROACH: To address this, we have developed a low-cost solution that integrates an off-the-shelf virtual reality (VR) setup with our in-house developed arm/hand intent detection system...
April 2019: Journal of Neural Engineering
Tamryn van Aswegen, Hellen Myezwa, Joanne Potterton, Aimee Stewart
Background: Caregivers of children with cerebral palsy (CP) are at risk of having high stress levels and poor quality of life (QOL) which could have a detrimental effect on themselves and their children. Taking caregivers' well-being into consideration is therefore important when providing rehabilitation to children with CP. Interventions to mediate primary caregiver stress and QOL using an educational tool have not been tested in this population in South Africa. Objectives: The aim of this study was to determine the effect of a group-based educational intervention, Hambisela, on stress levels and QOL of primary caregivers of children with CP in Mamelodi, a township in Gauteng, South Africa...
2019: South African Journal of Physiotherapy
Sinéad O'Keeffe, Niamh Ní Chéilleachair, Siobhán O'Connor
CONTEXT: Gaelic football participation provides a wealth of benefits but a risk of musculoskeletal injury also exists. Injury is associated with physical consequences, including pain, discomfort, loss of function, time absent from school/sport, considerable medical expenses along with placing undue pressure on emergency services and hospital staff. Concurrent psychological consequences, such as fear-avoidance, can also occur causing psychological distress. There is a current dearth of available research examining the psychology of injury in male adolescent Gaelic footballers...
March 12, 2019: Journal of Sport Rehabilitation
Akihito Yoshida, Shigeru Kurimoto, Katsuyuki Iwatsuki, Masaomi Saeki, Takanobu Nishizuka, Tomonori Nakano, Hidemasa Yoneda, Tetsurou Onishi, Michiro Yamamoto, Masahiro Tatebe, Hitoshi Hirata
BACKGROUND: The upper extremity disability in patients with carpal tunnel syndrome (CTS) is related to dysfunction due to the median nerve damage. However, there is no report on which dysfunctions affect the upper extremity disability. PURPOSE: This study aimed to investigate which clinical factors influence upper extremity disability in women with CTS. METHODS: We analyzed 60 hands of women with bilateral idiopathic CTS. Upper extremity disability was assessed using Hand10, a validated and self-administered tool...
March 7, 2019: NeuroRehabilitation
Aparecida Maria Catai, Carlos Marcelo Pastre, Moacir Fernades de Godoy, Ester da Silva, Anielle Christine de Medeiros Takahashi, Luiz Carlos Marques Vanderlei
BACKGROUND: Heart rate variability heart rate variability is used as an assessment method for cardiac autonomic modulation. Since the Task Force's publication on heart rate variability in 1996, the European Heart Rhythm Association Position Paper in 2015 and a recent publication in 2017, attention has been paid to recommendations on using heart rate variability analysis methods, as well as their applications in different physiological conditions and clinical studies. This analysis has proved to be useful as a complementary tool for clinical evaluation and to assess the effect of non-pharmacological therapeutic interventions, such as physical exercise programmes, on cardiac autonomic modulation...
February 26, 2019: Brazilian Journal of Physical Therapy
Sarie Martens, Ingeborg Dhooge, Cleo Dhondt, Laura Leyssens, Marieke Sucaet, Saartje Vanaudenaerde, Lotte Rombaut, Leen Maes
OBJECTIVES: The Vestibular Infant Screening - Flanders (VIS-Flanders) project aims to implement and refine a vestibular screening protocol for all children with neonatal hearing loss in Flanders (Belgium) to limit the impact of a vestibular dysfunction on the motor, cognitive and psychosocial development of hearing-impaired children. METHODS: Each child with a confirmed neonatal hearing loss in Flanders will undergo a vestibular screening at the age of 6 months in the reference centers involved in the neonatal hearing screening program...
February 25, 2019: International Journal of Pediatric Otorhinolaryngology
Cameron J Powden, Matthew C Hoch, Beth E Jamali, Johanna M Hoch
CONTEXT: The accurate evaluation of self-reported changes in function throughout the rehabilitation process is important for determining patient progression. Currently, how a response shift (RS) may affect the accuracy of self-reported functional assessment in a population with chronic ankle instability (CAI) is unknown. OBJECTIVE: To examine the RS in individuals with CAI after a 4-week multimodal rehabilitation program. DESIGN: Controlled laboratory study...
March 8, 2019: Journal of Athletic Training
Nick Alderman, Aimee E Pink, Claire Williams, Sara da Silva Ramos, Michael Oddy, Caroline Knight, Keith G Jenkins, Michael P Barnes, Chloë Hayward
To evaluate the efficacy of neurobehavioural rehabilitation (NbR) programmes, services should employ valid, reliable assessment tools; the ability to detect change on repeated assessment is a particular requirement. The United Kingdom Rehabilitation Outcomes Collaborative (UKROC) requires neurorehabilitation services to collect data using a standardized basket of measures, but the responsiveness and usefulness of using these in the context of NbR remains unknown. Anonymous data collected at two assessments for 123 people were examined using multiple methods to determine responsiveness of four outcome measures routinely used in NbR (HoNOS-ABI, FIM + FAM UK, MPAI-4, SASNOS)...
March 7, 2019: Neuropsychological Rehabilitation
Justyna Pollok, Joep Em van Agteren, Adrian J Esterman, Kristin V Carson-Chahhoud
BACKGROUND: Chronic obstructive pulmonary disease (COPD) has been recognised as a global health concern, and one of the leading causes of morbidity and mortality worldwide. Projections of the World Health Organization (WHO) indicate that prevalence rates of COPD continue to increase, and by 2030, it will become the world's third leading cause of death. Depression is a major comorbidity amongst patients with COPD, with an estimate prevalence of up to 80% in severe stages of COPD. Prevalence studies show that patients who have COPD are four times as likely to develop depression compared to those without COPD...
March 6, 2019: Cochrane Database of Systematic Reviews
Antonin Tran, Michèle W MacLean, Vanessa Hadid, Latifa Lazzouni, Dang Khoa Nguyen, Julie Tremblay, Mathieu Dehaes, Franco Lepore
Brain imaging offers a valuable tool to observe functional brain plasticity by showing how sensory inputs reshape cortical activations after a visual impairment. Following a unilateral post-chiasmatic lesion affecting the visual cortex, patients may suffer a contralateral visual loss referred to homonymous hemianopia. Nevertheless, these patients preserve the ability to unconsciously detect, localize and discriminate visual stimuli presented in their impaired visual field. To investigate this paradox, known as blindsight, we conducted a study using functional magnetic resonance imaging (fMRI) to evaluate the structural and functional impact of such lesion in a 33-year old patient (ML), who suffers a complete right hemianopia without macular sparing and showing strong evidences of blindsight...
February 27, 2019: Neuropsychologia
Jessica Forcillo, David A Watkins, Andre Brooks, Christopher Hugo-Hamman, Laston Chikoya, Michael Oketcho, Vinod H Thourani, Liesl Zühlke
OBJECTIVES: Few African countries have the resources to provide optimal cardiac surgery care. We explored needs at cardiac surgery centers in Namibia, Zambia, and Uganda. Our objectives were (1) to determine the key variables to be included in a cardiac surgery needs assessment tool and (2) to highlight the current initiatives, challenges and opportunities, and future goals for cardiac surgery in these 3 countries. METHODS: We conducted in-depth interviews with stakeholders in each country as well as surveys of surgical facilities...
January 26, 2019: Journal of Thoracic and Cardiovascular Surgery
Guang-Fu Song, Cheng-Ji Wu, Shu-Xin Dong, Chang-Hong Yu, Xin Li
BACKGROUND: Previous studies have reported that rehabilitation training combined acupuncture (RTA) can be used for the treatment of limb hemiplegia (LH) caused by cerebral hemorrhage (CH). However, its effectiveness is still unclear. In this systematic review study, we aim to evaluate the effectiveness and safety of RTA for LH following CH. METHODS: We will retrieve the databases of CENTRAL, EMBASE, MEDILINE, CINAHL, AMED, CBM, and CNKI from inception to March 1, 2019 with no language restrictions...
March 2019: Medicine (Baltimore)
Simona Portaro, Margherita Russo, Alessia Bramanti, Antonio Leo, Luana Billeri, Alfredo Manuli, Gianluca La Rosa, Antonino Naro, Rocco Salvatore Calabrò
RATIONALE: Friedrich ataxia (FA) is the most common inherited neurodegenerative cerebellar ataxic syndrome. In patients with FA, physiotherapy is highly recommended to improve motor function outcome. Cerebellar transcranial direct current stimulation (tDCS) has been demonstrated to be effective in improving symptoms by modulating cerebellar excitability. Recently, robotic rehabilitation with Lokomat-Pro has been used to treat motor impairment in ataxic syndromes by "modulating" cortical plasticity and cerebello-motor connectivity...
February 2019: Medicine (Baltimore)
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