Meh Larsson, L Nordeman, K Holmgren, A Grimby-Ekman, G Hensing, C Björkelund, S Bergman, A Ekhammar, M Dottori, S Bernhardsson
BACKGROUND: Musculoskeletal pain is globally a leading cause of physical disability. Many musculoskeletal-related pain conditions, such as low back pain, often resolve spontaneously. In some individuals, pain may recur or persist, leading to ong-term physical disability, reduced work capacity, and sickness absence. Early identification of individuals in which this may occur, is essential for preventing or reducing the risk of developing persistent musculoskeletal pain and long-term sickness absence...
November 28, 2020: BMC Musculoskeletal Disorders
Allison Symsack, Ignacio Gaunaurd, Akshay Thaper, Barbara Springer, Christopher Bennett, Sheila Clemens, Jennifer Lucarevic, Anat Kristal, Matthew Sumner, Brad Isaacson, Paul Pasquina, Robert Gailey
INTRODUCTION: Telehealth is an increasingly common approach to improve healthcare delivery, especially within the Veterans Health Administration and Department of Defense (DoD). Telehealth has diminished many challenges to direct access for clinical follow-up; however, the use of mobile telehealth for specialty rehabilitative care is emerging and is referred to as telerehabilitation. As early adopters of telehealth, the Veterans Affairs and DoD have supported collaborated efforts for programs designed to increase the access and quality of rehabilitative care while improving the functional ability of our service members (SMs) and veterans with lower limb amputation (LLA)...
November 28, 2020: Military Medicine
Beyza Tayfur, Chedsada Charuphongsa, Dylan Morrissey, Stuart Charles Miller
BACKGROUND: Neuromuscular deficits are common following knee injuries and may contribute to early-onset post-traumatic osteoarthritis, likely mediated through quadriceps dysfunction. OBJECTIVE: To identify how peri-articular neuromuscular function changes over time after knee injury and surgery. DESIGN: Systematic review with meta-analyses. DATA SOURCES: PubMed, Web of Science, Embase, Scopus, CENTRAL (Trials). ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Moderate and high-quality studies comparing neuromuscular function of muscles crossing the knee joint between a knee-injured population (ligamentous, meniscal, osteochondral lesions) and healthy controls...
November 27, 2020: Sports Medicine
Kazufumi Kitagaki, Rei Ono, Yukihiro Shimada, Hidetoshi Yanagi, Harumi Konishi, Michio Nakanishi
Cardiac rehabilitation (CR) is recommended to improve exercise capacity after heart transplantation (HTx); however, the effects of marginal donor factors are unclear. Forty-one recipients participated in a 3-month CR program early after HTx (mean age 39 ± 14 years; 88% male). Patients were divided into marginal (≥ 2 marginal donor factors; n = 24) and control groups (< 2 marginal donor factors; n = 17). We examined donor and recipient factors related to change in peak oxygen uptake (peak VO2 ) during the CR program using multiple linear regression analysis...
November 27, 2020: Heart and Vessels
Roslyn W Livingstone, Debra A Field
PURPOSE: To measure and compare progression in children's power mobility skill among process and task-based measures following a loan of one of four early power mobility devices. Additionally, to explore different power mobility learner groups and skill development trajectories. METHODS: In this pre-post study, children were purposefully sampled and power mobility skill was measured from video taken pre-post several months' experience (mean 192.40; SD 42.79 days) using the Assessment of Learning Powered mobility use (ALP) and two task-based measures...
November 27, 2020: Disability and Rehabilitation. Assistive Technology
Jonathan S Tsay, Carolee J Winstein
Neurorehabilitation relies on core principles of neuroplasticity to activate and engage latent neural connections, promote detour circuits, and reverse impairments. Clinical interventions incorporating these principles have been shown to promote recovery and demote compensation. However, many clinicians struggle to find interventions centered on these principles in our nascent, rapidly growing body of literature. Not to mention the immense pressure from regulatory bodies and organizational balance sheets that further discourage time-intensive recovery-promoting interventions, incentivizing clinicians to prioritize practical constraints over sound clinical decision making...
November 26, 2020: Neurorehabilitation and Neural Repair
Beate Klein, Christoph Silberbauer
Rhabdomyolysis is defined by disintegration of skeletal muscle fibres. Clinical presentation varies and is mostly associated with myalgias as well as elevation of creatine kinase in the serum. Mechanical damage, toxic medicinal factors, and predisposing factors such as myopathies may trigger the condition. This report describes a case of rhabdomyolysis uncovered by chance after administration of paliperidonepalmitate as depot medication in a 45 years old schizophrenic male patient after having tolerated oral risperidone without any problems...
November 26, 2020: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
Yasutaka Kondo, Yoshihiro Yoshida, Takashi Iioka, Hideki Kataoka, Junya Sakamoto, Tatsuya Hirase, Yuichiro Honda, Atsushi Nawata, Minoru Okita
Severe acute pain after total knee arthroplasty (TKA) may cause delay in muscle strength and functional recovery, and it is a risk factor for chronic postoperative pain. Although pharmacological approaches are the typical firstline to treat acute pain; recently, nonpharmacological approaches such as exercise have been increasingly applied. The purpose of this investigation was to evaluate the effects of a rehabilitation program involving isometric quadriceps exercise with auditory and visual feedback to improve the short-term outcome after TKA...
November 25, 2020: Journal of Knee Surgery
James T Berwin, Hamish Macdonald, Tom Fleming, Peter Kempshall, Daniel Engelke
Introduction: Hip fractures are the most common reason for acute orthopaedic admission in the United Kingdom (UK) and pose a substantial cost to the National Health Service (NHS). A significant proportion of this expenditure is accounted for by hospital bed days, with additional contributions from health and social aftercare. Early ambulation following hip fracture surgery improves outcomes by accelerating functional recovery and reducing the need for ongoing care. The ability to track a patient's rehabilitation is important in assessing their care needs...
2020: Geriatric Orthopaedic Surgery & Rehabilitation
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
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
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
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
Maria Vittoria Silverii, Alessandra Pratesi, Giulia Lucarelli, Francesco Fattirolli
Cardiac rehabilitation (CR) is a comprehensive multidisciplinary program individually tailored to the needs of patients with cardiovascular disease. Cardiovascular disease is prevalent in older adults and is the leading cause of death and major disability in adults ≥75 years of age. The mean age of patients eligible for CR is increasing, with greater complexity and specific geriatric features, such as multimorbidity, frailty, and disability. In this population, CR interventions should be aimed to prevent disability and preserve the residual functional capacity...
November 20, 2020: Monaldi Archives for Chest Disease
Silvia Busti Ceccarelli, Camilla Ferrante, Erica Gazzola, Gian Marco Marzocchi, Maria Nobile, Massimo Molteni, Alessandro Crippa
In the past decade, converging evidence has suggested that motor impairment is one of the most consistent markers, alongside sociocommunicative difficulties, for autism spectrum disorder (ASD). Indeed, widespread anomalies of movement have been described in the ASD context. These motor abnormalities could have critical implications for subsequent cognitive and social development. Nevertheless, this area of development is particularly underexamined in the autism-related context, and early intervention programs commonly focus on the core symptoms of the condition...
November 23, 2020: Children
Katya Hill, Jane Huggins, Chelsea Woodworth
BACKGROUND: Brain-computer interface (BCI) technology is an emerging access method to augmentative and alternative communication (AAC) devices. OBJECTIVES: To identify, in the early stages of research and development, the perceptions and considerations of inter-professional practice (IPP) team members regarding features and functions for an AAC-BCI device. DESIGN: Qualitative research methodology applying a grounded theory approach using focus groups with a follow-up survey of participants using NVivo analysis software supporting inductive coding of transcription data...
November 25, 2020: PM & R: the Journal of Injury, Function, and Rehabilitation
Ilies Bouabdallah, Vanessa Pauly, Marie Viprey, Veronica Orleans, Guillaume Fond, Pascal Auquier, Xavier Benoit D'Journo, Laurent Boyer, Pascal Alexandre Thomas
OBJECTIVES: To compare outcomes at 12 months between video-assisted thoracic surgery (VATS) and open thoracotomy (OT) in patients with non-small-cell lung cancer (NSCLC) using real-world evidence. METHODS: We did a nationwide propensity-matched cohort study. We included all patients who had a diagnosis of NSCLC and who benefitted from lobectomy between 1 January 2015 and 31 December 2017. We divided this population into 2 groups (VATS and OT) and matched them using propensity scores based on patients' and hospitals' characteristics...
November 25, 2020: European Journal of Cardio-thoracic Surgery
Omer Farooq Rehman, Musab Umair, Amer K Hussain, Ahmad Faraz, Mohammad Iqbal, Muhammad Waqar, Muhammad Tahir, Attaur Rahman Khan
Introduction The aim of the study was to compare the clinical and patient-reported outcomes among open pyeloplasty (OP) and laparoscopic pyeloplasty (LP) patients. Materials and methods This was a prospective single centre, case-cohort study conducted in a tertiary care hospital with 62 patients. In both techniques, dismembered Anderson-Hynes pyeloplasty were undertaken. Post-operatively patients underwent visual analogue scale (VAS) assessment for pain, days to ambulation and comparison of the short- and long-term outcomes of the two procedures...
October 22, 2020: Curēus
Emily Anne Smith Bergbower, Cole Herbst, Nan Cheng, Alexander Aversano, Katherine Pasqualini, Cierra Hartline, Devorah Hamby-Finkelstein, Colin Brewer, Stephen Benko, Joseph Fuscaldo
Inpatient early mobility initiatives are effective therapeutic interventions for improving patient outcomes and decreasing use of hospital resources among adult ICU and general medicine patients. To establish and demonstrate guidelines for early patient ambulation, we developed and implemented a novel multidisciplinary mobility bundle utilizing the JH-HLM (Johns Hopkins Highest Level of Mobility) scale for mobility classification, on a single adult general medicine unit of a community hospital. Our results show that patients admitted to the unit after implementation of the mobility bundle had improved mobility scores, reduced rates of 30-day hospital readmission, and a shortened length of hospital stay...
September 3, 2020: Journal of Community Hospital Internal Medicine Perspectives
Jonina Sigurgeirsdottir, Sigridur Halldorsdottir, Ragnheidur Harpa Arnardottir, Gunnar Gudmundsson, Eythor Hreinn Bjornsson
Aim: The aim of this phenomenological study was to explore principal family members' experience of motivating patients with chronic obstructive pulmonary disease (COPD) towards self-management. Methods: Interviews were conducted with 10 family members (spouses and adult children) of COPD patients. The interviews were audio recorded, transcribed and analyzed thematically. Results: Being a principal family member of a COPD patient is characterized by frustrated caring; wanting the best for him/her and yet carrying a heavier burden than the person feels equipped for, lacking both knowledge about the disease progress and information about available healthcare resources...
2020: International Journal of Chronic Obstructive Pulmonary Disease
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"