Smit Soni, Anouk Lamontagne
BACKGROUND: Conventional treadmills are widely used for gait retraining in rehabilitation setting. Their usefulness for training more complex locomotor tasks, however, remains limited given that they do not allow changing the speed nor the direction of walking which are essential walking adaptations for efficient and safe community ambulation. These drawbacks can be addressed by using a self-pace omnidirectional treadmill, as those recently developed by the gaming industry, which allows speed changes and locomotor movements in any direction...
November 23, 2020: Journal of Neuroengineering and Rehabilitation
Angela Galeotti, Sara De Rosa, Roberto Uomo, Carlo Dionisi-Vici, Federica Deodato, Roberta Taurisano, Giorgia Olivieri, Paola Festa
BACKGROUND: Glycogen storage disease type II (GSDII) or Pompe disease is a rare autosomal recessive metabolic disorder that leads to intracellular glycogen storage in many tissues, mainly in skeletal muscle, heart and liver. Facial muscle weakness and altered craniofacial growth are very common in Pompe disease children. In this paper we describe the orofacial features in two children affected by GSDII and illustrate a multidisciplinary approach that involved enzyme replace therapy, non-invasive ventilation (NIV) and pediatric dentistry with 5-year follow-up...
November 23, 2020: Orphanet Journal of Rare Diseases
P Keessen, C H M Latour, I C D van Duijvenbode, B Visser, A Proosdij, D Reen, W J M Scholte Op Reimer
BACKGROUND: Fear of movement (kinesiophobia) after an acute cardiac hospitalization (ACH) is associated with reduced physical activity (PA) and non-adherence to cardiac rehabilitation (CR). PURPOSE: To investigate which factors are related to kinesiophobia after an ACH, and to investigate the support needs of patients in relation to PA and the uptake of CR. METHODS: Patients were included 2-3 weeks after hospital discharge for ACH. The level of kinesiophobia was assessed with the Tampa Scale for Kinesiophobia (TSK-NL Heart)...
November 23, 2020: BMC Cardiovascular Disorders
Aishwarya Gatty, Stephen Rajan Samuel, Gopala Krishna Alaparthi, Dattatray Prabhu, Madhusudan Upadya, Shyam Krishnan, Sampath Kumar Amaravadi
INTRODUCTION: Patients admitted to the intensive care units (ICU) have limited mobility due to their illness and its management and are at a risk for immobility-related complications. Early mobilization has been suggested to prevent or limit physical dysfunction due to these complications. Effectiveness of early mobilization protocols is studied using various outcomes. OBJECTIVE: To study the effectiveness of an early mobilization protocol on mobility status of patients in Medical ICU...
November 23, 2020: Physiotherapy Theory and Practice
Christopher E Henderson, Megan Fahey, Gabi Brazg, Jennifer L Moore, T George Hornby
OBJECTIVE: This cohort investigation identified primary predictors of discharge walking function of non-ambulatory individuals post-stroke with high-intensity training (HIT) during inpatient rehabilitation. DESIGN: Observational cohort investigation. SETTING: Inpatient rehabilitation. PARTICIPANTS: Data were collected from 257 individuals < 6 months post-stroke who required assistance to walk at admission. INTERVENTION: Clinical physical therapy interventions attempted to maximize stepping practice at higher intensities (HIT)...
November 20, 2020: Archives of Physical Medicine and Rehabilitation
Hani Almoallim, Jamal Al Saleh, Humeira Badsha, Haytham Mohamed Ahmed, Sara Habjoka, Jeanine A Menassa, Ayman El-Garf
Estimates of the global prevalence of rheumatoid arthritis (RA) range from 0.24 to 1%, but vary considerably around the globe. A variation in RA prevalence is also expected across Africa and the Middle East, due to ethnic, climate, and socioeconomic differences. To assess the prevalence of RA in Africa and the Middle East, we searched Medline (via PubMed) and databases of major rheumatology conferences. Seventeen journal articles and 0 abstracts met the inclusion criteria. Estimated prevalence ranged from 0...
November 23, 2020: Rheumatology and Therapy
Anuchit Nawatthakul, Varah Yuenyongviwat
A tuberculosis hip that presents as osteonecrosis of the femoral head is an extremely rare condition. There are no previous reports of this condition, and there is no consensus on the method of total hip arthroplasty for this group of patients. We present a case of a 72-year-old man who had clinical gradual hip pain in both hips for 1 year. He was diagnosed with post-collapsed osteonecrosis of the femoral head in both hips and was scheduled for total hip arthroplasty of the left hip. During his clinical follow-up, he suddenly experienced excruciating acute pain...
2020: SAGE Open Medical Case Reports
Meryem Lemsanni, Rachid Chafik, Mohamed Madhar, Hanane Elhaoury, Youssef Najeb
Introduction: complete joint fractures of the lower end of the humerus are rare and severe injuries in adults, affecting the functional prognosis of a narrow and complex joint such as the elbow. Multiple therapeutic options are available, but osteosynthesis is widely used provided that it can recover stable, mobile, and painless joint. The purpose of our study was to describe the epidemiological, clinical, radiological and therapeutic features of these fractures, as well as to evaluate functional outcomes in our patients...
2020: Pan African Medical Journal
Akio Honzawa, Miho Nishitani-Yokoyama, Kazunori Shimada, Mitsuhiro Kunimoto, Miki Yamada, Tomomi Matsubara, Rie Matsumori, Kei Fujiwara, Abidan Abulimiti, Tatsuro Aikawa, Shohei Ouchi, Megumi Shimizu, Yurina Sugita, Akie Shimada, Taira Yamamoto, Atsushi Amano, Tohru Asai, Masakazu Saito, Tomoyuki Morisawa, Tetsuya Takahashi, Toshiyuki Fujiwara, Hiroyuki Daida, Tohru Minamino
Background: The frailty state consists of not only physical but also psycho-emotional problems, such as cognitive dysfunction and depression as well as social problems. However, few reports have examined the relationship between frailty and anxiety levels in elderly patients undergoing cardiac rehabilitation (CR). Methods: We analyzed 255 patients (mean age: 74.9 ± 5.8 years, 67% male) who participated in early phase II CR at Juntendo University Hospital. At the beginning of CR, patients carried out self-assessments based on the Kihon Checklist (KCL) and the State Trait Anxiety Inventory Form (STAI)...
December 2020: Cardiology Research
Alessia Bargagli, Enrica Fontanelli, Dario Zanca, Ilaria Castelli, Francesca Rosini, Silvia Maddii, Ilaria Di Donato, Alessandra Carluccio, Carla Battisti, Gian M Tosi, Maria T Dotti, Alessandra Rufa
Patients with Alzheimer's disease (AD) and Parkinson's disease (PD) develop a progressive decline of visual function. This condition aggravates overall cognitive and motor abilities, is a risk factor for developing hallucinations, and can have a significant influence on general quality of life. Visual problems are common complaints of patients with PD and AD in the early stages of the disease, but they also occur during normal aging, making it difficult to differentiate between normal and pathological conditions...
2020: Frontiers in Neurology
Adator Stephanie Worlanyo, Li Jiangfeng
Mining has been a long-standing key player in economic development, employment, infrastructure, and supply of essential raw materials for society. It has served as a viable route to economic transformation in resource-rich countries like Australia, Canada, the United States, and parts of Africa. In this review, the impact of mining has been conceptualized into economic, environmental, and social impacts. While it is clear that mining has transformed many economies, it has also impacted negatively on the environment and, to some extent, society...
November 19, 2020: Journal of Environmental Management
Hakimah Sallehuddin, Terence Ong
No abstract text is available yet for this article.
November 20, 2020: Age and Ageing
Wei Wang, Fang-Ming Dong, Kai Shao, Shang-Zun Guo, Zhong-Min Zhao, Yi-Ming Yang, Ya-Xue Song, Jian-Hua Wang
Visuoexecutive impairment is common among acute ischemic stroke patients. This study aimed to examine the ability of the Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) visuoexecutive subtests to detect visuoexecutive abnormality in acute ischemic stroke patients and to identify the predictors for their impairments. 336 patients who completed the MMSE and MoCA were enrolled in this study. We compared the proportion of participants with incorrect MoCA visuoexecutive tasks and MMSE pentagon copying...
November 21, 2020: Acta Neurologica Belgica
Olcay Ünver, Dilşad Türkdoğan, Serhat Güler, Osman Kipoğlu, Mesut Güngör, Cem Paketçi, Kürşat Bora Çarman, Gülten Öztürk, Hülya Maraş Genç, Mehpare Özkan, Nihal Olgaç Dündar, Uğur Işık, Elif Karatoprak, Betül Kılıç, Murat Özkale, Erhan Bayram, Coşkun Yarar, Hatice Gülhan Sözen, Güneş Sağer, Ayfer Sakarya Güneş, Pınar Kahraman Koytak, Evrim Karadağ Saygı, Gazanfer Ekinci, Sema Saltık, Mine Çalışkan, Bülent Kara, Uluç Yiş, Nur Aydınlı
AIM: We aim to describe the demographic characteristics, etiology, neurophysiology, imaging findings, treatment, prognosis, and prognostic factors of acute flaccid myelitis. METHODS: The clinical data, laboratory test and, magnetic resonance imaging (MRI) results of pediatric patients diagnosed with acute flaccid myelitis according to the Centers for Disease Control criteria between August 1, 2016, and December 31, 2018, from 13 centers in Turkey were reviewed. RESULTS: Of the 34 cases identified, 31 were confirmed (91...
November 4, 2020: European Journal of Paediatric Neurology: EJPN
Camilla Biering Lundquist, Jørgen Feldbæk Nielsen, Federico Gabriel Arguissain, Iris Charlotte Brunner
BACKGROUND: The Predict Recovery Potential algorithm (PREP2) was developed to predict upper limb (UL) function early after stroke. However, assessment in the acute phase is not always possible. OBJECTIVE: To assess the prognostic accuracy of the PREP2 when applied in a subacute neurorehabilitation setting. METHODS: This prospective longitudinal study included patients ≥18 years old with UL impairment following stroke. Patients were assessed in accordance with the PREP2 approach...
November 20, 2020: Neurorehabilitation and Neural Repair
John W Keyloun, Taryn E Travis, Laura S Johnson, Jeffrey W Shupp
BACKGROUND: Electrical injuries comprise a minority of burn center admissions but are associated with significant morbidity and mortality. This is a case of a patient who suffered high-voltage electrical injury who survived despite developing several sequalae, who had an unusual presentation of inhalation injury complicated by the aspiration of metal screws. CASE PRESENTATION: This is a 20-year-old male who suffered electrical contact injury, and 45.5% total body surface area (TBSA) burns from electrothermal discharge and subsequent ignition of clothing, whose hospital course was complicated by rhabdomyolysis, compartment syndrome, renal failure, and inhalation injury...
November 4, 2020: International Journal of Surgery Case Reports
Jakob Burcharth, Andreas Falkenberg, Jakob Ohm Oreskov, Sarah Ekeloef, Ismail Gögenur
PURPOSE: The patient-perceived barriers towards an optimized short-term recovery after major emergency abdominal surgery are unknown. The purpose was to investigate which patient-perceived barriers dominated concerning nutrition, mobilization, and early discharge after major emergency abdominal surgery. METHODS: An explorative study, which focused on patient-perceived barriers for early discharge, mobilization, and nutrition, was performed within an enhanced recovery perioperative setting in major emergency abdominal surgery...
November 19, 2020: Langenbeck's Archives of Surgery
Teresa Plancha da Silva, Marta Amaral Silva, Sílvia Santos Boaventura, Mariana Castro Martins, Sérgio Teixeira Duro, Fátima Carvalho
INTRODUCTION: Septic arthritis of a facet joint (SAFJ) is a relatively rare medical entity and the lumbar segment is its most frequent location. Although unusual, a spinal epidural abscess (SEA) can occur as a complication of SAFJ and possibly damage the spinal cord. CASE PRESENTATION: A 53-year-old woman presented with acute right dorsal pain, fever, loss of sphincters control, and paraparesis without causal factor. Forty-eight hours after the symptoms started, imaging revealed a thoracic posterior epidural collection causing compression of the spinal cord and features suggestive of septic arthritis of right T5-T6 facet joint...
November 19, 2020: Spinal Cord Series and Cases
Aastha Singh, Somasheila I Murthy, Arpan Gandhi, Virender S Sangwan
PURPOSE: Severe vernal keratoconjunctivitis (VKC) can cause ocular surface disease including partial or complete limbal stem cell deficiency (LSCD), especially in early-onset and severe limbal form of VKC. We report a novel technique of doughnut amniotic membrane transplantation (AMT) along with penetrating keratoplasty (PK) for management of partial LSCD and corneal scarring in a case of severe VKC. METHODS: Case report. RESULTS: A 17-year-old boy, with onset of disease at 8 years of age, and development of partial LSCD and corneal scarring over a period of 9 years despite therapy, presented with profound visual loss due to dense bilateral corneal scarring...
November 18, 2020: Cornea
Ibrahim El Masri, Sharif M Kayali, Courtland Blount, Irene Kirolos, John Paul Khouzam, Rajesh Kabra
Exercise is universally known to benefit health by lowering risk for cardiovascular disease and mortality. However, in patients with pre-existing cardiac conditions, including channelopathies, cardiomyopathies and coronary artery disease, exercise can cause sudden cardiac death (SCD). In this review, we explore exercise related risks and current recommendations for specific conditions. The risk of myocardial infarction (MI) during strenuous exercise in asymptomatic individuals with coronary artery disease is decreased with habitual exercise, especially if they have a normal ejection fraction and no ischemia...
November 2, 2020: Current Problems in Cardiology
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