510 results match your criteria Impairment Rating and Disability Determination


Cognitive Complaints in Nondemented Parkinson's Disease Patients and Their Close Contacts do not Predict Worse Cognitive Outcome.

Alzheimer Dis Assoc Disord 2019 Apr 4. Epub 2019 Apr 4.

Division of Neurology, Morton and Gloria Shulman Movement Disorders Center and the Edmond J Safra Program in Parkinson's disease, Toronto Western Hospital, University of Toronto.

Objectives: The main purpose of this study was to investigate 4 methods of eliciting subjective cognitive complaints (SCCs) in Parkinson's disease (PD) patients without dementia and determine the relationship between their SCC and cognitive performance.

Design: This study was a retrospective analysis of a prospective cohort study.

Setting: Six North American movement disorder clinics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/WAD.0000000000000301DOI Listing
April 2019
2 Reads

Treatment monitoring as a component of psychologically informed physical therapy: A case series of patients at high risk for persistent low back pain related disability.

Musculoskelet Sci Pract 2019 Mar 19;41:36-42. Epub 2019 Mar 19.

Duke Clinical Research Institute and Department of Orthopaedic Surgery, Duke University, 200 Morris Street, Durham NC 27701, USA. Electronic address:

Background: Psychologically Informed Physical Therapy (PIPT) aims to identify individuals at high risk for transitioning to chronicity and merge impairment-focused physical therapy with cognitive behavioral therapy principles. Treatment monitoring is an important part of PIPT and involves identifying changes in clinical measures to inform clinical decision making.

Objectives: The purpose of this case series is to describe treatment monitoring using psychological and physical impairment measures for patients identified as 'high-risk' for persistent low back pain (LBP) related disability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.msksp.2019.03.004DOI Listing
March 2019
1 Read

Exploring the association between Cerebral small-vessel diseases and motor symptoms in Parkinson's disease.

Brain Behav 2019 Apr 27;9(4):e01219. Epub 2019 Feb 27.

Department of Neurology, Xinhua Hospital, Affiliated to Shanghai JiaoTong University, School of Medicine, Shanghai, China.

Objectives: to explore the association between cerebral small-vessel diseases (CSVDs) and motor symptoms in Parkinson's disease (PD).

Methods: 137 PD patients were recruited into the study. Detailed motor symptoms, including tremor, rigidity, bradykinesia, and axial impairment, were evaluated using Unified Parkinson's disease Rating Scale (UPDRS). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/brb3.1219DOI Listing
April 2019
2 Reads

Predictors of pain intensity and Oswestry Disability Index in prolonged standing service workers with nonspecific chronic low back pain subclassified as active extension pattern.

Musculoskelet Sci Pract 2019 04 28;40:58-64. Epub 2019 Jan 28.

234 Maeji-ri, Heungeop-Myeon, Wonju, Kangwon-Do, 220-710, Department of Physical Therapy, Graduate School, Yonsei University, Wonju, South Korea. Electronic address:

Background: Because patients with nonspecific chronic low back pain (NSCLBP) are heterogeneous, subgrouping patients with NSCLBP might clarify the research findings. NSCLBP in the direction of extension movement, namely active extension pattern (AEP), is common during prolonged standing.

Objective: Predictors of pain intensity and dysfunction were determined in prolonged standing service workers (PSSWs) with NSCLBP subclassified as AEP in the motor impairment subgroup. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.msksp.2019.01.014DOI Listing
April 2019
8 Reads

Impact of Nutritional Status on Caregiver Burden of Elderly Outpatients. A Cross-Sectional Study.

Nutrients 2019 Jan 28;11(2). Epub 2019 Jan 28.

Geriatric Clinic Unit, Geriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, 43126 Parma, Italy.

The assistance to older community-dwellers provided by family caregivers is crucial for the maintenance of an acceptable quality of life, especially when dementia is present. The caregiver burden may be extremely high, but few data are available on what patient domains mainly affect the caregiver. The aim of this cross-sectional study, performed in older outpatients, was to examine the impact of cognitive, physical and nutritional status of elderly community-dwellers on the caregiver burden, as evaluated by the Caregiver Burden Inventory (CBI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/nu11020281DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412930PMC
January 2019
2 Reads

Efficacy and Safety of Deep Brain Stimulation in the Treatment of Parkinson's Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Cureus 2018 Oct 22;10(10):e3474. Epub 2018 Oct 22.

Pharmacology, Imperial College London, London, GBR.

Deep brain stimulation (DBS) is a neurosurgical procedure indicated for patients with advanced Parkinson's disease (PD). Whether similar benefits may be realized by patients with early PD, however, is currently unclear, especially given the potential risks of the procedure. This systematic review and meta-analysis aimed to investigate the relative efficacy and safety of DBS in comparison to best medical therapy (BMT) in the treatment of PD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.3474DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318091PMC
October 2018
16 Reads

Sex-Differences in the Pattern of Comorbidities, Functional Independence, and Mortality in Elderly Inpatients: Evidence from the RePoSI Register.

J Clin Med 2019 Jan 12;8(1). Epub 2019 Jan 12.

Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro 88100, Italy.

Background: The RePoSi study has provided data on comorbidities, polypharmacy, and sex dimorphism in hospitalised elderly patients.

Methods: We retrospectively analysed data collected from the 2010, 2012, 2014, and 2016 data sets of the RePoSi register. The aim of this study was to explore the sex-differences and to validate the multivariate model in the entire dataset with an expanded follow-up at 1 year. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/jcm8010081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352226PMC
January 2019
3 Reads

Distribution of depression, somatization and pain-related impairment in patients with chronic temporomandibular disorders.

J Appl Oral Sci 2019 Jan 7;27:e20180210. Epub 2019 Jan 7.

Università di Siena, Scuola di Odontoiatria, Siena, Italia.

Objective: the aim of this study was to describe the frequency of psychosocial diagnoses in a large sample of patients attending a tertiary clinic for treatment of temporomandibular disorders (TMD).

Material And Methods: six hundred and ninety-one patients who sought treatment for pain-related TMD were selected. Chronic pain-related disability (Graded Chronic Pain Scale, GCPS), depression [Symptoms Checklist-90 (SCL-90) scale for depression, DEP] and somatization levels (SCL-90 scale for non-specific physical symptoms, SOM) were evaluated through the Research Diagnostic Criteria for TMD (RDC/TMD) Axis II psychosocial assessment; TMD diagnoses were based on the Axis I criteria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1678-7757-2018-0210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322638PMC
January 2019
1 Read

Trait Anxiety as a Mediator of the Association between Attention Deficit Hyperactivity Disorder Symptom Severity and Functional Impairment.

Clin Psychopharmacol Neurosci 2018 Nov;16(4):407-414

Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Objective: Anxiety has been shown to influence functional impairment in patients with attention deficit hyperactivity disorder (ADHD). This study aimed to compare functional impairment in subjects with and without adult ADHD and to investigate the associations among trait anxiety, functional impairment, and ADHD symptom severity. Moreover, the effects of ADHD symptom subtypes on trait anxiety and functional impairment were also examined. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.9758/cpn.2018.16.4.407DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245288PMC
November 2018
14 Reads

Electrical dry needling as an adjunct to exercise, manual therapy and ultrasound for plantar fasciitis: A multi-center randomized clinical trial.

PLoS One 2018 31;13(10):e0205405. Epub 2018 Oct 31.

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain.

Study Design: Randomized, single-blinded, multi-center, parallel-group trial.

Objectives: To compare the effects of adding electrical dry needling into a program of manual therapy, exercise and ultrasound on pain, function and related-disability in individuals with plantar fasciitis (PF).

Background: The isolated application of electrical dry needling, manual therapy, exercise, and ultrasound has been found to be effective for PF. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0205405PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209187PMC
March 2019
21 Reads

Clinical characteristics and quality of life in Chinese patients with multiple system atrophy.

Brain Behav 2018 Dec 30;8(12):e01135. Epub 2018 Oct 30.

Department of Neurology & The Collaborative Innovation Center for Brain Science, Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Objectives: Multiple system atrophy (MSA) is a progressive neurodegenerative disorder that causes early sustained disability and poor health-related quality of life (HrQoL). The clinical features and their effects on the HrQoL of patients in China have received little attention in the research literature. We evaluated the clinical characteristics and HrQoL of Chinese patients with MSA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/brb3.1135DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305933PMC
December 2018
6 Reads

A randomised controlled trial of long-chain omega-3 polyunsaturated fatty acids in the management of rotator cuff related shoulder pain.

BMJ Open Sport Exerc Med 2018 19;4(1):e000414. Epub 2018 Oct 19.

School of Health and Social Work, University of Hertfordshire, Hatfield, UK.

Study Design: Multicentre, double-blind, placebo-controlled randomised clinical trial.

Objectives: To compare the effectiveness of long chain omega-3 polyunsaturated fatty acids (PUFAs) as part of the management for people diagnosed with rotator cuff related shoulder pain (RCRSP).

Summary Of Background: Although there is no robust evidence to support their use, omega-3 PUFAs have been recommended for those with tendinopathy due to their potential to moderate inflammation. Read More

View Article

Download full-text PDF

Source
http://bmjopensem.bmj.com/lookup/doi/10.1136/bmjsem-2018-000
Publisher Site
http://dx.doi.org/10.1136/bmjsem-2018-000414DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196970PMC
October 2018
11 Reads

Meaningful Change Estimates for the Late-Life Function and Disability Instrument in Older Adults.

J Gerontol A Biol Sci Med Sci 2019 Mar;74(4):556-559

New England Geriatric Research Education and Clinical Center, Veterans Administration Boston Health System, Massachusetts.

Background: The Late-Life Function and Disability Instrument (LLFDI) is a well-validated and frequently used patient-reported outcome for older adults. The aim of this study was to estimate the minimal clinically important difference (MCID) of the LLFDI-Function Component (LLFDI-FC) and its subscales among community-dwelling older adults with mobility limitations.

Methods: We performed a secondary analysis of the Boston Rehabilitative Impairment Study of the Elderly, a longitudinal cohort study of older adults with mobility limitations residing in the community. Read More

View Article

Download full-text PDF

Source
https://academic.oup.com/biomedgerontology/advance-article/d
Publisher Site
http://dx.doi.org/10.1093/gerona/gly230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417450PMC
March 2019
4 Reads

Use of F-sodium fluoride bone PET for disability evaluation in ankle trauma: a pilot study.

BMC Med Imaging 2018 09 20;18(1):34. Epub 2018 Sep 20.

Division of PM&R, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, 94063, USA.

Background: There are no objective and accurate rating tools for permanent impairment of traumatized ankles. The purpose of this study is to assess the role of 18F-Sodium fluoride (18F-NaF) positron emission tomography-computed tomography (PET/CT) bone scans in evaluating patients with limited ankle range of motion (ROM) after trauma.

Methods: 18F-NaF PET/CT was performed in 121 patients (75 men, 46 women; mean age: 45. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12880-018-0277-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149075PMC
September 2018
6 Reads

Measuring the Impact of Tinnitus on Aided Listening Effort Using Pupillary Response.

Trends Hear 2018 Jan-Dec;22:2331216518795340

5 Eriksholm Research Centre, Snekkersten, Denmark.

Tinnitus can have serious impact on a person's life and is a common auditory symptom that is especially comorbid with hearing loss. This study investigated processing effort required for speech recognition in a group of hearing-impaired people with tinnitus and a control group (CG) of hearing-impaired people without tinnitus by means of pupillary response. Furthermore, the relationship between the pupillary response, self-rating measures of tinnitus severity, and fatigue was examined. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2331216518795340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136111PMC
February 2019
15 Reads

The impact of urinary incontinence on the quality of life and on the sexuality of patients with HAM/TSP.

Braz J Infect Dis 2018 Jul - Aug;22(4):288-293. Epub 2018 Aug 24.

Instituto de Infectologia Emilio Ribas, Coordenação de Neurologia, São Paulo, SP, Brazil.

This study evaluated the impact of urinary incontinence (UI) on sexuality, body image, mood, and quality of life of patients with myyelopathy associated with HTLV-1/tropical spastic paraparesis (HAM/TSP). The sample consisted of 31 HAM/TSP outpatients, of both sexes, followed-up at the Emílio Ribas Infectology Institute. The following instruments were used: sociodemographic questionnaire, Hospital Anxiety and Depression Scale (HAD), Body Image Assessment Scale, Sexual Quotient Female (QS-F) and Male (QS-M) Versions, King's Health Questionnaire (KHQ), and Revised OSAME Motor Disability Score. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjid.2018.07.003DOI Listing
October 2018
10 Reads

Osteoarthritis of knee joint in metabolic syndrome.

Clin Rheumatol 2018 Oct 23;37(10):2855-2861. Epub 2018 Jul 23.

Faculty of Medicine, Department of clinical pathology, Mansoura University, Mansoura, Egypt.

Pathogenesis of osteoarthritis may have a systemic metabolic component. This study was undertaken to assess the prevalence of primary knee osteoarthritis (OA) in a sample of Egyptian patients with metabolic syndrome (MetS) and to examine the relationship of metabolic syndrome and its components with clinical, functional, and radiographic findings of knee OA. A total of 60 patients (55 females, 5 males) diagnosed as having MetS according to the National Cholesterol Education Program Adult Treatment Panel III (ATP III) criteria and 30 obese subjects without MetS (24 females, 6 males), serving as a control group, were included in this study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10067-018-4201-4DOI Listing
October 2018
19 Reads

Sense of autonomy and daily and scholastic functioning among children with cerebral palsy.

Res Dev Disabil 2018 Sep 18;80:161-169. Epub 2018 Jul 18.

The Edmond and Lily Safra Children's Hospital, The Chaim Sheba Medical Center, Ramat Gan, Israel.

Background: There is growing evidence that children's sense of autonomy is an important psychological need closely linked with the development of self-esteem and motivation. Among children with physical disabilities, motor or cognitive limitations may negatively affect child's sense of autonomy (CSA) and competency.

Purpose: To examine how sense of autonomy among children with cerebral palsy (CP) directly and indirectly relates to their activity of daily living (ADL) and scholastic performance. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ridd.2018.06.006DOI Listing
September 2018
25 Reads

Extrapyramidal deficits in ALS: a combined biomechanical and neuroimaging study.

J Neurol 2018 Sep 11;265(9):2125-2136. Epub 2018 Jul 11.

Laboratoire CeRSM - EA 2931 Paris Ouest, Nanterre, France.

Introduction: Extrapyramidal deficits are poorly characterised in amyotrophic lateral sclerosis (ALS) despite their contribution to functional disability, increased fall risk and their quality-of-life implications. Given the concomitant pyramidal and cerebellar degeneration in ALS, the clinical assessment of extrapyramidal features is particularly challenging.

Objective: The comprehensive characterisation of postural instability in ALS using standardised clinical assessments, gait analyses and computational neuroimaging tools in a prospective study design. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00415-018-8964-yDOI Listing
September 2018
10 Reads

Beyond 35 years of Parkinson's disease: a comprehensive clinical and instrumental assessment.

J Neurol 2018 Sep 26;265(9):1989-1997. Epub 2018 Jun 26.

Department of Neuroscience "Rita Levi Montalcini", University of Turin, Via Cherasco 15, 10124, Turin, Italy.

Background: We sought to characterize the clinical, neuropsychological, electrophysiological, and neuroimaging features of Parkinson's disease (PD) after over 35 years since the onset of motor symptoms.

Methods: Five consecutively consenting PD patients treated with subthalamic nucleus deep brain stimulation (STN-DBS) were recruited in a cross-sectional study of motor (Unified PD Rating Scale section-III), non-motor (Non-Motor Symptoms Scale), autonomic (Scale for Outcome in PD-Autonomic), and neuropsychological features associated with the very advanced phase of PD. In addition, patients underwent neurophysiological (autonomic tests and nerve conduction studies) and neuroimaging (brain MRI, I-FP-CIT SPECT, and I-MIBG myocardial scintigraphy) studies, as well as a genetic analysis of 34 genes and single nucleotide polymorphisms associated with PD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00415-018-8955-zDOI Listing
September 2018
7 Reads

Prevalence and correlates of major depression in Granada, Spain: Results from the GranadΣp study.

Int J Soc Psychiatry 2018 08 29;64(5):450-458. Epub 2018 May 29.

1 International School for Postgraduate Studies, University of Granada, Granada, Spain.

Background: Major depression is one of the world's leading causes of disability. Up-to-date information about the epidemiology of this disorder is key to health care planning.

Aim: The aim of our study is to report prevalence and correlates of current major depressive disorder (MDD) in the province of Granada, Southern Spain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0020764018771405DOI Listing
August 2018
6 Reads

Cognitive impairment in early stages of multiple sclerosis is associated with high cerebrospinal fluid levels of chitinase 3-like 1 and neurofilament light chain.

Eur J Neurol 2018 09 22;25(9):1189-1191. Epub 2018 Jun 22.

Neuroimmunology and Multiple Sclerosis Unit [Girona Biomedical Research Institute] IDIBGI, Neurology Department, Dr. Josep Trueta University Hospital, Girona, Spain.

Background And Purpose: Chitinase 3-like 1 (CHI3L1) and neurofilament light chain (NF-L) are promising biomarkers of disability in multiple sclerosis (MS). However, their role in cognitive dysfunction remains elusive. Here, we aimed to correlate cerebrospinal fluid (CSF) levels of CHI3L1 and NF-L with cognitive status in MS. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/ene.13687
Publisher Site
http://dx.doi.org/10.1111/ene.13687DOI Listing
September 2018
3 Reads

The psychological features of patellofemoral pain: a cross-sectional study.

Scand J Pain 2018 04;18(2):261-271

School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, Qld 4072, Australia, Phone: +61 (7) 3365 1111.

Background And Aims: Patellofemoral pain (PFP) is a prevalent and debilitating musculoskeletal condition, considered to have a mechanical aetiology. As such, the physical impairments associated with PFP are well documented and have helped characterise different physical phenotypes. But little is known about the relationship between PFP and psychological well-being. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1515/sjpain-2018-0025DOI Listing
April 2018
2 Reads

Symptomatic burden of COPD for patients receiving dual or triple therapy.

Int J Chron Obstruct Pulmon Dis 2018;13:1365-1376. Epub 2018 Apr 27.

Health Economics and Payer Analytics, AstraZeneca, Gaithersburg, MD, USA.

Background: COPD is associated with a large disease burden. The use of dual (two maintenance treatments) and triple (combination of any three treatments) therapy has shown efficacy for symptom relief; however, some patients with COPD remain symptomatic despite these therapies. This study assessed the scope and magnitude of the symptomatic burden for patients with COPD receiving dual or triple therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/COPD.S163717DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5927353PMC
October 2018
3 Reads

Anterior head translation following cervical fusion-a probable cause of post-surgical pain and impairment: a CBP case report.

J Phys Ther Sci 2018 Feb 20;30(2):271-276. Epub 2018 Feb 20.

Private Practice, USA.

[Purpose] To present the case of the dramatic reduction in pain, disability, and neurologic symptoms following the reduction of forward head translation and increased cervical curvature in a patient suffering from post-surgical radiculopathy. [Subject and Methods] A 52-year-old male mechanic presented with chronic neck pain, unilateral paresthesia along the C5 and C6 dermatome distributions and diminished unilateral grip strength for 12 years following a C5-C6 cervical discectomy and fusion. Outcome measures included the neck disability index, the numerical pain rating scale, and the Zebris cervical range of motion system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1589/jpts.30.271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851361PMC
February 2018
2 Reads

Development and Validation of a Prediction Model for Pain and Functional Outcomes After Lumbar Spine Surgery.

JAMA Surg 2018 Jul;153(7):634-642

Surgical Outcomes Research Center, University of Washington, Seattle.

Importance: Functional impairment and pain are common indications for the initiation of lumbar spine surgery, but information about expected improvement in these patient-reported outcome (PRO) domains is not readily available to most patients and clinicians considering this type of surgery.

Objective: To assess population-level PRO response after lumbar spine surgery, and develop/validate a prediction tool for PRO improvement.

Design, Setting, And Participants: This statewide multicenter cohort was based at 15 Washington state hospitals representing approximately 75% of the state's spine fusion procedures. Read More

View Article

Download full-text PDF

Source
http://archsurg.jamanetwork.com/article.aspx?doi=10.1001/jam
Publisher Site
http://dx.doi.org/10.1001/jamasurg.2018.0072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875305PMC
July 2018
13 Reads

Measurement properties of the craniocervical flexion test: a systematic review protocol.

BMJ Open 2018 02 22;8(2):e019486. Epub 2018 Feb 22.

School of Physiotherapy, University of Otago, Dunedin, New Zealand.

Introduction: Neck pain is the leading cause of years lived with disability worldwide and it accounts for high economic and societal burden. Altered activation of the neck muscles is a common musculoskeletal impairment presented by patients with neck pain. The craniocervical flexion test with pressure biofeedback unit has been widely used in clinical practice to assess function of deep neck flexor muscles. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2017-019486DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855340PMC
February 2018
37 Reads

Measurement properties of instruments assessing permanent functional impairment of the spine: a systematic review protocol.

BMJ Open 2018 01 27;8(1):e019276. Epub 2018 Jan 27.

School of Physical Therapy, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Introduction: Permanent functional impairment (PFI) of the spine is a rating system used by compensation authorities, such as workers compensation boards, to establish an appropriate level of financial compensation for persistent loss of function. Determination of PFI of the spine is commonly based on the assessment of spinal movement combined with other measures of physical and functional impairments; however, the reliability and validity of the measurement instruments used for these evaluations have yet to be established. The aim of this study is to systematically review and synthesise the literature concerning measurement properties of the various and different instruments used for assessing PFI of the spine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2017-019276DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829857PMC
January 2018
15 Reads

Botulinum toxin type A therapy for cervical dystonia.

Cochrane Database Syst Rev 2017 12 12;12:CD003633. Epub 2017 Dec 12.

Laboratório de Farmacologia Clínica e Terapêutica, Faculdade de Medicina de Lisboa, Av. Prof. Egas Moniz, Lisboa, Portugal, 1649-028.

Background: This is an update of a Cochrane Review first published in 2005. Cervical dystonia is the most common form of focal dystonia and is a highly disabling movement disorder characterised by involuntary, usually painful, head posturing. Currently, botulinum toxin type A (BtA) is considered the first line therapy for this condition. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD003633.pub3DOI Listing
December 2017
20 Reads

Efficacy of antidepressants on measures of workplace functioning in major depressive disorder: A systematic review.

J Affect Disord 2018 02 7;227:406-415. Epub 2017 Nov 7.

Institute of Medical Science, University of Toronto, Toronto, Canada; Mood Disorders Psychopharmacology Unit, University Health Network, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Department of Pharmacology, University of Toronto, Toronto, Canada. Electronic address:

Introduction: Work-related disability and productivity loss in Major Depressive Disorder (MDD) are critical determinants of patient quality of life and contribute significantly to the human and economic costs of MDD. Notwithstanding the return to work and pre-morbid levels of functioning as a critical therapeutic objective among individuals with MDD, it is unclear whether antidepressant treatment significantly and reliably improves measures of workplace functioning. Herein, we investigate to what extent antidepressant treatment improves workplace functioning among adults with MDD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jad.2017.11.003DOI Listing
February 2018
22 Reads
3 Citations
3.380 Impact Factor

Spectrum of outcomes following traumatic brain injury-relationship between functional impairment and health-related quality of life.

Acta Neurochir (Wien) 2018 Jan 7;160(1):107-115. Epub 2017 Oct 7.

Department of Neurosurgery, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 0QQ, UK.

Background: The outcome following traumatic brain injury (TBI) is heterogeneous and poorly defined and physical disability scales like the extended Glasgow Outcome Score (GOSE) while providing valuation information in terms of broad categorisation of outcome are unlikely to capture the full spectrum of deficits. Quality of life questionnaires such as SF-36 are emerging as potential tools to help characterise factors important to patients' recovery. This study assessed the association between physical disability and subjective health rating. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00701-017-3334-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5735200PMC
January 2018
34 Reads

The Influence of Occupation on Self-perceived Vocal Problems in Patients With Voice Complaints.

J Voice 2018 Nov 28;32(6):673-680. Epub 2017 Sep 28.

Department of Otolaryngology-Head & Neck Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania; Department of Surgical Oncology, Fox Chase Cancer Center, Temple Head and Neck Institute, Temple University Health System, Philadelphia, Pennsylvania.

Objective: This study aimed to examine the relationships among patient occupation, laryngeal diagnosis, perceptual dysphonia severity, and patient-perceived voice impairment.

Methods: Adult patients presenting with a chief complaint of dysphonia over a 20-month period at a tertiary care, interdisciplinary voice center were included in this retrospective cohort study. Patients were categorized by profession: vocal performers, high occupational voice demand, low or no occupational voice demand, and retired. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvoice.2017.08.028DOI Listing
November 2018
8 Reads

Motor assessment in Parkinson`s disease.

Ann Agric Environ Med 2017 Sep 11;24(3):411-415. Epub 2017 May 11.

Jerzy Kukuczka Academy of Physical Education in Katowice, Poland.

Parkinson's disease (PD) is one of most disabling disorders of the central nervous system. The motor symptoms of Parkinson's disease: shaking, rigidity, slowness of movement, postural instability and difficulty with walking and gait, are difficult to measure. When disease symptoms become more pronounced, the patient experiences difficulties with hand function and walking, and is prone to falls. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5604/12321966.1232774DOI Listing
September 2017
4 Reads

The factor structure of the Disability Rating Scale in individuals with traumatic brain injury.

Disabil Rehabil 2019 Jan 23;41(1):98-103. Epub 2017 Sep 23.

a Traumatic Brain Injury Department , Kessler Foundation , East Hanover , NJ , USA.

Purpose: To examine the factor structure of the Disability Rating Scale and the predictive validity of the scale's factors among individuals with traumatic brain injury.

Materials And Methods: Five hundred and eight individuals with moderate-to-severe traumatic brain injury were administered the Disability Rating Scale. The sample was randomly divided into two groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/09638288.2017.1378388DOI Listing
January 2019
2 Reads

Clinical rating scale for pantothenate kinase-associated neurodegeneration: A pilot study.

Mov Disord 2017 Nov 28;32(11):1620-1630. Epub 2017 Aug 28.

Unit of Pediatric Movement Disorders, Hospital Sant Joan de Déu, Barcelona, Spain.

Background: Pantothenate kinase-associated neurodegeneration is a progressive neurological disorder occurring in both childhood and adulthood. The objective of this study was to design and pilot-test a disease-specific clinical rating scale for the assessment of patients with pantothenate kinase-associated neurodegeneration.

Methods: In this international cross-sectional study, patients were examined at the referral centers following a standardized protocol. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/mds.27129DOI Listing
November 2017
66 Reads

Risk Factors for Falls in Community Stroke Survivors: A Systematic Review and Meta-Analysis.

Arch Phys Med Rehabil 2018 03 7;99(3):563-573.e5. Epub 2017 Aug 7.

Saw Swee Hock School of Public Health, National University of Singapore, Singapore.

Objective: To identify the risk factors for falls in community stroke survivors.

Data Sources: A comprehensive search for articles indexed in MEDLINE, Embase, CINAHL, PsycINFO, Cochrane Library, and Web of Science databases was conducted.

Study Selection: Prospective studies investigating fall risk factors in community stroke survivors were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.apmr.2017.06.032DOI Listing
March 2018
4 Reads

The impact of fatigue and energy on work functioning and impairment in patients with major depressive disorder treated with desvenlafaxine.

Int Clin Psychopharmacol 2017 11;32(6):343-349

aDepartment of Psychiatry, University of British Columbia bMood Disorders Centre of Excellence, Djavad Mowafaghian Centre for Brain Health, Vancouver, British Columbia, Canada cDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, and Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston, Massachusetts, USA.

Fatigue and low energy are cardinal symptoms of major depressive disorder (MDD) that have an impact on work functioning. Antidepressants with noradrenergic activity have been hypothesized to improve symptoms of fatigue and low energy. We examined the impact of these symptoms on work functioning in patients with MDD treated with the serotonin and noradrenaline reuptake inhibitor, desvenlafaxine. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00004850-201711000-0000
Publisher Site
http://dx.doi.org/10.1097/YIC.0000000000000192DOI Listing
November 2017
16 Reads

Effect of desvenlafaxine 50 mg and 100 mg on energy and lassitude in patients with major depressive disorder: A pooled analysis.

J Psychopharmacol 2017 09 18;31(9):1204-1214. Epub 2017 Jul 18.

4 Pfizer Canada, Kirkland, Canada.

Nine randomized, double-blind, placebo-controlled studies of major depressive disorder were pooled to evaluate the effects of desvenlafaxine 50- and 100-mg/d on energy and lassitude in adults with major depressive disorder ( n=4279). Changes from baseline to endpoint in 17-item Hamilton Rating Scale for Depression (HAM-D) Work and Activities, Retardation, and Somatic Symptoms General items, HAM-D psychomotor retardation factor, and Montgomery-Åsberg Depression Rating Scale Lassitude item were analyzed with a mixed model for repeated measures analysis of variance. Associations between residual energy measures and functional impairment, based on the Sheehan Disability Scale, were modeled using stepwise multiple linear regression. Read More

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/10.1177/0269881117719261
Publisher Site
http://dx.doi.org/10.1177/0269881117719261DOI Listing
September 2017
17 Reads

The Role of Occupational Voice Demand and Patient-Rated Impairment in Predicting Voice Therapy Adherence.

J Voice 2018 May 11;32(3):325-331. Epub 2017 Jul 11.

Department of Otolaryngology-Head & Neck Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania; Department of Surgical Oncology, Fox Chase Cancer Center, Temple Head and Neck Institute, Temple University Health System, Philadelphia, Pennsylvania.

Objective: Examine the relationship among the severity of patient-perceived voice impairment, perceptual dysphonia severity, occupational voice demand, and voice therapy adherence. Identify clinical predictors of increased risk for therapy nonadherence.

Methods: A retrospective cohort study of patients presenting with a chief complaint of persistent dysphonia at an interdisciplinary voice center was done. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvoice.2017.06.002DOI Listing
May 2018
12 Reads

Task-Specific Training for Adults With Chronic Knee Pain: A Case Series.

J Orthop Sports Phys Ther 2017 Aug 13;47(8):548-556. Epub 2017 Jul 13.

Study Design Case series. Background Recent evidence suggests that traditional impairment-based rehabilitation approaches for patients with knee pain may not result in improved function or reduced disability. This case series describes a novel task-specific training approach to exercise therapy for patients with chronic knee pain and reports changes in measures of clinical outcome (pain and physical function) following participation in the training program. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2519/jospt.2017.7349DOI Listing
August 2017
24 Reads

Clinical and socio-demographic correlates of anxious distress in Asian outpatients with major depressive disorder.

Nord J Psychiatry 2017 Oct 20;71(7):503-508. Epub 2017 Jun 20.

a Department of Psychiatry, Faculty of Medicine , Chiang Mai University , Chiang Mai , Thailand.

Background: Anxious distress in major depressive disorder (MDD) is common and associated with poor outcomes and management difficulties.

Aims: This post hoc analysis aimed to examine the socio-demographic and clinical correlates of anxiety distress in Asian outpatients with MDD.

Methods: Instead of two out of five specifiers defined by the Diagnostic and Statistical Manual Version-5, anxious distress defined in this study was operationalized as the presence of at least two out of four proxy items drawn from the 90-item Symptom Checklist, Revised (SCL-90-R). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/08039488.2017.1335344DOI Listing
October 2017
35 Reads

Oxidative stress and psychiatric morbidity in patients with facial acne.

J Cosmet Dermatol 2018 Apr 20;17(2):203-208. Epub 2017 Jun 20.

Faculty of Medicine, Department of Neuropsychiatry, Assiut University, Assiut, Egypt.

Background: Acne vulgaris is a common cosmetic problem that is frequently associated with psychosocial disturbances as well as increased oxidative stress. However, oxidative stress and psychological aspects have been studied separately in acne.

Objective: To evaluate the relationships between oxidative stress, anxiety, depression, and quality of life in acne patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/jocd.12366DOI Listing
April 2018
22 Reads

Impact of living arrangements on clinical outcomes among older patients with dementia or cognitive impairment admitted to the geriatric evaluation and management unit in Taiwan.

Geriatr Gerontol Int 2017 Apr;17 Suppl 1:44-49

Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan.

Aim: To evaluate the impact of living arrangements on mortality and functional decline among older patients with dementia or cognitive impairment after discharge from a geriatric evaluation and management unit (GEMU) in Taiwan.

Methods: The present retrospective cohort study used data from the Veteran Affairs Comprehensive Geriatric Assessment from January 2015 to May 2016 for analysis. Data of patients aged 65 years and older with dementia or cognitive impairment at admission to the GEMU of Taipei Veterans General Hospital during the study period were retried for study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ggi.13036DOI Listing
April 2017
10 Reads

Delaying cognitive and physical decline through multidomain interventions for residents with mild-to-moderate dementia in dementia care units in Taiwan: A prospective cohort study.

Geriatr Gerontol Int 2017 Apr;17 Suppl 1:36-43

Department of Healthcare and Medical care, Veterans Affairs Council, Taiwan.

Aim: To develop experimental multi-domain interventions for older people with mild-to-moderate dementia, and to evaluate the effect of delaying cognitive and physical decline, and improvement or prevention of geriatric syndromes during 1-year follow up.

Methods: Participants aged 65 years and older with mild-to-moderate dementia (clinical dementia rating [CDR] 1 or 2) were grouped as intervention in Jia-Li Veterans Home and usual care model in the community (Memory clinic). All residents in Jia-Li Veterans Home received comprehensive intervention, including Multi-disciplinary team consultation and intervention, Multi-component non-pharmacological management, geriatric syndromes survey and intervention by CGA, and a dementia friendly medical Green channel Approach (2MCGA). Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/ggi.13035
Publisher Site
http://dx.doi.org/10.1111/ggi.13035DOI Listing
April 2017
27 Reads

Behavioral and psychological symptoms of dementia: prevalence, symptom groups and their correlates in community-based older adults with dementia in Singapore.

Int Psychogeriatr 2017 08 18;29(8):1363-1376. Epub 2017 Apr 18.

Research Division,Institute of Mental Health,Singapore.

Background: This study assessed the prevalence and factor structure of behavioral and psychological symptoms of dementia (BPSD) in a community-based sample of older adults with dementia and identified their correlates.

Methods: Data collected from 399 Singapore residents with dementia aged 60 years and above, interviewed along with a family/friend during a national survey, were used for this analysis. Neuropsychiatric Inventory Questionnaire assessed older adults' BPSD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1017/S1041610217000564DOI Listing
August 2017
29 Reads

Depression Status Is Associated with Functional Decline Over 1-Year Following Acute Stroke.

J Stroke Cerebrovasc Dis 2017 Jul 25;26(7):1393-1399. Epub 2017 Apr 25.

Department of Neurology, Duke University Medical Center, Durham, North Carolina.

Background: We investigated the independent association of depression status at 3 and 12 months after stroke and functional decline.

Methods: Data were obtained as part of the multicenter Adherence eValuation After Ischemic stroke Longitudinal (AVAIL) registry. Depression was assessed with the Patient Health Questionnaire-8 (depression, PHQ-8 ≥ 10), and functional status was assessed with the modified Rankin score (mRS) at 3 and 12 months following hospitalization for ischemic stroke. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.03.026DOI Listing
July 2017
4 Reads

Multicenter, open-label, exploratory clinical trial with extract in patients suffering from burnout symptoms.

Neuropsychiatr Dis Treat 2017 22;13:889-898. Epub 2017 Mar 22.

Dr Willmar Schwabe GmbH & Co. KG, Karlsruhe, Germany.

Purpose: This study is the first clinical trial aiming to explore the clinical outcomes in burnout patients treated with . The reported capacity of to strengthen the organism against stress and its good tolerability offer a promising approach in the treatment of stress-related burnout. The aim of the treatment was to increase stress resistance, thus addressing the source rather than the symptoms of the syndrome and preventing subsequent diseases associated with a history of burnout. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/NDT.S120113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5370380PMC
March 2017
14 Reads

Restoring function in major depressive disorder: A systematic review.

J Affect Disord 2017 06 24;215:299-313. Epub 2017 Feb 24.

Pfizer Canada Inc. Kirkland, Quebec, Canada.

Background: Functional impairment contributes to significant disability and economic burden in major depressive disorder (MDD). Treatment response is measured by improvement in depressive symptoms, but functional improvement often lags behind symptomatic improvement. Residual deficits are associated with relapse of depressive symptoms. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S01650327173019
Publisher Site
http://dx.doi.org/10.1016/j.jad.2017.02.029DOI Listing
June 2017
11 Reads

[Factors predicting functioning in type 1 bipolar patients during remission period].

Pan Afr Med J 2016 3;25:66. Epub 2016 Oct 3.

Université de Tunis El Manar, Faculté de Medecine de Tunis, Tunisie; Hopital Razi, La Mannouba, Tunisie.

Introduction: Recent studies indicate that bipolar disorder is associated with a profound impairment in almost all areas of functioning. This study aims to evaluate functional recovery in type 1 bipolar patients during remission period.

Method: We conducted a cross-sectional study of euthymic type 1 bipolar patients followed up on an ambulatory basis. Read More

View Article

Download full-text PDF

Source
http://www.panafrican-med-journal.com/content/article/25/66/
Publisher Site
http://dx.doi.org/10.11604/pamj.2016.25.66.8532DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324157PMC
April 2017
15 Reads

Development and validation of a condition-specific measure for chronic periodontitis: Oral health impact profile for chronic periodontitis.

J Clin Periodontol 2017 Jun 5;44(6):591-600. Epub 2017 May 5.

College of Stomatology, Chongqing Medical University, Chongqing, China.

Aim: The aim of this study was to develop and validate the first condition-specific tool to assess oral health-related quality of life (OHRQoL) impairment in association with chronic periodontitis and to use it as an outcome measure in clinical trials.

Methods: Twenty-three potential items were developed using a combined method consisting of a literature review, semi-structured patient interviews (n = 20) and expert panel 1. Subsequently, item selection was carried out by means of qualitative content analysis and quantitative classical test theory (CTT) with 110 patients and expert panel 2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/jcpe.12716DOI Listing
June 2017
10 Reads