23,953 results match your criteria Pulmonary Rehabilitation


Correction to: The 'can do, do do' concept in COPD; quadrant interpretation, affiliation and tracking longitudinal changes.

Respir Res 2020 May 23;21(1):122. Epub 2020 May 23.

Department of Research and Education, CIRO+, Centre of Expertise for Chronic Organ Failure, CIRO, 6085 NM, Horn, The Netherlands.

An amendment to this paper has been published and can be accessed via the original article. Read More

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http://dx.doi.org/10.1186/s12931-020-01397-xDOI Listing

Respiratory muscle training improves strength and decreases the risk of respiratory complications in stroke survivors: a systematic review and meta-analysis.

Arch Phys Med Rehabil 2020 May 20. Epub 2020 May 20.

Medical Department, Xinhong Community Health Service Center, Minhang District, Shanghai, 201107, China.

Objective: To evaluate the effects of respiratory muscle training in a population of stroke patients.

Data Sources: PubMed, EMBASE, the Cochrane Library, CINAHL and CNKI databases were searched for clinical trials up to December 2019.

Study Selection: Nine randomized controlled trials (RCTs) published in English met the inclusion criteria. Read More

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http://dx.doi.org/10.1016/j.apmr.2020.04.017DOI Listing

A Case of Copper Deficiency Myeloneuropathy Precipitated by Zinc Ingestion and Bariatric Surgery.

S D Med 2020 Apr;73(4):178-180

Regional Health Neurology and Rehabilitation, Rapid City, South Dakota.

In this report, we present a case of acquired copper deficiency which initially presented as progressive pain and numbness in the patient's lower extremities. The acquired copper deficiency is attributed to a previous bariatric surgery exacerbated by zinc toxicity. A 42-year-old female with a past medical history of type 2 diabetes mellitus, anemia, hypertension, bipolar disorder, attention deficit disorder, pulmonary embolus, fibromyalgia, migraine headaches, and chronic pain as well as a remote past surgical history of gastric bypass procedure presented with progressive pain and numbness in her lower extremities. Read More

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Heat and moisture exchanger cassettes: Results of a quality/safety initiative to reduce postoperative mucus plugging after total laryngectomy.

Head Neck 2020 May 23. Epub 2020 May 23.

Department of Otolaryngology-Head and Neck Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania, USA.

Background: Tracheal dryness is a concern after total laryngectomy due to the potential for mucus plugs (MP). This study compared heat and moisture exchanger (HME) cassettes to external tracheal humidification (ETH) surrounding MP events.

Methods: A retrospective comparative cohort study comparing outcomes before/after implementation of a patient safety initiative utilizing HME during post laryngectomy hospitalization. Read More

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http://dx.doi.org/10.1002/hed.26267DOI Listing

Patients with Lemierre syndrome have a high risk of new thromboembolic complications, clinical sequelae, and death: an analysis of 712 cases.

J Intern Med 2020 May 22. Epub 2020 May 22.

Center for Thrombosis and Hemostasis, University Medical Center Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.

Background: Lemierre syndrome is characterized by head/neck vein thrombosis and septic embolism usually complicating an acute oropharyngeal bacterial infection in adolescents and young adults. We described the course of Lemierre syndrome in the contemporary era.

Methods: In our individual-level analysis of 712 patients (2000-2017), we included cases described as Lemierre syndrome if these criteria were met: (i) primary site of bacterial infection in the head/neck; (ii) objectively confirmed local thrombotic complications or septic embolism. Read More

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http://dx.doi.org/10.1111/joim.13114DOI Listing

High-flow nasal cannula ventilation therapy for obstructive sleep apnea in ischemic stroke patients requiring nasogastric tube feeding: a preliminary study.

Sci Rep 2020 May 22;10(1):8524. Epub 2020 May 22.

Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Keelung, Taiwan.

Obstructive sleep apnea (OSA) is associated with increasing risk of recurrent stroke and mortality. Nasogastric tubes used by dysphagic stroke patients may interfere with nasal continuous positive airway pressure (CPAP) due to air leakage. This study was evaluated the effects and short-term tolerability of high-flow nasal cannula (HFNC) therapy for OSA in stroke patients with nasogastric intubation. Read More

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http://dx.doi.org/10.1038/s41598-020-65335-zDOI Listing
May 2020
5.078 Impact Factor

Effects of downhill walking in pulmonary rehabilitation for patients with COPD: a randomised controlled trial.

Eur Respir J 2020 May 22. Epub 2020 May 22.

KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium

Background: The development of contractile muscle fatigue (CMF) affects training responses in patients with COPD. Downhill walking induces CMF with lower dyspnoea and fatigue than level walking. This study compared the effect of pulmonary rehabilitation (PR) comprising downhill walking training (DT) to PR comprising level walking (conventional training, CT) in patients with COPD. Read More

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http://dx.doi.org/10.1183/13993003.00639-2020DOI Listing

Preoperative Opioid Prescription Filling is a Risk Factor for Prolonged Opioid Use After Elbow Arthroscopy.

Arthroscopy 2020 May 19. Epub 2020 May 19.

University of Iowa Hospitals and Clinics, Department of Orthopedics and Rehabilitation, Iowa City, IA-52242.

Purpose: The purpose of this study was to (1) report the frequency of postoperative opioid prescriptions following elbow arthroscopy, (2) evaluate if filling opioid prescriptions preoperatively increased risk of requiring more opioid prescriptions after surgery, and (3) determine patient factors associated with postoperative opioid prescription needs.

Methods: A national claims-based database was queried for patients undergoing primary elbow arthroscopy. Patients with prior total elbow arthroplasty or septic arthritis of the elbow were excluded. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.04.053DOI Listing

Shrinking Lung Syndrome in Primary Sjögren Syndrome.

Balkan Med J 2020 May 22. Epub 2020 May 22.

Department of Rheumatology, Internal Medicine, Dokuz Eylül University School of Medicine, İzmir, Turkey.

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http://dx.doi.org/10.4274/balkanmedj.galenos.2020.2020.4.143DOI Listing

[Pulmonary rehabilitation in the in-hospital and outpatient phases].

Rehabilitacion (Madr) 2020 Apr 27. Epub 2020 Apr 27.

Escuela Nacional del Deporte Santiago de Cali, Unidad de Medicina Física y Rehabilitación, Hospital Universitario del Valle, Universidad del Valle, Colombia; Grupo de Investigación Ejercicio y Salud Cardiopulmonar, Facultad de Salud, Universidad del Valle, Colombia.

Pulmonary rehabilitation programmes aim to improve aerobic capacity and enhance quality of life in patients with chronic pulmonary disease, facilitating their participation and integration in different areas and activities of daily living, through the prescription and performance of physical exercise, as well as education on risk factors and healthy living. In multidisciplinary processes, various health professionals work together to support patients through the rehabilitation process, guiding lifestyle changes to improve their level of physical activity, nutritional factors, smoking cessation, diabetes management, medication adherence and weight loss, based on theories of behavioural change. The main objective of pulmonary rehabilitation programmes is to empower users in self-care and facilitate long-term management of chronic lung disease. Read More

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http://dx.doi.org/10.1016/j.rh.2020.02.008DOI Listing

[Multiple insufficiency fractures (metatarsial, calcaneal and sacral) as the first manifestation of lung adenocarcinoma. A case report and literature review].

Rehabilitacion (Madr) 2020 Jan 6. Epub 2020 Jan 6.

Servicio de Rehabilitación y Medicina Física, Hospital Universitario Santa Cristina, Madrid, España.

Insufficiency fractures, or pathological fractures, are produced after minimal trauma or no prior trauma and normally affect weakened bone. Their presence should be suspected in fractures showing abnormal patterns, when several fractures occur in a short period of time and in those with no apparent or only minimal trauma. On confirmation of an insufficiency fracture, a differential diagnosis should be made between tumoral and metastatic fractures if there is a history of underlying primary malignancy. Read More

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http://dx.doi.org/10.1016/j.rh.2019.11.002DOI Listing
January 2020

Changes in Oxyhemoglobin Concentration in the Prefrontal Cortex during Cognitive-Motor Dual Tasks in People with Chronic Obstructive Pulmonary Disease.

COPD 2020 May 22:1-8. Epub 2020 May 22.

Physical Therapy, University of Toronto, Toronto, Ontario, Canada.

Cognitive and motor impairment are well documented in chronic obstructive pulmonary disease (COPD) patients, but their relationship has not been studied. This study evaluated and compared cognitive and motor performance during dual tasks and related dorsolateral prefrontal cortex (PFC) changes in oxygenated hemoglobin (ΔOHb), a proxy measure of neural activity, in patients with COPD and age-matched healthy individuals. Participants performed three single tasks: (1) backwards spelling cognitive task; (2) 30 m preferred paced walk; (3) 30 m fast walk, and two dual tasks: (4) preferred paced walk + backwards spelling; (5) fast paced walk + backwards spelling. Read More

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http://dx.doi.org/10.1080/15412555.2020.1767561DOI Listing

Management of the COPD Patient with Comorbidities: An Experts Recommendation Document.

Int J Chron Obstruct Pulmon Dis 2020 7;15:1015-1037. Epub 2020 May 7.

Internal Medicine Department, University Hospital Virgen del Rocío, Seville, Andalusia, Spain.

Background: Chronic obstructive pulmonary disease (COPD) is associated with multiple comorbidities, which impact negatively on patients and are often underdiagnosed, thus lacking a proper management due to the absence of clear guidelines.

Purpose: To elaborate expert recommendations aimed to help healthcare professionals to provide the right care for treating COPD patients with comorbidities.

Methods: A modified RAND-UCLA appropriateness method consisting of nominal groups to draw up consensus recommendations (6 Spanish experts) and 2-Delphi rounds to validate them (23 Spanish experts) was performed. Read More

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http://dx.doi.org/10.2147/COPD.S242009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217705PMC

Telerehabilitation Programme as a Maintenance Strategy for COPD Patients: A 12-Month Randomized Clinical Trial.

Arch Bronconeumol 2020 May 18. Epub 2020 May 18.

Clinical Epidemiology Unit, Hospital Universitario de Cruces, Biocruces Bizkaia, Health Research Institute, Bilbao, Spain.

Background: There is uncertainty regarding efficacy of telehealth-based approaches in COPD patients for sustaining benefits achieved with intensive pulmonary rehabilitation (PR).

Research Question: To determine whether a maintenance pulmonary telerehabilitation (TelePR) programme, after intensive initial PR, is superior to usual care in sustaining over time benefits achieved by intensive PR.

Study Design And Methods: A multicentre open-label pragmatic parallel-group randomized clinical trial was conducted. Read More

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http://dx.doi.org/10.1016/j.arbres.2020.03.034DOI Listing

Influence of time under mechanical ventilation on bronchopulmonary dysplasia severity in extremely preterm infants: a pilot study.

BMC Pediatr 2020 May 21;20(1):241. Epub 2020 May 21.

Postgraduation Program in Rehabilitation Sciences UEL-UNOPAR, Londrina State University (UEL), Londrina, PR, Brazil.

Background: The relation between mechanical ventilation (MV) and bronchopulmonary dysplasia (BPD) - a common disease in extremely premature newborn (PTNB) - is well stabilished, but is unknown, however, how much time under MV influences the severity of the disease.

Aim: To define the duration under MV with greater chance to develop moderate to severe BPD in extremely PTNB and to compare clinical outcomes before and during hospitalization among patients with mild and moderate to severe BPD.

Methods: Fifty-three PTNB were separated into mild and moderate to severe BPD groups and their data were analyzed. Read More

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http://dx.doi.org/10.1186/s12887-020-02129-2DOI Listing

Preoperative Opioid Usage, Male Gender, and Preexisting Knee OA Impacts Opioid Refills after Isolated Arthroscopic Meniscectomy: A Population Based Study.

Arthroscopy 2020 May 10. Epub 2020 May 10.

Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Purpose: To identify risk factors for opioid consumption after arthroscopic meniscectomy using a large national database.

Methods: Patients undergoing primary arthroscopic meniscectomy from 2007-2016 were retrospectively accessed from the Humana database. Patients were categorized as those who filled opioid prescriptions within 3 months (OU), within 1 month (A-OU), between 1 to 3 months (C-OU), and never filled opioid prescriptions (N-OU) before surgery. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.04.039DOI Listing

Prognostic influence of the treatment approach for pulmonary metastasis in patients with soft tissue sarcoma.

Clin Exp Metastasis 2020 May 20. Epub 2020 May 20.

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.

Soft tissue sarcomas (STSs) are rare heterogeneous malignancies of mesenchymal origin. Pulmonary metastases develop in approximately 50% of the patients with high-grade STS, being the major cause of mortality in patients with metastatic STS. Pulmonary metastasectomy has been reported to contribute to long-term survival; however, an appropriate treatment has not been established. Read More

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http://dx.doi.org/10.1007/s10585-020-10038-yDOI Listing

Exceeding a "critical" muscle P: implications for [Formula: see text] and metabolite slow components, muscle fatigue and the power-duration relationship.

Eur J Appl Physiol 2020 May 20. Epub 2020 May 20.

Rehabilitation Clinical Trials Center, Division of Pulmonary and Critical Care Physiology and Medicine, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA, USA.

Purpose: The consequences of the assumption that the additional ATP usage, underlying the slow component of oxygen consumption ([Formula: see text]) and metabolite on-kinetics, starts when cytosolic inorganic phosphate (P) exceeds a certain "critical" P concentration, and muscle work terminates because of fatigue when P exceeds a certain, higher, "peak" P concentration are investigated.

Methods: A previously developed computer model of the myocyte bioenergetic system is used.

Results: Simulated time courses of muscle [Formula: see text], cytosolic ADP, pH, PCr and P at various ATP usage activities agreed well with experimental data. Read More

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http://dx.doi.org/10.1007/s00421-020-04388-4DOI Listing

Independent lung ventilation with use of a double-lumen endotracheal tube for refractory hypoxemia and shock complicating severe unilateral pneumonia: A case report.

Respir Med Case Rep 2020 7;30:101084. Epub 2020 May 7.

Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Background: The indications for independent lung ventilation (ILV) in critical care settings have not been fully clarified, especially because extracorporeal membrane oxygenation (ECMO) is being used increasingly in cases of severe respiratory failure.

Case Report: A 90-year-old man presented with severe unilateral pneumonia, and despite conventional mechanical ventilation management with use of a single lumen endotracheal tube and high positive endo-expiratory pressure (PEEP), oxygenation and hemodynamics deteriorated. We then performed ILV using a double-lumen endotracheal tube (DLT) and two ventilators, each set at a different respiratory mode. Read More

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http://dx.doi.org/10.1016/j.rmcr.2020.101084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229276PMC

Pulmonary Rehabilitation and Asthma.

Front Pharmacol 2020 6;11:542. Epub 2020 May 6.

Istituti Clinici Scientifici Maugeri IRCCS, Respiratory Rehabilitation of the Istitute of Tradate (VA), Tradate, Italy.

Asthma is a chronic inflammatory disease characterized by airflow limitation and variable respiratory symptoms. It is characterized by variable symptoms such as cough, wheeze, chest tightness, and shortness of breath which vary in intensity and time. In order to reach a comprehensive approach of disease management, the importance of non-pharmacological treatment in addition to pharmacological therapy has been recently highlighted. Read More

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http://dx.doi.org/10.3389/fphar.2020.00542DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219266PMC

Balance performance in patients with heart failure.

Heart Lung 2020 May 17. Epub 2020 May 17.

School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey.

Background: It has been suggested that patients with heart failure (HF) have an increased fall rate. Although balance is one of the most important risk factors for fall, there is not sufficient information about balance in HF.

Objective: To compare static, dynamic and functional balance between patients with HF and healthy controls. Read More

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http://dx.doi.org/10.1016/j.hrtlng.2020.04.004DOI Listing

Chronic cough in adults.

Eur J Intern Med 2020 May 17. Epub 2020 May 17.

Azienda Ospedaliera Universitaria, Department of Medical Sciences, Section of Cardiorespiratory and Internal Medicine, University of Ferrara, Via Aldo Moro 8, 44124 Cona Ferrara, Italy.

Cough, a defense mechanism for clearing the airways of secretions, exudate, or foreign bodies, may become a troublesome symptom. Chronic cough, one of the most frequent symptoms requiring medical attention, is often not due to identifiable causes in adults. Chronic productive cough defines chronic bronchitis, and thus is present in 100% of these patients, and frequently in patients with bronchiectasis, cystic fibrosis, and chronic infectious respiratory diseases. Read More

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http://dx.doi.org/10.1016/j.ejim.2020.03.018DOI Listing

The acute effects of cigarette smoke exposure on muscle fiber type dynamics in rats.

PLoS One 2020 20;15(5):e0233523. Epub 2020 May 20.

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong.

Reduced exercise capacity is common in people with chronic obstructive pulmonary diseases (COPD) and chronic smokers and is suggested to be related to skeletal muscle dysfunction. Previous studies using human muscle biopsies have shown fiber-type shifting in chronic smokers particularly those with COPD. These results, however, are confounded with aging effects because people with COPD tend to be older. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233523PLOS

How the COVID-19 infection tsunami revolutionized the work of respiratory physiotherapists: an experience from Northern Italy.

Monaldi Arch Chest Dis 2020 May 19;90(2). Epub 2020 May 19.

Cardiac Rehabilitation, ICS Maugeri IRCCS, Institute of Lumezzane.

Due to COVID-19 outbreak, to lighten the burden of acute and critical care hospitals, some respiratory rehabilitation departments have been used to host patients with COVID-19 in the post-acute phase. This new and unexpected situation required a change of roles and scheduling of the rehabilitation teams. In this manuscript we describe the unexpected and urgent organizational change of the Cardio-Pulmonary Rehabilitation (CPR) service during the COVID-19 emergency in a Northern Italian rehabilitation hospital, focusing on the Respiratory Physiotherapists' (RPTs) role. Read More

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http://dx.doi.org/10.4081/monaldi.2020.1085DOI Listing

Pulmonary embolism: clinical presentation and diagnosis in the oldest old.

Intern Med J 2020 May;50(5):627-631

South Western Sydney Clinical School, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.

The incidence of pulmonary embolism (PE) in the oldest old (persons aged ≥85) is increasing, but there are limited data on its clinical features and diagnosis. We performed a retrospective cohort study of 302 consecutive patients with confirmed PE and compared the oldest old to the young (aged <65) and the younger old (aged 65-84). The most common symptoms in the oldest old were dyspnoea (74. Read More

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http://dx.doi.org/10.1111/imj.14824DOI Listing

Supervised pulmonary hypertension exercise rehabilitation (SPHERe): study protocol for a multi-centre randomised controlled trial.

BMC Pulm Med 2020 May 19;20(1):143. Epub 2020 May 19.

Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.

Background: Supervised cardio-pulmonary rehabilitation may be safe and beneficial for people with pulmonary hypertension (PH) in groups 1 (pulmonary arterial hypertension) and 4 (chronic thromboembolic disease), particularly as a hospital in-patient. It has not been tested in the most common PH groups; 2 (left heart disease), 3 (lung disease), or 5 (other disorders). Further it has not been evaluated in the UK National Health Service (NHS) out-patient setting, or with long-term follow-up. Read More

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http://dx.doi.org/10.1186/s12890-020-01182-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236437PMC

[Intraoperative Aspiration].

Authors:
Yiyao Cui Yong Cui

Zhongguo Fei Ai Za Zhi 2020 May;23(5):393-401

Department of Thoracic Surgery, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China.

Intraoperative aspiration is a common pulmonary complication in the surgery, anesthesia and position were main factors leading to the operative aspiration. In recent years, perioperative lung protection has attracted wide attention of thoracic surgeons and anesthetist; how to accelerate the process of postoperative rehabilitation, reduce the incidence of related complications and significantly improve the prognosis of patients, these have become a chief goal of surgical treatment. This article will center on operative aspiration and summarize it from anatomy, pathophysiology, manifestation, diagnosis, treatment and prevention. Read More

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http://dx.doi.org/10.3779/j.issn.1009-3419.2020.101.22DOI Listing

Joint Statement on the Role of Respiratory Rehabilitation in the COVID-19 Crisis: The Italian Position Paper.

Respiration 2020 May 19:1-7. Epub 2020 May 19.

Respiratory Rehabilitation of the Institute of Montescano, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.

Due to the exponential growth of the number of subjects affected by coronavirus disease 2019 (COVID-19), the entire Italian health care system had to respond promptly and in a very short time with the need of semi-intensive and intensive care units. Moreover, trained dedicated COVID-19 teams consisting of physicians were coming from different specialties (intensivists or pneumologists and infectiologists), while respiratory therapists and nurses have been recruited to work on and on without rest. However, due to still limited and evolving knowledge of COVID-19, there are few recommendations concerning the need in respiratory rehabilitation and physiotherapy interventions. Read More

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http://dx.doi.org/10.1159/000508399DOI Listing

Decannulation after a severe Acquired Brain Injury (sABI).

Arch Phys Med Rehabil 2020 May 16. Epub 2020 May 16.

IRCCS Fondazione Don Carlo Gnocchi.

Objective: To identify the impact of some clinical characteristics of sABI patients on the decannulation success during the Intensive Rehabilitation Unit (IRU) stay.

Design: Nonconcurrent cohort study SETTING: and Participants: Patients with sABI and tracheostomy were retrospectively selected from the database of the IRU of the Don Gnocchi Foundation Institute.

Main Outcome Measures: Potential predictors of decannulation were screened from variables collected at admission during clinical examination, conducted by trained and experienced examiners. Read More

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http://dx.doi.org/10.1016/j.apmr.2020.05.004DOI Listing

Dynamical network analysis reveals key microRNAs in progressive stages of lung cancer.

PLoS Comput Biol 2020 May 19;16(5):e1007793. Epub 2020 May 19.

School of Electrical, Computer and Energy Engineering, Arizona State University, Tempe, Arizona, United States of America.

Non-coding RNAs are fundamental to the competing endogenous RNA (CeRNA) hypothesis in oncology. Previous work focused on static CeRNA networks. We construct and analyze CeRNA networks for four sequential stages of lung adenocarcinoma (LUAD) based on multi-omics data of long non-coding RNAs (lncRNAs), microRNAs and mRNAs. Read More

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http://dx.doi.org/10.1371/journal.pcbi.1007793DOI Listing

Higher Knee Contact Forces Might Underlie Increased Osteoarthritis Rates in High Functioning Amputees: A Pilot Study.

J Orthop Res 2020 May 19. Epub 2020 May 19.

Department of Bioengineering, Imperial College London, London, SW7 2AZ, United Kingdom.

High functioning military transtibial amputees (TTAs)with well-fitted state of the art prosthetics have gait that is indistinguishable from healthy individuals, yet they are more likely to develop knee osteoarthritis (OA)of their intact limbs. This contrasts with the information at the knees of the amputated limbs that has been shown to be at a significantly reduced risk of pain and OA. The hypothesis of this study is that biomechanics can explain the difference in knee OA risk. Read More

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http://dx.doi.org/10.1002/jor.24751DOI Listing

[Statement of the Austrian Society of Pneumology (ASP)].

Wien Klin Mag 2020 May 18:1-22. Epub 2020 May 18.

15Klinische Abteilung für pädiatrische Pulmonologie und Allergologie, Univ. Klinik für Kinder- und Jugendheilkunde, Medizinische Universität Graz, Auenbruggerplatz 34/2, 8036 Graz, Österreich.

The COVID-19 pandemic is currently a challenge worldwide. In Austria, a crisis within the health care system has so far been avoided. The treatment of patients with community-acquired pneumonia (CAP), including SARS-CoV‑2 infections, should continue to be based on evidence-based CAP guidelines during the pandemic. Read More

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http://dx.doi.org/10.1007/s00740-020-00350-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232599PMC

Prognostication in COPD using physical function measures: Let's walk before we run away with conclusions.

Respir Med 2020 Jun 21;167:105942. Epub 2020 Mar 21.

Brunel University London, UK. Electronic address:

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http://dx.doi.org/10.1016/j.rmed.2020.105942DOI Listing

An Evaluation of Service Provision and Novel Strength Assessment on Patient Outcomes in a UK-Based Pulmonary Rehabilitation Setting.

COPD 2020 May 18:1-9. Epub 2020 May 18.

School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, UK.

This study's purpose was to (i) assess the impact of a 7-week pulmonary rehabilitation (PR) programme upon patient outcomes; incremental shuttle walk test (ISWT), COPD assessment tool (CAT), Clinical COPD Questionnaire (CCQ) and the Hospital Anxiety and Depression Scale (HADS); (ii) assess the impact of COPD severity on ISWT, psychological functioning and quality of life measures following PR; (iii) assess the feasibility of incorporating individually prescribed one repetition maximum (1RM) training loads into the existing strength training programme. Patients were people with COPD enrolled onto one of three versions (locations A, B and C) of a 7-week PR programme, which consisted of group exercise sessions and a social plus education element. Two locations incorporated individually prescribed training loads. Read More

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http://dx.doi.org/10.1080/15412555.2020.1764519DOI Listing

Compelling indications should be listed for individual beta-blockers (due to diversity), not for the whole class.

Curr Vasc Pharmacol 2020 May 18. Epub 2020 May 18.

Health Center Kladovo, Kladovo. Serbia.

Introduction Beta blockers (BBs) are an important class of drugs, with numerous indications in cardiology, emergency and general medicine. The indications include heart failure (HF), acute myocardial infarction (AMI), post-MI [1], supraventricular and ventricular arrhythmias, chronic coronary syndrome, systemic arterial hypertension (HTN), hypertrophic cardiomyopathy and aortic aneurysm or dissection. All BBs decrease heart rate (HR) and blood pressure (BP), the major determinants of myocardial oxygen consumption; therefore, myocardial anti-ischemic action is a class effect. Read More

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http://dx.doi.org/10.2174/1570161118666200518113833DOI Listing

Personalised rehabilitation for cardiac and pulmonary patients with multimorbidity: Time for implementation?

Eur J Prev Cardiol 2020 May 16:2047487320926058. Epub 2020 May 16.

Division of Health Sciences, University of Warwick, UK.

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http://dx.doi.org/10.1177/2047487320926058DOI Listing

Tai Chi Movements for Wellbeing - evaluation of a British Lung Foundation pilot.

Perspect Public Health 2020 May 6;140(3):172-180. Epub 2019 Sep 6.

National Heart and Lung Institute, Muscle Laboratory, Imperial College London, London, UK.

Aims: In breathless individuals with respiratory disease, pulmonary rehabilitation (PR) can improve exercise capacity, symptoms and ability to cope with their condition. However, access is often limited, and adherence can be poor. Thus, there is interest in developing alternative and complementary forms of exercise intervention and tai chi may be effective in this context. Read More

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http://dx.doi.org/10.1177/1757913919872515DOI Listing

Tuberculosis, COVID-19 and migrants: preliminary analysis of deaths occurring in 69 patients from two cohorts.

Pulmonology 2020 May 14. Epub 2020 May 14.

Servizio di Epidemiologia Clinica delle Malattie Respiratorie, Istituti Clinici Scientifici Maugeri IRCCS, Tradate, Italy.

Little is known about the relationship between the COVID-19 and tuberculosis (TB). The aim of this study is to describe a group of patients who died with TB (active disease or sequelae) and COVID-19 in two cohorts. Data from 49 consecutive cases in 8 countries (cohort A) and 20 hospitalized patients with TB and COVID-19 (cohort B) were analysed and patients who died were described. Read More

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http://dx.doi.org/10.1016/j.pulmoe.2020.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221402PMC

Analyzing the prognostic value of DKK1 expression in human cancers based on bioinformatics.

Ann Transl Med 2020 Apr;8(8):552

Department of Rehabilitation Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China.

Background: The Dickkopf1 () gene encodes a protein that belongs to the Dickkopf family. The protein can inhibit the Wnt signaling pathway which plays a key role in the carcinogenesis and progression of various types of cancers. Based on this, we hypothesized that the differential expression of DKK1 may figure significantly in cancers by regulating Wnt signaling pathway transduction. Read More

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http://dx.doi.org/10.21037/atm-20-3263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214893PMC

Pulmonary Rehabilitation for Patients with Coronavirus Disease 2019 (COVID-19).

Chronic Dis Transl Med 2020 May 14. Epub 2020 May 14.

Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing 100029, China.

As a highly infectious respiratory tract disease, coronavirus disease 2019 (COVID-19) can cause respiratory, physical, and psychological dysfunction in patients. Therefore, pulmonary rehabilitation is crucial for both admitted and discharged patients of COVID-19. In this study, based on the newly released pulmonary rehabilitation guidelines for patients with COVID-19, as well as evidence from the pulmonary rehabilitation of patients with severe acute respiratory syndrome, we investigated pulmonary rehabilitation for patients with COVID-19 having complications, such as chronic pulmonary disease, and established an intelligent respiratory rehabilitation model for these patients. Read More

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http://dx.doi.org/10.1016/j.cdtm.2020.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221406PMC

L-Glutamine Supplementation Improves the Benefits of Combined-Exercise Training on Oral Redox Balance and Inflammatory Status in Elderly Individuals.

Oxid Med Cell Longev 2020 22;2020:2852181. Epub 2020 Jan 22.

Department of Otorhinolaryngology, ENT Lab, Federal University of São Paulo (UNIFESP), Rua dos Otonis, 700, Piso superior/Second floor, Sao Paulo SP 04025-002, Brazil.

Although regular combined aerobic-resistance exercises can ameliorate the inflammatory status and redox balance in elderly population, it is unclear whether protein or specific amino acid supplementation could improve such benefits. Therefore, we aimed to evaluate the inflammatory status and redox indexes through of the saliva of 34 elderly subject nonpractitioners (NP group, 73.3 ± 6. Read More

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http://dx.doi.org/10.1155/2020/2852181DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204202PMC
January 2020

Risk factors and pathogenic microorganism characteristics for pneumonia in convalescent patients with stroke: A retrospective study of 380 patients from a rehabilitation hospital: A retrospective study of risk factors and pathogenic microorganism characteristics for pneumonia in convalescent patients with stroke.

Authors:
Jia Xu Zhiling Yang

J Stroke Cerebrovasc Dis 2020 May 14:104955. Epub 2020 May 14.

Department of pharmacy, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, 410016, China.

Background: Pneumonia is a major complication leading to death after stroke. The risk factors of pneumonia in convalescent patients who have experienced stroke remain poorly defined.

Methods: To identify the risk factors of pneumonia, we applied logistic regression as a statistical method using SPSS23. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2020.104955DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221409PMC

Balance impairment in individuals with COPD: a systematic review with meta-analysis.

Thorax 2020 May 14. Epub 2020 May 14.

School of Health and Life Sciences, Teesside University, Middlesbrough, UK.

Background: People with chronic obstructive pulmonary disease (COPD) are four times more likely to fall than healthy peers, leading to increased morbidity and mortality. Poor balance is a major risk factor for falls. This review aims to quantify the extent of balance impairment in COPD, and establish contributing clinical factors, which at present are sparse. Read More

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http://dx.doi.org/10.1136/thoraxjnl-2019-213608DOI Listing

The Wildman Programme. A Nature-Based Rehabilitation Programme Enhancing Quality of Life for Men on Long-Term Sick Leave: Study Protocol for a Matched Controlled Study In Denmark.

Int J Environ Res Public Health 2020 May 12;17(10). Epub 2020 May 12.

Department of Psychology, University of Southern Denmark, 5230 Odense M, Denmark.

Many men have poor mental health and need help to recover. However, designing a rehabilitation intervention that appeals to men is challenging. This study protocol aims to describe the 'Wildman Programme', which will be a nature-based rehabilitation programme for men on long-term sick leave due to health problems such as stress, anxiety, depression, post-cancer and chronic cancer, chronic obstructive pulmonary disease (COPD), cardiovascular disease, or diabetes type II. Read More

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http://dx.doi.org/10.3390/ijerph17103368DOI Listing

The clinical implication of dynamic neutrophil to lymphocyte ratio and D-dimer in COVID-19: A retrospective study in Suzhou China.

Thromb Res 2020 May 6;192:3-8. Epub 2020 May 6.

Department of Pulmonary, The Affiliated Infectious Diseases Hospital of Soochow University, Suzhou 215007, China. Electronic address:

Objective: To investigate the clinical features of COVID-19 cases in Suzhou China. Biomarkers were screened out of hematological parameters for risk stratification.

Method: Confirmed COVID-19 adult patients in Suzhou were included. Read More

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http://dx.doi.org/10.1016/j.thromres.2020.05.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201241PMC

Ultra-shortwave diathermy - a new purported treatment for management of patients with COVID-19.

Physiother Theory Pract 2020 May 14;36(5):559-563. Epub 2020 May 14.

Mater Research , Brisbane, Australia.

The pandemic spread of coronavirus disease 2019 (COVID-19) has driven efforts to address the global threat to public health and there is increasing pressure to exploit interventions to manage the pneumonic inflammation manifested in this disease. Ultra-shortwave diathermy (USWD) is proposed by some rehabilitation professions in China, purportedly to minimise pneumonic inflammation. However, treatment of any symptomatic pneumonia should be evidence-based. Read More

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http://dx.doi.org/10.1080/09593985.2020.1757264DOI Listing

Demographics, mechanism of injury, and associated injuries of 25,615 patients with talus fractures in the National Trauma Data Bank.

J Clin Orthop Trauma 2020 May-Jun;11(3):426-431. Epub 2019 Jun 8.

Yale School of Medicine, Department of Orthopaedics and Rehabilitation, 47 College Street, New Haven, CT, 06510, USA.

Background: Extensive research has been conducted concerning the epidemiology of fractures of the calcaneus and ankle. However, less work has characterized the population sustaining talus fractures, necessitating the analysis of a large, national sample to assess the presentation of this important injury.

Methods: The current study included adult patients from the 2011 through 2015 National Trauma Data Bank (NTDB) who had talus fractures. Read More

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http://dx.doi.org/10.1016/j.jcot.2019.06.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211819PMC

Effects of a Virtual Reality Dance Training Program on Kyphosis Angle and Respiratory Parameters in Young Women With Postural Hyperkyphosis: A Randomized Controlled Clinical Trial.

J Sport Rehabil 2020 May 13:1-7. Epub 2020 May 13.

Context: Thoracic hyperkyphosis, one of the most common spinal deformities, may lead to undesirable pulmonary outcomes.

Objective: To study, the efficacy of virtual reality exercise training on thoracic hyperkyphosis and respiratory parameters in young women.

Design: Randomized clinical trial. Read More

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http://dx.doi.org/10.1123/jsr.2019-0303DOI Listing