77,962 results match your criteria rehabilitation measures

The Frequency of Atypical and Extreme Values for Pharyngeal Phase Swallowing Measures in Mild Parkinson Disease Compared to Healthy Aging.

J Speech Lang Hear Res 2021 Jul 27:1-19. Epub 2021 Jul 27.

Swallowing Rehabilitation Research Laboratory, KITE Research Institute - University Health Network, Toronto, Ontario, Canada.

Purpose Dysphagia is thought to be prevalent and a leading cause of morbidity and mortality in people with Parkinson disease (PwPD). The aim of this study was to compare the frequencies of atypical and extreme values for measures of swallowing physiology in PwPD and in an age- and sex-matched cohort of healthy adults. Atypical and extreme values were defined, respectively, as values falling in the 25% and 5% tails of the reference distribution for healthy adults under age 60 years. Read More

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Exercise improves cardiorespiratory fitness but not arterial health after spinal cord injury: The CHOICES trial.

J Neurotrauma 2021 Jul 27. Epub 2021 Jul 27.

The University of British Columbia International Collaboration on Repair Discoveries, 507272, Vancouver, British Columbia, Canada.

Arterial stiffness, as measured by carotid-femoral pulse wave velocity (cfPWV), is elevated after spinal cord injury (SCI). In the uninjured population, exercise training has been shown to reduce arterial stiffness. In a randomized, clinical multicenter trial, we evaluated the impact of two exercise interventions on cardiovascular disease risk factors in individuals with chronic SCI. Read More

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Expected impact of lockdown measures due to COVID-19 on disabling conditions: a modelling study of chronic low back pain.

Eur Spine J 2021 Jul 27. Epub 2021 Jul 27.

IRCCS Istituto Ortopedico Galeazzi, Via Galeazzi 4, 20161, Milan, Italy.

Purpose: The COVID-19 pandemic and the containment measures such as social distancing, mobility restrictions and quarantine have significantly impacted the delivery of healthcare services, with possible negative effects on low back pain patients. In this study, we used an innovative agent-based model to quantify the effects of COVID-19 on the prevalence and severity of low back pain in the general population.

Methods: Epidemiological data were used to simulate the low back pain evolution in a population of 300,000 agents. Read More

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Electromyographic analysis of select eccentric-focused rotator cuff exercises.

Physiother Theory Pract 2021 Jul 27:1-9. Epub 2021 Jul 27.

Nicholas Institute of Sports Medicine and Athletic Trauma, Manhattan Eye Ear and Throat Hospital, NY, USA.

: Eccentric-focused rotator cuff exercises are clinically useful in rehabilitation; however, to what extent these exercises activate shoulder musculature is unknown. Investigate peak electromyographic (EMG) activity of shoulder musculature during eccentric-focused rotator cuff exercises to inform clinical decision-making. Surface EMG activity was measured in 15 healthy subjects from 5 muscles of the dominant shoulder: supraspinatus, infraspinatus, upper trapezius, lower trapezius, and middle deltoid. Read More

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A study of the accuracy of the Fitbit Zip in measuring steps both indoors and outdoors in a mixed rehabilitation population.

Clin Rehabil 2021 Jul 27:2692155211035293. Epub 2021 Jul 27.

Clinical Rehabilitation, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.

Objective: To assess (1) step count accuracy of the Fitbit Zip, compared to manual step count, in people receiving outpatient rehabilitation, in indoor and outdoor conditions, and (2) impact of slow walking speed on Fitbit accuracy.

Design: Observational study.

Setting: A metropolitan rehabilitation hospital. Read More

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Thirty-day hospital readmission rate, reasons, and risk factors after acute inpatient cancer rehabilitation.

Cancer Med 2021 Jul 27. Epub 2021 Jul 27.

Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Objectives: To evaluate the 30-day hospital readmission rate, reasons, and risk factors for patients with cancer who were discharged to home setting after acute inpatient rehabilitation.

Design, Setting, And Participants: This was a secondary retrospective analysis of participants in a completed prospective survey study that assessed the continuity of care and functional safety concerns upon discharge and 30 days after discharge in adults. Patients were enrolled from September 5, 2018, to February 7, 2020, at a large academic quaternary cancer center with National Cancer Institute Comprehensive Cancer Center designation. Read More

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Graph-theoretical analysis of EEG functional connectivity during balance perturbation in traumatic brain injury: A pilot study.

Hum Brain Mapp 2021 Jul 26. Epub 2021 Jul 26.

Center for Mobility and Rehabilitation Engineering Research, Kessler Foundation, West Orange, New Jersey, USA.

Traumatic brain injury (TBI) often results in balance impairment, increasing the risk of falls, and the chances of further injuries. However, the underlying neural mechanisms of postural control after TBI are not well understood. To this end, we conducted a pilot study to explore the neural mechanisms of unpredictable balance perturbations in 17 chronic TBI participants and 15 matched healthy controls (HC) using the EEG, MRI, and diffusion tensor imaging (DTI) data. Read More

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A randomized clinical trial of plasticity-based cognitive training in mild traumatic brain injury.

Brain 2021 Jul 27. Epub 2021 Jul 27.

Posit Science Corporation, San Francisco, CA, USA.

Clinical practice guidelines support cognitive rehabilitation for people with a history of mild traumatic brain injury (mTBI) and cognitive impairment, but no class I randomized clinical trials have evaluated the efficacy of self-administered computerized cognitive training. The goal of this study was to evaluate the efficacy of a self-administered computerized plasticity-based cognitive training programmes in primarily military/veteran participants with a history of mTBI and cognitive impairment. A multisite randomized double-blind clinical trial of a behavioural intervention with an active control was conducted from September 2013 to February 2017 including assessments at baseline, post-training, and after a 3-month follow-up period. Read More

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Diagnosis and Management of Hypermobility Spectrum Disorders in Primary Care.

J Am Board Fam Med 2021 Jul-Aug;34(4):838-848

From Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison (KA, WM, JD, SJ, AM, SS); University of Wisconsin Department of Kinesiology, Madison (SA); Department of Orthopedics and Rehabilitation Medicine, University of Wisconsin School of Medicine and Public Health, Madison (NR).

Hypermobility spectrum disorders (HSDs) encompass an array of connective tissue disorders characterized by joint instability and chronic pain. Fatigue and other systemic symptoms that affect daily functioning may occur, as well. Accurate data on incidence and prevalence of HSDs is hampered by lack of awareness of these conditions and the wide heterogeneity of their clinical presentation. Read More

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Neurophysiological changes of brain and spinal cord in individuals with patellofemoral pain: a systematic review and meta-analysis protocol.

BMJ Open 2021 Jul 26;11(7):e049882. Epub 2021 Jul 26.

Department of Physical Therapy, University of Nevada, Las Vegas, Las Vegas, Nevada, USA

Introduction: Reduced neuromuscular control due to altered neurophysiological functions of the central nervous system has been suggested to cause movement deficits in individuals with patellofemoral pain (PFP). However, the underlying neurophysiological measures of brain and spinal cord in this population remain to be poorly understood. The purpose of this systematic review is to evaluate the evidence for altered cortical and spinal cord functions in individuals with PFP. Read More

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Dynamic stabilization home exercise program for treatment of thumb carpometacarpal osteoarthritis: A prospective randomized control trial.

J Hand Ther 2021 Jul 23. Epub 2021 Jul 23.

Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL, USA.

Study Design: Randomized control trial.

Introduction: Thumb carpometacarpal (CMC) osteoarthritis (OA) is a common cause of hand pain and disability. Standard conservative therapy (SCT) for thumb CMC OA includes an orthosis and instruction in joint protection, adaptive equipment, and pain relieving modalities. Read More

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Atlas of MRI findings of sacroiliitis in pediatric sacroiliac joints to accompany the updated preliminary OMERACT pediatric JAMRIS (Juvenile Idiopathic Arthritis MRI Score) scoring system: Part II: Structural damage lesions.

Semin Arthritis Rheum 2021 Jul 10. Epub 2021 Jul 10.

Canada Department of Radiology and Diagnostic Imaging, University of Alberta and WC Mackenzie Health Sciences Center, Edmonton, Alberta, Canada.

Magnetic resonance imaging (MRI) is the imaging modality of choice for identifying sacroiliitis in juvenile idiopathic arthritis (JIA). Besides active lesions of sacroiliitis, of which bone marrow edema (BME) is the key feature, structural damage lesions can also be detected. Structural changes include erosion, sclerosis, fat lesion, backfill and ankylosis, and are more common at later stages. Read More

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Atlas of MRI findings of sacroiliitis in pediatric sacroiliac joints to accompany the updated preliminary OMERACT pediatric JAMRIS (Juvenile Idiopathic Arthritis MRI Score) scoring system: Part I: Active lesions.

Semin Arthritis Rheum 2021 Jul 9. Epub 2021 Jul 9.

Canada Department of Radiology and Diagnostic Imaging, University of Alberta and WC Mackenzie Health Sciences Center, Edmonton, Alberta, Canada.

Magnetic resonance imaging (MRI) is an increasingly important tool for identifying involvement of the sacroiliac joints (SIJ) in juvenile idiopathic arthritis (JIA). The key feature for diagnosing active sacroiliitis is bone marrow edema (BME), but other features of active arthritis such as joint space inflammation, inflammation in an erosion cavity, capsulitis and enthesitis can be seen as well. Structural changes may also be seen. Read More

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Rapid Assessment of Blood Pressure Variability and Outcome After Successful Thrombectomy.

Stroke 2021 Jul 27:STROKEAHA121034291. Epub 2021 Jul 27.

Faculty of Medicine of University of Porto, Portugal. Neurocritical Care and Emergency Neurology, Yale School of Medicine and Yale-New Haven Hospital, CT. (C.K.N., N.P.).

Background And Purpose: High blood pressure (BP) variability after endovascular stroke therapy is associated with poor outcome. Conventional BP variability measures require long recordings, limiting their utility as a risk assessment tool to guide clinical decision-making. Here, we performed rapid assessment of BP variability by spectral analysis and evaluated its association with early clinical improvement and long-term functional outcomes. Read More

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Factors Associated With Unplanned Transfers Among Cancer Patients At A Freestanding Acute Rehabilitation Facility.

PM R 2021 Jul 22. Epub 2021 Jul 22.

Shirley Ryan AbilityLab, Chicago, Illinois, United States.

Introduction: Cancer patients undergoing inpatient rehabilitation often have high risk of complications leading to unplanned transfer to acute care. Prior studies have identified factors associated with these transfers but have been limited to examining factors that pertain to initial admission to rehabilitation and were not conducted in a freestanding inpatient rehabilitation facility.

Objective: Our study aimed to include these pre-rehabilitation factors in addition to factors upon initial assessment in rehabilitation. Read More

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Adverse events in the treatment of motorcycle-related isolated limb injuries at a regional hospital in Uganda: a prospective clinical analysis.

Int Orthop 2021 Jul 23. Epub 2021 Jul 23.

Department of Surgery, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda.

Purpose: Although motorcycle accidents are a leading cause of limb injury in Uganda, little is known about injury care quality at regional hospitals. This study measured the incidence of clinical adverse events (CAEs) and identified associated treatment barriers surrounding motorcycle-related isolated limb injuries at a regional hospital.

Methods: A prospective descriptive study was conducted among patients with motorcycle-related isolated limb injuries at a Ugandan regional hospital between September 2017 and February 2018. Read More

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A comparison of alternative selection methods for reporting spirometric parameters in healthy adults.

Sci Rep 2021 Jul 22;11(1):14945. Epub 2021 Jul 22.

Airborne Hazards and Burn Pits Center of Excellence, War Related Illness and Injury Study Center, VA New Jersey Health Care System, East Orange, NJ, USA.

Alternative methods have been proposed to report spirometry indices from test sessions (forced expiratory volume 1 s, FEV; forced vital capacity, FVC). However, most use the American and European Societies' standard (ATS/ERS) which stops sessions once a repeatability threshold is met which may not accurately represent intra-session variability. Our goal was to repeat trials beyond the repeatability threshold and evaluate alternative reporting methods. Read More

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Higher concentrations of vitamin D in Canadian children with juvenile idiopathic arthritis compared to healthy controls are associated with more frequent use of vitamin D supplements and season of birth.

Nutr Res 2021 Jun 13;92:139-149. Epub 2021 Jun 13.

The University of Toronto and The Hospital for Sick Children, Toronto, Canada.

A number of studies have demonstrated that patients with autoimmune disease have lower levels of vitamin D prompting speculation that vitamin D might suppress inflammation and immune responses in children with juvenile idiopathic arthritis (JIA).  The objective of this study was to compare vitamin D levels in children with JIA at disease onset with healthy children. We hypothesized that children and adolescents with JIA have lower vitamin D levels than healthy children and adolescents. Read More

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Contribution of altered corticospinal microstructure to gait impairment in children with cerebral palsy.

Clin Neurophysiol 2021 Jul 15;132(9):2211-2221. Epub 2021 Jul 15.

Medical Physics and Biomedical Engineering Department, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Physical Medicine and Rehabilitation Department, Northwestern University, USA. Electronic address:

Objective: Corticospinal tract (CST) injury may lead to motor disorders in children with Cerebral Palsy (CP). However, the precise underlying mechanisms are still ambiguous. We aimed to characterize the CST structure and function in children with CP and determine their contributions to balance and gait impairments. Read More

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Cognitive behavioural therapy versus health education for sleep disturbance and fatigue after acquired brain injury: a pilot randomised trial.

Ann Phys Rehabil Med 2021 Jul 23:101560. Epub 2021 Jul 23.

Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, VIC, Australia; Monash Epworth Rehabilitation Research Centre, Melbourne, VIC, Australia.

Background: Sleep disturbance and fatigue are highly prevalent after acquired brain injury (ABI) and are associated with poor functional outcomes. Cognitive behavioural therapy (CBT) is a promising treatment for sleep and fatigue problems after ABI, although comparison with an active control is needed to establish efficacy.

Objectives: We compared CBT for sleep disturbance and fatigue (CBT-SF) with a health education (HE) intervention to control for non-specific therapy effects. Read More

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Occupational Exposure to Metalworking Fluid and the Effect on Health Symptoms - An Intervention Study.

J Occup Environ Med 2021 Jul 22. Epub 2021 Jul 22.

Department of Occupational and Environmental Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (Thorneus, Bryngelsson, Fornander); National Institute of Occupational Health, Oslo, Norway (Graff); Holmen Paper Braviken, Norrköping, Sweden (Nordenberg); Pain and Rehabilitation Center, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden (Ghafouri); and Siemens Energy AB, Finspång, Sweden (Johansson).

Exposure to metalworking fluid has been shown to cause health problems among workers. The aim of this study was to compare health outcomes and levels of exposure among workers exposed to metalworking fluid before and after the implementation of preventive measures. The frequencies of self-reported symptoms, as well as the concentrations of measured substances were lower after the implementation of preventive measures. Read More

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Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review.

Cochrane Database Syst Rev 2021 Jul 26;7:CD013384. Epub 2021 Jul 26.

Physiotherapy, Alfred Health, Melbourne, Australia.

Background: Chronic obstructive pulmonary disease (COPD) is a chronic respiratory condition characterised by shortness of breath, cough and recurrent exacerbations. People with COPD often live with one or more co-existing long-term health conditions (comorbidities). People with more severe COPD often have a higher number of comorbidities, putting them at greater risk of morbidity and mortality. Read More

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What are the Predictors of Return to Work for People With Elbow, Wrist, and Hand Conditions? A Systematic Review.

J Occup Rehabil 2021 Jul 26. Epub 2021 Jul 26.

Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, The University of Vermont, 106 Carrigan Drive, Burlington, VT, 05452, USA.

Purpose Conditions affecting the elbow, forearm, wrist, and hand can cause debilitating pain and loss of function in the working population. While there is knowledge about intervention options for this region of the body, there is limited research on systematically identifying the predictors of return to work in this population. Methods A systematic literature review identified all English-language studies that assess predictors of return to work for people with elbow, wrist, and hand conditions from 2009 to 2021 using PRISMA guidelines. Read More

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Putting Our Shoulder to the Wheel: Current Understanding and Gaps in Nerve Ablation for Chronic Shoulder Pain.

Pain Med 2021 Jul;22(Supplement_1):S2-S8

Department of Anesthesiology, University of Texas Health Science Center at San Antonio, Texas, USA.

Shoulder pain is prevalent, burdensome, and functionally limiting, with diverse pathology and associated treatments. This narrative review provides a summary of relevant neuroanatomy, proposed ablation targets, safety and efficacy concerns for ablation targets, and current research gaps. Radiofrequency ablation (RFA) of peripheral sensory nerves is a well-established treatment for chronic joint and spine pain, but it is relatively nascent for shoulder pain. Read More

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The accumulation of subconcussive impacts on cognitive, imaging, and biomarker outcomes in child and college-aged athletes: a systematic review.

Brain Imaging Behav 2021 Jul 26. Epub 2021 Jul 26.

Department of Kinesiology, Penn State University, 25 Recreation Hall, University Park, PA, 16802, USA.

Examine the effect of subconcussive impact accumulation on cognitive/functional, imaging, and biomarker outcomes over the course of a single season, specifically in contact sport athletes at collegiate level or younger. Systematic review following PRISMA guidelines and using Oxford Center for Evidence-Based Medicine 2011 Levels of Evidence and Newcastle Ottawa Assessment Scale. PubMed MEDLINE, PsycInfo, SPORT-Discus, Web of Science. Read More

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Physical Activity Behavior and Mental Health Among University Students During COVID-19 Lockdown.

Front Sports Act Living 2021 9;3:682175. Epub 2021 Jul 9.

School of Health Sciences, Central Michigan University, Mt. Pleasant, MI, United States.

The coronavirus disease 2019 (COVID-19) pandemic placed social, travel, school access, and learning restrictions on University students. Excessive restriction measures have been shown to have negative impacts on mental health. Physical activity preserves mental health, and may be useful during quarantines. Read More

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Implementation of a pooled surveillance testing program for asymptomatic SARS-CoV-2 infections in K-12 schools and universities.

EClinicalMedicine 2021 Aug 17;38:101028. Epub 2021 Jul 17.

Mirimus Inc, 760 Parkside Ave. Suite 206, Brooklyn, NY 11226, USA.

Background: The negative impact of continued school closures during the height of the COVID-19 pandemic warrants the establishment of cost-effective strategies for surveillance and screening to safely reopen and monitor for potential in-school transmission. Here, we present a novel approach to increase the availability of repetitive and routine COVID-19 testing that may ultimately reduce the overall viral burden in the community.

Methods: We implemented a testing program using the SalivaClear࣪ pooled surveillance method that included students, faculty and staff from K-12 schools (student age range 5-18 years) and universities (student age range >18 years) across the country (Mirimus Clinical Labs, Brooklyn, NY). Read More

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Applying Environmental Context to Rehabilitation Research Using Geographic Information Systems and Global Positioning Systems Geospatial Technologies.

Rehabil Res Policy Educ 2021 ;35(1):33-50

Boston University, Department of Earth and Environment, Boston, MA, USA.

Background: The International Classification of Functioning, Disability, and Health includes important considerations of environmental context in understanding disability, but the environmental impact is often difficult to measure.

Purpose: Demonstrates the use of Geographic Information Systems (GIS) and Global Positioning Systems (GPS) in rehabilitation research in assessing accessibility and participation; describes how to use these methods, and presents several considerations in using GIS and GPS in research.

Method: Using methods from public health and medical geography, this article describes how to apply GIS and GPS technologies to rehabilitation research to measure community participation and accessibility to resources. Read More

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January 2021

Meridian acupuncture plus massage for children with spastic cerebral palsy.

Am J Transl Res 2021 15;13(6):6415-6422. Epub 2021 Jun 15.

Department of Radiology, Guiyang Maternal and Child Health Hospital Guiyang 550003, Guizhou Province, China.

Objective: To evaluate the effect of combination therapy of meridian acupuncture and massage on motor development in children with spastic cerebral palsy (SCP).

Methods: A total of 113 children with SCP in our hospital were allocated into research group (63 cases, treated with meridian acupuncture plus massage) and control group (50 cases, treated with routine rehabilitation measures). Clinical efficacy and alterations of inflammatory factors were observed. Read More

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The Beneficial Role of Auricular Point Pressure in Insomnia and Anxiety in Isolated COVID-19 Patients.

Evid Based Complement Alternat Med 2021 8;2021:6611942. Epub 2021 Jul 8.

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Background: Coronavirus disease 2019 (COVID-19) causes psychological distress and can have a negative impact on the general mental health and rehabilitation in affected patients under currently implemented isolation guidelines. Auricular point pressure (APP) as well-established technique in traditional Chinese medicine may help to relieve sleep disturbance and anxiety in COVID-19 patients.

Methods: During the early phase of the epidemic/pandemic, patients were enrolled in this study (02/2020 until 03/2020 = 84). Read More

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