Benefits of Early Mobilization After Pediatric Liver Transplantation*

Objective: To evaluate the impact of early mobilization after pediatric liver transplantation in the PICU. Design: A 70-month retrospective before-after study. Setting: Medical and surgical PICU with 20 beds at a tertiary children’s hospital. Patients: Seventy-five patients 2–18 years old who underwent liver transplantation and could walk before surgery. Intervention: We meticulously planned and implemented an early mobilization intervention, a multifaceted framework for early mobilization practice in the PICU focusing on a multidisciplinary team approach. Measurements and Main Results: There was a significant increase in the proportion of patients who received physical therapy in the PICU (66% vs 100%; p
Source: Pediatric Critical Care Medicine - Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

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Abstract OBJECTIVE:: To evaluate the efficacy of neuromuscular electrical stimulation on quadriceps muscle strength and thickness in liver transplantation patients. DESIGN:: Phase-II, randomized, parallel-group, allocation-concealed, assessor-blinded, single-center controlled trial. SETTING:: Inpatient rehabilitation sector. SUBJECTS:: Patients following living donor liver transplantation. INTERVENTIONS:: The quadriceps muscle stimulation and the control groups received bilateral muscle electrical stimulation on the quadriceps and tibialis anterior muscles, respectively. Neuromuscular electrica...
Source: Clinical Rehabilitation - Category: Rehabilitation Authors: Tags: Clin Rehabil Source Type: research
Conclusions: In intervention development directed at increasing the level of PA and reducing sedentary time in recipients of solid-organ transplantation, attention should be paid to physical limitations, fear of negative effects, low expectations and self-confidence, health and physical outcomes, and exercise self-efficacy. PMID: 29757444 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Ther Source Type: research
Discussion of advocacy for the cause is a usual feature of our community, as we try things and attempt to make progress in persuading the world that rejuvenation research is plausible, practical, and necessary. There are more people engaged in advocacy now than at any time in the past decade, and so discussions of strategy come up often. New ventures kicked off in 2017 include the Geroscience online magazine, and among the existing ventures the LEAF / volunteers seem to be hitting their stride. The mainstream media continues to be as much a hindrance as a help, and where it is a help you will usually find Aubre...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
In October 2016, Jonathan Koch, a 51-year-old entertainment executive from Los Angeles, underwent a 17-hour procedure to replace the hand he lost to a mysterious, life-threatening illness. Six  months after surgery by the UCLA hand transplant team and countless hours of physical therapy, Koch continues to make remarkable strides in his recovery.Already, he has used his new hand to hold a jump rope, dribble a basketball, unscrew a bottle top  and swing a tennis racquet.His remarkable story about the illness that nearly took his life and the rare transplant procedure that helped him recover is chronicled by wr...
Source: UCLA Newsroom: Health Sciences - Category: Universities & Medical Training Source Type: news
Transplant recipients typically feel stronger and more energetic following transplant recovery. But returning to regular activities, sports and travel can be challenging. A few “transplant moms,” who’ve already been through the experience, share their wisdom and advice. Charlene, mom to Brent, 19, liver transplant recipient Planning a first vacation post-transplant is easier said than done. Charlene Newhall knows. And, she has a handful of advice, following a family summer trip to Arizona from their home in Maine: Work with your pharmacy to ensure you have enough medications. Research the closest major ...
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: Health & Wellness Parenting heart transplant Heart transplant program kidney transplant Kidney Transplant Program Liver transplant Liver Transplant Program Pediatric Transplant Center (PTC) Source Type: news
CONCLUSION: Minimally invasive LVAD therapy using the Impella 5.0 via the RSA cutdown is an attractive option in acute on chronic decompensated heart failure. Improvement in end organ function allows for transition to recovery or to advanced surgical therapies such as permanent LVAD and heart transplantation. Significant advantages to this approach include improved left ventricular unloading, lower anticoagulation need, and the potential for ambulation and physical therapy. PMID: 27660567 [PubMed]
Source: Ochsner Journal - Category: Journals (General) Tags: Ochsner J Source Type: research
Fight Aging! provides a weekly digest of news and commentary for thousands of subscribers interested in the latest longevity science: progress towards the medical control of aging in order to prevent age-related frailty, suffering, and disease, as well as improvements in the present understanding of what works and what doesn't work when it comes to extending healthy life. Expect to see summaries of recent advances in medical research, news from the scientific community, advocacy and fundraising initiatives to help speed work on the repair and reversal of aging, links to online resources, and much more. This content is...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Abstract BACKGROUND: Functional impairment is common in chronic liver disease (CLD) and improvement is expected following liver transplantation (LT). The 6-minute walk test (6MWT) is an objective measure of functional performance. We aimed to 1) Evaluate the feasibility of 6MWT performance after LT; 2) Compare LT 6MWT performance over time to patients with and without CLD; 3) Determine when LT 6MWT approaches expected values and 4) Investigate predictors of poor 6MWT performance. METHODS: The 6MWT was performed in 162 consecutive ambulatory participants (50 controls, 62 CLD, 50 LT). Sex, age, and BMI were use...
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Ther Source Type: research
Four years of nation-wide testing by The Centers for Medicare and Medicaid Services (CMS) has now proven that the current shared savings payment models do not work effectively for low-cost Accountable Care Organizations (ACOs). High-cost ACOs have more room to improve and therefore more opportunity for savings. For those organizations that have already developed efficient, low-cost care delivery systems, Shared Savings is retrogressive. In this model, inefficiency is rewarded and lower-cost systems are penalized. In fact, we have lost about 40 percent of the members of the first cohort of ACOs—the Pioneer program&mda...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Costs and Spending Equity and Disparities Featured Hospitals Insurance and Coverage Long-term Services and Supports Population Health Quality ACOs Bellin-Thedacare HealthPartners CMS global payment payment schemes risk-adjusted p Source Type: blogs
Conclusion Aerobic and resisted exercise has a positive effect in treatment of sarcopenic obesity and dyslipidemia (reducing fat mass, cholesterol and triglycerides levels while increasing muscle mass) post liver transplantation.
Source: Egyptian Journal of Medical Human Genetics - Category: Genetics & Stem Cells Source Type: research
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