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The concurrent validity and intrarater reliability of the Microsoft Kinect to measure thoracic kyphosis
This study aims to investigate the concurrent validity and intrarater reliability of the Microsoft Kinect to measure thoracic kyphosis against the Flexicurve. Thirty-three healthy individuals (age: 31±11.0 years, men: 17, height: 170.2±8.2 cm, weight: 64.2±12.0 kg) participated, with 29 re-examined for intrarater reliability 1–7 days later. Thoracic kyphosis was measured using the Flexicurve and the Microsoft Kinect consecutively in both standing and sitting positions. Both the kyphosis index and angle were calculated. The Microsoft Kinect showed excellent concurrent validity (intra...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Brief research reports Source Type: research

Functional effects of treadmill-based gait training at faster speeds in stroke survivors: a prospective, single-group study
To examine the functional effects of walking retraining at faster than self-selected speed (SSS). Ten individuals with chronic stroke participated in a 4-week training over a treadmill at walking speeds 40% faster than SSS, three times per week, 30 min/session. Outcome measures assessed before, after, and 2 months after the end of intervention were the Timed Up and Go, the 6-Minute Walk, the 10-Meter Walk test, the Modified Ashworth Scale, SSS, and fastest comfortable speed. After 4 weeks of training, all outcome measures showed clinically meaningful and statistically significant improvements (P (Source: Internation...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Brief research reports Source Type: research

Fatigue and physical fitness of mildly disabled persons with multiple sclerosis: a cross-sectional study
Fatigue is frequent and disabling in persons with multiple sclerosis (pwMS) with mild neurological disability. These patients also have impaired physical fitness. Whether mildly disabled pwMS are deconditioned, and this deconditioning is linked to fatigue, remains unknown. Our aim is to determine the physical fitness of mildly disabled patients with multiple sclerosis and study its relationship with perceived fatigue and to link perceived fatigue with other parameters. Twenty patients (14 women; mean age: 45.5 years) with mild disability (Expanded Disability Status Scale 0–4) underwent a 2-min walking test, Timed Up-...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Crouch gait can be an effective form of forced-use/no constraint exercise for the paretic lower limb in stroke
In hemiplegic gait the paretic lower limb provides less muscle power and shows a briefer stance compared with the unaffected limb. Yet, a longer stance and a higher power can be obtained from the paretic lower limb if gait speed is increased. This supports the existence of a ‘learned non-use’ phenomenon, similar to that underlying some asymmetric impairments of the motion of the eyes and of the upper limbs. Crouch gait (CG) (bent-hip bent-knee, about 30° minimum knee flexion) might be an effective form of ‘forced-use’ treatment of the paretic lower limb. It is not known whether it also stimulate...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Responsiveness of the functioning and disability parts of the International Classification of Functioning, Disability, and Health core sets in postacute stroke patients
To study the responsiveness of the International Classification of Functioning, Disability, and Health (ICF) core set with respect to human functioning and disability in stroke patients. Postacute stroke patients who were admitted to the convalescent rehabilitation wards were included in this observational cohort study. The comprehensive ICF core set for neurological conditions for postacute care and the ICF rehabilitation set were evaluated at admission and discharge using five-grade qualifiers. Extension indexes were calculated for entire two ICF core sets. Responsiveness was measured as change in the extension indexes i...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Effects of vestibular rehabilitation on gait performance in poststroke patients: a pilot randomized controlled trial
This study aimed to investigate whether or not vestibular rehabilitation would improve both the vestibulo–ocular reflex and gait performance of patients with poststroke hemiparesis. Twenty-eight patients with stroke were assigned randomly to either an experimental group (N=14) or a control group (N=14). The experimental group performed the conventional physical therapy for 40 min and vestibular rehabilitation for 20 min, as a 60 min session, during the first 3 weeks and then completed only the conventional intervention for 60 min for the following 3 weeks. The control group performed only ...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Rasch validation and comparison of Slovenian, Croatian, and Italian versions of the Mini-BESTest in patients with subacute stroke
We aimed to verify by Rasch analysis whether the Mini-BESTest, a balance measure, confirms its main psychometric properties in patients with subacute stroke undergoing rehabilitation in three different countries (Slovenia, Croatia, and Italy), and to examine the stability of item hierarchy and difficulty across the three national versions through a differential item functioning analysis. We investigated 159 patients with subacute stroke consecutively admitted to three rehabilitation facilities after screening for an intensive, tailored rehabilitation program. Balance function was tested within 36 h from admission an...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Limits of stability in patients with vascular (due to diabetes) and nonvascular unilateral transtibial amputation: a cross-sectional study
The aim of the study was to investigate the differences in the stability limits between patients with vascular and nonvascular unilateral transtibial amputation (UTA) and patients without amputation. Eighteen patients with UTA who used a prosthesis were divided into two groups: vascular (n=9) and nonvascular (n=9). Twenty-four patients without amputation served as the control group. Computerized dynamic posturography Smart EquiTest System, version 8.0 was used for measuring stability limits. The limits of stability test was used to assess the participants’ ability to voluntarily sway to various locations in space. Th...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Acceptance in chronic neck pain: associations with disability and fear avoidance beliefs
Chronic neck pain can result in significant levels of disability. Physiotherapy treatments often aim to modify cognitive factors and this approach benefits some, but not all, patients. Research from other pain conditions suggests that acceptance may be related to disability; however, it is unclear whether these associations exist in patients with neck pain. Moreover, it is unclear to what extent other cognitive factors are related to acceptance. Feasibly, if these factors are related, existing treatments may already be indirectly modifying acceptance. The aim of this study was therefore to establish the associations betwee...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Improved oxygen uptake efficiency slope in acute myocardial infarction patients after early phase I cardiac rehabilitation
In this study, a submaximal exercise parameter, oxygen uptake efficiency slope (OUES), was used to monitor the benefit of early mobilization within 48 h after AMI. An early mobilization protocol within 48 h after AMI has been initiated since 1 September 2012 in our center. Patients with onset time of AMI within 1 year before and 1 year after initiation of the early mobilization protocol were recruited for comparisons. Sixty patients were analyzed on the basis of this criterion, and were subjected to predischarge submaximal exercise tests. The OUES calculated with 100% exercise duration (OUES100) and calculate...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Efficacy of eye movement desensitization and reprocessing on the phantom limb pain of patients with amputations within a 24-month follow-up
This study was a randomized-controlled trial. A total of 60 patients with amputations were selected by a purposive sampling and patients were divided randomly into two experimental and control groups. Samples were assigned through randomized allocation. EMDR therapy was administered individually to the experimental group participants in 12 one-hour sessions over a 1-month period In each session, the patient completed the Subjective Units of Distress Scale and a pain-rating scale before and after the intervention. Follow-up measures were obtained 24 months later for the experimental group. The participants in the control gr...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Psychometric properties of the Oswestry Disability Index
The aim of this study was to investigate the psychometric properties of the Oswestry Disability Index (ODI) in a large cross-sectional cohort of individuals with chronic low back pain by defining its internal consistency, construct structure and validity, and its ability to differentiate between different degrees of functional limitation. A total of 837 consecutive outpatient patients with low back pain were studied. The internal consistency of ODI was assessed by Cronbach's α, construct structure by exploratory factor analysis, construct validity by confirmatory factor analysis, and discrimination was determined by ...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Effects of exercise training on exercise capacity, cardiac function, BMI, and quality of life in patients with atrial fibrillation: a meta-analysis of randomized-controlled trials
Exercise training has become part of the standard care for patients with cardiovascular disease. We investigated the effects of exercise training on exercise capacity, cardiac function, BMI, and quality of life in patients with atrial fibrillation (AF). We searched for randomized-controlled trials of supervised exercise training versus care without exercise training (the control) in patients with permanent or nonpermanent AF published up to November 2016. Standard mean differences (SMD) or mean differences (MD), and 95% confidence intervals (CIs) were calculated using random-effect models. We identified 259 trials, and aft...
Source: International Journal of Rehabilitation Research - August 12, 2017 Category: Rehabilitation Tags: Review article Source Type: research

Obituary
No abstract available (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Obituary Source Type: research

Reliability and validity study of a Turkish version of the fatigue severity scale in Parkinson’s disease patients
The aim of this study was to assess the validity and reliability of the Turkish version of the Fatigue Severity Scale (FSS) in Parkinson’s disease (PD) patients for use in clinical settings. A consecutive 106 patients with PD were included in the study. The Turkish version of FSS was analyzed for reliability (internal consistency and reproducibility) and validity (convergent and discriminant). The Turkish version of FSS yielded an acceptable internal consistency (Cronbach’s α=0.960 and corrected item-total correlations: 0.761–0.891), and it was established as reproducible (test–retest intracla...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Brief research reports Source Type: research

Treatment diary for botulinum toxin spasticity treatment: a pilot study
The aim of this study is to develop a treatment diary for patients receiving spasticity treatment including botulinum toxin injection and physiotherapy and/or occupational therapy. The diary focuses on problems triggered by skeletal muscle overactivity; agreed goals for treatment and the patient’s self-evaluation of achievement on the Goal Attainment Scale; which skeletal muscles were injected; physiotherapists’ and occupational therapists’ evaluation of the patients’ achievement of objectives on the Goal Attainment Scale; and proposals for optimization of treatment and changing goals. The evaluatio...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Brief research reports Source Type: research

Efficacy of mesotherapy using drugs versus normal saline solution in chronic spinal pain: a retrospective study
Mesotherapy, or intradermal therapy, is a therapeutic approach that is gaining popularity, but there is still a significant lack of information on its mechanisms of action or the pharmacokinetics of the therapeutic regimens. This retrospective study on 220 records compared the short-term and long-term effects of mesotherapy using a mixture of drugs versus normal saline solution in the treatment of patients with chronic spinal pain (CSP). At the end of treatment, outcome measures showed a significant improvement (P (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Brief research reports Source Type: research

Effects of aerobic exercise on pain sensitivity, heart rate recovery, and health-related quality of life in patients with chronic musculoskeletal pain
We aimed to investigate the effects of aerobic exercise on pain perception, sensitivity, and health-related quality of life; to assess its effect on parasympathetic tonus by analysis of heart rate recovery; and to examine the effects of parasympathetic tone on pain sensitivity in patients with chronic musculoskeletal pain. Fifty patients with chronic musculoskeletal pain were randomized into two groups: control group (C group) and aerobic exercise group (AE group). Both groups received conventional physical therapy for 2 weeks; the AE group performed submaximal aerobic exercise on a treadmill for 30 min additionally...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Brief research reports Source Type: research

Rehabilitation of Guillain-Barré syndrome patients: an observational study
Guillain-Barré syndrome (GBS) is an acute inflammatory demyelinating polyradiculopathy resulting in severe impairments of many body structures and functions with consequent limitations of activities and participation. The aim of our study was to evaluate rehabilitation outcome in these patients. Forty-five (20 women, 25 men) with GBS patients who had completed primary comprehensive rehabilitation were included in the study. Medical Research Council Scale for Muscle Strength was used for assessment of lower-limb function. Patients’ activities were assessed using the Functional Independence Measure and two walki...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Reliability and cross-cultural adaptation of the Turkish version of the Spinal Cord Injury Spasticity Evaluation Tool
The Spinal Cord Injury Spasticity Evaluation Tool is a 7-day recall self-reported questionnaire that assesses the problematic and useful effects of spasticity on daily life in patients with spinal cord injury (SCI). We aimed to determine the reliability and cross-cultural validation of the Turkish translation of the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SETT). After translation and back translation of the Spinal Cord Injury Spasticity Evaluation Tool, 66 patients between the ages of 18 and 88 years with SCI, American Spinal Injury Association impairment scale grades from A to D with spasticity, and at least 6 ...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Laryngeal sensitivity testing in youth with exercise-inducible laryngeal obstruction
Exercise-inducible laryngeal obstruction (EILO) has been recognized as a not rare respiratory problem in youth practicing sports. The aim of the study was to test the mechanosensitivity of the larynx, and to identify the factors affecting it in a group of youth with proven EILO. Laryngeal sensory testing was performed in 54 adolescents and young adults with EILO. Laryngeal mucosal alterations were assessed according to the Reflux Finding Score (RFS). The data concerning diseases possibly affecting the upper airway, findings of previously performed flexible videolaryngoscopy during exercise, and RFS score were compared betw...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Determining the benefits of transcranial direct current stimulation on functional upper limb movement in chronic stroke
Transcranial direct current stimulation (tDCS) has been proposed as a tool to enhance stroke rehabilitation; however, evidence to support its use is lacking. The aim of this study was to investigate the effects of anodal and cathodal tDCS on upper limb function in chronic stroke patients. Twenty five participants were allocated to receive 20 min of 1 mA of anodal, cathodal or sham cortical stimulation in a random, counterbalanced order. Patients and assessors were blinded to the intervention at each time point. The primary outcome was upper limb performance as measured by the Jebsen Taylor Test of Hand Functi...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Usefulness of the prediction method based on a logarithmic model for functional recovery in stroke patients: in case of using the motor-Functional Independence Measure score
This study aimed to examine the predictive validity of motor items of Functional Independence Measure (motor-FIM) using the prediction method based on a logarithmic model. This prospective observational cohort study included 111 patients with subacute stroke (mean age: 67.0±13.8 years). The motor-FIM score was assessed at admission, 1 month after admission, and at discharge. We calculated the predictive value of motor-FIM scores at discharge using a logarithmic model, which used only motor-FIM scores at admission and 1 month after admission. The relationship between the actual motor-FIM score at discharge and the pr...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Effect of isokinetic training on muscle strength and postural balance in children with Down’s syndrome
Children with Down’s syndrome (DS) often have greater postural sway and delay in motor development. Muscle weakness and hypotonia, particularly of the lower extremities, are theorized to impair their overall physical health and ability to perform daily activities. Therefore, the aim of this study was to investigate the effects of isokinetic training on muscle strength and postural balance in children with DS. Thirty-one children with DS ranging in age from 9 to 12 years were assigned randomly into two groups. The control group received the conventional physical therapy, whereas the study group received the same thera...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Effect of surface neuromuscular electrical stimulation on labial and lingual muscles in healthy volunteers
This study concluded that NMES may be a promising modality to combine with labial and buccal exercises for improvement of muscle strength. (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Psychosocial difficulties in patients with Parkinson’s disease
The aim of this study was to report the most frequent psychosocial difficulties (PSDs) in patients with Parkinson disease (PD), to explore the relationship between PSDs, disability and quality of life (QoL), and to address the predictors of PSDs. Patients with PD were interviewed using a protocol composed of a questionnaire investigating PSDs (PARADISE 24), QoL, disability, comorbidity, and social support questionnaires, scales on resilience, personality traits, and empathy in physician. Most frequent PSDs were reported. Spearman’s correlation was used to address the relationship between PARADISE 24 and QoL and disab...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Influence of the rehabilitation outcome on returning to drive after neurological impairment
We examined two samples: the TBI patients only and the entire sample including patients after stroke. The results indicate that for TBI patients, Glasgow Coma Scale and motor FIM could be predictors of driving outcome; in the entire sample, the unrestricted driving outcome was also associated with a high score on the FIM motor scale. Early prediction of return to driving after TBI and stroke is important for the patients, their families and the rehabilitation teams to set realistic goals that enable the best possible reintegration after rehabilitation. (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Determinants of health knowledge and health perceptions from the perspective of health-related education of patients with spinal cord injury: a systematic review
Appropriate health knowledge (HK) and health perceptions (HP) of patients with spinal cord injury (SCI) are linked to health-related behaviors, compliance, the involvement of caregivers and efficacy of prophylaxis, and management of secondary conditions. The significance of factors determining the efficacy of educational interventions in patients with SCI is underestimated. This systematic literature review aims at identification of determinants of HK and HP among patients with SCI. We identified 16 papers with quantitative HK and HP measurements conclusive in the identification of HK and HP determinants in individuals wit...
Source: International Journal of Rehabilitation Research - May 3, 2017 Category: Rehabilitation Tags: Review article Source Type: research

Does sensory transcutaneous electrical stimulation prevent pneumonia in the acute stage of stroke? A preliminary study
In this study, we investigated the efficacy of surface sensory e-stim therapy in preventing pulmonary infection in 53 acute stroke patients with dysphagia. The risk of pulmonary infection was significantly decreased in the general dysphagia/surface e-stim combination therapy group. We considered that surface e-stim therapy can impact dysphagia treatment in acute stroke patients, particularly in preventing pulmonary infection. Future large and randomized studies are needed to evaluate the effects of surface sensory e-stim therapy on acute stroke patients. (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Brief research reports Source Type: research

Reliability, precision, and clinically important change of the Nine-Hole Peg Test in individuals with multiple sclerosis
This study evaluated the reliability, precision, and clinically important change of the Nine-Hole Peg Test (9-HPT) over a 1-week period. Sixty-nine patients with multiple sclerosis completed the 9-HPT on two occasions 1 week apart. Test–retest reliability was based on intraclass correlation coefficient, and precision was based on standard error of measurement and coefficient of variation. Clinically important change was based on the minimal detectable change. Intraclass correlation coefficients exceed 0.90 for all 9-HPT metrics. Standard error of measurements for dominant (DH) and nondominant (NDH) hand time were 1.5...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Brief research reports Source Type: research

Employment outcomes following spinal cord injury in Taiwan
This study aimed to examine the employment status and determinants of employability for individuals with spinal cord injury in Taiwan. A cross-sectional survey was conducted. A total of 353 participants aged 18–65 years were recruited from four branches of the Association of People with Spinal Cord Injury. The results showed that, of the participants, 107 were employed at the time of the survey, with an employment rate of 30.3%. Logistic regression analyses indicated that individuals with a college degree or higher [odds ratio (OR)=3.03; 95% confidence intervals (CI): 1.30–7.07], aged 26–40 years (OR=8.51...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

The effect of vitamin D supplementation on pain, quality of life, and nerve conduction studies in women with chronic widespread pain
The aim of this study was to investigate the effects of vitamin D supplementation on pain, quality of life, and nerve conduction studies (NCSs) in women with chronic widespread pain (CWP) diagnosed with Vitamin D insufficiency. Thirty-three female participants with CWP and vitamin D insufficiency were included in this open-label trial. They were evaluated by routine NCSs in upper and lower limbs, pain scales, and the Nottingham Health Profile before and 8 weeks after starting vitamin D supplementation therapy. The P-value was adjusted to account for the number of comparisons performed in each assessment. After 8 weeks of t...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Poststroke depression: risk factors and potential effects on functional recovery
The factors that may cause poststroke depression were investigated in the literature focusing on lesion localization, age, stroke severity, and impairments in physical and cognitive function. The aim of this study was to examine the risk factors influencing the development of poststroke depression and to determine the effect of depression on the patients’ functional improvement after rehabilitation. Patients in the first 6-month period after stroke who were hospitalized in the Physical Medicine and Rehabilitation Clinic were included in this study. Patients who were admitted to the hospital within 0–30 and 30&n...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Clinical utility of the 6-min walk test for patients with moderate Parkinson’s disease
The aim of this study was to test the clinical utility of the 6-min walk test (6MWT) for patients with moderate Parkinson’s disease (PD) through a determination of factors related to this test. This was a descriptive, observational study carried out at a General Hospital, in-patients. Twenty-four patients with moderate PD were studied. We used Hoehn and Yahr stage ratings (HY stage), Unified Parkinson Disease Rating Scales (UPDRS) motor examination score, 6MWT, Berg Balance scale, Timed ‘Up & Go’ test (TUG), 10-m walk test (10-m walk speed, 10-m walk steps and cadence), and the energy cost of walking ...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Passion for leisure activity contributes to pain experiences during rehabilitation
The primary aim of this study was to determine whether the levels of obsessive passion (OP) and harmonious passion for a suspended leisure activity contribute to pain catastrophizing and pain intensity in patients undergoing the rehabilitation process. The secondary aim was to examine whether the levels of passion associated with a maintained leisure activity offset the contribution of having a leisure activity suspended to pain intensity and catastrophizing. Ninety-one outpatients from functional rehabilitation units (Mage=37, SD=13.44 years) completed measures of pain catastrophizing, pain intensity, and passion about va...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Can the IROMEC robot support play in children with severe physical disabilities? A pilot study
The aim of this study was to explore the application of the IROMEC (Interactive social RObotic Mediators as Companions) robot to support play for children with severe physical disabilities in rehabilitation and special education. Within a 2-month pilot study, physically disabled children with a developmental age between 2 and 8 years participated in sessions with the robot. A combination of qualitative and quantitative outcome measures was used to collect data on aspects of feasibility, usability, barriers for the child as well as the therapist and an indication of the effects on playfulness and the achievement of therapeu...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Overground gait training using a motorized assistive device in patients with severe disabilities after stroke
Regaining of the patient’s ability to walk after stroke is an important goal of rehabilitation programmes. The ultimate goal of gait rehabilitation is to empower patients for overground walking. We have previously developed a prototype of a therapist-controlled mobile platform with compliant pelvis support mechanism that enables balance training during overground walking (device E-go). The aim of this pilot randomized controlled study was to explore the usefulness of the E-go in reducing the number of therapists needed during walking training, and to explore the effectiveness of the E-go on walking abilities in sever...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Predictors of physical independence at discharge after stroke rehabilitation in a Dutch population
The aim of this study was to identify predictors, available at admission, of physical independence at discharge from inpatient rehabilitation. Secondary aims were to identify predictors of functional gain and length of stay (LOS). We included 1310 adult stroke patients who were admitted for inpatient rehabilitation in five Dutch rehabilitation centres. Data on the Utrecht Scale for Evaluation of Clinical Rehabilitation at admission and discharge (physical and cognitive independence, mood, pain and fatigue), age, sex and in a subsample stroke characteristics as well were collected. A prediction model was created using rando...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Impaired muscle strength may contribute to fatigue in patients with aneurysmal subarachnoid hemorrhage
This study included 33 patients, 6 months after a-SAH, and 33 sex-matched and age-matched healthy controls. Isokinetic muscle strength of the knee extensors and flexors was measured at 60 and 180°/s. Maximal voluntary muscle strength was defined as peak torque and measured in Newton-meter. Fatigue was examined using the Fatigue Severity Scale. In patients with a-SAH, the maximal knee extension was 22% (60°/s) and 25% (180°/s) lower and maximal knee flexion was 33% (60°/s) and 36% (180°/s) lower compared with that of matched controls (P≤0.001). The Fatigue Severity Scale score was related to maximal k...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Original articles Source Type: research

Robotic approaches for the rehabilitation of upper limb recovery after stroke: a systematic review and meta-analysis
This systematic review with a meta-analysis of studies was carried out to evaluate the effectiveness of robotic training (RT) and conventional training (CT) in improving the motor recovery of paretic upper limbs in stroke patients. Numerous electronic databases were searched from January 2000 to May 2016. Finally, 13 randomized-controlled trials fulfilled the inclusion criteria and were included in the three meta-analyses. The first meta-analysis carried out for those studies using RT for stroke patients indicated a significant improvement in the RT groups. The second meta-analysis suggested that the upper limb function (m...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Review articles Source Type: research

Effectiveness of repetitive transcranial magnetic stimulation in patients with fibromyalgia: a meta-analysis
Even though repetitive transcranial magnetic stimulation (rTMS) has been used for a decade for the treatment of fibromyalgia, evidence of its effectiveness has not been definitely presented. The aim of this study was to investigate whether there is evidence of rTMS being effective in decreasing the severity of pain among patients with fibromyalgia. CENTRAL, MEDLINE, EMBASE, CINAHL, SCOPUS, WEB OF SCIENCE, and relevant references of the identified studies were searched. Randomized controlled studies on adults with fibromyalgia were included. The outcome studied was change in pain severity. Methodological quality was assesse...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Review articles Source Type: research

Psychometric properties of upper extremity outcome measures validated by Rasch analysis: a systematic review
The aim of this study was to provide a systematic review of psychometric studies of upper extremity (UE) outcome measures validated by Rasch analysis and assess the extent to which their measurement areas cover the domains of the International Classification of Functioning, Disability and Health model. A literature search from 1966 to 2014 was performed using PubMed, CINAHL, Scopus, PsycINFO, Ovid/MEDLINE, ERIC, and Cochrane library. Fourteen keywords indicating ‘upper extremity’, ‘psychometric properties’, and ‘outcome measures’ were used. From a total of 1039 studies, 17 UE impairment ...
Source: International Journal of Rehabilitation Research - February 17, 2017 Category: Rehabilitation Tags: Review articles Source Type: research

Methodological issues to consider when taking tensiomyographic measurements
No abstract available (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Letter to the Editor Source Type: research

Effects of dry needling (DNHS technique) on the contractile properties of spastic muscles in a patient with stroke: a case report
Dry needling for hypertonia and spasticity (DNHS) is a technique used for decreasing hypertonia and spasticity and for the improvement of function in patients with damage to the central nervous system. There is limited evidence supporting the effectiveness of this technique on the basis of objective assessments. The aim of the present case report was to quantify the effects of dry needling (DNHS technique) on the contractile properties of spastic muscles in an individual with stroke. The DNHS technique was applied to a 50-year-old male 2.5 years after stroke who had a complaint of spasticity. The treated muscles were bicep...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Case report Source Type: research

Effect of lower limb closed kinematic chain exercises on balance in patients with chemotherapy-induced peripheral neuropathy: a pilot study
Because of the rising prevalence of cancer, many individuals are living with the side effects of cancer and its treatment. One of the possible side effects is chemotherapy-induced peripheral neuropathy (CIPN). The purpose of the study was to examine the effect of lower limb closed kinematic chain exercises on balance in patients with CIPN. The study design was a single group pre–post experimental one. The study was conducted at a tertiary care cancer hospital. A total of 25 individuals with CIPN and aged 30 years and older were recruited using the Modified Total Neuropathy Score higher than 5. Closed kinematic chain ...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Brief research reports Source Type: research

Active music therapy approach in amyotrophic lateral sclerosis: a randomized-controlled trial
This randomized controlled study assessed the efficacy of active music therapy (AMT) on anxiety, depression, and quality of life in amyotrophic lateral sclerosis (ALS). Communication and relationship during AMT treatment were also evaluated. Thirty patients were assigned randomly to experimental [AMT plus standard of care (SC)] or control (SC) groups. AMT consisted of 12 sessions (three times a week), whereas the SC treatment was based on physical and speech rehabilitation sessions, occupational therapy, and psychological support. ALS Functional Rating Scale-Revised, Hospital Anxiety and Depression Scale, McGill Quality of...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Brief research reports Source Type: research

Importance of an education programme for patients with chronic widespread pain
The structured education programme for patients with chronic widespread pain is the first stage of the interdisciplinary group-based rehabilitation programme for those patients at the University Rehabilitation Institute in Ljubljana, Slovenia. The aim of our pilot study was to investigate the impact of the education programme on the patients’ attribution of pain as dangerous. Ninety-three participants with chronic widespread pain volunteered for the study. They were first screened to verify whether they were suitable for inclusion in the rehabilitation programme. They filled in the Pain Catastrophizing Scale and the ...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Brief research reports Source Type: research

Development of an effective therapy and objective assessment for children with birth injuries
Sitting in a Huple, a patented hemisphere-like tool, permanently stimulates the vestibular system, thus improving the balancing ability of children with movement disorders. The Gézengúz Foundation for Children with Birth Injuries has been successfully applying this tool in therapy. By attaching x-Inertial Measurement Unit, a wireless three-dimensional orientation sensor, to the Huple, it can serve as an input peripheral for simple PC games. Children are thus motivated; they willingly perform balance training as well as participate in the game-like test. This improves the accuracy and reproducibility of the as...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Brief research reports Source Type: research

Knee rotationplasty: motion of the body centre of mass during walking
In this study, we evaluated steady-state walking of KRP patients from the viewpoint of the overall muscle power needed to keep the body centre of mass in motion. Three adult patients after KRP, all athletes, were evaluated. Ground reactions during walking were recorded during six subsequent strides on a force treadmill. The positive mechanical work and power sustaining the motion of the centre of mass and the recovery of muscle energy due to the pendulum-like mechanism of walking were computed and compared with those obtained in previous studies from above-knee, below-knee amputees and healthy individuals. In KRP patients,...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Original articles Source Type: research

Psychosocial difficulties of individuals with multiple sclerosis: the PARADISE-24 questionnaire
The aim of this study is to identify the most relevant psychosocial difficulties (PSDs) experienced by persons with multiple sclerosis (PwMS); to evaluate the relation between an overall level of PSDs measured with the PARADISE-24 and other variables; to assess which factors may predict PARADISE-24 overall score. Adults PwMS were consecutively enrolled and completed a battery of eight self-reported instruments (i.e. SCQ, EUROHIS-QOL 8, BRS, BFI-10, JSPE, OSS-3, WHODAS-12, PARADISE-24). A clinical evaluation was performed for each patient and the Expanded Disability Status Scale (EDSS) score was determined by neurologists. ...
Source: International Journal of Rehabilitation Research - November 3, 2016 Category: Rehabilitation Tags: Original articles Source Type: research