The importance of specific rehabilitation for an obese patient with idiopathic intracranial hypertension: a case report
Idiopathic intracranial hypertension (IIH) is associated with obesity, and weight loss is important to reduce intracranial pressure and improve visual function. A 38-year-old woman with IIH followed an extreme diet, which resulted in 30% weight loss (BMI moved from 34.9 to 24.6). Weight loss resulted in a significant reduction of papilloedema, normalization of intracranial pressure and improvement in headache pattern, but also induced a state of initial malnutrition, relevant depression and disability. She was discharged with the indication to start a controlled diet and improve physical activity: clinical situation get ba...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Case report Source Type: research

Precise isometric hand grip learning of hemiparetic stroke patients
Rehabilitation of hand movements after stroke aims at skills that can be well retained and transferred to novel conditions. These functions may be altered by training schedules such as constant and variable practice. A total of 36 participants with hemiparesis completed one of these schedules counterbalanced. Precise isometric hand grip force production was practiced for 4 days with a target force of 25% maximum voluntary contraction. The constant group practiced only the target force, whereas the variable group practiced the same amount including ±5 and 10% maximum voluntary contraction. Target force presentation and fee...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Brief research report Source Type: research

Comparison between three types of prosthetic feet: a randomized double-blind single-subject multiple-rater trial
There are many prosthetic feet (Pfeet) on the market, and those in the same category do not necessarily have the same properties. We assessed three different Pfeet in terms of gait patterns on various terrains, balance and walking speed in a randomized double-blind controlled single-subject multiple-rater clinical trial. The patient was a 43-year old man who was an active prosthesis user and was amputated at transtibial level because of injury 17 years ago. One Solid Ankle Cushion Heel and two Dynamic Elastic Response (DER) Pfeet were tried six times in random order. The patient walked on flat, uneven, sloped terrain and s...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

The role of robotic gait training coupled with virtual reality in boosting the rehabilitative outcomes in patients with multiple sclerosis
Motor impairment is the most common symptom in multiple sclerosis (MS). Thus, a variety of new rehabilitative strategies, including robotic gait training, have been implemented, showing their effectiveness. The aim of our study was to investigate whether an intensive robotic gait training, preceding a traditional rehabilitative treatment, could be useful in improving and potentiating motor performance in MS patients. Forty-five patients, who fulfilled the inclusion criteria, were enrolled in this study and randomized into either the control group (CG) or the experimental group (EG). A complete clinical evaluation, includin...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

Use of pain medication before and after inpatient musculoskeletal rehabilitation: longitudinal analysis of a nationwide cohort
The objective of this study was to identify subgroups among the participants in inpatient multidisciplinary musculoskeletal rehabilitation based on the differences in the shapes of trajectories of pain medication consumption during the 9 years around the time of intervention. A register-based study among 4578 public sector employees was conducted. Group-based trajectory analysis was done on the purchase of prescribed pain medications during the 9 years around the time of rehabilitation. The participants were on an average 50.7 (SD=6.6) years of age, and 2955 (86%) were women. Average yearly purchase of pain medications inc...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

Smartphone technology: a reliable and valid measure of knee movement in knee replacement
Knee range of motion (ROM) following a knee arthroplasty is an important clinical outcome that directly relates to the patient’s physical function. Smartphone technology has led to the creation of applications that can measure ROM. The aim was to determine the concurrent reliability and validity of the photo-based application ‘Dr Goniometer’ (DrG) compared with a universal goniometer performed by a clinician. A smartphone camera was used to take photographs of the knee in full flexion and full extension, and the images were sent by participants to a study phone. Participants then rated the ease of participation. To a...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

Effect of inpatient rehabilitation on activities of daily living in pediatric cancer patients in Japan
In conclusion, we found that rehabilitative intervention improved physical activity, especially locomotion. (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

Effectiveness of a single session of dual-transcranial direct current stimulation in combination with upper limb robotic-assisted rehabilitation in chronic stroke patients: a randomized, double-blind, cross-over study
The impact of transcranial direct current stimulation (tDCS) is controversial in the neurorehabilitation literature. It has been suggested that tDCS should be combined with other therapy to improve their efficacy. To assess the effectiveness of a single session of upper limb robotic-assisted therapy (RAT) combined with real or sham-tDCS in chronic stroke patients. Twenty-one hemiparetic chronic stroke patients were included in a randomized, controlled, cross-over double-blind study. Each patient underwent two sessions 7 days apart in a randomized order: (a) 20 min of real dual-tDCS associated with RAT (REAL+RAT) and (b) ...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

Reliability of translation of the RAND 36-item health survey in a post-rehabilitation population
In conclusion, the Dutch translation of the RAND 36-item health survey is reliable for research and group comparisons in a general post-rehabilitation population. However, the RAND 36-item health survey is not sufficiently reliable for individual comparisons within this population. (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

Executive functioning and daily living of individuals with chronic stroke: measurement and implications
The objectives of this study were (a) to characterize the EF and independence in daily living of community-dwelling individuals with chronic stroke by using pen-and-paper and performance-based EF assessments, (b) to explore correlations between scores detected by different EF assessments and (c) to assess the correlations between EF and independence in basic activities of daily living (BADL) and instrumental activities of daily living (IADL). This cross-sectional study included 50 (30 men and 20 women) community-dwelling individuals [mean (SD) age 59.8 (9.3)] with chronic stroke. Participants were overall independent in ba...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

A pilot mixed-methods evaluation of MS INFoRm: a self-directed fatigue management resource for individuals with multiple sclerosis
This study provides evidence that further rigorous evaluation of MS INFoRm, a self-directed resource for managing fatigue, is worth pursuing. (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Original articles Source Type: research

Are graft-versus-host-disease patients missing out on the vital occupational therapy services? a systematic review
The aim of this review is to show the importance of occupational therapy/hand therapy for chronic graft-versus-host-disease (GVHD) patients and to outline the current state of the literature. GVHD of the hand can cause functional loss, reduced activities of daily life, poor social interaction, and loss of income because of limitations in work. Hand therapy, which is a specialty practised by both occupational therapists and physical therapists, has been proven to be an effective approach for hand-related musculoskeletal disorders; however, the literature search suggests that it is an underutilized specialty around the world...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Review articles Source Type: research

Measuring work functioning in individuals with musculoskeletal disorders with reference to the International Classification of Functioning, Disability, and Health: a systematic literature review
The assessment of work functioning is important to define needs in the context of vocational rehabilitation. The International Classification of Functioning, Disability, and Health (ICF) serves as a framework to describe functioning and health. In reference to the ICF, work functioning can be described as consisting of work activities and work participation. A range of instruments are used in rehabilitation practice to assess work functioning. The purpose of this systematic review was to identify questionnaires measuring work functioning with reference to the ICF and to describe these instruments, their linkage to the ICF,...
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Review articles Source Type: research

A ‘musculoskeletal look’ to sarcopenia: Where do/should the physical and rehabilitation medicine physicians (physiatrists) stand?
No abstract available (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - May 1, 2018 Category: Rehabilitation Tags: Editorial Source Type: research

Use of clinical measures to document the effect of passive cycling on knee extensor spasticity and the ability to perform activities of daily living in spinal cord injury: a case report
The effects, on spasticity-related clinical measure results [initial knee flexion velocity during the pendulum test (F1-VEL); Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) scores], of a 5-week passive cycling program were assessed in a 67-year-old man with chronic, complete, thoracic-level SCI. Three weekly evaluations were performed before and after training, at the start, middle, and end of the training (ET), and 24 h following ET. The F1-VEL increased significantly from baseline, from ET to the 2-week follow-up evaluation. A trend was found for an improvement from baseline in SCI-SET scores, from middle of t...
Source: International Journal of Rehabilitation Research - February 16, 2018 Category: Rehabilitation Tags: Case report Source Type: research