Assessment of changes in muscle mass, strength, and quality and activities of daily living in elderly stroke patients
This study included 179 patients. Patients received stroke rehabilitation 7 days a week individually. Muscle strength and quality significantly increased after 4 weeks on both the sides. Muscle mass decreased after 4 weeks; however, there was no significant difference between the two time points. Changes in muscle strength and quality showed a significant correlation with improvement in ADLs [r = 0.66 (male), 0.45 (female) and 0.55 (male), 0.31 (female), respectively]; however, muscle mass showed no correlation with improvement in ADLs. Poststroke rehabilitation improves muscle strength and quality, as well as ADLs. Muscle...
Source: International Journal of Rehabilitation Research - May 15, 2022 Category: Rehabilitation Tags: Original Articles Source Type: research

Preoperative and perioperative factors are related to the early postoperative Barthel Index score in patients with trochanteric fracture
This study aimed to assess the effects of preoperative and perioperative factors on the early postoperative Barthel Index score in patients with trochanteric fractures. Consecutive 288 patients aged ≥60 years with trochanteric fractures who could independently walk before injury were included. Patients were grouped according to the Barthel Index score measured after 2 weeks of surgery; the cut-off value was 20 points. Two logistic regression models were created to assess the effects of preoperative (model 1: dementia, walking ability before injury, and nutrition status) and perioperative (model 2: independent variables i...
Source: International Journal of Rehabilitation Research - May 15, 2022 Category: Rehabilitation Tags: Original Articles Source Type: research

Efficacy of balance training on postural control in patients with rotator cuff disease: a randomized controlled study
We evaluated the efficacy of adding balance training to a physical therapy program on postural control and health-related quality of life in patients with rotator cuff disease. Forty-two participants were randomly allocated to the control and intervention groups. Both groups received physical therapy (education, stretching, supervised strength training, and home exercise program) 3 days/week for 6 weeks. The intervention group was instructed to perform balance exercises at home. The primary outcomes were the stability index, the Fourier transformation (F5 and F6), the weight distribution index, and the fall index, as asses...
Source: International Journal of Rehabilitation Research - May 15, 2022 Category: Rehabilitation Tags: Original Articles Source Type: research

Residual and sound limb hip strength distinguish between sedentary and nonsedentary adults with transtibial amputation
Following a transtibial amputation (TTA), physical activity has known benefits for health and quality of life. Adults post-TTA, however, demonstrate reduced physical activity, predisposing them to adverse health outcomes. Identifying adults at the risk of sedentarism post-TTA via commonly used, objective clinical measures may enhance clinical decisions, including prosthesis prescription. The study’s purpose was to determine whether residual and sound limb hip strength distinguishes between sedentary and nonsedentary adults post-TTA. A secondary analysis of a cross-sectional dataset (n = 44) was conducted. Participant...
Source: International Journal of Rehabilitation Research - May 15, 2022 Category: Rehabilitation Tags: Original Articles Source Type: research

Effectiveness of aquatic exercise in lower limb osteoarthritis: a meta-analysis of randomized controlled trials
The objective of this study was to evaluate the short-term and follow-up effectiveness of aquatic training on the health status of lower limb osteoarthritis. Randomized controlled trials (RCTs) on related topics were systematically searched in PubMed, Embase, Web of Science, the Cochrane Library, Physiotherapy Evidence Database (PEDro), the China National Knowledge Infrastructure and Wanfang databases from inception to January 2021. RevMan 5.3 was used for statistical analysis, and the standardized mean difference (SMD) was used to present pooled effect sizes. As a result, 19 RCTs (1592 patients) were included. Compared wi...
Source: International Journal of Rehabilitation Research - May 15, 2022 Category: Rehabilitation Tags: Review Articles Source Type: research

Does adding neuromuscular electrical stimulation to rehabilitation following total knee arthroplasty lead to a better quadriceps muscle strength recovery? A systematic review
In conclusion, NMES is effective for quadriceps strength recovery following TKA. NMES intensity and duration are essential for good NMES outcomes on quadriceps strength. Further studies on NMES methodologies, pulse features and settings are required to address the gaps in knowledge on NMES following TKA. (Source: International Journal of Rehabilitation Research)
Source: International Journal of Rehabilitation Research - May 15, 2022 Category: Rehabilitation Tags: Review Articles Source Type: research

Effectiveness of repetitive transcranial magnetic stimulation on poststroke dysphagia: a meta-analysis of randomized-controlled trials
Dysphagia is a common functional impairment after stroke, resulting in aspiration of liquids, ingested foods, or oral secretions and influencing the quality of life. Noninvasive repetitive transcranial magnetic stimulation has been widely used for rehabilitation of dysphagia. The purpose of this meta-analysis was to investigate the efficacy of repetitive transcranial magnetic stimulation on poststroke swallowing impairment. Four databases were systematically searched for eligible studies from their inception to 31 September 2021. Review Manager 5.4 software was used for this meta-analysis. The bias of included randomized c...
Source: International Journal of Rehabilitation Research - May 15, 2022 Category: Rehabilitation Tags: Review Articles Source Type: research

Effect of vagus nerve stimulation paired with rehabilitation for upper limb function improvement after stroke: a systematic review and meta-analysis of randomized controlled trials
Vagus nerve stimulation (VNS) could potentially facilitate arm function recovery after stroke. The aim of this review was to evaluate the effect of VNS paired with rehabilitation on upper limb function recovery after stroke. We considered randomized controlled trials (RCTs) that used VNS paired with rehabilitation for the improvement of upper limb function after stroke and were published in English. Eligible RCTs were identified by searching electronic databases, including MEDLINE, Web of Science, Embase, CENTRAL and PEDro, from their inception until June 2021. Quality of included studies was assessed using PEDro score and...
Source: International Journal of Rehabilitation Research - May 15, 2022 Category: Rehabilitation Tags: Review Articles Source Type: research

Managing fatigue at work after traumatic brain injury: a qualitative descriptive study
Fatigue is a common sequela of traumatic brain injury (TBI) and adversely impacts on the ability to return to work. To the authors’ knowledge, no prior studies have investigated how people manage TBI-related fatigue at work. This qualitative descriptive study explored how people managed fatigue attributed to TBI when returning to and maintaining paid work. Eight employed adults, who sustained a recent TBI and experienced TBI-related fatigue, participated in a semi-structured interview. Transcripts were analysed using a general inductive approach. Participants learned through trial and error to recognise ‘change pointsâ...
Source: International Journal of Rehabilitation Research - February 10, 2022 Category: Rehabilitation Tags: Brief research report Source Type: research

Inter-rater reliability of the Australian Spasticity Assessment Scale in poststroke spasticity
To investigate the inter-rater reliability of the Australian Spasticity Assessment Scale (ASAS) in adult stroke patients with spasticity, two experienced clinicians rated the elbow flexor, wrist flexor, and ankle plantar flexor spasticity by using the ASAS in 85 persons with stroke. Unweighted and weighted (linear and quadratic) kappa statistics were used to calculate the inter-rater reliability for each muscle group. Unweighted kappa coefficients for elbow flexors (n = 83), wrist flexors (n = 80), and ankle plantar flexors (n = 77) were 0.67, 0.60, and 0.55, respectively. Linear and quadratic weighted kappa coefficients, ...
Source: International Journal of Rehabilitation Research - February 10, 2022 Category: Rehabilitation Tags: Original articles Source Type: research

Effect of COVID-19 stress on physical function performance and socioenvironmental factors of people with disabilities in Korea
This study investigated the effect of stress during the COVID-19 pandemic and the potential moderating effects of socioenvironmental factors on the physical conditions of Korean people with disabilities. Data from 405 participants on depression, instrumental activities of daily living and socioenvironmental factors were analyzed using frequency analysis, descriptive statistics, t-tests, one-way analysis of variance, Pearson’s correlations and hierarchical regression analysis. Stress caused by COVID-19 was significantly correlated with depression, instrumental activities of daily living and social participation. Using soc...
Source: International Journal of Rehabilitation Research - February 10, 2022 Category: Rehabilitation Tags: Original articles Source Type: research

Perturbation-based training enhances anticipatory postural control in individuals with chronic stroke: a pilot study
Individuals with stroke commonly have impaired balance control. The aim of this study was to investigate the effect of targeted intervention on anticipatory postural adjustments (APAs) and postural control in people with stroke. Six participants with unilateral hemiparesis due to a stroke (5.0–8.4 years post stroke) participated in a two-phase random crossover study. The participants received in counterbalanced order (a) 2 weeks of experimental, targeted intervention (pushing a medicine ball attached to the ceiling using their unaffected upper extremity) and (b) 2 weeks of control, self-guided general mobility exercise p...
Source: International Journal of Rehabilitation Research - February 10, 2022 Category: Rehabilitation Tags: Original articles Source Type: research

Rehabilitation of COVID-19 patients with respiratory failure and critical illness disease in Slovenia: an observational study
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection often causes pneumonia and respiratory failure that may lead to postintensive care syndrome, including critical illness neuropathy (CIN) and critical illness myopathy (CIM). The data on the rehabilitation outcomes of post-novel coronavirus disease (COVID) patients with CIN and CIM following respiratory failure and mechanical ventilation are still limited. To address this, we enrolled in our prospective observational study a sample of 50 consecutive COVID-19 patients admitted to our facility between 2 November 2020 and 3 May 2021 with electrophysiologica...
Source: International Journal of Rehabilitation Research - February 10, 2022 Category: Rehabilitation Tags: Original articles Source Type: research

Validity of the Controlling Nutritional Status score as a Nutritional Assessment Tool early after stroke
This study investigated the prognostic role of malnutrition, as assessed by the CONUT scoring system. We hypothesized that malnutrition negatively affects outcomes as expressed by Functional Independence Measure (FIM) motor or Berg Balance Scale (BBS) change in stroke patients. This was a retrospective cohort study involving 117 individuals including first-time subacute stroke inpatients from March 2017 to February 2020. All participants were evaluated with BBS and FIM. We used multiple linear regression analysis with backward stepwise selection to examine the association between CONUT and changes during rehabilitation. Af...
Source: International Journal of Rehabilitation Research - February 10, 2022 Category: Rehabilitation Tags: Original articles Source Type: research

Differences in walking-to-turning characteristics between older adult fallers and nonfallers: a prospective and observational study using wearable inertial sensors
Wearable inertial sensors have gradually been used as an objective technology for biomechanical assessments of both healthy and pathological movement patterns. This paper used foot-worn sensors for characterizing the spatiotemporal characteristics of walking and turning between older fallers and nonfallers. Thirty community-dwelling older fallers and 30 older nonfallers performed 10-m straight walking, turned 180° around a cone, and then walked 10-m back to the starting point. Specific algorithms were used to measure spatiotemporal gait (double support phase of the gait cycle, swing width, and minimal toe clearance) and t...
Source: International Journal of Rehabilitation Research - February 10, 2022 Category: Rehabilitation Tags: Original articles Source Type: research