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MedWorm: Rehabilitation



MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in Rehabilitation



Last Build Date: Mon, 28 Mar 2016 01:23:13 +0100

 



List of Reviewers.

Sun, 27 Mar 2016 19:56:02 +0100

Authors: PMID: 27013257 [PubMed - in process] (Source: Disability and Rehabilitation. Assistive Technology.)

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Conservative treatment of tendinopathies of upper limbs in occupational health: a literature review.

Sun, 27 Mar 2016 15:04:02 +0100

CONCLUSIONS: After a timely diagnosis, a prompt start of the rehabilitation programme and a limitation of complete rest are useful to relieve pain, increase functionality and reduce work absenteeism in the long term. Conservative treatment combinations, such as manual therapy, specific exercises focused on increasing flexibility and muscle strength and specific-gesture training, achieves more significant results than a single isolated treatments. Currently, there is no strong scientific evidence to support prolotherapy and Platelet-Rich Plasma (PRP). However, current promising results will encourage further studies. Awareness among both employers and employees about prevention and risk factors should be enhanced. PMID: 27015027 [PubMed - as supplied by publisher] (Source: Medicina del ...



Long-term Outcome after Percutaneous Coronary Intervention Compared with Minimally Invasive Coronary Artery Bypass Surgery in the Elderly.

Sun, 27 Mar 2016 13:00:02 +0100

CONCLUSION: Among elderly patients, long-term all-cause mortality is similar after PCI and MICS-CABG. However, there is a significantly higher rate of repeat revascularization after PCI. PMID: 27014373 [PubMed] (Source: Open Cardiovascular Medicine Journal)



Physiotherapy Intervention During Level I of Pulmonary Rehabilitation on Chronic Obstructive Pulmonary Disease: A Systematic Review.

Sat, 26 Mar 2016 22:09:01 +0100

CONCLUSION: It is possible to infer that physiotherapy's techniques used in patients hospitalized for COPD exacerbation, based on this review, were the high frequency chest wall oscillation (HFCWO) on the chest; relaxing massage and active exercises, electrical stimulation via electro-acupuncture; strengthening of the quadriceps; the ELTGOL bronchial drainage technique (expiration with the glottis open in the lateral posture) and an incentive spirometer. PMID: 27014377 [PubMed] (Source: Open Respiratory Medicine Journal)



Biometric Validation of a Virtual Reality-Based Psychomotor Test for Motor Skill Training.

Sat, 26 Mar 2016 20:59:02 +0100

In this study, a VR-based computer simulation of the Block Design (BD) test (a standardized psychomotor task as part of an adult IQ test) was developed and compared with the physical version of the test. Performance was evaluated based on four types of muscle activation collected using electromyography (EMG), time spent in completing the task, and subjective ratings of workload. Results verified the VR-based task as physically comparable to the conventional BD test. The validated computerized psychomotor task may be applied for both experimental and clinical use in future studies. PMID: 27011301 [PubMed - as supplied by publisher] (Source: Assistive Technology)

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Changing the Culture of a Large Multihospital Acute Care Therapy System to Value-Added Through Best Practice Guidelines: A Quality Improvement Project

Sat, 26 Mar 2016 14:34:12 +0100

This article describes the quality improvement project of the Baylor Institute for Rehabilitation acute care therapy division to change culture from volume-driven to value-added through best practice guideline (BPG) development and implementation. Quality Improvement Process: The acute care therapy division of the Baylor Institute for Rehabilitation provides the rehabilitation therapy services for 8 hospitals in North Texas. In 2013, the division created and implemented comprehensive BPGs addressing the high impact areas of reducing falls, reducing readmissions, and early mobility. Outcomes: Hospital systemwide leadership and multidisciplinary clinical development teams were created to synthesize practice guidelines translating high-quality evidence to practical clinical tools. Each comp...



Outcome Measures for Persons With Acute Stroke: A Survey of Physical Therapists Practicing in Acute Care and Acute Rehabilitation Settings

Sat, 26 Mar 2016 14:34:12 +0100

Conclusions: Comfort, evidence, resources, and time influence OM use by physical therapists for persons with stroke. Use of StrokEDGE highly recommended OMs is associated with practice setting, but not with years of practice, APTA membership, or specialist certification. (Source: The Journal of Acute Care Physical Therapy)



Epidemiology and short-term mortality in traumatic patients admitted to Shariati Hospital in Iran between 2012 and 2013 - Sheikhghomi S, Rahimi-Movaghar V, Jafarpour S, Saadat S.

Sat, 26 Mar 2016 11:13:34 +0100

PURPOSE Trauma is an inevitable part of the health burden in every country. Both the preventive and rehabilitative aspects of traumatic injuries are expensive. Since most of the injuries happen in low- and middle-income developing countries, a judicious a... (Source: SafetyLit)



Helping People with Intellectual Disabilities Find Employment

Sat, 26 Mar 2016 00:23:21 +0100

Vocational Rehabilitation shares story of program that helped man with intellectual disability find perfect job (Source: Disabled World)



Decision-making in job attendance within health care--a qualitative study

Fri, 25 Mar 2016 23:00:00 +0100

Conclusions The findings highlight the complexity of managing work when experiencing musculoskeletal symptoms, and the dilemmas faced by those affected. The importance of work environment factors and the fact that some women feel compelled to work part-time in order to prioritize their own health require further consideration. (Source: Occupational Medicine)

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Sensors, Vol. 16, Pages 444: A Virtual Environment to Improve the Detection of Oral-Facial Malfunction in Children with Cerebral Palsy

Fri, 25 Mar 2016 23:00:00 +0100

The importance of an early rehabilitation process in children with cerebral palsy (CP) is widely recognized. On the one hand, new and useful treatment tools such as rehabilitation systems based on interactive technologies have appeared for rehabilitation of gross motor movements. On the other hand, from the therapeutic point of view, performing rehabilitation exercises with the facial muscles can improve the swallowing process, the facial expression through the management of muscles in the face, and even the speech of children with cerebral palsy. However, it is difficult to find interactive games to improve the detection and evaluation of oral-facial musculature dysfunctions in children with CP. This paper describes a framework based on strategies developed for interactive serious games t...



Continuous intraarticular and periarticular levobupivacaine for management of pain relief after total knee arthroplasty: A prospective randomized, double-blind pilot study

Fri, 25 Mar 2016 23:00:00 +0100

Conclusion The use of a mix of levobupivacaina, ketoral-trometamina, and adrenalin provides a safe and effective means in post-operative pain relief in patients undergoing TKA. Level of evidence Level II therapeutic study. (Source: Journal of Orthopaedics)



Association between facility type during pediatric inpatient rehabilitation and functional outcomes

Fri, 25 Mar 2016 23:00:00 +0100

To compare functional outcomes between children receiving inpatient rehabilitation at children’s hospitals versus other facilities. (Source: Archives of Physical Medicine and Rehabilitation)



Long-term opioid use after discharge from inpatient musculoskeletal rehabilitation.

Fri, 25 Mar 2016 17:30:02 +0100

CONCLUSION: Patients who are prescribed opioids during a hospital admission should be screened for risk of opioid misuse. This data suggests that the Opioid Risk Tool could identify a patient's potential for becoming a long-term user of opioids. PMID: 27008591 [PubMed - as supplied by publisher] (Source: Journal of Rehabilitation Medicine)

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Rethinking diagnoses in rehabilitation: An educational case series.

Fri, 25 Mar 2016 17:30:02 +0100

CONCLUSION: In addition to multidisciplinary care, it is important to review the medical diagnosis in the rehabilitation unit. Diagnostic errors can have profound effect on the lives of patients with already existing impairments. Rehabilitation physicians should avoid making assumptions or diagnostic biases, and reapply clinical reasoning especially in the care of individuals with functional decline in rehabilitation. PMID: 27008471 [PubMed - as supplied by publisher] (Source: Journal of Rehabilitation Medicine)



Clinical relevance of the effects of reach-to-grasp training using trunk restraint in individuals with hemiparesis poststroke: A systematic review.

Fri, 25 Mar 2016 17:30:02 +0100

CONCLUSION: Trunk restraint has immediate and some long-term effects in adults with chronic stroke. However, these effects are not consistently clinically relevant when referring to minimal detectable change or minimal clinically important difference values. PMID: 27008369 [PubMed - as supplied by publisher] (Source: Journal of Rehabilitation Medicine)



Towards the system-wide implementation of the International Classification of Functioning, Disability and Health in routine practice: Lessons learned from a pilot study in China.

Fri, 25 Mar 2016 17:30:02 +0100

We report here on the lessons learned from the pilot phase of testing the ICF Generic Set, a parsimonious set of 7 ICF categories, which have been shown to best describe functioning across the general population and people with various health conditions, for use in routine clinical practice in China. The paper discusses whether classification and measurement are compatible, what number of ICF categories should be included in data collection in routine practice, and the usefulness of a functioning profile and functioning score in clinical practice and health research planning. In addition, the paper reflects on the use of ICF qualifiers in a rating scale and the particularities of certain ICF categories contained in the ICF Generic Set when used as items in the context of Chinese rehabilita...



Towards system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in routine practice: Developing simple, intuitive descriptions of ICF categories in the ICF Generic and Rehabilitation Set.

Fri, 25 Mar 2016 17:30:02 +0100

DISCUSSION: This process can be seen as part of a larger effort towards the system-wide implementation of the ICF in routine clinical and rehabilitation practice to allow for the regular and comprehensive evaluation of health outcomes most relevant for the monitoring of quality of care. PMID: 27008067 [PubMed - as supplied by publisher] (Source: Journal of Rehabilitation Medicine)



Biodex fall risk assessment in the elderly with ataxia: a new age-dependent derived index in rehabilitation: an observational study - Prometti P, Olivares A, Gaia G, Bonometti G, Comini L, Scalvini S.

Fri, 25 Mar 2016 16:13:53 +0100

The aim of this study was to evaluate if the Biodex Fall Risk Assessment could provide an age-adjusted index useful for classifying patients at "risk of fall."This was a cohort study conducted on 61 chronic patients, in stable conditions, having a history ... (Source: SafetyLit)

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A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil - Sousa KM, Oliveira WI, Melo LO, Alves EA, Piuvezam G, Gama ZA.

Fri, 25 Mar 2016 16:13:53 +0100

PURPOSE To identify access barriers to physical rehabilitation for traffic accident (TA) victims with severe disability and build a theoretical model to provide guidance towards the improvement of these services. METHODS Qualitative research carrie... (Source: SafetyLit)



Discourse level reading comprehension interventions following acquired brain injury: a systematic review - Watter K, Copley A, Finch E.

Fri, 25 Mar 2016 16:13:53 +0100

PURPOSE Reading comprehension can change following acquired brain injury (ABI), impacting independence and participation. This review aims to identify and evaluate the interventions used for rehabilitation of discourse level reading in adults with ABI. ... (Source: SafetyLit)



A quality improvement project in balance and vestibular rehabilitation and its effect on clinical outcomes - ALMohiza MA, Sparto PJ, Marchetti GF, Delitto A, Furman JM, Miller DL, Whitney SL.

Fri, 25 Mar 2016 16:13:53 +0100

BACKGROUND AND PURPOSE: Unwarranted variation in practice is among the principal contributors of suboptimal outcomes in health care. This variation can be minimized via quality improvement initiatives. However, quality improvement projects focus mostly on ... (Source: SafetyLit)



Home-based rehabilitation interventions for adults living with HIV: a scoping review.

Fri, 25 Mar 2016 15:52:07 +0100

Authors: Cobbing S, Hanass-Hancock J, Myezwa H Abstract Home-based rehabilitation (HBR) has been shown to improve the lives of people living with a wide range of chronic diseases in resource-rich settings. This may also be a particularly effective strategy in resource-poor settings, where access to institution-based rehabilitation is limited. This review aimed to summarise and discuss the evidence related to the effectiveness of home-based rehabilitation (HBR) interventions designed specifically for adults living with HIV. A scoping review methodology was employed, involving systematic search techniques and appraisal of appropriate evidence. English-language journal articles that assessed the quality of life or functional ability outcomes of HBR interventions for adults living with...



The relatives' Big Five ‐ personality influences the trajectories of recovery of patients after severe TBI: A multilevel analysis

Fri, 25 Mar 2016 14:22:51 +0100

Conclusion. The personality traits of the relative co‐vary with the functioning of the patient, and psychological adaptation to the loss of function may progress at a later stage after physical health improvements have been achieved. Thus, a biopsychosocial perspective on the rehabilitation process is needed. This article is protected by copyright. All rights reserved. (Source: Journal of Personality)

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Better Outcomes After Outpatient Stroke Than Inpatient Stroke

Fri, 25 Mar 2016 12:44:16 +0100

According to this study: * Patients who have ischemic stroke onset in the hospital are more likely to die, be discharged to rehabilitation, or have longer hospital stays than those with outpatient stroke onset. * Patients with inpatient stroke onset are less likely to undergo recommended stroke interventions. (Source: AJN)



Respiratory muscle endurance training reduces chronic neck pain: A pilot study.

Fri, 25 Mar 2016 06:48:02 +0100

CONCLUSIONS: RMET emerged from this pilot study as a feasible and effective therapy for reducing disability in patients with chronic neck pain. The underlying mechanisms, including blood gas analyses, need further investigation in a randomized controlled study. PMID: 27002668 [PubMed - as supplied by publisher] (Source: Journal of Back and Musculoskeletal Rehabilitation)



Short-term effects of upper extremity circuit resistance training on muscle strength and functional independence in patients with paraplegia.

Fri, 25 Mar 2016 06:48:02 +0100

CONCLUSIONS: This study showed that CRT has positive effects on muscle strength in the upper extremities and the physical disability components of the FIM when added to conventional rehabilitation programs for paraplegic patients. However, we observed no significant improvement in QoL scores after adding CRT to a conventional treatment regime. LEVEL OF EVIDENCE: Randomized trial (Level II). PMID: 27002667 [PubMed - as supplied by publisher] (Source: Journal of Back and Musculoskeletal Rehabilitation)



Differences in the angle of the medial longitudinal arch and muscle activity of the abductor hallucis and tibialis anterior during sitting short-foot exercises between subjects with pes planus and subjects with neutral foot.

Fri, 25 Mar 2016 06:48:02 +0100

CONCLUSIONS: Clinicians should recognize that pes planus patients may compensate for reduced activation of the abductor hallucis to maintain the angle of the medial longitudinal arch during the sitting short-foot exercise. PMID: 27002666 [PubMed - as supplied by publisher] (Source: Journal of Back and Musculoskeletal Rehabilitation)



Efficiency of therapeutic ultrasound on pain, disability, anxiety, depression, sleep and quality of life in patients with subacromial impingement syndrome: A randomized controlled study.

Fri, 25 Mar 2016 06:48:02 +0100

CONCLUSIONS: Our study showed that US does not have any benefits on SIS. TENS + exercise program are not effective on anxiety, depression and fatigue, however TENS +$ exercise program are effective on pain, disability and sleep disturbance in patients with SIS. PMID: 27002665 [PubMed - as supplied by publisher] (Source: Journal of Back and Musculoskeletal Rehabilitation)

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Correlates of shoulder pain in wheelchair basketball players from the Japanese national team: A cross-sectional study.

Fri, 25 Mar 2016 06:48:02 +0100

CONCLUSIONS: Because top male wheelchair basketball players have a higher risk of shoulder pain than female players, daily care of shoulder and periodic medical checkups are needed, especially for older male players with lower ability and more experience. PMID: 27002664 [PubMed - as supplied by publisher] (Source: Journal of Back and Musculoskeletal Rehabilitation)



Does proprioceptive acuity during active knee rotation in the transverse plane vary at different ranges?

Fri, 25 Mar 2016 06:48:02 +0100

CONCLUSIONS: Participants perceived smaller differences between active internal and external rotation movements at initial rotation range than at the mid and terminal rotation range of movement. This suggests better proprioceptive acuity at the initial rotation range of movement in the transverse plane. PMID: 27002663 [PubMed - as supplied by publisher] (Source: Journal of Back and Musculoskeletal Rehabilitation)



Continuous passive motion in adhesive capsulitis patients with diabetes mellitus: A randomized controlled trial.

Fri, 25 Mar 2016 06:48:02 +0100

CONCLUSIONS: Both the CPM and CPT therapies seemed to be beneficial for the treatment of AC in DM patients, however CPM revealed more distinctive improvements in the function and pain levels of the AC patients. PMID: 27002662 [PubMed - as supplied by publisher] (Source: Journal of Back and Musculoskeletal Rehabilitation)



Ligamentum flavum thickening at lumbar spine is associated with facet joint degeneration: An MRI study.

Fri, 25 Mar 2016 06:48:02 +0100

CONCLUSION: The results of this study suggest that LF thickening may occur independently or could be associated with FJD especially on ipsilateral side and this relationship is due to the vertebral level. The degree of disc degeneration increases with age and age related changes may be predominantly observed at L4-L5 vertebral level. PMID: 27002661 [PubMed - as supplied by publisher] (Source: Journal of Back and Musculoskeletal Rehabilitation)



Prevalence causes and impact of work related musculoskeletal disorders among physical therapists.

Fri, 25 Mar 2016 06:48:02 +0100

CONCLUSIONS: Physical therapists are especially vulnerable to WRMDs with a prevalence of 47.7%. WRMDs are impacted by both work status and setting. Low back pain is the most common form of WRMDs (46.5%). Avoidance of poor work habits, increased ergonomic awareness and application of safety measures are essential to prevent WRMDs. PMID: 27002660 [PubMed - as supplied by publisher] (Source: Journal of Back and Musculoskeletal Rehabilitation)

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Conventional Versus Digital Impressions for "All-on-Four" Restorations.

Fri, 25 Mar 2016 00:03:03 +0100

CONCLUSION: Results demonstrate that it is possible to develop computer-aided design/computer-assisted manufacturing (CAD/CAM) cobalt-chromium full-arch rehabilitations with satisfactory accuracy using digital impression techniques. PMID: 27004280 [PubMed - in process] (Source: International Journal of Oral and Maxillofacial Implants)



The Prevalence of Latent Trigger Points in Lower Limb Muscles in Asymptomatic Subjects

Thu, 24 Mar 2016 23:00:00 +0100

Conclusion LTrPs were prevalent in the lower limb muscles of asymptomatic subjects. Women have more LTrPs than do men. No differences in LTrP prevalence were found between sides. The presence of the taut band and the tender spot were the most prevalent and reliable diagnosis criteria. It is necessary to determine if the evaluation of LTrPs in the lower limb muscles of asymptomatic subjects has clinical relevance. (Source: PMandR)



Test−Retest Reliability and Convergent Validity of Three Manual Dexterity Measures in Persons With Chronic Stroke

Thu, 24 Mar 2016 23:00:00 +0100

Conclusion The test−retest reliability of the BBT, NHPT and mSHFT was high but all measures showed learning effects. The relationships between the 3 measures indicate that they partly complement one another. The BBT may be preferred for persons with moderate impairments of the upper extremity and the NHPT and the mSHFT for persons with milder impairments. As the mSHFT has the advantage of reflecting activities in daily life it may be a suitable alternative to the NHPT. (Source: PMandR)



IJERPH, Vol. 13, Pages 370: The Injury Profile of an Australian Specialist Policing Unit

Thu, 24 Mar 2016 23:00:00 +0100

This study investigated the injuries sustained by an Australian specialist police division. Injury records spanning four-years were analyzed. The role being performed when the injury occurred, injury cause, body part injured, and injury-related costs were quantified. The percentage of personnel injured multiple times was documented. One hundred and thirty eight personnel reported injuries, 58 of these on multiple occasions. This resulted in 229 injuries and 76 claims being raised. Half of the injuries occurred during operational policing tasks, however training activities accounted for >30% of injuries. The most common injury was strain/sprain, and upper body injuries were 2.5-times more common than lower-body or torso injuries. 1107 shifts were lost, and injuries cost the organizat...



Bacterial and fungal growth in burnt acid soils amended with different high C/N mulch materials

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: June 2016 Source:Soil Biology and Biochemistry, Volume 97 Author(s): A. Barreiro, E. Bååth, M. Díaz-Raviña Wildfire has become a major disturbance agent in Mediterranean area, with Galicia in the north-west of Spain having the most frequent fires. In order to combat soil erosion, different post-fire stabilization treatments can be applied, like adding different mulch materials. In a laboratory experiment we evaluated the effect of adding plant residues, commonly used in post-fire rehabilitation (wheat straw, coconut fibre, Eucalyptus bark and wood chips), at two different rates on the microbial response (respiration, bacterial and fungal growth, using leucine and acetate-in-ergosterol incorporation, and biomass and community structure by means of phospholipids fa...

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How Do Demographic, Surgical, Patient, and Cultural factors Affect Pain Control after Unicompartmental Knee Arthroplasty? A Multivariable Regression Analysis

Thu, 24 Mar 2016 23:00:00 +0100

This study also evaluated the role of analgesic cocktail (traditional periarticular injection cocktail “PAI” vs. (Source: The Journal of Arthroplasty)



Communicating about obesity and weight-related topics with children with a physical disability and their families: spina bifida as an example.

Thu, 24 Mar 2016 23:00:00 +0100

CONCLUSIONS: Stakeholders describe therapeutic relationships that are currently disconnected around the issue of weight and obesity. However, children, parents and HCPs all believed that discussing this topic was critical. Positively framed, strengths-based and tailored approaches to weight-related discussions are warranted. Implications for Rehabilitation Rates of overweight and obesity in children and youth with physical disabilities are substantially higher than their typically developing peers. Healthcare professionals, children with physical disabilities and families often find weight-related discussions challenging and disconnected. Weight-related discussions should be tailored to the child and family's circumstances and priorities. Positively framed and strengths-based approaches to...



"Over time it just becomes easier…": parents of people with Angelman syndrome and Prader-Willi syndrome speak about their carer role.

Thu, 24 Mar 2016 23:00:00 +0100

CONCLUSIONS: No specific coping strategy was associated with reduced stress. However, parents felt that accurate and timely information during the diagnostic period helped. Parents used family and community support although there were difficulties accessing respite care. It is advised that government agencies, service providers, family members and peer support associations should provide practical and emotional support to assist the parents of offspring with AS and PWS, and indeed any form of intellectual disability, across the lifespan. Implications for Rehabilitation Long-term caring for offspring with AS or PWS can involve considerable stress for parents. Stress has been associated with poorer health outcomes for parental carers. Parents need a variety of practical and emotional support...



Fatigue in the mothers of children with cerebral palsy.

Thu, 24 Mar 2016 23:00:00 +0100

CONCLUSIONS: Our findings indicate that fatigue levels of mothers with CP children are higher than those with healthy children and associated with depression and deterioration in QoL in terms of physical, social and emotional functioning. This should be considered while designing a family centred rehabilitation programme for children with CP. Implications for Rehabilitation Caring for a child with cerebral palsy has psychological, social and financial impacts on familiesand is associated with increased levels of fatigue among mothers. The capacity of current programs and services needs to be strengthened to accommodate theneeds of children with CP and their mothers in order to reduce fatigue of mothers. New programs need to be developed to provide psychosocial support for the mothers andto...



Non-invasive brain stimulation for the lower limb after stroke: what do we know so far and what should we be doing next?

Thu, 24 Mar 2016 23:00:00 +0100

CONCLUSIONS: Future research should systematically assess differences in response with different stimulation parameters, test measures for determining who would be most likely to benefit and assess effectiveness with large samples before NIBS can be considered for use in clinical practice. Implications for Rehabilitation Stroke is a leading cause of disability, often resulting in dependency in activities of daily living and reduced quality of life. Non-invasive brain stimulation has received considerable interest as a potential adjuvant to rehabilitation after stroke and this review summarizes studies targeting the lower limb and gait recovery. Non-invasive brain stimulation can be used to modulate excitability of lower limb muscle representations and can lead to improvements in motor perf...



Evaluation of a group acceptance commitment therapy intervention for people with knee or hip osteoarthritis: a pilot randomized controlled trial.

Thu, 24 Mar 2016 23:00:00 +0100

CONCLUSIONS: ACT for osteoarthritis is likely to be an acceptable treatment option for people with osteoarthritis. Progress to a definitive trial is warranted. Rasch-transformed outcome scales are preferable in clinical trials where possible. Implications for Rehabilitation Acceptance commitment therapy (ACT) is an effective treatment for many pain conditions andcould be a useful intervention for people with osteoarthritis who have high levels of pain. Rasch analysis is a measurement technique that may enable greater precision in detectingmeaningful treatment effects in routine clinical outcomes. The ACT intervention was successful in reducing pain and sleep difficulties and there werenotable differences in effects between standard and Rasch-transformed scales. In a relatively small trial,...

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Initial development of patient-reported instrument assessing harm, efficacy, and misuse of long-term opioid therapy.

Thu, 24 Mar 2016 20:17:01 +0100

This report details the initial steps in the development of such an instrument. An interdisciplinary team of clinician-scientists performed four discrete steps in this study: (1) conceptualization of the purpose and function of the instrument, (2) assembly of an item pool, (3) expert rating on which items were most important to include in the instrument, and (4) modification of expert-selected items based on a reading level check and cognitive interviews with patients. A diverse panel of 47 subject matter experts was presented with 69 items to rate on a 1-9 scale in terms of importance for inclusion in the instrument. The panel highly rated 37 items: 8 related to harm, 4 related to efficacy, and 25 related to misuse. These 37 items were then tested for patient comprehension and modified as...



Potential neurobiological benefits of exercise in chronic pain and posttraumatic stress disorder: Pilot study.

Thu, 24 Mar 2016 20:17:01 +0100

Authors: Scioli-Salter E, Forman DE, Otis JD, Tun C, Allsup K, Marx CE, Hauger RL, Shipherd JC, Higgins D, Tyzik A, Rasmusson AM Abstract This pilot study assessed the effects of cardiopulmonary exercise testing and cardiorespiratory fitness on plasma neuropeptide Y (NPY), allopregnanolone and pregnanolone (ALLO), cortisol, and dehydroepiandrosterone (DHEA), and their association with pain sensitivity. Medication-free trauma-exposed participants were either healthy (n = 7) or experiencing comorbid chronic pain/posttraumatic stress disorder (PTSD) (n = 5). Peak oxygen consumption (VO2) during exercise testing was used to characterize cardiorespiratory fitness. Peak VO2 correlated with baseline and peak NPY levels (r = 0.66, p < 0.05 and r = 0.69, p < 0.05, respectively), as we...



Iraq and Afghanistan Veterans report symptoms consistent with chronic multisymptom illness one year after deployment.

Thu, 24 Mar 2016 20:17:01 +0100

This study suggests that the presence of CMI should be considered in the evaluation of OIF/OEF Veterans. Further, it suggests the pain management for these Veterans may need to be tailored to take CMI into consideration. PMID: 27006173 [PubMed - in process] (Source: J Rehabil Res Dev)



Stepped care model of pain management and quality of pain care in long-term opioid therapy.

Thu, 24 Mar 2016 20:17:01 +0100

This study examined the utility of the Pain Care Quality (PCQ) extraction tool in evaluating implementation of the Stepped Care Model for Pain Management at one Veterans Health Administration (VHA) healthcare system over 4 yr and in a non-VHA Federally qualified health center (FQHC) over 2 yr. Two hundred progress notes per year from VHA and 150 notes per year from FQHC primary care prescribers of long-term opioid therapy (>90 consecutive days) were randomly sampled. Each note was coded for the presence or absence of key dimensions of PCQ (i.e., pain assessment, treatment plans, pain reassessment/outcomes, patient education). General estimating equations controlling for provider and facility were used to examine changes in PCQ items over time. Improvements in the VHA were noted in pain ...

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Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation.

Thu, 24 Mar 2016 20:17:01 +0100

This study explored differences between female and male Veterans engaged in a Chronic Pain Rehabilitation Program and determined how female and male Veterans change following participation. Veterans (N = 324) in a 3 wk inpatient program completed self-report measures at admission, discharge, and 3 mo follow-up. Participants were 21% female (n = 67) and 79% male (n = 257). Compared with males, females were younger and less likely to be white or married/partnered. Females reported shorter pain duration and were more likely to have primary head or limb pain. At admission, fewer females were prescribed opioids than males and at lower doses. After opioid cessation in the program, however, there were no significant differences in use between the sexes at follow-up. Improvements in a range of dom...



Pain research using Veterans Health Administration electronic and administrative data sources.

Thu, 24 Mar 2016 20:17:01 +0100

Authors: Abel EA, Brandt CA, Czlapinski R, Goulet JL Abstract Health services researchers are using Veterans Health Administration (VHA) electronic health record (EHR) data sources to examine the prevalence, treatment, and outcomes of pain among Veterans in VHA care. Little guidance currently exists on using these data; thus, findings may vary depending on the methods, data sources, and definitions used. We sought to identify current practices in order to provide guidance to future pain researchers. We conducted an anonymous survey of VHA-affiliated researchers participating in a monthly national pain research teleconference. Thirty-two researchers (89%) responded: 75% conducted pain-focused research, 78% used pain intensity numeric rating screening scale (NRS) scores to identify p...



Does comorbid chronic pain affect posttraumatic stress disorder diagnosis and treatment? Outcomes of posttraumatic stress disorder screening in Department of Veterans Affairs primary care.

Thu, 24 Mar 2016 20:17:01 +0100

Authors: Outcalt SD, Hoen HM, Yu Z, Franks TM, Krebs EE Abstract Because posttraumatic stress disorder (PTSD) is both prevalent and underrecognized, routine primary care-based screening for PTSD has been implemented across the Veterans Health Administration. PTSD is frequently complicated by the presence of comorbid chronic pain, and patients with both conditions have increased symptom severity and poorer prognosis. Our objective was to determine whether the presence of pain affects diagnosis and treatment of PTSD among Department of Veterans Affairs (VA) patients who have a positive PTSD screening test. This retrospective cohort study used clinical and administrative data from six Midwestern VA medical centers. We identified 4,244 VA primary care patients with a positive PTSD scre...



Correlates of prescription opioid therapy in Veterans with chronic pain and history of substance use disorder.

Thu, 24 Mar 2016 20:17:01 +0100

This study examined correlates of prescription opioid therapy in 214 Veterans with chronic noncancer pain and an SUD history. Participants completed psychosocial questionnaires and participated in a structured mental health diagnostic interview, and medical diagnoses and opioid pharmacy data were abstracted from their Department of Veterans Affairs electronic medical records. Participants were categorized into three groups based on opioid prescriptions in the past 90 d: no opioid therapy (n = 134), short-term (<90 d) opioid therapy (n = 31), or long-term (>/= 90 d) opioid therapy (n = 49). Relative to participants prescribed no or short-term opioid therapy, participants who were prescribed long-term opioid therapy had a greater number of pain diagnoses; reported higher levels of pain...

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Advances in pain management for Veterans: Current status of research and future directions.

Thu, 24 Mar 2016 20:17:01 +0100

Authors: Kerns RD, Heapy A, Kerns RD, Heapy AA PMID: 27004523 [PubMed - in process] (Source: J Rehabil Res Dev)



Department of Veterans Affairs Office of Research and Development's pain portfolio.

Thu, 24 Mar 2016 20:17:01 +0100

Authors: Kusiak AN, Kusiak AN PMID: 27004510 [PubMed - in process] (Source: J Rehabil Res Dev)



Perceptions of other integrative health therapies by Veterans with pain who are receiving massage.

Thu, 24 Mar 2016 20:17:01 +0100

Authors: Fletcher CE, Mitchinson AR, Trumble EL, Hinshaw DB, Dusek JA Abstract Veterans are increasingly using complementary and integrative health (CIH) therapies to manage chronic pain and other troubling symptoms that significantly impair health and quality of life. The Department of Veterans Affairs (VA) is exploring ways to meet the demand for access to CIH, but little is known about Veterans' perceptions of the VA's efforts. To address this knowledge gap, we conducted interviews of 15 inpatients, 8 receiving palliative care, and 15 outpatients receiving CIH in the VA. Pain was the precipitating factor in all participants' experience. Participants were asked about their experience in the VA and their opinions about which therapies would most benefit other Veterans. Participant...



Small Mayo Clinic study finds health app helps cardiac rehab patients lose more weight

Thu, 24 Mar 2016 18:47:29 +0100

Cardiac rehabilitation patients who used a health app lost more weight following a heart attack than those who went through cardiac rehabilitation without one, according to a small Mayo Clinic study that will be presented at the American College of Cardiology's 65th Annual Scientific Session in Chicago next week. (Source: mobihealthnews)



Changing the Way We Think About Tendon RehabilitationChanging the Way We Think About Tendon Rehabilitation

Thu, 24 Mar 2016 16:00:00 +0100

Find out more about tendon neuroplastic training -- and what role it could play in tendon rehabilitative strategies. British Journal of Sports Medicine (Source: Medscape Orthopaedics Headlines)

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Models to Tailor Brain Stimulation Therapies in Stroke.

Thu, 24 Mar 2016 15:28:02 +0100

We present evidence supporting the role of alternate substrates, which can be targeted instead in patients with greater damage and deficit. Building on this groundwork, this review will also discuss different frameworks on how to tailor brain stimulation therapies. To the best of our knowledge, our report is the first instance that enumerates and compares across theoretical models from upper limb recovery and conditions like aphasia and depression. Here, we explain how different models capture heterogeneity across patients and how they can be used to predict which patients would best respond to what treatments to develop targeted, individualized brain stimulation therapies. Our intent is to weigh pros and cons of testing each type of model so brain stimulation is successfully tailored to m...



A retrospective multicenter case series evaluating a novel 3.0-mm expanding tapered body implant for the rehabilitation of missing incisors

Thu, 24 Mar 2016 15:15:54 +0100

Conclusions: At 1-year follow-up, narrow 3.0-mm diameter implants placed in mandibular and lateral maxillary incisor sites demonstrate a high survival rate and support stable marginal bone levels and healthy soft tissue. (Source: Quintessence International)



A combined peri-implant plastic surgery approach for implants in the esthetic zone using a novel technique: A series of 10 cases

Thu, 24 Mar 2016 15:15:54 +0100

Conclusions: In implant rehabilitation, in cases where there are insufficient hard and soft tissues in the esthetic zone, a combined peri-implant plastic surgery approach not only enables the ideal implant position where both function and esthetics are ensured but also provides effective protection of peri-implant tissue health. (Source: Quintessence International)



Leveraging Social Computing for Personalized Crisis Communication using Social Media

Thu, 24 Mar 2016 14:12:25 +0100

Conclusions In very fast pace, social media have acquired a prominent role in media and our daily life71. During crisis and emergency, people tend to approach social media not only because of the need for quick information, but also due to the human tendency for storytelling, which allows people to experience their lives as coherent, orderly and meaningful. It is what makes people’s life more than a blooming, buzzing confusion117. Communication with public during emergency is critical for successful emergency management118 life saving, rescue and recovery. On the other hand , one should take into account that 2.08 billion people world-wide are social media users11 and significant number of people are expected to participate in the online convergence, posting massive amount of user-genera...



Digital Health Tool Helps Cardiac Rehab Patients

Thu, 24 Mar 2016 12:00:00 +0100

Adding a digital health tool to traditional cardiac rehabilitation appears to help people recovering from a heart attack lose significantly more weight in a relatively short period of time, according to research scheduled for presentation at the American College of Cardiology's 65th Annual Scientific Session. In fact, patients using specially designed health tools on their smartphones and through a Web-based portal lost four times as much weight compared with those undergoing 12 weeks of cardiac rehabilitation alone. (Source: eHealth News EU)

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Efficacy and Safety of Single Botulinum Toxin Type A (Botox®) Injection for Relief of Upper Trapezius Myofascial Trigger Point: A Randomized, Double-Blind, Placebo-Controlled Study.

Thu, 24 Mar 2016 11:39:02 +0100

CONCLUSION: The efficacy in VAS reduction of a single 20 IU of Botulinum toxin type A (Botox®) injection was not different from 0.9% NaCl for myofascial trigger point at the upper trapezius muscle. However Botulinum toxin type A (Botox®) showed statistically significant more increased in pressure pain threshold at 6-week after injection without severe adverse effects. PMID: 27004309 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)



Body-machine interface for control of a screen cursor for a child with congenital absence of upper and lower limbs: a case report

Thu, 24 Mar 2016 00:00:00 +0100

There has been a recent interest in the development of body-machine interfaces which allow individuals with motor impairments to control assistive devices using body movements. (Source: Journal of NeuroEngineering and Rehabilitation)



Can we define a rehabilitation strategy for cognitive impairment in progressive multiple sclerosis? A critical appraisal

Wed, 23 Mar 2016 23:00:00 +0100

Cognitive impairment (CI) has been shown to be severe in patients with progressive forms of multiple sclerosis (MS), and the most frequently impaired domains are sustained attention, information processing speed, memory, and executive functions. In contrast to relapsing forms of MS, where studies have shown favorable results from cognitive rehabilitation, there is a lack of data on cognitive rehabilitation in progressive forms of MS. A specific approach in assessing CI and in designing and administering rehabilitation training for patients with progressive forms of MS is needed. (Source: Multiple Sclerosis)



The contribution of virtual reality to the diagnosis of spatial navigation disorders and to the study of the role of navigational aids: A systematic literature review

Wed, 23 Mar 2016 23:00:00 +0100

Conclusion Unlike pencil-and-paper tests, virtual reality is useful to assess large-scale navigation strategies in patients with brain injury or schizophrenia, or in the context of ageing and dementia. Better knowledge about both the impact of the different aids and the cognitive processes involved is essential for the use of aids in neurorehabilitation. (Source: Annals of Physical and Rehabilitation Medicine)

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Thoracic Outlet Syndrome Causing Phantom Hand Pain in a Person With a Transradial Amputation: A Case Presentation

Wed, 23 Mar 2016 23:00:00 +0100

Publication date: Available online 10 March 2016 Source:PM&R Author(s): Amy Hanlan, Heather C. Finlayson, Chris Grant In this case, a 47-year-old commercial truck driver with a remote right transradial amputation presented with pain in the medial aspect of his right phantom hand. He was diagnosed with thoracic outlet syndrome (TOS). This was attributed to the muscular demands associated with using his body-powered prosthesis for many years. TOS remains a controversial diagnosis in the able-bodied population and a unique diagnostic challenge in a patient with a transradial amputation. In this case, consideration of TOS guided the rehabilitation and treatment plan. His pain improved with a conservative stretching program. (Source: PMandR)



Pelvic Pain Due to Ischial Tuberosity and Acetabular Melorheostosis—Multimodal Image Presentation

Wed, 23 Mar 2016 23:00:00 +0100

Publication date: Available online 9 March 2016 Source:PM&R Author(s): Thomas Chai, Girish S. Shroff (Source: PMandR)



Hippotherapy acute impact on heart rate variability non-linear dynamics in neurological disorders

Wed, 23 Mar 2016 23:00:00 +0100

Publication date: 15 May 2016 Source:Physiology & Behavior, Volume 159 Author(s): Ramona Cabiddu, Audrey Borghi-Silva, Renata Trimer, Vitor Trimer, Paula Angélica Ricci, Clara Italiano Monteiro, Marcela Camargo Magalhães Maniglia, Ana Maria Silva Pereira, Gustavo Rodrigues das Chagas, Eliane Maria Carvalho Neurological disorders are associated with autonomic dysfunction. Hippotherapy (HT) is a therapy treatment strategy that utilizes a horse in an interdisciplinary approach for the physical and mental rehabilitation of people with physical, mental and/or psychological disabilities. However, no studies have been carried out which evaluated the effects of HT on the autonomic control in these patients. Therefore, the objective of the present study was to investigate the ...

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Selected highlights from other veterinary journals

Wed, 23 Mar 2016 23:00:00 +0100

Salmonella in grey seals J. L. Baily, G. Foster, D. Brown, N. Davison, J. E. Coia, E. Watson and others MICROBIAL pollution of the marine environment through land to sea transfer of human and livestock pathogens is a major global health concern, with Salmonella infection causing more than 90 million cases of clinical disease annually worldwide. The aim of this study was to determine the prevalence, serotypes and antimicrobial resistance of Salmonella species in free-ranging and stranded grey seal pups during the 2011 breeding season. Rectal swabs were taken from 50 dead grey seal pups, 90 live grey seal pups and 19 live yearling grey seals at their natal colony over a six-week period in autumn 2011. Rectal swabs were concurrently taken from 26 stranded live pups arriving at a rehabilitatio...



Comparison of Different Forms of Exercise Training in Patients With Cardiac Disease: Where Does High-Intensity Interval Training Fit?

Wed, 23 Mar 2016 23:00:00 +0100

Publication date: April 2016 Source:Canadian Journal of Cardiology, Volume 32, Issue 4 Author(s): Mathieu Gayda, Paula A.B. Ribeiro, Martin Juneau, Anil Nigam In this review, we discuss the most recent forms of exercise training available to patients with cardiac disease and their comparison or their combination (or both) during short- and long-term (phase II and III) cardiac rehabilitation programs. Exercise training modalities to be discussed include inspiratory muscle training (IMT), resistance training (RT), continuous aerobic exercise training (CAET), and high-intensity interval training (HIIT). Particular emphasis is placed on HIIT compared or combined (or both) with other forms such as CAET or RT. For example, IMT combined with CAET was shown to be superior to CAET alone for i...



The Health Benefits of a 12-Week Home-Based Interval Training Cardiac Rehabilitation Program in Patients With Heart Failure

Wed, 23 Mar 2016 23:00:00 +0100

Conclusions We have shown that a home-based cardiac rehabilitation program involving interval and resistance training is associated with improved aerobic capacity and quality of life in patients with HF. This research has important implications for the treatment of HF. (Source: Canadian Journal of Cardiology)



Barriers to Intake Assessment in Women Referred for Cardiac Rehabilitation

Wed, 23 Mar 2016 23:00:00 +0100

Publication date: April 2016 Source:Canadian Journal of Cardiology, Volume 32, Issue 4 Author(s): M. Landry, J. Price, F. Delos-Reyes, D. Childerhose, P. Harvey (Source: Canadian Journal of Cardiology)



The Association Between Depression Severity and Cardiac Risk Factors Among Women Referred to a Cardiac Rehabilitation and Prevention Clinic

Wed, 23 Mar 2016 23:00:00 +0100

Publication date: April 2016 Source:Canadian Journal of Cardiology, Volume 32, Issue 4 Author(s): M. Bhardwaj, J. Price, M. Landry, P. Harvey, J. Hensel (Source: Canadian Journal of Cardiology)

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Voice rehabilitation for laryngeal cancer patients: Functional outcomes and patient perceptions

Wed, 23 Mar 2016 23:00:00 +0100

ConclusionFor this study group representing Tis to T4‐size laryngeal cancers, patients receiving voice rehabilitation post radiotherapy demonstrated no functional decline in vocal roughness and perceived their voice to improve to a greater extent post‐VR than the control group. Level of Evidence1b. Laryngoscope, 2016 (Source: The Laryngoscope)



Rehabilitation interventions in children and adults with infectious encephalitis: a systematic review protocol

Wed, 23 Mar 2016 23:00:00 +0100

Introduction Many encephalitis survivors can benefit from rehabilitation. However, there is currently no comprehensive review describing rehabilitation intervention outcomes among children and adults with infectious encephalitis. This is a protocol for a systematic review that will summarise the current literature on outcomes following rehabilitative interventions among children and adults with infectious encephalitis. With a sufficient sample size, a sex-stratified analysis of the findings will also be presented, as variability between male and female patients with neurological disorders, including encephalitis, regarding outcomes after rehabilitative interventions has been noted in the literature. Methods and analysis This review will systematically search MEDLINE, MEDLINE In-Process, E...



The effect of action observation/execution on mirror neuron system recruitment: an fMRI study in healthy individuals

Wed, 23 Mar 2016 23:00:00 +0100

Abstract Action observation and execution activate regions that are part of the motor and mirror neuron systems (MNS). Using functional magnetic resonance (fMRI), we defined the presence and extent of MNS activation during three different motor tasks with the dominant, right-upper limb in healthy individuals. The influence of the modality of task administration (execution, observation, observation and execution) was also investigated. fMRI scans during the execution (E) of a motor task, the observation (O) of a video showing the same task performed by another person and the simultaneous observation and execution (OE) of the task were obtained from three groups of healthy subjects (15 subjects per group) randomized to perform: a simple motor (SM) task, a complex motor (CM) task and...



Physical fitness training for stroke patients.

Wed, 23 Mar 2016 23:00:00 +0100

CONCLUSIONS: Cardiorespiratory training and, to a lesser extent, mixed training reduce disability during or after usual stroke care; this could be mediated by improved mobility and balance. There is sufficient evidence to incorporate cardiorespiratory and mixed training, involving walking, within post-stroke rehabilitation programmes to improve the speed and tolerance of walking; some improvement in balance could also occur. There is insufficient evidence to support the use of resistance training. The effects of training on death and dependence after stroke are still unclear but these outcomes are rarely observed in physical fitness training trials. Cognitive function is under-investigated despite being a key outcome of interest for patients. Further well-designed randomised trials are nee...



Malaria in penguins - current perceptions.

Wed, 23 Mar 2016 23:00:00 +0100

Authors: Grilo ML, Vanstreels RE, Wallace R, García-Párraga D, Braga ÉM, Chitty J, Catão-Dias JL, Madeira de Carvalho LM Abstract Avian malaria is a mosquito-borne disease caused by protozoans of the genus Plasmodium, and it is considered one of the most important causes of morbidity and mortality in captive penguins, both in zoological gardens and rehabilitation centres. Penguins are known to be highly susceptible to this disease, and outbreaks have been associated with mortality as high as 50-80% of affected captive populations within a few weeks. The disease has also been reported in wild penguin populations, however its impacts on the health and fitness of penguins in the wild is not clear. This review provides an overview of the aetiology, life cycle and epidemiology of av...

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Digital health tool helps cardiac rehab patients shed more pounds

Wed, 23 Mar 2016 22:56:41 +0100

Adding a digital health tool to traditional cardiac rehabilitation appears to help people recovering from a heart attack lose significantly more weight in a relatively short period of time, according to new research. (Source: ScienceDaily Headlines)



Can Temperate-Water Immersion Effectively Reduce Rectal Temperature in Exertional Heat Stroke Situations?: A Critically-Appraised Topic.

Wed, 23 Mar 2016 22:41:02 +0100

Authors: Truxton TT, Miller KC Abstract Clinical Scenario: Exertional heat stroke (EHS) is a medical emergency which, if left untreated, can result in death. The standard of care for EHS patients includes confirmation of hyperthermia via rectal temperature (Trec) and then immediate cold-water immersion (CWI). While CWI is the fastest way to reduce Trec, it may be difficult to lower and maintain water bath temperature in the recommended ranges (1.7°C-15°C [35°F-59°F]) because of limited access to ice and/or the bath being exposed to high ambient temperatures for long periods of time. Determining if Trec cooling rates are acceptable (i.e., >0.08°C/min) when significantly hyperthermic humans are immersed in temperate water (i.e., ≥20°C [68°F]) has applications for how EHS ...



Brain Stimulation After Stroke Aids RecoveryBrain Stimulation After Stroke Aids Recovery

Wed, 23 Mar 2016 22:19:03 +0100

Combined with rehabilitation, transcranial direct-current brain stimulation improved function compared with a sham procedure, a new study shows. Medscape Medical News (Source: Medscape Neurology and Neurosurgery Headlines)



Spice Can Be Nice for Kids--and Improve Nutrition

Wed, 23 Mar 2016 20:39:21 +0100

By Keith-Thomas Ayoob, ED.D. March has been declared "National Nutrition Month" by the Academy of Nutrition and Dietetics, the national professional association of registered dietitian/nutritionists. Every year has a different theme for consumers and health professionals, and usually it's focused on health and specific nutrition goals. This year the theme is "Savor the Flavor of Eating Right." The campaign has grown every year and is now even promoted by the Centers for Medicare and Medicaid Services. The current theme might sound fun and frivolous, like something you might expect to see on the Food Network, but having fun with eating is one way I've found to help motivate my patients to make simple, positive dietary changes that last. The families I work with are real people with real foo...



Severe tooth loss after root damage caused by predrilled intermaxillary fixation screw: a case report

Wed, 23 Mar 2016 20:13:42 +0100

Abstract Intermaxillary fixation (IMF) with screws is routinely used as a conservative therapy or to obtain normal occlusion during the surgical procedure of open reduction and internal fixation for treating mandibular fractures. The risk of iatrogenic dental damage caused by interdental drilling is widely known. Several side effects are described, including loss of response to pulp sensibility testing, root fracture, and, loss of the tooth. This is a case report about a young man who had undergone temporary IMF treatment with a single proven root damage. The patient did not appear for follow‐up but he presented 5 years afterward with local purulent osteomyelitis concerning the affected and the adjacent teeth. Osteotomy and extraction of two premolars and one molar were necessary for reh...

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Dental and skeletal effects of palatal expansion techniques: a systematic review of the current evidence from systematic reviews and meta‐analyses

Wed, 23 Mar 2016 20:13:27 +0100

Summary The aim was to assess the quality and to summarise the findings of the Systematic Reviews (SRs) and Meta‐Analyses (MAs) on the dental and skeletal effects of maxillary expansion. Electronic and manual searches have been independently conducted by two investigators, up to February 2015. SRs and MAs on the dentoalveolar and skeletal effects of fixed expanders were included. The methodological quality was assessed using the AMSTAR (A Measurement Tool to Assess Systematic Reviews). The design of the primary studies included in each SR/MA was assessed with the LRD (Level of Research Design scoring). The evidence for each outcome was rated applying a pre‐determined scale. Twelve SRs/MAs were included. The AMSTAR scores ranged from 4 to 10. Two SRs/MAs included only RCTs. The current ...



Cardiac Rehab Goes Better With Added Stress ManagementCardiac Rehab Goes Better With Added Stress Management

Wed, 23 Mar 2016 19:31:22 +0100

Patients in cardiac rehabilitation programs may have fewer complications when the training includes stress management, a recent study suggests. Reuters Health Information (Source: Medscape Medical News Headlines)



Gaps in Care Can Harm Patients After Heart Attack

Wed, 23 Mar 2016 16:00:00 +0100

Waiting too long for first medical apppointment after hospital discharge can have consequences, study finds Source: HealthDay Related MedlinePlus Pages: Cardiac Rehabilitation, Heart Attack, Medication Errors (Source: MedlinePlus Health News)



Nigeria: Lagos Set to Rehabilitate Dilapidated Schools, Health Centres

Wed, 23 Mar 2016 10:50:29 +0100

[Daily Trust] Lagos -The Lagos State government has said it would concentrate on rehabilitation of schools and primary health centres (PHCs) in the state in the next six months in order to bring about conducive atmosphere for learning and facilitate access to quality health care delivery at the grassroots. (Source: AllAfrica News: Health and Medicine)



Changing the Culture of a Large Multihospital Acute Care Therapy System to Value-Added Through Best Practice Guidelines: A Quality Improvement Project

Wed, 23 Mar 2016 10:25:12 +0100

This article describes the quality improvement project of the Baylor Institute for Rehabilitation acute care therapy division to change culture from volume-driven to value-added through best practice guideline (BPG) development and implementation. Quality Improvement Process: The acute care therapy division of the Baylor Institute for Rehabilitation provides the rehabilitation therapy services for 8 hospitals in North Texas. In 2013, the division created and implemented comprehensive BPGs addressing the high impact areas of reducing falls, reducing readmissions, and early mobility. Outcomes: Hospital systemwide leadership and multidisciplinary clinical development teams were created to synthesize practice guidelines translating high-quality evidence to practical clinical tools. Each comp...

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Outcome Measures for Persons With Acute Stroke: A Survey of Physical Therapists Practicing in Acute Care and Acute Rehabilitation Settings

Wed, 23 Mar 2016 10:25:12 +0100

Conclusions: Comfort, evidence, resources, and time influence OM use by physical therapists for persons with stroke. Use of StrokEDGE highly recommended OMs is associated with practice setting, but not with years of practice, APTA membership, or specialist certification. (Source: The Journal of Acute Care Physical Therapy)



Change in Pulmonary Function after Incentive Spirometer Exercise in Children with Spastic Cerebral Palsy: A Randomized Controlled Study.

Wed, 23 Mar 2016 09:24:03 +0100

CONCLUSION: The results of this randomized controlled study support the use of ISE for enhancing pulmonary function and breath control for speech production in children with CP. PMID: 26996580 [PubMed - in process] (Source: Yonsei Medical Journal)



Psychosocial rehabilitation in assisted housing in brazil and portugal

Wed, 23 Mar 2016 07:13:38 +0100

O objetivo desta pesquisa é discutir como as Moradias Terapêuticas para usuários com transtorno mental, nos municípios de Miranda do Corvo-Portugal e de Volta Redonda-Brasil contribuem com o processo de reabilitação psicossocial das pessoas com sofrimento psíquico. Estudo de perspectiva histórica, cujas fontes foram leis, resoluções e relatórios oficiais e depoimentos de enfermeiros, psicólogos e assistentes sociais. Constatou-se que, embora em ambos os municípios a intenção seja a desinstitucionalização das pessoas com sofrimento psíquico, em Miranda do Corvo-Portugal a gestão financeira e administrativa é de responsabilidade de uma Fundação e, em Volta Redonda-Brasil, essa gestão fica sob os auspícios do poder executivo municipal, além de se observar em Miranda d...



Request for Proposals

Wed, 23 Mar 2016 05:43:13 +0100

The American Congress of Rehabilitation Medicine (ACRM) is pleased to announce an exciting opportunity for Congress members to be the Guest Editor of a Supplement in the Archives of Physical Medicine and Rehabilitation (Archives). This is a unique opportunity for an experienced rehabilitation researcher or group of researchers to compile a thematically based Supplement to the Archives with a maximum of 100 journal pages (approximately 300 double-spaced manuscript pages). (Source: Archives of Physical Medicine and Rehabilitation)



Editors' Selections From This Issue: Volume 97 / Number 4 / April 2016

Wed, 23 Mar 2016 05:43:13 +0100

Editorial Board member Amy J. Houtrow, MD, PhD, MPH, and co-author David W. Pruitt, MD, continue our series of editorials highlighting the professional interests of our Editorial Board with their article, Meeting the Growing Need for Pediatric Rehabilitation Medicine Physicians, on page 501. (Source: Archives of Physical Medicine and Rehabilitation)



Table of Contents

Wed, 23 Mar 2016 05:43:13 +0100

(Source: Archives of Physical Medicine and Rehabilitation)



Editorial Board

Wed, 23 Mar 2016 05:43:13 +0100

(Source: Archives of Physical Medicine and Rehabilitation)

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Masthead

Wed, 23 Mar 2016 05:43:13 +0100

Archives of Physical Medicine and Rehabilitation (ISSN 0003-9993) is published monthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Periodicals postage paid at New York, NY and additional mailing offices. (Source: Archives of Physical Medicine and Rehabilitation)



Respiratory Health and Spinal Cord Injury

Wed, 23 Mar 2016 05:43:13 +0100

Your respiratory system (or pulmonary system) is responsible for breathing. This system enables you to inhale oxygen into your blood and exhale carbon dioxide. (Source: Archives of Physical Medicine and Rehabilitation)



Well: Mind-Based Therapies May Ease Lower Back Pain

Wed, 23 Mar 2016 04:02:23 +0100

People with back pain who learned meditation had an easier time doing things like getting up out of a chair and putting on their socks. (Source: NYT)