Pub Date : 2021-01-01DOI: 10.35248/2329-9096.21.9.E002
Naglaa A. Hussein
The patterns of the clinical presentation of spinal nerve root entrapment are subject of wide variability [1-3]. Although the sensory presentation patterns dominate different patterns of clinical presentation, other patterns namely; motor or sensorimotor patterns are also encountered
{"title":"Clinico-Pathological Aspects of Spinal Nerve Root Entrapment","authors":"Naglaa A. Hussein","doi":"10.35248/2329-9096.21.9.E002","DOIUrl":"https://doi.org/10.35248/2329-9096.21.9.E002","url":null,"abstract":"The patterns of the clinical presentation of spinal nerve root entrapment are subject of wide variability [1-3]. Although the sensory presentation patterns dominate different patterns of clinical presentation, other patterns namely; motor or sensorimotor patterns are also encountered","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82293333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-9096.21.9.585
M. Sahoo, T. Behera, A. Suresh, S. Jayavant
Introduction: The ultimate goal of rehabilitation after a limb loss is to gain independence at the highest level with the most efficient gait possible with the use of prosthesis and to return to a high level of social integration. The loss of a lower limb has severe implications for a person’s mobility, and ability to perform activities of daily living. This negatively impacts on their participation and integration into society. Objective: To investigate the functional and gait parameters improved through flared outsole provided to the trans-tibial prosthetic user. Results: The mean value of locomotor capabilities index of Group A is 35.73 and in group B the mean of locomotor capabilities index is 42.26. The above result was analysed by using related t test was found to be significant p<0.001, as there is significant difference between the both Group. Conclusions: Ultimately, though, there is no substitute for firsthand experience with flared outsole alternatives. The time spent in fitting trials and dynamic alignment should be sufficient to rule out particular type of flared outsole that are totally unacceptable to the amputee, and an alternative type of flared outsole can be chosen before delivering the prosthesis. But, it is only after wearing the prosthesis day after day during a full range of activities that the subtle differences become clear to the wearer. Each time the prosthesis is replaced; the amputee and prosthetist should once again discuss the perfectly suitable flared outsole option and jointly determine the best course of action based on real-world experience to date.
{"title":"Efficacy of Flared out Sole in Functional and Gait Parameters in Trans-Tibial Prosthetic User","authors":"M. Sahoo, T. Behera, A. Suresh, S. Jayavant","doi":"10.35248/2329-9096.21.9.585","DOIUrl":"https://doi.org/10.35248/2329-9096.21.9.585","url":null,"abstract":"Introduction: The ultimate goal of rehabilitation after a limb loss is to gain independence at the highest level with the most efficient gait possible with the use of prosthesis and to return to a high level of social integration. The loss of a lower limb has severe implications for a person’s mobility, and ability to perform activities of daily living. This negatively impacts on their participation and integration into society. Objective: To investigate the functional and gait parameters improved through flared outsole provided to the trans-tibial prosthetic user. Results: The mean value of locomotor capabilities index of Group A is 35.73 and in group B the mean of locomotor capabilities index is 42.26. The above result was analysed by using related t test was found to be significant p<0.001, as there is significant difference between the both Group. Conclusions: Ultimately, though, there is no substitute for firsthand experience with flared outsole alternatives. The time spent in fitting trials and dynamic alignment should be sufficient to rule out particular type of flared outsole that are totally unacceptable to the amputee, and an alternative type of flared outsole can be chosen before delivering the prosthesis. But, it is only after wearing the prosthesis day after day during a full range of activities that the subtle differences become clear to the wearer. Each time the prosthesis is replaced; the amputee and prosthetist should once again discuss the perfectly suitable flared outsole option and jointly determine the best course of action based on real-world experience to date.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80328080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-9096.21.9.580
E. Alagnidé, G. Salif, D. N. Natta, G. Houngbédji, Laurence S. Okou, T. Kpadonou
Background: Obesity is a major public health concern. Objective: To analyze effects of a rehabilitation program on adult obese in Cotonou. Methods: It was a prospective, cross-sectional, descriptive and analytical study, conducted from January to June 2016 (06 months), on 122 adult obese subjects, recruited in some gymnastics clubs and the Department of Physical Medicine and Rehabilitation of the CNHU-HKM of Cotonou. A program of physical activity were done during 20 sessions. Clinical and biological parameters were evaluated in these subjects before and after the program. Comparing the beginning and ending values of those parameters, their evolution were evaluated. Results: Most of these patients were females (94.26%) aged 46.3 ± 9.70 years. Their mean BMI was 37.26 ± 5.04 kg/m2 with an android obesity (45.9%) or a mixed one (54.1%). The fat mass index (FMI) was 47.95 ± 7.56%. Hypercholesterolemia (59.02%) and hypertriglyceridaemia (9.02%) were observed at the beginning of the program. At the end of the rehabilitation program, anthropometric parameters of patients were improved more markedly than those of lipids. No clinical or biological parameters studied were significantly associated with patient’s BMI and FMI changes (p>0.05). Conclusion: The exercise program has shown encouraging results and is therefore interesting to be applied to a larger population in underdeveloped countries.
{"title":"Effects of a Program of Obesity's Rehabilitation in an under Developed Country","authors":"E. Alagnidé, G. Salif, D. N. Natta, G. Houngbédji, Laurence S. Okou, T. Kpadonou","doi":"10.35248/2329-9096.21.9.580","DOIUrl":"https://doi.org/10.35248/2329-9096.21.9.580","url":null,"abstract":"Background: Obesity is a major public health concern. Objective: To analyze effects of a rehabilitation program on adult obese in Cotonou. Methods: It was a prospective, cross-sectional, descriptive and analytical study, conducted from January to June 2016 (06 months), on 122 adult obese subjects, recruited in some gymnastics clubs and the Department of Physical Medicine and Rehabilitation of the CNHU-HKM of Cotonou. A program of physical activity were done during 20 sessions. Clinical and biological parameters were evaluated in these subjects before and after the program. Comparing the beginning and ending values of those parameters, their evolution were evaluated. Results: Most of these patients were females (94.26%) aged 46.3 ± 9.70 years. Their mean BMI was 37.26 ± 5.04 kg/m2 with an android obesity (45.9%) or a mixed one (54.1%). The fat mass index (FMI) was 47.95 ± 7.56%. Hypercholesterolemia (59.02%) and hypertriglyceridaemia (9.02%) were observed at the beginning of the program. At the end of the rehabilitation program, anthropometric parameters of patients were improved more markedly than those of lipids. No clinical or biological parameters studied were significantly associated with patient’s BMI and FMI changes (p>0.05). Conclusion: The exercise program has shown encouraging results and is therefore interesting to be applied to a larger population in underdeveloped countries.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89131176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-9096.21.S5.003
Michelle J. Lespasio
The purpose of this article is to present a concise up-to-date review on effective perioperative pain management in Total Joint Arthroplasty (TJA). Multimodal therapy utilizing a “well-patient” concept and an “opioid stewardship” approach is introduced as a current strategy to address the critical worldwide opioid crisis which may be triggered by orthopaedic surgery in many patients. Adopting a tailored opiate pain management plan utilizing best practice criteria has demonstrated to result in minimal use of opioids during the surgical process while attaining the objectives to relieve suffering, achieve early postoperative mobilization, reduce lengths of hospital stay and produce patient satisfaction
{"title":"Pain Management in Perioperative Total Joint Arthroplasty: A Response to the Opioid Crisis","authors":"Michelle J. Lespasio","doi":"10.35248/2329-9096.21.S5.003","DOIUrl":"https://doi.org/10.35248/2329-9096.21.S5.003","url":null,"abstract":"The purpose of this article is to present a concise up-to-date review on effective perioperative pain management in Total Joint Arthroplasty (TJA). Multimodal therapy utilizing a “well-patient” concept and an “opioid stewardship” approach is introduced as a current strategy to address the critical worldwide opioid crisis which may be triggered by orthopaedic surgery in many patients. Adopting a tailored opiate pain management plan utilizing best practice criteria has demonstrated to result in minimal use of opioids during the surgical process while attaining the objectives to relieve suffering, achieve early postoperative mobilization, reduce lengths of hospital stay and produce patient satisfaction","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84164508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-9096.21.S4.003
Dorian Meta, Ilia Mazniku, Artan Pogoni
Increased effusions or accumulations of fluid in the knee joint can be the result of trauma, excessive overload of the knee (overuse) or a consequence of systemic diseases. From the point of view of linking intra-articular effusions, especially hematic ones, with competitive or amateur sports activity, this phenomenon is more common than diagnosed. The fact that many athletes suffer from a lack of performance of their knee joints, talks about untreated injuries in accidents and previously suffered in sports activities or not at all. The other side of the problem is related to the purpose of presenting this material, the first in the Albanian professional literature, even as an obligation and scientific reflection of this common phenomenon in sports activities, which should be evaluated very seriously after hematic accumulation, or haemarthrosis, is just the tip of the iceberg while others are hidden and need to be identified and treated.
{"title":"Knee Sanguine Effusions in Sports Trauma (Haemarthrosis)","authors":"Dorian Meta, Ilia Mazniku, Artan Pogoni","doi":"10.35248/2329-9096.21.S4.003","DOIUrl":"https://doi.org/10.35248/2329-9096.21.S4.003","url":null,"abstract":"Increased effusions or accumulations of fluid in the knee joint can be the result of trauma, excessive overload of the knee (overuse) or a consequence of systemic diseases. From the point of view of linking intra-articular effusions, especially hematic ones, with competitive or amateur sports activity, this phenomenon is more common than diagnosed. The fact that many athletes suffer from a lack of performance of their knee joints, talks about untreated injuries in accidents and previously suffered in sports activities or not at all. The other side of the problem is related to the purpose of presenting this material, the first in the Albanian professional literature, even as an obligation and scientific reflection of this common phenomenon in sports activities, which should be evaluated very seriously after hematic accumulation, or haemarthrosis, is just the tip of the iceberg while others are hidden and need to be identified and treated.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82821538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-9096.21.9.594
Naglaa A. Hussein, H. Sultan
Objective: Evaluation of sensitivity of different electrophysiological parameters among Egyptians with clinically spinal nerve entrapment. Methods: 100 spinal nerve entrapment patients and 41 healthy control. Exclusion; diabetes mellitus, renal, hepatic, endocrine disorder, other nerve involvements. Patients subjected to: Demographic data, detailed neurological history, examination. EDX; NCS, H-reflex, F-wave, Dermatomal Sensory Evoked Potential (DSEP), EMG. Normal cervical DSEP latency and same side Inter-root latency difference was calculated. Values more than 1.57 were considered abnormal. Results: Mean age 49.6 ± 10.6. sensory pattern 87%, motor pattern 9%, sensorimotor patterns 4%. Single nerve root (56%), highest C7 root (25%) (.44%. Multiple nerve root; highest C6,C7 (20.5%). No significant pattern difference among single versus multiple roots. Among single root: 91.9% sensory, 6.9% motor, 1.7% sensorimotor. Within multiple roots; sensory (81.8%), motor (11.4%), sensorimotor 6.8%. Positive DSEP; 98.2% sensory and all motor/sensoriomotor, all cervical and 93.8% lumbosacral patients. Cervical Latency normal/pathological: C5 l 18.68 ± 3.5/27.84 ± 4.02. C6: 22.18 ± 1.6)/26.38 ± 2.8. C7; 21.01 ± 1.8./25.6 ± 2.04. C8: 21.93 ± 1.7/5.93 ± 2.5. Significant difference between normal vs pathological latency. Positive F-wave; 57.5% sensory, 80%motor, 83.3%, sensorimotor. Abnormal H-reflex in patients with S1 root manifestations. Abnormal EMG: motor, sensorimotor and 54.2% sensory patterns. Conclusion: Commonest presentation is sensory. H-reflex is highly sensitive among S1 patients. DSEP is highly sensitive among sensory patterns. Sensitivity of F-wave is low among sensory, higher with motor/sensorimotor, with two segments accuracy. EMG is highly sensitive in motor but less with sensory pattern.
目的:评价埃及临床脊髓神经卡压患者不同电生理参数的敏感性。方法:100例脊神经卡压患者和41例健康对照。排除;糖尿病,肾脏,肝脏,内分泌紊乱,其他神经受累。患者接受:人口统计资料,详细的神经病史,检查。EDX;NCS, h反射,f波,皮肤感觉诱发电位(DSEP),肌电图。计算正常颈椎DSEP潜伏期与同侧根间潜伏期之差。值大于1.57被认为是异常。结果:平均年龄49.6±10.6岁。感觉模式87%,运动模式9%,感觉运动模式4%。单神经根(56%),最高C7根(25%)(0.44%)。多发神经根;最高的C6、C7(20.5%)。单根与多根间无显著差异。在单根中:感觉91.9%,运动6.9%,感觉运动1.7%。在多个根内;感觉(81.8%),运动(11.4%),感觉运动(6.8%)。积极DSEP;98.2%的感觉和所有运动/感觉运动患者,所有颈椎和93.8%的腰骶部患者。宫颈潜伏期正常/病理:C5 l 18.68±3.5/27.84±4.02。C6: 22.18±1.6)/26.38±2.8。C7;21.01±1.8./25.6±2.04.C8: 21.93±1.7/5.93±2.5正常潜伏期与病理性潜伏期的显著差异。积极f反应;57.5%是感觉,80%是运动,83.3%是感觉运动。S1根症状患者h反射异常。异常肌电图:运动,感觉运动和54.2%的感觉模式。结论:最常见的表现为感觉。h反射在S1患者中高度敏感。DSEP在感觉模式中是高度敏感的。f波在感觉层的灵敏度较低,在运动/感觉运动层的灵敏度较高,具有两段精度。肌电图对运动模式高度敏感,对感觉模式敏感度较低。
{"title":"Electrophysiological Diagnostic Certainty in Spinal Nerve Root Entrapment","authors":"Naglaa A. Hussein, H. Sultan","doi":"10.35248/2329-9096.21.9.594","DOIUrl":"https://doi.org/10.35248/2329-9096.21.9.594","url":null,"abstract":"Objective: Evaluation of sensitivity of different electrophysiological parameters among Egyptians with clinically spinal nerve entrapment. Methods: 100 spinal nerve entrapment patients and 41 healthy control. Exclusion; diabetes mellitus, renal, hepatic, endocrine disorder, other nerve involvements. Patients subjected to: Demographic data, detailed neurological history, examination. EDX; NCS, H-reflex, F-wave, Dermatomal Sensory Evoked Potential (DSEP), EMG. Normal cervical DSEP latency and same side Inter-root latency difference was calculated. Values more than 1.57 were considered abnormal. Results: Mean age 49.6 ± 10.6. sensory pattern 87%, motor pattern 9%, sensorimotor patterns 4%. Single nerve root (56%), highest C7 root (25%) (.44%. Multiple nerve root; highest C6,C7 (20.5%). No significant pattern difference among single versus multiple roots. Among single root: 91.9% sensory, 6.9% motor, 1.7% sensorimotor. Within multiple roots; sensory (81.8%), motor (11.4%), sensorimotor 6.8%. Positive DSEP; 98.2% sensory and all motor/sensoriomotor, all cervical and 93.8% lumbosacral patients. Cervical Latency normal/pathological: C5 l 18.68 ± 3.5/27.84 ± 4.02. C6: 22.18 ± 1.6)/26.38 ± 2.8. C7; 21.01 ± 1.8./25.6 ± 2.04. C8: 21.93 ± 1.7/5.93 ± 2.5. Significant difference between normal vs pathological latency. Positive F-wave; 57.5% sensory, 80%motor, 83.3%, sensorimotor. Abnormal H-reflex in patients with S1 root manifestations. Abnormal EMG: motor, sensorimotor and 54.2% sensory patterns. Conclusion: Commonest presentation is sensory. H-reflex is highly sensitive among S1 patients. DSEP is highly sensitive among sensory patterns. Sensitivity of F-wave is low among sensory, higher with motor/sensorimotor, with two segments accuracy. EMG is highly sensitive in motor but less with sensory pattern.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81901651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-9096.21.9.607
Naglaa A. Hussein, David Z. Prince
70-y-old constructor right- handed man without significant past medical history, presented by bilateral hand tingling and numbness associated with frequent objects drops for 1 year. No other neurological symptoms, no gait abnormity. The patient continued his labor work with difficulty. After thorough clinical and electrophysical exam; the condition was diagnosed as combined carpal tunnel syndrome and amyotrophic lateral sclerosis (ALS). Carpal tunnel syndrome on top of amyotrophic lateral sclerosis
{"title":"Carpal Tunnel Syndrome Overlapping and Concealing Slowly Progressive Amyotrophic Lateral Sclerosis: Case Report","authors":"Naglaa A. Hussein, David Z. Prince","doi":"10.35248/2329-9096.21.9.607","DOIUrl":"https://doi.org/10.35248/2329-9096.21.9.607","url":null,"abstract":"70-y-old constructor right- handed man without significant past medical history, presented by bilateral hand tingling and numbness associated with frequent objects drops for 1 year. No other neurological symptoms, no gait abnormity. The patient continued his labor work with difficulty. After thorough clinical and electrophysical exam; the condition was diagnosed as combined carpal tunnel syndrome and amyotrophic lateral sclerosis (ALS). Carpal tunnel syndrome on top of amyotrophic lateral sclerosis","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91529830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-9096.21.S3.004
Rishika Meadwle
{"title":"Secondary Brain Tumour Emerged by Malignant Growth","authors":"Rishika Meadwle","doi":"10.35248/2329-9096.21.S3.004","DOIUrl":"https://doi.org/10.35248/2329-9096.21.S3.004","url":null,"abstract":"","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89322725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-9096.21.9.589
K. Nsaful, E. O. Apraku-Boadu, A. Afriyie
Hidradenitis suppurativa is a chronic and disfiguring skin disease characterized by multiple abscesses and sinuses. It can affect any area with apocrine sweat glands and has the potential to involve multiple sites concurrently. Commonly affected sites include the axilla, groin, perineum, and perianal areas. In this report, we describe an innovative technique for reconstructing axilla HS using an inner-arm transposition flap.
{"title":"Axillary Reconstruction for Hidradenitis Suppurativa with an Inner- Arm Transposition Flap","authors":"K. Nsaful, E. O. Apraku-Boadu, A. Afriyie","doi":"10.35248/2329-9096.21.9.589","DOIUrl":"https://doi.org/10.35248/2329-9096.21.9.589","url":null,"abstract":"Hidradenitis suppurativa is a chronic and disfiguring skin disease characterized by multiple abscesses and sinuses. It can affect any area with apocrine sweat glands and has the potential to involve multiple sites concurrently. Commonly affected sites include the axilla, groin, perineum, and perianal areas. In this report, we describe an innovative technique for reconstructing axilla HS using an inner-arm transposition flap.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76950184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-9096.21.9.591
Gavin Williams, Beverly J Eldridge
Levels of mobility that are more advanced or ‘high-level’ that independent walking are required for participation and play in many social, leisure and social activities. These activities are important for quality of life. In recent years there has been a shift towards clinical research and programs that are aimed to improve a person’s capacity for high-level mobility. In order to evaluate the effectiveness of such programs, the High-level Mobility Assessment Tool (HiMAT) was developed. This short commentary discusses the development and application of the HiMAT in children and adults with health conditions that lead to mobility limitations.
{"title":"Application and Implementation of the High-Level Mobility Assessment Tool (HiMAT): An Overview","authors":"Gavin Williams, Beverly J Eldridge","doi":"10.35248/2329-9096.21.9.591","DOIUrl":"https://doi.org/10.35248/2329-9096.21.9.591","url":null,"abstract":"Levels of mobility that are more advanced or ‘high-level’ that independent walking are required for participation and play in many social, leisure and social activities. These activities are important for quality of life. In recent years there has been a shift towards clinical research and programs that are aimed to improve a person’s capacity for high-level mobility. In order to evaluate the effectiveness of such programs, the High-level Mobility Assessment Tool (HiMAT) was developed. This short commentary discusses the development and application of the HiMAT in children and adults with health conditions that lead to mobility limitations.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87842738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}