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Burden in caregivers of patients with acquired brain injury: Influence of family role and gender. 后天性脑损伤患者照顾者的负担:家庭角色和性别的影响。
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.3233/NRE-240056
Francesco Corallo, Maria Grazia Maggio, Lilla Bonanno, Rosaria De Luca, Davide Cardile, Irene Cappadona, Antonino Todaro, Rocco Salvatore Calabrò

Background: Acquired brain injuries (ABI) represent neurological disorders that can arise after traumatic and non-traumatic events. In addition to the physical, emotional and cognitive challenges that patients face, these injuries can bring changes in the life of the patient and his or her family.

Objective: This study aims to understand how the occurrence of an ABI condition can disrupt and reshape family functioning by examining certain dimensions such as role in the family, gender and age, which may have a major influence on family dynamics.

Methods: We enrolled 86 caregivers of patients with ABI. Two experienced psychologists examined family functioning with Olso's Family Adaptability and Cohesion Rating Scale (FACES IV).

Results: The correlation between groups by generics showed a significant difference only for flexibility (p = 0.05). Specifically, flexibility was greater in male caregivers, particularly in sons. Most of the constructs defining family functioning, such as communication, remained unchanged despite the ABI event.

Conclusion: This study provides an in-depth understanding of how families face the challenges posed by the ABI and the role caregivers play within the system.

背景:获得性脑损伤(ABI)是一种神经系统疾病,可在创伤和非创伤事件后发生。除了患者面临的身体、情感和认知方面的挑战外,这些损伤还会给患者及其家人的生活带来变化:本研究旨在通过考察家庭角色、性别和年龄等可能对家庭动态产生重大影响的因素,了解损伤性脑损伤的发生如何扰乱和重塑家庭功能:方法:我们招募了 86 名 ABI 患者的照顾者。两位经验丰富的心理学家使用奥尔索家庭适应性和凝聚力评定量表(FACES IV)检查了家庭功能:各组间的相关性仅在灵活性方面存在显著差异(p = 0.05)。具体而言,男性照顾者的灵活性更高,尤其是儿子。尽管发生了 ABI 事件,但定义家庭功能的大多数结构(如沟通)保持不变:这项研究让我们深入了解了家庭如何面对 ABI 带来的挑战,以及照顾者在这个系统中扮演的角色。
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引用次数: 0
Optimizing clinical outcomes with stellate ganglion block and trauma-informed care: A review article. 通过星状神经节阻滞和创伤知情护理优化临床疗效:综述文章。
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.3233/NRE-230236
Shauna Springer, Paul Whitmer, Morgan Steinlin, Lindsey Gray, Jason Blankfield

Background: For decades, thousands of active-duty service members have sought treatment for trauma exposure. Stellate ganglion block (SGB) is a fast-acting nerve block documented in medical literature for nearly a century that has shown promise as a potentially life-altering treatment for post-traumatic stress (PTS).

Objective: This review aims to answer the practical questions of those who support individuals suffering from trauma: (1) SGB's safety profile (2) efficacy data (3) potential advantages and limitations, (4) a cross-cultural application example, (5) and the use of SGB in combination with talk therapy to optimize clinical outcomes.

Methods: The current body of literature, to include several large case series, meta-analyses, and a sufficiently powered randomized controlled trial, were reviewed, and presented to describe the history of SGB for emotional trauma symptoms and address the objectives of this review.

Results: Critical consideration is given to the safety and efficacy data on SGB and the evolution in safety-related technologies. Advantages such as decreased barriers to care, rapid onset, and decreased dropout and limitations such as treatment non-response, potential adverse effects, and misconceptions about the treatment are then described. Finally, the cross-cultural application of SGB is explored based on the deployment of SGB in Israel.

Conclusion: SGB is associated with level 1B evidence and a reassuring safety profile. Evolving the model of care through the combined use of effective biological treatments like SGB with trauma informed talk therapy offers a hopeful path forward for supporting those who suffer from post-traumatic stress.

背景:几十年来,成千上万的现役军人因遭受创伤而寻求治疗。星状神经节阻滞疗法(SGB)是一种快速起效的神经阻滞疗法,近一个世纪以来的医学文献均有记载,该疗法有望成为改变创伤后应激反应(PTS)生命的治疗方法:本综述旨在回答那些为创伤患者提供支持的人员的实际问题:(1) SGB 的安全性概况;(2) 疗效数据;(3) 潜在的优势和局限性;(4) 跨文化应用实例;(5) 将 SGB 与谈话疗法结合使用以优化临床效果:方法:对目前的文献进行回顾,包括几个大型病例系列、荟萃分析和一项有足够支持的随机对照试验,并介绍 SGB 治疗情感创伤症状的历史,以实现本综述的目标:结果:对 SGB 的安全性和有效性数据以及安全相关技术的发展进行了严格的考量。然后介绍了该疗法的优势(如减少治疗障碍、快速起效和减少辍学)和局限性(如治疗无反应、潜在不良反应和对治疗的误解)。最后,根据 SGB 在以色列的应用情况,探讨了 SGB 的跨文化应用:结论:星状神经节阻滞具有 1B 级证据和令人放心的安全性。通过结合使用有效的生物治疗方法(如 SGB)和创伤知情谈话疗法来发展护理模式,为支持创伤后应激障碍患者提供了一条充满希望的道路。
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引用次数: 0
TBICoE approach to concussion rehabilitation in service members and veterans. 采用 TBICoE 方法对军人和退伍军人进行脑震荡康复治疗。
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.3233/NRE-230269
Amanda Gano, Joanne Gold, Rosemay A Remigio-Baker, Katrina Monti

Background: Concussion, also known as mild traumatic brain injury (mTBI), is a condition with unique ties to military service. Service members (SMs) are inherently at a higher risk for concussive injuries due to the intense physical training environment and combat operational tempo required to serve. The Traumatic Brain Injury Center of Excellence (TBICoE) is the US Department of Defense authority on this condition and provides a thorough approach to management of concussion and associated symptom sequela.

Objectives: This article seeks to review the TBICoE approach to the management and rehabilitation of military SMs with mTBI, and highlight resources available to military medical providers.

Methods: The authors reviewed evidence and TBICoE resources to provide this comprehensive overview of the TBICoE approach to management and rehabilitation of concussion in military SMs.

Results: A progressive return to activity protocol in conjunction with symptom-guided management of common post-concussive sequelae, including headache, vestibular and oculomotor issues, sleep dysfunction, cognitive rehabilitation, and behavioral health comorbidities are essential for concussion management in the acute, post-acute and chronic phases of injury.

Conclusion: The TBICoE approach to the rehabilitation of military SMs is comprehensive, and includes initial management with a stepwise return to duty protocol and an objective return to duty screening. The mainstays of treatment for SMs with post-acute and chronic post-concussion symptoms are headache management, vestibular and oculomotor rehabilitation, sleep interventions, cognitive rehabilitation, and early intervention for behavioral health comorbidities. These evidence-based strategies may be applied in the treatment of SMs in the US and internationally.

背景:脑震荡又称轻度脑损伤(mTBI),是一种与服兵役有特殊关系的疾病。由于服役所需的高强度体能训练环境和作战行动节奏,军人(SMs)受到脑震荡伤害的风险本身就较高。创伤性脑损伤卓越中心(TBICoE)是美国国防部在此方面的权威机构,为脑震荡及相关症状后遗症的治疗提供了全面的方法:本文旨在回顾 TBICoE 对患有 mTBI 的军事 SM 的管理和康复方法,并重点介绍可供军事医疗提供者使用的资源:作者回顾了相关证据和 TBICoE 的资源,全面概述了 TBICoE 管理和康复军队 SM 脑震荡的方法:循序渐进的恢复活动方案与以症状为导向的常见脑震荡后遗症(包括头痛、前庭和眼部运动问题、睡眠功能障碍、认知康复和行为健康合并症)管理相结合,对于急性、急性后和慢性损伤阶段的脑震荡管理至关重要:TBICoE 对军队 SM 的康复治疗方法是全面的,包括通过逐步重返工作岗位方案和客观的重返工作岗位筛查进行初始管理。对有急性和慢性脑震荡后症状的工作人员的主要治疗方法是头痛管理、前庭和眼部运动康复、睡眠干预、认知康复和行为健康合并症的早期干预。在美国和国际上,这些循证策略可用于治疗脑震荡后遗症。
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引用次数: 0
Effects of shoulder brace usage on postural stability in stroke survivors: A pilot randomized controlled trial. 使用肩部支撑对中风幸存者姿势稳定性的影响:随机对照试验
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.3233/NRE-230250
Giovanni Morone, Alessandro Antonio Princi, Marco Iosa, Rebecca Montemurro, Irene Ciancarelli, Paola Coiro, Danilo Lisi, Riccardo Savo, Matteo Notturno Granieri, Domenico De Angelis, Marco Tramontano

Background: Despite advances in stroke rehabilitation, challenges in upper limb motor recovery and postural stability persist, negatively affecting overall well-being. Arm slings and shoulder braces have been proposed to address these issues, but their efficacy in promoting postural stability remains unclear.

Objective: This pilot randomized controlled study aimed to evaluate the impact of a new shoulder brace (N1-Neurosling) on trunk postural stability during walking, pain, and upper limb muscle strength in chronic stroke survivors.

Methods: Twenty-four adult chronic stroke patients were involved and randomly assigned to the shoulder brace group (SBg) or control group (CTRLg). Were assessed at baseline (T0) and after 4 weeks (T1) through the Trunk Control Test, the Numerical Rating Scale, the Motricity Index, Manual Muscle Test, and instrumental wearable-based assessment.

Results: After 4 weeks, the SBg showed significant improvement in Trunk Control Test scores (p = 0.020) and smoothness of gait measured by log dimensionless jerk along the Antero-Posterior axis (- 5.31±0.25 vs. - 5.18±0.27, p = 0.018) compared to the CTRLg. The SBg also demonstrated a reduction in pain in the shoulder girdle and enhanced upper limb muscle strength.

Conclusion: The use of the N1-Neurosling shoulder brace led to improvements in postural stability and smoothness of gait in stroke patients.

背景:尽管中风康复取得了进展,但上肢运动恢复和姿势稳定性方面的挑战依然存在,对整体健康产生了负面影响。为解决这些问题,人们提出了手臂吊带和肩部支撑,但它们在促进姿势稳定性方面的功效仍不明确:本试验性随机对照研究旨在评估新型肩部支具(N1-Neurosling)对慢性中风幸存者行走时躯干姿势稳定性、疼痛和上肢肌力的影响:方法:24 名成年慢性中风患者被随机分配到肩部支撑组(SBg)或对照组(CTRLg)。在基线(T0)和 4 周后(T1),通过躯干控制测试、数字评定量表、运动指数、手动肌肉测试和基于仪器的可穿戴评估进行评估:4 周后,与 CTRLg 相比,SBg 在躯干控制测试得分(p = 0.020)和步态平滑度(通过沿前后轴的对数无量纲抽动测量)方面均有显著改善(- 5.31±0.25 vs. - 5.18±0.27,p = 0.018)。SBg 还能减轻肩部疼痛,增强上肢肌肉力量:结论:使用 N1-Neurosling 肩部支撑装置可改善中风患者的姿势稳定性和步态平稳性。
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引用次数: 0
Erratum to: Efficacy and safety of vagus nerve stimulation on upper extremity motor function in patients with stroke: A meta-analysis of randomized controlled trials. 勘误:迷走神经刺激对中风患者上肢运动功能的有效性和安全性:随机对照试验的荟萃分析。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.3233/NRE-236008
Tianqi Wei, Xiangyang Ge, Lingfeng Lu, Jing Li, Panpan Xu, Qinfeng Wu
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引用次数: 0
Assessing healthcare professionals' perceptions of pain concepts and beliefs. 评估医护人员对疼痛概念和信念的看法。
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.3233/NRE-240081
Sejun Oh, Yeonji Gu, Inbeom Kim, Euha Kwon, Sangheon Lee, Kyounghae Kim

Background: Healthcare professionals deliver pain education, yet their perception of pain experiences is not well understood, which can affect their interactions with patients in pain.

Objective: This study explored Korean healthcare professionals' perceptions of the usefulness of assessing pain concepts and beliefs and the importance of domains identified in the pain literature.

Methods: This descriptive cross-sectional study employed an online survey administered to nurses, physical therapists, and physicians, including the Neurophysiology of Pain Questionnaire, Tampa Scale for Kinesiophobia, and related optional open-ended questions.

Results: Most participants acknowledged the importance and usefulness of assessing understanding of pain concepts but anticipated patients' difficulty comprehending items assessing biological mechanisms underlying pain. Participants questioned the items' accuracy, indicating their limited pain knowledge and the necessity of reducing literacy demands. The critical domains of pain education were learning about pain, external factors influencing pain, and pain as a form of protection.

Conclusion: Participants had suboptimal pain knowledge but emphasized decreasing literacy demands of pain neurophysiology items. Additionally, it is necessary to develop and implement a pain education program to improve pain-related knowledge and provide educational content for healthcare professionals encountering patients in pain.

背景:医护人员提供疼痛教育,但他们对疼痛体验的感知却不甚了解,这可能会影响他们与疼痛患者的互动:医护人员提供疼痛教育,但他们对疼痛体验的感知却不甚了解,这可能会影响他们与疼痛患者的互动:本研究探讨了韩国医护人员对评估疼痛概念和信念的有用性以及疼痛文献中确定的领域的重要性的看法:这项描述性横断面研究采用了一项在线调查,调查对象包括护士、理疗师和医生,内容包括疼痛神经生理学问卷、坦帕运动恐惧症量表以及相关的开放式选题:大多数参与者承认评估对疼痛概念理解的重要性和实用性,但预计患者难以理解评估疼痛生物机制的项目。参与者对项目的准确性提出了质疑,这表明他们的疼痛知识有限,有必要降低对读写能力的要求。疼痛教育的关键领域是了解疼痛、影响疼痛的外部因素以及疼痛作为一种保护形式:结论:受试者对疼痛的了解程度不够理想,但他们强调要降低对疼痛神经生理学项目的识字要求。此外,有必要制定和实施疼痛教育计划,以提高疼痛相关知识,并为遇到疼痛患者的医护人员提供教育内容。
{"title":"Assessing healthcare professionals' perceptions of pain concepts and beliefs.","authors":"Sejun Oh, Yeonji Gu, Inbeom Kim, Euha Kwon, Sangheon Lee, Kyounghae Kim","doi":"10.3233/NRE-240081","DOIUrl":"10.3233/NRE-240081","url":null,"abstract":"<p><strong>Background: </strong>Healthcare professionals deliver pain education, yet their perception of pain experiences is not well understood, which can affect their interactions with patients in pain.</p><p><strong>Objective: </strong>This study explored Korean healthcare professionals' perceptions of the usefulness of assessing pain concepts and beliefs and the importance of domains identified in the pain literature.</p><p><strong>Methods: </strong>This descriptive cross-sectional study employed an online survey administered to nurses, physical therapists, and physicians, including the Neurophysiology of Pain Questionnaire, Tampa Scale for Kinesiophobia, and related optional open-ended questions.</p><p><strong>Results: </strong>Most participants acknowledged the importance and usefulness of assessing understanding of pain concepts but anticipated patients' difficulty comprehending items assessing biological mechanisms underlying pain. Participants questioned the items' accuracy, indicating their limited pain knowledge and the necessity of reducing literacy demands. The critical domains of pain education were learning about pain, external factors influencing pain, and pain as a form of protection.</p><p><strong>Conclusion: </strong>Participants had suboptimal pain knowledge but emphasized decreasing literacy demands of pain neurophysiology items. Additionally, it is necessary to develop and implement a pain education program to improve pain-related knowledge and provide educational content for healthcare professionals encountering patients in pain.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"117-125"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of touch screen tablet use on fine motor functions in children with hemiparetic cerebral palsy: A randomized controlled trial. 触摸屏平板电脑对偏瘫脑瘫儿童精细运动功能的影响:随机对照试验
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.3233/NRE-240134
Hanaa M Abd-Elfattah, Dina O Shokri M Galal, Shaima M Abdelmageed, Sobhy M Aly, Fairouz H Ameen, Asmaa O Sayed, Amira M Abd-Elmonem

Background: Cerebral palsy is the most frequent condition affecting the central nervous system and causing large disability.

Objective: To determine the impact of touch screen tablet upon fine motor functions in children with hemiparesis.

Method: This was a randomized controlled trial involving 60 children, ranging in age from 5 to 7 years old, randomized into two groups: intervention or control group (30 children per group). Both groups were given 12 consecutive weeks of designed fine motor tasks. Additionally, for thirty minutes, the intervention group was given a fine motor exercise program on a touch screen tablet. Upper limb function, finger dexterity and pinch strength were measured pre and post the recommended treatment program using the quality of upper extremity skill test (QUEST), Nine-Hole Peg Test and Jamar hydraulic pinch gauge, respectively.

Results: All outcome measures were equivalent between intervention groups at admission (P > 0.05). Significant improvements were found in all assessed variables within the two groups. Meanwhile, the intervention group had significantly higher improvements (P < 0.05) in finger dexterity, pinch strength, and upper limb function when compared with the control groups.

Conclusion: Including a touch screen smart tablet application with a specially designed fine motor program is an effective method that helps children with U-CP perform more effectively with their fine motor skills.

背景:脑性瘫痪是影响中枢神经系统的最常见疾病,会造成严重残疾:确定触摸屏平板电脑对偏瘫儿童精细运动功能的影响:这是一项随机对照试验,涉及 60 名 5 至 7 岁的儿童,随机分为两组:干预组和对照组(每组 30 名儿童)。两组儿童均接受连续 12 周的设计精细动作任务。此外,干预组还在触摸屏平板电脑上进行了 30 分钟的精细动作练习。在实施推荐的治疗方案前后,分别使用上肢技能质量测试(QUEST)、九孔钉测试和贾马液压捏力计测量上肢功能、手指灵活性和捏力:入院时,干预组之间的所有结果均相同(P > 0.05)。两组的所有评估变量均有显著改善。同时,干预组的改善程度明显更高(P 结论:干预组的改善程度明显高于干预组:在触摸屏智能平板电脑应用程序中加入专门设计的精细动作程序是一种有效的方法,可帮助患有 U-CP 的儿童更有效地掌握精细动作技能。
{"title":"Effect of touch screen tablet use on fine motor functions in children with hemiparetic cerebral palsy: A randomized controlled trial.","authors":"Hanaa M Abd-Elfattah, Dina O Shokri M Galal, Shaima M Abdelmageed, Sobhy M Aly, Fairouz H Ameen, Asmaa O Sayed, Amira M Abd-Elmonem","doi":"10.3233/NRE-240134","DOIUrl":"10.3233/NRE-240134","url":null,"abstract":"<p><strong>Background: </strong>Cerebral palsy is the most frequent condition affecting the central nervous system and causing large disability.</p><p><strong>Objective: </strong>To determine the impact of touch screen tablet upon fine motor functions in children with hemiparesis.</p><p><strong>Method: </strong>This was a randomized controlled trial involving 60 children, ranging in age from 5 to 7 years old, randomized into two groups: intervention or control group (30 children per group). Both groups were given 12 consecutive weeks of designed fine motor tasks. Additionally, for thirty minutes, the intervention group was given a fine motor exercise program on a touch screen tablet. Upper limb function, finger dexterity and pinch strength were measured pre and post the recommended treatment program using the quality of upper extremity skill test (QUEST), Nine-Hole Peg Test and Jamar hydraulic pinch gauge, respectively.</p><p><strong>Results: </strong>All outcome measures were equivalent between intervention groups at admission (P > 0.05). Significant improvements were found in all assessed variables within the two groups. Meanwhile, the intervention group had significantly higher improvements (P < 0.05) in finger dexterity, pinch strength, and upper limb function when compared with the control groups.</p><p><strong>Conclusion: </strong>Including a touch screen smart tablet application with a specially designed fine motor program is an effective method that helps children with U-CP perform more effectively with their fine motor skills.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"55 1","pages":"137-146"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Executive function tests: Normative data for Spanish-speaking adults in the United States. 执行功能测试:美国讲西班牙语成年人的标准数据。
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.3233/NRE-240088
Daniela Ramos Usuga, Diego Rivera, Bridget Xia, Carmen I Carrión, Gloria M Morel Valdés, Oswaldo Moreno, Miriam J Rodriguez, Denise Krch, Wongthipa Wongserbchart, Christin I Drago, Patricia García, Patricia M Rivera, Laiene Olabarrieta-Landa, Paul B Perrin, Juan Carlos Arango-Lasprilla

Background: Normative data for Spanish-speaking populations, particularly Hispanics in the U.S., is notably scarce.

Objective: This study aims to establish normative data for executive function tests (Modified Wisconsin Card Sorting Test and Stroop Color and Word Test) among Spanish-speaking Hispanics in the U.S.

Methods: We assessed 245 individuals aged 18-80 from eight U.S. states (California, Connecticut, Florida, Indiana, New Jersey, Oregon, Virginia, and Wisconsin) and employed Bayesian regression to estimate norms, considering various sociodemographic factors influencing performance.

Results: The posterior distribution suggests a high probability that age impacts SCWT performance, with older adults likely to show greater declines, particularly among those with high proficiency in Spanish. The posterior distribution suggests a stronger effect of age on M-WCST performance among individuals with longer U.S. residency. Educational attainment demonstrates a robust positive impact on M-WCST outcomes, with lower levels of education associated with a higher probability of increased errors. An interaction between education and Spanish proficiency was observed, influencing SCWT scores differently across proficiency levels. Sex and acculturation levels interact to affect SCWT performance, with distinct patterns observed between men and women. This suggests that the impact of acculturation on cognitive test performance may vary by gender.

Conclusion: Establishing culturally sensitive normative data can enhance accurate identification of executive dysfunction and reduce misdiagnosis risks. This study underscores the importance of considering sociocultural factors including acculturation and language proficiency in neuropsychological assessments to better serve diverse populations.

背景:针对西班牙语人群,尤其是美国的西班牙裔人群的标准数据非常稀少:本研究旨在为美国讲西班牙语的西班牙裔人群建立执行功能测试(改良威斯康星卡片分类测试和 Stroop 色彩与文字测试)的标准数据:我们对来自美国八个州(加利福尼亚州、康涅狄格州、佛罗里达州、印第安纳州、新泽西州、俄勒冈州、弗吉尼亚州和威斯康星州)的 245 名年龄在 18-80 岁之间的人进行了评估,并采用贝叶斯回归法估计了常模,同时考虑了影响成绩的各种社会人口因素:后验分布表明,年龄影响 SCWT 成绩的可能性很大,老年人的成绩下降幅度可能更大,尤其是在西班牙语水平较高的人群中。后验分布表明,在美国居住时间较长的人中,年龄对 M-WCST 成绩的影响更大。受教育程度对 M-WCST 结果有显著的积极影响,受教育程度越低,错误增加的概率越高。教育程度与西班牙语水平之间存在相互作用,对不同水平的 SCWT 分数产生不同的影响。性别和文化适应水平相互作用,影响 SCWT 的成绩,男性和女性之间存在不同的模式。这表明,文化适应对认知测试成绩的影响可能因性别而异:结论:建立对文化敏感的常模数据可以提高对执行功能障碍的准确识别,减少误诊风险。这项研究强调了在神经心理学评估中考虑社会文化因素(包括文化适应性和语言能力)的重要性,以便更好地服务于不同人群。
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引用次数: 0
Rehabilitative effects of electrical stimulation on gait performance in stroke patients: A systematic review with meta-analysis. 电刺激对中风患者步态表现的康复作用:系统回顾与荟萃分析。
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.3233/NRE-230360
Sujin Hwang, Chiang-Soon Song

Background: Electrical stimulation techniques are widely utilized for rehabilitation management in individuals with stroke patients.

Objectives: This review aims to summarize the rehabilitative effects of electrical stimulation therapy on gait performance in stroke patients.

Methods: This review included randomized controlled trials (RCT) investigating the therapeutic effects of electrical stimulation in stroke patients throughout five databases. This review qualitatively synthesized 20 studies and quantitatively analyzed 11 RCTs.

Results: Functional electrical stimulation (FES) was the most commonly used electrical stimulation type to improve postural stability and gait performance in stroke patients. The clinical measurement tools commonly used in the three studies to assess the therapeutic effects of FES were Berg balance scale (BBS), 10-meter walk test (10MWT), 6-minute walk test (6mWT), and gait velocity. The BBS score and gait velocity had positive effects in the FES group compared with the control group, but the 10MWT and 6mWT showed the same effects between the two groups. The heterogeneity of BBS scores was also high.

Conclusion: The results of this review suggest that electrical stimulation shows little evidence of postural stability and gait performance in stroke patients, although some electrical stimulations showed positive effects on postural stability and gait performance.

背景:电刺激技术被广泛用于脑卒中患者的康复治疗:电刺激技术被广泛用于脑卒中患者的康复治疗:本综述旨在总结电刺激疗法对中风患者步态表现的康复效果:本综述包括五个数据库中调查电刺激对中风患者治疗效果的随机对照试验(RCT)。本综述对 20 项研究进行了定性综述,对 11 项随机对照试验进行了定量分析:结果:功能性电刺激(FES)是最常用的改善中风患者姿势稳定性和步态表现的电刺激类型。三项研究中常用于评估 FES 治疗效果的临床测量工具包括伯格平衡量表(BBS)、10 米步行测试(10MWT)、6 分钟步行测试(6mWT)和步速。与对照组相比,FES 组的 BBS 评分和步速具有积极效果,但 10 米步行测试和 6 分钟步行测试在两组之间显示出相同的效果。BBS 评分的异质性也很高:本综述的结果表明,虽然某些电刺激对脑卒中患者的姿势稳定性和步态表现有积极影响,但电刺激对脑卒中患者的姿势稳定性和步态表现几乎没有影响。
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引用次数: 0
Effect of magnetic therapy in bladder dysfunction and quality of life in paraplegic patients. 磁疗对截瘫患者膀胱功能障碍和生活质量的影响。
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.3233/NRE-240060
Moataz Mohamed El Semary, Rasha Mohamed Elrewainy, Ahmed Nagaty, Mai Maged, Nadia Mohamed Abdelhakiem

Background: Urinary dysfunction is linked to spinal cord injury (SCI). The quality of life (QoL) declines in both neurogenic bladder impairment and non-disordered patients.

Objective: To ascertain the effectiveness of pulsed magnetic therapy on urinary impairment and QoL in individuals with traumatic incomplete SCI.

Methods: This study included forty male paraplegic subjects with neurogenic detrusor overactivity (NDO) for more than one year following incomplete SCI between T6-T12. Their ages ranged from 20 to 35 and they engaged in therapy for three months. The subjects were divided into two groups of equal size. Individuals in Group I were managed via pulsed magnetic therapy once per week plus pelvic floor training three times a week. Individuals in Group II were managed with only three times a week for pelvic floor training. All patients were examined for bladder cystometric investigations, pelvic-floor electromyography (EMG), and SF-Qualiveen questionnaire.

Results: There was a noteworthy increment in individuals in Group I in volume of bladder at first desire to void and maximum cystometric capacity, detrusor pressure at Qmax, and maximum flow rate. There was a momentous increment in Group I in measures of evaluation of EMG biofeedback. There was a notable rise in Group I in SF-Qualiveen questionnaire.

Conclusion: Magnetic stimulation should be favored as beneficial adjunct to traditional therapy in the management of bladder impairment and enhancing QoL in individuals with SCI.

背景:排尿功能障碍与脊髓损伤(SCI)有关。神经源性膀胱损伤和无膀胱损伤患者的生活质量(QoL)都会下降:确定脉冲磁疗法对创伤性不完全脊髓损伤患者泌尿系统功能障碍和生活质量的影响:这项研究包括 40 名男性截瘫患者,他们在 T6 至 T12 之间的不完全 SCI 后一年多时间内患有神经源性排尿过度症(NDO)。他们的年龄在 20 至 35 岁之间,接受了三个月的治疗。受试者被分为人数相等的两组。第一组受试者每周接受一次脉冲磁疗,每周进行三次骨盆底肌训练。第二组患者每周只接受三次盆底训练。所有患者都接受了膀胱膀胱测量、盆底肌电图(EMG)和 SF-Qualiveen 问卷调查:结果:第一组患者在首次排尿时的膀胱容量、最大膀胱容量、Qmax 时的逼尿肌压力和最大尿流率方面都有显著提高。第一组在肌电图生物反馈评估方面有显著提高。结论:结论:在治疗膀胱功能障碍和提高 SCI 患者的生活质量方面,磁刺激应作为传统疗法的有益辅助手段。
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引用次数: 0
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NeuroRehabilitation
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