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Wheelchair User’s Satisfaction and its Impact on Physical Activity and Quality of Life in People with Spinal Cord Injury 脊髓损伤患者轮椅使用者满意度及其对身体活动和生活质量的影响
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-07-12 DOI: 10.1055/a-1870-3090
Beenish Mehmood, Iftikhar Ali, Syeda Afsheen Hasnain Daud, S. Ilyas
Background Spinal cord injury (SCI) survivors rely greatly on assistive devices, spending around 9–11 hours daily in a wheelchair. It can act both as a barrier and facilitator, positively impacting their mobility, community participation, quality of life (QOL) and functional independence provided the device is satisfactory. However, there is a paucity of information on the level of user satisfication and its impact on the mobility and well being. Keeping in view the present study was conducted to determine the level of wheelchair user’s satisfaction and its impact on physical activity and QOL in SCI. Methods A cross sectional study with a sample of 130 was conducted at Paraplegic Center, Peshawar using “Quebec User Evaluation of Satisfaction with assistive Technology (QUEST)” for wheelchair user’s satisfaction, “Physical Activity Scale for Individuals with Physical Disabilities (PASIPD) for physical activity and World Health Organization Quality of Life (WHOQOL-BREF) for QOL. Results Mean age of the study participants was 32.48±11.96 years. The majority of the participants were males, with most of them being manual wheelchair users. Nearly 80% were regular users. The calculated mean for the QUEST was 3.23±0.51 while 24.49±27.66 for the PASIPD. For the WHOQOL-BREF the calculated median (IQR) in the environmental 56.00 (19.00) and psychological 56.00 (12.00) domain was highest followed by physical domain 50.00(19.00). No significant correlation between participant’s satisfaction level (for wheelchair), and PASIPD (rs=0.054, p=0.541) was observed. On the other hand significant positive correlation was found between physical (rs=0.394, p<0.001), social (rs=0.303, p<0.001) and environmental domain (rs=0.425, p<0.001) except psychological domain (rs=0.156, p=0.076) of QOL. Conclusion The majority of the participants showed moderate levels of satisfication and the impact was observed on the physical, social and environmental domains of QOL. Appropriate wheelchairs enhancing the QOL therefore special measures should be taken to customize the device to the body structure and needs of the customers as anything that can improve their lives even to a minor extent can prove very helpful.
背景脊髓损伤(SCI)幸存者在很大程度上依赖辅助设备,花费大约9-11英镑 每天坐在轮椅上几个小时。只要设备令人满意,它既可以作为障碍,也可以作为促进者,对他们的行动能力、社区参与、生活质量和功能独立性产生积极影响。然而,关于用户满意度及其对流动性和幸福感的影响的信息却很少。鉴于此,本研究旨在确定SCI患者轮椅使用者的满意度及其对体育活动和生活质量的影响。方法在白沙瓦市截瘫中心采用“魁北克用户对辅助技术的满意度评价(QUEST)”对130名轮椅使用者进行横断面调查,“身体残疾者身体活动量表(PASIPD),用于身体活动和世界卫生组织生活质量(WHOQOL-BREF)对于QOL。结果研究对象的平均年龄为32.48±11.96岁。大多数参与者是男性,其中大多数是手动轮椅使用者。近80%是老用户。QUEST的计算平均值为3.23±0.51,PASIPD为24.49±27.66。WHOQOL-BREF在环境56.00(19.00)和心理56.00(12.00)领域的计算中位数(IQR)最高,其次是物理领域50.00(19.00。另一方面,除了生活质量的心理领域(rs=0.156,p=0.076)外,生理领域(rs=0.0394,p<0.001)、社会领域(rs0.303,p<0.001)和环境领域(rs0.425,p<0.001)之间存在显著的正相关。结论大多数参与者表现出中等程度的满意度,并观察到其对生活质量的物理、社会和环境领域的影响。适当的轮椅可以提高生活质量,因此应该采取特殊措施,根据客户的身体结构和需求定制设备,因为任何能在很小程度上改善他们生活的东西都会非常有用。
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引用次数: 1
Leserbrief zum Beitrag:Egen et al.: Machbarkeitsstudie zur Schließung der rehabilitativen Versorgungslücke bei Patient*innen nach erfolgter Majoramputation im Rahmen eines Innovationsprojektes. Phys Med Rehab Kuror 2021. DOI: 10.1055/a-1671-3595. 起草的文书:艾格和阿尔:可行性研究报告以便关闭病人的恢复库存缺口*在进行创新计划后可行性下降。"老年宗教" 2021年麼:10.1055 / a-1671-3595 .
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-06-17 DOI: 10.1055/a-1821-0592
L. Brückner
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引用次数: 0
Improvement of the Pain of Temporomandibular Disorder in Parts of the Human Body through Temporomandibular Joint Correction Treatment 颞下颌关节矫正治疗改善人体局部颞下颌关节紊乱的疼痛
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-06-17 DOI: 10.1055/a-1840-9458
Bo-ra Park, Jeong-An Gim, Kyung-Wan Baek
Background and Aim Patients with temporomandibular disorder often experience pain in various parts of the body. However, the degree of improvement of patients’ pain through temporomandibular joint correction has not been identified in an independent study. This study aimed to identify the symptoms most frequently reported by patients with temporomandibular disorder and determine the degree of pain improvement and structural changes through temporomandibular joint correction. Methodology Patients who complained of temporomandibular disorder and visited a dental clinic and agreed to participate were included in the study (n=85). The patients were divided into a nontreatment group (Control, n=35) and treatment group (Treatment, n=50) of the temporomandibular joint, and the treatment group received more than 10 correction treatments. All reported locations of pain were recorded preintervention and postintervention of temporomandibular joint correction treatment, and the degree of pain, which measured using a visual analog scale, was also recorded. Simultaneously, X-ray imaging was performed to confirm the structural difference between the pre-temporomandibular joint and post-temporomandibular joint correction treatment. Result Most of the patients with temporomandibular disorder complained of temporomandibular joint pain (n=66/85), but the majority complained of neck pain (n=61/85) and shoulder pain (n=60/85). In addition, there were many cases of headache (n=26/85), back pain (n=25/85), and lockjaw (n=22/85). In rare cases, complaints of facial pain (n=2/85), tinnitus (n=2/85), hip joint pain (n=4/85), knee pain (n=5/85), xeroma (n=1/85), and ear pain (n=1/85) have been reported. After temporomandibular joint correction treatment, the treatment group had significantly lower visual analog scale scores than pretreatment for TMJ pain, headache, shoulder pain, neck pain, back pain, and lockjaw (p<.0001). Furthermore, it was confirmed that the balance of the cranial bone and mandibular condyle symmetry in the X-ray image was significantly improved in the TMJ correction treatment group (pretreatment vs. posttreatment, p<.001). In the control group, no significant differences were observed pre-and post-intervention in all symptoms and X-ray images. Conclusion Temporomandibular disorders can cause pain in other parts of the body with an unknown cause. Therefore, these results show that if the pain in other parts of the body cannot be fundamentally resolved, temporomandibular joint correction treatment through the diagnosis of temporomandibular disorder may need to be performed in dental clinics.
背景与目的颞下颌关节紊乱病患者经常感到身体各部位疼痛。然而,通过颞下颌关节矫正术改善患者疼痛的程度尚未在一项独立研究中确定。本研究旨在确定颞下颌关节紊乱病患者最常报告的症状,并确定通过颞下颌关节矫正术的疼痛改善程度和结构变化。方法将主诉颞下颌关节紊乱并到牙科诊所就诊并同意参与的患者纳入研究(n=85)。将患者分为颞下颌关节非治疗组(对照组,n=35)和治疗组(治疗组,n=50),治疗组接受了10多次矫正治疗。在颞下颌关节矫正治疗干预前后记录所有报告的疼痛位置,并记录使用视觉模拟量表测量的疼痛程度。同时,进行X射线成像,以确认颞下颌关节矫正前和颞下颌关节后治疗的结构差异。结果颞下颌关节紊乱病患者以颞下颌关节疼痛为主(66/85),以颈部疼痛为主(61/85),肩部疼痛为主(60/85)。此外,还有许多头痛(n=26/85)、背痛(n=25/85)和下颌闭锁(n=22/85)的病例。在极少数情况下,报告了面部疼痛(n=2/85)、耳鸣(n=2/85%)、髋关节疼痛(n=4/85)、膝盖疼痛(n=5/85)、干燥瘤(n=1/85)和耳朵疼痛(n=1/85%)。颞下颌关节矫正治疗后,治疗组TMJ疼痛、头痛、肩部疼痛、颈部疼痛、背部疼痛和闭锁的视觉模拟量表评分显著低于治疗前(p<0.001)。此外,经证实,TMJ矫正治疗组的X射线图像中颅骨和下颌髁对称性的平衡显著改善(治疗前与治疗后,p<.001)。在对照组中,干预前后所有症状和X射线图像均未观察到显著差异。结论颞下颌关节紊乱可引起身体其他部位疼痛,但原因不明。因此,这些结果表明,如果不能从根本上解决身体其他部位的疼痛,可能需要在牙科诊所通过诊断颞下颌关节紊乱进行颞下颌关节矫正治疗。
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引用次数: 0
Influence of Exercise Intervention on the Quality of Life for Colon Cancer: A Meta-Analysis of Randomized Controlled Studies 运动干预对结肠癌患者生活质量的影响:随机对照研究的荟萃分析
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-06-07 DOI: 10.1055/a-1623-4968
Xuefen Wang, Yunfeng Liu, Jifan Xu
Introduction The influence of exercise intervention for colon cancer remains controversial. We conduct a systematic review and meta-analysis to explore the effect of exercise intervention on the quality of life in patients with colon cancer. Methods We have searched PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through September 2020 for randomized controlled trials (RCTs) assessing the effect of exercise intervention for colon cancer. This meta-analysis is performed using the random-effect model. Results Five RCTs are included in the meta-analysis. In patients with colon cancer, exercise intervention is associated with improved health-related quality of life (SMD=2.79; 95% CI=1.66 to 3.92; P<0.00001) and reduced fatigue score (SMD=−2.21; 95% CI=−3.22 to −1.20; P<0.0001), but revealed no obvious impact on emotional functioning (SMD=0.51; 95% CI=−0.57 to 1.58; P=0.35), anxiety score (SMD=−0.93; 95% CI=−2.50 to 0.64; P=0.25) or weight (SMD=0.28; 95% CI=−0.19 to 0.75; P=0.24). Conclusions Exercise intervention is effective to improve the quality of life in patients with colon cancer.
引言运动干预对结肠癌的影响仍存在争议。我们进行了系统回顾和荟萃分析,以探讨运动干预对癌症患者生活质量的影响。方法我们检索了PubMed、EMbase、Web of science、EBSCO和Cochrane图书馆数据库,直到2020年9月,以进行随机对照试验(RCT),评估运动干预对癌症的影响。该荟萃分析使用随机效应模型进行。结果荟萃分析包括5项随机对照试验。在癌症患者中,运动干预与健康相关的生活质量改善(SMD=2.79;95%CI=1.66至3.92;P<0.00001)和疲劳评分降低有关(SMD=−2.21;95%CI=−3.22至−1.20;P<0.001),但对情绪功能无明显影响(SMD=0.51;95%CI=−0.57至1.58;P=0.35),焦虑评分(SMD=−0.93;95%CI=−2.50至0.64;P=0.25)或体重(SMD=0.28;95%CI=−0.19至0.75;P=0.24)。
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引用次数: 0
Nachruf Dr. med. Wolfgang Jenrich Wolfgang Jenrich医学博士讣告
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-06-01 DOI: 10.1055/a-1836-0427
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引用次数: 0
Unbekannte Qualitäten 未知的品质
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-06-01 DOI: 10.1055/a-1834-4994
Vor einiger Zeit hatte ich hier im Editorial geschrieben, welche Qualitäten ein gewisser Carlo Pedersoli neben seinen mehr oder minder gut ausgeprägten Schauspielfähigkeiten noch so besaß.
不久前,我在这里的社论中写道,某个卡洛·佩德索利除了或多或少发达的演技之外,还具备什么样的品质。
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引用次数: 0
Consensus Conference 2021/2022: Physical and Rehabilitative Medicine – Diagnostic and Therapeutic Options (Part 2) 2021/2022年共识会议:物理和康复医学——诊断和治疗选择(第2部分)
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-06-01 DOI: 10.1055/a-1840-8269
Norman Best, E. Seidel
The 2021/2022 consensus conference covered the entire field of physical and rehabilitative medicine. In this second part, the results of the consensus conference with regard to rehabilitation medicine are presented (Part 1 published in Physikalische Medizin 2022; 54(02): 73–81). Aspects of this area of the specialty are presented comprehensively.
2021/2022年共识会议涵盖了整个身体和康复医学领域。在第二部分中,介绍了康复医学共识会议的结果(第1部分发表在Physikalische Medizin 2022;54(02):73-81)。全面介绍了该专业的各个方面。
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引用次数: 3
The association between Diastasis recti abdominis and pelvic floor dysfunction, sacroiliac joint dysfunction, and quality of life among postpartum women after Cesarean delivery 剖宫产后产后妇女腹直肌舒张与盆底功能障碍、骶髂关节功能障碍和生活质量的关系
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-05-31 DOI: 10.1055/a-1962-4221
Enas Abu Saleh, L. Walton, S. Said, Veena Raigangar, M. Kim
Abstract Purpose The goal of this study is to see if there's a predictive relationship between diastasis rectus abdominis and pelvic floor dysfunction, sacroiliac joint dysfunction, and postpartum women's health-related quality of life. Method This cross-sectional, correlative study focused on 32 postpartum mothers aged 18 to 45 years old. Real Ultrasound Sonographic Imaging (RUSI) was used to determine DRA. The Pelvic Floor Disability Index was used to assess pelvic floor dysfunction (PFDI). The Active Straight Leg Raise Test (ASLR), the Long Dorsal Sacral Ligament Test (LDL), and the Posterior Pelvic Provocation Test (P4) were also investigated. The Short Form-12 (SF-12) Survey was used to assess health-related quality of life (HRQoL). Results A negative correlation between DRA and postpartum period was recorded (ρ=0.0001). The following categories showed a significant positive correlation between DRA and Pelvic floor dysfunction: Pelvic Organ Prolapse Distress Inventory-6 (POPDI-6) corelated positively with DRA (ρ =0.01); Colorectal-Anal Distress Inventory-8 (CRAD-8) (ρ =0.02); Urinary Distress Inventory-6 (UDI-6) (ρ =0.00). There was no correlation between DRA and sacroiliac joint dysfunction (ρ =0.8). Conclusion DRA was discovered to be a strong predictor of pelvic floor dysfunction, such as prolapse, colorectal-anal dysfunction, and urine distress. There was no evidence of a link between DRA and sacroiliac joint dysfunction or HRQoL.
摘要目的本研究的目的是了解腹直肌分离与盆底功能障碍、骶髂关节功能障碍和产后妇女健康相关的生活质量之间是否存在预测关系。方法采用横断面相关研究方法,对32名18~45岁的产后母亲进行调查。采用真实超声声像图成像(RUSI)测定DRA。盆底功能障碍指数用于评估盆底功能障碍(PFDI)。还研究了主动直腿抬高试验(ASLR)、长背骶韧带试验(LDL)和后骨盆刺激试验(P4)。采用简式12(SF-12)调查来评估健康相关的生活质量(HRQoL)。结果DRA与产后时间呈负相关(ρ=0.0001)。以下类别的DRA与盆底功能障碍呈显著正相关:盆腔器官脱垂障碍量表-6(POPDI-6)与DRA呈正相关(ρ=0.01);直肠肛门疼痛量表-8(CRAD-8)(ρ=0.02);尿窘迫量表-6(UDI-6)(ρ=0.00)。DRA与骶髂关节功能障碍(ρ=0.8)之间无相关性。结论DRA是盆底功能障碍(如脱垂、结直肠肛门功能障碍和尿窘迫)的有力预测因子。没有证据表明DRA与骶髂关节功能障碍或HRQoL之间存在联系。
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引用次数: 0
The Effect of Music on Balance Parameters 音乐对平衡参数的影响
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-05-16 DOI: 10.1055/a-2015-3446
F. Unver, Meryem Buke
Abstract Objectives This study aimed to determine the effect of music on balance parameters in healthy individuals. Methods Forty-two participants were included in the study, mean age=23.3 (SD=5.31). Prokin Tecnobody balance device was used for balance measurements. Static and dynamic balance measurements on the dominant foot and bipedal stance were recorded while listening to high-intensity music and without music. Results In the study, there was a statistically significant difference in the dominant foot static mediolateral balance in measurements taken with music (p=0.013). But, there was no difference in other parameters (p>0.05). When examined by gender, it was found that the mediolateral balance scores of females on static and dynamic dominant feet were significantly higher in high-intensity music than males (p<0.05). Conclusion In healthy participants, music improves the mediolateral balance on the dominant foot. Therefore, high-intensity music can be a safe and motivating method to be used in addition to clinical applications.
摘要目的本研究旨在确定音乐对健康个体平衡参数的影响。方法42名参与者被纳入研究,平均年龄=23.3(SD=5.31)。使用Prokin-Tecnoone平衡仪进行平衡测量。在听高强度音乐和不听音乐的情况下,记录了支配脚和两足站立的静态和动态平衡测量结果。结果本研究中,音乐测量的主要足部静态中外侧平衡差异有统计学意义(p=0.013)。但其他参数无差异(p>0.05)。按性别检查时,结果发现,在高强度音乐中,女性在静态和动态优势足上的内侧平衡得分显著高于男性(p<0.05)。结论在健康参与者中,音乐改善了优势足的内侧平衡。因此,高强度音乐可以是一种安全和激励的方法,除了临床应用之外。
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引用次数: 0
Folgeschäden durch Beatmung in Bauchlage bei COVID-19 und ihre Relevanz für die Frührehabilitation – eine retrospektive Kohortenstudie 结果19 covide做腹部人工呼吸之后
IF 0.8 4区 医学 Q4 REHABILITATION Pub Date : 2022-05-13 DOI: 10.1055/a-1888-0020
N. Elmer, M. Liebl, K. Brehm, C. Schwedtke, Daniel Drebinger, Christian Pille, A. Reisshauer
Zusammenfassung Hintergrund Die Bauchlagerung („proning“) als Teil der Behandlungsstrategie bei Patient:innen mit Acute Respiratory Distress Syndrome (ARDS) hat durch die COVID-19-Pandemie massiv an Bedeutung gewonnen. Neben den positiven Effekten der BL sind Nebenwirkungen bekannt, insbesondere Druckulcera (DU) und periphere Nervenläsionen (pNL). Methoden In dieser retrospektiven Kohortenstudie wurden COVID-19-ARDS-Patient:innen, die supportiv in BL therapiert und im Behandlungsverlauf auf die Frührehabilitation übernommen wurden, auf das Vorliegen von DU und pNL hin untersucht. Es wurden potenzielle Risikofaktoren für das Entstehen von DU und pNL und der Einfluss von DU und pNL auf den Rehabilitationserfolg explorativ analysiert. Ergebnisse Insgesamt wurden 52 Patient:innen in die Studie eingeschlossen. Von ihnen boten 10 (19,2%) das klinische Bild einer pNL und 41 (78,8%) wiesen bei Übernahme Bauchlagerungs-typische ventrale DU auf. Patient:innen mit pNL hatten signifikant häufiger einen Diabetes mellitus als Vorerkrankung, für die Entstehung von DU gab es keine Risikofaktoren. Bei Übernahme waren Patient:innen mit pNL im Durchschnitt weniger mobil und weniger selbstständig als Patient:innen ohne pNL, während zum Zeitpunkt der Entlassung keine signifikanten Unterschiede in Mobilität und ADL-Fähigkeit mehr vorlagen. Patient:innen mit pNL benötigten signifikant mehr Hilfsmittel bei Entlassung. DU sind häufig, v. a. im Gesicht-/Halsbereich (56,1%). Schlussfolgerungen Nebenwirkungen der Bauchlagerung wie DU und pNL sind zum Zeitpunkt der Übernahme in die Frührehabilitation häufig. Während die Mobilität zum Übernahmezeitpunkt durch das Vorliegen einer pNL deutlicher eingeschränkt ist, besteht dieser Unterschied nicht mehr zum Entlasszeitpunkt.
摘要背景由于新冠肺炎大流行,Proning作为急性呼吸窘迫综合征(ARDS)患者治疗策略的一部分变得越来越重要。除了BL的积极作用外,已知副作用,尤其是压疮(DU)和周围神经病变(pNL)。方法在这项回顾性队列研究中,对在BL接受支持性治疗并在治疗期间转入早期康复的COVID-19-ARDS患者进行DU和pNL的检测。对DU和pNL发展的潜在危险因素以及DU和pNL对康复成功的影响进行了探索性分析。结果本研究共纳入52例患者。其中,10例(19.2%)显示pNL的临床表现,41例(78.8%)显示典型的腹侧DU。pNL患者患糖尿病的可能性明显高于既往疾病,没有DU发展的危险因素。平均而言,与无pNL的患者相比,pNL患者的行动能力和个体经营能力较低,而在释放时,行动能力和ADL能力没有显著差异。pNL患者出院时需要更多的辅助设备。DU很常见,尤其是在面部/颈部(56.1%)。结论腹部定位的副作用,如DU和pNL,在早期康复时很常见。虽然接管时的流动性更受pNL的限制,但在解雇时,这种差异已不复存在。
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引用次数: 0
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Physikalische Medizin Rehabilitationsmedizin Kurortmedizin
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