A. Alashram, E. Padua, C. Romagnoli, Manikandan Raju, G. Annino
Abstract Upper extremity spasticity is one of the most popular impairments following stroke. It can reduce patients' functional level. Recently, repetitive transcranial magnetic stimulation (rTMS) has emerged as a promising tool in stroke rehabilitation. This review was conducted to investigate the immediate and long-term effects of rTMS on the upper extremity spasticity post-stroke and determine the optimal treatment protocols. PubMed, SCOPUS, PEDro, CINAHL, MEDLINE, REHABDATA, AMED, and Web of Science databases were searched for randomized controlled trials investigating the effect of rTMS on the upper extremity spasticity in patients with stroke. The methodological quality was assessed using the Cochrane Collaboration’s tool. Ten randomized clinical trials were met the inclusion criteria. A total of 225 patients were included in this analysis, 35.30% of whom were females. The mean age for all patients was 60.14 years. The findings showed heterogeneous evidence on the benefits of rTMS intervention in the upper extremity spasticity post-stroke. The evidence for the effect of rTMS on the upper extremity spasticity post-stroke is promising. Combining rTMS with other rehabilitation interventions may show a superior effect in reducing the upper extremity spasticity compared with rTMS intervention alone. Further randomized controlled trials with long-term follow-ups are warranted.
摘要上肢痉挛是中风后最常见的损伤之一。它可以降低患者的功能水平。近年来，重复性经颅磁刺激（rTMS）已成为中风康复的一种很有前途的工具。本综述旨在研究rTMS对卒中后上肢痉挛的即时和长期影响，并确定最佳治疗方案。检索PubMed、SCOPUS、PEDro、CINAHL、MEDLINE、REHABDATA、AMED和Web of Science数据库进行随机对照试验，研究rTMS对中风患者上肢痉挛的影响。方法学质量使用Cochrane协作的工具进行评估。10项随机临床试验符合纳入标准。本分析共纳入225名患者，其中35.30%为女性。所有患者的平均年龄为60.14岁。研究结果显示了rTMS干预对卒中后上肢痉挛的益处的异质性证据。rTMS对脑卒中后上肢痉挛的影响是有希望的。与单独的rTMS干预相比，将rTMS与其他康复干预相结合可能在减少上肢痉挛方面显示出优越的效果。有必要进行进一步的随机对照试验和长期随访。
{"title":"Effects of Repetitive Transcranial Magnetic Stimulation on Upper Extremity Spasticity Post-Stroke: A Systematic Review","authors":"A. Alashram, E. Padua, C. Romagnoli, Manikandan Raju, G. Annino","doi":"10.1055/a-1691-9641","DOIUrl":"https://doi.org/10.1055/a-1691-9641","url":null,"abstract":"Abstract Upper extremity spasticity is one of the most popular impairments following stroke. It can reduce patients' functional level. Recently, repetitive transcranial magnetic stimulation (rTMS) has emerged as a promising tool in stroke rehabilitation. This review was conducted to investigate the immediate and long-term effects of rTMS on the upper extremity spasticity post-stroke and determine the optimal treatment protocols. PubMed, SCOPUS, PEDro, CINAHL, MEDLINE, REHABDATA, AMED, and Web of Science databases were searched for randomized controlled trials investigating the effect of rTMS on the upper extremity spasticity in patients with stroke. The methodological quality was assessed using the Cochrane Collaboration’s tool. Ten randomized clinical trials were met the inclusion criteria. A total of 225 patients were included in this analysis, 35.30% of whom were females. The mean age for all patients was 60.14 years. The findings showed heterogeneous evidence on the benefits of rTMS intervention in the upper extremity spasticity post-stroke. The evidence for the effect of rTMS on the upper extremity spasticity post-stroke is promising. Combining rTMS with other rehabilitation interventions may show a superior effect in reducing the upper extremity spasticity compared with rTMS intervention alone. Further randomized controlled trials with long-term follow-ups are warranted.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45281059","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}
Abstract Objective Myofascial trigger points (MTrPs) have been defined as discrete and hyperirritable areas located within a taut band of skeletal muscle or fascia, which when compressed produce pain, tenderness, dysfunction and autonomic phenomena. The treatment techniques aimed to return the fiber groups to their optimum length and end plates to their optimum function. Ischemic Compression (IC) and of High Power Pain Threshold Ultrasound (HPPT-US) are among the treatment techniques used for MTrPs. The aim of the current study is to compare the efficacy of IC and HTTP-US which was applied in different ways on MTrPs treatment. Patients and Methods This is a randomized prospective study conducted with 153 participants have at least three latent trigger points. Participants received HPPT-US technique in which the intensity is kept constant at the pain level, HPPT-US technique in which the intensity is kept constant at half the pain level or IC. Outcome measures were the Visual Analog Scale, Beck Depression Inventory, Neck Pain and Disability Scale, number of deactivated MTrPs and Pain Pressure Threshold (PPT). Results Pain, psychological status and disability improved in each group; there was no significant difference between the groups (p>0.05). PPT increased in each group; a significant difference was found between the groups (p<0.05). IC was slightly more effective than HPPT-US. Conclusion Our results have shown that HPPT-US which was applied in different ways and IC were effective therapies for latent trigger points.
{"title":"Comparison of High Power Pain Threshold Ultrasound and Ischemic Compression Techniques for the Treatment of Latent Myofascial Trigger Points: A Randomized Controlled Study","authors":"G. Pala, E. Mutlu, H. Taskiran","doi":"10.1055/a-1956-3359","DOIUrl":"https://doi.org/10.1055/a-1956-3359","url":null,"abstract":"Abstract Objective Myofascial trigger points (MTrPs) have been defined as discrete and hyperirritable areas located within a taut band of skeletal muscle or fascia, which when compressed produce pain, tenderness, dysfunction and autonomic phenomena. The treatment techniques aimed to return the fiber groups to their optimum length and end plates to their optimum function. Ischemic Compression (IC) and of High Power Pain Threshold Ultrasound (HPPT-US) are among the treatment techniques used for MTrPs. The aim of the current study is to compare the efficacy of IC and HTTP-US which was applied in different ways on MTrPs treatment. Patients and Methods This is a randomized prospective study conducted with 153 participants have at least three latent trigger points. Participants received HPPT-US technique in which the intensity is kept constant at the pain level, HPPT-US technique in which the intensity is kept constant at half the pain level or IC. Outcome measures were the Visual Analog Scale, Beck Depression Inventory, Neck Pain and Disability Scale, number of deactivated MTrPs and Pain Pressure Threshold (PPT). Results Pain, psychological status and disability improved in each group; there was no significant difference between the groups (p>0.05). PPT increased in each group; a significant difference was found between the groups (p<0.05). IC was slightly more effective than HPPT-US. Conclusion Our results have shown that HPPT-US which was applied in different ways and IC were effective therapies for latent trigger points.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47267703","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}
Michael Krüsi, J. Bansi, R. Sylvester, S. Bachmann
Abstract Background With an increasing number of inpatients in geriatric rehabilitation, there is continuing interest in efficient training measures regarding physical performance.Objectives To examine the feasibility and outcomes of high-intensity interval training (HIIT) in geriatric patients. Methods Single-centre randomized controlled study of HIIT vs. moderate continuous training (MCT) for patients ≥65 years old referred to inpatient rehabilitation. Cardiopulmonary exercise testing (CPET) was performed before the first and last training in order to measure participant’s cardiorespiratory fitness. At the same time-points patients completed a series of questionnaires regarding subjective improvements and acceptance of the training methods. Results Regarding feasibility, HIIT showed a completion rate of 82.4% and an adherence rate of completed sessions of 83.3%. HIIT significantly improved cardiorespiratory fitness (+13% for VO2peak, p=0.01), respiratory quotient (+9%, p=0.01) and power output (+12% for Watt peak, p=0.01) compared with MCT. Significant improvements were also seen over time for physical and mental scores of PROMIS-10 and quality of life. Conclusion A HIIT intervention has proven feasible for elderly patients in a geriatric rehabilitative setting. Further research should specify the HIIT intervention in order to offer this training to more patients. Long-term observations are also needed.
{"title":"Is High-intensity Interval Training a Feasible Therapy Option in Geriatric Rehabilitation? A Randomized Controlled Pilot Study","authors":"Michael Krüsi, J. Bansi, R. Sylvester, S. Bachmann","doi":"10.1055/a-1865-5704","DOIUrl":"https://doi.org/10.1055/a-1865-5704","url":null,"abstract":"Abstract Background With an increasing number of inpatients in geriatric rehabilitation, there is continuing interest in efficient training measures regarding physical performance.Objectives To examine the feasibility and outcomes of high-intensity interval training (HIIT) in geriatric patients. Methods Single-centre randomized controlled study of HIIT vs. moderate continuous training (MCT) for patients ≥65 years old referred to inpatient rehabilitation. Cardiopulmonary exercise testing (CPET) was performed before the first and last training in order to measure participant’s cardiorespiratory fitness. At the same time-points patients completed a series of questionnaires regarding subjective improvements and acceptance of the training methods. Results Regarding feasibility, HIIT showed a completion rate of 82.4% and an adherence rate of completed sessions of 83.3%. HIIT significantly improved cardiorespiratory fitness (+13% for VO2peak, p=0.01), respiratory quotient (+9%, p=0.01) and power output (+12% for Watt peak, p=0.01) compared with MCT. Significant improvements were also seen over time for physical and mental scores of PROMIS-10 and quality of life. Conclusion A HIIT intervention has proven feasible for elderly patients in a geriatric rehabilitative setting. Further research should specify the HIIT intervention in order to offer this training to more patients. Long-term observations are also needed.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43789507","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}
Elisabeth Menke, Claudia China, F. Schroeder, M. Bethge, D. Benninghoven
Zusammenfassung Hintergrund Die Studie erhebt Erfahrungen, die Patienten im Rahmen der verhaltensmedizinisch orientierten Rehabilitation (VOR) in der Kardiologie als neu eingeführtem Rehabilitationskonzept (Interventionsgruppe) gemacht haben. Es erfolgt ein Vergleich mit den Erfahrungen von Patienten im bisherigen Konzept der kardiologischen Heilbehandlung (Kontrollgruppe). Das neue Behandlungsformat wird anhand des psychologischen Gruppenkonzeptes und anhand der erbrachten therapeutischen Leistungen beschrieben und mit der konventionellen kardiologischen Heilbehandlung verglichen. Material und Methoden In der Interventions- und Kontrollgruppe wurden in Fokusgruppen zwanzig Leitfadeninterviews (10 Interviews pro Bedingung) durchgeführt, aufgezeichnet und transkribiert. Die Auswertung erfolgte in Anlehnung an die inhaltlich strukturierende qualitative Inhaltsanalyse nach Kuckartz. Die erbrachten Leistungen wurden anhand der Klassifikation therapeutischer Leistungen in der medizinischen Rehabilitation (KTL) dokumentiert. Ergebnisse Unterschiede in den erbrachten Leistungen ergaben sich konzeptgetreu vor allem im Bereich der psychologischen Leistungen. Die inhaltsanalytische Auswertung zeigte vorrangig positive Erfahrungen der Patienten im Rahmen der neu eingeführten verhaltensmedizinisch orientierten kardiologischen Rehabilitation. Relevante Konzeptbausteine wie die Akzeptanz- und Commitment-Therapie (ACT) fanden besonderen Anklang. Schlussfolgerung Die neu eingeführte verhaltensmedizinisch orientierte kardiologische Rehabilitation mit einer stärkeren psychologischen Gewichtung wurde in ihrem angedachten Format von den Patienten grundsätzlich positiv aufgenommen. Organisatorische Bedingungen sollten so angepasst werden, dass eine stärkere Konstanz der Behandler gewährleistet werden kann. Das Manual der psychologischen Gruppengespräche ist um eine noch explizitere Thematisierung von Herzängsten zu ergänzen.
{"title":"Verhaltensmedizinisch orientierte Rehabilitation in der Kardiologie aus der Sicht der Patienten – eine qualitative Untersuchung","authors":"Elisabeth Menke, Claudia China, F. Schroeder, M. Bethge, D. Benninghoven","doi":"10.1055/a-1689-6485","DOIUrl":"https://doi.org/10.1055/a-1689-6485","url":null,"abstract":"Zusammenfassung Hintergrund Die Studie erhebt Erfahrungen, die Patienten im Rahmen der verhaltensmedizinisch orientierten Rehabilitation (VOR) in der Kardiologie als neu eingeführtem Rehabilitationskonzept (Interventionsgruppe) gemacht haben. Es erfolgt ein Vergleich mit den Erfahrungen von Patienten im bisherigen Konzept der kardiologischen Heilbehandlung (Kontrollgruppe). Das neue Behandlungsformat wird anhand des psychologischen Gruppenkonzeptes und anhand der erbrachten therapeutischen Leistungen beschrieben und mit der konventionellen kardiologischen Heilbehandlung verglichen. Material und Methoden In der Interventions- und Kontrollgruppe wurden in Fokusgruppen zwanzig Leitfadeninterviews (10 Interviews pro Bedingung) durchgeführt, aufgezeichnet und transkribiert. Die Auswertung erfolgte in Anlehnung an die inhaltlich strukturierende qualitative Inhaltsanalyse nach Kuckartz. Die erbrachten Leistungen wurden anhand der Klassifikation therapeutischer Leistungen in der medizinischen Rehabilitation (KTL) dokumentiert. Ergebnisse Unterschiede in den erbrachten Leistungen ergaben sich konzeptgetreu vor allem im Bereich der psychologischen Leistungen. Die inhaltsanalytische Auswertung zeigte vorrangig positive Erfahrungen der Patienten im Rahmen der neu eingeführten verhaltensmedizinisch orientierten kardiologischen Rehabilitation. Relevante Konzeptbausteine wie die Akzeptanz- und Commitment-Therapie (ACT) fanden besonderen Anklang. Schlussfolgerung Die neu eingeführte verhaltensmedizinisch orientierte kardiologische Rehabilitation mit einer stärkeren psychologischen Gewichtung wurde in ihrem angedachten Format von den Patienten grundsätzlich positiv aufgenommen. Organisatorische Bedingungen sollten so angepasst werden, dass eine stärkere Konstanz der Behandler gewährleistet werden kann. Das Manual der psychologischen Gruppengespräche ist um eine noch explizitere Thematisierung von Herzängsten zu ergänzen.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42150200","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}
Abstract Background Spasticity is a common impairment following spinal cord injury (SCI) that negatively affects the activity of daily livings (ADLs). Focal muscle vibration (FMV) has beneficial effects in reducing spasticity post-stroke. Objectives This case report aimed to investigate the effects of 8-week FMV on spasticity and ADLs in a single patient with an incomplete spinal cord injury. Case description The patient was a 26-year-old man with 6-month post-SCI. Twenty-four sessions of FMV were provided for 15 minutes per session. Outcome measures included the Modified Ashworth Scale (MAS) and the Barthel Index (BI). Findings The FMV treatment resulted in spasticity reduction of biceps muscle (reduction from 2 to 1+point median), quadriceps (reduction from 2 to 1 point median), and dorsiflexors (reduction from 3 to 1+point median) as measured by the Modified Ashworth Scale. The activity of daily livings assessed by the Barthel Index (improved from 67 to 79 points median) postintervention and at follow-up. Conclusions This case report demonstrates that FMV reduces spasticity and improves the activity of daily livings in patients with incomplete spinal cord injury. Further research is needed in a larger patient population to verify our findings.
{"title":"Focal Muscle Vibration Reduces Spasticity and Improves Functional Level in Incomplete Spinal Cord Injury: A Case Report","authors":"A. Alashram, G. Annino","doi":"10.1055/a-1819-6874","DOIUrl":"https://doi.org/10.1055/a-1819-6874","url":null,"abstract":"Abstract Background Spasticity is a common impairment following spinal cord injury (SCI) that negatively affects the activity of daily livings (ADLs). Focal muscle vibration (FMV) has beneficial effects in reducing spasticity post-stroke. Objectives This case report aimed to investigate the effects of 8-week FMV on spasticity and ADLs in a single patient with an incomplete spinal cord injury. Case description The patient was a 26-year-old man with 6-month post-SCI. Twenty-four sessions of FMV were provided for 15 minutes per session. Outcome measures included the Modified Ashworth Scale (MAS) and the Barthel Index (BI). Findings The FMV treatment resulted in spasticity reduction of biceps muscle (reduction from 2 to 1+point median), quadriceps (reduction from 2 to 1 point median), and dorsiflexors (reduction from 3 to 1+point median) as measured by the Modified Ashworth Scale. The activity of daily livings assessed by the Barthel Index (improved from 67 to 79 points median) postintervention and at follow-up. Conclusions This case report demonstrates that FMV reduces spasticity and improves the activity of daily livings in patients with incomplete spinal cord injury. Further research is needed in a larger patient population to verify our findings.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44315038","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}
Abstract Objectives The aim of this study was to examine the effects of problematic smartphone use on physical activity level and musculoskeletal pain. Methods Two hundred eighty university students (185 female; 95 male; mean age: 20.84±2.37 years) were included in the study. The International Physical Activity Questionnaire was used to determine the level of physical activity. Problematic smartphone use was determined using the Smartphone Addiction Scale-Short Form (SAS-SF) and musculoskeletal pain using the Nordic Musculoskeletal System Questionnaire. Results When SAS-SF scores were examined, it was seen that 31.8% (89 people) of the participants had problematic smartphone use. A moderate negative correlation was found between problematic smartphone use and physical activity level (p=0.0001; r=−0.419). Neck (p=0.017) and back pain (p=0.040) severity was higher in people with problematic smartphone use. Conclusions The findings show that problematic smartphone use has negative effects on both physical activity level and pain severity. For this reason, problematic smartphone use should be questioned in university students with neck and back pain.
{"title":"The Effect of Problematic Smartphone Use on Physical Activity Level and Musculoskeletal Pain","authors":"F. Unver, Meryem Buke","doi":"10.1055/a-1936-3691","DOIUrl":"https://doi.org/10.1055/a-1936-3691","url":null,"abstract":"Abstract Objectives The aim of this study was to examine the effects of problematic smartphone use on physical activity level and musculoskeletal pain. Methods Two hundred eighty university students (185 female; 95 male; mean age: 20.84±2.37 years) were included in the study. The International Physical Activity Questionnaire was used to determine the level of physical activity. Problematic smartphone use was determined using the Smartphone Addiction Scale-Short Form (SAS-SF) and musculoskeletal pain using the Nordic Musculoskeletal System Questionnaire. Results When SAS-SF scores were examined, it was seen that 31.8% (89 people) of the participants had problematic smartphone use. A moderate negative correlation was found between problematic smartphone use and physical activity level (p=0.0001; r=−0.419). Neck (p=0.017) and back pain (p=0.040) severity was higher in people with problematic smartphone use. Conclusions The findings show that problematic smartphone use has negative effects on both physical activity level and pain severity. For this reason, problematic smartphone use should be questioned in university students with neck and back pain.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48592381","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}
Abstract Neurological disorders are those that are associated with impairments in the nervous system. These impairments affect the patient’s activities of daily living. Recently, many advanced modalities have been used in the rehabilitation field to treat various neurological impairments. However, many of these modalities are available only in clinics, and some are expensive. Most patients with neurological disorders have difficulty reaching clinics. This review was designed to establish a new neurorehabilitation approach based on the scientific way to improve patients’ functional recovery following neurological disorders in clinics or at home. The human brain is a network, an intricate, integrated system that coordinates operations among billions of units. In fact, grey matter contains most of the neuronal cell bodies. It includes the brain and the spinal cord areas involved in muscle control, sensory perception, memory, emotions, decision-making, and self-control. Consequently, patients’ functional ability results from complex interactions among various brain and spinal cord areas and neuromuscular systems. While white matter fibers connect numerous brain areas, stimulating or improving non-motor symptoms, such as motivation, cognitive, and sensory symptoms besides motor symptoms may enhance functional recovery in patients with neurological disorders. The basic principles of the current treatment approach are established based on brain connectivity. Using motor, sensory, motivation, and cognitive (MSMC) interventions during rehabilitation may promote neural plasticity and maximize functional recovery in patients with neurological disorders. Experimental studies are strongly needed to verify our theories and hypothesis.
{"title":"A Novel Neurorehabilitation Approach for Neural Plasticity Overstimulation and Reorganization in Patients with Neurological Disorders","authors":"A. Alashram, G. Annino","doi":"10.1055/a-2004-5836","DOIUrl":"https://doi.org/10.1055/a-2004-5836","url":null,"abstract":"Abstract Neurological disorders are those that are associated with impairments in the nervous system. These impairments affect the patient’s activities of daily living. Recently, many advanced modalities have been used in the rehabilitation field to treat various neurological impairments. However, many of these modalities are available only in clinics, and some are expensive. Most patients with neurological disorders have difficulty reaching clinics. This review was designed to establish a new neurorehabilitation approach based on the scientific way to improve patients’ functional recovery following neurological disorders in clinics or at home. The human brain is a network, an intricate, integrated system that coordinates operations among billions of units. In fact, grey matter contains most of the neuronal cell bodies. It includes the brain and the spinal cord areas involved in muscle control, sensory perception, memory, emotions, decision-making, and self-control. Consequently, patients’ functional ability results from complex interactions among various brain and spinal cord areas and neuromuscular systems. While white matter fibers connect numerous brain areas, stimulating or improving non-motor symptoms, such as motivation, cognitive, and sensory symptoms besides motor symptoms may enhance functional recovery in patients with neurological disorders. The basic principles of the current treatment approach are established based on brain connectivity. Using motor, sensory, motivation, and cognitive (MSMC) interventions during rehabilitation may promote neural plasticity and maximize functional recovery in patients with neurological disorders. Experimental studies are strongly needed to verify our theories and hypothesis.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41329425","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}
C. Egen, J. Schiller, C. Gutenbrunner, Isabelle Eckhardt, K. Höpner, C. Sturm, M. Fink, A. Ranker
Zusammenfassung Eine Majoramputation ist für die Betroffenen ein äußerst belastender Eingriff und mit großen Herausforderungen für die gesellschaftliche und berufliche Wiedereingliederung verbunden. Bei der Versorgung von Amputationspatient*innen besteht ein hoher Bedarf an ärztlicher und therapeutischer Behandlung sowie sozialmedizinischer Steuerung. Die sektoralen Versorgungsstrukturen sind regional sehr unterschiedlich aufgestellt und decken häufig den Bedarf nicht adäquat ab. Dem Entlassmanagement kommt hierbei eine Schlüsselposition zu. Ein Innovationsfondsprojekt des Gemeinsamen Bundesausschusses (G-BA) implementiert und evaluiert gegenwärtig modellhaft eine optimierte Versorgung für Menschen nach Majoramputation durch Einführung eines sektorenübergreifenden Caremanagement und der Einführung einer ambulanten Interimsphase in einer Hochschulambulanz für Physikalische und Rehabilitative Medizin (PRM) und Therapie. Der Beitrag berichtet über die Umsetzung, die gemachten Erfahrungen und über erste Ergebnisse.
{"title":"Machbarkeitsstudie zur Schließung der rehabilitativen Versorgungslücke bei Patient*innen nach erfolgter Majoramputation im Rahmen eines Innovationsfondsprojekts. Umsetzung, Erfahrungen und erste Ergebnisse","authors":"C. Egen, J. Schiller, C. Gutenbrunner, Isabelle Eckhardt, K. Höpner, C. Sturm, M. Fink, A. Ranker","doi":"10.1055/a-1671-3595","DOIUrl":"https://doi.org/10.1055/a-1671-3595","url":null,"abstract":"Zusammenfassung Eine Majoramputation ist für die Betroffenen ein äußerst belastender Eingriff und mit großen Herausforderungen für die gesellschaftliche und berufliche Wiedereingliederung verbunden. Bei der Versorgung von Amputationspatient*innen besteht ein hoher Bedarf an ärztlicher und therapeutischer Behandlung sowie sozialmedizinischer Steuerung. Die sektoralen Versorgungsstrukturen sind regional sehr unterschiedlich aufgestellt und decken häufig den Bedarf nicht adäquat ab. Dem Entlassmanagement kommt hierbei eine Schlüsselposition zu. Ein Innovationsfondsprojekt des Gemeinsamen Bundesausschusses (G-BA) implementiert und evaluiert gegenwärtig modellhaft eine optimierte Versorgung für Menschen nach Majoramputation durch Einführung eines sektorenübergreifenden Caremanagement und der Einführung einer ambulanten Interimsphase in einer Hochschulambulanz für Physikalische und Rehabilitative Medizin (PRM) und Therapie. Der Beitrag berichtet über die Umsetzung, die gemachten Erfahrungen und über erste Ergebnisse.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46041207","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}
Fragilitätsfrakturen der Wirbelsäule (FFW) sind die häufigste Form von osteoporotischen Frakturen und treten bei 30–50% der Osteoporosepatienten auf. Sie gehen mit Rückenschmerzen und einer beeinträchtigten körperlichen Funktion einher. Um die Schmerzen zu lindern, verschreiben Ärzte für Physikalische und Rehabilitative Medizin (PRM) u. a. Wirbelsäulenorthesen – doch die klinischen Indikationen für letztere sind heterogen.
{"title":"Umfrage zeigt hohe Heterogenität bei der Verordnung von Wirbelsäulenorthesen","authors":"","doi":"10.1055/a-1592-6844","DOIUrl":"https://doi.org/10.1055/a-1592-6844","url":null,"abstract":"Fragilitätsfrakturen der Wirbelsäule (FFW) sind die häufigste Form von osteoporotischen Frakturen und treten bei 30–50% der Osteoporosepatienten auf. Sie gehen mit Rückenschmerzen und einer beeinträchtigten körperlichen Funktion einher. Um die Schmerzen zu lindern, verschreiben Ärzte für Physikalische und Rehabilitative Medizin (PRM) u. a. Wirbelsäulenorthesen – doch die klinischen Indikationen für letztere sind heterogen.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41990022","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}
Am 27. September 2021 fand in Kassel die Mitgliederversammlung der Deutschen Gesellschaft für Physikalische und Rehabilitative Medizin statt. Dabei fanden turnusgemäß auch Präsidenten- und Vorstandswahlen statt.
{"title":"Deutsche Gesellschaft für Physikalische und Rehabilitative Medizin wählt neuen Vorstand","authors":"","doi":"10.1055/a-1654-3469","DOIUrl":"https://doi.org/10.1055/a-1654-3469","url":null,"abstract":"Am 27. September 2021 fand in Kassel die Mitgliederversammlung der Deutschen Gesellschaft für Physikalische und Rehabilitative Medizin statt. Dabei fanden turnusgemäß auch Präsidenten- und Vorstandswahlen statt.","PeriodicalId":54611,"journal":{"name":"Physikalische Medizin Rehabilitationsmedizin Kurortmedizin","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45215159","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}
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