S. Lee, Manoj K. Poudel, A. de Sire, Dilshad Hunain Al Arabia, Abeer Alomari, Abigail Mendoza-Genato, B. Yuliawiratman, Dawn Adair, E. Is, I. Khan, J. Lewis, J. Gurung, M. Noor, Sarah S Farhoud, S. Jong, W. Frontera, L. Li
Background: The Coronavirus Disease 2019 (COVID-19) pandemic has adversely impacted the Physical and Rehabilitation Medicine (PRM) residency training program in many countries. Aims and Objectives: To describe and analyse the issues and challenges faced by PRM trainees in Asia, Eastern Mediterranean and Oceania, and to discuss strategies to encounter the training and educational challenges amidst the pandemic. Materials and Methods: A cross-sectional survey was completed by Country Ambassadors of the International Society of Physical and Rehabilitation Medicine (ISPRM) World Youth Forum Task Force, to assess the COVID-19 impact on PRM trainees across Asia, Eastern Mediterranean, and Oceania. Results: Participants reported issues including training program disruption, limited practical skills training, examination postponement, negative psychological consequences, PRM service delivery restructuring, and deployment to acute services. Conclusion: The COVID-19 pandemic has variably impacted PRM residency training programs in the countries. The role of National Societies, training programs, and ISPRM is crucial to support trainees during the pandemic.
{"title":"Impact of COVID-19 pandemic on medical rehabilitation training and education in Asia, eastern mediterranean, and oceania","authors":"S. Lee, Manoj K. Poudel, A. de Sire, Dilshad Hunain Al Arabia, Abeer Alomari, Abigail Mendoza-Genato, B. Yuliawiratman, Dawn Adair, E. Is, I. Khan, J. Lewis, J. Gurung, M. Noor, Sarah S Farhoud, S. Jong, W. Frontera, L. Li","doi":"10.4103/JISPRM-000119","DOIUrl":"https://doi.org/10.4103/JISPRM-000119","url":null,"abstract":"Background: The Coronavirus Disease 2019 (COVID-19) pandemic has adversely impacted the Physical and Rehabilitation Medicine (PRM) residency training program in many countries. Aims and Objectives: To describe and analyse the issues and challenges faced by PRM trainees in Asia, Eastern Mediterranean and Oceania, and to discuss strategies to encounter the training and educational challenges amidst the pandemic. Materials and Methods: A cross-sectional survey was completed by Country Ambassadors of the International Society of Physical and Rehabilitation Medicine (ISPRM) World Youth Forum Task Force, to assess the COVID-19 impact on PRM trainees across Asia, Eastern Mediterranean, and Oceania. Results: Participants reported issues including training program disruption, limited practical skills training, examination postponement, negative psychological consequences, PRM service delivery restructuring, and deployment to acute services. Conclusion: The COVID-19 pandemic has variably impacted PRM residency training programs in the countries. The role of National Societies, training programs, and ISPRM is crucial to support trainees during the pandemic.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"119 - 124"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43110566","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}
Context: Although quantitative analyses of human behavior data collected through wearable sensors have uncovered principles of complex human behaviors and organization performances, quantitative assessment has not been conducted on communication among the medical team, despite its importance. Aims: The aim of the study is to quantify face-to-face communication in a multiprofessional medical team using a sociophysical method and wearable sensors. Settings and Design: The study was conducted at a rehabilitation ward in Japan; this was a pilot study. Subjects and Methods: The amount of time spent on face-to-face communication among 36 multidisciplinary medical professional in a rehabilitation ward was recorded using name tag-type sensors for 2 weeks. The average communication time per week for each pair of participants was calculated; the network diagrams were drawn by using Cytoscape software. The unpaired t-test and Welch's F-test used together with the Games–Howell post hoc test were performed to compare the communication times between two groups and among three groups, respectively. Results: The following three groups emerged: ward staff (nurses and care workers), rehabilitation therapists, and physicians/medical social workers. The communication time between physicians and ward staff (mean, 8.0 min/week) did not differ from that between the physicians and rehabilitation therapists (5.5). The communication time was longer among rehabilitation therapists (61.7) than among the ward staff (45.7), both of which were longer than that between the ward staff and rehabilitation therapists (4.8). Conclusions: Quantitative measurement of face-to-face communication time using wearable sensors characterized the staff behavior in a multiprofessional medical practice in a rehabilitation ward, which may affect medical team performance, such as patient outcomes.
{"title":"Quantifying face-to-face communication among multidisciplinary medical professions in a convalescent rehabilitation ward by using a name tag-type information communication device: A pilot study","authors":"Zhiguang Li, Shinich Izumi, Asuka Sato","doi":"10.4103/jisprm-000118","DOIUrl":"https://doi.org/10.4103/jisprm-000118","url":null,"abstract":"Context: Although quantitative analyses of human behavior data collected through wearable sensors have uncovered principles of complex human behaviors and organization performances, quantitative assessment has not been conducted on communication among the medical team, despite its importance. Aims: The aim of the study is to quantify face-to-face communication in a multiprofessional medical team using a sociophysical method and wearable sensors. Settings and Design: The study was conducted at a rehabilitation ward in Japan; this was a pilot study. Subjects and Methods: The amount of time spent on face-to-face communication among 36 multidisciplinary medical professional in a rehabilitation ward was recorded using name tag-type sensors for 2 weeks. The average communication time per week for each pair of participants was calculated; the network diagrams were drawn by using Cytoscape software. The unpaired t-test and Welch's F-test used together with the Games–Howell post hoc test were performed to compare the communication times between two groups and among three groups, respectively. Results: The following three groups emerged: ward staff (nurses and care workers), rehabilitation therapists, and physicians/medical social workers. The communication time between physicians and ward staff (mean, 8.0 min/week) did not differ from that between the physicians and rehabilitation therapists (5.5). The communication time was longer among rehabilitation therapists (61.7) than among the ward staff (45.7), both of which were longer than that between the ward staff and rehabilitation therapists (4.8). Conclusions: Quantitative measurement of face-to-face communication time using wearable sensors characterized the staff behavior in a multiprofessional medical practice in a rehabilitation ward, which may affect medical team performance, such as patient outcomes.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"125 - 130"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42157869","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}
Manoj K. Poudel, A. de Sire, C. Johnson, F. De la Rosa-Morillo, J. Delgado‐Martinez, José Neira Lázaro, Kevin Portillo-Koberne, L. Iuamoto, María Jiménez León, Maria Calderón-Solis, María Romo Rosas, Natalia López Rivas, Patricia Aliaga Jiménez, Raisa Zuwolinsky Elguera, Tiffany W S Lau, V. Bouché, Alejandro Asial, Eva Miguel Reyes, C. Schiappacasse, W. Frontera
Introduction: Coronavirus disease 2019 (COVID-19) pandemic has affected the physical and rehabilitation medicine (PRM) specialty globally. The effects of this pandemic on PRM residents in 14 countries of the Americas are described in this study. Materials and Methods: This study is based on the international survey done by the World Youth Forum of the International Society of Physical and Rehabilitation Medicine. The cross-sectional data obtained were analyzed for a point-of-view study (August 2020). Results: PRM residents reported multiple challenges in their training program including mental health issues during the pandemic. In all the countries, there was either complete or partial closure of services provided by PRM specialists at the height of the crisis. In some areas, there was a necessity to temporarily transform the rehabilitation service into a COVID-19 unit and to assign residents to medical and intensive care units. Residency programs in 13 countries introduced virtual lectures and examinations. The duration of residency will probably increase in three countries, may not be affected in another six, and is still undetermined in five. The specialty licensing examination was temporally suspended/postponed in four countries, administered in a modified way in one, and has not been affected yet in four. Conclusion: COVID-19 pandemic adversely affected the training of PRM residents in the Americas. Despite the efforts to overcome this, the residents need more support including well-being programs. Every country and training program should continue to evolve to adapt to the crisis and anticipate additional challenges in the near future.
{"title":"Impact of COVID-19 pandemic on physical and rehabilitation medicine residents in the Americas","authors":"Manoj K. Poudel, A. de Sire, C. Johnson, F. De la Rosa-Morillo, J. Delgado‐Martinez, José Neira Lázaro, Kevin Portillo-Koberne, L. Iuamoto, María Jiménez León, Maria Calderón-Solis, María Romo Rosas, Natalia López Rivas, Patricia Aliaga Jiménez, Raisa Zuwolinsky Elguera, Tiffany W S Lau, V. Bouché, Alejandro Asial, Eva Miguel Reyes, C. Schiappacasse, W. Frontera","doi":"10.4103/jisprm-000112","DOIUrl":"https://doi.org/10.4103/jisprm-000112","url":null,"abstract":"Introduction: Coronavirus disease 2019 (COVID-19) pandemic has affected the physical and rehabilitation medicine (PRM) specialty globally. The effects of this pandemic on PRM residents in 14 countries of the Americas are described in this study. Materials and Methods: This study is based on the international survey done by the World Youth Forum of the International Society of Physical and Rehabilitation Medicine. The cross-sectional data obtained were analyzed for a point-of-view study (August 2020). Results: PRM residents reported multiple challenges in their training program including mental health issues during the pandemic. In all the countries, there was either complete or partial closure of services provided by PRM specialists at the height of the crisis. In some areas, there was a necessity to temporarily transform the rehabilitation service into a COVID-19 unit and to assign residents to medical and intensive care units. Residency programs in 13 countries introduced virtual lectures and examinations. The duration of residency will probably increase in three countries, may not be affected in another six, and is still undetermined in five. The specialty licensing examination was temporally suspended/postponed in four countries, administered in a modified way in one, and has not been affected yet in four. Conclusion: COVID-19 pandemic adversely affected the training of PRM residents in the Americas. Despite the efforts to overcome this, the residents need more support including well-being programs. Every country and training program should continue to evolve to adapt to the crisis and anticipate additional challenges in the near future.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"113 - 118"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41338822","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}
T. Uddin, M. Khasru, Mohammad Islam, M. Shakoor, M. Emran, M. Sakel
COVID-19 pandemic challenged the health-care system globally. It intensified the existing burden of rehabilitation of neurological patients. That adverse impact has been more profound in developing countries. This is an exploratory narrative review conducted during May 1 to July 31, 2020 to reflect on the COVID-19 impacts and how to address the challenges of rehabilitation services in Bangladesh. Nonsystematic review methods were used, and to some-extent, the Preferred reporting items for systematic review and meta-analysis statements were followed for this review. Bangladesh is a Lower–Middle-Income Country currently facing multiple challenges with more than 16 million people with disability. The country has world's sixth highest density of population and currently further burdened with the largest refugee camp of the world. It has serious shortage of health-care workers at different levels making COVID-19 preparedness and mitigation difficult. The neurorehabilitation services faced serious challenges. There is no database or registry for stroke, spinal cord injury, or traumatic brain injury. The rehabilitation teamwork is facing daunting challenge at the height of COVID-19. Despite shortage of work force, funding, infrastructures, poor awareness, and difficult professional relationship within the rehabilitation team, neurorehabilitation services are gradually developing in Bangladesh.
{"title":"COVID-19 pandemic, challenges, and opportunities for neurorehabilitation in Bangladesh: A narrative review","authors":"T. Uddin, M. Khasru, Mohammad Islam, M. Shakoor, M. Emran, M. Sakel","doi":"10.4103/jisprm-000113","DOIUrl":"https://doi.org/10.4103/jisprm-000113","url":null,"abstract":"COVID-19 pandemic challenged the health-care system globally. It intensified the existing burden of rehabilitation of neurological patients. That adverse impact has been more profound in developing countries. This is an exploratory narrative review conducted during May 1 to July 31, 2020 to reflect on the COVID-19 impacts and how to address the challenges of rehabilitation services in Bangladesh. Nonsystematic review methods were used, and to some-extent, the Preferred reporting items for systematic review and meta-analysis statements were followed for this review. Bangladesh is a Lower–Middle-Income Country currently facing multiple challenges with more than 16 million people with disability. The country has world's sixth highest density of population and currently further burdened with the largest refugee camp of the world. It has serious shortage of health-care workers at different levels making COVID-19 preparedness and mitigation difficult. The neurorehabilitation services faced serious challenges. There is no database or registry for stroke, spinal cord injury, or traumatic brain injury. The rehabilitation teamwork is facing daunting challenge at the height of COVID-19. Despite shortage of work force, funding, infrastructures, poor awareness, and difficult professional relationship within the rehabilitation team, neurorehabilitation services are gradually developing in Bangladesh.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"107 - 112"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43306678","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}
Saito Kimio, Karina Rosario, Nagao Masato, L. Pascual, Saam Morshed, Miyakoshi Naohisa, Shimada Yoichi
Context: Neck pain is common in the general population. Active cervical spine range of motion (ACROM) is often measured in the diagnosis, evaluation, and treatment of neck pain. However, commonly used measurement tools have been deemed inaccurate or impractical. The Cervical Range of Motion (CROM) Instrument, which uses inclinometers and a magnetic reference, has demonstrated high reproducibility and validity in the measurement of ACROM, however, its practicable use is suboptimal due to its large dimensions. The JINS MEME eyeglass is a lightweight and compact wearable device that contains gyroscope and accelerometer electrodes capable of detecting body motion offering an alternative means of measuring ACROM. Aims: The primary aim of this study is to validate ACROM measurements using the JINS MEME eyeglasses in comparison to the CROM Instrument. The secondary aim is to investigate the variable range of motion patterns between individuals with neck pain (NP group) versus asymptomatic individuals (AS group). Settings and Design: This was a cross-sectional, clinical measurement, and reliability study. Subjects and Methods: Seven neck pain and 14 asymptomatic individuals underwent ACROM measurements with the JINS MEME and CROM Instrument concurrently. Statistical Analysis Used: Intraclass correlation coefficient was used to determine inter- and intra-rater reliability of the JINS MEME and CROM Instrument. Mann–Whitney's U-test was used to assess differences between the two groups (NP group vs. AS group) in ACROM. Results: Using the JINS MEME eyeglasses, we observed excellent intra- and inter-rater reliability for nearly all ACROM directions (cervical spine flexion, extension, and lateral bending) except for rotation which was considered poor. ACROM was decreased in all directions for neck pain patients when measured by both devices. Conclusions: The JINS MEME eyeglasses showed excellent intra- and inter-rater reliability for all ACROM movements except for cervical rotation. Comparing the AS group and NP group, the ACROM of the NP group was significantly decreased compared to that of the AS group in all cervical spine directions, similar to findings in previous studies. With the exception of the measurement of cervical rotation, the JINS MEME eyeglasses demonstrated similar accuracy to the CROM Instrument in the assessment of ACROM in both the NP and AS groups.
{"title":"Measuring cervical range of motion with gyroscope/accelerometer eyeglasses (JINS MEME) in persons with and without neck pain","authors":"Saito Kimio, Karina Rosario, Nagao Masato, L. Pascual, Saam Morshed, Miyakoshi Naohisa, Shimada Yoichi","doi":"10.4103/JISPRM-000121","DOIUrl":"https://doi.org/10.4103/JISPRM-000121","url":null,"abstract":"Context: Neck pain is common in the general population. Active cervical spine range of motion (ACROM) is often measured in the diagnosis, evaluation, and treatment of neck pain. However, commonly used measurement tools have been deemed inaccurate or impractical. The Cervical Range of Motion (CROM) Instrument, which uses inclinometers and a magnetic reference, has demonstrated high reproducibility and validity in the measurement of ACROM, however, its practicable use is suboptimal due to its large dimensions. The JINS MEME eyeglass is a lightweight and compact wearable device that contains gyroscope and accelerometer electrodes capable of detecting body motion offering an alternative means of measuring ACROM. Aims: The primary aim of this study is to validate ACROM measurements using the JINS MEME eyeglasses in comparison to the CROM Instrument. The secondary aim is to investigate the variable range of motion patterns between individuals with neck pain (NP group) versus asymptomatic individuals (AS group). Settings and Design: This was a cross-sectional, clinical measurement, and reliability study. Subjects and Methods: Seven neck pain and 14 asymptomatic individuals underwent ACROM measurements with the JINS MEME and CROM Instrument concurrently. Statistical Analysis Used: Intraclass correlation coefficient was used to determine inter- and intra-rater reliability of the JINS MEME and CROM Instrument. Mann–Whitney's U-test was used to assess differences between the two groups (NP group vs. AS group) in ACROM. Results: Using the JINS MEME eyeglasses, we observed excellent intra- and inter-rater reliability for nearly all ACROM directions (cervical spine flexion, extension, and lateral bending) except for rotation which was considered poor. ACROM was decreased in all directions for neck pain patients when measured by both devices. Conclusions: The JINS MEME eyeglasses showed excellent intra- and inter-rater reliability for all ACROM movements except for cervical rotation. Comparing the AS group and NP group, the ACROM of the NP group was significantly decreased compared to that of the AS group in all cervical spine directions, similar to findings in previous studies. With the exception of the measurement of cervical rotation, the JINS MEME eyeglasses demonstrated similar accuracy to the CROM Instrument in the assessment of ACROM in both the NP and AS groups.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"141 - 145"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45460460","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 : 2021-04-01DOI: 10.4103/JISPRM.JISPRM_28_20
L. Gerber
There are important connections between metabolic abnormalities and poor function. This is relevant because the World Health Organization and the Centers for Disease Control and Prevention indicate that we are facing an epidemic of obesity and pre-diabetes/diabetes, which present substantial and challenging health-care concerns. Most of these people have metabolic syndrome (MS), including hypertension, hyperglycemia, obesity, hyperlipidemia, and hypertriglyceridemia. The relationships among function and MS seem intuitive and reasonable. One link could include abnormal energy production and mitochondrial efficiency in the generation of adenosine triphosphate(ATP). Another link might result from insulin resistance and its impact on interfering with glucose uptake. Sedentary behavior with increased waist circumference is associated with obesity and fatigue. In addition, there has been a reported association between sarcopenia and obesity, both associated with reduced function. The health implications include increased all-cause mortality and is thought to be mediated through processes that include inflammation of muscle and MS. Human function is likely to be influenced by physiological and anatomical as well as environmental and personal factors. These factors will be discussed in an effort to integrate them and explain why people with MS have significant functional problems. The premise is that fatigue is frequently reported, negatively impacts activity and exercise tolerance, and may explain why this group of people is so sedentary. We have effective treatments for fatigue that is associated with MS and obesity. Unfortunately, at this time in the history of medicine, the best treatments are behavioral and require patience and commitment. Risks are very low, rewards are high but not instantaneous.
{"title":"2020 Sidney Licht lecture: The metabolic syndrome and obesity negatively impact function","authors":"L. Gerber","doi":"10.4103/JISPRM.JISPRM_28_20","DOIUrl":"https://doi.org/10.4103/JISPRM.JISPRM_28_20","url":null,"abstract":"There are important connections between metabolic abnormalities and poor function. This is relevant because the World Health Organization and the Centers for Disease Control and Prevention indicate that we are facing an epidemic of obesity and pre-diabetes/diabetes, which present substantial and challenging health-care concerns. Most of these people have metabolic syndrome (MS), including hypertension, hyperglycemia, obesity, hyperlipidemia, and hypertriglyceridemia. The relationships among function and MS seem intuitive and reasonable. One link could include abnormal energy production and mitochondrial efficiency in the generation of adenosine triphosphate(ATP). Another link might result from insulin resistance and its impact on interfering with glucose uptake. Sedentary behavior with increased waist circumference is associated with obesity and fatigue. In addition, there has been a reported association between sarcopenia and obesity, both associated with reduced function. The health implications include increased all-cause mortality and is thought to be mediated through processes that include inflammation of muscle and MS. Human function is likely to be influenced by physiological and anatomical as well as environmental and personal factors. These factors will be discussed in an effort to integrate them and explain why people with MS have significant functional problems. The premise is that fatigue is frequently reported, negatively impacts activity and exercise tolerance, and may explain why this group of people is so sedentary. We have effective treatments for fatigue that is associated with MS and obesity. Unfortunately, at this time in the history of medicine, the best treatments are behavioral and require patience and commitment. Risks are very low, rewards are high but not instantaneous.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"58 - 62"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43425287","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}
D. Sherwood, Alan Tran, Benjamin Gill, Benjamin D. Westerhaus, Alexandra Arickx, Patrick Landazuri, S. Eickmeyer
Objective: To describe functional outcomes following discharge from an acute inpatient rehabilitation facility (IRF) in patients following epilepsy surgery, comparing laser interstitial thermal therapy (LITT) versus surgical resection for epilepsy. Design: Retrospective case series. Setting: Academic tertiary hospital. Participants: Eight patients who received LITT (n = 3) or surgical resection (n = 5) for epilepsy. Interventions: Acute inpatient rehabilitation. Main Outcome Measures: Functional independence measure (FIM), seizure incidence, discharge destination. Level of Evidence: IV. Results: The epilepsy cohort demonstrated a FIM change of 38.88 (vs. national average 29.55), average length of stay (LOS) of 15.13 days (vs. 13.38 days), and LOS efficiency was 3.4 (vs. 2.68). No patients in the epilepsy cohort were discharged to acute care hospital compared to a national average of 9.82%. Eighty-seven percent in the epilepsy cohort discharged to home (vs. 77%) and 12.5% to skilled nursing facility (vs. 11.90%). Between the subset who received LITT and those who received surgical resection, there was no statistically significant change in mean total FIM change (43.7 vs. 36), FIM efficiency (5.3 vs. 2.2), or FIM change in subset measures of memory (0.5 vs. 0.25) or problem solving (0 vs. 0.8). There was no statistical significance between groups in adverse events, including seizure. Conclusions: Outcome measures in this population appear to be consistent with national outcome measures for other IRF diagnoses. This suggests that acute inpatient rehabilitation should be considered after patients undergo surgical intervention for epilepsy. However, a larger sample size and controlled studies are necessary before generalizations can be made. In addition, no statistically significant functional difference was seen between patients who underwent LITT or surgical resection.
{"title":"Outcomes after acute inpatient rehabilitation following epilepsy surgery: A case series","authors":"D. Sherwood, Alan Tran, Benjamin Gill, Benjamin D. Westerhaus, Alexandra Arickx, Patrick Landazuri, S. Eickmeyer","doi":"10.4103/JISPRM-000116","DOIUrl":"https://doi.org/10.4103/JISPRM-000116","url":null,"abstract":"Objective: To describe functional outcomes following discharge from an acute inpatient rehabilitation facility (IRF) in patients following epilepsy surgery, comparing laser interstitial thermal therapy (LITT) versus surgical resection for epilepsy. Design: Retrospective case series. Setting: Academic tertiary hospital. Participants: Eight patients who received LITT (n = 3) or surgical resection (n = 5) for epilepsy. Interventions: Acute inpatient rehabilitation. Main Outcome Measures: Functional independence measure (FIM), seizure incidence, discharge destination. Level of Evidence: IV. Results: The epilepsy cohort demonstrated a FIM change of 38.88 (vs. national average 29.55), average length of stay (LOS) of 15.13 days (vs. 13.38 days), and LOS efficiency was 3.4 (vs. 2.68). No patients in the epilepsy cohort were discharged to acute care hospital compared to a national average of 9.82%. Eighty-seven percent in the epilepsy cohort discharged to home (vs. 77%) and 12.5% to skilled nursing facility (vs. 11.90%). Between the subset who received LITT and those who received surgical resection, there was no statistically significant change in mean total FIM change (43.7 vs. 36), FIM efficiency (5.3 vs. 2.2), or FIM change in subset measures of memory (0.5 vs. 0.25) or problem solving (0 vs. 0.8). There was no statistical significance between groups in adverse events, including seizure. Conclusions: Outcome measures in this population appear to be consistent with national outcome measures for other IRF diagnoses. This suggests that acute inpatient rehabilitation should be considered after patients undergo surgical intervention for epilepsy. However, a larger sample size and controlled studies are necessary before generalizations can be made. In addition, no statistically significant functional difference was seen between patients who underwent LITT or surgical resection.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"77 - 81"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43508295","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 : 2021-04-01DOI: 10.4103/jisprm.jisprm_40_20
B. Tella, A. Akinfeleye, S. Oghumu, A. Adeleye
Background: Complaints of arm, neck, and shoulders (CANS) affects millions of computer users and are thought to be associated with physical and psychosocial risk factors. Assessing the risk factors of these complaints are imperatives for preventive measures in enhancing the effectiveness of clinical interventions, hence this study. Materials and Methods: A cross-sectional survey was conducted among 260 bankers whose major work task involved the use of desktop computers in Surulere Local Government Area, Lagos, Nigeria. Maastricht Upper Extremity Questionnaire (MUEQ) was used to collect the data. The MUEQ contains 95-item in seven main domains assessing physical and psychosocial risk factors with regards to work stations, posture during work, quality of break time, job demands, job control, and social supports. It also asked questions about the quality of the work environments and the occurrence of CANS. Data were summarized using descriptive statistics of frequencies and percentages, while Chi-square statistic tested the association of CANS with physical and psychosocial risk factors at a significance level of P ≤ 0.05. Results: A 70% 1 year prevalence rate of CANS was obtained. Poor body posture was significantly associated with the complaints of shoulder, arm, and elbow (P < 0.05). High job demand was significantly associated with the complaints of the shoulder and lower arm (P < 0.05), while poor work environment was significantly associated with the occurrence of CANS (P < 0.05). Conclusion: Physical and psychosocial risk factors of body posture, job demand, and work environment are associated with the prevalence of CANS among Nigerian bank employees.
{"title":"Association of complaints of arm, neck, and shoulders with physical and psychosocial risks factors among computer users of Nigerian bank employees","authors":"B. Tella, A. Akinfeleye, S. Oghumu, A. Adeleye","doi":"10.4103/jisprm.jisprm_40_20","DOIUrl":"https://doi.org/10.4103/jisprm.jisprm_40_20","url":null,"abstract":"Background: Complaints of arm, neck, and shoulders (CANS) affects millions of computer users and are thought to be associated with physical and psychosocial risk factors. Assessing the risk factors of these complaints are imperatives for preventive measures in enhancing the effectiveness of clinical interventions, hence this study. Materials and Methods: A cross-sectional survey was conducted among 260 bankers whose major work task involved the use of desktop computers in Surulere Local Government Area, Lagos, Nigeria. Maastricht Upper Extremity Questionnaire (MUEQ) was used to collect the data. The MUEQ contains 95-item in seven main domains assessing physical and psychosocial risk factors with regards to work stations, posture during work, quality of break time, job demands, job control, and social supports. It also asked questions about the quality of the work environments and the occurrence of CANS. Data were summarized using descriptive statistics of frequencies and percentages, while Chi-square statistic tested the association of CANS with physical and psychosocial risk factors at a significance level of P ≤ 0.05. Results: A 70% 1 year prevalence rate of CANS was obtained. Poor body posture was significantly associated with the complaints of shoulder, arm, and elbow (P < 0.05). High job demand was significantly associated with the complaints of the shoulder and lower arm (P < 0.05), while poor work environment was significantly associated with the occurrence of CANS (P < 0.05). Conclusion: Physical and psychosocial risk factors of body posture, job demand, and work environment are associated with the prevalence of CANS among Nigerian bank employees.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"82 - 89"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70799144","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}
Sarcopenia, defined as loss of skeletal muscle mass and function, is attracting more and more public attention in the ageing world. It is associated with many co-morbidities, including frailty, cognitive impairment, depression, cardiovascular diseases, diabetes mellitus, and respiratory diseases, and incurs mortality at the end. Diagnostic consensuses are available, and the elderly at risk are encouraged to take suitable screening tests, such as muscle mass measurement, grip strength, and gait speed. Progressive resistance training is the mainstream to treat sarcopenia, yet, the multi-component exercise program is suggested for the frail elderly.
{"title":"Sarcopenia: Diagnosis, comorbidities, and management","authors":"Der-Sheng Han","doi":"10.4103/JISPRM-000123","DOIUrl":"https://doi.org/10.4103/JISPRM-000123","url":null,"abstract":"Sarcopenia, defined as loss of skeletal muscle mass and function, is attracting more and more public attention in the ageing world. It is associated with many co-morbidities, including frailty, cognitive impairment, depression, cardiovascular diseases, diabetes mellitus, and respiratory diseases, and incurs mortality at the end. Diagnostic consensuses are available, and the elderly at risk are encouraged to take suitable screening tests, such as muscle mass measurement, grip strength, and gait speed. Progressive resistance training is the mainstream to treat sarcopenia, yet, the multi-component exercise program is suggested for the frail elderly.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"100 - 103"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44225396","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}
Neuro-orthopedics refers to limb and spine deformities related to various neurological diseases, mostly in a context of spastic disorders. Physical and rehabilitation medicine (PRM) specialists are familiar with these deformities that often lead to functional consequences. It is crucial in our specialty to focus on their prevention and management. A better understanding of the musculoskeletal and neurological physiopathology underlying these phenomena has enabled physicians to improve their prevention and treatment approaches. The clinical assessment of spastic and neuro-orthopedic deformities, based on a rigorous anatomical and physiological knowledge, is deeply rooted in our PRM clinical examination. The evaluation of their functional consequences relies on a patient-centered approach including detailed analysis of gait and upper limb function. There is an increased relevance of motor nerve blocks, dynamic electromyography, and motion analysis in these indications. The treatment of spasticity and its sequelae is emblematic of PRM care due to an integrative multimodal approach including rehabilitation, pharmacological treatments, local management like botulinum toxin injections, and microinvasive or conventional surgery in a multidisciplinary perspective. Finally, spasticity and neuro-orthopedics represent an incredible field of research for the future of PRM, covering basic science, nonpharmacological and pharmacological studies, surgical procedure improvements, and technological developments (neuromodulation, functional electrical stimulation, and robotics).
{"title":"2019 Sidney Licht lecture: Spasticity and related neuro-orthopedic deformities: A core topic in physical and rehabilitation medicine","authors":"I. Laffont","doi":"10.4103/JISPRM-000080","DOIUrl":"https://doi.org/10.4103/JISPRM-000080","url":null,"abstract":"Neuro-orthopedics refers to limb and spine deformities related to various neurological diseases, mostly in a context of spastic disorders. Physical and rehabilitation medicine (PRM) specialists are familiar with these deformities that often lead to functional consequences. It is crucial in our specialty to focus on their prevention and management. A better understanding of the musculoskeletal and neurological physiopathology underlying these phenomena has enabled physicians to improve their prevention and treatment approaches. The clinical assessment of spastic and neuro-orthopedic deformities, based on a rigorous anatomical and physiological knowledge, is deeply rooted in our PRM clinical examination. The evaluation of their functional consequences relies on a patient-centered approach including detailed analysis of gait and upper limb function. There is an increased relevance of motor nerve blocks, dynamic electromyography, and motion analysis in these indications. The treatment of spasticity and its sequelae is emblematic of PRM care due to an integrative multimodal approach including rehabilitation, pharmacological treatments, local management like botulinum toxin injections, and microinvasive or conventional surgery in a multidisciplinary perspective. Finally, spasticity and neuro-orthopedics represent an incredible field of research for the future of PRM, covering basic science, nonpharmacological and pharmacological studies, surgical procedure improvements, and technological developments (neuromodulation, functional electrical stimulation, and robotics).","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"4 1","pages":"51 - 57"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46148527","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}
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