Pub Date : 2020-08-06DOI: 10.2340/16501977198618107116
E. Olsson, I. Goldie, A. Wykman
In 119 patients with total hip replacement (THR) 61 were operated on with cemented (Charnley) and 58 with non-cemented (HP Garches) fixation. The assessment was performed by clinical examination and objective registration by gait analysis 6 and 12 months postoperatively. The group with cemented fixation (Charnley) demonstrated better results in all variables. The greatest difference between the groups was found at the 6 months' follow-up. The gait analysis was valuable in the assessment of locomotor function.
{"title":"Total hip replacement. A comparison between cemented (Charnley) and non-cemented (HP Garches) fixation by clinical assessment and objective gait analysis.","authors":"E. Olsson, I. Goldie, A. Wykman","doi":"10.2340/16501977198618107116","DOIUrl":"https://doi.org/10.2340/16501977198618107116","url":null,"abstract":"In 119 patients with total hip replacement (THR) 61 were operated on with cemented (Charnley) and 58 with non-cemented (HP Garches) fixation. The assessment was performed by clinical examination and objective registration by gait analysis 6 and 12 months postoperatively. The group with cemented fixation (Charnley) demonstrated better results in all variables. The greatest difference between the groups was found at the 6 months' follow-up. The gait analysis was valuable in the assessment of locomotor function.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 3 1","pages":"107-16"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49023833","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 : 2020-08-06DOI: 10.2340/165019771986181721
F. Linde, I. Hvass, U. Jürgensen, F. Madsen
In a prospective study, 150 patients with lesions of lateral ankle ligaments were treated with early mobilization without any fixation of the ankle. After 8 days, 67% were free from pain on ordinary walking and 81% had resumed work. After 1 month 90% were free from pain and 97% had resumed work. Sport was resumed by 70% of athletes after 1 month and 90% after 3 months. At the 1-year follow-up (n = 137), 18% were not fully recovered and experienced pain (14%) or functional instability (7%) or had not resumed sport at their normal level (7%). However, only 8% found the condition inconvenient. Athletes had an increased risk of residual symptoms (p less than 0.01) and residual symptoms occurred in 32% of top athletes after 1 year.
{"title":"Early mobilizing treatment in lateral ankle sprains. Course and risk factors for chronic painful or function-limiting ankle.","authors":"F. Linde, I. Hvass, U. Jürgensen, F. Madsen","doi":"10.2340/165019771986181721","DOIUrl":"https://doi.org/10.2340/165019771986181721","url":null,"abstract":"In a prospective study, 150 patients with lesions of lateral ankle ligaments were treated with early mobilization without any fixation of the ankle. After 8 days, 67% were free from pain on ordinary walking and 81% had resumed work. After 1 month 90% were free from pain and 97% had resumed work. Sport was resumed by 70% of athletes after 1 month and 90% after 3 months. At the 1-year follow-up (n = 137), 18% were not fully recovered and experienced pain (14%) or functional instability (7%) or had not resumed sport at their normal level (7%). However, only 8% found the condition inconvenient. Athletes had an increased risk of residual symptoms (p less than 0.01) and residual symptoms occurred in 32% of top athletes after 1 year.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 1 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45155168","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 : 2020-08-06DOI: 10.2340/165019771986188390
K. Hulter Åsberg
In order to describe both the process and the impact of introducing a program of early activation for acutely admitted elderly patients in medical wards, two populations, one before and the other after the intervention of the program, were followed up. The program was implemented in cooperation with the nursing staff, who were integrated in the rehabilitation work. Population I (219 admissions) was collected in 1981 and Population II (272 admissions) during a corresponding period in 1983. Survival, type of residence and ADL status 5 months after hospital admission were recorded as outcome measures. There were no differences between 1981 and 1983. In 1983 the mean length of stay was 4.7 days shorter than in 1981. The program cannot be shown to have caused the difference in length of stay. The study shows that such a program of early activation was easy to apply in clinical practice for aged and disabled patients in general medical wards.
{"title":"Early activation for acutely ill elderly patients.","authors":"K. Hulter Åsberg","doi":"10.2340/165019771986188390","DOIUrl":"https://doi.org/10.2340/165019771986188390","url":null,"abstract":"In order to describe both the process and the impact of introducing a program of early activation for acutely admitted elderly patients in medical wards, two populations, one before and the other after the intervention of the program, were followed up. The program was implemented in cooperation with the nursing staff, who were integrated in the rehabilitation work. Population I (219 admissions) was collected in 1981 and Population II (272 admissions) during a corresponding period in 1983. Survival, type of residence and ADL status 5 months after hospital admission were recorded as outcome measures. There were no differences between 1981 and 1983. In 1983 the mean length of stay was 4.7 days shorter than in 1981. The program cannot be shown to have caused the difference in length of stay. The study shows that such a program of early activation was easy to apply in clinical practice for aged and disabled patients in general medical wards.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 2 1","pages":"83-90"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46369085","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 : 2020-08-06DOI: 10.2340/165019771986185963
F. Forchheimer, A. Lundberg
UNLABELLED A new wheelchair ergometer is described, which compensates for the pulsating character of the work by an automatic control system. This makes it possible to maintain a constant level of power during wheelchair work. DESIGN An automatic control system has been integrated in an electronically braked bicycle ergometer, and a pedal unit from Rodby Electronic bicycle ergometer RE 820 has been coupled to a modified test wheelchair. With this device, the physical working capacity during submaximal circumstances can be tested in handicapped persons.
{"title":"Wheelchair ergometer. Development of a prototype with electronic braking.","authors":"F. Forchheimer, A. Lundberg","doi":"10.2340/165019771986185963","DOIUrl":"https://doi.org/10.2340/165019771986185963","url":null,"abstract":"UNLABELLED\u0000A new wheelchair ergometer is described, which compensates for the pulsating character of the work by an automatic control system. This makes it possible to maintain a constant level of power during wheelchair work.\u0000\u0000\u0000DESIGN\u0000An automatic control system has been integrated in an electronically braked bicycle ergometer, and a pedal unit from Rodby Electronic bicycle ergometer RE 820 has been coupled to a modified test wheelchair. With this device, the physical working capacity during submaximal circumstances can be tested in handicapped persons.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 2 1","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48991018","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 : 2020-08-06DOI: 10.2340/165019771986186570
N. Hjeltnes
In one hundred patients (86 males, 14 females) with relatively recent spinal cord injuries the oxygen supporting system was evaluated during graded arm ergometry. The patients were assigned according to injury level to 5 subgroups with complete, and to 2 additional groups with incomplete injuries. Mean peak oxygen uptake (VO2) was found to be as low as 0.74 l/min in males with complete tetraplegia and 1.9 l/min in patients with conus and cauda lesions. Peak VO2 was closely correlated (r = 0.74) to the injury level. Peak VO2 was also closely correlated to peak minute ventilation (VE) in all groups. In patients with higher injury levels most of the increase in VE during maximal exercise was due to an increase in respiratory frequency (fR). In patients with tetraplegia and high paraplegia, arm cranking revealed deficient sympathetic regulation of cardiovascular functions resulting in hypotension. In both the complete and incomplete tetraplegic patients there was a relatively low peak heart rate (fH). Peak fH and VO2 varied more in patients with incomplete tetraplegia than in those with complete tetraplegia. Peak VO2 in females with mid-level thoracic paraplegia was on the average lower than in males with corresponding injury levels (16 ml/kg/min against 22 ml/kg/min, respectively). Evaluation of cardiorespiratory functions in spinal cord injured patients during high intensity endurance work performed shortly after the injury adds diagnostic and functionally useful information for the design of rehabilitation and should be recommended as clinical routine.
{"title":"Cardiorespiratory capacity in tetra- and paraplegia shortly after injury.","authors":"N. Hjeltnes","doi":"10.2340/165019771986186570","DOIUrl":"https://doi.org/10.2340/165019771986186570","url":null,"abstract":"In one hundred patients (86 males, 14 females) with relatively recent spinal cord injuries the oxygen supporting system was evaluated during graded arm ergometry. The patients were assigned according to injury level to 5 subgroups with complete, and to 2 additional groups with incomplete injuries. Mean peak oxygen uptake (VO2) was found to be as low as 0.74 l/min in males with complete tetraplegia and 1.9 l/min in patients with conus and cauda lesions. Peak VO2 was closely correlated (r = 0.74) to the injury level. Peak VO2 was also closely correlated to peak minute ventilation (VE) in all groups. In patients with higher injury levels most of the increase in VE during maximal exercise was due to an increase in respiratory frequency (fR). In patients with tetraplegia and high paraplegia, arm cranking revealed deficient sympathetic regulation of cardiovascular functions resulting in hypotension. In both the complete and incomplete tetraplegic patients there was a relatively low peak heart rate (fH). Peak fH and VO2 varied more in patients with incomplete tetraplegia than in those with complete tetraplegia. Peak VO2 in females with mid-level thoracic paraplegia was on the average lower than in males with corresponding injury levels (16 ml/kg/min against 22 ml/kg/min, respectively). Evaluation of cardiorespiratory functions in spinal cord injured patients during high intensity endurance work performed shortly after the injury adds diagnostic and functionally useful information for the design of rehabilitation and should be recommended as clinical routine.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 2 1","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49609497","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 : 2020-08-06DOI: 10.2340/16501977198618136146
I. Söderback, L. Normell
An occupational therapy method termed Intellectual Function Training (IFT) is presented for cognitive retraining of patients with brain damage. Comprehensive training material, comprising about 900 pages, is described. The method is used to remediate intellectual dysfunction and to give intellectual stimulation, particularly concerning the following abilities: visual perception ability, spatial ability, verbal ability, numerical ability, memory ability and logical ability. The material is used for systematic individualized, daily treatment over a period of 2-4 months. The way in which the material is used is based on neuropsychological and pedagogical principles. Examples of training tasks and the training procedure are given.
{"title":"Intellectual Function Training in adults with acquired brain damage. An occupational therapy method.","authors":"I. Söderback, L. Normell","doi":"10.2340/16501977198618136146","DOIUrl":"https://doi.org/10.2340/16501977198618136146","url":null,"abstract":"An occupational therapy method termed Intellectual Function Training (IFT) is presented for cognitive retraining of patients with brain damage. Comprehensive training material, comprising about 900 pages, is described. The method is used to remediate intellectual dysfunction and to give intellectual stimulation, particularly concerning the following abilities: visual perception ability, spatial ability, verbal ability, numerical ability, memory ability and logical ability. The material is used for systematic individualized, daily treatment over a period of 2-4 months. The way in which the material is used is based on neuropsychological and pedagogical principles. Examples of training tasks and the training procedure are given.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 4 1","pages":"139-46"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42320897","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 : 2020-08-06DOI: 10.2340/165019771986182933
J. Sandström, E. Esbjörnsson
A prospective study of patients with chronic low-back pain was made to determine the significance of the patient's own prediction of the outcome of a vocational rehabilitation program. Fifty-two patients were screened, and their work situation determined one and 4 years after the rehabilitation program was started. The patients predicted the outcome correctly in 69%, with a sensitivity of 68% and a specificity of 71%. A statistically significant correlation was found between the patient's prediction and the recommendations given by the rehabilitation unit.
{"title":"Return to work after rehabilitation. The significance of the patient's own prediction.","authors":"J. Sandström, E. Esbjörnsson","doi":"10.2340/165019771986182933","DOIUrl":"https://doi.org/10.2340/165019771986182933","url":null,"abstract":"A prospective study of patients with chronic low-back pain was made to determine the significance of the patient's own prediction of the outcome of a vocational rehabilitation program. Fifty-two patients were screened, and their work situation determined one and 4 years after the rehabilitation program was started. The patients predicted the outcome correctly in 69%, with a sensitivity of 68% and a specificity of 71%. A statistically significant correlation was found between the patient's prediction and the recommendations given by the rehabilitation unit.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 1 1","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47223590","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 : 2020-08-06DOI: 10.2340/16501977198618155157
K. Berglund, Fugl-Meyer Ar
The methods devised by DeSouza et al. and by Fugl-Meyer et al. for description of upper extremity function after stroke were compared by parallel assessments in a consecutive series of 50 patients with hemimotor deficit. Very close positive associations between both methods indicated a high degree of cross-validity. As both methods appear to be externally valid, have good inter-rater reliability and as the time needed for assessing the arm function of a hemiplegic or hemiparetic patient rarely exceeds 10 min, it appears that the two methods possess about equal descriptive power.
{"title":"Upper extremity function in hemiplegia. A cross-validation study of two assessment methods.","authors":"K. Berglund, Fugl-Meyer Ar","doi":"10.2340/16501977198618155157","DOIUrl":"https://doi.org/10.2340/16501977198618155157","url":null,"abstract":"The methods devised by DeSouza et al. and by Fugl-Meyer et al. for description of upper extremity function after stroke were compared by parallel assessments in a consecutive series of 50 patients with hemimotor deficit. Very close positive associations between both methods indicated a high degree of cross-validity. As both methods appear to be externally valid, have good inter-rater reliability and as the time needed for assessing the arm function of a hemiplegic or hemiparetic patient rarely exceeds 10 min, it appears that the two methods possess about equal descriptive power.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 4 1","pages":"155-7"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45081651","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 : 2020-08-06DOI: 10.2340/165019771986127132
L. Stjernberg
It has been suggested that the increased pressor response to noradrenalin found in tetraplegic patients is due to absence of blood pressure restraining reflexes. However, it has also been found that below the lesion in such patients cutaneous vessels, which in intact man are not under baroreflex control, show prolonged vasoconstriction after sympathetic neural discharges. This finding might indicate that cutaneous blood vessels display an increased sensitivity to noradrenalin in spinal patients. To investigate this, photoelectric cutaneous pulse plethysmograms were monitored during i.v. noradrenalin infusions in six patients with spinal cord injuries and in six intact subjects. There were no significant differences between the groups in either extent or duration of vasoconstriction. The findings provide no evidence that increased sensitivity to noradrenalin is a factor of importance for the attacks of hypertension in tetraplegic patients.
{"title":"Cutaneous vasomotor sensitivity to noradrenalin in spinal and intact man.","authors":"L. Stjernberg","doi":"10.2340/165019771986127132","DOIUrl":"https://doi.org/10.2340/165019771986127132","url":null,"abstract":"It has been suggested that the increased pressor response to noradrenalin found in tetraplegic patients is due to absence of blood pressure restraining reflexes. However, it has also been found that below the lesion in such patients cutaneous vessels, which in intact man are not under baroreflex control, show prolonged vasoconstriction after sympathetic neural discharges. This finding might indicate that cutaneous blood vessels display an increased sensitivity to noradrenalin in spinal patients. To investigate this, photoelectric cutaneous pulse plethysmograms were monitored during i.v. noradrenalin infusions in six patients with spinal cord injuries and in six intact subjects. There were no significant differences between the groups in either extent or duration of vasoconstriction. The findings provide no evidence that increased sensitivity to noradrenalin is a factor of importance for the attacks of hypertension in tetraplegic patients.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 3 1","pages":"127-32"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42737030","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 : 2020-08-06DOI: 10.2340/16501977198618177179
M. Kotila, M. Niemi, R. Laaksonen
The four-year prognosis of patients with visuospatial inattention in a stroke register (altogether 255 patients) was studied. Sixty-six surviving patients under the age of 65 were examined neurologically and neuropsychologically after 3 months and 1 year from stroke. Fifty-two of these 66 patients were still reexamined after 4 years from onset. Twelve patients with ischaemic brain infarction had visuospatial inattention: 7 had a clear-cut and contralateral neglect and 5 had milder and less lateralized inattention. The recovery of these 12 patients was poorer in ADL than the other 54 patients. Even when hemiparesis was taken into account, the difference still existed in ADL. The recovery of the 7 neglect patients was poorer than that of the 5 inattention patients. During the follow-up the visuospatial neglect persisted in all 7 cases and the visuospatial inattention disappeared in only one case.
{"title":"Four-year prognosis of stroke patients with visuospatial inattention.","authors":"M. Kotila, M. Niemi, R. Laaksonen","doi":"10.2340/16501977198618177179","DOIUrl":"https://doi.org/10.2340/16501977198618177179","url":null,"abstract":"The four-year prognosis of patients with visuospatial inattention in a stroke register (altogether 255 patients) was studied. Sixty-six surviving patients under the age of 65 were examined neurologically and neuropsychologically after 3 months and 1 year from stroke. Fifty-two of these 66 patients were still reexamined after 4 years from onset. Twelve patients with ischaemic brain infarction had visuospatial inattention: 7 had a clear-cut and contralateral neglect and 5 had milder and less lateralized inattention. The recovery of these 12 patients was poorer in ADL than the other 54 patients. Even when hemiparesis was taken into account, the difference still existed in ADL. The recovery of the 7 neglect patients was poorer than that of the 5 inattention patients. During the follow-up the visuospatial neglect persisted in all 7 cases and the visuospatial inattention disappeared in only one case.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 4 1","pages":"177-9"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46788277","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：