Pub Date : 2020-08-06DOI: 10.2340/165019771986182327
T. Matsunaga, T. Nakata, A. Wong
{"title":"Objective analysis of walking in a patient with ankylosing spondylitis and bilateral hip and knee fusion. A case report.","authors":"T. Matsunaga, T. Nakata, A. Wong","doi":"10.2340/165019771986182327","DOIUrl":"https://doi.org/10.2340/165019771986182327","url":null,"abstract":"","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 1 1","pages":"23-7"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45391610","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 : 2020-06-18DOI: 10.2340/1650197787192530
D. Wade, V. Wood, A. Heller, J. Maggs, R. LangtonHewer
Sixty surviving patients had their walking ability and speed assessed regularly over the first 3 months after an acute stroke. Sixty-four matched controls were studied to allow categorisation of speed as 'slow' or 'normal'. Fourteen patients never had any significant loss of walking speed; fifteen patients never recovered the ability to walk and one patient remained dependent upon verbal support. Of the 30 showing significant recovery, only 10 regained normal speed, and 8 remained dependent upon a physical aid at 3 months. Plotting individual recovery curves of walking speed over time showed the wide range of change which may be expected. It is argued that timing of gait over 10 metres is a valid reliable measure that is currently underused.
{"title":"Walking after stroke. Measurement and recovery over the first 3 months.","authors":"D. Wade, V. Wood, A. Heller, J. Maggs, R. LangtonHewer","doi":"10.2340/1650197787192530","DOIUrl":"https://doi.org/10.2340/1650197787192530","url":null,"abstract":"Sixty surviving patients had their walking ability and speed assessed regularly over the first 3 months after an acute stroke. Sixty-four matched controls were studied to allow categorisation of speed as 'slow' or 'normal'. Fourteen patients never had any significant loss of walking speed; fifteen patients never recovered the ability to walk and one patient remained dependent upon verbal support. Of the 30 showing significant recovery, only 10 regained normal speed, and 8 remained dependent upon a physical aid at 3 months. Plotting individual recovery curves of walking speed over time showed the wide range of change which may be expected. It is argued that timing of gait over 10 metres is a valid reliable measure that is currently underused.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"19 1 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2020-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46294781","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 : 2020-06-04DOI: 10.2340/1650197784163541
I. Swedborg
In an attempt to reduce oedema of the arm after mastectomy, patients were provided with an elastic sleeve which was worn for a period of between 1 week and up to 6 months. A statistically significant mean relative decrease of 17% in the volume of oedema was achieved. Subsequent treatment by intermittent pneumatic compression for 10 days produced a further significant mean relative decrease of 18%. When the sleeve was worn for 6 months after this treatment there was no significant increase in arm volume--that is, no relapse.
{"title":"Effects of treatment with an elastic sleeve and intermittent pneumatic compression in post-mastectomy patients with lymphoedema of the arm.","authors":"I. Swedborg","doi":"10.2340/1650197784163541","DOIUrl":"https://doi.org/10.2340/1650197784163541","url":null,"abstract":"In an attempt to reduce oedema of the arm after mastectomy, patients were provided with an elastic sleeve which was worn for a period of between 1 week and up to 6 months. A statistically significant mean relative decrease of 17% in the volume of oedema was achieved. Subsequent treatment by intermittent pneumatic compression for 10 days produced a further significant mean relative decrease of 18%. When the sleeve was worn for 6 months after this treatment there was no significant increase in arm volume--that is, no relapse.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"16 1 1","pages":"35-41"},"PeriodicalIF":0.0,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49142525","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 : 2020-06-04DOI: 10.2340/1650197785178186
A. Ek, G. Gustavsson, D. Lewis
In order to evaluate methods to prevent pressure sores the effect of massage on the local skin blood flow was studied in normal skin and in skin with discolouration (red or reddish blue). In this study massage is defined as small circular movements with the fingertips using liniment. The cutaneous blood flow was measured with a laser Doppler flowmeter. To study the long term effect of massage on normal skin ten patients were measured over a twenty day period with five days before and after a ten day period with massage. Twenty-nine patients with cerebral haemorrhage were measured for two days each to examine the effect immediately after the massage on normal skin. Fifteen patients with discolouration were measured for one day each both on normal skin and injured skin. The difference in blood flow before and after the ten day period of massage was inconsistent and insignificant. The effect of massage which appeared one to two minutes after the stimulus was implemented varies between individuals and within individuals; significantly more women than men increased their skin blood flow bilaterally after massage. In the centre of the injured skin the basal blood flow was higher than in normal skin and it decreased after the massage was implemented. The results stress the importance of continued research to provide an opportunity for individualization in the selection of methods to prevent and treat pressure sores.
{"title":"The local skin blood flow in areas at risk for pressure sores treated with massage.","authors":"A. Ek, G. Gustavsson, D. Lewis","doi":"10.2340/1650197785178186","DOIUrl":"https://doi.org/10.2340/1650197785178186","url":null,"abstract":"In order to evaluate methods to prevent pressure sores the effect of massage on the local skin blood flow was studied in normal skin and in skin with discolouration (red or reddish blue). In this study massage is defined as small circular movements with the fingertips using liniment. The cutaneous blood flow was measured with a laser Doppler flowmeter. To study the long term effect of massage on normal skin ten patients were measured over a twenty day period with five days before and after a ten day period with massage. Twenty-nine patients with cerebral haemorrhage were measured for two days each to examine the effect immediately after the massage on normal skin. Fifteen patients with discolouration were measured for one day each both on normal skin and injured skin. The difference in blood flow before and after the ten day period of massage was inconsistent and insignificant. The effect of massage which appeared one to two minutes after the stimulus was implemented varies between individuals and within individuals; significantly more women than men increased their skin blood flow bilaterally after massage. In the centre of the injured skin the basal blood flow was higher than in normal skin and it decreased after the massage was implemented. The results stress the importance of continued research to provide an opportunity for individualization in the selection of methods to prevent and treat pressure sores.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"17 2 1","pages":"81-6"},"PeriodicalIF":0.0,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48362670","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 : 2020-06-04DOI: 10.2340/1650197787194750
T. Jonason, I. Ringqvist
The possibility of predicting the effect of training on the walking tolerance in intermittent claudication has been studied. After three months of supervised training in 54 patients, the maximal walking distance (MWD) increased by 67% and the painfree walking distance (PFD) by 91%. The analysis of the relation between tested background variables and the effect of training showed covariation only in 14% of the increase in MWD and in 19% of the increase in PFD. The possibility of predicting the effect of training on the walking tolerance in the individual patient with intermittent claudication is limited.
{"title":"Prediction of the effect of training on the walking tolerance in patients with intermittent claudication.","authors":"T. Jonason, I. Ringqvist","doi":"10.2340/1650197787194750","DOIUrl":"https://doi.org/10.2340/1650197787194750","url":null,"abstract":"The possibility of predicting the effect of training on the walking tolerance in intermittent claudication has been studied. After three months of supervised training in 54 patients, the maximal walking distance (MWD) increased by 67% and the painfree walking distance (PFD) by 91%. The analysis of the relation between tested background variables and the effect of training showed covariation only in 14% of the increase in MWD and in 19% of the increase in PFD. The possibility of predicting the effect of training on the walking tolerance in the individual patient with intermittent claudication is limited.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"19 2 1","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48554914","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 : 2020-06-04DOI: 10.2340/16501977871999104
C. Larsson, J. Rönnberg
The memory performance of a group with traumatic brain injury and a matched control group was assessed using the following methods (a) word completion, (b) immediate free, final free and final cued recall of words and (c) immediate free and final free recall of subject-performed tasks (SPTs) and SPTs without motor action (SPTs-WA). The brain-injured (BI) group was significantly inferior relative to the control group in all recall tests except immediate free recall of words. No difference was revealed in the word completion test. The BI-group benefitted less by cues presented either at retrieval (final cued recall of words) or at the time of encoding already built-in in the stimulus (SPTs and SPTs-WA). The results were discussed in terms of the neuropathological background of the patients in the BI-group suggesting that frontal dysfunction could play a critical role. When comparing the tests within the BI-group, however, the performance was better when cues were present and especially so for long-term memory. Motor activity also facilitated long-term memory. Finally, an attempt was made to specify conditions for guidance in the construction of training programmes.
{"title":"Memory disorders as a function of traumatic brain injury. Word completion, recall of words and actions.","authors":"C. Larsson, J. Rönnberg","doi":"10.2340/16501977871999104","DOIUrl":"https://doi.org/10.2340/16501977871999104","url":null,"abstract":"The memory performance of a group with traumatic brain injury and a matched control group was assessed using the following methods (a) word completion, (b) immediate free, final free and final cued recall of words and (c) immediate free and final free recall of subject-performed tasks (SPTs) and SPTs without motor action (SPTs-WA). The brain-injured (BI) group was significantly inferior relative to the control group in all recall tests except immediate free recall of words. No difference was revealed in the word completion test. The BI-group benefitted less by cues presented either at retrieval (final cued recall of words) or at the time of encoding already built-in in the stimulus (SPTs and SPTs-WA). The results were discussed in terms of the neuropathological background of the patients in the BI-group suggesting that frontal dysfunction could play a critical role. When comparing the tests within the BI-group, however, the performance was better when cues were present and especially so for long-term memory. Motor activity also facilitated long-term memory. Finally, an attempt was made to specify conditions for guidance in the construction of training programmes.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"19 3 1","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41579886","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 : 2020-06-04DOI: 10.2340/1650197784147149
J. Sandström, G. Andersson, S. Wallerstedt
The prevalence of alcohol problems was investigated in 50 patients with chronic low back pain, and compared to an age, sex, civil status, and income matched control group. Alcohol abuse was significantly more frequent among the male low back patients. Within the patient group the use of analgesics and sedatives was not related to the degree of alcohol consumption. Alcohol problems were not found to influence the rehabilitation process negatively, probably because the rehabilitation programme was not directed to the back only. Such problems therefore should not discriminate against inclusion in a rehabilitation programme.
{"title":"The role of alcohol abuse in working disability in patients with low back pain.","authors":"J. Sandström, G. Andersson, S. Wallerstedt","doi":"10.2340/1650197784147149","DOIUrl":"https://doi.org/10.2340/1650197784147149","url":null,"abstract":"The prevalence of alcohol problems was investigated in 50 patients with chronic low back pain, and compared to an age, sex, civil status, and income matched control group. Alcohol abuse was significantly more frequent among the male low back patients. Within the patient group the use of analgesics and sedatives was not related to the degree of alcohol consumption. Alcohol problems were not found to influence the rehabilitation process negatively, probably because the rehabilitation programme was not directed to the back only. Such problems therefore should not discriminate against inclusion in a rehabilitation programme.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"16 4 1","pages":"147-9"},"PeriodicalIF":0.0,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41354702","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 : 2020-06-04DOI: 10.2340/1650197788517191196
G. Grimby, A. Nordwall, B. Hultén, K. Henriksson
Adolescent patients with idiopathic scoliosis were treated with long-term electrical stimulation (30 Hz) at the posterior axillary line on the convex side of the curvature in order to correct the spinal deformity. The patients were also followed with muscle biopsies from the latissimus dorsi of the stimulated side taken before, after 3 and 6 months of electrical stimulation. There was a tendency for an increase in the percentage of type I and especially the type II C (undifferentiated) fibers after stimulation. The mean muscle fiber area and the fiber areas of the various fiber types did not change significantly. Histopathological findings were generally rare before as well as after 3 months of electrical stimulation, the only noticeable finding being a somewhat increased frequency of atrophic fibers in groups after 6 months of stimulation. In all studied patients the enzymatic activity of citrate synthase increased after 3 months and further in three studied patients after 6 months of stimulation. The present study gives some evidence of an adaptive process caused by electrical stimulation towards a more fatigue-resistant muscle.
{"title":"Changes in histochemical profile of muscle after long-term electrical stimulation in patients with idiopathic scoliosis.","authors":"G. Grimby, A. Nordwall, B. Hultén, K. Henriksson","doi":"10.2340/1650197788517191196","DOIUrl":"https://doi.org/10.2340/1650197788517191196","url":null,"abstract":"Adolescent patients with idiopathic scoliosis were treated with long-term electrical stimulation (30 Hz) at the posterior axillary line on the convex side of the curvature in order to correct the spinal deformity. The patients were also followed with muscle biopsies from the latissimus dorsi of the stimulated side taken before, after 3 and 6 months of electrical stimulation. There was a tendency for an increase in the percentage of type I and especially the type II C (undifferentiated) fibers after stimulation. The mean muscle fiber area and the fiber areas of the various fiber types did not change significantly. Histopathological findings were generally rare before as well as after 3 months of electrical stimulation, the only noticeable finding being a somewhat increased frequency of atrophic fibers in groups after 6 months of stimulation. In all studied patients the enzymatic activity of citrate synthase increased after 3 months and further in three studied patients after 6 months of stimulation. The present study gives some evidence of an adaptive process caused by electrical stimulation towards a more fatigue-resistant muscle.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"17 4 1","pages":"191-6"},"PeriodicalIF":0.0,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49532950","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 : 2020-06-04DOI: 10.2340/1650197784161726
E. Olsson
Gait, hip muscular function and clinical features were analysed in 5 patients with chondrosarcoma of the pelvis operated with removal of the tumour, including the acetabular ring. The lower extremity thus remained intact. The aim of this study was to compare the functional results with those obtained in a previous investigation two years earlier. The same tests were used, but more attention was focussed to the functional part and thus step length, gait velocity, and active range of motion were added. At both examinations none of the patients had pain. All performed surprisingly well as regards work and gait. Clinical and objective findings were, however, less impressive. There was a direct relationship between hip extension strength and weight bearing on the operated leg, gait velocity and maximal walking distance. Moreover, the extension strength was also related to the formation of a new acetabular roof and to the age the individual represented, with preference to the young. Compared with the previous examination, 2 patients had made remarkable progress, 2 were unchanged but still showed good results and one showed less good results.
{"title":"A follow-up examination of the function of the lower extremity after pelvic tumour extirpation including the acetabular ring.","authors":"E. Olsson","doi":"10.2340/1650197784161726","DOIUrl":"https://doi.org/10.2340/1650197784161726","url":null,"abstract":"Gait, hip muscular function and clinical features were analysed in 5 patients with chondrosarcoma of the pelvis operated with removal of the tumour, including the acetabular ring. The lower extremity thus remained intact. The aim of this study was to compare the functional results with those obtained in a previous investigation two years earlier. The same tests were used, but more attention was focussed to the functional part and thus step length, gait velocity, and active range of motion were added. At both examinations none of the patients had pain. All performed surprisingly well as regards work and gait. Clinical and objective findings were, however, less impressive. There was a direct relationship between hip extension strength and weight bearing on the operated leg, gait velocity and maximal walking distance. Moreover, the extension strength was also related to the formation of a new acetabular roof and to the age the individual represented, with preference to the young. Compared with the previous examination, 2 patients had made remarkable progress, 2 were unchanged but still showed good results and one showed less good results.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"16 1 1","pages":"17-26"},"PeriodicalIF":0.0,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48815486","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 : 2020-06-04DOI: 10.2340/165019778517109119
F. Gaston‐Johansson, G. Johansson, R. Felldin, H. Sanne
The purpose of the present study was to compare pain description and emotional and psychosomatic discomfort in patients with chronic pain syndrome (CPS) and rheumatoid arthritis (RA) in order to identify special characteristic features in patients with CPS. Methods used were a Visual Analogue Scale, the McGill Pain Questionnaire, a new pain, ache and hurt assessment tool and a questionnaire related to causes of pain, health perception and experienced emotional and psychosomatic discomfort. The patients with CPS perceived themselves as being less healthy than patients with RA. While the sensory quality of pain was similar in both groups, the emotional component was stronger in patients with CPS. They experienced more emotional and psychosomatic discomfort compared to patients with RA. They believed that factors associated with their work had caused the pain. The result indicates that assessment of ache by patients with CPS on the Visual Analogue Scale reflects the affective dimension of the experience.
{"title":"A comparative study of pain description, emotional discomfort and health perception in patients with chronic pain syndrome and rheumatoid arthritis.","authors":"F. Gaston‐Johansson, G. Johansson, R. Felldin, H. Sanne","doi":"10.2340/165019778517109119","DOIUrl":"https://doi.org/10.2340/165019778517109119","url":null,"abstract":"The purpose of the present study was to compare pain description and emotional and psychosomatic discomfort in patients with chronic pain syndrome (CPS) and rheumatoid arthritis (RA) in order to identify special characteristic features in patients with CPS. Methods used were a Visual Analogue Scale, the McGill Pain Questionnaire, a new pain, ache and hurt assessment tool and a questionnaire related to causes of pain, health perception and experienced emotional and psychosomatic discomfort. The patients with CPS perceived themselves as being less healthy than patients with RA. While the sensory quality of pain was similar in both groups, the emotional component was stronger in patients with CPS. They experienced more emotional and psychosomatic discomfort compared to patients with RA. They believed that factors associated with their work had caused the pain. The result indicates that assessment of ache by patients with CPS on the Visual Analogue Scale reflects the affective dimension of the experience.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"17 3 1","pages":"109-19"},"PeriodicalIF":0.0,"publicationDate":"2020-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42364582","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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