Pub Date : 2021-12-30DOI: 10.26420/physmedrehabilint.2021.1193
Ojo Ao, Ajibade Aj
The study examined the belief, knowledge and perception of causes of low back pain among rural and urban dwellers in Nigeria. One hundred and ninety-two (192) participants (99 from rural and 93 from urban community) were recruited for this study. A modified questionnaire from a previous similar study from India was administered to each of the participants to complete. The completed questionnaire was collected immediately. Data was analyzed using descriptive and inferential statistics, alpha level, was set at 0.05. Result showed that one hundred and thirty-three (71 urban and 62 rural) participants (133, 69.3%) perceived that pile was very important as a cause of low back pain. Considering the fear avoidance belief, 149 (69 urban and 80 rural) 77.6% agreed that low back pain get progressively worse in life. With regard to the knowledge of participants, 72 (45%) participants were able to answer two or three questions correctly and so were termed partially knowledgeable. Nature of work has significant association with each of the following perception, pile (X²=203.38) and poor mattresses (X²=237.830) as major cause of low back pain. This study concluded that many residents in Ile-Ife are not adequately knowledgeable about LBP and had negative perception and beliefs regarding low back pain (LBP).
{"title":"Belief, Knowledge and Perception of Causes of Low Back Pain among Rural and Urban Dwellers in a Nigerian City","authors":"Ojo Ao, Ajibade Aj","doi":"10.26420/physmedrehabilint.2021.1193","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1193","url":null,"abstract":"The study examined the belief, knowledge and perception of causes of low back pain among rural and urban dwellers in Nigeria. One hundred and ninety-two (192) participants (99 from rural and 93 from urban community) were recruited for this study. A modified questionnaire from a previous similar study from India was administered to each of the participants to complete. The completed questionnaire was collected immediately. Data was analyzed using descriptive and inferential statistics, alpha level, was set at 0.05. Result showed that one hundred and thirty-three (71 urban and 62 rural) participants (133, 69.3%) perceived that pile was very important as a cause of low back pain. Considering the fear avoidance belief, 149 (69 urban and 80 rural) 77.6% agreed that low back pain get progressively worse in life. With regard to the knowledge of participants, 72 (45%) participants were able to answer two or three questions correctly and so were termed partially knowledgeable. Nature of work has significant association with each of the following perception, pile (X²=203.38) and poor mattresses (X²=237.830) as major cause of low back pain. This study concluded that many residents in Ile-Ife are not adequately knowledgeable about LBP and had negative perception and beliefs regarding low back pain (LBP).","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42019475","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 : 2021-12-30DOI: 10.26420/physmedrehabilint.2021.1194
L. A., H. D., W. B, S. D., O. C, Louw H, Farrell K
Study Design: Survey study. Objective: To determine what percentage of patients attending physical therapy with musculoskeletal pain present with central sensitization and which patient factors may be predictive of central sensitization. Background: Treating pain, especially chronic pain is clinically challenging. It has been suggested that pain be sub-classified as either nociceptive, peripheral neuropathic or central sensitization, to aid clinical decision-making to inform the treatment approach for specific pain conditions. Methods: A convenience sample of adult patients (18-65) attending PT for musculoskeletal pain were asked to complete a demographic questionnaire and the central sensitization inventory. Results: Two-hundred and forty-five patients completed the central sensitization inventory, resulting in a mean score of 26.88 ± 15.54. The majority of the patients were classified as “low” in regard to central sensitization scores and nearly one in five patients (n = 39; 17.3%) were classified as “high” in regard to central sensitization scores. The variables of ‘being disabled’ (β = 13.73), ‘currently experiencing feelings of depression’ (β = 9.35), and ‘identifying as female’ (β = 3.60), had the largest partial effects on central sensitization as individual variables. Conclusions: Approximately one in five patients attending PT for musculoskeletal pain present with a central sensitization inventory score of > 40, suggesting presence of central sensitization. Patients that reported feeling disabled, experiencing feelings of depression and ‘identifying as female’ were more likely to score > 40 on the central sensitization inventory. Central sensitization is relatively common in patients attending PT for musculoskeletal pain and various patient characteristics may suggest higher potential CSI scores at intake.
{"title":"Central Sensitization in Patients Attending Physical Therapy for Musculoskeletal Disorders","authors":"L. A., H. D., W. B, S. D., O. C, Louw H, Farrell K","doi":"10.26420/physmedrehabilint.2021.1194","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1194","url":null,"abstract":"Study Design: Survey study. Objective: To determine what percentage of patients attending physical therapy with musculoskeletal pain present with central sensitization and which patient factors may be predictive of central sensitization. Background: Treating pain, especially chronic pain is clinically challenging. It has been suggested that pain be sub-classified as either nociceptive, peripheral neuropathic or central sensitization, to aid clinical decision-making to inform the treatment approach for specific pain conditions. Methods: A convenience sample of adult patients (18-65) attending PT for musculoskeletal pain were asked to complete a demographic questionnaire and the central sensitization inventory. Results: Two-hundred and forty-five patients completed the central sensitization inventory, resulting in a mean score of 26.88 ± 15.54. The majority of the patients were classified as “low” in regard to central sensitization scores and nearly one in five patients (n = 39; 17.3%) were classified as “high” in regard to central sensitization scores. The variables of ‘being disabled’ (β = 13.73), ‘currently experiencing feelings of depression’ (β = 9.35), and ‘identifying as female’ (β = 3.60), had the largest partial effects on central sensitization as individual variables. Conclusions: Approximately one in five patients attending PT for musculoskeletal pain present with a central sensitization inventory score of > 40, suggesting presence of central sensitization. Patients that reported feeling disabled, experiencing feelings of depression and ‘identifying as female’ were more likely to score > 40 on the central sensitization inventory. Central sensitization is relatively common in patients attending PT for musculoskeletal pain and various patient characteristics may suggest higher potential CSI scores at intake.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42866877","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 : 2021-10-14DOI: 10.26420/physmedrehabilint.2021.1191
Zhang Wx, Zheng C, Tong Pj
Femoral Head Necrosis (FHN) is an invasive hip disease of skeletal system, which associated with vascular dysfunction. Therefore, vessels regeneration and follow the posterolateral direction are regarded as a potential therapy target for FHN. We report a case of FHN that was treated by successful regeneration of the internal circumflex femoral artery via targeted Lipoaspirate (LPS) infusion and biomechanical support. A 35-year-old man with FHN involved. LPS isolated from the abdominal subcutaneous fat and infuse into the internal circumflex artery approximately seven times at every 1.5 months in both femoral heads. Besides, the porous tantalum rod was grafted after the first LPS infusion on each side. After the 5-year follow-up study, the primary outcomes showed obvious improvement in the number, distribution, and diameter of blood vessels in the ischemic area. In addition, the patient was now able to perform the daily activities; the congestive area increased from 73.4% to 94.2% on the left side and from 0% to 71.8% on the right side. The Harris Hip Score improved from 22 to 91. Multiple LPS infusions via the internal circumflex femoral artery combined with porous tantalum rod grafting offers an alternative treatment option for FHN.
{"title":"Dynamic Observation of Vascular Regeneration in Femoral Head Necrosis: a 5-Year Follow-Up Case Report","authors":"Zhang Wx, Zheng C, Tong Pj","doi":"10.26420/physmedrehabilint.2021.1191","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1191","url":null,"abstract":"Femoral Head Necrosis (FHN) is an invasive hip disease of skeletal system, which associated with vascular dysfunction. Therefore, vessels regeneration and follow the posterolateral direction are regarded as a potential therapy target for FHN. We report a case of FHN that was treated by successful regeneration of the internal circumflex femoral artery via targeted Lipoaspirate (LPS) infusion and biomechanical support. A 35-year-old man with FHN involved. LPS isolated from the abdominal subcutaneous fat and infuse into the internal circumflex artery approximately seven times at every 1.5 months in both femoral heads. Besides, the porous tantalum rod was grafted after the first LPS infusion on each side. After the 5-year follow-up study, the primary outcomes showed obvious improvement in the number, distribution, and diameter of blood vessels in the ischemic area. In addition, the patient was now able to perform the daily activities; the congestive area increased from 73.4% to 94.2% on the left side and from 0% to 71.8% on the right side. The Harris Hip Score improved from 22 to 91. Multiple LPS infusions via the internal circumflex femoral artery combined with porous tantalum rod grafting offers an alternative treatment option for FHN.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44783793","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 : 2021-10-13DOI: 10.26420/physmedrehabilint.2021.1190
C. C, Chen Z, Liu A, Zhang Q, H. W., L. L., M. Y, Zheng S
Imaging studies after acupuncture at acupoints and sham acupoints have shown significant changes in the function of specific parts of the brain, but these findings are not consistent. In this meta-analysis, we examined different studies to determine whether there are differences in brain function changes in the brain imaging findings of acupuncture at real and sham points. Pubmed, Embase, Cochrane, CNKI, VIP and Wanfang databases were used to search for acupuncture brain imaging literatures published by May 2020. Study selection, quality assessment and data extraction were carried out by two independent researchers. The whole brain function data of acupuncture points were analyzed by sdM-PSI. Thirteen studies met the inclusion criteria, including 266 subjects enrolled at acupoints including Taichong, Xingjian, Neiting, Guangming, Neiguan, Baihui, Fengchi, Sanyinjiao, Zusanli, Wai Guan, Feng Long, Zhongdu, Xiangu, 214 true acupoints, 186 false acupoints. Our analysis revealed that the brain region positively activated by acupuncture was Right fusiform gyrus, BA 30, Right inferior gyrus, Stationarity BA 48, and Right superior Temporal gyrus, BA 42. These findings suggest that the limbic system is the common difference in brain function after acupuncturing at different true and false acupoints.
{"title":"Clinical Evidence of Brain Effect Difference between True Point and False Point: A Meta-analysis Based FMRI","authors":"C. C, Chen Z, Liu A, Zhang Q, H. W., L. L., M. Y, Zheng S","doi":"10.26420/physmedrehabilint.2021.1190","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1190","url":null,"abstract":"Imaging studies after acupuncture at acupoints and sham acupoints have shown significant changes in the function of specific parts of the brain, but these findings are not consistent. In this meta-analysis, we examined different studies to determine whether there are differences in brain function changes in the brain imaging findings of acupuncture at real and sham points. Pubmed, Embase, Cochrane, CNKI, VIP and Wanfang databases were used to search for acupuncture brain imaging literatures published by May 2020. Study selection, quality assessment and data extraction were carried out by two independent researchers. The whole brain function data of acupuncture points were analyzed by sdM-PSI. Thirteen studies met the inclusion criteria, including 266 subjects enrolled at acupoints including Taichong, Xingjian, Neiting, Guangming, Neiguan, Baihui, Fengchi, Sanyinjiao, Zusanli, Wai Guan, Feng Long, Zhongdu, Xiangu, 214 true acupoints, 186 false acupoints. Our analysis revealed that the brain region positively activated by acupuncture was Right fusiform gyrus, BA 30, Right inferior gyrus, Stationarity BA 48, and Right superior Temporal gyrus, BA 42. These findings suggest that the limbic system is the common difference in brain function after acupuncturing at different true and false acupoints.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44543262","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 : 2021-09-07DOI: 10.26420/physmedrehabilint.2021.1189
Edmondston Sj, Gibbons R, Mackie Ke, H. Z, Hince D, Hurworth M
This study examined the reliability of a cycle sprint test for measuring lower limb muscle power. Twenty asymptomatic volunteers completed the test on two occasions, with one week between test sessions. Participants sat on a stationary road bicycle with commercial power meters in the pedal cranks. Maximum and average muscle power was measured during three, 10-second sprint efforts. The test demonstrated excellent within- and between-day reliability for both maximum and average power measurement (ICC=0.93 to 0.97). The within-day Standard Error of Measurement (SEM) was between 25.9W (6.1%) and 35.1W (8.5%), and 24.8 (6.5%) and 28.6W (7.7%) for maximum and average power respectively. The between-day SEM was 34.3W (7.8%) for maximum power and 26.4W (7.1%) for average power. Reliability of the cycle sprint test has been established, along with thresholds for significant change. The cycle sprint test may have relevance in clinical populations to evaluate lower limb muscle power following injury, or to measure rehabilitation outcomes.
本研究检验了循环冲刺测试测量下肢肌肉力量的可靠性。20名无症状志愿者分两次完成测试，两次测试之间间隔一周。参与者坐在一辆固定的公路自行车上，踏板曲柄上装有商用电表。在三次10秒冲刺中测量最大和平均肌肉力量。对于最大和平均功率测量，该测试显示了出色的日内和日间可靠性(ICC=0.93至0.97)。最大和平均功率的单日测量标准误差(SEM)分别为25.9W (6.1%) ~ 35.1W (8.5%)， 24.8 w (6.5%) ~ 28.6W(7.7%)。日间扫描电镜显示，最大功率为34.3W(7.8%)，平均功率为26.4W(7.1%)。已经建立了循环冲刺测试的可靠性，以及显著变化的阈值。在临床人群中，循环冲刺试验可能与评估损伤后下肢肌肉力量或衡量康复结果有关。
{"title":"Reliability of a Cycle Sprint Test to Measure Lower Limb Muscle Power","authors":"Edmondston Sj, Gibbons R, Mackie Ke, H. Z, Hince D, Hurworth M","doi":"10.26420/physmedrehabilint.2021.1189","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1189","url":null,"abstract":"This study examined the reliability of a cycle sprint test for measuring lower limb muscle power. Twenty asymptomatic volunteers completed the test on two occasions, with one week between test sessions. Participants sat on a stationary road bicycle with commercial power meters in the pedal cranks. Maximum and average muscle power was measured during three, 10-second sprint efforts. The test demonstrated excellent within- and between-day reliability for both maximum and average power measurement (ICC=0.93 to 0.97). The within-day Standard Error of Measurement (SEM) was between 25.9W (6.1%) and 35.1W (8.5%), and 24.8 (6.5%) and 28.6W (7.7%) for maximum and average power respectively. The between-day SEM was 34.3W (7.8%) for maximum power and 26.4W (7.1%) for average power. Reliability of the cycle sprint test has been established, along with thresholds for significant change. The cycle sprint test may have relevance in clinical populations to evaluate lower limb muscle power following injury, or to measure rehabilitation outcomes.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42518708","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 : 2021-09-07DOI: 10.26420/physmedrehabilint.2021.1188
King Bm, Doyle K, Kelley J, Taylor C, Davis Sf
Sub-optimal experience and outcomes for people with stalled wounds is common. Clinicians have limited methods for reliably and accurately measure wounds. Depth measurement is an important indicator of healing, and digital methods of imaging the wound may offer increased accuracy and enable clinical decision-making. This study aimed to implement a Panasonic FZ-M1 toughpad with WoundCareLite software version 1.5.0.0, to enable three-dimensional measurements in Tissue Viability (TV) service. Length, width, and depth measurement were compared with usual manual measurement using a paper ruler alongside a 2D photographic image. Statistical analysis included the comparison of wound dimension measures and a presentation of visual healing trajectories over 4 weeks using run-charts. 30 patients were recruited over five weeks (13 female and 17 male), representing 4% of the usual caseload. Manual measurement and 3D software automatic method demonstrated that the width and depth 3D auto measures were more accurate than manual measures but depth measures were often wrong thus making volumetric measures inaccurate. Consistent wound size measurement was feasible, and healing trajectories provide a useful means of continuous assessment. Technology guided measurement has potential benefits over manual measurement as a means of more accurately monitoring healing. In this case, depth measurement could not be accurately assessed in practice and further software innovation is indicated to enable outcome measurement in tissue viability services.
{"title":"Investigating the Benefits of Using 3D Camera Technology to Improve Wound Measurements in a Tissue Viability Service: Outcomes of a Pilot Implementation Study","authors":"King Bm, Doyle K, Kelley J, Taylor C, Davis Sf","doi":"10.26420/physmedrehabilint.2021.1188","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1188","url":null,"abstract":"Sub-optimal experience and outcomes for people with stalled wounds is common. Clinicians have limited methods for reliably and accurately measure wounds. Depth measurement is an important indicator of healing, and digital methods of imaging the wound may offer increased accuracy and enable clinical decision-making. This study aimed to implement a Panasonic FZ-M1 toughpad with WoundCareLite software version 1.5.0.0, to enable three-dimensional measurements in Tissue Viability (TV) service. Length, width, and depth measurement were compared with usual manual measurement using a paper ruler alongside a 2D photographic image. Statistical analysis included the comparison of wound dimension measures and a presentation of visual healing trajectories over 4 weeks using run-charts. 30 patients were recruited over five weeks (13 female and 17 male), representing 4% of the usual caseload. Manual measurement and 3D software automatic method demonstrated that the width and depth 3D auto measures were more accurate than manual measures but depth measures were often wrong thus making volumetric measures inaccurate. Consistent wound size measurement was feasible, and healing trajectories provide a useful means of continuous assessment. Technology guided measurement has potential benefits over manual measurement as a means of more accurately monitoring healing. In this case, depth measurement could not be accurately assessed in practice and further software innovation is indicated to enable outcome measurement in tissue viability services.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42714595","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 : 2021-08-11DOI: 10.26420/physmedrehabilint.2021.1185
Balton K, Saad P, Salazar I, R. J., Desport Bc
A group of occupational therapy students, who serve as executive board members of the National Perinatal Association Student Society (NPASS) chapter at The State University of New York (SUNY) Downstate Health Sciences University created a Cuddler Guide and Program. They worked with National Perinatal Association (NPA) Board Members Jessica Restivo, MS, OTR/L and Brigitte Desport DPS, OTR/L, BCP, ATP on these projects to contribute to the welfare and development of babies in the Neonatal Intensive Care Unit (NICU). To understand how this NPASS chapter embarked on such an initiative, below outlines the student organization’s connection to its parent organization (National Perinatal Association), its development and experiences, and finally the creation of the Cuddler Guide and Program.
{"title":"A Student Society Bridges the Gap between Interest and Involvement in the NICU by Creating a Cuddler Guide and Program","authors":"Balton K, Saad P, Salazar I, R. J., Desport Bc","doi":"10.26420/physmedrehabilint.2021.1185","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1185","url":null,"abstract":"A group of occupational therapy students, who serve as executive board members of the National Perinatal Association Student Society (NPASS) chapter at The State University of New York (SUNY) Downstate Health Sciences University created a Cuddler Guide and Program. They worked with National Perinatal Association (NPA) Board Members Jessica Restivo, MS, OTR/L and Brigitte Desport DPS, OTR/L, BCP, ATP on these projects to contribute to the welfare and development of babies in the Neonatal Intensive Care Unit (NICU). To understand how this NPASS chapter embarked on such an initiative, below outlines the student organization’s connection to its parent organization (National Perinatal Association), its development and experiences, and finally the creation of the Cuddler Guide and Program.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47515089","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 : 2021-08-10DOI: 10.26420/physmedrehabilint.2021.1184
J. B
Most Traumatic Brain Injuries are mild (mTBI) yet many people suffer from long-term mental fatigue and cognitive impairment. Despite comments from patients, cognitive difficulties can go undetected. Distractibility is commonly reported but is seldom included in standard neuropsychological assessment. This study was designed to investigate the effect distraction may induce in topdown and bottom-up attention among people who suffer from mental fatigue after mTBI. Thirty mTBI patients suffering from mental fatigue and 30 healthy controls performed a computerized test, including Simple Reaction Time, Choice Reaction Time and Attentional Capture tasks with a salient distractor. A slower processing speed was found in all subtests for the mTBI group and was particularly noticeable for the decision-making task. The distraction stimulus reduced processing speed for both groups, while the mTBI group made more omissions when a distractor emerged, indicating increased distractibility. However, no effect in top-down and bottom-up attention was found. Response time in the presence of a distractor was a predictor for mental fatigue, while depression and anxiety were not, showing the importance to carefully distinguish between emotional distress and mental fatigue. In conclusion, it is suggested that people suffering from mental fatigue after mTBI are slower at processing information, and this is more pronounced when a cognitive demand is added to the task. Distractibility was indicated with more omissions during distraction, but a distinction between top-down and bottom-up systems was not found. Further research is needed to better understand the link between distractibility and mental fatigue after a brain injury.
{"title":"Distractibility When Suffering from Mental Fatigue after a Mild Traumatic Brain Injury","authors":"J. B","doi":"10.26420/physmedrehabilint.2021.1184","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1184","url":null,"abstract":"Most Traumatic Brain Injuries are mild (mTBI) yet many people suffer from long-term mental fatigue and cognitive impairment. Despite comments from patients, cognitive difficulties can go undetected. Distractibility is commonly reported but is seldom included in standard neuropsychological assessment. This study was designed to investigate the effect distraction may induce in topdown and bottom-up attention among people who suffer from mental fatigue after mTBI. Thirty mTBI patients suffering from mental fatigue and 30 healthy controls performed a computerized test, including Simple Reaction Time, Choice Reaction Time and Attentional Capture tasks with a salient distractor. A slower processing speed was found in all subtests for the mTBI group and was particularly noticeable for the decision-making task. The distraction stimulus reduced processing speed for both groups, while the mTBI group made more omissions when a distractor emerged, indicating increased distractibility. However, no effect in top-down and bottom-up attention was found. Response time in the presence of a distractor was a predictor for mental fatigue, while depression and anxiety were not, showing the importance to carefully distinguish between emotional distress and mental fatigue. In conclusion, it is suggested that people suffering from mental fatigue after mTBI are slower at processing information, and this is more pronounced when a cognitive demand is added to the task. Distractibility was indicated with more omissions during distraction, but a distinction between top-down and bottom-up systems was not found. Further research is needed to better understand the link between distractibility and mental fatigue after a brain injury.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49664656","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 : 2021-08-03DOI: 10.26420/physmedrehabilint.2021.1183
Burke K, Cornell K, Swartz Ellrodt A, Grant N, Paganoni S, Sadjadi R
Charcot-Marie-Tooth (CMT) causes muscle weakness and atrophy generally in distal extremities, with or without sensory changes. These impairments contribute to impaired balance and gait and increase risk for falls and secondary injuries. Dynamic Carbon Ground Reaction Ankle Foot Orthoses (DCGR-AFOs) are one type of lower extremity orthosis that can be prescribed to help improve gait and balance in this patient population. To our knowledge, no studies have evaluated the immediate impact of DCGR-AFOs on gait and balance in this population. In this pilot study, 9 individuals with CMT and gait impairment were seen in clinical setting by a physical therapist and orthotist. Participants were asked to complete the modified Clinical Test of Sensory Interaction and Balance (mCTSIB) and tasks on the 4-Item Dynamic Gait Index (DGI) with and without bilateral DCGR-AFOs to assess static and dynamic balance. The average DGI scores were 6/12 without the DCGR-AFOs and 10/12 with the DCGR-AFOs. Improvements on the mCTSIB varied. The findings in this study suggest an immediate improvement in dynamic balance during ambulation with the use of DCGR-AFOs, as assessed by the 4-Item DGI. Data on static balance did not reach significance suggesting the need for future studies to further assess the effects of DCGR-AFOs on static standing balance, as well as the impact of training with physical therapists. This pilot study demonstrates that it is possible to demonstrate potential benefits of DCGR-AFOs with a gross fitting in a clinical setting, prior to referral to an orthotist for custom fitting.
{"title":"A Pilot Study to Assess the Immediate Effect of Dynamic Carbon Ground Reaction Ankle Foot Orthoses on Balance in Individuals with Charcot-Marie-Tooth in a Clinical Setting","authors":"Burke K, Cornell K, Swartz Ellrodt A, Grant N, Paganoni S, Sadjadi R","doi":"10.26420/physmedrehabilint.2021.1183","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1183","url":null,"abstract":"Charcot-Marie-Tooth (CMT) causes muscle weakness and atrophy generally in distal extremities, with or without sensory changes. These impairments contribute to impaired balance and gait and increase risk for falls and secondary injuries. Dynamic Carbon Ground Reaction Ankle Foot Orthoses (DCGR-AFOs) are one type of lower extremity orthosis that can be prescribed to help improve gait and balance in this patient population. To our knowledge, no studies have evaluated the immediate impact of DCGR-AFOs on gait and balance in this population. In this pilot study, 9 individuals with CMT and gait impairment were seen in clinical setting by a physical therapist and orthotist. Participants were asked to complete the modified Clinical Test of Sensory Interaction and Balance (mCTSIB) and tasks on the 4-Item Dynamic Gait Index (DGI) with and without bilateral DCGR-AFOs to assess static and dynamic balance. The average DGI scores were 6/12 without the DCGR-AFOs and 10/12 with the DCGR-AFOs. Improvements on the mCTSIB varied. The findings in this study suggest an immediate improvement in dynamic balance during ambulation with the use of DCGR-AFOs, as assessed by the 4-Item DGI. Data on static balance did not reach significance suggesting the need for future studies to further assess the effects of DCGR-AFOs on static standing balance, as well as the impact of training with physical therapists. This pilot study demonstrates that it is possible to demonstrate potential benefits of DCGR-AFOs with a gross fitting in a clinical setting, prior to referral to an orthotist for custom fitting.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44833549","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 : 2021-07-20DOI: 10.26420/physmedrehabilint.2021.1182
M. Miura, K. Nagai, K. Tagomori, H. Ikutomo, K. Okamura, T. Okuno, A. Yanamoto, N. Nakagawa, K. Masuhara
Introduction: Assessment of plantar pressure indicates the manner in which the plantar region contacts the ground as the first point in a leg-linked kinetic chain, and receives force from the ground. However, few studies have examined the changes in plantar pressure distribution in patients who underwent Total Hip Arthroplasty (THA) before and after THA, or compared plantar pressure distribution between THA patients and healthy adults. Objective: Plantar pressure distribution in patients with end-stage hip osteoarthritis who undergo THA may be adjusted to that in healthy adults by correcting leg length discrepancy. Herein, our objective was to find out if the plantar pressure distribution during standing differs before and after THA, and between healthy adults and THA patients. Design: Case control study. Setting: Single orthopedic clinic in Japan. Participants: THA patients (n=58; THA group) and healthy adults (n=53; control group). Interventions: Not applicable. Main outcome measure(s): The maximum plantar pressure under each foot measured during standing for 20 s was assessed for location, symmetry, and leg length discrepancy. Results: The distribution plantar pressure in the THA group differed preand postoperatively. The maximum plantar pressure region was the heel in approximately 80% of the patients three months after THA; it was not different in THA patients three months postoperatively and in healthy adults. Patients with asymmetrical maximum plantar pressure regions were those whose postoperative maximum plantar pressure region in the affected leg was the forefoot and those whose maximum plantar pressure region in the affected leg shifted to the heel. The leg length discrepancies decreased significantly after THA. Conclusions: The plantar pressure distribution during standing in female patients adjusted to that in healthy adults after THA. Patients with asymmetrical distribution of maximum plantar pressure may benefit from balance assessment and physical therapy.
{"title":"Plantar Pressure Distribution during Standing in Female Patients with Hip Osteoarthritis Who Underwent Total Hip Arthroplasty","authors":"M. Miura, K. Nagai, K. Tagomori, H. Ikutomo, K. Okamura, T. Okuno, A. Yanamoto, N. Nakagawa, K. Masuhara","doi":"10.26420/physmedrehabilint.2021.1182","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1182","url":null,"abstract":"Introduction: Assessment of plantar pressure indicates the manner in which the plantar region contacts the ground as the first point in a leg-linked kinetic chain, and receives force from the ground. However, few studies have examined the changes in plantar pressure distribution in patients who underwent Total Hip Arthroplasty (THA) before and after THA, or compared plantar pressure distribution between THA patients and healthy adults. Objective: Plantar pressure distribution in patients with end-stage hip osteoarthritis who undergo THA may be adjusted to that in healthy adults by correcting leg length discrepancy. Herein, our objective was to find out if the plantar pressure distribution during standing differs before and after THA, and between healthy adults and THA patients. Design: Case control study. Setting: Single orthopedic clinic in Japan. Participants: THA patients (n=58; THA group) and healthy adults (n=53; control group). Interventions: Not applicable. Main outcome measure(s): The maximum plantar pressure under each foot measured during standing for 20 s was assessed for location, symmetry, and leg length discrepancy. Results: The distribution plantar pressure in the THA group differed preand postoperatively. The maximum plantar pressure region was the heel in approximately 80% of the patients three months after THA; it was not different in THA patients three months postoperatively and in healthy adults. Patients with asymmetrical maximum plantar pressure regions were those whose postoperative maximum plantar pressure region in the affected leg was the forefoot and those whose maximum plantar pressure region in the affected leg shifted to the heel. The leg length discrepancies decreased significantly after THA. Conclusions: The plantar pressure distribution during standing in female patients adjusted to that in healthy adults after THA. Patients with asymmetrical distribution of maximum plantar pressure may benefit from balance assessment and physical therapy.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43073932","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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