Pub Date : 2021-07-16DOI: 10.26420/physmedrehabilint.2021.1181
Kromer To, J. Saner, Sieben Jm, Bastiaenen Chg
Background: Patient-specific and condition-specific measures are widely used in clinical practice and research to measure disability or change over time. While condition-specific outcome measures comprise a range of restrictions generally relevant for all patients, the Patient-Specific Functional Scale measures restrictions chosen by the individual patient. Objectives: Based on the hypothesis that patient-specific and conditionspecific scales deliver comparable results when used on group level. The aim of this study was to test for floor and ceiling effects, to evaluate construct validity and validity to change of the Patient-Specific Functional Scale when compared to condition-specific outcome measures. For this purpose, two datasets from patients with shoulder pain and low back pain were analyzed. Methods: Patient-Specific Functional Scale scores were compared to the Shoulder Pain and Disability Index and the Roland Morris Disability Questionnaire at 4 time-points using stem-and-leaf-plots and correlations using Pearson’s r. Hypothesis-driven correlation levels for data interpretation were predefined, with r ≥0.75=high, r ≥0.5=moderate, r ≥0.25=low. Results: Patient-Specific Functional Scale floor effects were comparable to condition-specific outcome measures in both samples. At none of the timepoints did the Patient-Specific Functional Scale correlate with the conditionspecific outcome measures in the expected manner. Conclusion: Hypotheses regarding expected ranges of correlation between the Patient-Specific Functional Scale and the condition-specific outcome measures for construct validity and validity to change were not met. While the use of the Patient-Specific Functional Scale in a clinical context has its advantages, the measure is not recommended for group-level evaluations.
{"title":"Construct Validity and Validity to Change of the Patient-Specific Functional Scale in Patients with Shoulder and Low Back Pain: A Clinimetric Study","authors":"Kromer To, J. Saner, Sieben Jm, Bastiaenen Chg","doi":"10.26420/physmedrehabilint.2021.1181","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1181","url":null,"abstract":"Background: Patient-specific and condition-specific measures are widely used in clinical practice and research to measure disability or change over time. While condition-specific outcome measures comprise a range of restrictions generally relevant for all patients, the Patient-Specific Functional Scale measures restrictions chosen by the individual patient. Objectives: Based on the hypothesis that patient-specific and conditionspecific scales deliver comparable results when used on group level. The aim of this study was to test for floor and ceiling effects, to evaluate construct validity and validity to change of the Patient-Specific Functional Scale when compared to condition-specific outcome measures. For this purpose, two datasets from patients with shoulder pain and low back pain were analyzed. Methods: Patient-Specific Functional Scale scores were compared to the Shoulder Pain and Disability Index and the Roland Morris Disability Questionnaire at 4 time-points using stem-and-leaf-plots and correlations using Pearson’s r. Hypothesis-driven correlation levels for data interpretation were predefined, with r ≥0.75=high, r ≥0.5=moderate, r ≥0.25=low. Results: Patient-Specific Functional Scale floor effects were comparable to condition-specific outcome measures in both samples. At none of the timepoints did the Patient-Specific Functional Scale correlate with the conditionspecific outcome measures in the expected manner. Conclusion: Hypotheses regarding expected ranges of correlation between the Patient-Specific Functional Scale and the condition-specific outcome measures for construct validity and validity to change were not met. While the use of the Patient-Specific Functional Scale in a clinical context has its advantages, the measure is not recommended for group-level evaluations.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45664644","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 : 2021-07-01DOI: 10.26420/physmedrehabilint.2021.1180
Park Sy, Vigneswaran Wt
Yoga is becoming very popular among young people, however it is also exceptionally beneficial for the elderly to improve mobility, strength and combat chronic ailments. It is an alternative form of medicine and can be ancillary tool for treating pain, cardiovascular issues, weight problems, depression, sleep disorders and many more. The practice goal of yoga is to challenge oneself but not be overwhelmed, develop inner awareness without judgement. In contrast to many other programs it does not involve strenuous workouts or expensive equipment and is not competitive. The simple form involves series of static positions that use isometric contraction and relaxation of different muscle groups to create specific body alignments with coordinated breathing and deep meditative relaxation. The best yoga practice for elderly or a person with limitations are that uses supporting props as blankets, pillows or chairs during asana to overcome the limitations that are coordinated with breathing exercise and meditation.
{"title":"Simple Asana: Yoga and the Elderly","authors":"Park Sy, Vigneswaran Wt","doi":"10.26420/physmedrehabilint.2021.1180","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1180","url":null,"abstract":"Yoga is becoming very popular among young people, however it is also exceptionally beneficial for the elderly to improve mobility, strength and combat chronic ailments. It is an alternative form of medicine and can be ancillary tool for treating pain, cardiovascular issues, weight problems, depression, sleep disorders and many more. The practice goal of yoga is to challenge oneself but not be overwhelmed, develop inner awareness without judgement. In contrast to many other programs it does not involve strenuous workouts or expensive equipment and is not competitive. The simple form involves series of static positions that use isometric contraction and relaxation of different muscle groups to create specific body alignments with coordinated breathing and deep meditative relaxation. The best yoga practice for elderly or a person with limitations are that uses supporting props as blankets, pillows or chairs during asana to overcome the limitations that are coordinated with breathing exercise and meditation.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47219998","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 : 2021-06-28DOI: 10.21203/rs.3.rs-626876/v1
A. Vicino, P. Vuadens, B. Léger, C. Benaim
PurposeDecompressive craniectomy (DC) can rapidly reduce intracranial pressure and save lives in the acute phase of severe traumatic brain injury (TBI) or stroke, but little is known about the long-term outcome after DC. We evaluated quality of life (QoL) a few years after DC for severe TBI/stroke.MethodsThe following data were collected for stroke/TBI patients hospitalized for neurorehabilitation after DC: 1) at discharge, motor and cognitive sub-scores of the Functional Independence Measure (motor-FIM [score 13-91] and cognitive-FIM [score 5-35]) and 2) more than 4 years after discharge, the QOLIBRI health-related QoL (HR-QoL) score (0-100; <60 representing low or impaired QoL) and the return to work (RTW: 0%, partial, 100%)ResultsWe included 88 patients (66 males, median age 38 [interquartile range 26.3-51.0], 65 with TBI/23 stroke); 46 responded to the HR-QoL questionnaire. Responders and non-responders had similar characteristics (age, sex, functional levels upon discharge). Median motor-FIM and cognitive-FIM scores were 85/91 and 27/35, with no significant difference between TBI and stroke patients. Long-term QoL was borderline low for TBI patients and within normal values for stroke patients (score 58.0[42.0-69.0] vs. 67.0[54.0-81.5], p=0.052). RTW was comparable between the groups (62% full time).ConclusionWe already knew that DC can save the lives of TBI or stroke patients in the acute phase and this study suggests that their long-term quality of life is generally quite acceptable.
{"title":"Long-term Quality of Life After Decompressive Craniectomy in Severe Traumatic Brain Injury and Stroke","authors":"A. Vicino, P. Vuadens, B. Léger, C. Benaim","doi":"10.21203/rs.3.rs-626876/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-626876/v1","url":null,"abstract":"\u0000 PurposeDecompressive craniectomy (DC) can rapidly reduce intracranial pressure and save lives in the acute phase of severe traumatic brain injury (TBI) or stroke, but little is known about the long-term outcome after DC. We evaluated quality of life (QoL) a few years after DC for severe TBI/stroke.MethodsThe following data were collected for stroke/TBI patients hospitalized for neurorehabilitation after DC: 1) at discharge, motor and cognitive sub-scores of the Functional Independence Measure (motor-FIM [score 13-91] and cognitive-FIM [score 5-35]) and 2) more than 4 years after discharge, the QOLIBRI health-related QoL (HR-QoL) score (0-100; <60 representing low or impaired QoL) and the return to work (RTW: 0%, partial, 100%)ResultsWe included 88 patients (66 males, median age 38 [interquartile range 26.3-51.0], 65 with TBI/23 stroke); 46 responded to the HR-QoL questionnaire. Responders and non-responders had similar characteristics (age, sex, functional levels upon discharge). Median motor-FIM and cognitive-FIM scores were 85/91 and 27/35, with no significant difference between TBI and stroke patients. Long-term QoL was borderline low for TBI patients and within normal values for stroke patients (score 58.0[42.0-69.0] vs. 67.0[54.0-81.5], p=0.052). RTW was comparable between the groups (62% full time).ConclusionWe already knew that DC can save the lives of TBI or stroke patients in the acute phase and this study suggests that their long-term quality of life is generally quite acceptable.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49261310","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 : 2021-06-19DOI: 10.26420/physmedrehabilint.2021.1179
G. Immich, A. Schuh
Introduction: There has been a constant increase in mental health disorders in Western industrialized nations, and the current Covid 19 pandemic is increasingly exacerbating the problem. The health resorts in Germany are well equipped to improve mental, emotional and physical health with their local remedies and procedures to improve the individual health status. Method: The available alpine health resort procedures/interventions as well as the novel forest therapy with their various effects are described in order to develop a novel health resort concept for the treatment of mental-health disorders and well-being. Result: Based on the principles of health resort medicine and the available alpine interventions, a three-week treatment concept has been developed. Different procedures such as climatotherapy, balneotherapy, forest therapy & nature connection, mindfulness practice and physiotherapy have been combined in a healthy manner. Alpine health resorts are particularly well suited because of their excellent health-promoting climate factors. Conclusion: The novel combination of HRM with forest therapy will to lead to stress reduction and an increase in mental health and general well-being. This new approach shows promising benefits for future health resort treatments. Studies on this new approach are needed to confirm the effectiveness of the conceptual framework.
{"title":"A Conceptual Framework of Forest Therapy as an Innovative Health Approach Combined with Local Health Resort Medicine in Alpine Regions to Increase Mental Health and Well-Being","authors":"G. Immich, A. Schuh","doi":"10.26420/physmedrehabilint.2021.1179","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2021.1179","url":null,"abstract":"Introduction: There has been a constant increase in mental health disorders in Western industrialized nations, and the current Covid 19 pandemic is increasingly exacerbating the problem. The health resorts in Germany are well equipped to improve mental, emotional and physical health with their local remedies and procedures to improve the individual health status. Method: The available alpine health resort procedures/interventions as well as the novel forest therapy with their various effects are described in order to develop a novel health resort concept for the treatment of mental-health disorders and well-being. Result: Based on the principles of health resort medicine and the available alpine interventions, a three-week treatment concept has been developed. Different procedures such as climatotherapy, balneotherapy, forest therapy & nature connection, mindfulness practice and physiotherapy have been combined in a healthy manner. Alpine health resorts are particularly well suited because of their excellent health-promoting climate factors. Conclusion: The novel combination of HRM with forest therapy will to lead to stress reduction and an increase in mental health and general well-being. This new approach shows promising benefits for future health resort treatments. Studies on this new approach are needed to confirm the effectiveness of the conceptual framework.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41651894","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 : 2021-03-29DOI: 10.26420/PHYSMEDREHABILINT.2021.1177
M. Goetschalckx, L. Moumdjian, K. Klingels, P. Feys, E. Rameckers
We aimed to systematically summarize assessment methods of locomotion coordination of the lower limbs in children, and to discuss the influence of person and task on locomotor coordination. Two databases (PubMed, Web of Science) were screened, up to April 1th 2020. Five articles were included. Locomotor coordination was assessed in Typically Developing Children (TD) and children with autism in different domains of coordination, using angle-angle plots, planar covariance, continuous relative phase and point-phasing. In TD children: age influenced intersegmental covariance when walking, and stability of temporal and amplitude phasing when running. Intersegmental covariance was influenced by vision and walking speed. Phase relationship was not influenced by weighted walking in autistic children, nor in TD children when walking backwards.
我们旨在系统地总结儿童下肢运动协调性的评估方法，并讨论人和任务对运动协调的影响。截至2020年4月1日，筛选了两个数据库（PubMed，Web of Science）。其中包括五篇文章。使用角度-角度图、平面协方差、连续相对相位和点相位，评估了典型发育儿童（TD）和自闭症儿童在不同协调领域的运动协调性。在TD儿童中：年龄影响行走时的节间协方差，以及跑步时时间和振幅相位的稳定性。段间协方差受视觉和步行速度的影响。在自闭症儿童中，负重行走不影响相位关系，在TD儿童中，当向后行走时，相位关系也不受影响。
{"title":"Assessing Locomotor Coordination during Walking and Running in Children and Adolescents: A Systematic Review","authors":"M. Goetschalckx, L. Moumdjian, K. Klingels, P. Feys, E. Rameckers","doi":"10.26420/PHYSMEDREHABILINT.2021.1177","DOIUrl":"https://doi.org/10.26420/PHYSMEDREHABILINT.2021.1177","url":null,"abstract":"We aimed to systematically summarize assessment methods of locomotion coordination of the lower limbs in children, and to discuss the influence of person and task on locomotor coordination. Two databases (PubMed, Web of Science) were screened, up to April 1th 2020. Five articles were included. Locomotor coordination was assessed in Typically Developing Children (TD) and children with autism in different domains of coordination, using angle-angle plots, planar covariance, continuous relative phase and point-phasing. In TD children: age influenced intersegmental covariance when walking, and stability of temporal and amplitude phasing when running. Intersegmental covariance was influenced by vision and walking speed. Phase relationship was not influenced by weighted walking in autistic children, nor in TD children when walking backwards.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41806104","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 : 2021-03-29DOI: 10.26420/PHYSMEDREHABILINT.2021.1178
DeJesus Bm
Aim: To evaluate how incorporating dance practice into the lifestyle can impact the Quality of Life (QOL) of People with Disabilities (PWD) over four years. Method: This is a prospective study with dance protocol classes specific for PWD, once a week, 60 min per class, over four years. In addition, the participants performed public presentations each year. Participants were assessed twice per year (at the beginning and at the end of each year of dance practice), totalizing 8 assessments, using the Medical Outcomes Study Survey Short Form 36 (SF- 36) questionnaire. Results: Forty-one PWD with different clinical conditions, both sexes, ranging in age from 3 to 39 years, participated in the study over four years (Y1 to Y4). With regard to QOL domains in the SF-36, significant changes were found when comparing the years (two-way ANOVA (F=19.87; p <0.0001)). Values increased in the following QOL domains: Year I: functional capacity, physical aspects, emotional aspects, vitality, pain and mental health. Year II: physical and emotional aspects, pain and mental health. Year III: functional capacity, physical and emotional aspects, vitality, general health, pain and mental health. In Year IV the values increased in all domains. Interpretation: Over the course of four years, dance practice contributed to the QOL of participants; this suggests that it is an activity that promotes inclusion for PWD in the sociocultural arena.
{"title":"Incorporation of Dance Practice into the Lifestyle of People with Disabilities and Its Impact on Quality of Life Over Time","authors":"DeJesus Bm","doi":"10.26420/PHYSMEDREHABILINT.2021.1178","DOIUrl":"https://doi.org/10.26420/PHYSMEDREHABILINT.2021.1178","url":null,"abstract":"Aim: To evaluate how incorporating dance practice into the lifestyle can impact the Quality of Life (QOL) of People with Disabilities (PWD) over four years. Method: This is a prospective study with dance protocol classes specific for PWD, once a week, 60 min per class, over four years. In addition, the participants performed public presentations each year. Participants were assessed twice per year (at the beginning and at the end of each year of dance practice), totalizing 8 assessments, using the Medical Outcomes Study Survey Short Form 36 (SF- 36) questionnaire. Results: Forty-one PWD with different clinical conditions, both sexes, ranging in age from 3 to 39 years, participated in the study over four years (Y1 to Y4). With regard to QOL domains in the SF-36, significant changes were found when comparing the years (two-way ANOVA (F=19.87; p <0.0001)). Values increased in the following QOL domains: Year I: functional capacity, physical aspects, emotional aspects, vitality, pain and mental health. Year II: physical and emotional aspects, pain and mental health. Year III: functional capacity, physical and emotional aspects, vitality, general health, pain and mental health. In Year IV the values increased in all domains. Interpretation: Over the course of four years, dance practice contributed to the QOL of participants; this suggests that it is an activity that promotes inclusion for PWD in the sociocultural arena.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44503336","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 : 2021-03-06DOI: 10.26420/PHYSMEDREHABILINT.2021.1176
M. Randriambelonoro, C. Perrin, G. Carmona, E. Frangos, Herrmann Fr, A. Geissbühler, Graf Ce
Background: Developed countries are facing the challenge of aging societies, a high risk of dependence and high cost of care. Researchers attempted to address these issues by using cost-efficient, innovative technology to promote healthy aging and to regain functionality. After an injury, efficient rehabilitation is crucial to promote returning home and to prevent institutionalization. However, there is often a lack of motivation to carry out physical therapies. Consequently, there is a growing interest in testing new approaches like computer-aided rehabilitation to achieve functional targets and prevent re-hospitalization. Trial design: Pilot multicenter non-inferiority randomized clinical trial. Objectives: To assess the efficacy of a personal mobility device compared with standard of care in the rehabilitation treatment of patient with musculoskeletal issues. Methods: 57 patients aged 67-95 years were randomly assigned to the intervention group (n=35) using the gamified rehabilitation equipment 3 times a week or to a control group (n=22) receiving usual standard care. Outcome measures included SPPB (Short Physical Performance Battery), IHGS (Isometric Hand Grip Strength), FIM (Functional Independence Measure) and number of steps. Results: There were no significant differences between the control and the intervention groups for the primary outcome (SPPB) or any of the secondary outcomes (IHGS, FIM and steps), which demonstrates the non-inferiority effect of the serious game-based intervention. The analysis by mixed-effects regression on SPPB showed no indication of a group x time interaction (SPPB_I_t1=-0.76, p=0.26; SPPB_I_t2=0.21, p=0.74). Although not significant, a positive IHGS improvement of more than 2kg (Right: 2.52kg; Left: 2.43kg) for the patient from the intervention group was observed. In addition, patients who received the intervention exhibited stronger engagement in the rehabilitation process and a higher motivation to being more active. Conclusions: Serious game-based rehabilitation could be an effective alternative for older patients to regain their functional capacities.
{"title":"Computer-Aided Physical Rehabilitation of Older People: A Pilot Non-Inferiority Randomized Clinical Trial","authors":"M. Randriambelonoro, C. Perrin, G. Carmona, E. Frangos, Herrmann Fr, A. Geissbühler, Graf Ce","doi":"10.26420/PHYSMEDREHABILINT.2021.1176","DOIUrl":"https://doi.org/10.26420/PHYSMEDREHABILINT.2021.1176","url":null,"abstract":"Background: Developed countries are facing the challenge of aging societies, a high risk of dependence and high cost of care. Researchers attempted to address these issues by using cost-efficient, innovative technology to promote healthy aging and to regain functionality. After an injury, efficient rehabilitation is crucial to promote returning home and to prevent institutionalization. However, there is often a lack of motivation to carry out physical therapies. Consequently, there is a growing interest in testing new approaches like computer-aided rehabilitation to achieve functional targets and prevent re-hospitalization. Trial design: Pilot multicenter non-inferiority randomized clinical trial. Objectives: To assess the efficacy of a personal mobility device compared with standard of care in the rehabilitation treatment of patient with musculoskeletal issues. Methods: 57 patients aged 67-95 years were randomly assigned to the intervention group (n=35) using the gamified rehabilitation equipment 3 times a week or to a control group (n=22) receiving usual standard care. Outcome measures included SPPB (Short Physical Performance Battery), IHGS (Isometric Hand Grip Strength), FIM (Functional Independence Measure) and number of steps. Results: There were no significant differences between the control and the intervention groups for the primary outcome (SPPB) or any of the secondary outcomes (IHGS, FIM and steps), which demonstrates the non-inferiority effect of the serious game-based intervention. The analysis by mixed-effects regression on SPPB showed no indication of a group x time interaction (SPPB_I_t1=-0.76, p=0.26; SPPB_I_t2=0.21, p=0.74). Although not significant, a positive IHGS improvement of more than 2kg (Right: 2.52kg; Left: 2.43kg) for the patient from the intervention group was observed. In addition, patients who received the intervention exhibited stronger engagement in the rehabilitation process and a higher motivation to being more active. Conclusions: Serious game-based rehabilitation could be an effective alternative for older patients to regain their functional capacities.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45455251","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 : 2021-03-05DOI: 10.31532/physmedrehabil.2.1.003
Sarah Uno, Elizabeth Jusko, Breanna Roderos, Jennifer D. Hastings
This study expands upon the Hastings et al (2018) study on the use of heel lifts to change static postural alignment in persons with Parkinson's Disease (PD) and further explores whether the use of heel lifts provide improvements in dynamic gait parameters, Timed Up and Go (TUG) scores, and balance confidence. Outcome measures were taken with and without the heel lifts in place, at two data collection dates. Photographs were analyzed for postural alignment measures using ImageJ software and video was analyzed for gait and turning parameters utilizing the Dite and Temple scale. The Activities-specific Balance Confidence (ABC) scale was collected at baseline and after two weeks of heel lift use, otherwise outcome measures were performed in the reverse order on the first and second session to account for ordering, practice, and fatigue effects. Statistical analysis included paired t-tests for outcome measures and Pearson product correlation between the degree of plantarflexion contracture and ABC scale and overall balance confidence and fall history. We found that head tilt angle and turn time significantly improved (p = .037) (p = .002) with use of heel lifts. Turn time correlated to overall balance confidence (r = -.802, p = .000) and overall balance confidence correlated to fall history (r = -.501, p = .041). This study showed that accommodating a lack of ankle dorsiflexion range of motion with heel lifts significantly improves head tilt angle and decreases turn time as compared to without heel lifts, but has no significant effect on step length, gait speed, or overall TUG score in individuals with PD. Because our work shows that limited range of motion at the ankle contributes to real and perceived balance difficulties healthcare providers working with any population of patients exhibiting balance problems should include this measurement in their assessment and consider intervention with a heel lift when limitations are found.
本研究扩展了Hastings等人(2018)关于使用提跟器改变帕金森病(PD)患者静态姿势的研究，并进一步探讨了使用提跟器是否能改善动态步态参数、Timed Up and Go (TUG)评分和平衡信心。在两个数据收集日期，在有和没有鞋跟提升的情况下采取了结果测量。使用ImageJ软件对照片进行姿势校准测量分析，使用Dite和Temple量表对视频进行步态和转身参数分析。在基线和使用两周后收集活动特定平衡信心(ABC)量表，否则在第一次和第二次会话中以相反的顺序执行结果测量，以说明顺序，练习和疲劳效果。统计分析包括结果测量的配对t检验和跖屈挛缩程度与ABC量表、总体平衡置信度和跌倒史之间的Pearson乘积相关性。我们发现头部倾斜角度和转弯时间显著改善(p = 0.037) (p = 0.002)。转弯时间与整体平衡信心相关(r = -)。802, p = .000)，总体平衡信心与下跌历史相关(r = -)。501, p = 0.041)。本研究表明，与不提足跟相比，提足跟可以显著改善踝关节背屈活动范围的缺乏，并减少转动时间，但对PD患者的步长、步态速度或总体TUG评分没有显著影响。因为我们的研究表明踝关节的活动范围有限会导致真实的和感知的平衡困难，医疗保健提供者在治疗任何表现出平衡问题的患者时都应该在评估中包括这一测量，并在发现限制时考虑进行提跟干预。
{"title":"The Effects of Heel Lifts on Dynamic Measures of Gait and Static Posture in Individuals with Parkinson’s disease","authors":"Sarah Uno, Elizabeth Jusko, Breanna Roderos, Jennifer D. Hastings","doi":"10.31532/physmedrehabil.2.1.003","DOIUrl":"https://doi.org/10.31532/physmedrehabil.2.1.003","url":null,"abstract":"This study expands upon the Hastings et al (2018) study on the use of heel lifts to change static postural alignment in persons with Parkinson's Disease (PD) and further explores whether the use of heel lifts provide improvements in dynamic gait parameters, Timed Up and Go (TUG) scores, and balance confidence. Outcome measures were taken with and without the heel lifts in place, at two data collection dates. Photographs were analyzed for postural alignment measures using ImageJ software and video was analyzed for gait and turning parameters utilizing the Dite and Temple scale. The Activities-specific Balance Confidence (ABC) scale was collected at baseline and after two weeks of heel lift use, otherwise outcome measures were performed in the reverse order on the first and second session to account for ordering, practice, and fatigue effects. Statistical analysis included paired t-tests for outcome measures and Pearson product correlation between the degree of plantarflexion contracture and ABC scale and overall balance confidence and fall history. We found that head tilt angle and turn time significantly improved (p = .037) (p = .002) with use of heel lifts. Turn time correlated to overall balance confidence (r = -.802, p = .000) and overall balance confidence correlated to fall history (r = -.501, p = .041). This study showed that accommodating a lack of ankle dorsiflexion range of motion with heel lifts significantly improves head tilt angle and decreases turn time as compared to without heel lifts, but has no significant effect on step length, gait speed, or overall TUG score in individuals with PD. Because our work shows that limited range of motion at the ankle contributes to real and perceived balance difficulties healthcare providers working with any population of patients exhibiting balance problems should include this measurement in their assessment and consider intervention with a heel lift when limitations are found.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74284942","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 : 2021-03-02DOI: 10.26420/PHYSMEDREHABILINT.2021.1174
B. Gándara-Gafo, L. Delgado-Lobete, R. Montes-Montes, A. Vila-Paz, S. Santos-del-Riego
Background: Identifying sensory processing differences in children with sensory reactivity problems (both with and without prenatal and perinatal problems) is essential to providing interventions that enhance development and participation in everyday life. Methods: This study conducted a statistical analysis between the Sensory Profile-2 sensory questionnaire and the study variables: pregnancy, fertility treatment, delivery and prematurity (n=69). Results: This study yielded statistically significant differences in sensory processing at the visual level (p-value=0.003), in proprioception (body position) (p-value<0.001) and in emotional problems relating to stressful and traumatic pregnancy, prematurity (p-value=0.026) and high-risk pregnancy, respectively, among children with and without perinatal and prenatal problems. Conclusions: These findings confirm that there are differences in the sensory processing of children with sensory processing disorders who have suffered perinatal and postnatal problems compared to those who have not.
{"title":"Predictive Factors for Sensory Processing Disorders","authors":"B. Gándara-Gafo, L. Delgado-Lobete, R. Montes-Montes, A. Vila-Paz, S. Santos-del-Riego","doi":"10.26420/PHYSMEDREHABILINT.2021.1174","DOIUrl":"https://doi.org/10.26420/PHYSMEDREHABILINT.2021.1174","url":null,"abstract":"Background: Identifying sensory processing differences in children with sensory reactivity problems (both with and without prenatal and perinatal problems) is essential to providing interventions that enhance development and participation in everyday life. Methods: This study conducted a statistical analysis between the Sensory Profile-2 sensory questionnaire and the study variables: pregnancy, fertility treatment, delivery and prematurity (n=69). Results: This study yielded statistically significant differences in sensory processing at the visual level (p-value=0.003), in proprioception (body position) (p-value<0.001) and in emotional problems relating to stressful and traumatic pregnancy, prematurity (p-value=0.026) and high-risk pregnancy, respectively, among children with and without perinatal and prenatal problems. Conclusions: These findings confirm that there are differences in the sensory processing of children with sensory processing disorders who have suffered perinatal and postnatal problems compared to those who have not.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48228422","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 : 2019-01-18DOI: 10.26420/PHYSMEDREHABILINT.2019.1160
L. Sy
{"title":"Updates in Management of Adults with Traumatic Brain Injury: A Rehabilitation Perspective","authors":"L. Sy","doi":"10.26420/PHYSMEDREHABILINT.2019.1160","DOIUrl":"https://doi.org/10.26420/PHYSMEDREHABILINT.2019.1160","url":null,"abstract":"","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76117424","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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