Pub Date : 2017-11-22DOI: 10.4172/2376-0281.1000297
F. R. Pulido, Nayra Caballero Estebaranz, Dácil Oramas Pérez
We consulted different electronic databases from 1998 to December 2015 and conducted a specific review of self- esteem components of the studies in relation to non-vocational outcomes with an Individual Placement and Support (IPS) strategy. We reviewed a total of 363 references, 83 were selected and 14 included: 9 randomized clinical trials, 1 systematic review and 4 comparative studies. We analysed the methodological quality of each of these studies using the Jadad, the Oxman and the Estabrooks scales. The findings on effectiveness in relation to non-vocational outcomes are not consistent and the evidence is still very weak.
{"title":"Short Review of Self-Esteem Components with Individual Placement and Support (IPS) Strategy in People with Severe Mental Illness","authors":"F. R. Pulido, Nayra Caballero Estebaranz, Dácil Oramas Pérez","doi":"10.4172/2376-0281.1000297","DOIUrl":"https://doi.org/10.4172/2376-0281.1000297","url":null,"abstract":"We consulted different electronic databases from 1998 to December 2015 and conducted a specific review of self- esteem components of the studies in relation to non-vocational outcomes with an Individual Placement and Support (IPS) strategy. We reviewed a total of 363 references, 83 were selected and 14 included: 9 randomized clinical trials, 1 systematic review and 4 comparative studies. We analysed the methodological quality of each of these studies using the Jadad, the Oxman and the Estabrooks scales. The findings on effectiveness in relation to non-vocational outcomes are not consistent and the evidence is still very weak.","PeriodicalId":91292,"journal":{"name":"International journal of neurorehabilitation","volume":"4 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44547057","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 : 2017-11-16DOI: 10.4172/2376-0281.1000296
A. Ahmad
Constraint-Induced Movement Therapies (CIMTs) including the original Constraint- Induced Movement Therapy (CIMT) and the Modified Constraint-Induced Movement Therapy (mCIMT) gained considerable popularity as a treatment approach for upper extremity rehabilitation among patients with mild-to-moderate stroke. However, a major barrier in rehabilitation generally and in CIMTs specifically; is the limited objectivity of some commonly used outcome measures and lack sensitivity to define “True” recovery vs. compensation. Thereby, they may not sufficiently detect of long term consequences and the associated neurological recovery. An essential approach to overcome such barrier is to better understand functional motor recovery, associated neural changes and how they may relate to recovery of the pre-morbid movement pattern. Such Understanding for these relationships would add more in-depth insights on the functional relevance of plastic brain changes in stroke following CIMTs to optimize the field of neuro-rehabilitation. This review synthesizes findings from studies to on the use of the CIMTs including CIMT and mCIMT as efficient practice in the management of upper limb dysfunction following a stroke. The analysis will include (1) the functional recovery and (2) the cortical reorganization following the use of mCIMT and CIMT on patients in the chronic stage following stroke.
{"title":"The Functional Recovery and the Associated Cortical Reorganization Following Constraint-Induced Movement Therapies (CIMTs) in Stroke","authors":"A. Ahmad","doi":"10.4172/2376-0281.1000296","DOIUrl":"https://doi.org/10.4172/2376-0281.1000296","url":null,"abstract":"Constraint-Induced Movement Therapies (CIMTs) including the original Constraint- Induced Movement Therapy (CIMT) and the Modified Constraint-Induced Movement Therapy (mCIMT) gained considerable popularity as a treatment approach for upper extremity rehabilitation among patients with mild-to-moderate stroke. However, a major barrier in rehabilitation generally and in CIMTs specifically; is the limited objectivity of some commonly used outcome measures and lack sensitivity to define “True” recovery vs. compensation. Thereby, they may not sufficiently detect of long term consequences and the associated neurological recovery. An essential approach to overcome such barrier is to better understand functional motor recovery, associated neural changes and how they may relate to recovery of the pre-morbid movement pattern. Such Understanding for these relationships would add more in-depth insights on the functional relevance of plastic brain changes in stroke following CIMTs to optimize the field of neuro-rehabilitation. This review synthesizes findings from studies to on the use of the CIMTs including CIMT and mCIMT as efficient practice in the management of upper limb dysfunction following a stroke. The analysis will include (1) the functional recovery and (2) the cortical reorganization following the use of mCIMT and CIMT on patients in the chronic stage following stroke.","PeriodicalId":91292,"journal":{"name":"International journal of neurorehabilitation","volume":"2017 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43510517","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 : 2017-10-08DOI: 10.4172/2376-0281.1000282
M. Georgescu
Vestibular sensorial structures are in the inner ear, in the posterior labyrinth and they are responsible for detecting any angular and linear acceleration of head and body. In response to movement, effects of gravity and the position in space of the head and body, relatively to ground, vestibular sensorial hair cells are stimulated and action potentials originated here are send to the nervous central system.
{"title":"Vestibular Rehabilitation – Recommended Treatment for Permanent Unilateral Vestibular Loss","authors":"M. Georgescu","doi":"10.4172/2376-0281.1000282","DOIUrl":"https://doi.org/10.4172/2376-0281.1000282","url":null,"abstract":"Vestibular sensorial structures are in the inner ear, in the posterior labyrinth and they are responsible for detecting any angular and linear acceleration of head and body. In response to movement, effects of gravity and the position in space of the head and body, relatively to ground, vestibular sensorial hair cells are stimulated and action potentials originated here are send to the nervous central system.","PeriodicalId":91292,"journal":{"name":"International journal of neurorehabilitation","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44542505","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 : 2017-08-31DOI: 10.4172/2376-0281.1000286
Mohammad Reza Dawoudi
Differences in intelligence are the most significant factor in explaining levels of social progress and development. One measure scientists use to determine differences in intelligence is Intelligence Quotient (IQ), which is derived from standardized tests designed to assess human intelligence. Individuals with IQ scores between 90 and 109 are considered average intelligence and those with scores of 89 to 80 are considered Below Average or Dullness. In this study our analysis of the literature has assessed the level of Kurdish intelligence quotient. The area of Kurdish nation, located in four different countries includes Iran, Iraq, Syria and Turkey. The average IQ of Iranian people is 84, Iraqi people 87, Syrian people 83 and Turkey people is 90. These numbers came from a work carried out from 2002 to 2006 by Richard Lynn, a British Professor of Psychology, and Tatu Vanhanen, a Finnish Professor of Political Science, who conducted IQ studies in more than 80 countries (IQ Research). Based on this study we estimate the average Kurdish IQ ranges between 83 and 90. Vanhanen and Lynn argue that IQ and the Wealth of Nations analyses the relation between national IQ scores and measures of economic performance. In this study, we aimed to assess the association between IQ (intelligence quotient) and neurocognitive, biological and genetics factors among Kurdish populations and then we drew inferences about the state of social progress and development of Kurdish societies and genetic characteristics based on a statistical pattern.
{"title":"Neurocognitive, Biological and Genetics factors and the Risk of Developing Borderline Intellectual Functioning (BIF) Disease among Kurdish Societies","authors":"Mohammad Reza Dawoudi","doi":"10.4172/2376-0281.1000286","DOIUrl":"https://doi.org/10.4172/2376-0281.1000286","url":null,"abstract":"Differences in intelligence are the most significant factor in explaining levels of social progress and development. One measure scientists use to determine differences in intelligence is Intelligence Quotient (IQ), which is derived from standardized tests designed to assess human intelligence. Individuals with IQ scores between 90 and 109 are considered average intelligence and those with scores of 89 to 80 are considered Below Average or Dullness. In this study our analysis of the literature has assessed the level of Kurdish intelligence quotient. The area of Kurdish nation, located in four different countries includes Iran, Iraq, Syria and Turkey. The average IQ of Iranian people is 84, Iraqi people 87, Syrian people 83 and Turkey people is 90. These numbers came from a work carried out from 2002 to 2006 by Richard Lynn, a British Professor of Psychology, and Tatu Vanhanen, a Finnish Professor of Political Science, who conducted IQ studies in more than 80 countries (IQ Research). Based on this study we estimate the average Kurdish IQ ranges between 83 and 90. Vanhanen and Lynn argue that IQ and the Wealth of Nations analyses the relation between national IQ scores and measures of economic performance. In this study, we aimed to assess the association between IQ (intelligence quotient) and neurocognitive, biological and genetics factors among Kurdish populations and then we drew inferences about the state of social progress and development of Kurdish societies and genetic characteristics based on a statistical pattern.","PeriodicalId":91292,"journal":{"name":"International journal of neurorehabilitation","volume":"2017 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70302942","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 : 2017-08-31DOI: 10.4172/2376-0281.1000287
Marina Todo, Toshiaki Suzuki, Y. Fukumoto, M. Tani, Y. Bunno, H. Yoneda
Purpose: The F-wave shows the excitability of spinal nerve. There is prior study that it is normal to appear the various F-waves. However, there is no provision for a method of judging whether or not it is the same waveform. The purpose of this study is to find objective evaluation in comparing F-wave waveform. Method: Present 5 trials of 30 F-wave to 3 people who are engaged in F-wave for many years. We compared the results of visually selected waveform and correlation coefficient (hereafter CC) calculated by personal computer. Results: There were 2 F-waves that 3 people checked, the highest value of CC was 0.99, the lowest value of CC was 0.95. There were 10 F-waves that 2 peoples checked, the highest value of CC was 1.00, the lowest value of CC was 0.71. From the above, consistency of 0.95 or more correlation coefficient was recognized, except for one case. Conclusion: F-wave waveform analysis, criterion with a CC of 0.95 was made as a judgment of the same waveform. We think that waveform analysis become index for physical disability improvement in clinical scene and it will be an objective evaluation of influential physical therapy.
{"title":"Application of F-Wave Waveform for the Effect of Physical Therapy-Relationship between the Correlation Coefficient of the F-Wave Waveforms and Waveform Identification by Investigators","authors":"Marina Todo, Toshiaki Suzuki, Y. Fukumoto, M. Tani, Y. Bunno, H. Yoneda","doi":"10.4172/2376-0281.1000287","DOIUrl":"https://doi.org/10.4172/2376-0281.1000287","url":null,"abstract":"Purpose: The F-wave shows the excitability of spinal nerve. There is prior study that it is normal to appear the various F-waves. However, there is no provision for a method of judging whether or not it is the same waveform. The purpose of this study is to find objective evaluation in comparing F-wave waveform. \u0000Method: Present 5 trials of 30 F-wave to 3 people who are engaged in F-wave for many years. We compared the results of visually selected waveform and correlation coefficient (hereafter CC) calculated by personal computer. \u0000Results: There were 2 F-waves that 3 people checked, the highest value of CC was 0.99, the lowest value of CC was 0.95. There were 10 F-waves that 2 peoples checked, the highest value of CC was 1.00, the lowest value of CC was 0.71. From the above, consistency of 0.95 or more correlation coefficient was recognized, except for one case. \u0000Conclusion: F-wave waveform analysis, criterion with a CC of 0.95 was made as a judgment of the same waveform. We think that waveform analysis become index for physical disability improvement in clinical scene and it will be an objective evaluation of influential physical therapy.","PeriodicalId":91292,"journal":{"name":"International journal of neurorehabilitation","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48331963","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 : 2017-08-28DOI: 10.4172/2376-0281.1000283
Chang-Yong Kim, Hyeong-Dong Kim
This commentary regards the inferences of the findings related to the effect of crossed-education using the progressive task-oriented approach on a tilt table in stroke patients. The findings from these studies recommend that crossed-education using the task-oriented training on the tilt table was very helpful for the function and rehabilitation of lower limb and clinical scores in acute and chronic hemiplegic stroke patients. Since these publications, a novel neurorehabilitation strategy using the crossed-education approach has been reported instead of rehabilitation treatment method concentrated on the affected-side. This has not been used in any study with acute and chronic stroke subjects. Furthermore, follow-up study also obtained that the use of crossed-education using task-oriented training on a tilt table has more aids on the betterment of maximal grip strength and arm function in a sub-acute stage of post-stroke hemiplegia subjects. Therefore, our proposed therapeutic approach could be a novel neuro-rehabilitation strategy for patients with various upper and lower limb severities.
{"title":"Commentary on Clinical Feasibility of the Crossed-Education Using the Task-Oriented Approach on the Tilt Table in Stroke Patients","authors":"Chang-Yong Kim, Hyeong-Dong Kim","doi":"10.4172/2376-0281.1000283","DOIUrl":"https://doi.org/10.4172/2376-0281.1000283","url":null,"abstract":"This commentary regards the inferences of the findings related to the effect of crossed-education using the progressive task-oriented approach on a tilt table in stroke patients. The findings from these studies recommend that crossed-education using the task-oriented training on the tilt table was very helpful for the function and rehabilitation of lower limb and clinical scores in acute and chronic hemiplegic stroke patients. Since these publications, a novel neurorehabilitation strategy using the crossed-education approach has been reported instead of rehabilitation treatment method concentrated on the affected-side. This has not been used in any study with acute and chronic stroke subjects. Furthermore, follow-up study also obtained that the use of crossed-education using task-oriented training on a tilt table has more aids on the betterment of maximal grip strength and arm function in a sub-acute stage of post-stroke hemiplegia subjects. Therefore, our proposed therapeutic approach could be a novel neuro-rehabilitation strategy for patients with various upper and lower limb severities.","PeriodicalId":91292,"journal":{"name":"International journal of neurorehabilitation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44063009","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 : 2017-08-25DOI: 10.4172/2376-0281.1000284
A. Krymchantowski
Background and objective: Medication-overuse headache (MOH) is a disabling and highly prevalent disease in neurologic clinics. Little evidence is available regarding treatment, but the suspension of overused medications, treatments using multidisciplinary approaches as well as absence of psychiatric comorbidities and overuse of drugs other than opioids are favorable outcome factors. Methods: We described key patient’s characteristics and treatment strategies carried out on consecutive patients with MOH from a specific tertiary center. The patients were submitted to a comprehensive approach with long-lasting initial consultations. The withdrawal of overused medications was conducted in all patients to whom different drugs for prevention were prescribed as well as the combination of a triptan plus an anti-inflammatory drug (NSAID) in a maximum intake of 2 days/week. Prednisone, as a bridge to detoxification, was given to 67.8% of the patients during the first 5-7 days. Results: After two months, 20.1% of the patients were lost to follow up and the mean headache frequency, among those who adhered, decreased to 10.7 headache days/month. After four and eight months, most of the patients were still under treatment with a mean headache frequency of 7.6 and 8.3 headache days/month. An intention to treat (ITT) analysis was also accomplished. After eight months, relapses or the use of symptomatic medications in 10 or higher days per month was observed in 23.8% of the patients (ITT 36.2%). Conclusion: The majority of patients with MOH undergoing comprehensive treatments show marked reduction in headache frequency, return to episodic presentation pattern and acceptable compliance with treatment directives despite previous therapeutic failures. Patient education, thorough evaluation and strict follow up even with patients previously seen as refractory, can lead to optimal clinical outcomes. Controlled studies on different treatment strategies are warranted.
{"title":"A Short Review on Medication-Overuse Headache","authors":"A. Krymchantowski","doi":"10.4172/2376-0281.1000284","DOIUrl":"https://doi.org/10.4172/2376-0281.1000284","url":null,"abstract":"Background and objective: Medication-overuse headache (MOH) is a disabling and highly prevalent disease in neurologic clinics. Little evidence is available regarding treatment, but the suspension of overused medications, treatments using multidisciplinary approaches as well as absence of psychiatric comorbidities and overuse of drugs other than opioids are favorable outcome factors. Methods: We described key patient’s characteristics and treatment strategies carried out on consecutive patients with MOH from a specific tertiary center. The patients were submitted to a comprehensive approach with long-lasting initial consultations. The withdrawal of overused medications was conducted in all patients to whom different drugs for prevention were prescribed as well as the combination of a triptan plus an anti-inflammatory drug (NSAID) in a maximum intake of 2 days/week. Prednisone, as a bridge to detoxification, was given to 67.8% of the patients during the first 5-7 days. Results: After two months, 20.1% of the patients were lost to follow up and the mean headache frequency, among those who adhered, decreased to 10.7 headache days/month. After four and eight months, most of the patients were still under treatment with a mean headache frequency of 7.6 and 8.3 headache days/month. An intention to treat (ITT) analysis was also accomplished. After eight months, relapses or the use of symptomatic medications in 10 or higher days per month was observed in 23.8% of the patients (ITT 36.2%). Conclusion: The majority of patients with MOH undergoing comprehensive treatments show marked reduction in headache frequency, return to episodic presentation pattern and acceptable compliance with treatment directives despite previous therapeutic failures. Patient education, thorough evaluation and strict follow up even with patients previously seen as refractory, can lead to optimal clinical outcomes. Controlled studies on different treatment strategies are warranted.","PeriodicalId":91292,"journal":{"name":"International journal of neurorehabilitation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-0281.1000284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48454297","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 : 2017-08-21DOI: 10.4172/2376-0281.1000285
S. Hemmer, J. Oertel
Background: Posterior cervical foraminotomy is a feasible treatment option for cervical radiculopathy. In this article, we want to give a short review on the advantages, indications and limitations of this treatment procedure. Methods: A Medline search for endoscopic posterior cervical foraminotomy was done and 13 articles were compared regarding the surgical technique, patient outcome, complications, intraoperative blood loss, surgical time, hospital stay and postoperative need for pain medication. Results: Compared to patients treated by an open approach, patients treated by endoscopic posterior cervical foraminotomy show equal clinical results, but lower complication rates and less intraoperative blood loss, reduced surgical time, hospital stay and postoperative need for pain medication. Conclusion: This review shows that posterior endoscopic decompression is a successful option in the treatment of bony cervical foraminal stenosis.
{"title":"Endoscopic Posterior Cervical Foraminotomy in Bony Stenosis – A Review of the Literature","authors":"S. Hemmer, J. Oertel","doi":"10.4172/2376-0281.1000285","DOIUrl":"https://doi.org/10.4172/2376-0281.1000285","url":null,"abstract":"Background: Posterior cervical foraminotomy is a feasible treatment option for cervical radiculopathy. In this article, we want to give a short review on the advantages, indications and limitations of this treatment procedure. Methods: A Medline search for endoscopic posterior cervical foraminotomy was done and 13 articles were compared regarding the surgical technique, patient outcome, complications, intraoperative blood loss, surgical time, hospital stay and postoperative need for pain medication. Results: Compared to patients treated by an open approach, patients treated by endoscopic posterior cervical foraminotomy show equal clinical results, but lower complication rates and less intraoperative blood loss, reduced surgical time, hospital stay and postoperative need for pain medication. Conclusion: This review shows that posterior endoscopic decompression is a successful option in the treatment of bony cervical foraminal stenosis.","PeriodicalId":91292,"journal":{"name":"International journal of neurorehabilitation","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-0281.1000285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44510309","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 : 2017-08-09DOI: 10.4172/2376-0281.1000280
Sebastian D Povlsen
Carpal tunnel syndrome is the most common peripheral neuropathy presenting to specialist hand and wrist clinics. Surgical decompression of the carpal tunnel considered if non-surgical options have failed. Surgical outcomes may be impaired if damage to the peripheral nerve damage is extensive. Despite conflicting evidence, there is mounting evidence that surgical outcomes for carpal tunnel syndrome are worse in more elderly populations. Indeed, it was found that 50% of patients with bilateral carpal tunnel syndrome aged over 60 have completely absent sensory nerve conduction. More extensive nerve damage in older patient groups may be due to delayed presentation following reduced pain sensitivity with age, reductions in nerve conduction velocities with the normal aging process and reduced axonal regeneration capacity with aging. Whilst more research is required, these findings should influence consenting information given to patients considered for surgery.
{"title":"Treating Carpal Tunnel Syndrome in the Elderly: Too little Too Late?","authors":"Sebastian D Povlsen","doi":"10.4172/2376-0281.1000280","DOIUrl":"https://doi.org/10.4172/2376-0281.1000280","url":null,"abstract":"Carpal tunnel syndrome is the most common peripheral neuropathy presenting to specialist hand and wrist clinics. Surgical decompression of the carpal tunnel considered if non-surgical options have failed. Surgical outcomes may be impaired if damage to the peripheral nerve damage is extensive. Despite conflicting evidence, there is mounting evidence that surgical outcomes for carpal tunnel syndrome are worse in more elderly populations. Indeed, it was found that 50% of patients with bilateral carpal tunnel syndrome aged over 60 have completely absent sensory nerve conduction. More extensive nerve damage in older patient groups may be due to delayed presentation following reduced pain sensitivity with age, reductions in nerve conduction velocities with the normal aging process and reduced axonal regeneration capacity with aging. Whilst more research is required, these findings should influence consenting information given to patients considered for surgery.","PeriodicalId":91292,"journal":{"name":"International journal of neurorehabilitation","volume":"2017 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41490727","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 : 2017-08-08DOI: 10.4172/2376-0281.1000281
M. Blessing, O. Oluwagbemiga
Stroke, also known as cerebrovascular accident (CVA), cerebrovascular insult (CVI) or brain attack, is when poor blood flow to the brain results in cell death, there is need for concurrent coping with stroke demand cognitive effort from the patient. Social support intervention is best started as early (at diagnosis) and demands continuous effort. Hence, the study examines the effectiveness of social support in coping with stroke by medically ill patient in Ibadan. The study is a descriptive survey research and a total of 50 stroke patients attending the government hospital of Adeoyo, Ibadan were purposively selected for the study. The study adopted the researchers, Multidimensional Scale of Social Support and the result yielded r=0.78 while coping with stroke was measured using a scale from Journal compilation (2008) Blackwell publishing Ltd. titled stroke self-efficacy questionnaire, the result yielded 0.81. The study developed five hypotheses and pearson product moment correlation was used to analyze of the findings. The result revealed that, there was a significant effect of family support on coping with stroke by the medically ill patients (r=0.352, N=50, p<0.05), there was a significant effect of financial support on coping with stroke by the medically ill patients (r=0.658, N=50, p<0.05), there was a significant relationship of emotional support on coping with stroke by the medically ill patients (r=0.402, N=50, p<0.05), there was a significant effect of companionship support on coping with stroke by the medically ill patients (r=0.654, N=50, p<0.05), the multiple regression analysis showed that, Family Support (β=-0.391, p<0.05) had significant effect followed by Financial Support (β=0.418, p<0.05), followed by Emotional Support (β=0.165, p<0.05) and Companionship Support (β=0.7878, p<0.05)Hence, the study revealed that, living with stroke requires joint effort of family support, financial support, emotional support and companionship support to help make the necessary changes to cope and adapt to stroke.
{"title":"Effectiveness of Social Support in Coping with Stroke by Medically Ill Patient in Ibadan","authors":"M. Blessing, O. Oluwagbemiga","doi":"10.4172/2376-0281.1000281","DOIUrl":"https://doi.org/10.4172/2376-0281.1000281","url":null,"abstract":"Stroke, also known as cerebrovascular accident (CVA), cerebrovascular insult (CVI) or brain attack, is when poor blood flow to the brain results in cell death, there is need for concurrent coping with stroke demand cognitive effort from the patient. Social support intervention is best started as early (at diagnosis) and demands continuous effort. Hence, the study examines the effectiveness of social support in coping with stroke by medically ill patient in Ibadan. The study is a descriptive survey research and a total of 50 stroke patients attending the government hospital of Adeoyo, Ibadan were purposively selected for the study. The study adopted the researchers, Multidimensional Scale of Social Support and the result yielded r=0.78 while coping with stroke was measured using a scale from Journal compilation (2008) Blackwell publishing Ltd. titled stroke self-efficacy questionnaire, the result yielded 0.81. The study developed five hypotheses and pearson product moment correlation was used to analyze of the findings. The result revealed that, there was a significant effect of family support on coping with stroke by the medically ill patients (r=0.352, N=50, p<0.05), there was a significant effect of financial support on coping with stroke by the medically ill patients (r=0.658, N=50, p<0.05), there was a significant relationship of emotional support on coping with stroke by the medically ill patients (r=0.402, N=50, p<0.05), there was a significant effect of companionship support on coping with stroke by the medically ill patients (r=0.654, N=50, p<0.05), the multiple regression analysis showed that, Family Support (β=-0.391, p<0.05) had significant effect followed by Financial Support (β=0.418, p<0.05), followed by Emotional Support (β=0.165, p<0.05) and Companionship Support (β=0.7878, p<0.05)Hence, the study revealed that, living with stroke requires joint effort of family support, financial support, emotional support and companionship support to help make the necessary changes to cope and adapt to stroke.","PeriodicalId":91292,"journal":{"name":"International journal of neurorehabilitation","volume":"2017 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-0281.1000281","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70302886","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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