Physical medicine and rehabilitation research最新文献

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Using mixed methods to better appreciate the life impact of upper limb reconstruction surgeries for tetraplegia in New Zealand – a study protocol 使用混合方法更好地了解新西兰四肢瘫痪患者上肢重建手术对生活的影响-一项研究方案

Physical medicine and rehabilitation research

Pub Date : 2019-01-01 DOI: 10.15761/pmrr.1000194

Kathryn Anne Sinnott Jerram, J. Dunn, R. Smaill, J. Middleton

Background: Until the recent advent of innovative nerve transfer (NT) procedures, upper limb reconstructive surgeries for people with tetraplegia have traditionally involved tendon transfers being performed at a time when neurological recovery had plateaued and the person had returned to live, adapt and acquire new life skills prior to having surgery. This study aims to provide a greater understanding of the process of decision-making for upper limb reconstructive surgical procedures at an early stage prior to full knowledge of life with tetraplegia, as well as the life impacts of surgical arm/hand reconstruction procedures. Methods: A mixed methods convergent design is utilized to allow for the concurrent exploration of narrative data from a case series; and qualitative content analysis of one and quantitative analysis of the two patient-reported outcome measures (PROMs) collected in New Zealand Upper Limb Surgery Registry since 2010. Concurrently, the international classification of functioning, disability and health (ICF) taxonomy is used as the analytical lens to guide data interpretation. Discussion: This study series challenges the conduit role of research and lived experience collaborations for embracing both rehabilitation and disability philosophies to generate and translate knowledge in the SCI field. The designed studies will inform identification of the most relevant therapeutic targets and their measurement, with increased integrity around the ‘person-centred assessment process’ and elaboration of PROMs that reflect that integrity, and are less clinician-directed in terms of content.

背景:在最近创新的神经移植(NT)手术出现之前，四肢瘫痪患者的上肢重建手术传统上都是在神经恢复趋于稳定，患者在手术前已经恢复生活、适应和获得新的生活技能时进行肌腱移植。本研究的目的是在充分了解四肢瘫痪患者的生活之前，更好地了解早期上肢重建手术的决策过程，以及手术手臂/手重建手术对生活的影响。方法:采用混合方法趋同设计，允许从案例系列中同时探索叙事数据;并对2010年以来新西兰上肢手术登记处收集的两项患者报告的预后指标(PROMs)进行定性内容分析和定量分析。同时，国际功能、残疾和健康分类(ICF)分类法被用作指导数据解释的分析视角。讨论:本研究系列挑战了研究和生活经验合作的渠道作用，包括康复和残疾哲学，以产生和转化SCI领域的知识。设计的研究将为确定最相关的治疗靶点及其测量提供信息，围绕“以人为中心的评估过程”增加完整性，并详细说明反映该完整性的prom，并且在内容方面较少以临床医生为导向。

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引用次数: 1

Cayenne Pepper Cataplasm “Munari” reduces pain and improves mobility in patients with non-specific chronic low back pain 辣椒辣椒贴片“Munari”减轻疼痛，改善非特异性慢性腰痛患者的活动能力

Physical medicine and rehabilitation research

Pub Date : 2019-01-01 DOI: 10.15761/PMRR.1000202

S. Zampieri, N. Šarabon, Stefan Löfler, C. Hofer, Sascha Sajer, Felix Kabas, Ján Cvečka, M. Sedliak, Mathias Krenn, Wolfgang Hüebl, H. Kern

1Department of Biomedical Sciences, Padova, Italy 2University of Primorska, Faculty of Health Sciences, Koper, Slovenia 3S2P, Science to Practice Ltd., Laboratory for Motor Control and Motor Behaviour, Ljubljana, Slovenia 4Ludwig Boltzmann Institute of Rehabilitation Research, St Pölten, Austria 5Institute of Physical Medicine and Rehabilitation, Prim. Dr. H Kern GmbH, Amstetten, Austria 6Comenius University, Institute for Human Performance, Bratislava, Slovakia 7Comenius University, Department of Sport Kinanthropology, Bratislava, Slovakia 8Department of Laboratory Medicine, Wilhelminenspital, Vienna, Austria

1意大利帕多瓦生物医学科学系2斯洛文尼亚普里莫尔斯卡大学科佩尔健康科学学院3S2P科学到实践有限公司运动控制和运动行为实验室斯洛文尼亚卢布尔雅那4奥地利路德维希·玻尔兹曼康复研究所St Pölten 5奥地利普里姆博士克恩有限公司物理医学和康复研究所斯洛伐克布拉迪斯拉发夸美纽斯大学人类表现研究所夸美纽斯大学斯洛伐克布拉迪斯拉发运动与人体学系8奥地利维也纳威廉敏医院检验医学系

引用次数: 0

Rehabilitation for Hard to Reach Populations: A Scoping Review Protocol 难以接触到的人群的康复:范围审查协议

Physical medicine and rehabilitation research

Pub Date : 2019-01-01 DOI: 10.15761/PMRR.1000198

S. Wojkowski, H. Khurana, J. Richardson, Susanne Sinclair, L. Letts, V. D. Bello-Haas, L. Shimmell

Rehabilitation is a set of interventions designed to reduce disability, and optimize functioning in individuals with health conditions, such as disease, injury, trauma, aging, stress, or genetic predisposition, in interaction with their environments [1]. The field of rehabilitation is primarily focused on optimizing the function of persons with health conditions to promote independence [2]. The overall need for rehabilitation care is steadily increasing as global trends indicate an escalation in injuries and diseases in an aging population [2]. Timely access to health services, including rehabilitation, is critical to promote and sustain health [3].

康复是一套干预措施，旨在减少残疾，并优化个人的健康状况，如疾病，损伤，创伤，衰老，压力，或遗传易感性，与他们的环境相互作用的功能。康复领域主要侧重于优化有健康状况的人的功能，以促进独立。随着全球趋势表明，人口老龄化造成的伤害和疾病的增加，对康复护理的总体需求正在稳步增长。及时获得保健服务，包括康复服务，对于促进和维持健康bbb至关重要。

引用次数: 0

Creating a standardized, quantitative training protocol for upper limb bypass prostheses 为上肢搭桥假体制定标准化、定量的训练方案

Physical medicine and rehabilitation research

Pub Date : 2018-12-10 DOI: 10.15761/PMRR.1000191

Conor Bloomer, Sophie L. Wang, K. Kontson

We aim to present a standard protocol for training able-bodied individuals to use a body-powered bypass prosthesis and assess training length and impact of prepositioning. The protocol design and subsequent analysis aims to facilitate controlled and efficient implementation of the able-bodied bypass user in the research setting. Six volunteers completed ten two-hour sessions with a body-powered bypass prosthesis. Each session included standardized training tasks: object manipulation, free training, and activities of daily living. Two outcome measures, a modified Southampton Hand Assessment Procedure and the Box and Blocks Test were used to score performance during each session. A standard learning curve was fitted to the scores to determine an optimal training length based on learning rate and learning plateau values; further tested through an effect size calculation. To assess prepositioning, scores were normalized and grouped by a measure of terminal device rotations. Scores then underwent a linear regression analysis. Optimal training lengths were found to be three and six sessions for modified Southampton Hand Assessment Procedure and Box and Blocks Test results respectively, with support from effect size calculations. Prepositioning and normalized score were weakly correlated, +0.38, and poorly fit, R2 = 0.016, contradictory to the expected strong correlation that would accompany the supposed performance benefits attributed to prepositioning. A lack of resources to guide the use of upper limb bypass prostheses is addressed with the presented standard, quantitatively assessed protocol. A framework for evaluating adequate training length and prepositioning is established and shared.

我们的目的是提出一个标准方案，用于训练身体健全的人使用身体动力旁路假体，并评估预定位的训练长度和影响。协议设计和后续分析旨在促进研究环境中健全旁路用户的受控和高效实施。六名志愿者完成了十次两小时的身体动力搭桥手术。每节课都包括标准化的训练任务：物体操作、自由训练和日常生活活动。两种结果测量方法，一种是改良的南安普顿手部评估程序，另一种是盒子和方块测试，用于对每次训练中的表现进行评分。将标准学习曲线拟合到分数，以基于学习率和学习平台值来确定最佳训练长度；通过效应大小计算进一步测试。为了评估介词，分数被标准化，并通过终端设备旋转的测量进行分组。然后对分数进行线性回归分析。在效应大小计算的支持下，修改后的南安普顿手部评估程序和Box和Blocks测试结果的最佳训练长度分别为三次和六次。介词和标准化分数之间的相关性较弱，为+0.38，拟合较差，R2=0.016，与预期的强相关性相矛盾，这种相关性将伴随着介词带来的假定性能优势。通过所提出的标准、定量评估方案，解决了缺乏资源来指导上肢搭桥术的使用的问题。建立并共享了一个评估适当培训时间和预先部署的框架。

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引用次数: 10

Creating a standardized, quantitative training protocol for upper limb bypass prostheses. 建立上肢搭桥假体的标准化、定量训练方案。

Physical medicine and rehabilitation research

Pub Date : 2018-01-01 Epub Date: 2018-12-10

Conor Bloomer, Sophie Wang, Kimberly Kontson

We aim to present a standard protocol for training able-bodied individuals to use a body-powered bypass prosthesis and assess training length and impact of prepositioning. The protocol design and subsequent analysis aims to facilitate controlled and efficient implementation of the able-bodied bypass user in the research setting. Six volunteers completed ten two-hour sessions with a body-powered bypass prosthesis. Each session included standardized training tasks: object manipulation, free training, and activities of daily living. Two outcome measures, a modified Southampton Hand Assessment Procedure and the Box and Blocks Test were used to score performance during each session. A standard learning curve was fitted to the scores to determine an optimal training length based on learning rate and learning plateau values; further tested through an effect size calculation. To assess prepositioning, scores were normalized and grouped by a measure of terminal device rotations. Scores then underwent a linear regression analysis. Optimal training lengths were found to be three and six sessions for modified Southampton Hand Assessment Procedure and Box and Blocks Test results respectively, with support from effect size calculations. Prepositioning and normalized score were weakly correlated, +0.38, and poorly fit, R ² = 0.016, contradictory to the expected strong correlation that would accompany the supposed performance benefits attributed to prepositioning. A lack of resources to guide the use of upper limb bypass prostheses is addressed with the presented standard, quantitatively assessed protocol. A framework for evaluating adequate training length and prepositioning is established and shared.

我们的目标是提出一个标准的方案来训练健全的人使用身体动力的旁路假体，并评估训练时间和预定位的影响。方案设计和后续分析旨在促进研究环境中健全旁路用户的可控和高效实施。6名志愿者使用身体供能的旁路假体完成了10个两小时的疗程。每节课都包括标准化的训练任务:物体操作、免费训练和日常生活活动。两个结果测量，一个修改的南安普顿手评估程序和盒子和块测试用于在每次会议期间对表现进行评分。根据学习速率和学习平台值拟合标准学习曲线，确定最优训练长度;通过效应量计算进一步验证。为了评估预定位，得分被归一化，并通过测量终端设备旋转分组。然后对分数进行线性回归分析。在效应大小计算的支持下，改进的南安普敦手部评估程序和盒块测试结果的最佳训练长度分别为3次和6次。预定位与归一化得分呈弱相关(+0.38)，拟合差(r2 = 0.016)，这与预期的强相关性相矛盾，预期的强相关性将伴随假定的归因于预定位的绩效收益。缺乏资源来指导上肢搭桥假体的使用，提出了标准的定量评估方案。建立和共享评估适当训练长度和预定位的框架。

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引用次数: 0

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