Articles de revues : « Rehabilitative aim »

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Bernetti, Andrea, Francesco Agostini, Alessandro de Sire, Massimiliano Mangone, Lucrezia Tognolo, Annalisa Di Cesare, Pierangela Ruiu, Teresa Paolucci, Marco Invernizzi et Marco Paoloni. « Neuropathic Pain and Rehabilitation : A Systematic Review of International Guidelines ». Diagnostics 11, n^o 1 (5 janvier 2021) : 74. http://dx.doi.org/10.3390/diagnostics11010074.

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Background: Neuropathic pain is an injury or disease of the central and/or peripheral somatosensory nervous system, and it has a significant impact on quality of life, especially since it is often refractory to treatment. Rehabilitative intervention is considered in various guidelines on neuropathic pain treatment, although not in an organic nor detailed way. The aim of this systematic review was to analyze the most indicated therapeutic strategies, providing rehabilitative recommendations in the management of neuropathic pain. Methods: A systematic review was performed according to PRISMA guidelines. The scientific search, carried out until July 2020, considered guidelines in English language of the last thirteen years. Results: Six guidelines were analyzed, from which emerges that a multidisciplinary approach, comprehensive of pharmacologic and nonpharmacologic interventions, should drive neuropathic pain management. A relevant role in non-pharmacological intervention is played by rehabilitation, through an adequate tailored rehabilitation program and physical therapies. Conclusion: This analysis highlights the importance of rehabilitation but also the lack of evidence on various rehabilitative practices. Arises hence the need for further studies in this field to better define a rehabilitative treatment strategy.

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Shaidukova, L. K. « Modern approaches to the rehabilitation of the drug addicts ». Kazan medical journal 94, n^o 3 (15 juin 2013) : 402–5. http://dx.doi.org/10.17816/kmj2194.

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The aim of the presented paper is to analyze the approaches to the non-pharmaceutical rehabilitation of the drug addicts based on the example of the Social and Rehabilitative Centre «Roza Vetrov» of the municipal pedagogic institution «Podrostok». The following rehabilitative approaches were used: (1) labor and environmental rehabilitation; (2) group and family psychotherapy; (3) different trainings; (4) supported employment and workplace accommodation. Destigmatization is an obligatory psychotherapeutical procedure starting the rehabilitation. Rehabilitative environment is a special micro social group with adjusted behavior. Trainings are a complex of psycho corrective procedures with different targets. Adaptive psychotherapy is the necessary part of the rehabilitation and bringing the patients back to the micro social group they are used to be a member of. Family psychotherapy is performed by discussing the problems of co-abuse, possible options of manipulative behavior in drug addicts and their families. At the stage of workplace accommodation and professional orientation behavior modes are formed, necessary for successful entry into the professional labor.

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Iuppariello, Luigi, Mario Cesarelli, Giuliana Faiella, S. Esposito, M. Nespoli, L. Foggia et Fabrizio Clemente. « Design of technology-based rehabilitation pathways : the experience of Santobono-Pausilipon Hospital ». ACTA IMEKO 7, n^o 4 (9 janvier 2019) : 55. http://dx.doi.org/10.21014/acta_imeko.v7i4.583.

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The fields of rehabilitation robotics and virtual reality (VR) are becoming a growing area in the clinical rehabilitation of people with motion impairments. These systems have the potential to assess abilities through physiological measurements and modelling activities such as posture, gait, and balance. They can be used as rehabilitative tools by providing patients with task-specific training in a motivating and engaging way too. Although the potential advantages of such systems, until now there is a general limitation of their use in rehabilitative practice. Robotics and VR systems can be challenging, engaging and fun, particularly for children with disabilities, since they are often not very motivated to comply with conventional therapy. The aim of this work is to accurately describe the clinical use of innovative rehabilitative technologies and their use for the development of two technology-based rehabilitation pathways for the treatment of gait disorders following obesity and neurological diseases in treatment of pediatric patients.

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Khaibullina, Z. R. « Organizational aspects of rehabilitative care for patients with traumatic disease of the spinal cord ». Bulletin of Siberian Medicine 9, n^o 3 (28 juin 2010) : 147–49. http://dx.doi.org/10.20538/1682-0363-2010-3-147-149.

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Proposed organizational aspects of rehabilitative care for patients with traumatic disease of the spinal cord. Aim was to study the organization providing rehabilitation of spinal patients. Identified the following stages of rehabilitation services: a full-fledged conservative therapy, rehabilitation, improvement or compensation for lost functions, the restoration of household activity, the restoration of social activity. Properly set the organization of rehabilitation services, allows patients to our clinic undergo a complete rehabilitation, which greatly improved the results of treatment of this severe pathology.

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Langer, Daniel. « Addressing the changing rehabilitation needs of patients undergoing thoracic surgery ». Chronic Respiratory Disease 18 (1 janvier 2021) : 147997312199478. http://dx.doi.org/10.1177/1479973121994783.

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The rehabilitation needs of individuals undergoing thoracic surgery are changing, especially as surgical management is increasingly being offered to patients who are at risk of developing functional limitations during and after hospital discharge. In the past rehabilitative management of these patients was frequently limited to specific respiratory physiotherapy interventions in the immediate postoperative setting with the aim to prevent postoperative pulmonary complications. In the past two decades, this focus has shifted toward pulmonary rehabilitation interventions that aim to improve functional status of individuals, both in the pre- and (longer-term) postoperative period. While there is increased interest in (p)rehabilitation interventions the majority of thoracic surgery patients are however currently on their own with respect to progression of their exercise and physical activity regimens after they have been discharged from hospital. There are also no formal guidelines supporting the referral of these patients to outpatient rehabilitation programs. The current evidence regarding rehabilitation interventions initiated before, during, and after the hospitalization period will be briefly reviewed with special focus on patients undergoing surgery for lung cancer treatment and patients undergoing lung transplantation. More research will be necessary in the coming years to modify or change clinical rehabilitation practice beyond the acute admission phase in patients undergoing thoracic surgery. Tele rehabilitation or web-based activity counseling programs might also be interesting emerging alternatives in the (long-term) postoperative rehabilitative treatment of these patients.

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Ito, Akira, Naoko Kubo, Nan Liang, Tomoki Aoyama et Hiroshi Kuroki. « Regenerative Rehabilitation for Stroke Recovery by Inducing Synergistic Effects of Cell Therapy and Neurorehabilitation on Motor Function : A Narrative Review of Pre-Clinical Studies ». International Journal of Molecular Sciences 21, n^o 9 (29 avril 2020) : 3135. http://dx.doi.org/10.3390/ijms21093135.

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Neurological diseases severely affect the quality of life of patients. Although existing treatments including rehabilitative therapy aim to facilitate the recovery of motor function, achieving complete recovery remains a challenge. In recent years, regenerative therapy has been considered as a potential candidate that could yield complete functional recovery. However, to achieve desirable results, integration of transplanted cells into neural networks and generation of appropriate microenvironments are essential. Furthermore, considering the nascent state of research in this area, we must understand certain aspects about regenerative therapy, including specific effects, nature of interaction when administered in combination with rehabilitative therapy (regenerative rehabilitation), and optimal conditions. Herein, we review the current status of research in the field of regenerative therapy, discuss the findings that could hold the key to resolving the challenges associated with regenerative rehabilitation, and outline the challenges to be addressed with future studies. The current state of research emphasizes the importance of determining the independent effect of regenerative and rehabilitative therapies before exploring their combined effects. Furthermore, the current review highlights the progression in the treatment perspective from a state of compensation of lost function to that of a possibility of complete functional recovery.

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Meijer, Sonja. « Rehabilitation as a Positive Obligation ». European Journal of Crime, Criminal Law and Criminal Justice 25, n^o 2 (15 mars 2017) : 145–62. http://dx.doi.org/10.1163/15718174-25022110.

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Although the emphasis in European penal policy now lies on the rehabilitative aim of imprisonment, the concept of rehabilitation remains vague and is being interpreted differently in different European countries. This paper looks at rehabilitation from a legal perspective and aims to clarify the current meaning and content of the principle of rehabilitation. It does this by focusing on the questions of whether and on what grounds rehabilitation can be considered a positive obligation on the part of the State and, if so, what the consequences are of recognising rehabilitation as a positive obligation.

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Dürr, Dorte Wiwe, et Anita Lunde. « Complementary and alternative medicine (CAM) in Danish residential homes for people with severe mental illness : Use and perceived benefits of CAM in relation to recovery ». International Journal of Social Psychiatry 66, n^o 5 (11 mai 2020) : 489–95. http://dx.doi.org/10.1177/0020764020919485.

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Background and Aim: Mental health services in Denmark offer various rehabilitative treatment interventions to people with severe mental illness. Complementary and Alternative Medicine (CAM) such as National Acupuncture Detoxification Association (NADA) ear acupuncture are used as rehabilitative interventions. We investigated the use of CAM in four psychiatric residential homes, and whether CAM supports residents’ rehabilitation and personal recovery. Methods: Residents in four selected residential homes participated in a questionnaire study, which elicited information on the use of CAM offered in a residential home setting. The study was conducted from February to November 2017. Recovery scores were assessed using the Mental Health Recovery Measure (MHRM). Results: Of 131 eligible respondents, 68 (52%) participated. CAM was used by 84% of the residents. NADA ear acupuncture (38%) and music therapy (37%) were the most commonly used types of CAM. Conclusions: CAM is a commonly used rehabilitative intervention and more than 50% receiving treatment with CAM believed that it has supported their recovery process.

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Amitay, Gila, Donya Hawa-Kamel et Natti Ronel. « Sufi Non-Doing Offender Rehabilitation : Positive and Peacemaking Criminology in Practice ». International Journal of Offender Therapy and Comparative Criminology 65, n^o 8 (1 février 2021) : 916–36. http://dx.doi.org/10.1177/0306624x21990782.

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Offender rehabilitation is a challenging goal that calls for ongoing creative innovations. Amongst is a non-doing rehabilitative initiation that is inspired by spiritual traditions. The aim of this paper is to present an application of non-doing offender rehabilitation that has no declared intention to rehabilitate, carried by a peacemaking Islamic Sufi route. Based on the positive criminology approach, we conducted a qualitative phenomenological study consisted of interviews with 11 ex-prisoners who were employed in the Shadhiliyya-Yashrutiyya Sufi order as construction workers and also with 35 Sufi disciple and leaders. We identified five themes of non-doing: (1) atmosphere; (2) modeling; (3) social inclusion and suspension of judgement; (4) spiritual meaning; (5) feasibility of transformative processes. The discussion presents principles of a model of non-doing rehabilitation in a spiritual community and emphasizes the research innovation in presenting non-doing as a holistic method of inclusion within a transformative faith community.

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Argento, Ornella, Chiara Piacentini, Michela Bossa, Carlo Caltagirone, Andrea Santamato, Vincenzo Saraceni et Ugo Nocentini. « Study Protocol : Strategies and Techniques for the Rehabilitation of Cognitive and Motor Deficits in Patients with Multiple Sclerosis ». NeuroSci 3, n^o 3 (12 juillet 2022) : 395–407. http://dx.doi.org/10.3390/neurosci3030029.

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MS clinical features vary between patients. In approximately 60% of cases, cognitive deficits are associated with motor disabilities, with consequences on both walking and maintaining balance and cognitive efficiency. Multimodal programs are very infrequent for MS patients and cognitive rehabilitation is not provided by the Italian health system, which only favors access to motor rehabilitation. Dual-task studies showed how motor and cognitive skills are closely associated. Therefore, physiotherapy exercises may favor an indirect improvement in cognition. The aim of this study is to understand which rehabilitative approach may increase both cognitive and motor efficiency, avoiding the waste of time and resources. In this multi-site single-blind parallel controlled clinical trial, we will compare three rehabilitative approaches: cognitive training, motor training and combined cognitive–motor training. We also aim to evaluate: whether self-perception and objective improvement correspond; the impact of each rehabilitation program on patients’ QoL, mood and self-perception; and long-term effects. A total of 60 patients will be randomly assigned to one of the three treatments for two 45-min sessions/week for 12 weeks. All participants will undergo a complete cognitive, motor, clinical assessment together with mood, self-perception, and QoL questionnaires before, immediately after and 6 months after the training period.

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Formica, Caterina, Simona De Salvo, Katia Micchìa, Fabio La Foresta, Serena Dattola, Nadia Mammone, Francesco Corallo et al. « Cortical Reorganization after Rehabilitation in a Patient with Conduction Aphasia Using High-Density EEG ». Applied Sciences 10, n^o 15 (30 juillet 2020) : 5281. http://dx.doi.org/10.3390/app10155281.

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Conduction aphasia is a language disorder occurred after a left-brain injury. It is characterized by fluent speech production, reading, writing and normal comprehension, while speech repetition is impaired. The aim of this study is to investigate the cortical responses, induced by language activities, in a sub-acute stroke patient affected by conduction aphasia before and after an intensive speech therapy training. The patient was examined by using High-Density Electroencephalogram (HD-EEG) examination, while was performing language tasks. the patient was evaluated at baseline and after two months after rehabilitative treatment. Our results showed that an intensive rehabilitative process, in sub-acute stroke, could be useful for a good outcome of language deficits. HD-EEG results showed that left parieto-temporol-frontal areas were more activated after 2 months of rehabilitation training compared with baseline. Our results provided evidence that an intensive rehabilitation process could contribute to an inter- and intra-hemispheric reorganization.

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Kantanavičiūtė-Petružė, Rita, et Saulė Grigaliūnaitė. « Treatment Strategies in Adult Dysphagia ». Reabilitacijos mokslai : slauga, kineziterapija, ergoterapija 2, n^o 25 (10 février 2022) : 29–38. http://dx.doi.org/10.33607/rmske.v2i25.1131.

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Background. Swallowing disorders are becoming more common in an aging society, so it is important to understand and know the phases of swallowing, including the voluntary and involuntary aspects of the swallowing process, in order to be able to apply strategies to overcome swallowing disorders. Aim. To reveal the strategies in adult dysphagia treatment. Methods. Theoretical scientific research. This method enables to reveal and analyse the concept of swallowing disorders in the context of Lithuania and foreign countries, analyzes the variety of rehabilitation strategies applied to overcome swallowing disorders, and emphasizes the importance of complex dysphagia assessment and treatment. Adult dysphagia treatment strategies are compared and summarized. Results. The analysis of Lithuanian and foreign science research showed that complex strategies are most often applied for adult dysphagia treatment. Rehabilitative dysphagia treatment strategies are used to accelerate the recovery of swallowing function, and compensatory strategies are applied to ensure patient safety during eating. Conclusion. In each case, speech therapy differs depending on individual personal and external factors that affect swallowing disorder. Adult dysphagia treatment is usually complex in Lithuania: both rehabilitative and compensatory models are applied in dysphagia treatment. Keywords: swallowing disorders, dysphagia treatment strategies, rehabilitative dysphagia treatment strategies, compensatory dysphagia treatment strategies.

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Dr. Warda Ali, Rana Qais. « Effect of therapeutic methods and exercises for the rehabilitation of low lumbar herniated disc in the infected (30-40) years ». Modren Sport Journal 19, n^o 2 (3 novembre 2020) : 0001. http://dx.doi.org/10.54702/msj.2020.19.2.0001.

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The aim of the research is to prepare training exercises with therapeutic and rehabilitative methods for the slight lumbar herniated disc for the injured (30-40) years as well as the impact of the rehabilitation exercises with therapeutic and rehabilitative means of the slight lumbar herniated disc for the infected (30-40) years, and the researchers used the curriculum The one-group demo identifies the research community with the patients with the simple herniated disc and a number of the injured and the number of (3) injured reviewers of the center of Specialty, orthopedic surgery and fractures and paragraphs/Harithiya The researchers concluded that the therapeutic methods have achieved positive results in Rehabilitation of the injured and a clear increase in the flexibility of the muscles of the back the flexibility is very important for people with spinal slide improves the low level of pain in the research sample, which indicates that the injured have achieved good results in the therapeutic exercises and recommended the researchers to use the means Therapeutic used in research the researchers are recommending that the patients be given prompt and appropriate treatment and rehabilitation as soon as the pain or feeling of the injury occurs

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Berg, Linda, Margaretha Jenholt Nolbris, Ingalill Koinberg, Christina Melin-Johansson, Anders Möller et Joakim Öhlén. « Characterisation of Cancer Support and Rehabilitation Programmes : A Swedish Multiple Case Study ». Open Nursing Journal 8, n^o 1 (10 janvier 2014) : 1–7. http://dx.doi.org/10.2174/1874434601408010001.

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Cancer support and rehabilitation are suggested to be an integral part of cancer care strategies. This study focuses on comparativeness of cancer support and rehabilitation programmes. The aim of this study was to analyse available cancer support and rehabilitation programmes in Sweden presented as complementary to cancer rehabilitation at cancer clinics. A multiple case study design was chosen in order to inquire the small number of existing supportive and rehabilitative cancer programmes. Based on the structures, processes and outcomes of the nine included programmes, three types of cancer support and rehabilitation programmes were identified: multimodal rehabilitation, comprehensive cancer support and art therapy. Cancer support and rehabilitation programmes offer a variety of activities and therapies which are highly valuable and relevant for people with cancer. The typology of cancer support and rehabilitation programmes and comparability between programmes need further inquiry.

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Traficante, Daniela, et Alessandro Antonietti. « Technology in Rehabilitative Interventions for Children : Challenges and Opportunities ». Children 9, n^o 5 (22 avril 2022) : 598. http://dx.doi.org/10.3390/children9050598.

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Martufi, Adriano. « Assessing the resilience of ‘social rehabilitation’ as a rationale for transfer ». New Journal of European Criminal Law 9, n^o 1 (mars 2018) : 43–61. http://dx.doi.org/10.1177/2032284418761473.

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This article provides an analysis of the Framework Decision 2008/909/JHA on the transfer of sentenced persons in the European Union (EU). Particular emphasis is placed on the provisions in the Framework Decision which makes direct or indirect reference to the aim of ‘social rehabilitation’. While this aim of punishment is referred to as the main rationale for transferring prisoners to another member state, it can be argued that the EU instrument fails to provide adequate safeguards against a potential misuse of the procedure. In particular, due to the increased automaticity of transfer proceedings, there is a risk that national authorities may not conduct a case-by-case assessment of the sentenced person’s situation. This sits at odds with the necessity of individualization underlying the rehabilitative ideal and may give rise to fundamental rights infringements. In the conclusion, a series of policy recommendations are put forward to increase the protection of the person’s interest to social rehabilitation.

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Miccinilli, Sandra, Marco Bravi, Michelangelo Morrone, Fabio Santacaterina, Lugi Stellato, Federica Bressi et Silvia Sterzi. « A Triple Application of Kinesio Taping Supports Rehabilitation Program for Rotator Cuff Tendinopathy : a Randomized Controlled Trial ». Ortopedia Traumatologia Rehabilitacja 20, n^o 6 (31 décembre 2018) : 499–505. http://dx.doi.org/10.5604/01.3001.0012.9707.

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Background. Rotator cuff tendinopathy (RoCT) is a common pathology among adults. Kinesio-taping (KT) represents a possible rehabilitative treatment. The aim of the present study is to investigate the efficacy of a combination of three different applications of KT combined with a standardized protocol of rehabilitative exercises in reducing pain and in functional recovery in patients affected by RoCT. Materials and methods. 21 patients were enrolled in a real group (RG) and 19 in a sham group (SG). RG received a real KT application and SG received a sham KT application. Both groups received the same rehabilitative protocol. A Numeric Rating Scale (NRS) for shoulder pain, Medical Research Council (MRC) Scales for shoulder strength assessment and Costant Murley Score (CMS) were administered before (T0) and at the end of treatment (T1). Results. Within-group analysis for RG at T1 showed significant improvement in: NRS at-rest (p=0.002), during-movement (p<0.001); CMS (p<0.001); MRC shoulder flexion (p=0.003), extension (p=0.005), abduction (p=0.003), adduction (p=0.007), external rotation (p=0.011), internal rotation (p=0.002), elbow flexion (p=0.008) and extension strength (p=0.011). Within-group analysis for SG at T1 showed significant improvement in: during-movement NRS (p=0.010); CMS (p<0.001). Conclusions. 1. KT application combined with conventional rehabilitative treatment can facilitate immediate pain reduction during rehabilitative treatment. 2. KT application combined with conventional rehabilitative treatment can increase function recovery. 3. KT application combined with conventional rehabilitative treatment can increase strength recovery. 4. Our findings however are not strong enough to recommend the application of KT during rehabilitative treatment for RoCT. 5. These results are the basis for future prospective, randomized controlled trials of larger samples of patients

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Ryskalin, Larisa, Giulia Ghelarducci, Chiara Marinelli, Gabriele Morucci, Paola Soldani, Nicolò Bertozzi, Paolo Annoscia, Andrea Poggetti et Marco Gesi. « Effectiveness of Decision Support to Treat Complex Regional Pain Syndrome ». Applied Sciences 12, n^o 18 (7 septembre 2022) : 8979. http://dx.doi.org/10.3390/app12188979.

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Background: Complex regional pain syndrome (CRPS) type 1 is a rare but disabling pain condition, usually involving distal extremities such as the wrist, hand, ankle, and foot due to either direct or indirect traumas. CRPS type 1 is characterized by a complex set of symptoms where no correlation can be identified between the severity of the initial injury and the ensuing painful syndrome. Over the years, numerous treatment strategies have been proposed for CRPS management, but therapies remain controversial. At present, no successful therapeutic intervention exists for this condition. The aim of the present study was to propose and assess the effectiveness of a rehabilitative treatment algorithm for CRPS, which is actually in use at our institution. Methods: We retrospectively reviewed all the patients that underwent physical rehabilitative treatment algorithm for hand CRPS between 2011 and 2017 at our Institution. Results: All the parameters taken into consideration, namely the Purdue Pegboard Test (PPT), Disability of the Arm, Shoulder and Hand (DASH), Visual Analog Scale (VAS), as well hand edema, were significantly improved at the end of the rehabilitation protocol. Conclusions: The results obtained in the present study demonstrated that our rehabilitation protocol was able to achieve substantial improvement in pain and quality of life scores. Thus, an early and skillful rehabilitation intervention is of paramount importance for CPRS type 1 management to achieve a stable and optimal functional recovery while preventing the onset of deformities.

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Teo, Jia Hui, Shu-Ling Chong, LW Chiang et Zhi Min Ng. « Cost of inpatient rehabilitation for children with moderate to severe traumatic brain injury ». Annals of the Academy of Medicine, Singapore 50, n^o 1 (31 janvier 2021) : 26–32. http://dx.doi.org/10.47102/annals-acadmedsg.2020114.

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ABSTRACT Aim: To evaluate the cost of inpatient rehabilitation for children with moderate to severe traumatic brain injury (TBI). Secondary aim was to identify factors associated with high inpatient rehabilitation cost. Method: Retrospective review of a tertiary hospital’s trauma registry was performed from 2011–2017. All patients aged 16 years or younger who sustained TBI with Glasgow Coma Scale ≤13 were included. Data on patient demographics, mechanism and severity of injury, hospital duration and inpatient rehabilitation cost were collected. We performed a regression analysis to identify factors associated with high rehabilitation cost. Results: There were a total of 51 patients. The median duration of inpatient rehabilitation was 13.5 days (interquartile range [IQR] 4–35), amounting to a median cost of SGD8,361 (IQR 3,543–25,232). Daily ward costs contributed the most to total inpatient rehabilitation cost. Those with severe TBI had longer duration of inpatient rehabilitation that resulted in higher cost of inpatient rehabilitation. Presence of polytrauma, medical complications, post-traumatic amnesia and TBI post-non-accidental injury (NAI) were associated with higher cost of inpatient rehabilitation. Conclusion: The cost of inpatient rehabilitation for paediatric patients post-TBI is significant in Singapore. Patients with TBI secondary to NAI had significantly higher cost of inpatient rehabilitation. Ways to reduce duration of hospitalisation post-TBI and early step-down care or outpatient rehabilitation should be explored to reduce cost. Keywords: Duration, paediatrics, rehabilitative medicine

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Zangrando, Federico, Giulia Piccinini, Andrea Pelliccioni, Vincenzo Maria Saraceni et Teresa Paolucci. « Neurocognitive Rehabilitation in Parkinson’s Disease with Motor Imagery : A Rehabilitative Experience in a Case Report ». Case Reports in Medicine 2015 (2015) : 1–4. http://dx.doi.org/10.1155/2015/670385.

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A 50-year-old female with Parkinson’s disease underwent a neurocognitive rehabilitation program consisting of one-hour-lasting sessions attended twice a week for three months. The balance and the risk of falls were determined using the Tinetti Balance and Gait Evaluation Scale. The pain was determined using the Visual Analog Scale and the course of the disease was examined using the Unified Parkinson’s Disease Rating Scale (UPDRS). Endpoints were before the treatment, at the end of the treatment, and at a 12-week follow-up. The aim of this study is to evaluate the efficacy of neurocognitive rehabilitation in PD with motor imagery. Primary outcome is the improvement in balance and the falls risk reduction; secondary outcome is lower limb pain reduction.

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Vecchio, Michele, Rita Chiaramonte, Marcello Romano, Piero Pavone, Giuseppe Musumeci et Giulia Letizia Mauro. « A Systematic Review of Pharmacologic and Rehabilitative Treatment of Small Fiber Neuropathies ». Diagnostics 10, n^o 12 (28 novembre 2020) : 1022. http://dx.doi.org/10.3390/diagnostics10121022.

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The aim of this systematic review is to guide the physician in defining the pharmacologic and rehabilitative therapeutic approaches for adopting the best strategies described in the current literature. The search was conducted in PubMed, EMBASE, Cochrane Library and Web of Science to identify the treatment of small fiber neuropathies. Two reviewers independently reviewed and came to a consensus on which articles met inclusion/exclusion criteria. The authors excluded the duplicates, animal studies and included the English articles in which the treatment of patients with small fiber neuropathies was described. The search identified a total of 975 articles with the keywords “small fiber neuropathy” AND “rehabilitation” OR “therapy” OR “treatment”. Seventy-eight selected full-text were analyzed by the reviewers. Forty-two publications met the inclusion criteria and were included in the systematic review to describe the rehabilitative and pharmacologic treatment of small fiber neuropathies. Despite the range of different protocols of treatment for small fiber neuropathy, other robust trials are needed. In addition, always different therapeutic approaches are used; a unique protocol could be important for the clinicians. More research is needed to build evidence for the best strategy and to delineate a definitive therapeutic protocol.

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Omar, Rokiah, Nur Syamilah Anan, Izmel Azim Azri, Chiranjib Majumder et Victor Feizal Knight. « Characteristics of eye injuries, medical cost and return-to-work status among industrial workers : a retrospective study ». BMJ Open 12, n^o 1 (janvier 2022) : e048965. http://dx.doi.org/10.1136/bmjopen-2021-048965.

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ObjectiveThe aim of this study is to determine the characteristics of eye injuries, medical costs and return-to-work status among industrial workers to provide better vision rehabilitative services.SettingNationwide data from the Social Security Organisation (SOCSO) of Malaysia.ParticipantsA stratified random sample of workers registered with the SOCSO of Malaysia with documentation of eye injury.Primary and secondary outcome measuresCharacteristics of eye injuries and medical costs related to eye injury (primary) and return-to-work status (secondary).ResultsA total of 884 from 8861 case files workplace accidents involving eye injury registered with Social Security Services (SOCSO) were identified. The mean age was 35±10 years and the highest incidence of work-related eye injury occurred in the age group 30–39 years and among Malay ethnics. Males are affected more than females’ workers. The highest cause of eye injury was the impact from a moving object excluding falling objects (89.2%) and anterior segment injuries occurred more than posterior segment injuries. The total direct and Indirect medical cost was RM1 108 098.00 (US$316 599.40) and RM4 150 140.00 (US$1 185 754.20) for 884 cases.ConclusionThe majority of workers suffered from the low level of eye injury. A significant relationship was found between the severity of eye injury and employee work status. The indirect cost of medical and vision rehabilitation was higher than the direct cost. Awareness and vision rehabilitation programmes at the workplace need to be addressed for better prevention and rehabilitative service.

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Barbieri, Valentina, Luca Scarabel, Laura Bertella, Federica Scarpina, Nicola Schiavone, Laura Perucca et Paolo Rossi. « Evaluation of the predictive factors of the short-term effects of a multidisciplinary rehabilitation in COVID-19 survivors ». Journal of International Medical Research 50, n^o 11 (novembre 2022) : 030006052211388. http://dx.doi.org/10.1177/03000605221138843.

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Objective Functional impairments after coronavirus disease 2019 (COVID-19) constitute a major concern in rehabilitative settings; however, evidence assessing the efficacy of rehabilitation programs is lacking. The aim of this study was to verify the clinical characteristics that may represent useful predictors of the short-term effectiveness of multidisciplinary rehabilitation. Methods In this real-practice retrospective pre–post intervention cohort study, the short-term effectiveness of a multidisciplinary patient-tailored rehabilitation program was assessed through normalized variations in the Functional Independence Measure in post-acute care patients who had overcome severe COVID-19. Biochemical markers, motor and nutritional characteristics, and the level of comorbidity were evaluated as predictors of functional outcome. Length of stay in the rehabilitation ward was also considered. Results Following rehabilitation, all participants ( n = 53) reported a significant decrease in the level of disability in both motor and cognitive functioning. However, neither motor and nutritional characteristics nor comorbidities played a significant role in predicting the overall positive change registered after rehabilitation. Conclusions The results support the existing sparse evidence addressing the importance of an early rehabilitation program for patients who received intensive care and post-acute care due to severe COVID-19.

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Sun, Yao, Joanne Boots et E. Paul Zehr. « The lingering effects of a busted myth — false time limits in stroke rehabilitation ». Applied Physiology, Nutrition, and Metabolism 40, n^o 8 (août 2015) : 858–61. http://dx.doi.org/10.1139/apnm-2014-0523.

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It was once falsely believed that neurological and functional recovery after stroke occurred only in the first 6 months after lesion. The perception of this “6-month myth” continues to negatively impact the attitudes of patients towards their rehabilitation and on the clinicians and therapists making optimal training plans. Here we briefly outline some evidence that debunked the 6-month myth, where the concept of this temporal limit may have originated, and the lingering misunderstanding that individuals with stroke reach a plateau of recovery after 6 months even with rehabilitation training. We present evidence that significant functional improvement can occur years after stroke when rehabilitation training is applied. We frame the concepts of active and passive neurological recovery and that active neurological recovery continues far beyond any temporal limit. Because the effects of this busted 6-month myth persist, we aim to remind active physicians, therapists, exercise professionals, and those with stroke to continuously seek opportunities for active rehabilitation training. Meanwhile, trained and certified exercise professionals can play critical roles in facilitating rehabilitative training for community-dwelling stroke survivors.

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Obrig, Hellmuth, et Jens Steinbrink. « Non-invasive optical imaging of stroke ». Philosophical Transactions of the Royal Society A : Mathematical, Physical and Engineering Sciences 369, n^o 1955 (28 novembre 2011) : 4470–94. http://dx.doi.org/10.1098/rsta.2011.0252.

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The acute onset of a neurological deficit is the key clinical feature of stroke. In most cases, however, pathophysiological changes in the cerebral vasculature precede the event, often by many years. Persisting neurological deficits may also require long-term rehabilitation. Hence, stroke may be considered a chronic disease, and diagnostic and therapeutic efforts must include identification of specific risk factors, and the monitoring of and interventions in the acute and subacute stages, and should aim at a pathophysiologically based approach to optimize the rehabilitative effort. Non-invasive optical techniques have been experimentally used in all three stages of the disease and may complement the established diagnostic and monitoring tools. Here, we provide an overview of studies using the methodology in the context of stroke, and we sketch perspectives of how they may be integrated into the assessment of the highly dynamic pathophysiological processes during the acute and subacute stages of the disease and also during rehabilitation and (secondary) prevention of stroke.

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Andelic, Nada, Cecilie Røe, Olli Tenovuo, Philippe Azouvi, Helen Dawes, Marek Majdan, Jukka Ranta et al. « Unmet Rehabilitation Needs after Traumatic Brain Injury across Europe : Results from the CENTER-TBI Study ». Journal of Clinical Medicine 10, n^o 5 (3 mars 2021) : 1035. http://dx.doi.org/10.3390/jcm10051035.

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This study aims to assess rehabilitation needs and provision of rehabilitation services for individuals with moderate-to-severe disability and investigate factors influencing the probability of receiving rehabilitation within six months after traumatic brain injury (TBI). Overall, the analyses included 1206 individuals enrolled in the CENTER-TBI study with severe-to-moderate disability. Impairments in five outcome domains (daily life activities, physical, cognition, speech/language, and psychological) and the use of respective rehabilitation services (occupational therapy, physiotherapy, cognitive and speech therapies, and psychological counselling) were recorded. Sociodemographic and injury-related factors were used to investigate the probability of receiving rehabilitation. Physiotherapy was the most frequently provided rehabilitation service, followed by speech and occupational therapy. Psychological counselling was the least frequently accessed service. The probability of receiving a rehabilitative intervention increased for individuals with greater brain injury severity (odds ratio (OR) 1.75, CI 95%: 1.27–2.42), physical (OR 1.92, CI 95%: 1.21–3.05) and cognitive problems (OR 4.00, CI 95%: 2.34–6.83) but decreased for individuals reporting psychological problems (OR 0.57, CI 95%: 1.21–3.05). The study results emphasize the need for more extensive prescription of rehabilitation services for individuals with disability. Moreover, targeted rehabilitation programs, which aim to improve outcomes, should specifically involve psychological services to meet the needs of individuals recovering from TBI.

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Ní Chéileachair, Fódhla N., Bridget M. Johnston, Cathy Payne, Fiona Cahill, Lisa Mannion, Lisa McGirr et Karen Ryan. « Protocol for an exploratory, longitudinal single case study of a novel palliative care rehabilitative service ». HRB Open Research 4 (6 mai 2022) : 131. http://dx.doi.org/10.12688/hrbopenres.13461.2.

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Background: Early access to rehabilitation can improve quality of life for those with life-limiting illnesses and is highlighted as a core component of the Adult Palliative Care Services Model of Care for Ireland. Despite this, palliative rehabilitation remains under-utilised and under-developed. In 2020, the Sláintecare Integration Fund provided opportunity to pilot a novel rehabilitative palliative care service, “Palliat Rehab”. This protocol proposes a case study, which aims to advance understanding of the form, content, and delivery of the pilot service. Methods: A prospective, longitudinal, mixed-methods, case study design will be used to describe the service and to explore the experiences of patients, informal carers and clinicians. Additionally, data collection instruments will be tested and the utility of outcome measures will be examined. Data will be collected from documentary, survey, and interview sources. Quantitative data will be analysed using descriptive statistics, including chi-square tests for categorical variables, Mann-Whitney U tests for ordinal data, and t-tests/ ANOVA for continuous data. Qualitative data will be analysed using thematic analysis. Conclusions: New pathways are required to advance service provision to ensure that patients receive the ‘right care, in the right place, at the right time’. This protocol outlines a case study which will aim to develop current understanding of the implementation and delivery of a novel rehabilitative palliative care service in Ireland and will consider its potential contribution to the achievement of Sláintecare goals. Investigating the service within its environmental context will lead to a better understanding of ‘how’ and ‘why’ things happen. Findings will be used to inform efforts to further develop and tailor the intervention.

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Ghoseiri, Kamiar, Galavij Ghoseiri, Ahlam Bavi et Rojin Ghoseiri. « Face-protective orthosis in sport-related injuries ». Prosthetics and Orthotics International 37, n^o 4 (9 novembre 2012) : 329–31. http://dx.doi.org/10.1177/0309364612463929.

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Background and aim: Sport is associated with risk of injury and re-injury. A rehabilitative sport-related orthosis could protect the injured site and help in the earlier return of athlete to the match. This technical note aims to describe a potential high-prescribed face orthosis to protect/prevent a sport-related injury. Technique: Face-protective orthosis should be custom molded from negative impression of the injured athlete’s face. It is lightweight and structured as a one-piece rigid plastic shell that is secured in place with three elastic straps. Due to the diverse patterns of craniomaxillofacial injuries, the shape, length, trimline, and characteristics of face-protective orthoses could be different. Discussion: Face-protective orthoses could have prophylactic or rehabilitative roles according to task and prescription reason. Although the main action of the facial orthoses should be protection, the design of the face-protective orthosis should be improved both functionality and aesthetically to promote its use by athletes. Clinical relevance The craniomaxillofacial injuries have potential to be treated by custom-molded face-protective orthoses. These orthoses could have prophylactic or rehabilitative roles based on their prescription purpose. These orthoses could cause earlier return of athletes to sports matches.

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Fusco, Augusto, Federica Assenza, Marco Iosa, Simona Izzo, Riccardo Altavilla, Stefano Paolucci et Fabrizio Vernieri. « The Ineffective Role of Cathodal tDCS in Enhancing the Functional Motor Outcomes in Early Phase of Stroke Rehabilitation : An Experimental Trial ». BioMed Research International 2014 (2014) : 1–9. http://dx.doi.org/10.1155/2014/547290.

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Transcranial direct current stimulation (tDCS) is a noninvasive technique that could improve the rehabilitation outcomes in stroke, eliciting neuroplastic mechanisms. At the same time conflicting results have been reported in subacute phase of stroke, when neuroplasticity is crucial. The aim of this double-blind, randomized, and sham-controlled study was to determine whether a treatment with cathodal tDCS before the rehabilitative training might augment the final outcomes (upper limb function, hand dexterity and manual force, locomotion, and activities of daily living) in respect of a traditional rehabilitation for a sample of patients affected by ischemic stroke in the subacute phase. An experimental group (cathodal tDCS plus rehabilitation) and a control group (sham tDCS plus rehabilitation) were assessed at the beginning of the protocol, after 10 days of stimulation, after 30 days from ending of stimulation, and at the end of inpatient rehabilitation. Both groups showed significant improvements for all the assessed domains during the rehabilitation, except for the manual force, while no significant differences were demonstrated between groups. These results seem to indicate that the cathodal tDCS, provided in an early phase of stroke, does not lead to a functional improvement. To depict a more comprehensive scenario, further studies are needed.

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Liptak, Matthew G., Annika Theodoulou, Thomas D. Hassell, Scott W. Hinrichs, Steve Saunders, Stephen J. Quinn et Jeganath Krishnan. « A Randomised Controlled Study Protocol on the Maxm Skate ; A Lower Limb Rehabilitation Device for use following Total Knee Arthroplasty ». Orthopaedic Journal of Sports Medicine 5, n^o 5_suppl5 (1 mai 2017) : 2325967117S0020. http://dx.doi.org/10.1177/2325967117s00200.

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Background: Following Total Knee Arthroplasty (TKA) patients experience lower extremity muscle weakness and commonly require physical rehabilitation to enhance functional outcomes and overall recovery.1 In Australia, there are recognised variations in rehabilitative care following TKA, however rehabilitation most commonly provided is in an outpatient setting, on a one-to-one treatment basis.2 Outpatient physiotherapy is beneficial as the physiotherapist can monitor progress and modify therapy, however such methods are resource- intensive and impose a significant cost burden.1 The number of TKA procedures is rising, bringing concern of the sustainability and economic impact of one-to-one rehabilitation. Further research is needed to determine whether outpatient physiotherapy yields superior outcomes compared to less-costly alternatives such as group or home-based rehabilitation. The Maxm skate is a portable, lower limb post-operative and post-injury rehabilitation exercise device for individual use in a hospital or home-based setting. The Skate intends to facilitate rehabilitation and conditioning through graded therapeutic exercises and minimal joint loading. Study investigators aim to conduct a randomised controlled trial (RCT) to compare the safety, efficacy and cost-effectiveness of the Maxm Skate rehabilitation device to standard rehabilitative care. The primary outcome is to assess the range of motion (ROM) achieved by patients whom received the Maxm Skate device compared with standard care, 3 months postoperatively. Methods: This is a study protocol for an open-label RCT, in which 116 participants will be randomly allocated to an interventional or control group. A total of 58 participants per group will provide 90.0% power (α=0.05) to detect 10 degrees of difference (SD=16) in ROM, at 3 months post TKA. Participants assigned to the interventional group will receive the Maxm Skate in addition to standard care in the in-patient setting. Following discharge, participants will be asked to limit physiotherapy to Skate use only, and compliance will be documented. Outcomes will be compared to those receiving standard rehabilitative care. A blinded physiotherapist will evaluate functional outcomes preoperatively and at 2, 4, 6, 12, 26 and 52 weeks post TKA. The functional assessment will include measures of knee ROM, pain, isometric knee strength, balance, and knee/thigh circumference. Limited measures will also be assessed at Day 2 postoperatively by an alternate, un-blinded physiotherapist. Clinical and patient-reported outcome measures will be administered preoperatively, and at 6, 12 and 52 weeks postoperatively. An economic evaluation assessing the relative cost-effectiveness of the Maxm Skate rehabilitation device, compared to standard care, will be conducted. Patients will also be screened for adverse event occurrences and complications from the time of consent to 1 year postoperatively. Discussion: This clinical trial is the first developed to assess the efficacy of the Maxm Skate on patient’s rehabilitation following TKA. Trial Registration: ACTRN: ACTRN12616001081404p References: 1 Pozzi F, Snyder-Mackler L, Zeni J. Physical exercise after knee arthroplasty: a systematic review of controlled trials. Euro J Phys Rehabil Med. 2013;49(6):877-92. 2 Naylor J, Harmer A, Fransen M, Crosbie J, Innes L. Status of physiotherapy rehabilitation after total knee replacement in Australia. Physiother Res Int. 2006;11(1):35-47.

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Okky Haidar Yahya Irawansa, Yudha Bhaskoro, Ahmad Rizki Maulana et Febri Endra Budi Setyawan. « Model Tatalaksana Komprehensif Tuberculosis Multidrug-Resistant (TB-MDR) Melalui Pendekatan Provider Pelayanan Kesehatan ». CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal 1, n^o 2 (30 octobre 2020) : 51–57. http://dx.doi.org/10.37148/comphijournal.v1i2.15.

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Introduction: Tuberculosis is a highly contagious disease and requires long-term treatment and large amounts of medication. This can affect the high risk of Multidrug-Resistant Tuberculosis (MDR-TB). A health service approach in providing comprehensive management including promotive, preventive, curative, and rehabilitative is very necessary to overcome these cases. Aim of study: This article aims to determine interventions that can be carried out by health services in preventing the occurrence of multidrug-resistant tuberculosis (MDR-TB). Method: The method used is a literature review through national to international journals that examine the interventions that can be carried out by health services in preventing MDR-TB. The articles or data sources that have been obtained will be compared with one another so that the factors that most influence the occurrence of MDR-TB can be found. Results and Discussion: The literature search results show that health workers, especially doctors, have an important role in managing MDR-TB cases. Management of MDR-TB in a comprehensive manner is carried out through promotive, preventive, curative, and rehabilitative programs through a health service provider approach. Educational activities regarding TB, MDR-TB, or the possibility of drug resistance are important to do to prevent new cases of MDR-TB. Curative treatment is carried out to improve mental and social health. Furthermore, rehabilitative efforts are carried out as a means to improve health status recovery for MDR-TB sufferers. Conclusion: Health service providers can improve facilities, they can carry out promotive, curative rehabilitative management to reduce the incidence of MDR-TB.

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Lukoszek, Dawid, Dominik Sieroń, Izabella Jabłońska, Jan Szczegielniak, Rafał Trąbka et Karol Szyluk. « Efficacy of ultrasound in diagnosis and treatment of the shoulder – A systematic review ». Fizjoterapia Polska 22, n^o 4 (30 septembre 2022) : 56–73. http://dx.doi.org/10.56984/8zg1a6k5q.

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Objectives. The aim of this study was to provide an overview of the scientific evidence base on the use of ultrasonography in physiotherapy and rehabilitation of the shoulder. Methods. The PubMed / Medline database was reviewed using the following keywords: shoulder ultrasonography AND rehabilitation; shoulder ultrasound imaging AND physiotherapy; shoulder ultrasound imaging AND rehabilitation; Rehabilitative Ultrasound Imaging AND Shoulder. Only full-text, open-access studies in English published before 15 May 2022 were included in the analysis. Results. 51 articles (out of 748 identified) were included in the analysis. Of all the studies, 3 studies were randomized, 5 were not randomized, the rest were cross-sectional or case studies. The most common study group were patients with hemiplegia (in 13 out of 51 reviewed works). 12 papers out of 51 concerned orthopedic conditions of the shoulder with varying diagnoses. Ultrasound imaging was used mainly to assess echogenicity and measure structures of the shoulder. Conclusion. There are many studies demonstrating the utility of ultrasound in various aspects of the physiotherapist’s practice, including but not limited to diagnostic purposes, assessment of treatment effectiveness, monitoring treatment progress, and referring the patient to another specialist.

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Trombini, Marco, Federica Ferraro, Giulia Iaconi, Lucilla Vestito, Fabio Bandini, Laura Mori, Carlo Trompetto et Silvana Dellepiane. « A Study Protocol for Occupational Rehabilitation in Multiple Sclerosis ». Sensors 21, n^o 24 (17 décembre 2021) : 8436. http://dx.doi.org/10.3390/s21248436.

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Digital medical solutions can be very helpful in restorative neurology, as they allow the patients to practice their rehabilitation activities remotely. This work discloses ReMoVES, an IoMT system providing telemedicine services, in the context of Multiple Sclerosis rehabilitation, within the frame of the project STORMS. A rehabilitative protocol of exercises can be provided as ReMoVES services and integrated into the Individual Rehabilitation Project as designed by a remote multidimensional medical team. In the present manuscript, the first phase of the study is described, including the definition of the needs to be addressed, the employed technology, the design and the development of the exergames, and the possible practical/professional and academic consequences. The STORMS project has been implemented with the aim to act as a starting point for the development of digital telerehabilitation solutions that support Multiple Sclerosis patients, improving their living conditions. This paper introduces a study protocol and it addresses pre-clinical research needs, where system issues can be studied and better understood how they might be addressed. It also includes tools to favor remote patient monitoring and to support the clinical staff.

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Amore, Filippo M., Stefania Fortini, Valeria Silvestri, Marco Sulfaro, Alessia Pacifici et Simona Turco. « Vision Rehabilitation in Patients with Age-related Macular Degeneration ». Rehabilitation Process and Outcome 3 (janvier 2014) : RPO.S12364. http://dx.doi.org/10.4137/rpo.s12364.

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Background The aim of this study was to investigate the rehabilitative process and visual rehabilitation outcomes in patients with central vision loss due to age-related macular degeneration (AMD). Methods Ninety-five subjects with AMD selected from the attendees of the National Centre of Services and Research for the Prevention of Blindness and Rehabilitation of Low Vision Patients—International Agency for Prevention of Blindness—IAPB Italia Onlus, were evaluated for this retrospective study. Low vision examination included psychological counseling, best corrected visual acuity (BCVA), near visual acuity, Pelli-Robson contrast sensitivity, and fixation stability analysis. Once the clinical assessment was completed, patients attended a low-vision rehabilitative pathway based on visual stimulation, devices training and, if needed, psychological support. Required magnification and reading speed were also evaluated. Results For the whole sample, the mean BCVA of the better eye was 0.7 (±0.2) LogMAR and of the worse eye was 1 (±0.2) LogMAR. Restoring reading ability was the most important focus for the patients examined as it was requested by 85% of the whole sample. Mean power of optical magnifying aids for near activities was 10.6 (±9.1) positive spherical diopters. Mean reading speed for the whole sample was 33.1 (±18.2) words per minute (wpm) before visual rehabilitation sessions and increased to 55.2 (±33.1) wpm after visual rehabilitation path. To cope with distance difficulties, 78 distance refractive correction, 10 Galilean telescopes, and 7 Keplerian telescopes were prescribed. For intermediate distance activities, 22 compensation lenses and 10 Galilean telescopes were suggested. Moreover, PC magnifier softwares were prescribed to nine patients. Sixty-five polarized medical filters were prescribed to reduce glare of sunlight. Because of unstable fixation in their better eye (32.3% (±19.7) within 2° circle and 54.8% (±22.9) within 4° circle) and visual acuity < 1.2 LogMAR in the fellow eye, 38 subjects, before starting the devices training sessions, attended a bio-feedback rehabilitation session with flickering pattern stimulus. In these subjects, fixation stability increased significantly to 75.6 (±14.9) within 2° and 89.4 (±19.5) within 4° ( P < 0.05), respectively. Conclusions Attending a customized low-vision intervention based on a multidisciplinary approach seems to be effective for improving visual functions in AMD. Both optical/electronic magnifiers and specific visual stimulation program can enhance visual performances.

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Belova, Ludmila A., V. V. Mashin, V. V. Abramova, A. N. Proshin et A. N. Ovsyannikova. « Effect of cortexin on the quality of life in the early rehabilitative period after hemispheric ischemic stroke ». Clinical Medicine (Russian Journal) 94, n^o 2 (2 avril 2016) : 138–43. http://dx.doi.org/10.18821/0023-2149-2016-94-2-138-143.

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Aim. To study the neuroprotective effect of a repeated course of low dose cortexin therapy on the quality of life in the early rehabilitative period after hemispheric ischemic stroke (IS). Materials and methods. 90 patients were divided into group 1 treated with cortexin (10 mg i/m twice daily (morning and afternoon) in addition to basal treatment, group 2 given the repeated course of the same treatment, and control group (basal therapy alone). The standard SF-36 questionnaire was used to assess the quality of life. Results. Treatment of patients following acute hemispheric ischemic stroke with cortexin (10 mg i/m twice daily) and the repeated course of the same treatment after 10 days resulted in the accelerated and more complete normalization of the quality of life in the early rehabilitation petriod (starting from days 21-27 days after the onset of disease) than in the patients given a single course of cortexin therapy or basal treatment alone.

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Zsoldos, Amanda, Ágnes Sátori et Ágnes Zana. « Impact of animal-assisted intervention on rehabilitation of patients with spinal cord injury ». Orvosi Hetilap 155, n^o 39 (septembre 2014) : 1549–57. http://dx.doi.org/10.1556/oh.2014.29977.

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Introduction: The animal-assisted programs represent an interdisciplinary approach. They can be integrated into preventive, therapeutic and rehabilitative processes as complementary methods. Aim: The aim of the study was to promote the psychological adaptation and social reintegration of patients who suffered spinal cord injury, as well as reducing depression and feelings of isolation caused by the long hospitalization. The hypothesis of the authors was that the animal-assisted intervention method can be effectively inserted into the rehabilitation process of individuals with spinal cord injury as complementary therapy. Methods: 15 adults with spinal cord injury participated in the five-week program, twice a week. Participants first filled out a questionnaire on socio-demographics, and after completion of the program they participated in a short, directed interview with open questions. During the field-work, after observing the participants, qualitative data analysis was performed. Results: The results suggest that the therapeutic animal induced a positive effect on the emotional state of the patients. Participants acquired new skills and knowledge, socialization and group cohesion had been improved. Conclusions: The authors conclude that the animal-assisted activity complemented by therapeutic elements can be beneficial in patients undergoing spinal cord injury rehabilitation and that knowledge obtained from the study can be helpful in the development of a future animal-assisted therapy program for spinal cord injury patients. Orv. Hetil., 2014, 155(39), 1549–1557.

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Kurnikova, Irina Alekseevna, Tatiana Evgen'evna Chernyshova, Irina Vladimirovna Gur'eva et Guzyal' Ilgisovna Kliment'eva. « Clinico-expert diagnostics of gastrointestinal form of diabetic neuropathy ». Diabetes mellitus 14, n^o 2 (15 juin 2011) : 94–97. http://dx.doi.org/10.14341/2072-0351-5644.

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Aim. To estimate dynamics of secretory and motor-evacuational functions of the stomach in patients with type 1 diabetes mellitus and gastrointestinalform of diabetic neuropathy. Materials and methods. 32 patients with DM1 without gastrointestinal pathology allocated to different groups depending on DM duration (gr. 1 lessthan 10 yr, gr. 2 over 10 yr). Vegetative equilibrium was estimated from the Kerdo index, rehabilitative potential from its basic constituent (morphophysiologicalindex). The motor-evacuational function of the stomach was studied with the use of a scintillation gamma-chamber, the gastric secretoryfunction by pH measurements. Results. Half of the patients in gr 2 presented with hypersympathicotony. The frequency of hypertonic form of gastric tone increased with durationof DM while the acid-producing and evacuational functions of the stomach decreased (as estimated by pH-measurement and gastroscintiographyrespectively). The propulsive function most significantly decreased in the pyloric part. The efficacy of rehabilitation of diabetic patients with gastrointestinalform of diabetic neuropathy was much lower than in those with preserved vegetative function of the stomach. Conclusion. Impairment of evacuational function of the stomach and duodenum with DM1 duration may be a cause of unstable blood glucose level.Hypomotor dyskinesia of the upper gastrointestinal tract due to DM1 and deficit of parasympathetic innervation occurs more frequently in patientswith low rehabilitative potential. Functional changes in the gastrointestinal tract of DM1 patients do not depend on the quality of compensation ofmetabolic disorders but correlate (r=-0.39) with DM duration. It is concluded that the gastrointestinal form of diabetic neuropathy impairs rehabilitativepotential of fhe patients.

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Zamani, Hamid, Mahdi Dadgoo, Mohammad Akbari, Javier Fernández-Jara et Mohammadreza Pourahmadi. « Intra-examiner and inter-examiner reliability of rehabilitative ultrasound imaging for lumbar multifidus and anterolateral abdominal muscles in females with recurrent low back pain : an observational, cross-sectional study ». Journal of Ultrasonography 21, n^o 87 (29 novembre 2021) : 286–93. http://dx.doi.org/10.15557/jou.2021.0049.

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Aim: To examine the reliability of rehabilitative ultrasound imaging performed to measure the thickness of the transverse abdominis, internal oblique, external oblique, and lumbar multifidus muscles in females with recurrent low back pain. Material and methods: A sample of 15 women was recruited. Two independent examiners recorded the thickness of their deep abdominal and spinal muscles by rehabilitative ultrasound imaging. Imaging scans of the transverse abdominis, internal oblique, and external oblique muscles were performed in the supine position and in the midaxillary line, between the lower edge of the ribcage and the iliac crest. Imaging of the lumbar multifidus was done in the prone position and at the level of the L5/S1 zygapophyseal joints. Imaging scans were performed bilaterally in rest and contraction, three times by the first examiner (at baseline, after two hours, and one week later) and once by the second examiner. Results: Good to excellent within-session intra-rater (ICC = 0.76, 0.97), good to excellent between-session intra-rater reliability (ICC = 0.73, 0.93), and good to excellent inter-rater reliability (ICC = 0.73, 0.98) were obtained. Conclusions: The results showed that rehabilitative ultrasound imaging can be used as an excellent reliable instrument by one or two examiners to measure the thickness of the transverse abdominis, internal oblique, external oblique and lumbar multifidus muscles in females with recurrent low back pain.

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Degtyar, Valeryi A., Volodymyr M. Baibakov et Dmytro M. Lukianenko. « MEDICAL – SOCIAL REHABILITATION IN A CASE OF THE METAEPIPHYSEAL OSTEOMYELITIS AT THE CHILDREN ». Wiadomości Lekarskie 72, n^o 5 (2019) : 983–87. http://dx.doi.org/10.36740/wlek201905205.

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Introduction: Surgeons and orthopedists, which carried out medical and rehabilitative measures at the patients with metaepiphyseal osteomyelitis did not pay attention to the socio-psychological rehabilitation. The aim: Purpose of research is determination volume of methods for rehabilitation this group of patients. Materials and methods: We investigated contingent of persons (53 respondents), who were treated in the clinic 20 years ago with severe complications and consequences of metaepiphyseal osteomyelitis (MEO). Results: In our study we carried out sociological survey, using own questionnaire. On the basic question of the questionnaire – does the disease influence to the realization of vital important plans in a patient’s life, 8 (15.1%) respondents had been answered, that osteomyelitis destroyed all plans in their life. Conclusions: The given conclusion was shown primary among male - patients – 18.2%, than among female – only 10% (p >0.05). Volume of rehabilitation we combined with issues of abilitation – the system of therapeutic measures, which should prevent and eliminate pathological conditions at the children with metaepiphyseal osteomyelitis. In the article was scientifically proved the following stages of rehabilitation of children with metaepiphyseal osteomyelitis: treatment of metaepiphyseal osteomyelitis in the acute period and clinical supervision by the surgeon and orthopedist up to 2 years (rehabilitation); recovery of the structure and function of affected segment of a limb during growth of the patient (clinical observation and correction by orthopedist); correction consequences of the metaepiphyseal osteomyelitis.

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Mancuso, Mauro, Serena Di Tondo, Enza Costantini, Alessio Damora, Patrizio Sale et Laura Abbruzzese. « Action Observation Therapy for Upper Limb Recovery in Patients with Stroke : A Randomized Controlled Pilot Study ». Brain Sciences 11, n^o 3 (26 février 2021) : 290. http://dx.doi.org/10.3390/brainsci11030290.

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Due to the complexity of the interventions for upper limb recovery, at the moment there is a lack of evidence regarding innovative and effective rehabilitative interventions. Action Observation Training (AOT) constitutes a promising rehabilitative method to improve upper limb motor recovery in stroke patients. The aim of the present study was to evaluate the potential efficacy of AOT, both in upper limb recovery and in functional outcomes when compared to patients treated with task oriented training (TOT). Both treatments were added to traditional rehabilitative treatment. Thirty-two acute stroke patients at 15.6 days (±8.3) from onset, with moderate to severe upper limb impairment at baseline following their first-ever stroke, were enrolled and randomized into two groups: 16 in the experimental group (EG) and 16 in the control group (CG). The EG underwent 30 min sessions of AOT, and the CG underwent 30 min sessions of TOT. All participants received 20 sessions of treatment for four consecutive weeks (five days/week). The Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Box and Block Test (BBT), Functional Independence Measure (FIM) and Modified Ashworth Scale (MAS) were administered at baseline (T0) and at the end of treatment (T1). No statistical differences were found at T0 for inclusion criteria between the CG and EG, whereas both groups improved significantly at T1. After the treatment period, the rehabilitative gain was greater in the EG compared to the CG for FMA-UE and FIM (all p < 0.05). Our results suggest that AOT can contribute to increased motor recovery in subacute stroke patients with moderate to severe upper limb impairment in the early phase after stroke. The improvements presented in this article, together with the lack of adverse events, confirm that the use of AOT should be broadened out to larger pools of subacute stroke patients.

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Sun, Ping, Wenjiao Zhang, Shuoyu Wang et Hongbin Chang. « Interaction Forces Identification Modeling and Tracking Control for Rehabilitative Training Walker ». Journal of Advanced Computational Intelligence and Intelligent Informatics 23, n^o 2 (20 mars 2019) : 183–95. http://dx.doi.org/10.20965/jaciii.2019.p0183.

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In this study, we propose a model and an adaptive backstepping tracking control method for omnidirectional rehabilitative training walker. The aim of the study is to design a stable tracking controller that can guarantee accurate tracking motion of the omnidirectional walker considering the interaction forces of the user and walker. A novel fuzzy model identification method was proposed to describe the interaction forces by using the reduced values of tracking performance. Further, an adaptive backstepping controller was developed to compensate the interaction forces on the basis of the identified model and adapt the change of user’s mass. The asymptotic stability of the trajectory tracking error and the velocity tracking error were guaranteed. As an application, simulation and experiment results were provided to illustrate the effectiveness of the proposed design procedures.

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Dubljanin-Raspopović, Emilija, Marković-Denić Lj, Marko Kadija, Sanja Tomanović Vujadinović, Goran Tulić, Ivan Selaković et Milica Aleksić. « Simultaneous Hip and Distal Radius Fractures—Does It Make a Difference with Respect to Rehabilitation ? » Geriatrics 4, n^o 4 (28 novembre 2019) : 66. http://dx.doi.org/10.3390/geriatrics4040066.

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Introduction: A minority of patients with hip fractures sustain concomitant wrist fractures. Little is known about the rehabilitation outcome in this group of patients. Aim of study: Prospective investigation of functional outcome and survival in patients with combined hip and wrist fractures compared with patients who sustain an isolated hip fracture. Methods: 341 patients who presented with an acute hip fracture during a 12 month period were included in the study. Outcome at discharge and 4 months follow-up was compared between patients with isolated hip fractures and those patients who sustained simultaneous distal wrist fractures. Results: The actual incidence of concurrent hip and wrist fractures in our cohort was 4.7%. Patients who sustained a concurrent hip and wrist fracture showed no differences regarding short- and long-term functional outcome and survival. Conclusion: Our results imply that patients with simultaneous hip and wrist fractures have no difference in rehabilitative outcome. Future studies should further investigate the distinctive characteristics of this patient subgroup.

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Capone, Fioravante, Sandra Miccinilli, Giovanni Pellegrino, Loredana Zollo, Davide Simonetti, Federica Bressi, Lucia Florio et al. « Transcutaneous Vagus Nerve Stimulation Combined with Robotic Rehabilitation Improves Upper Limb Function after Stroke ». Neural Plasticity 2017 (2017) : 1–6. http://dx.doi.org/10.1155/2017/7876507.

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The efficacy of standard rehabilitative therapy for improving upper limb functions after stroke is limited; thus, alternative strategies are needed. Vagus nerve stimulation (VNS) paired with rehabilitation is a promising approach, but the invasiveness of this technique limits its clinical application. Recently, a noninvasive method to stimulate vagus nerve has been developed. The aim of the present study was to explore whether noninvasive VNS combined with robotic rehabilitation can enhance upper limb functionality in chronic stroke. Safety and efficacy of this combination have been assessed within a proof-of-principle, double-blind, semirandomized, sham-controlled trial. Fourteen patients with either ischemic or haemorrhagic chronic stroke were randomized to robot-assisted therapy associated with real or sham VNS, delivered for 10 working days. Efficacy was evaluated by change in upper extremity Fugl–Meyer score. After intervention, there were no adverse events and Fugl–Meyer scores were significantly better in the real group compared to the sham group. Our pilot study confirms that VNS is feasible in stroke patients and can produce a slight clinical improvement in association to robotic rehabilitation. Compared to traditional stimulation, noninvasive VNS seems to be safer and more tolerable. Further studies are needed to confirm the efficacy of this innovative approach.

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Mantovani, Franco. « Pharmacological/dynamic rehabilitative behavioural therapy for premature ejaculation : Results of a pilot study ». Archivio Italiano di Urologia e Andrologia 89, n^o 2 (30 juin 2017) : 148. http://dx.doi.org/10.4081/aiua.2017.2.148.

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Objectives: Premature ejaculation (PE) is a sexual disorder characterised by excessive rapidity of orgasm. It is defined as either primary (60%), present since the onset of sexual activity, or secondary (40%), manifesting later in life. To date, dapoxetine is the only preparation approved for the on-demand treatment of PE. However, side effects, costs associated with the treatment of chronic PE, drug dependence and its variable effectiveness leads to a not insignificant drop-out rate. Dynamic rehabilitative/behavioural therapy may be a viable therapeutic option, working alongside pharmacological treatment, as long as the participation and involvement of both the individual and the couple is optimal. Materials and methods: 18 patients were enrolled, aged between 25 and 55 (mean: 40), all with primary PE, free of comorbidities and with their partners involved. Six patients were prescribed 30 mg dapoxetine two hours before sexual relations for 3 months (group A); 6 patients began the dynamic rehabilitative treatment (group B); 6 other couples were assigned to pharmacological treatment in association with dynamic rehabilitative behavioural treatment for 3 months (group C). Division of subjects was carried out by simple randomisation, excluding patients with a short frenulum, phimosis, ED, chronic prostatitis or experiencing results from previous treatment. Results: Outcomes of treatment were evaluated at the end of the 3 months of treatment and 3 months after discontinuing treatment. In Group A 75% of patients were cured at 3 months and 25% at 6 months. In Group B 25% patients were cured at 3 months and 25% at 6 months. In Group C 75% of patients were cured 3 months and 50% at 6 months. "Cured" means a Premature Ejaculation Diagnostic Tool (PEDT) score reduced from an average of 12 to an average of 6 and Intravaginal Ejaculation Latency Time (IELT) values from < 1 to > 6 minutes. Conclusions: the integration of pharmacological treatment with dynamic behavioural rehabilitation has the specific aim of optimising and stabilising the results, supporting a more efficient recovery of ejaculatory control. The close involvement of the partner is extremely useful for all results.

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Biffi, Emilia, Cristina Maghini, Beatrice Cairo, Elena Beretta, Elisabetta Peri, Daniele Altomonte, Davide Mazzoli et al. « Movement Velocity and Fluidity Improve after Armeo®Spring Rehabilitation in Children Affected by Acquired and Congenital Brain Diseases : An Observational Study ». BioMed Research International 2018 (18 novembre 2018) : 1–8. http://dx.doi.org/10.1155/2018/1537170.

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Background. Children with cerebral palsy (CP) and acquired brain injury (ABI) often exhibit upper limb impairment, with repercussions in their daily activities. Robotic rehabilitation may promote their functional recovery, but evidence of its effectiveness is often based on qualitative functional scales. The primary aim of the present work was to assess movement precision, velocity, and smoothness using numerical indices from the endpoint trajectory of Armeo®Spring. Secondly, an investigation of the effectiveness of robotic rehabilitation in CP and ABI children was performed. Methods. Upper limb functional changes were evaluated in children with CP (N=21) or ABI (N=22) treated with Armeo®Spring (20 45-minute sessions over 4 weeks) using clinical scales and numerical indices computed from the exoskeleton trajectory. Results. Functional scales (i.e., QUEST and Melbourne) were sensitive to changes produced by the treatment for the whole study group and for the two etiology-based subgroups (improvements above Minimal Clinically Importance Difference). Significant improvement was also observed in terms of velocity, fluidity, and precision of the movement through the numerical indices of kinematic performance. Differences in the temporal evolution of the motor outcome were highlighted between the ABI and CP subgroups, pointing toward adopting different rehabilitative protocols in these two populations. Conclusions. Robot-assisted upper limb rehabilitation seems to be a promising tool to promote and assess rehabilitation in children affected by acquired and congenital brain diseases.

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Sun, Ping, Shuoyu Wang et Hamid Reza Karimi. « Robust Redundant Input Reliable Tracking Control for Omnidirectional Rehabilitative Training Walker ». Mathematical Problems in Engineering 2014 (2014) : 1–10. http://dx.doi.org/10.1155/2014/636934.

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The problem of robust reliable tracking control on the omnidirectional rehabilitative training walker is examined. The new nonlinear redundant input method is proposed when one wheel actuator fault occurs. The aim of the study is to design an asymptotically stable controller that can guarantee the safety of the user and ensure tracking on a training path planned by a physical therapist. The redundant degrees of freedom safety control and the asymptotically zero state detectable concept of the walker are presented, the model of redundant degree is constructed, and the property of center of gravity constant shift is obtained. A controller that can satisfy asymptotic stability is obtained using a common Lyapunov function for admissible uncertainties resulting from an actuator fault. Simulation results confirm the effectiveness of the proposed method and verify that the walker can provide safe sequential motion when one wheel actuator is at fault.

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SPOREA, CORINA, MARGARETA STELA FLORESCU, OLGUTA ANCA ORZAN et IOAN CRISTESCU. « Improving the perspectives on quality of life for adolescents with cerebralpalsy by medical textile ». Industria Textila 71, n^o 01 (27 février 2020) : 81–90. http://dx.doi.org/10.35530/it.071.01.1779.

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The quality of life (QoL) can be defined as the individual’s perception of his own existence, both from the point of viewof the physical integrity of the body’s structures and of functionality too, as well as of the activity, respectively thecapability of performing tasks, and of the participation, regarded as the involvement in the life situations.From a medical perspective, the quality of life assessment is an indicator that provides important information, closelyrelated to the improvement of the health status and the effectiveness of the therapeutic-rehabilitative interventions. Thetextile sector by research-development activities and by its numerous projects and accomplishments in the bio-materials, biotechnologies and medical device, showed a steady focus, in close relation to the medical field, on disabledpersons’ quality of life and on the facilitation of their social and professional integration. The aim of rehabilitative interventions is to obtain the best possible physical and mental health, allowing each patient tobuild social relationships with family and community and, on the other hand, to acquire professional skills for being ableto find a suitable job which will improve his wellbeing and quality of life.This paper presents how adolescents with cerebral palsy and their parents/caregivers perceive the quality of life of theadolescent taking into consideration the activity limitations and the participation restrictions.The results of the study showed the existence of discrepancies between adolescents’ and parents’ reports regarding theQoL, with adolescents’ reporting a higher QoL than did their parents.Optimism and positive thinking can be seen as augmentation factors of the therapeutic interventions’ effects byincreasing the adolescent’s involvement in the rehabilitation process, having as direct benefit early and better results.

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Utomo, Dian Cahyo. « PENGEMBANGAN DESAIN ARSITEKTUR DAN INTERIOR YANG REHABILITATIF SEBAGAI PENDUKUNG PENYEMBUHAN SECARA PSIKOLOGIS PADA RUMAH SAKIT IBU DAN ANAK ». Jurnal Arsitektur dan Perencanaan (JUARA) 1, n^o 1 (6 février 2018) : 27–42. http://dx.doi.org/10.31101/juara.v1i1.362.

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Abstract: Given that maternal mortality rate at delivery in Indonesia is still very high, according to UNFPA data in 2013, maternal mortality at delivery is 359 deaths per 100,000 live births. This research aims to create a guideline in the design of maternity and child hospital design that is comfortable and rehabilitative, and able to facilitate the requirement of health services especially children, both mentally and psychologically. This research includes a design guideline that can support not only medically healing patients, but can also support psychological healing. As the concept of green open space design in a room designed to minimize a child's terrifying hospital image, the creation of a child supporting IRNA can keep an intensely ill child, and the concept of maternal IRNA that can be as comfortable as possible , with the aim that pregnant mothers can remain calm at the time of therapy. Creation of supporting facilities and infrastructure for a mother who has fear in childbirth normally.Keywords: Maternal mortality rate, psychological, rehabilitative, maternal and child hospital.

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Leet, A., S. Dennis, J. Muller, S. Walsh, H. Bowen-Salter et J. Kernot. « Demonstrating the processes and outcomes of a rural Community Mental Health Rehabilitation Service : A realist evaluation ». PLOS ONE 16, n^o 11 (23 novembre 2021) : e0260250. http://dx.doi.org/10.1371/journal.pone.0260250.

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Background As part of significant mental health reform, the Community Mental Health Rehabilitation Service (CMHRS) was implemented in rural South Australia. The CMHRS is a 10-bed mental health residential program offering rehabilitative mental health support to rural residents. Aim To analyse the CMHRS service delivery model and its impact on recovery outcomes for consumers. Methods A mixed method, realist evaluation approach was utilised. A purposive sample of CMHRS staff (n = 6) and consumers (n = 8) were recruited. Consumer recovery was measured using the RAS-DS (on admission and discharge). Participants’ perspectives of the service were gained via one staff focus group (n = 6) and individual semi-structured interviews (consumers n = 6; staff n = 2). Pre-post RAS-DS scores were analysed using paired t-tests/Wilcoxon paired-signed rank test, with qualitative data analysed thematically. Results Significant positive increases in RAS-DS total scores were observed at discharge, supported by the qualitative themes of (re)building relationships and social connections and recovering health and wellbeing. Contextual factors (e.g. staffing) and program mechanisms (e.g. scheduling) impacting on service implementation were identified. Conclusion Maintaining a rehabilitation recovery-focused approach, balanced with an appropriately trained multi-disciplinary team, are vital for maximising positive consumer outcomes. Significance This realist evaluation identifies critical factors impacting rural mental health rehabilitation service delivery.

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Ivanova, Galina E., Tatyana V. Builova, Lyudmila A. Belova, Yuri D. Udalov, Viktor V. Mashin, Andrey Yu Suvorov et Anastasia A. Kuvaiskaya. « Formation of Rehabilitation Diagnosis in Patients with Breast Cancer at Stage I of Medical Rehabilitation : Case Report ». Bulletin of Rehabilitation Medicine 21, n^o 3 (30 juin 2022) : 155–74. http://dx.doi.org/10.38025/2078-1962-2022-21-3-155-174.

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The article reviews the main complaints of patients with breast cancer depending on the type of antitumor treatment and defines the peculiarities of the basic and additional sets of the International Classification of Functioning (ICF) codes. Aim. To present the clinical experience results of ICF use in making a rehabilitation diagnosis for patients with breast cancer, to discuss the issues and problems that arise when choosing domains in patients receiving various methods of treatment for this disease, to show by the example of a case report the use of ICF when forming a rehabilitation diagnosis in a patient with breast cancer after surgical treatment and anti-tumor drug therapy. Results and discussion. Patients who had undergone the surgical treatment, in the early postoperative period are predominantly characterized by: pain in the arm and shoulder joint, swelling of the arm, limited range of movement in the shoulder joint on the operation side, increased fatigue, difficulties in self-care, irritability, and anxiety. Patients who had eceived radiation therapy complained of skin manifestations – reddening of the skin in the area of radiation exposure and trophic ulcers, as well as complaints of numbness of the fingers and toes, palpitations, a feeling of interruptions in the heart area, frequent changes in blood pressure, which are characteristic signs peripheral polyneuropathy and cardiovascular form of autonomic neuropathy. Distinctive features of patients had being receiving anticancer medication therapy were complaints of disorders in the digestive system, hair loss. According to the complaints of each category of patients, the basic and additional sets of ICF were determined to make a rehabilitation diagnosis. The case report demonstrates the practical application of the basic and the inclusion of additional ICF sets for making a rehabilitation diagnosis for a patient with breast cancer and determining the tactics of rehabilitative measures. Conclusion. The results of the study suggest the importance of reflecting the completeness of all domains of the ICF domains specific for a particular patient, as the aim of rehabilitation is established on the basis of the rehabilitation diagnosis formulated by MDRT specialists.

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