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Metzger, Eran D., e Muriel Gillick. "Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged". Journal of the American Medical Directors Association 3, n.º 3 (maio de 2002): 192–95. http://dx.doi.org/10.1016/s1525-8610(04)70464-8.
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Metzger, Eran D., e Muriel R. Gillick. "Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged—Friends". Journal of the American Medical Directors Association 4, n.º 2 (março de 2003): 109–11. http://dx.doi.org/10.1016/s1525-8610(04)70285-6.
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Metzger, Eran D., e Muriel R. Gillick. "Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged—Problematic Proxies". Journal of the American Medical Directors Association 3, n.º 4 (julho de 2002): 259–63. http://dx.doi.org/10.1016/s1525-8610(04)70488-0.
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Metzger, Eran D., e Muriel R. Gillick. "Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged—Restraint Complaint". Journal of the American Medical Directors Association 3, n.º 5 (setembro de 2002): 324–27. http://dx.doi.org/10.1016/s1525-8610(05)70550-8.
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Metzger, Eran D., e Muriel R. Gillick. "Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged—Truth or Consequences". Journal of the American Medical Directors Association 4, n.º 1 (janeiro de 2003): 45–47. http://dx.doi.org/10.1097/01.jam.0000047871.36191.cf.
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Metzger, Eran D., e Muriel R. Gillick. "Ethics Corner: Cases from the Hebrew Rehabilitation Center for Aged—Sex in the Facility". Journal of the American Medical Directors Association 3, n.º 6 (novembro de 2002): 390–92. http://dx.doi.org/10.1016/s1525-8610(04)70533-2.
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Garb, Erica. "Maximizing the Potential of Young Adults with Visual Impairments: The Metacognitive Element". Journal of Visual Impairment & Blindness 94, n.º 9 (setembro de 2000): 574–83. http://dx.doi.org/10.1177/0145482x0009400904.
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An intervention project at the Hebrew University Learning Center for the Blind introduced metacognitive techniques to compensate for educational deficiencies in visually impaired young adults with a history of academic failure. The project, based on the Instrumental Enrichment cognitive training program, led to improvement in students’ motivation, awareness of their own learning strategies, more rapid and sustained academic progress, and increased autonomy in learning.
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De Melo Neto, João Simão, Ana Elisa Zuliani Stroppa Marques e Fabiana De Campos Gomes. "Characterization of Patients with COPD Admitted in Pulmonary Rehabilitation Center." Manual Therapy, Posturology & Rehabilitation Journal 12 (12 de setembro de 2014): 193. http://dx.doi.org/10.17784/mtprehabjournal.2014.12.193.
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Introduction: COPD is a major cause of morbidity and mortality, which is preventable, thus studies that discusses the characterization of a given population are important for investment in treatments and prevention. Objective: Characterize individuals with Chronic Obstructive Pulmonary Disease, admitted to a pulmonary rehabilitation center. Method: Retrospective study, exploratory character of medical records of patients with COPD. Sample consisted of 37 patients diagnosed with COPD and age greater than 20 years. The following variables were analyzed: sex, age, marital status, occupation, diagnosis, main complaint, and cardiovascular risk factors presented by patients during admission. Results: Individuals aged >40 years and history of smoking have a higher prevalence in developing COPD. Pulmonary emphysema is a major pathological condition. The most common main complaint was dyspnea and cardiovascular risk factor was present sedentary lifestyle. Moreover, women with COPD were more likely to have depression than men. Conclusion: This study enabled the characterization of COPD patients, providing the possibility of investing in prevention and treatment.
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Baek, Sora, Yuncheol Ha, Jaemin Mok, Hee-won Park, Hyo-Rim Son e Mi-Suk Jin. "Community-Based Cardiac Rehabilitation Conducted in a Public Health Center in South Korea: A Preliminary Study". Annals of Rehabilitation Medicine 44, n.º 6 (31 de dezembro de 2020): 481–92. http://dx.doi.org/10.5535/arm.20084.
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Objective To evaluate the safety and effectiveness of the community-based cardiac rehabilitation (CBCR) program that we had developed.Methods Individuals aged >40 years with cardiovascular disease or its risk factors who were residing in a rural area were recruited as study subjects. The CBCR program, which consisted of 10 education sessions and 20 weeks of customized exercises (twice a week), was conducted in a public health center for 22 weeks. Comprehensive outcomes including body weight, blood glucose level, and 6-minute walk distance (6MWD) were measured at baseline, 11th week, and completion. Furthermore, the outcomes of young-old (65–74 years) and old-old (≥75 years) female subjects were compared.Results Of 31 subjects, 21 completed the program (completion rate, 67.7%). No adverse events were observed, and none of the subjects discontinued the exercise program because of chest pain, dyspnea, and increased blood pressure. Body weight and blood glucose level were significantly decreased, and 6MWD was significantly increased following program implementation (p<0.05). Both young-old and old-old women exhibited an improvement in blood glucose level and 6MWD test (p<0.05).Conclusion We reported the results of the first attempted CBCR in South Korea that was implemented without adverse events during the entire program. Improved aerobic exercise ability and reduced risk factors in all participants were observed. These improvements were also achieved by older adults aged ≥75 years.
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Kim, Ha Seong, Kil-Byung Lim, Jiyong Kim, Joongmo Kang, Hojin Lee, Sang Wan Lee e Jeehyun Yoo. "Epidemiology of Spinal Cord Injury: Changes to Its Cause Amid Aging Population, a Single Center Study". Annals of Rehabilitation Medicine 45, n.º 1 (28 de fevereiro de 2021): 7–15. http://dx.doi.org/10.5535/arm.20148.
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Objective To investigate the epidemiologic and demographic characteristics of patients with spinal cord injury (SCI) who were admitted to a department of rehabilitation of a university hospital.Methods This was a descriptive cross-sectional study. Medical records including sex, age at injury, type of disability, traumatic or non-traumatic etiology and presence of ossification of posterior longitudinal ligament (OPLL) of patients with SCI who were admitted to the department of rehabilitation between 2012 and 2018 were reviewed.Results Of the 221 cases of SCI, 161 were traumatic and 60 were non-traumatic. The mean age at injury was 52.8 years. People aged 40–49 years showed highest proportion among overall SCI patients (19.0%). The proportion of male patients was higher in traumatic SCI at 4.96:1 than in non-traumatic SCI at 1.30:1. The most common cause of traumatic SCI was falling off (37.3%), followed by motor vehicle crash (35.4%) and tripping over (19.3%). Meanwhile, the most common cause of non-traumatic SCI was neoplasm (35.0%). Tripping over was the leading cause of traumatic SCI in patients aged ≥60 years (42.6%). A high proportion of traumatic SCI patients were found to have underlying OPLL (26.1%), particularly those who were injured by tripping over (64.5%).Conclusion The mean age of SCI patients was higher than that of previous studies. Falls was the single most common cause of traumatic SCI, and tripping over was the most common cause of injury in the elderly patients. OPLL was prevalent in patients who were injured from tripping over.
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Sari, Novita, Fitria Hikmatul Ulya e Pipit Agustina. "Pengaruh Baby Gym Pada Perkembangan Motorik Kasar Bayi Usia 3-4 Bulan". Jurnal Kebidanan Malakbi 4, n.º 1 (30 de janeiro de 2023): 74. http://dx.doi.org/10.33490/b.v4i1.675.
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The growth and development of infants is a golden period which is also a critical period in a person's development in early life at the age of 0-12 months. Motor development disorder is a disorder that causes developmental delays due to many things, including abnormalities in muscle tone and lack of stimulation for the baby. In Indonesia alone, there are 5-10% of children are estimated to experience developmental delays. At the simultaneous weighing of toddlers in Demak in 2020 it was found that out of 97,129 toddlers, there were 7.71% experienced developmental delays. Data from the Guntur 1 Demak Health Center from 2021 to June states that the number of babies aged 0-12 months is 523 babies. The lack of knowledge of the baby's parents about growth and development and the little stimulation given to the baby both from caregivers and from the baby's parents makes most babies experience developmental delays. One of the efforts to reduce the number of developmental disorders is by providing Baby Gym stimulation. In infants, Baby Gym is a form of exercise to help stimulate the growth and development of the baby's nervous and motoric systems optimally. This study aimed to determine the effect of the baby gym on gross motor development in infants aged 3-4 months at the Guntur I Health Center in Demak. This study used a quasi-experimental approach with a one-group pre-test and post-test research design. The sampling technique here is based on the purposive sampling method, with a population of 28 babies and a total sample of 16 babies. Based on bivariate analysis using the Wilxocon correlation test, it was obtained a p-value of 0.000 <0.05, it can be concluded 'that there is an effect of differences in gross motor development of infants aged 3-4 months before and after being given a baby gym at the Guntur I Health Center in Demak". The Effect of Baby Gym on Gross Motor Development in Infants Aged 3-4 Months at the Guntur I Health Center in Demak.
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Hasniati, Hasniati, Syahriani Syahriani, Siti Nurbaya, Fitriani Fitriani e Asnuddin Asnuddin. "Pernikahan Dini Menghambat Pertumbuhan Pada Anak Usia 2 Tahun". Jurnal Kebidanan Malakbi 4, n.º 2 (31 de agosto de 2023): 85. http://dx.doi.org/10.33490/b.v4i2.777.
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Early marriage, which is marrying children who are still under 20 years old, shows the immaturity of parents' thinking. This situation triggers a parental problem-solving response based on immature thinking. Growth is an increase in the size and number of cells, as well as intercellular tissue, which means an increase in physical structure so that weight (kg) length (cm) and head circumference (cm) can be measured. This study aims to find out "The relationship between early marriage and the growth of children aged 2 years in the working area of the Pammana Public Health Center, Wajo Regency in 2022. The research design used was a cross-sectional study with an observational type. This study uses a total sampling with 30 respondents processing data with Microsoft Excel and SPSS. There is a relationship between early marriage and the growth of children aged 2 years with the results of the chi-square test p = 0.007 and <0.05. There is a relationship between early marriage and the growth of children aged 2 years in the work area of the Pammana Health Center, Wajo Regency in 2022, where the younger the age of marriage, the more susceptible to child growth disorders. So it is hoped that integrated care and supervision health services can be implemented to reduce the risk of early marriage and growth disorders in children.
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Kaerova, E., N. Zhuravskaya, O. Shakirova, T. Stebliy e S. Popik. "THE USE OF FORCE PLATFORM FOR AFTER STROKE REHABILITATION". Human Sport Medicine 20, n.º 1 (3 de junho de 2020): 123–27. http://dx.doi.org/10.14529/hsm200115.
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Aim. The article deals with searching for the new effective methods of physical rehabilitation in stroke patients. Materials and Methods. The program of physical rehabilitation involved 42 patients aged from 30 to 80 years with the consequences of ischemic stroke in the early recovery period (up to six months), movement disorders, imbalances and postural disorders, reduced self-care capacity and mobility, reduced quality of life. The program included exercises with balancing platforms and training sessions on a force platform with biofeedback. Results. Comparative analysis revealed the positive dynamics of the balance function and balance when walking. The area of the center of pressure and its oscillations measured in the frontal and sagittal planes changed significantly, the velocity of the center of pressure, the maximum amplitude in the frontal plane, and the area of the statokinesiogram decreased. Conclusion. Comprehensive physical rehabilitation with balancing platforms and training on a force platform in the early recovery period helps to improve motor skills and balance, as well as to improve the quality of life and mobility of stroke patients.
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Malakhov, O. A., A. M. Cherkashov e O. P. Pyzhevskaya. "Experience in the treatment of scoliosis in children and adolescents in a rehabilitation center". N.N. Priorov Journal of Traumatology and Orthopedics 4, n.º 3 (29 de julho de 1997): 60–61. http://dx.doi.org/10.17816/vto108563.
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The rehabilitation center operates on the basis of the sanatorium boarding school No. 25 at the CITO. The sanatorium boarding school was organized in 1992 and is designed for the education and treatment of 150 children aged 6 to 16-17. A typical school building after a major overhaul was converted into an educational and medical institution. The boarding school works on a five-day week, children spend weekends at home. Unlike other similar institutions that exist in Moscow and some regions of Russia, boarding school No. 25 does not specialize in the rehabilitation treatment of patients with pathology of any one system of the musculoskeletal system (spine, large joints, etc.). The main task of the center is to provide qualified rehabilitation assistance to children suffering from a wide variety of orthopedic pathologies, as well as those who have suffered injuries of the joints, limbs, spine, etc. This report is devoted to the analysis of treatment at the center for children suffering from scoliosis. This contingent of patients here is about 60% of the total number of patients.
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Borisenko, Yuliya, Ksenia Belogai e Olga Aksenova. "Developing Memory and Attention in Primary School Children in the Conditions of a Social Rehabilitation Center". Bulletin of Kemerovo State University. Series: Humanities and Social Sciences 2023, n.º 2 (4 de julho de 2023): 125–32. http://dx.doi.org/10.21603/2542-1840-2023-7-2-125-132.
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The aim of this study was to identify, substantiate, and test the possibilities for developing higher cognitive functions, i.e., memory and concentration, in young residents of a social rehabilitation center. The experiment involved 156 subjects: 100 pupils from the social rehabilitation center and 56 children from comprehensive secondary schools aged 7–9 (M = 8.33; SD = 11.47). The diagnostic measures included the following techniques: Landolt Rings (E. Landolt), Remember and Dot (V. Bogomolov), Ten Words (A. R. Luria), Image Memory (S. A. Rimskaya), Retell a Story (A. F. Anufriev, S. N. Kostromina), Diagnostics of Mediated Memory (R. S. Nemov). The experimental group had poorer memory and lower average indicators for concentration and such attention characteristics as set-shifting, distribution, stability, and volume. In the control group, the mean values remained within the norm. A tailored program for developing higher cognitive functions triggered positive dynamics in memory and attention parameters in the children from the social rehabilitation center, whose cognitive functions are at risk at the primary school age. However, the targeted development of higher mental functions was able to improve their attention and memory.
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Cerdán-de-las-Heras, Jose, Fernanda Balbino, Anders Løkke, Daniel Catalán-Matamoros, Ole Hilberg e Elisabeth Bendstrup. "Tele-Rehabilitation Program in Idiopathic Pulmonary Fibrosis—A Single-Center Randomized Trial". International Journal of Environmental Research and Public Health 18, n.º 19 (23 de setembro de 2021): 10016. http://dx.doi.org/10.3390/ijerph181910016.
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We investigated the usefulness and effectiveness of tele-rehabilitation on exercise capacity in patients with idiopathic pulmonary fibrosis (IPF). A randomized study was carried out, including stable patients with IPF for 3 months of tele-rehabilitation: video and chat consultations with a physiotherapist and workout sessions with a virtual physiotherapist agent (VAPA). Moreover, 6-min walk test distance (6MWTD), forced vital capacity (FVC), diffusion capacity for carbon monoxide (DLCO), 7 days pedometry, Saint George Respiratory Questionnaire for interstitial lung disease, The King’s Brief Interstitial Lung Disease Questionnaire, and General Anxiety Disorder 7 Questionnaire were tested before and after 3 months of tele-rehabilitation, as well as after 3 and 6 months follow-up. Patient satisfaction and adherence were also measured for tele-rehabilitation with VAPA. Twenty-nine patients aged 70.9 ± 8.6 years, male 72.4%, FVC% 83.5 ± 17.7, DLCO% 50.6 ± 13.0, 6MWTD 468.4 ± 14.8 were included. Fifteen patients were randomized to tele-rehabilitation with VAPA and 14 to the control group. Differences in 6MWTD between groups were at baseline (+10 m (p = 0.11)) and after 3 (+39.5 m (p = 0.03)), 6 (+34.3 m (p = 0.02)), and 9 months (+40.5 m (p = 0.15)) follow-up. No difference was observed in pedometry and quality of life. Adherence was above 63%. Patient satisfaction was high. Tele-rehabilitation with VAPA appears to be useful in patients with IPF. Exercise capacity was better at follow up at 3 and 6 months compared with the control group. There was no change in quality of life or pedometry. Adherence and patient satisfaction were all high.
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Pogrund, R. L., D. L. Fazzi e E. M. Schreier. "Development of a Preschool “Kiddy Cane”". Journal of Visual Impairment & Blindness 87, n.º 2 (fevereiro de 1993): 52–54. http://dx.doi.org/10.1177/0145482x9308700205.
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The American Foundation for the Blind's (AFB's) National Technology Center and the Orientation and Mobility Training Program at California State University, Los Angeles, worked jointly to develop and evaluate a “kiddy cane” for use with young blind children aged 2–6. The prototype cane was designed at AFB and field tested by orientation and mobility specialists in southern California who worked with young children. Initial modifications were made on the basis of feedback from the specialists. Ongoing evaluation from the field is desired to make further improvements in the cane.
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Keskinen, Kirsi E., Merja Rantakokko, Kimmo Suomi, Taina Rantanen e Erja Portegijs. "Environmental Features Associated With Older Adults’ Physical Activity in Different Types of Urban Neighborhoods". Journal of Aging and Physical Activity 28, n.º 4 (1 de agosto de 2020): 540–48. http://dx.doi.org/10.1123/japa.2019-0251.
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The authors studied associations of nature- and infrastructure-based features with physical activity (PA) in different urban neighborhood types; 848 community-dwelling people aged 75–90 years reported PA and three perceived nature-based destinations and seven infrastructure-based features as outdoor mobility facilitators. Neighborhood type was defined using a geographic information system based on proximity to central service areas and residential density (city center, subcenter, and dense and dispersed areas outside centers). PA was higher in dense areas and the city center. Binary logistic regression showed that perceiving nature-based destinations increased the odds for higher PA in the city center and areas outside centers. In dispersed areas, perceived infrastructure-based facilitators were especially associated with higher PA. Environmental features were not associated with PA in subcenters. Higher residential density, as a proxy for a higher amount of infrastructure, rather than center proximity, may underlie older adults’ PA. The spatial context should be acknowledged in studies on environment–PA associations.
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Yudin, V. E., V. V. Klimko, V. P. Yaroshenko, A. A. Budko e A. A. Davydova. "OPTIMIZATION OF THE MEDICAL REHABILITATION PROGRAM FOR THE WOUNDED USING THE HYPERBARIC OXYGEN THERAPY". Bulletin of the Medical Institute of Continuing Education 3, n.º 3 (25 de setembro de 2023): 53–57. http://dx.doi.org/10.36107/2782-1714_2023-3-3-53-57.
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Background. The use of the hyperbaric oxygenation therapy (HBO) in the program of medical rehabilitation of the wounded in a timely manner and according to the indications leads to an increase in cardio-respiratory syndrome indicators, improvement of microcirculation in damaged tissues, reduction of the healing time of postoperative scars. An integrated approach to the rehabilitation of the wounded with the use of HBO contributes to the reduction of treatment time for amputee prosthetics Aim. To optimize the rehabilitation program using the hyperbaric oxygenation method in a rehabilitation center, on the basis of studying the features of the clinical picture and the functional state of the wounded with the consequences of mineexplosive and gunshot wounds. Materials and Methods. Under the supervision there were 215 patients with amputation defects, aged 20 to 50 years, who were injured during the special military operation between March 2022 and June 2023. Results. The hyperbaric oxygenation therapy (HBO) resulted in faster healing and epithelialization of wounds, an active growth of granulations, expansion of the zone of viable tissues, and improvement of microcirculation. Conclusions. As a result of medical rehabilitation using the hyperbaric oxygenation method in the rehabilitation center, the most patients achieved the planned rehabilitation ePect.
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Melo-Neto, João Simão de, Ana Elisa Zuliani Stroppa-Marques e Fabiana de Campos Gomes. "Profile of Pneumopathic Elderly Persons Admitted to a Pulmonary Rehabilitation Center". Revista Brasileira de Geriatria e Gerontologia 19, n.º 5 (outubro de 2016): 759–67. http://dx.doi.org/10.1590/1809-98232016019.150143.
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Abstract Introduction: Pneumopathies are defined as a group of respiratory diseases. Physiotherapy centers are a conventional treatment option which can help prevent and treat various pulmonary conditions. Objective: To characterize elderly persons with pneumopathies admitted for pulmonary rehabilitation. Methods: 84 elderly persons were admitted for pulmonary rehabilitation. Patients diagnosed with pulmonary disease and aged ≥60 years were included in the study. The following variables were analyzed: gender, age, marital status, profession, medical diagnosis, main medical complaint, associated diseases, and cardiovascular risk factors. Results: The most common lung disease is chronic obstructive pulmonary disease (COPD) (26.2%). Women showed a greater association with asthma [odds ratio (OR)=5.875; p=0.010]. Dyspnea was the most prevalent main complaint among this population (50%). Among the main complaints, difficulty walking was more associated with men (OR=2.85; p=0.055). Strokes were the main disease most commonly associated with pneumopathies (12.1%). Women had a greater association with other diseases (OR=5.34, p=0.068), especially when two diseases were presented simultaneously with lung disease (OR=2.32, p=0.041). Among the risk factors, physical inactivity (OR=3.33), alcohol consumption (OR=0.046) and history of smoking (OR=3.00) were significantly associated with men, while depression (OR=5.67) was significantly associated with women. Women exhibited a 3.28 greater association between allergies and pneumopathies than men (p=0.013). The practice of physical activity was more associated with women (OR=3.89; p=0.03). Osteoporosis was more prevalent among elderly women with pulmonary disease (OR=10.75; p<0.0001), and was also significantly associated with a history of smoking (OR=4.31; p=0.009). Conclusion: The most frequent diagnosis, main complaint and associated disease were COPD, dyspnea and strokes, respectively. Elderly woman exhibited a greater association with the diagnosis of bronchial asthma, and more diseases associated with lung disease. Physical inactivity, difficulty walking, and a history of alcohol consumption and smoking are more associated with men, while depression, the presence of allergies, regular physical activity and osteoporosis are more associated with women. Thus, the results demonstrate that these individuals have specific characteristics.
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Dourado, Elisana Costa, Ana Paula Corona e Silvia Ferrite. "Ear canal collapse prevalence and associated factors among users of a center of prevention and rehabilitation for disabilities". Revista CEFAC 19, n.º 6 (dezembro de 2017): 749–55. http://dx.doi.org/10.1590/1982-0216201719611317.
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ABSTRACT Purpose: to investigate the prevalence of the ear canal collapse when using supra-aural earphones and to verify if this event is influenced by sex, age, color of the skin and prominent ear. Methods: the collapse was assessed by a visual inspection after the positioning of a detached cushion, pressured against the external ear. Results: a total of 436 individuals, aged 3 to 97 years, participated in the study. Ear canal collapse was observed in 11.4% of the subjects, being mostly bilateral (90.0%). The prevalence ranged from 6.3% to 36.6% across age groups. Males, aged 65 years or above and presence of prominent ear were independently identified as associated factors for the occurrence of ear canal collapse (p<0.05). Despite a higher prevalence for those self-identified as white skinned when compared to non-whites, the difference was not statistically significant. Conclusion: the ear canal collapse, when supra-aural earphones are used, is more likely to occur in men, in elderly people, and among those with prominent ears. The prevalence of the event in this population raises the necessity of a careful examination, previous to any evaluation using supra-aural earphones.
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Sharma, Neena K., Busuyi Olotu, Asha Mathew, Lemuel R. Waitman e Rafia Rasu. "Lumbar Spine Surgeries and Medication Usage During Hospital Stay: One-Center Perspective". Hospital Pharmacy 52, n.º 11 (9 de novembro de 2017): 774–80. http://dx.doi.org/10.1177/0018578717737431.
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Background: Pain after spine surgery is usually managed with opioid and nonopioids. The rate of lumbar spine surgeries (LSS) is rising, but current practices on LSS are not known. A current trend in LSS and medication usage by age group is needed to gain a better understanding of how LSS and its pain management vary by age. Objective: The aim of this study was to report current practices of LSS of discectomy, laminectomy, and fusion in patients aged 18 and older and to gain an understanding of medication use for management of LSS. Methods: This retrospective study analyzed data of the University of Kansas Medical Center from 2007 to 2014 of patients (>18 years of age) undergoing laminectomy, discectomy, and fusion. Results: A total of 19 463 patients underwent LSS between 2007 and 2014 at Kansas University hospital. For the purpose of this study, 3115 patients’ medical records were observed. A 50% increase in LSS between 2007 and 2014 was noted. Specifically, more than 2-fold increase in LSS was observed in patients aged 65 years and older. Among those aged 65 years and older, laminectomy was the most commonly performed surgery (69.6%) while discectomy was the most common surgery performed among those aged 18 to 34 (82.9%) and those aged 35 to 44 (72%). The medication use also increased with a highest usage in opioids alone (55%), followed by opioids combined with other analgesics (42.7%), regardless of lumbar surgery type or age. Conclusion: The information of increase in both LSS and the medication usage over the 7 years can be used to gain a better understanding of quality, expenditure, and outcomes following LSS. This knowledge may help health care providers plan patient care and rehabilitation services for older adults, as the trajectory of lumbar spine surgery is likely to rise with growing prevalence of older adults. The information regarding increased opioid utilization may also help clinicians to refine opioid usage and consider alternative approaches to manage acute postoperative pain, in light of the current concerns related to overutilization of opioids.
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Lee, Joowon, Baojiang Chen, Harold W. Kohl, Carolyn E. Barlow, Chong do Lee, Nina B. Radford, Laura F. DeFina e Kelley P. Gabriel. "The Association of Physical Activity With Carotid Intima Media Thickening in a Healthy Older Population: Cooper Center Longitudinal Study". Journal of Aging and Physical Activity 28, n.º 3 (1 de junho de 2020): 448–54. http://dx.doi.org/10.1123/japa.2019-0103.
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The purpose of this study was to examine the association between self-reported physical activity (PA) and mean common carotid artery intima–media thickness (CCA IMT) among older adults. The data are from 1,811 Cooper Center Longitudinal Study participants, who were aged ≥60 years, with no history of cardiovascular disease. A medical history questionnaire was used to assess PA. Carotid ultrasound was performed to measure CCA IMT and the presence of plaque and stenosis. Logistic regression models were constructed to estimate the association between PA and CCA IMT after adjustment for covariates. The participants were aged 69.2 ± 5.9 years, and the majority were male (73.3%) and White (96.7%). The odds ratio of abnormal thickening of CCA IMT was 0.72 (95% confidence interval [0.54, 0.96]) in physically active participants (≥500 metabolic equivalent·min/week) after adjustment for covariates. In the current study, meeting PA guidelines in older adulthood was associated with lower odds of abnormal thickening of CCA IMT.
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Artioli, Dérrick Patrick, e Gladson Ricardo Flor Bertolini. "Characterization of SUS-treated amputees at the Itanhaém Municipal Rehabilitation Center from 2012 to 2020". European Journal of Clinical and Experimental Medicine 21, n.º 4 (30 de dezembro de 2023): 835–39. http://dx.doi.org/10.15584/ejcem.2023.4.28.
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Introduction and aim. Analyzing the factors related to amputations and understanding which factors are changeable can assist in the development of public policies for the prevention and education of the population. Objective: To describe the main etiological characteristics and symptoms after amputation in the Unified Health System (Sistema Único de Saúde – SUS) patients in order to contribute to the information for treatment planning by the multiprofessional team for these patients. Material and methods. Retrospective study from 2012 to 2020, evaluating data from all amputation cases seen at the Itanhaém Municipal Rehabilitation Service, SP. Results. 76 cases were studied, mostly middle-aged men, Caucasian, smokers, hypertensive, type II diabetics, some with dyslipdemia, cardiopathies, and the main cause of amputation was infection after wound. Conclusion. The population needs to be warned about the risk of amputation due to infected wounds in patients with difficulty in controlling their comorbidities. Patients who have undergone amputation, should be oriented towards an early utilization of rehabilitation services, and municipalities should prepare their medical and rehabilitation professionals for the treatment of characteristic symptoms that amputees report and prosthetization.
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Kim, Hae Young, Hye Jin Lee, Tae-lim Kim, EunYoung Kim, Daehoon Ham, Jaejoon Lee, Tayeun Kim et al. "Prevalence and Characteristics of Neuropathic Pain in Patients With Spinal Cord Injury Referred to a Rehabilitation Center". Annals of Rehabilitation Medicine 44, n.º 6 (31 de dezembro de 2020): 438–49. http://dx.doi.org/10.5535/arm.20081.
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Objective To identify the prevalence and characteristics of neuropathic pain (NP) in patients with spinal cord injury (SCI) and to investigate associations between NP and demographic or disease-related variables.Methods We retrospectively reviewed medical records of patients with SCI whose pain was classified according to the International Spinal Cord Injury Pain classifications at a single hospital. Multiple statistical analyses were employed. Patients aged <19 years, and patients with other neurological disorders and congenital conditions were excluded.Results Of 366 patients, 253 patients (69.1%) with SCI had NP. Patients who were married or had traumatic injury or depressive mood had a higher prevalence rate. When other variables were controlled, marital status and depressive mood were found to be predictors of NP. There was no association between the prevalence of NP and other demographic or clinical variables. The mean Numeric Rating Scale (NRS) of NP was 4.52, and patients mainly described pain as tingling, squeezing, and painful cold. Females and those with below-level NP reported more intense pain. An NRS cut-off value of 4.5 was determined as the most appropriate value to discriminate between patients taking pain medication and those who did not.Conclusion In total, 69.1% of patients with SCI complained of NP, indicating that NP was a major complication. Treatment planning for patients with SCI and NP should consider that marital status, mood, sex, and pain subtype may affect NP, which should be actively managed in patients with an NRS ≥4.5.
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Krug, Rodrigo, Lariane Ono, Anna Quialheiro, Eleonora D’Orsi, Luiz Ramos e André Xavier. "A Stimulation and rehabilitation program: Oficina da Lembrança". Revista Brasileira de Atividade Física & Saúde 20, n.º 5 (1 de setembro de 2015): 534. http://dx.doi.org/10.12820/rbafs.v.20n5p534.
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This study aimed to present the method of the multi-center program of cognitive stimulation and rehabilitation known as “Oficina da Lembrança” (Memory Workshop), held at the University of Southern Santa Catarina, Federal University of Santa Catarina and Federal University of São Paulo. This project has assisted about 450 people aged 50 or older with memory complaints. Each session consists of one to three meetings/week (approximately 20 meetings/semester), with groups of 10 to 20 participants to carry out activities on computers, physical activity and individual oral reports of the experiences they had at the meetings (approximately 90 minutes). In the first and final six-monthly meeting, socio-demographic, health and behavioral variables, cognitive performance, functional disability and presence of depressive symptoms are collected. The project was implemented in 2006 and it is expected to continue. Programs like this are extremely important in society because they can provide benefits to the population, especially in terms of helping cognitive improvement, thus promoting health and socialization.
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Bharathi, S., K. Anuradha e J. Venkateshwar Rao. "An Experience at a Tertiary Level Hospital NRC in Management of Severe Acute Malnutrition in Children Aged between 6-59 Months Adopting World Health Organization Recommendations". Research in Health Science 1, n.º 1 (25 de maio de 2016): 41. http://dx.doi.org/10.22158/rhs.v1n1p41.
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<p><em>Objectives:<strong> </strong></em><em>To study the outcome indicators of a nutritional rehabilitation center and to assess its performance.</em></p><p><em>Design: </em><em>Retrospective case study.</em></p><p><em>Period:</em><em> One year period from Jan 2014 to Dec 2014.</em></p><p><em>Methods:<strong> </strong></em><em>Data of 254 children aged between 6-59</em><em> </em><em>months with severe acute malnutrition admitted in nutritional rehabilitation center at department of pediatrics, Gandhi hospital, was</em><em> </em><em>analyzed retrospectively. Identification and treatment of severe acute malnutrition was done according to world health organization recommendations.</em></p><p><em>Results:<strong> </strong></em><em>The recovery rate, death rate, defaulter rate, mean (SD) weight gain & mean (SD) duration of stay in the nutritional rehabilitation center were 51.42%, 3.54%, 28.57%, 8g/kg/day, 14.2 days respectively.</em></p><p><em>Conclusions:<strong> </strong></em><em>Nutritional rehabilitation centers are effective in management of severe malnutrition and also in decreasing the case fatality rates.</em></p>
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OKU, Toshiro, Noboru HIROSE, Munenori KATO e Hitoshi MARUYAMA. "Effect of Using a Cane on Center of Gravity during Simulation of Experience of the Aged". Rigakuryoho Kagaku 24, n.º 2 (2009): 235–39. http://dx.doi.org/10.1589/rika.24.235.
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Kharkivska, Elena Viktorovna, Natalya Viktorovna Posokhova e Nadezhda Nikolaevna Kalashnikova. "Social and cultural rehabilitation of the elderly in the activities of cultural and leisure institutions by means of art therapy". KANT Social Sciences & Humanities 8, n.º 4 (outubro de 2021): 49–61. http://dx.doi.org/10.24923/2305-8757.2021-8.6.
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The scientific novelty of the study consists in identifying the main trends in regional practice of the influence of social and cultural rehabilitation of the elderly. As a result, a project was developed for the Shebekinsky Divertissement Theater Art Therapy Center for the social and cultural rehabilitation of the elderly. The goal of the project is to create an interactive space to overcome the processes of social adaptation of middle-aged and older people. The implementation of the project will contribute to the formation of new effective styles of behavior in everyday life among the participants of the Center, thanks to which they will be able to simulate life situations on stage, learn new constructive ways of interacting with the world around them, will adapt in the modern changing world, return a positive attitude to their lives and acquire new hobbies. The project will become a real means of resolving the personal psychological problems of this age group.
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Lo, Yi-Pang, Shang-Lin Chiang, Chia-Huei Lin, Hung-Chang Liu e Li-Chi Chiang. "Effects of Individualized Aerobic Exercise Training on Physical Activity and Health-Related Physical Fitness among Middle-Aged and Older Adults with Multimorbidity: A Randomized Controlled Trial". International Journal of Environmental Research and Public Health 18, n.º 1 (25 de dezembro de 2020): 101. http://dx.doi.org/10.3390/ijerph18010101.
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The presence of multimorbidity in middle-aged and older adults, which reduces their physical activity and quality of life, is a global health challenge. Exercise is one of the most important health behaviors that individuals can engage in. Previous studies have revealed that aerobic exercise training is beneficial for healthy middle-aged and older adults and those with various chronic diseases, but few studies have designed individualized aerobic exercise training for individuals with multimorbidity. Although individuals with multimorbidity are considerably less adherent to physical activity interventions, telephone-based motivational interviewing may help in strengthening motivation and promoting behavioral change for increasing physical activity and health-related physical fitness. This study aimed to examine whether a 12-week individualized aerobic exercise training in a rehabilitation center combined with telephone-based motivational interviewing is effective in promoting physical activity and health-related physical fitness among middle-aged and older adults with multimorbidity. A randomized controlled trial was conducted. Forty-three participants (aged > 40) were recruited and randomly assigned to the intervention group, comparison group, or control group. The participants’ physical activity and health-related physical fitness were assessed at baseline and at 12 weeks. The results indicated that after individualized aerobic exercise training combined with telephone-based motivational interviewing, the participants reported increased total physical activity (Fin = 481.3, p = 0.011), vigorous-intensity physical activity (Fin= 298.9, p = 0.007), dominant and nondominant hand grip (kg) (Fin = 1.96, p = 0.019; Fin = 2.19, p = 0.027, respectively), FEV1/FVC (Fin = 0.045, p = 0.043), VO2 max (ml/kg/min) (Fin = 5.30, p = 0.001), VO2 max predicted (%) (Fin = 21.6, p = 0.001), work (watts) (Fin = 22.5, p = 0.001), and anaerobic threshold (L/min) (Fin = 0.165, p = 0.011). Twelve weeks of individualized aerobic exercise training in the rehabilitation center combined with telephone-based motivational interviewing can increase the total physical activity, vigorous physical activity, and cardiorespiratory fitness of middle-aged and older adults with multimorbidity.
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Davidowitz, Isgav, Yisrael Parmet, Silvi Frenkel-Toledo, Melanie C. Baniña, Nachum Soroker, John M. Solomon, Dario G. Liebermann, Mindy F. Levin e Sigal Berman. "Relationship Between Spasticity and Upper-Limb Movement Disorders in Individuals With Subacute Stroke Using Stochastic Spatiotemporal Modeling". Neurorehabilitation and Neural Repair 33, n.º 2 (fevereiro de 2019): 141–52. http://dx.doi.org/10.1177/1545968319826050.
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Background. Spasticity is common in patients with stroke, yet current quantification methods are insufficient for determining the relationship between spasticity and voluntary movement deficits. This is partly a result of the effects of spasticity on spatiotemporal characteristics of movement and the variability of voluntary movement. These can be captured by Gaussian mixture models (GMMs). Objectives. To determine the influence of spasticity on upper-limb voluntary motion, as assessed by the bidirectional Kullback-Liebler divergence (BKLD) between motion GMMs. Methods. A total of 16 individuals with subacute stroke and 13 healthy aged-equivalent controls reached to grasp 4 targets (near-center, contralateral, far-center, and ipsilateral). Two-dimensional GMMs (angle and time) were estimated for elbow extension motion. BKLD was computed for each individual and target, within the control group and between the control and stroke groups. Movement time, final elbow angle, average elbow velocity, and velocity smoothness were computed. Results. Between-group BKLDs were much larger than within control-group BKLDs. Between-group BKLDs for the near-center target were lower than those for the far-center and contralateral targets, but similar to that for the ipsilateral target. For those with stroke, the final angle was lower for the near-center target, and the average velocity was higher. Velocity smoothness was lower for the near-center than for the ipsilateral target. Elbow flexor and extensor passive muscle resistance (Modified Ashworth Scale) strongly explained BKLD values. Conclusions. Results support the view that individuals with poststroke spasticity have a velocity-dependent reduction in active elbow joint range and that BKLD can be used as an objective measure of the effects of spasticity on reaching kinematics.
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Haque, Md Obaidul. "A Project to Set up a Day Care Center with Rehabilitation Services for the Betterment of Health of Senior Citizen". Journal of Quality in Health Care & Economics 6, n.º 4 (2023): 1–4. http://dx.doi.org/10.23880/jqhe-16000342.
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Aloneness, carelessness and less reputation, sickness due to aged and in contradiction of lack of treatment are the most of the treacherous conditions which elderly are facing. Under the areas of the physical environment, the program, personnel, and inter-staff interactions, the development of a Day Care Center for senior citizens. The Center's mission is to offer seniors more thorough and efficient services. The program's social reinforcement, physical care, and mental components are focused on helping patients learn new skills and rediscover old ones so they may deal successfully with the challenges of aging and retirement. The day care center for the Senior citizens (elderly) can effectively cope with the continuous aging of the population, which is an important supporting form of community care service system. This project aims to Established a day care center for senior citizen for the betterment of their physical, social and mental health therefore, improve their quality of life with the help of qualified health professionals, quality infrastructure and active participation of service user.
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Kovac, Milena. "Some specificities of rehabilitation of children with special needs". Medical review 58, n.º 9-10 (2005): 483–85. http://dx.doi.org/10.2298/mpns0510483k.
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Introduction Children with special needs (with psychophysical developmental disabilities) need rehabilitation in order to live as independent life as possible. The aim of this study was to determine the amount of certain kinds of rehabilitation in children with special needs. Material and methods The study included three groups of children (total of 99 children) hospitalized at the department for extended treatment of the rehabilitation center for children. All children have mental, physical or combined disabilities, as a result of chronic disease. Treatment type and the amount (and also involvement in special schools) depended on the disability Analysis of sex distribution showed male predominance. Most children (59 of them) were aged 0 - 7 (59.6%) and there were 40 children 8-17 (40.4%) years old. Results Most of the subject were involved in: occupational therapy 93 (36.8%). kinesitherapy 47 subjects (18.6%), psychomotor therapy 46 (18.2%), speech therapy 35 (13.8%), and medical therapy 32 (12.6%). School children were mostly with mental disability.
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Aulia, Nurul Izzah, Affrilyno Affrilyno e Bontor Jumaylinda BR Gultom. "PANTI SOSIAL ANAK PROVINSI KALIMANTAN BARAT". JMARS: Jurnal Mosaik Arsitektur 11, n.º 1 (28 de fevereiro de 2023): 16. http://dx.doi.org/10.26418/jmars.v11i1.61043.
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Law of the Republic of Indonesia No. 35 of 2014 confirms that children have the right to survival, growth and development and to receive protection from all acts of crime, violence, exploitation and neglect. Even though government regulations have been enacted, there are still cases of crime, violence, exploitation and neglect of children in every province in Indonesia, one ofLaw of the Republic of Indonesia No. 35 of 2014 confirms that children have the right to survival, growth and development and to receive protection from all acts of crime, violence, exploitation and neglect. Even though government regulations have been enacted, there are still cases of crime, violence, exploitation and neglect of children in every province in Indonesia, one of which is the Province of West Kalimantan. Based on this description, it is necessary to design a Social Rehabilitation Center for Children so they would receive protection, education, develop creativity, and improve their social skills in the community. The design is intended for children aged 6-12 years because they require different handling. The design method uses the R. Whittaker method which consists of an introduction stage, definition stage, preparation stage, analysis stage, synthesis stage, and evaluation stage. Social Rehabilitation Center for Children in West Kalimantan consist several building masses, such as management and health masses, education and therapy masses, and dormitory masses using an Architectural Psychology approach to create a safe and comfortable environment for children's growth and development. The embodiment of the Architectural Psychology approach adjusts to space requirements both physical and psychosocial as well as visual aspects which include sensory stimuli, such as shape, color, scale, lighting, ventilation, view, vegetation, and noise.which is the Province of West Kalimantan. Children who experience acts of violence both physically, psychologically, sexually, and socially can bring up various forms of behavior such as permissive, depressive, aggressive, and destructive. Based on this description, it is necessary to design a Social Rehabilitation Center for Children so they would receive protection, education, develop creativity, and improve their social skills in the community. The services provided at Social Rehabilitation Center for Children are in the form of physical guidance, social guidance and psychosocial therapy, mental-spiritual guidance, and skills guidance. The design is intended for children aged 6-12 years because they require different handling. Social Rehabilitation Center for Children in West Kalimantan consist several building masses, such as management and health masses, education and therapy masses, and dormitory masses using an Architectural Psychology approach to create a safe and comfortable environment for children's growth and development. The embodiment of the Architectural Psychology approach adjusts to space requirements both physical and psychosocial as well as visual aspects which include sensory stimuli, such as shape, color, scale, lighting, ventilation, view, vegetation, and noise.
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Romanovskiy, N. V. "Dynamics of early rehabilitation care for children with autism spectrum disorder using the DIR/Floortime approach at St. Luke’s Center for Health and Development". Russian Journal of Child Neurology 17, n.º 4 (18 de maio de 2023): 33–43. http://dx.doi.org/10.17650/2073-8803-2022-17-4-33-43.
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This article analyzes the dynamics of early comprehensive psychological and pedagogical care for children aged 3 years with autism spectrum disorders (ASD) using the DIR/Floortime approach. The experimental group included 18 ASD patients aged 3 years who attended a special program in Svt. Luka’s Center for Health and Development (Moscow) on a regular basis (2–3 times a week). The comprehensive program included weekly individual classes of 4 types: Floortime therapy, kinesotherapy with elements of sensory integration, game speech therapist-defectologist, and sensory-gaming group. The control group included 19 ASD patients aged 3 years who did not attend special classes. We used the Vineland Adaptive Behavior Scale (VABS) and Functional Emotional Assessment Scale (FEAS) for examination. Children were examined at baseline and after 3 months. We found that children from the experimental group had a significant positive dynamics in their communication skills, daily living skills, motor development, desire for emotional contact, communicative initiative, and two-way interaction. Children from the control group did not demonstrate any significant dynamics of these parameters.
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Nogueira, Alysson Figueiredo, Lucas Moratelli, Marcela dos Santos Martins, Ricardo Torres Iupi, Marcos Felipe Marcatto de Abreu e João Carlos Nakamoto. "EVALUATION OF DISTAL FOREARM FRACTURES USING THE AO 2018 CLASSIFICATION". Acta Ortopédica Brasileira 27, n.º 4 (agosto de 2019): 220–22. http://dx.doi.org/10.1590/1413-785220192704218467.
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ABSTRACT Objective: Distal forearm fractures are among the most common upper limb fractures in all ages, and many classifications have been proposed to describe them. Recently, a new version of AO/OTA classification was proposed. The aim of this study is to use the AO/OTA 2018 classification to report the epidemiology of distal forearm fractures in adults treated at a single center. Methods: A retrospective analysis of the initial radiographs obtained from cases of distal forearm fractures in an orthopedic emergency room at a single tertiary hospital. Results: Three hundred twenty-two cases were studied, aged 50.35 ± 18.98 years, 55.3% were female and 44.7% were right-sided. Type 2R3A, 2R3B and 2R3C fractures corresponded to 32.3%, 18.0% and 48.4% of the cases, respectively. Distal ulnar fracture was present in 41.9%. There was a correlation between age and sex: 78.3% of the subjects aged under 30 years were male, and 80.6% of those aged over 60 years were female (p<0.001). Conclusion: The most common type of radial fractures was 2R3C, and the most common type of ulna fracture was 2U3A1.1. There was a correlation between age and sex. Level of evidence IV, Case-series.
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Bunin, A. V. "Research on the effectiveness and safety of kinesiotaping in middle-aged and elderly military patients for reducing acute and chronic myofascial pain". Russian Osteopathic Journal, n.º 3-4 (11 de fevereiro de 2020): 23–29. http://dx.doi.org/10.32885/2220-0975-2019-3-4-23-29.
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Introduction. In a medical center for rehabilitation treatment, the vast majority of military patients are people of middle age (45–59 years according to the WHO classifi cation) and older. Many of them participated in combat activities, special operations, and had injuries of various limitation periods. With age, the number of degenerative changes in the connective tissue, musculoskeletal system, and nervous system increases, which creates biomechanical conditions for the occurrence of acute and chronic pain syndrome of varying intensity. The goal of research — to study the effectiveness and safety of kinesiotherapy in patients of middle and older age groups with acute and chronic pain syndrome.Materials and methods. From February 2017 to July 2018, a prospective study was carried out in the Medical Center for Rehabilitation Treatment (Korolev), P. V. Mandryka Central Military Clinical Hospital. Patient selection and sampling was carried out by the continuous method. 154 military patients underwent treatment at the Medical Center for Rehabilitation Treatment (Korolev), P. V. Mandryka Central Military Clinical Hospital under our supervision. All patients suffered from acute and chronic pain. Kinesiotherapy was used as a treatment method. All patients were assessed for the severity of pain before treatment, on the fi rst and fi fth days. The safety of the method was evaluated by observing local irritation reactions and systemic allergic reactions.Results. Kinesiotherapy in the treatment of military patients with acute and chronic pain syndrome allows to reduce the severity of pain, in accordance with the results of the assessment on the fi rst and the fi fth days (differences are statistically signifi cant, p<0,05, Student′s t-test). This treatment method showed high (69,4 %) effectiveness and safety (not a single case of systemic allergic reactions, 4,1 % of cases with local irritation reactions).Conclusion. This treatment method can be used in cases of acute and chronic myofascial pain syndrome in a hospital setting in middle-aged and older patients. Its use is possible both for quick and prolonged improvement (during 5 days) of the patients′ condition.
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Pinchuk, D. Y., T. N. Sezneva, M. V. Katysheva, N. A. Vashchalova e R. G. Yur’eva. "Clinical and physiologic analysis of the efficacy of scoliotic disease treatment at the specialized rehabilitation center". N.N. Priorov Journal of Traumatology and Orthopedics 4, n.º 3 (29 de julho de 1997): 45–51. http://dx.doi.org/10.17816/vto108554.
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The work is based on the analysis of treatment results of 52 scoliotic patients, aged 7-14 years. All patients were treated at the rehabilitation center for children with locomotor disorders. 14 patients had the 1st degree of scoliosis, 21 - lst-2nd degree, 13 - 2nd degree and 4 children - 2nd-3rd degree. Prior to and after treatment all patient were subjected to complex examination including the evaluation of their condition by clinical numbered scale, electromyography, apparatus evaluation of tonus, contact thermometry. In various groups of patients the main therapeutic course was supplemented with the seances of biocontrol with feedback, acupuncture, magnetic pulse stimulation, expanded physiotherapeutic course in various combinations. Authors conclude that clinical numbered scale supplemented with several indices may be used in clinical practice. Entering on the curative complex the methods which contribute to the improvement of circulation and metabolism processes with following use of biocontrol with feedback by EMG will allow to raise the efficacy of scoliotic disease treatment.
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Rajan, Nishanth, Priya Jose, Peter Prasanth Kumar Kommu e Shanthi Kannan. "Prevalence of specific learning disability in children and its association with somatic symptom disorder – data from a tertiary care centre of South India". Journal of Current Research in Scientific Medicine 10, n.º 1 (janeiro de 2024): 79–83. http://dx.doi.org/10.4103/jcrsm.jcrsm_92_23.
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Abstract Background: Specific learning disability is one of the neurodevelopmental disorders with problems in one of the basic skills such as reading, writing, and arithmetic. Identifying at an early age can lead to a proper referral and reduce the occurrence of psychosomatic symptoms. Materials and Methods: This study aimed to estimate the prevalence of specific learning disability (SLD) in children aged 6–14 years who presented to the pediatric outpatient department (OPD) and to find out the association between SLD and somatic symptom disorder. A retrospective hospital-based study was done in the child guidance and rehabilitation center, department of paediatrics of a teaching hospital in Puducherry. Data from all children aged 6–14 years who came to the pediatric OPD during February 2017–2022 were included and all children with incomplete medical records, incomplete recording of assessment in the register of child guidance and rehabilitation center obvious hearing and visual impairment, those with an intellectual quotient <70, and all sick children were excluded from the study. The medical records of all patients who were evaluated by a child psychologist were audited through hospital information management software-specific learning disabilities were assessed using the NIMHANS Learning Disability score. The intelligence quotient was assessed using Malin’s Intelligence Scale for Indian Children. Results: A total of 5457 children aged 6–14 years were included and 364 children (364/5457; 6.6%) had different grades of SLD. The children who were presenting with somatic symptom disorder had (OR – 9.64, 95% confidence interval – 7.51– 12.37, P < 0.0001) a significant chance of having SLD. Conclusion: The prevalence of specific learning disabilities is 6.6%. There is a six-fold association between SLD and psychosomatic disorder.
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Koyama, Koji, Kozo Furushima, Yoshinori Sugano, Azusa Niitsu, Yuka Kodachi, Sosuke Niino, Mayumi Ueno, Eiji Takahashi e Kazutaka Adachi. "Spinal alignment and the center of pressure while standing in children aged 6–12 years". Japanese Journal of Physical Fitness and Sports Medicine 71, n.º 6 (1 de dezembro de 2022): 493–503. http://dx.doi.org/10.7600/jspfsm.71.493.
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Ganjehie, Sahar, Hassan Saeedi, Behshid Farahmand e Sarah Curran. "The efficiency of gait plate insole for children with in-toeing gait due to femoral antetorsion". Prosthetics and Orthotics International 41, n.º 1 (9 de julho de 2016): 51–57. http://dx.doi.org/10.1177/0309364616631349.
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Background:One of the most common gait disorders in children is in-toeing. Few studies have examined the efficacy gait plate insole in in-toeing. we used more precise apparatus than previous studies.Objectives:The aim of this study was to investigate the immediate effect of gait plate insole on the angle of gait and center of pressure displacement in children with in-toeing gait.Study design:Quasi-experimental before -after study.Methods:The angle of gait and center of pressure displacement were measured in 17 children aged 4–10 years with in-toeing gait. The RS scan pressure platform was employed to perform walking tests in three conditions including barefoot, with shoes only, and gait plate insole with shoes.Results:The gait plate insole with shoes as well as shoes alone produced a significant 11.1° and 3.85° increase in the angle of gait in in-toeing children respectively ( p < 0.05). The medial–lateral displacement of center of pressure showed a significant difference (3 mm) in shoes only condition when compared with barefoot condition. The shoes only and gait plate insole compared with barefoot condition increased the anterior–posterior displacement by 28 and 30 mm respectively.Conclusion:The gait plate insole with ordinary shoes and shoes only were able to increase angle of gait and the center of pressure displacement in the anterior–posterior direction in children with in-toeing gait due to excessive femoral anteversion.Clinical relevanceThe use of a gait plate insole inserted in ordinary shoes can improve gait appearance in children with in-toeing gait caused by Excessive femoral anteversion.
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Kim, Ki-Hong, Yun-Chol Jang, Min-Keun Song, Hyeng-Kyu Park, In-Sung Choi e Jae-Young Han. "Changes in Aerobic Capacity Over Time in Elderly Patients With Acute Myocardial Infarction During Cardiac Rehabilitation". Annals of Rehabilitation Medicine 44, n.º 1 (29 de fevereiro de 2020): 77–84. http://dx.doi.org/10.5535/arm.2020.44.1.77.
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Objective To test the hypothesis that a longer duration of phase II cardiac rehabilitation is required to recover the exercise capacity of elderly patients compared to younger patients.Methods We retrospectively reviewed and analyzed the medical records of patients who were referred to our cardiac rehabilitation (CR) center and underwent percutaneous coronary intervention for acute myocardial infarction (AMI). A total of 70 patients were enrolled who underwent an exercise tolerance test (ETT) 3 weeks after the occurrence of an AMI (T0), 6 weeks after the first ETT (T1), and 12 weeks after the first ETT (T2). Patients older than 65 years were assigned to the elderly group (n=24) and those aged 65 years and younger to the younger group (n=46). Both groups performed center-based or home-based CR for 12 weeks (3 times per week and 1 session per day). Exercise intensity for each individual was based on the target heart rate calculated by the Karvonen formula. The change in maximal metabolic equivalents (MET<sub>max</sub>) of the two groups was measured at each assessment point (T0, T1, and T2) to investigate the recovery of exercise capacity.Results The younger group showed improvement in MET<sub>max</sub> between T0 and T1. However, MET<sub>max</sub> of the elderly group showed no significant improvement between T0 and T1. The exercise capacity, measured with MET<sub>max</sub>, of all groups showed improvement between T0 and T2.Conclusion Elderly patients with AMI need a longer duration of CR (>6 weeks) than younger patients with AMI.
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Schoeller, Soraia Dornelles, Andréa Regina Schuch Grumann, Alessandra Cadete Martini, Stefânia Forner, Lívia Takano Sader e Giovani Cavalheiro Nogueira. "Knowing to care: characterization of individuals with spinal cord injury treated at a rehabilitation center". Fisioterapia em Movimento 28, n.º 1 (março de 2015): 77–83. http://dx.doi.org/10.1590/0103-5150.028.001.ao08.
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Introduction Spinal cord injury (SCI) results in motor, sensory and autonomic dysfunction. The symptoms observed in patients with spinal cord injury will depend on the area affected by the injury. Nursing care is essential for better patient outcomes. Objective The aim of this study was to characterize patients with spinal cord injury treated at a state referral rehabilitation center for SCI. Methods We performed a quantitative cross-sectional descriptive study of 109 patients between the years 2000 and 2009. Results We found a predominance of spinal cord injury in men aged up to 30 years (48.5%). The main causes of spinal cord injuries were traffic accidents. The thoracic region was the most frequently affected site (39.7%), followed by the cervical region (25.6%). Most of the study subjects had been rated as ASIA A, according to the American Spinal Cord Injury Association scale. Discussion These findings corroborate previous studies observing that traffic accidents are the leading causes of spinal cord injury and that people affected by it usually do not seek proper care. Receiving early intervention services and counseling is essential for a better outcome and for achieving an improvement in the quality of life of these patients. Conclusion Despite the increasing incidence of spinal cord injuries nowadays, there is still a lack of data on the subject. The greatest limitation of this study is the incompleteness of medical records, which hindered the access to information.
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Dewi, Nova Ratna, Hidayana e Irdayani. "Sociodemographic and Cultural Aspects of the Gayo Community in Exclusive Breastfeeding in the Work Area of the Pegasing Health Center, Central Aceh". Open Access Indonesia Journal of Social Sciences 6, n.º 1 (13 de março de 2023): 906–11. http://dx.doi.org/10.37275/oaijss.v6i1.149.
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Exclusive breastfeeding is breastfeeding only, without additional fluids and other foods for the first 6 months. Economic, cultural, and sociodemographic factors are thought to influence mothers to keep working even though their babies still need exclusive breastfeeding. This study aimed to describe cultural and sociodemographic factors related to exclusive breastfeeding in the working area of the Pegasing Health Center, Central Aceh. This research is an observational study. A total of 73 mothers participated in this study. The inclusion criteria are mothers who have children aged 0-5 years, domicile in the Pegasing Health Center work area, and are willing to participate in this study. Sociodemographic data and the level of knowledge of mothers regarding exclusive breastfeeding were measured using a structured interview and questionnaire. Cultural aspects related to exclusive breastfeeding were explored through focus group discussions and in-depth interviews. The majority of participants had senior high school education (57.5%), family income was below the Central Aceh regional minimum wage (95.89%), and mothers' knowledge regarding exclusive breastfeeding was considered good (50.7%). Meanwhile, mothers considered that family support in breastfeeding was good (50.7%). However, support from health workers was considered to be lacking regarding exclusive breastfeeding (38.4%). Based on the results of the interviews, there are habits making up and myths about dena which inhibit exclusive breastfeeding in infants in the Gayo area. In conclusion, family income and cultural factors have a role in exclusive breastfeeding in the working area of the Pegasing Health Center, Central Aceh.
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Memetov, S. S., V. A. Safronenko, Yu I. Zakharchenko, L. P. Danilenko, V. V. Kim, A. S. Makarenko e D. V. Grishin. "Some problematic issues of rehabilitation of patients with the stroke consequences at the present stage". Acta Biomedica Scientifica 8, n.º 3 (11 de julho de 2023): 115–20. http://dx.doi.org/10.29413/abs.2023-8.3.12.
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Background. Acute cerebrovascular disorders are one of the main causes of severe disability in modern society. Russian and foreign researchers register the emerging trend towards rejuvenation of the patients with stroke, which, in turn, significantly increases the relevance of the treatment and rehabilitation of these patients at various stages.The aim. To study the social and hygienic characteristics of the stroke patients and to determine their need for medical rehabilitation in the early recovery period.Materials and methods. We studied the social and hygienic characteristics of 109 patients who had stroke in 2020 and 2021 and underwent rehabilitation in the specialized rehabilitation department of the Southern District Medical Center of the Federal Medical and Biological Agency, and determined their need for medical rehabilitation using the analytical method, the method of expert assessments and questionnaires.Results. The average portrait of a patient with a stroke in the early recovery period is as follows: this is a man aged 61 to 70 years with a higher or secondary specialized education, unemployed, living in the city. Up to 30 % of stroke survivors were recognized as disabled; among which, the persons with more severe disability (groups I and II) predominate – up to 90 %. Implementation of rehabilitation measures in the acute period in the hospital and in the early recovery period in the outpatient clinic is carried out at a fairly low level. The percentage of patients being examined by a multidisciplinary rehabilitation team ranges from 17.4 to 10.1 %.Conclusion. The availability of medical rehabilitation measures in a specialized rehabilitation center is quite limited; more than half of the surveyed contingent (52.3 %) experienced problems in obtaining a referral to treatment, about half of the respondents (46.8 %) waited up to 6 months for a referral, which indicates the need to expand the network of such institutions at the regional level.
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Barnett, Heather M., Hetal R. Patel, Molly M. Fuentes e Aaron E. Bunnell. "Trends and Disparities in Inpatient Rehabilitation of Adolescents: The Effect of Demographics, Injury Characteristics, and Facility Type". Topics in Spinal Cord Injury Rehabilitation 28, n.º 1 (1 de janeiro de 2022): 13–20. http://dx.doi.org/10.46292/sci21-00033.
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Background: Intensive rehabilitation of adolescents occurs in general and pediatric inpatient rehabilitation facilities (IRFs), but differences in admission and outcomes by facility type have not been thoroughly investigated, particularly among persons with spinal cord injury (SCI). Objectives: To investigate factors related to admission to pediatric or adult IRFs among adolescents and compare the rehabilitation outcomes between facility types. Methods: Using a single-center retrospective cohort study design, demographic information, medical data, and rehabilitation outcomes were obtained by chart review of patients aged 15 to 18 years who received a rehabilitation medicine consultation at an urban level 1 trauma center between 2017 and 2019 (N = 96). Analysis was performed using R statistical software. Results: SCI was the second most common diagnosis (21% of patients) and accounted for 36% of inpatient rehabilitation admissions. SCI patients were more likely to undergo rehabilitation at the level 1 trauma versus pediatric facility (relative risk [RR] = 2.43; 95% confidence interval [CI] = 1.08–5.44) compared to traumatic brain injury patients. Admission to trauma versus pediatric IRF was also associated with Black compared to White race (RR = 2.5; CI = 1.12–5.56), violence compared to other etiologies of injury (RR = 2.0; CI = 1.10–3.77), and Medicaid compared to private insurance (RR = 2.15; CI = 1.01–4.59). Admission to pediatric IRF was associated with longer length of stay than admission to adult IRF when adjusted for diagnosis (30.86 ± 21.82 vs. 24.33 ± 18.17 days; p = .046), but Functional Independence Measures did not differ. Conclusion: Adolescents with SCI and those experiencing systemic disadvantages, including racism and poverty, were more likely to be admitted to trauma compared to pediatric IRF.
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Ridley, Kate, e Tim Olds. "Video Center Games: Energy Cost and Children’s Behaviors". Pediatric Exercise Science 13, n.º 4 (novembro de 2001): 413–21. http://dx.doi.org/10.1123/pes.13.4.413.
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Time spent playing video games has been linked to increases in childhood obesity and sedentary behavior. However, “new generation” video games require total body movement and greater physical exertion. The aim of this study was to describe children’s behavior and energy expenditure while visiting video game centers. Observations were undertaken on 134 children’s activity patterns while playing at a video game center. The energy cost of 10 children (5 male and 5 female) aged 12.5 ± 0.5 yr, playing 4 popular video games was then measured. Gross energy cost ranged from 7.6 to 26.5 ml · kg−1 · min−1. Based on our observations, we estimate that the gross energy expenditure during a child’s typical session in a video game center will range from 2.3–2.6 METS.
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Burenina, Svetlana, Svetlana Kalinina, Elena Petrash, Boris Borisov e Alexey Shpak. "SOCIAL REHABILITATION OF FAMILIES WITH CHILDREN WITH DISABILITIES THROUGH THE ORGANIZATION OF MUTUAL ASSISTANCE GROUPS". SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 3 (28 de maio de 2021): 219–30. http://dx.doi.org/10.17770/sie2021vol3.6161.
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The article tells about the experience of the state budget institution of social services of the Pskov region "Rehabilitation center for children and adolescents with disabilities" from Velikiye Luki in the rehabilitation of children and adolescents aged 0 to 18 years with disabilities in mental and physical development, ensuring their fullest and timely social adaptation to life in society, family, education and work through the organization of mutual assistance groups. The effectiveness of this form of work with a family raising a child with disabilities is shown by teaching parents to understand their children, identify their abilities and needs for their further development. These theoretical positions were confirmed by experimental work that took place in three stages, including the social project "All together" with an inclusive component, which allowed to develop the huge internal potential of families raising children with disabilities for their more effective rehabilitation.
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Betker, Aimee L., Ankur Desai, Cristabel Nett, Naaz Kapadia e Tony Szturm. "Game-based Exercises for Dynamic Short-Sitting Balance Rehabilitation of People With Chronic Spinal Cord and Traumatic Brain Injuries". Physical Therapy 87, n.º 10 (1 de outubro de 2007): 1389–98. http://dx.doi.org/10.2522/ptj.20060229.
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Background and Purpose Goal-oriented, task-specific training has been shown to improve function; however, it can be difficult to maintain patient interest. This report describes a rehabilitation protocol for the maintenance of balance in a short-sitting position following spinal cord and head injuries by use of a center-of-pressure–controlled video game–based tool. The scientific justification for the selected treatment is discussed. Case Descriptions Three adults were treated: 1 young adult with spina bifida (T10 and L1–L2), 1 middle-aged adult with complete paraplegia (complete lesion at T11–L1), and 1 middle-aged adult with traumatic brain injury. All patients used wheelchairs full-time. Outcomes The patients showed increased motivation to perform the game-based exercises and increased dynamic short-sitting balance. Discussion The patients exhibited increases in practice volume and attention span during training with the game-based tool. In addition, they demonstrated substantial improvements in dynamic balance control. These observations indicate that a video game–based exercise approach can have a substantial positive effect by improving dynamic short-sitting balance.
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Van Geffen, J. A., P. U. Dijkstra, A. L. Hof, J. P. K. Halbertsma e K. Postema. "Effect of flat insoles with different Shore A values on posture stability in diabetic neuropathy". Prosthetics and Orthotics International 31, n.º 3 (setembro de 2007): 228–35. http://dx.doi.org/10.1080/03093640600994557.
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The objective of the study was to determine whether insoles with a low Shore A value (15°) as prescribed for patients with a diabetic neuropathy have a negative effect on posture stability because these insoles may reduce somatosensory input under the feet. It was conducted in the Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands The study was observational and conducted on 30 diabetic patients (aged 37 – 82 years) with a neuropathy. Posture stability (body sway) was assessed in a shoe without insole, on a flat insole with a low Shore A value (15°) and on a flat insole with a higher Shore A value (30°). These assessments were done under four different conditions: (1) eyes open, no dual-task, (2) eyes closed, no dual-task, (3) eyes open, dual-task (mental arithmetic) and (4) eyes closed, dual-task. Additionally 10 healthy controls (aged 27 – 51 years) were assessed similarly. A significantly higher root-mean-square (rms) value of the anterior-posterior velocity, Vy, was found in patients compared with controls (3.4 cm/s vs. 1.2 cm/s, p < 0.05). Also a significant difference in rms value of the anterior-posterior velocity, Vy, was found between eyes open and eyes closed (1.9 cm/s vs. 2.7 cm/s, p < 0.05). No significant effects were found for insoles or dual tasks for the total group. In diabetic patients no significant effect was found of insoles on posture stability. The effect of closed eyes on posture stability was significantly larger for diabetic patients compared to controls. It was found that prescribing insoles with a low Shore A value (15°), compared to insoles with a higher Shore A value (30°) has no significant negative effect on posture stability in patients with a diabetic neuropathy.