MedWorm: Rehabilitation Research

Early changes in muscle atrophy and muscle fiber type conversion after spinal cord transection and peripheral nerve transection in rats

Journal of NeuroEngineering and Rehabilitation — Mon, 20 May 2013 04:00:00 +0100

Conclusion: In the conclusion, spinal cord transection diminished the expression of sMHC protein and PGC-1alpha protein in the soleus muscle. On the other hand, sciatic nerve transection enhanced the expression of sMHC protein and PGC-1alpha protein in the soleus muscle. (Source: Journal of NeuroEngineering and Rehabilitation)

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Development of new measurement system of thoracic excursion with biofeedback: reliability and validity

Journal of NeuroEngineering and Rehabilitation — Mon, 20 May 2013 04:00:00 +0100

Conclusion: The novel measurement system, BREATH, has high intra- and inter-evaluator reliabilities and validity; therefore it can lead us more effective respiratory exercise. Using its biofeedback data, this system may help patients with respiratory disease to do exercises more efficiently and clinicians to assess the respiratory exercise more accurately. (Source: Journal of NeuroEngineering and Rehabilitation)

The Use of a Bone-Anchored Device as a Hard-Wired Conduit for Transmitting EMG Signals From Implanted Muscle Electrodes

IEEE Transactions on Biomedical Engineering — Sat, 18 May 2013 15:10:12 +0100

The use of a bone-anchored device to transmit electrical signals from internalized muscle electrodes was studied in a sheep model. The bone-anchored device was used as a conduit for the passage of a wire connecting an internal epimysial electrode to an external signal-recording device. The bone-anchored device was inserted into an intact tibia and the electrode attached to the adjacent M. peroneus tertius. “Physiological” signals with low signal-to-noise ratios were successfully obtained over a 12-week period by walking the sheep on a treadmill. Reliable transmission of multiple muscle signals across the skin barrier is essential for providing intuitive, biomimetic upper limb prostheses. This technology has the potential to provide a better functional and reliable solution fo...

Imprisonment for non-intentional transmission of HIV: can it be supported using established principles for justifying criminal sentencing?

Sexually Transmitted Infections — Fri, 17 May 2013 04:00:00 +0100

In England, Wales and Scotland, those who unintentionally transmit HIV through sexual intercourse are at risk of criminal prosecution, and furthermore may be at risk of imprisonment under the Offences Against the Person Act 1861. These sentences have ranged between 1 and 10 years. There has been a long debate on whether this is an acceptable use of the law, and indeed whether those who transmit HIV in this manner should be subjected to legal proceedings. Previous debate has embraced the rhetoric of shared responsibility and public health. In this paper, we wished instead to apply traditional justifications for sentencing (including retribution, deterrence, rehabilitation, incapacitation and reparation) to imprisonment for non-intentional transmission of HIV through consensual sexual i...

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Local metabolic rate during whole body vibration

Journal of Applied Physiology — Thu, 16 May 2013 04:00:00 +0100

Whole body vibration (WBV) platforms are currently used for muscle training and rehabilitation. However, the effectiveness of WBV training remains elusive, since scientific studies vary largely in the vibration parameters used. The origin of this issue may be related to a lack in understanding of the training intensity that is imposed on individual muscles by WBV. Therefore, this study evaluates the training intensity in terms of metabolic rate of two lower-extremity muscles during WBV under different vibration parameters. Fourteen healthy male subjects were randomly exposed to 0 (control)-, 10-, 17-, and 28-Hz vibrations while standing upright on a vibration platform. A near-infrared spectrometer was used to determine the gastrocnemius medialis (GM) and vastus lateralis (VL) muscles' meta...

Grant to help Envision expand vision-rehabilitation services for seniors

bizjournals.com Health Care:Pharmaceuticals headlines — Wed, 15 May 2013 20:08:31 +0100

Envision is expanding the vision-rehabilitation services it provides to seniors with the help of a grant from the Kansas Department for Children and Families. Envision is one of five organizations across the state that will receive a portion of a $1.2 million grant. Envision says it will use its share to offer greater access to vision services for people 55 and older in Butler, Cowley, Harvey, Sedgwick and Sumner counties. Envision is expanding its “Focus” program by providing additional vision-rehabilitation… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)

Advances made in the treatment of thoracolumbar fractures: Current trends and future directions

Injury — Wed, 15 May 2013 17:10:55 +0100

Abstract: Thoracolumbar fractures are common injuries after blunt trauma and are accompanied with significant morbidity, including neurologic deficit. Parallel to the evolution of initial management during the past few years, efforts have been concentrated on determining clear indications for surgical treatment, as there is no agreement over superiority of conservative or operative treatment. Various classification systems have been used for identifying those injuries requiring surgical intervention. Moreover, novel trends in surgical techniques, including minimal invasive surgery, implants and rehabilitation protocols have provided new, promising aspects regarding the treatment and outcomes of thoracolumbar fractures. The present review focuses on these recent advances. (Source: Injury)

Rehabilitation of Children With Traumatic Brain Injury: A Critical Review

Pediatric Neurology — Wed, 15 May 2013 11:18:50 +0100

Abstract: The purpose of this critical review of the English literature published between 1975 and 2009 was to assess the quality of the evidence for the efficacy of rehabilitation intervention after traumatic brain injury in children. “Evidence for intervention studies” was used to classify the research strength of design and report. Only a minority (16/439) of the published studies has been related to traumatic brain injury in children and has used a scientific or quasiscientific design. Only one study met the criteria of class I “evidence for intervention” studies. However, this study included adults, as well as children. The other 15 studies, although reporting positive results, had many methodologic deficiencies, and consequently their validity is questionable. Although the me...

A randomised trial of a simplified method for complete denture fabrication: patient perception and quality

Journal of Oral Rehabilitation — Tue, 14 May 2013 21:12:08 +0100

This study compared a simplified method for complete denture fabrication to a conventional protocol in terms of oral health‐related quality of life (OHRQoL), patient satisfaction and denture quality. Forty‐two edentulous patients requesting treatment with complete dentures were randomly allocated into two study groups. Group S received dentures fabricated by a simplified method and Group C received conventionally fabricated dentures. Before interventions and after three and 6 months following insertion, OHRQoL and patient satisfaction were analysed by specific instruments. A prosthodontist assessed denture quality 3 months after delivery. Groups presented no difference for OHRQoL, denture quality and general satisfaction. Differences regarding patient satisfaction with some aspects o...

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Multidisciplinary outpatient rehabilitation following cardiac revascularization or valve surgery: patient-related factors for uptake

European Journal of Preventive Cardiology — Tue, 14 May 2013 04:00:00 +0100

Conclusion: These results confirm the low rates of MDCR attendance found in a previous study performed by the European Association of Cardiovascular Prevention and Rehabilitation. The study shows specific patient groups that should be targeted in priority, i.e. women, elderly, unemployed patients, disabled persons, and patients with a low socioeconomic status. (Source: European Journal of Preventive Cardiology)

Beyond resolutions? A randomized controlled trial of a self-regulation lifestyle programme for post-cardiac rehabilitation patients

European Journal of Preventive Cardiology — Tue, 14 May 2013 04:00:00 +0100

Conclusion: This trial indicates that a relatively brief intervention based on self-regulation theory is capable of instigating and maintaining beneficial changes in lifestyle and risk factors after CR. (Source: European Journal of Preventive Cardiology)

Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: a joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation

European Journal of Preventive Cardiology — Tue, 14 May 2013 04:00:00 +0100

Aerobic exercise intensity prescription is a key issue in cardiac rehabilitation, being directly linked to both the amount of improvement in exercise capacity and the risk of adverse events during exercise. This joint position statement aims to provide professionals with up-to-date information regarding the identification of different exercise intensity domains, the methods of direct and indirect determination of exercise intensity for both continuous and interval aerobic training, the effects of the use of different exercise protocols on exercise intensity prescription and the indications for recommended exercise training prescription in specific cardiac patients’ groups. The importance of functional evaluation through exercise testing prior to starting an aerobic training program i...

Outpatient cardiac rehabilitation: the Austrian model

European Journal of Preventive Cardiology — Tue, 14 May 2013 04:00:00 +0100

Over the past decades undisputable evidence has accumulated identifying the panoply of beneficial effects of exercise training, smoking cessation, blood pressure lowering, glycaemic and lipid control, as well as psycho-social interventions on cardiovascular risk factors, the well-being, morbidity and mortality of patients with cardiac diseases with or without acute events. Nevertheless, despite all the evidence, insurance companies are more than hesitant to provide patients with an adequate infrastructure to allow outpatient cardiac rehabilitation in their community. Whereas some countries still favour in-hospital rehabilitation, others are on the verge of introducing cardiac rehabilitation for the first time. Thanks to the efforts of the Working Group of Outpatient Cardiac Rehabilitation ...

CERAD test performance and cognitive impairment in Parkinson's disease

Acta Neurologica Scandinavica — Tue, 14 May 2013 04:00:00 +0100

ConclusionsThe results indicate that mild cognitive impairment in PD is related to deficits in memory, executive functions, and visuospatial functions. The memory deficit is non‐amnestic and does not entail accelerated forgetting. CERAD shows promise in identifying PD patients with cognitive impairment and increased risk of dementia. (Source: Acta Neurologica Scandinavica)

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Commentary to Manfredini et al. J Oral Rehabil. 2012;39:463–71

Journal of Oral Rehabilitation — Mon, 13 May 2013 04:00:00 +0100

(Source: Journal of Oral Rehabilitation)

Functional Outcomes by Age for Inpatient Cancer Rehabilitation: A Retrospective Chart Review

Journal of Applied Gerontology — Mon, 13 May 2013 04:00:00 +0100

Cancer-related impairments result in disabilities similar to those typically encountered in inpatient rehabilitation settings; however, the use of rehabilitation services by cancer survivors is low. This is particularly important for older adults as they are at higher risk for cancer. This retrospective study collected data from medical records from 215 charts of patients admitted to an inpatient physical rehabilitation hospital, within a 5-year period, with a primary diagnosis of cancer. Mean age was 61 years (SD = 15.7) for 109 (51%) females and 106 (49%) males. Regardless of age, patients achieved significant functional improvement, as shown by their FIM scores (t = 23.06, p < .0001), from admission to discharge. The results have several important implications related to cancer survi...

A survey of patients' quality of life and health‐care needs prior to undergoing total joint replacement surgery

International Journal of Nursing Practice — Mon, 13 May 2013 04:00:00 +0100

This study used a cross‐sectional descriptive survey approach. Data were collected in 2007. The results for role limitations because of physical functioning were the lowest. Health‐care needs for exercise guidance were the highest. Male participants experienced superior QOL for the physical components (t = 2.379, P < .05). Participants who were single (F = 3.804; F = 4.539) and employed full time (F = 4.961; F = 3.994) had superior QOL for both the physical and mental components (P < .05). The predictive factors for physical components of QOL included occupational status, the previous total joint replacement and other health problems. The predictive factor for the mental components of QOL was marital status. Because role performance is limited by physi...

Asbestosis: Past voices from the Mumbai factory floor

Indian Journal of Occupational and Environmental Medicine — Mon, 13 May 2013 04:00:00 +0100

Conclusion: Apart from the radical step of ban on asbestos, there is a need of community-based sustainable, affordable, and accessible rehabilitation program with a component of palliative care which will consider the different needs of this marginalized group. The need for such a program is intense as the number of asbestisis patients will keep on increasing till 30 to 40 years of asbestos ban. (Source: Indian Journal of Occupational and Environmental Medicine)

Correlation of previous experience, patient expectation and the number of post‐delivery adjustments of complete dentures with patient satisfaction in a Brazilian population

Journal of Oral Rehabilitation — Sun, 12 May 2013 04:00:00 +0100

The objective of this study was to verify possible correlations between previous experience with dentures, patient expectation and the number of post‐delivery adjustments with patient satisfaction after treatment. One hundred patients (mean age 61·9 ± 10·3) rated their previous experiences with complete dentures and their expectations before and satisfaction after treatment on a visual analogue scale (VAS) using scores from 0 (worst results) to 10 (best results). The number of post‐delivery adjustments and other patient‐related clinical variables was also noted. Patient expectation scores were higher than previous experience scores and satisfaction after treatment scores. Positive and weak correlations were found between previous chewing experiences with complete dentures, with ...

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In vitro chipping behaviour of all‐ceramic crowns with a zirconia framework and feldspathic veneering: comparison of CAD/CAM‐produced veneer with manually layered veneer

Journal of Oral Rehabilitation — Sat, 11 May 2013 04:00:00 +0100

Summary The purpose of this in vitro study was to assess the breaking load of zirconia‐based crowns veneered with either CAD/CAM‐produced or manually layered feldspathic ceramic. Thirty‐two identical zirconia frameworks (Sirona inCoris ZI, mono L F1), 0·6 mm thick with an anatomically shaped occlusal area, were constructed (Sirona inLab 3.80). Sixteen of the crowns were then veneered by the use of CAD/CAM‐fabricated feldspathic ceramic (CEREC Bloc, Sirona) and 16 by the use of hand‐layered ceramic. The CAD/CAM‐manufactured veneer was attached to the frameworks by the use of Panavia 2.0 (Kuraray). Half of the specimens were loaded until failure without artificial ageing; the other half of the specimens underwent thermal cycling and cyclic loading (1·2 million chewing cycles,...

Metacognitive programs focusing social cognition for the rehabilitation of schizophrenia: a systematic review

Jornal Brasileiro de Psiquiatria — Fri, 10 May 2013 18:55:51 +0100

CONCLUSION: The great majority of papers have shown that their programs are effective in improving measures of psychopathology, SC and social functioning. Future research might clarify about safety, specificity and durability of such interventions. (Source: Jornal Brasileiro de Psiquiatria)

An examination of factors influencing delayed discharge of older people from hospital

International Journal of Geriatric Psychiatry — Fri, 10 May 2013 15:11:13 +0100

ConclusionPatient characteristics and especially the organisation of care in hospital and the provision of services on discharge are related to the likelihood of delayed discharge and LOS. Improved services and structures to systematically assess and treat patient needs in hospital, together with the timely provision of services providing post‐discharge services tailored to individual circumstances, are required. Copyright © 2013 John Wiley & Sons, Ltd. (Source: International Journal of Geriatric Psychiatry)

Clinical interpretation of a masticatory normative indicator analysis of masticatory function in subjects with different occlusal and prosthodontic status

Journal of Dentistry — Fri, 10 May 2013 04:00:00 +0100

Publication date: May 2013 Source:Journal of Dentistry, Volume 41, Issue 5 Author(s): Dick J. Witter , Alain Woda , Ewald M. Bronkhorst , Nico H.J. Creugers Objectives To analyse the masticatory function of subjects characterised by different occlusal and prosthodontic status. Using Optosil® as a test food, the masticatory normative indicator (MNIOPT) was used to differentiate between sufficient (‘normal’) and impaired masticatory function. Methods Outcomes of occlusal force and masticatory tests were aggregated from three earlier studies dealing with four denture groups and three natural dentition groups. The four denture groups had a complete removable dental prosthesis in the upper jaw, and displayed one of the four following lower jaw prosthodontic rehabilitations: (i) complete...

Test-retest reliability and sensitivity of the 20-meter walk test among patients with knee osteoarthritis

BMC Musculoskeletal Disorders — Fri, 10 May 2013 04:00:00 +0100

Conclusions: Practice trials and a standardized protocol should be used in administration of the 20-meter walk test. Changes in walk time between -1.59 seconds (walking slower) and 0.15 seconds (walking faster) should be considered within the range of normal variability of 20-meter walking speed. The primary limitation of our study was a small sample size, which may influence the generalizability of our findings. (Source: BMC Musculoskeletal Disorders)

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Simultaneous bilateral rupture of achilles tendon asymptomatic postendinopathy

British Journal of Sports Medicine — Fri, 10 May 2013 04:00:00 +0100

Discussion Simultaneous and spontaneous rupture of bilateral Achilles tendons in patients without pathological factors is really unusual. 25% of the healthy population above 30 years of age has degenerative structural changes in the Achilles tendon that increase the risk of rupture depending on the patient's activity level. Both percutaneous and open surgical treatments on young and active patients provide an appropriate alternative. The open surgical treatment allows the possibility of tendon reinforcement techniques and a more complete visualisation of the damage. The postsurgical rehabilitation management is an important factor for biomechanic tendon recovery alsoallowing the restart of patient's activities as soon as possible. Figure 1Appearance of Achilles tendon before (left) a...

Functional recovery and re-introduction to sport, after repair of distal biceps tear by two-incision technique mayo

British Journal of Sports Medicine — Fri, 10 May 2013 04:00:00 +0100

The objective of this study is the evaluation of the functional outcome and sport re-introduction in patients operated on for rupture of distal biceps tendon after rehabilitation. Methods A retrospective study was done with 12 patients with a mean age of 46.41 years, who suffered biceps distal tendon tear treated by early surgery with the two incision of Mayo technique. Rehabilitation treatment was performed and functional outcomes were assessed from the sixth month of the intervention, using the Mayo Elbow Score (MES). The range of movement was measured by manual goniometer, and the force with medical research council scale. Results Two of our 12 patients were taking statin, and three of them were smokers. The time from the break until surgery was 9.5 days on average, arrested...

Use of platelet rich plasma for the treatment of bicipital tendinopathy in spinal cord injury: a pilot study

British Journal of Sports Medicine — Fri, 10 May 2013 04:00:00 +0100

Discussion The initial pilot data from this study demonstrates a significant effect of PRP using relevant and standardised measures compared to the opposite extremity as a control. While the study sample is admittedly small, a non-parametric analysis demonstrates convincing data on the overall positive effect of PRP in the treatment of biceps tendinopathy in the spinal cord injury population. Given the study results, further investigation is warranted including a randomised control trial. (Source: British Journal of Sports Medicine)

Tendinopathy: more questions than answers

British Journal of Sports Medicine — Fri, 10 May 2013 04:00:00 +0100

Tendinopathy is a big problem for athletes, ordinary people and clinicians. At present neither the aetiology and pathology, nor the rehabilitations is well understood, and good evidence is lacking within all these areas. During the last 10 years substantial research has been performed. New data indicate that in the chronic state, tendinopathy in humans is characterised by focal changes in the expression of matrix proteins, increased collagen turnover, smaller collagen fibrils and increased microvascular volume. These changes are attenuated with increased loading as during running. Despite this new knowledge, models for investigating the development of tendinopathy are still lacking and the complex nature of tendinopathy is still a great challenge. However, by developing novel human an...

Rehabilitation of tendinopathy: where to from here?

British Journal of Sports Medicine — Fri, 10 May 2013 04:00:00 +0100

The exercise or loading approaches to treatment of tendinopathy have been at the forefront of treatment options for the last 30 years. Prior to that, the predominance of the inflammatory model prescribed that rest, ice and anti-inflammatory medication was the only suitable approach. This approach was overwhelmingly unsuccessful; failure to recover and recurrence were common. In the 70's Curwin and Stanish reported that eccentric loading was beneficial for tendinopathy, and although this received some notice in the clinical world, the Alfredson paper in 1995 resulted in an explosion of interest in eccentric load for tendinopathy. Since then much research has confirmed the benefits of eccentric exercise, however the reasons for its effectiveness have not been elucidated. The effectivene...

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Ultrasound tissue characterisation, an innovative technique for injury-prevention and monitoring of tendinopathy

British Journal of Sports Medicine — Fri, 10 May 2013 04:00:00 +0100

Ultrasonography (US) is used to visualise tendon structure. However, its capacity to detect early disintegration, to reproducibly monitor progress of pathology or repair, and to objectively evaluate effect of therapies and exercise is poor. Furthermore, US is not able to reliably assess tissue integrity as its limits of resolution means that every US image is a mixture of reflections (of relatively large structures like secondary tendon bundles, fasciculi) and interfering echoes (generated by smaller entities like fibrils and cells) that cannot be discriminated by the eye. Therefore, a method for computerised ‘ultrasound tissue characterisation’ (UTC) was created. A high-resolution probe is fixed in a tracking device and moves automatically along a tendon's long axis, collectin...

The location of pathology in patellar tendinopathy

British Journal of Sports Medicine — Fri, 10 May 2013 04:00:00 +0100

This study confirms that patellar tendinopathy is not restricted to the proximal pole. Although the proximal pole was the most commonly involved location, distal pole involvement was common occurring in 38% of scans. The vast majority of previous studies have concentrated on proximal disease to the neglect of distal disease. Involvement of the mid patellar tendon was less common and when it did occur it almost always occurred in conjunction with pathology of either the proximal and/or distal poles. Isolated involvement of the middle portion of the patellar tendon was very rare (occurring in only one scan). As a result of this study the following recommendations are made: 1. When scanning the patellar tendon all the anatomical areas are scanned carefully, including the distal pole. 2. The t...

Genetic biomarkers and exercise-related injuries: current clinical applications?

British Journal of Sports Medicine — Fri, 10 May 2013 04:00:00 +0100

Introduction As a sport and exercise physician, my clinical work includes the prevention, diagnosis, treatment, rehabilitation and determining prognosis of exercise-related injuries (ERI). These components of clinical care are not only confined to dealing with ERI in elite athletes but also as important for recreational athletes and patients who are given an exercise prescription as part of a lifestyle intervention programme for the primary, secondary and tertiary prevention of the chronic disease of lifestyle. For the clinician, the basis of any assessment of an ERI is a good clinical history and physical examination. In addition to this, the clinician can then decide to perform special investigations to confirm or refine a clinical diagnosis, identify risk factors related to injury, dete...

Ten principles of good interdisciplinary team work

Human Resources for Health — Fri, 10 May 2013 04:00:00 +0100

Conclusions: We propose competency statements that an effective interdisciplinary team functioning at a high level should demonstrate. (Source: Human Resources for Health)

Success rates of prosthetic restorations on endodontically treated teeth; a systematic review after 6 years

Journal of Oral Rehabilitation — Fri, 10 May 2013 04:00:00 +0100

Summary The aims of this systematic review were to investigate the success rates of prosthetic restorations on endodontically treated teeth and their manner of failure. PubMed and hand literature searches were conducted on studies published until June 2012. Only clinical studies on human subjects referring to the success rates of prosthetic restorations on endodontically treated teeth with a follow‐up period of at least 6 years were reviewed. A total of four studies were identified. Meta‐analysis showed the success rate to be 92% (CI 82–98%) for single crowns on endodontically treated teeth and 79% (72–86%) for fixed dental prostheses. Only one study reported on removable dental prostheses with a success rate of 66%. Single crowns on teeth restored without posts demonstrated a suc...

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Why give birth in health facility? Users' and providers' accounts of poor quality of birth care in Tanzania

BMC Health Services Research — Fri, 10 May 2013 04:00:00 +0100

Conclusions: There was a consensus among women who have suffered serious birth injuries and nurse midwives staffing both BEmOC and CEmOC maternity wards that the quality of care offered to women in birth was inadequate. While the birth accounts of women pointed to failure of care, the nurses described a situation of disempowerment. The bad birth care experiences of women undermine the reputation of the health care system, lower community expectations of facility birth, and sustain high rates of home deliveries. The only way to increase the rate of skilled attendance at birth in the current Tanzanian context is to make facility birth a safer alternative than home birth. The findings from this study indicate that there is a long way to go. (Source: BMC Health Services Research)

Internet Access and Use in Adults With Hearing Loss

Journal of Medical Internet Research — Thu, 09 May 2013 04:00:00 +0100

Conclusions: We conclude that the use of computers and the Internet overall is at least at the same level for people with hearing loss as for the general age-matched population in Sweden, but that this use is even higher in specific age groups. These results are important for the future work in developing and evaluating rehabilitative educational online tools for adults with hearing loss. (Source: Journal of Medical Internet Research)

Progress in Pediatrics in 2012: choices in allergy, endocrinology, gastroenterology, hematology, infectious diseases, neurology, nutrition and respiratory tract illnesses

Italian Journal of Pediatrics — Wed, 08 May 2013 04:00:00 +0100

In this review, we summarize the progresses in allergy, endocrinology, gastroenterology, hematology, infectious diseases, neurology, nutrition and respiratory tract illnesses that have been published in The Italian Journal of Pediatrics in 2012. The induction of Treg activity by probiotics might be effective for promoting tolerance towards food allergens. Nasal cytology is useful in patients with rhinitis for diagnosing chronic non-allergic non-infectious diseases. Atopic eczema is associated both with an aberrant skin matrix and impaired systemic immune response. Therefore, isolated topical treatment may have suboptimal effect. Diagnostic work-up of exercise-induced anaphylaxis, including exercise challenge test, is necessary to reach a diagnosis. Studies may support a role for nutrition ...

Perspectives of health personnel on how to preserve and promote the patients’ dignity in a rehabilitation context

Journal of Clinical Nursing — Wed, 08 May 2013 04:00:00 +0100

ConclusionThe staff working in institutions to rehabilitate patients with head injuries and multiple sclerosis must be aware and sensitive to the importance of maintaining and supporting the patient's dignity and self‐respect. Relevance for clinical practiceThe results from this project confirm the importance of acknowledging the patient's self‐worth as a human being, unconditionally. This might be essential in promoting and preserving the patients' dignity. (Source: Journal of Clinical Nursing)

Work in an intermediate unit: balancing between relational, practical and moral care

Journal of Clinical Nursing — Wed, 08 May 2013 04:00:00 +0100

ConclusionsWhen environmental and organisational conditions exert pressure on the working situation, care as a practical activity seems to be prioritised at the expense of the two other aspects. The findings indicate that unfavourable environmental and organisational conditions impede patients' recovery process and thereby a good clinical pathway. Relevance to clinical practiceTo recruit, support and retain a multidisciplinary staff to the best interest of patients, it seems to be important to perform care work as a balance between relational, practical and moral activities. (Source: Journal of Clinical Nursing)

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Retrospective Study of Short and Extra‐Short Implants Placed in Posterior Regions: Influence of Crown‐to‐Implant Ratio on Marginal Bone Loss

Clinical Implant Dentistry and Related Research — Wed, 08 May 2013 04:00:00 +0100

ConclusionsThe CI ratio had not a significant influence on MBL in Biotechnology Institute (BTI; Vitoria, Spain) short implants humidified with PRGF‐Endoret and placed in posterior areas. The only variable that showed a significant negative influence on first year postloading MBL was the use of cantilever for rehabilitations. (Source: Clinical Implant Dentistry and Related Research)

Long‐Term Outcomes for the Treatment of Atrophic Posterior Maxilla: A Systematic Review of Literature

Clinical Implant Dentistry and Related Research — Wed, 08 May 2013 04:00:00 +0100

ConclusionsSinus floor elevation with the lateral approach and with the osteotome technique is an effective and well‐documented therapeutic option for the rehabilitation of atrophic posterior maxilla. The use of short implants is promising but needs further investigation to be considered as effective as the other techniques in the long term. However, the indication for the three different techniques is not perfectly equivalent and the treatment choice should be based on a careful evaluation of the individual case, in particular on the available residual bone. (Source: Clinical Implant Dentistry and Related Research)

Short term in-patient rehabilitation in axial spondyloarthritis - the results of a 2-week program performed in daily clinical practice

BMC Research Notes — Tue, 07 May 2013 04:00:00 +0100

Conclusion: Data, from our retrospective case series report, support that patient with ax-SpA benefit from short-term rehabilitation when it is carried out in ordinary clinical care. Data from ordinary clinical care may be important when discussing the effectiveness of a treatment and allocating resources in the health care system. (Source: BMC Research Notes)

Nursing, sexual health and youth with disabilities: a critical ethnography

Journal of Advanced Nursing — Mon, 06 May 2013 12:12:38 +0100

ConclusionNurses occupy and strive to maintain, the role of a caring agent. However, aspects of the clinical, institutional and broader social environments may undermine their ability to promote sexual health. In nurses' efforts to maintain therapeutic relationships with clients, sexual health is often medicalised to legitimize it as an appropriate topic of discussion with patients and families. Facilities serving youth with disabilities should take steps to address barriers to the delivery of sexual health promotion and several solutions are proposed. (Source: Journal of Advanced Nursing)

Large Increases In Spending On Postacute Care In Medicare Point To The Potential For Cost Savings In These Settings [Medicare Spending]

Health Affairs — Mon, 06 May 2013 04:00:00 +0100

Identifying policies that will cut or constrain US health care spending and spending growth dominates reform efforts, yet little is known about whether the drivers of spending levels and of spending growth are the same. Policies that produce a one-time reduction in the level of spending, for example by making hospitals more efficient, may do little to reduce subsequent annual spending growth. To identify factors causing health care spending to grow the fastest, we focused on three conditions in the Medicare population: heart attacks, congestive heart failure, and hip fractures. We found that spending on postacute care—long-term hospital care, rehabilitation care, and skilled nursing facility care—was the fastest growing major spending category and accounted for a large portion ...

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Intensive rehabilitation for dementia improved cognitive function and reduced behavioral disturbance in geriatric health service facilities in Japan

Geriatrics and Gerontology International — Mon, 06 May 2013 04:00:00 +0100

ConclusionsSignificant improvement by intervention was shown in multiple domains including cognitive function and BPSD. Cognitive decline and worsening of BPSD are predictors of care burden and hospitalization, thus intensive rehabilitation for dementia was beneficial for both individuals with dementia and their caregivers. Geriatr Gerontol Int 2013; ●●: ●●–●●. (Source: Geriatrics and Gerontology International)

Design of an efficient framework for fast prototyping of customized human–computer interfaces and virtual environments for rehabilitation

Computer Methods and Programs in Biomedicine — Sat, 04 May 2013 04:10:08 +0100

Abstract: Rehabilitation is often required after stroke, surgery, or degenerative diseases. It has to be specific for each patient and can be easily calibrated if assisted by human–computer interfaces and virtual reality. Recognition and tracking of different human body landmarks represent the basic features for the design of the next generation of human–computer interfaces. The most advanced systems for capturing human gestures are focused on vision-based techniques which, on the one hand, may require compromises from real-time and spatial precision and, on the other hand, ensure natural interaction experience. The integration of vision-based interfaces with thematic virtual environments encourages the development of novel applications and services regarding rehabilitation activities....

Association of the sense of coherence with physical and psychosocial health in the rehabilitation of osteoarthritis of the hip and knee: a prospective cohort study

BMC Musculoskeletal Disorders — Sat, 04 May 2013 04:00:00 +0100

Conclusions: The sense of coherence was associated with psychosocial health dimensions but hardly with physical health. The higher the load of a scale on the psychosocial dimension the higher was its correlation to the sense of coherence. This is in contrast to the idea of Antonovsky who predicted high associations with both mental and physical health. (Source: BMC Musculoskeletal Disorders)

Rehabilitation Training Using Complex Motor Learning Rescues Deficits in Eyeblink Classical Conditioning in Female Rats Induced by Binge‐Like Neonatal Alcohol Exposure

Alcoholism: Clinical and Experimental Research — Fri, 03 May 2013 04:00:00 +0100

ConclusionsThese findings extend previous studies in this model suggesting that rehabilitation of adolescents with FASD using training with complex motor learning tasks could be effective in ameliorating functional impairments associated with cerebellar damage. Eyeblink classical conditioning deficits are now well documented in children with FASD and could serve as an evaluation measure to continue to develop therapeutic interventions such as complex motor learning. (Source: Alcoholism: Clinical and Experimental Research)

Biotype Change for the Esthetic Rehabilitation of the Smile

Journal of Esthetic and Restorative Dentistry — Fri, 03 May 2013 04:00:00 +0100

Abstract An esthetic and natural appearing smile is the result of multiple important factors. There must be a harmonious relation between tooth size, shape, proportion, and the periodontium. Successful rehabilitation of a smile often requires an interdisciplinary approach which was applied in the case presented in this article to a patient with multiple esthetic challenges. Treatment included management of canines in the lateral incisor positions, proportionally small teeth, and excessive gingival display. Good communication and coordination of care between the surgical and restorative partners produced a pleasing outcome facilitated by periodontal surgery resulting in a modification of the gingival biotype. Clinical SignificanceSmile design including crown lengthening and biotype modifica...

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Esthetic Paradigms in the Interdisciplinary Management of Maxillary Anterior Dentition—A Review

Journal of Esthetic and Restorative Dentistry — Fri, 03 May 2013 04:00:00 +0100

This article reviews some commonly used esthetic proportions and paradigms in dentistry. Establishing optimal anterior esthetics frequently entails restorative, orthodontic, and periodontal treatment. Several guidelines have been purported to facilitate an esthetic outcome during the rehabilitation of the maxillary anterior teeth. The golden proportion, recurring esthetic dental proportion, tooth width : height ratios, vertical positioning of the maxillary lateral incisor, and the apparent contact dimension are examples of some such guidelines. Evaluation of these esthetic paradigms including their validity, esthetic significance, perception by laypeople, and the range of tolerance to alterations are very important considerations. Clinical SignificanceThis review presents a comprehensi...

Radiographic study of patients with ectodermal dysplasia and partial

Table of Contents : Indian Journal of Dental Research : 2006 - 17(3) — Fri, 03 May 2013 04:00:00 +0100

Conclusion: Based on the present methodology, there were no statistically significant differences in hypodontia of one or more types of teeth between genders or types of cleft. (Source: Table of Contents : Indian Journal of Dental Research : 2006 - 17(3))

[Editorial Comment] How Many Meta-Analyses Does it Take to Settle a Question?

Psychosomatic Medicine — Fri, 03 May 2013 04:00:00 +0100

Psychological treatments (PTs) are used as adjuncts to cardiac care. This issue of Psychosomatic Medicine provides a meta-analysis by Rutledge et al. (3) on the effects of PT and cardiac rehabilitation on depression and cardiac outcomes, and the journal recently published a systematic review and meta-regression on a similar topic by Dickens et al. (4). This editorial compares the results from these two meta-analyses and discusses the problems associated with combining different types of PT and other treatments, dose-response effects, floor effects, collapsing across outcomes, and therapist qualifications. PTs have mixed but generally positive effects on reducing mortality and cardiac outcomes, but it remains a challenge explaining how such beneficial outcomes can be achieved by relatively ...

[Review] A Meta-Analysis of Mental Health Treatments and Cardiac Rehabilitation for Improving Clinical Outcomes and Depression Among Patients With Coronary Heart Disease

Psychosomatic Medicine — Fri, 03 May 2013 04:00:00 +0100

Conclusions Among patients with CHD, mental health treatments and cardiac rehabilitation may each reduce depression and CHD events, whereas cardiac rehabilitation is superior for reducing total mortality risk. The results support a continued role for mental health treatments and a larger role for mental health professionals in cardiac rehabilitation. (Source: Psychosomatic Medicine)

Assessment without action; a randomised evaluation of the interRAI home care compared to a national assessment tool on identification of needs and service provision for older people in New Zealand

Health and Social Care in the Community — Fri, 03 May 2013 04:00:00 +0100

In conclusion, the interRAI‐HC was found to identify more unmet support needs than the SNA though resulted in no favourable outcomes for the older person or their carer. The study highlights the need to invest attention around the service context to maximise outcomes based on identified needs. (Source: Health and Social Care in the Community)

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The Effect of Poststroke Delirium on Short-Term Outcomes of Elderly Patients Undergoing Rehabilitation

Journal of Geriatric Psychiatry and Neurology — Thu, 02 May 2013 04:00:00 +0100

Conclusions: In elderly patients undergoing poststroke rehabilitation, delirium is an independent predictor of institutionalization and inhospital death, but it does not affect functional recovery. (Source: Journal of Geriatric Psychiatry and Neurology)

Effects of High-Frequency Repetitive Transcranial Magnetic Stimulation on Motor and Gait Improvement in Incomplete Spinal Cord Injury Patients

Neurorehabilitation and Neural Repair — Thu, 02 May 2013 04:00:00 +0100

Conclusion. In incomplete SCI, 15 daily sessions of high-frequency rTMS can improve motor score, walking speed, and spasticity in the lower limbs. The study provides evidence for the therapeutic potential of rTMS in the lower extremities in SCI rehabilitation. (Source: Neurorehabilitation and Neural Repair)

Cognitive Rehabilitation Changes Memory-Related Brain Activity in People With Alzheimer Disease

Neurorehabilitation and Neural Repair — Thu, 02 May 2013 04:00:00 +0100

Conclusions. We suggest that CR may have operated on the process of recognition through partial restoration of function in frontal brain areas that are less compromised in early-stage AD and that physiological markers may be more sensitive indicators of brain plasticity than behavioral performance. (Source: Neurorehabilitation and Neural Repair)

Stimulated Contractions Delay and Prolong Central Fatigue Compared With Voluntary Contractions in Men

Journal of Strength and Conditioning Research — Wed, 01 May 2013 05:00:00 +0100

In conclusion, the VOL contractions alter the CAR more than the STIM contractions immediately after their completion. However, the effects of the STIM contractions on the CAR are delayed and prolonged. (Source: Journal of Strength and Conditioning Research)

Cardiac rehabilitation and exercise training

Heart — Wed, 01 May 2013 04:00:00 +0100

Cardiac rehabilitation is widely recommended for patients after acute coronary syndrome, and physical exercise features prominently in guidelines published by professional societies.1 Rehabilitation programmes vary widely in content, specialists involved, location and duration, and the exercise component varies widely from health education, through lifestyle advice and physical activity encouragement to supervised training. There is undoubted variation between centres in hours of formal exercise training offered within programmes. Sandercock and colleagues postulate that underuse of exercise training could explain why cardiac rehabilitation had no significant effect on principal outcome measures—all-cause mortality and cardiovascular morbidity—in recent randomised controlled tr...

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Cardiorespiratory fitness changes in patients receiving comprehensive outpatient cardiac rehabilitation in the UK: a multicentre study

Heart — Wed, 01 May 2013 04:00:00 +0100

Conclusion Gains in fitness varied by centre and fitness assessment protocol but the overall increase in fitness (0.52 METs) was only a third the mean estimate reported in a recent systematic review (1.55 METs). The starkest difference in clinical practice in the UK centres we sampled and the trials which comprise the evidence-base for cardiac rehabilitation was the small volume of exercise completed by UK patients. The exercise training volume prescribed was also only a third that reported in most international studies. If representative of UK services, these low training volumes and small increases in cardiorespiratory fitness may partially explain the reported inefficacy of UK cardiac rehabilitation to reduce patient mortality and morbidity. (Source: Heart)

Application of a Self-enhancing Classification Method to Electromyography Pattern Recognition for Multifunctional Prosthesis Control

Journal of NeuroEngineering and Rehabilitation — Wed, 01 May 2013 04:00:00 +0100

Conclusion: The experimental results show that the self-enhancing classifiers significantly outperform the original versions using both AR and FC coefficient feature sets. The performance of SEQDA is superior to SELDA. In addition, preliminary study on long-term EMG data is conducted to verify the performance of SEQDA. (Source: Journal of NeuroEngineering and Rehabilitation)

Mechanisms of striated muscle dysfunction during acute exacerbations of COPD

Journal of Applied Physiology — Wed, 01 May 2013 04:00:00 +0100

During acute exacerbations of chronic obstructive pulmonary disease (COPD), limb and respiratory muscle dysfunction develops rapidly and functional recovery is partial and slow. The mechanisms leading to this muscle dysfunction are not yet fully established. However, recent evidence has shown that several pathways involved in muscle catabolism, apoptosis, and oxidative stress are activated in the vastus lateralis muscle of patients during acute exacerbations of COPD, while those implicated in mitochondrial function are downregulated. These pathways may be targeted in different ways by factors related to exacerbations. These factors include enhanced systemic inflammation, oxidative stress, impaired energy balance, hypoxia, hypercapnia and acidosis, corticosteroid treatment, and physical ina...

Autologous olfactory mucosal cell transplants in clinical spinal cord injury

Advances in Small Animal Medicine and Surgery — Wed, 01 May 2013 04:00:00 +0100

Repair of spinal cord injury have involved many interventions with demonstrated beneficial effects on outcome in “proof of principle” experiments in laboratory animals, including pharmacological and biological agents, training, and rehabilitation strategies. Of these, intraspinal transplantation of olfactory ensheathing cell is one of the most promising new interventions. (Source: Advances in Small Animal Medicine and Surgery)

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Qigong as a Novel Intervention for Service Members With Mild Traumatic Brain Injury

Explore — Wed, 01 May 2013 04:00:00 +0100

Purpose: To describe the experience of internal qigong practice in service members diagnosed with mild traumatic brain injury (mTBI). Theoretical Framework: The study used qualitative descriptive phenomenological methods originally described by Husserl and later refined by Giorgi. Methodology: Participants were interviewed about their experiences while learning qigong to determine their level of interest, benefits, and/or adverse effects; ease of learning/performing the routine; and any barriers to practice. Sample: Six service members with mTBI receiving outpatient neurorehabilitation at the Defense and Veterans Brain Injury Center–Charlottesville Rehabilitation Center. Intervention: Participants learned Reflective Exercise Qigong, a form of qigong developed specifically to req...

Preface

Hand Clinics — Wed, 01 May 2013 04:00:00 +0100

It is a great pleasure and honor to edit this issue of Hand Clinics to which a worldwide group of distinguished experts on tendon repair and reconstruction has contributed. This issue starts with reviews from 2 research units whose work in the past decade has reshaped our understanding of tendon repair with regard to resistance to tendon motion. These basic science findings set the stage for current surgical practices and postoperative care. The next 3 articles present first a global view of current practice, followed by detailed description of methods and recommendations of 2 master hand surgeons: Dr. David Elliot on his experience and outcomes over 3 decades of primary flexor tendon repair and Dr. Don Lalonde on his innovative “wide-awake” primary flexor tendon repair. The late half ...

Primary Flexor Tendon Surgery: The Search for a Perfect Result

Hand Clinics — Wed, 01 May 2013 04:00:00 +0100

Repair of the divided flexor tendon to achieve normal, or near normal, function is an unsolved problem, with each result still uncertain. The authors believe the way forward in primary flexor tendon surgery clinically is by use of strengthened but simpler sutures, appropriate venting of the pulley system, and maintaining early rehabilitation. However, there needs also be consideration of patient factors and other aspects. Research needs to continue more widely, in both the laboratory and the clinical environment, to find ways of better modifying adhesions after surgical repair of the tendon. (Source: Hand Clinics)

Current Flexor and Extensor Tendon Motion Regimens: A Summary

Hand Clinics — Wed, 01 May 2013 04:00:00 +0100

This article summarizes select multinational early motion protocols. Included are flexor and extensor protocols for digital tendon repair in many forms. Custom orthosis design, exercise regimens, and advanced techniques are examples of what to expect. The goal of the article is to expose the reader to new ideas, educate regarding advanced techniques in tendon rehabilitation, and stimulate independent study to further the reader’s skill set. (Source: Hand Clinics)

Amputation and rehabilitation

Surgery (Medicine Publishing) — Wed, 01 May 2013 04:00:00 +0100

Abstract: Most lower limb amputations in the UK are performed in order to treat peripheral arterial disease and its complications. Amputations are usually classified as minor, which includes toe and partial foot amputations, or major, when most of the limb is removed. The principles of selecting amputation level are considered and the importance of optimization of the patient's general medical status is stressed. Most patients requiring amputations have significant comorbidities and amputation carries an appreciable anaesthetic risk. The minor amputations include toe and ray amputations, transmetatarsal and mid-foot amputations. Ankle-level amputations, such as Syme's amputation, are rarely indicated and it is difficult to fit prostheses to these stumps. Below-knee and above-knee amputatio...

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Court denies HealthSouth's motion over dismissal of Ernst & Young claims

bizjournals.com Health Care:Physician Practices headlines — Tue, 30 Apr 2013 23:15:08 +0100

The Circuit Court of Jefferson County has denied HealthSouth Corp.'s motion to vacate an American Arbitration Association panel's dismissal of the company's claims against its former auditor, Ernst & Young. The ruling stems from the accounting scandal that occurred more than a decade ago at the Birmingham-based provider of inpatient rehabilitation clinics. HealthSouth has claimed, among other things, that Ernst & Young, from 1996 to 2002, "acted recklessly and with gross negligence and failed to… (Source: bizjournals.com Health Care:Physician Practices headlines)

Spinal Infarction Related to the Adjuvant Chemotherapy for Surgically Resected Non-small Cell Lung Cancer: Report of a Case

Japanese Journal of Clinical Oncology — Mon, 29 Apr 2013 04:00:00 +0100

We report the development of spinal infarction during adjuvant chemotherapy with tegafur, gimeracil and oteracil (TS-1) after surgery for lung adenocarcinoma. A 69-year-old female had a left upper lobectomy for pulmonary adenocarcinoma, T2aN0M0. Six weeks after the surgery, tegafur, gimeracil and oteracil were administered orally as adjuvant chemotherapy for 1 year. After 10 months of adjuvant chemotherapy, the patient suddenly showed signs of numbness and weakness in both lower limbs. The patient did not have a previous medical history, and was receiving only tegafur, gimeracil and oteracil with the stomach medication. Neurological findings showed muscle weakness, numbness and a loss of tendon reflex in both lower limbs, as well as bladder and rectal disturbance. Blood tests, brain magnet...

Psychosocial problems associated with depression at 18 months poststroke

International Journal of Geriatric Psychiatry — Mon, 29 Apr 2013 04:00:00 +0100

ConclusionsMultiple regression models indicated that the most determining features for developing PSD at 18 months poststroke include reduced activity and relationship problems due to stroke. Further studies on risk factors for PSD are essential, including psychosocial aspects, given its negative impact on rehabilitation and quality of life. Copyright © 2013 John Wiley & Sons, Ltd. (Source: International Journal of Geriatric Psychiatry)

Stroke rehabilitation in China: a systematic review and meta‐analysis

International Journal of Stroke — Mon, 29 Apr 2013 04:00:00 +0100

ConclusionThese data provide some evidence that rehabilitation poststroke is more effective than no rehabilitation, improving activities of daily living and reducing disability. Although results are limited by low reporting quality and study heterogeneity, conducting research in countries in which rehabilitation is not standard care provides an opportunity to advance our understanding and should be encouraged. (Source: International Journal of Stroke)

Muscle morphometric effect of anterior cruciate ligament injury measured by computed tomography: aspects on using non-injured leg as control

BMC Musculoskeletal Disorders — Mon, 29 Apr 2013 04:00:00 +0100

Conclusion: The use of contralateral leg for evaluating the effect of ACL-injury is often the only available alternative but our study indicates that the difference in CSA between injured and non-injured side does not necessarily reflect the true degree of atrophy, as there are side differences both in muscle size in general and in the effect of an ACL-injury on muscle size. (Source: BMC Musculoskeletal Disorders)

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Carotid Artery Free-Floating Thrombus Caused by Paradoxical Embolization From Greater Saphenous Vein Ascending Thrombophlebitis

Annals of Vascular Surgery — Sun, 28 Apr 2013 04:10:58 +0100

We report a case of a young woman without cardiovascular risk factors who was admitted to our emergency department with listlessness and altered mental status. The clinical examination revealed right lower limb swelling. Magnetic resonance imaging and contrast-enhanced computed tomographic scans revealed a free floating thrombus of the left internal carotid artery (ICA) with a large bilateral frontal ischemic lesion. The diagnosis of a medium-sized PFO with moderate right-to-left contrast shunting was made after transesophageal echocardiography. No other cardiac sources for embolization were detected, while an ascending thrombophlebitis of the right greater saphenous vein was detected by venous Doppler ultrasonography. These findings support the diagnosis of ICA free-floating thrombus caus...

Masthead

Archives of Physical Medicine and Rehabilitation — Sat, 27 Apr 2013 23:10:13 +0100

Archives of Physical Medicine and Rehabilitation (ISSN 0003-9993) is published monthly by Elsevier Inc., 360 Park Avenue South, New York, NY 10010-1710. Periodicals postage paid at New York, NY and additional mailing offices. (Source: Archives of Physical Medicine and Rehabilitation)

Editorial Board

Archives of Physical Medicine and Rehabilitation — Sat, 27 Apr 2013 23:10:13 +0100

(Source: Archives of Physical Medicine and Rehabilitation)

Archives of Physical Medicine and Rehabilitation — Sat, 27 Apr 2013 23:10:13 +0100

(Source: Archives of Physical Medicine and Rehabilitation)

Editors' Selections From This Issue: Volume 94 / Number 5 / May 2013

Archives of Physical Medicine and Rehabilitation — Sat, 27 Apr 2013 23:10:13 +0100

Measurement Characteristics and Clinical Utility of the Craig Handicap Assessment and Reporting Technique Among Individuals With Spinal Cord Injury by Raad and Moore is included in this issue on page 1005. (Source: Archives of Physical Medicine and Rehabilitation)

Request for Proposals 2015 Archives Supplement 2

Archives of Physical Medicine and Rehabilitation — Sat, 27 Apr 2013 23:10:12 +0100

The American Congress of Rehabilitation Medicine (ACRM) is pleased to announce an exciting opportunity for Congress members to be the Guest Editor of a 2015 Supplement in the Archives of Physical Medicine and Rehabilitation (Archives). This is a unique opportunity for an experienced rehabilitation researcher or group of researchers to compile a thematically based Supplement to the Archives with a maximum of 100 journal pages (approximately 300 double-spaced manuscript pages). (Source: Archives of Physical Medicine and Rehabilitation)

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Measurement Characteristics and Clinical Utility of the Craig Handicap Assessment and Reporting Technique Among Individuals With Spinal Cord Injury

Archives of Physical Medicine and Rehabilitation — Sat, 27 Apr 2013 23:10:12 +0100

Community reintegration after spinal cord injury (SCI) is usually a rehabilitation goal. Assessment of an individual's level of community reintegration involves understanding multiple variables, including physical independence, cognitive independence, mobility, occupation, social integration, and economic self-sufficiency.1 The Craig Handicap Assessment and Reporting Technique (CHART) is a patient-reported measure that assesses how individuals with a disability participate as active members of their communities. Each domain is assessed by the 32-item instrument, and has a maximum score of 100 per domain. The total score on the CHART is a summation of each domain score, with a maximum score of 600. Higher scores on the CHART indicate a greater degree of social and community participation. T...

Multimodal Rehabilitation: A Mind-Body Family-Based Intervention for Children and Adolescents Impaired by Medically Unexplained Symptoms. Part 2: Case Studies and Outcomes

American Journal of Family Therapy — Sat, 27 Apr 2013 21:10:01 +0100

(Source: American Journal of Family Therapy)

Transcutaneous neuromuscular electrical stimulation can improve swallowing function in patients with dysphagia caused by non‐stroke diseases: a meta‐analysis

Journal of Oral Rehabilitation — Fri, 26 Apr 2013 20:11:58 +0100

Summary There is still debate over whether the effect of transcutaneous neuromuscular electrical stimulation (NMES) in dysphagia rehabilitation is superior to traditional therapy (TT). The purpose of this meta‐analysis was to assess the overall efficacy by comparing the two treatment protocols. Published medical studies in the English language were obtained by comprehensive searches of the Medline, Cochrane and EMBASE databases from January 1966 to December 2011. Studies that compared the efficacy of treatment and clinical outcomes of NMES versus TT in dysphagia rehabilitation were assessed. Two reviewers independently performed data extraction. Data assessing swallowing function improvement were extracted as scores on the Swallowing Function Scale as the change from baseline (change sco...

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Comparison of the SF6D, the EQ5D, and the oswestry disability index in patients with chronic low back pain and degenerative disc disease

BMC Musculoskeletal Disorders — Fri, 26 Apr 2013 04:00:00 +0100

Conclusions: This study indicates that the difference in important measurement properties between EQ5D and SF6D is too large to consider them interchangeable. Since the similarity with the "gold standard" (the disease-specific instrument) was quite different, this could indicate that the choice of index should be determined by the diagnosis. (Source: BMC Musculoskeletal Disorders)

Early exercise improves cerebral blood flow through increased angiogenesis in experimental stroke rat model

Journal of NeuroEngineering and Rehabilitation — Fri, 26 Apr 2013 04:00:00 +0100

Conclusions: Our results indicated that early exercise after MCAO improved the CBF in ischemic region, reduced infarct volume and promoted the functional outcomes, the underlying mechanism was correlated with angiogenesis in the ischemic cortex. (Source: Journal of NeuroEngineering and Rehabilitation)

Randomized clinical trial to evaluate the effect of a supervised exercise training program on readmissions in patients with myocardial ischemia: a study protocol

BMC Cardiovascular Disorders — Thu, 25 Apr 2013 04:00:00 +0100

This study will be conducted as a randomized controlled trial. Eligible patients will be randomly assigned to a control group receiving standard care or to an intervention group which, in addition to standard care, will take part in a supervised exercise training program consisting of three hours a week (spread over three alternate days) of supervised exercise training for 10 weeks. Both groups will perform an exercise stress test and a blood test during the first and third month after hospital discharge. The follow-up period will be 12 months after hospital discharge. The primary outcome measures will be the percentage of patients readmitted, total number of readmissions and length of hospitalization for cardiac disease during the first year after hospital discharge, and time to first hos...

Sports injury prevention: Mission Possible!

British Journal of Sports Medicine — Thu, 25 Apr 2013 04:00:00 +0100

‘Mission completed’ could be the headline for Myklebust et al who tell the story of how the incidence of ACL injury among female handball players in Norway has been kept low, 10 years after the publication of their successful intervention study.1 An inspirational read, emphasising how a step-by-step approach combined with hard work and persistence, can make a difference (that matters). This issue highlights Norway's systematic, consistent and long-term approach to addressing key research areas: sports injury prevention, active rehabilitation, women's health and physical activity medicine. It also celebrates BJSM welcoming the Norwegian Association of Sports Medicine and Physical Activity (NIMF) and the Norwegian Sports Physiotherapy Association (FFI) as member societies; a...

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Cochlear implantation in patients with vestibular schwannoma

The Laryngoscope — Wed, 24 Apr 2013 04:00:00 +0100

ConclusionsGood speech perception can be achieved in some cases, and CI should be considered as an option for auditory rehabilitation in patients with VS. Level of Evidence4. Laryngoscope, 2013 (Source: The Laryngoscope)

Learning real-life cognitive abilities in a novel 360[degree sign]-virtual reality supermarket: a neuropsychological study of healthy participants and patients with epilepsy

Journal of NeuroEngineering and Rehabilitation — Tue, 23 Apr 2013 04:00:00 +0100

Conclusions: Learning effects in our paradigm extend beyond mere verbal learning of the shopping list as the data show evidence for multi-layered learning (at least visual-spatial, strategic, and verbal) on concordant measures. Importantly, learning also correlated with measures of figural-spatial memory and the degree of immersion into the VR. We propose that cognitive training with the VR supermarket program in the OctaVis will be efficient for the assessment and training of real-life cognitive abilities in healthy subjects and patients with epilepsy. It is most likely that our findings will also apply for patients with cognitive disabilities resulting from other neurological and psychiatric syndromes. (Source: Journal of NeuroEngineering and Rehabilitation)

Quality of life after transoral laser microresection of laryngeal cancer: A longitudinal study

Journal of Surgical Oncology — Tue, 23 Apr 2013 04:00:00 +0100

ConclusionOne year after TLM patients present a very good QOL. Relevant voice impairment is detected especially in locally advanced tumors, reinforcing the necessity of preoperative counseling and postoperative rehabilitation. Adjuvant radiotherapy and neck dissection negatively influenced disease‐specific QOL. J. Surg. Oncol. 2013 9999:XX–XX. © 2013 Wiley Periodicals, Inc. (Source: Journal of Surgical Oncology)

Allopurinol use is associated with greater functional gains in older rehabilitation patients

Age and Ageing — Tue, 23 Apr 2013 04:00:00 +0100

Conclusions: this retrospective observational study suggests that allopurinol use is associated with a greater degree of improvement in function as measured by the Barthel score during rehabilitation in an older inpatient population. Prospective randomised controlled trials are required to further investigate this finding. (Source: Age and Ageing)

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Learning real-life cognitive abilities in a novel 360°-virtual reality supermarket: a neuropsychological study of healthy participants and patients with epilepsy

Journal of NeuroEngineering and Rehabilitation — Tue, 23 Apr 2013 04:00:00 +0100

Stories of Rediscovering Agency: Home-Based Occupational Therapy for People With Severe Psychiatric Disability

Qualitative Health Research — Tue, 23 Apr 2013 04:00:00 +0100

As part of a larger study, we offered Everyday Life Rehabilitation (ELR) as a model for integrated occupational therapy in sheltered or supported housing facilities, to enable meaningful daily occupations for people with psychiatric disabilities. Our aim with this study was to understand how participants made sense of their occupational transformations in the context of their everyday life and life history. We carried out qualitative interviews and field observations with 16 participants with psychosis-related disorders. We used narrative analysis and disclosed stories of "rediscovering agency," referring to occupational and identity transformations. A parallel outcome study has shown positive results for participants, and by using narrative inquiry we contribute with a deeper understandin...

The Experience of Younger Adults Following Myocardial Infarction

Qualitative Health Research — Tue, 23 Apr 2013 04:00:00 +0100

The aim of this study was to elucidate the meaning of the experience of younger people (< 55 years) during their first year following a myocardial infarction. We analyzed 17 interviews using a phenomenological–hermeneutic method. The core theme and central phenomenon was the everyday fight to redress the balance in life, which encompassed an existential, physical, and emotional battle to regain a foothold in daily life. The aftermath of a life-threatening event involved a process of transition while at the same time creating a new meaning in life. Lack of energy and its impact on the complex interplay of midlife combined with unreasonable demands from employers and health care professionals seemed to color the experience of the informants. The knowledge gained in this study can co...

March consultation #2

Journal of Cataract and Refractive Surgery — Tue, 23 Apr 2013 03:11:19 +0100

This 42-year-old woman presents with fluctuating, worsening vision from a failing right cornea due to a poorly fitting (loose) AC IOL implanted 24 years ago during surgery for congenital cataract. She is symptomatic, and something must be done. This includes removal of the AC IOL and a decision regarding the optimum choice for visual rehabilitation. Although any surgical intervention carries a fairly high risk for further corneal decompensation (ECC only 830 cells/mm2), doing nothing will inevitably lead to the same result. (Source: Journal of Cataract and Refractive Surgery)

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Multi-stage surgery for airway patency after metallic stent removal in benign laryngotracheal airway disease in two adolescents

International Journal of Pediatric Otorhinolaryngology — Mon, 22 Apr 2013 13:12:52 +0100

We present two cases of laryngeal metallic stent placement following benign airway disease. Two adolescents presented with severe dyspnea and self-expandable metallic stent placement after benign laryngotracheal stenoses. Granulation tissue ingrowths required additional surgical interventions every 6–8 weeks to recanalize the stent lumen. We performed multi-stage surgery including removal of the embedded stent, segmental resection of the stenotic area, end-to-end-anastomosis and laryngotracheal reconstruction respectively, to achieve patent airway without tracheal cannulation. Montgomery T-tubes were temporarily inserted to bridge the complex reconstructions. In both adolescents, we achieved successful removal of the embedded stent and patent airway. Bilateral vocal fold paralysis requir...

Laryngeal synovial cell sarcoma in an 11-year-old boy: Challenges of management and rehabilitation

International Journal of Pediatric Otorhinolaryngology — Mon, 22 Apr 2013 13:12:52 +0100

(Source: International Journal of Pediatric Otorhinolaryngology)

Relative contribution of restorative treatment to tooth extraction in a teaching institution

Journal of Oral Rehabilitation — Mon, 22 Apr 2013 08:10:37 +0100

In conclusion, teeth receiving multiple restorative therapies were more likely to be extracted. (Source: Journal of Oral Rehabilitation)

Effect of comprehensive cardiac rehabilitation after heart valve surgery (CopenHeartVR): study protocol for a randomised clinical trial

Trials — Mon, 22 Apr 2013 04:00:00 +0100

DiscussionThe study is approved by the local regional Research Ethics Committee (H-1-2011-157), and the Danish Data Protection Agency (j.nr. 2007-58-0015).Trial registration: ClinicalTrials.gov (NCT01558765). (Source: Trials)

Design considerations of a randomized clinical trial on a cognitive behavioural intervention using communication and information technologies for managing chronic low back pain

BMC Musculoskeletal Disorders — Mon, 22 Apr 2013 04:00:00 +0100

This study will show data of the possible benefits of using ICTs in the improvement of CBT for treating CLBP.Trial registration: NCT01802671 (Source: BMC Musculoskeletal Disorders)

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Imaging Algorithms for Evaluating Suspected Rotator Cuff Disease: Society of Radiologists in Ultrasound Consensus Conference Statement [Special Report]

Radiology — Mon, 22 Apr 2013 04:00:00 +0100

The Society of Radiologists in Ultrasound convened a panel of specialists from a variety of medical disciplines to reach a consensus about the recommended imaging evaluation of painful shoulders with clinically suspected rotator cuff disease. The panel met in Chicago, Ill, on October 18 and 19, 2011, and created this consensus statement regarding the roles of radiography, ultrasonography (US), computed tomography (CT), CT arthrography, magnetic resonance (MR) imaging, and MR arthrography. The consensus panel consisted of two co-moderators, a facilitator, a statistician and health care economist, and 10 physicians who have specialty expertise in shoulder pain evaluation and/or treatment. Of the 13 physicians on the panel, nine were radiologists who were chosen to represent a broad range of ...

Learning to Live With a Loved One With Mild Cognitive Impairment: Effectiveness of a Waiting List Controlled Trial of a Group Intervention on Significant Others' Sense of Competence and Well-being

American Journal of Alzheimer's Disease and Other Dementias — Mon, 22 Apr 2013 04:00:00 +0100

This controlled study examines the efficacy of a comprehensive group program aimed at care partners of patients with mild cognitive impairment (MCI), which comprises elements of psychoeducation, cognitive rehabilitation, and cognitive behavioral therapy. Pre- and posttreatment quantitative and qualitative data were collected in the significant others of 84 patients with MCI, 27 of whom had first been assigned to a waiting list, thus serving as their own control group. Also, the significant others rated their sense of competence, well-being, distress, acceptance, helplessness, and awareness. Quantitative data analysis did not reveal statistically significant differences between the control and the intervention condition, but qualitative results suggest that at program completion the signifi...

Oral rehabilitation of a patient with ectodermal dysplasia with prosthodontics treatment

Indian Journal of Dermatology — Sat, 20 Apr 2013 04:00:00 +0100

Srinivas NallanchakravaIndian Journal of Dermatology 2013 58(3):241-241Ectodermal dysplasia (ED) is a rare, congenital disease that involves the sweat glands, scalp hair, nails, skin pigmentation, and craniofacial structure. Oral symptoms of ED include multiple tooth abnormalities (such as hypodontia, anadontia, impacted teeth, and peg-shaped or conical anterior teeth) and lack of normal alveolar ridge development. A 12-year-old male patient, in the absence of any other systemic abnormalities, exhibited typical characteristics of ED, visited our department of pedodontics and preventive dentistry at Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre. In the clinical and radiographic evaluation, it was occurred that he had only maxillary and mandibular first molars in h...

Pre-operative ambulatory measurement of asymmetric lower limb loading during walking in total hip arthroplasty patients

Journal of NeuroEngineering and Rehabilitation — Sat, 20 Apr 2013 04:00:00 +0100

Conclusion: Inter-limb asymmetry can be evaluated with the instrumented shoes supplying important additional information about the individual gait pattern, which is not represented by gait velocity and questionnaires usually used. Therefore, this new ambulatory measurement system is able to provide complementary information to gait velocity and questionnaires outcomes to assess the functional capacity of patients with hip osteoarthritis. (Source: Journal of NeuroEngineering and Rehabilitation)

Analyzing the functions of speech therapists of NASF in Recife metropolitan region

Revista CEFAC — Fri, 19 Apr 2013 13:10:13 +0100

CONCLUSION: the study on the professional profile and the work process of speech language therapists at NASF can help identify challenges in their daily routines, as well as support actions that promote changes in training and work process toward a more integral and effective care. (Source: Revista CEFAC)

Prediction model for unsuccessful return to work after hospital-based intervention in low back pain patients

BMC Musculoskeletal Disorders — Fri, 19 Apr 2013 04:00:00 +0100

Conclusions: A prediction model combining baseline clinical and psychosocial risk factors predicted patients with low, intermediate and high risk for unsuccessful return to work, both initially and at 1-year. (Source: BMC Musculoskeletal Disorders)

The effect of directional inertias added to pelvis and ankle on gait

Journal of NeuroEngineering and Rehabilitation — Fri, 19 Apr 2013 04:00:00 +0100

Conclusions: We found that inertia up to 2 kg at the ankle or 6 kg added to the pelvis induced significant changes, but since these changes were all within the normal inter subject variability we considered these changes as negligible for application as rehabilitation robotics and assistive devices. (Source: Journal of NeuroEngineering and Rehabilitation)

Psychometric properties of the Norwegian version of the Patient Generated Index in patients with rheumatic diseases participating in rehabilitation or self-management programmes

Rheumatology — Fri, 19 Apr 2013 04:00:00 +0100

Conclusion. The results support the validity, reliability and responsiveness of the Norwegian version of the PGI in patients with rheumatic diseases and its application as an outcome measure in rehabilitation or self-management programmes. Further research is needed to improve completion rates for the PGI. (Source: Rheumatology)

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Contributors

Physical Medicine and Rehabilitation Clinics of North America — Thu, 18 Apr 2013 23:10:02 +0100

(Source: Physical Medicine and Rehabilitation Clinics of North America)

Physical Medicine and Rehabilitation Clinics of North America — Thu, 18 Apr 2013 23:10:02 +0100

(Source: Physical Medicine and Rehabilitation Clinics of North America)

Forthcoming Issues

Physical Medicine and Rehabilitation Clinics of North America — Thu, 18 Apr 2013 23:10:02 +0100

(Source: Physical Medicine and Rehabilitation Clinics of North America)

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Ambulation in Adults with Central Neurologic Disorders

Physical Medicine and Rehabilitation Clinics of North America — Thu, 18 Apr 2013 23:10:02 +0100

The quality of any body of work is often directly correlated with the strength and vision of the leader of the group. This volume of Physical Medicine and Rehabilitation Clinics of North America is no exception. Our editor is Francois Bethoux, MD. Dr Bethoux is an internationally recognized expert in the rehabilitation of patients with complex disorders of the central nervous system (CNS). His research interests include outcomes measurements, including analysis of gait and spasticity in disorders of the CNS. He brings a wealth of knowledge and experience to this project and it shows in the quality of the overall work. Dr Bethoux currently serves as the Director of Rehabilitation Services at the Cleveland Clinic, Mellen Center for Multiple Sclerosis Treatment and Research. (Source: Physical...

Pathophysiology of Gait Disturbance in Neurologic Disorders and Clinical Presentations

Physical Medicine and Rehabilitation Clinics of North America — Thu, 18 Apr 2013 23:10:02 +0100

This article briefly reviews neural control of human ambulation, basic kinematics, and kinetics of normal human gait, and describes the pathophysiology and clinical presentations of spastic hemiparetic and paraparetic, ataxic, and Parkinsonian gait patterns. (Source: Physical Medicine and Rehabilitation Clinics of North America)

Measuring Ambulation in Adults with Central Neurologic Disorders

Physical Medicine and Rehabilitation Clinics of North America — Thu, 18 Apr 2013 23:10:02 +0100

This review discusses challenges faced by clinicians and researchers when measuring ambulation in individuals with central neurologic disorders within 3 distinct environments: clinical, laboratory, and community. Even the most robust measure of ambulation is affected by the environment in which it is implemented and by the clinical or research question and the specificity of the hypothesis being investigated. The ability to accurately measure ambulation (one of the most important metrics used to show transition into a community environment) is essential to measure treatment effectiveness and rehabilitation outcomes in populations with central neurologic disorders. (Source: Physical Medicine and Rehabilitation Clinics of North America)

Technological Advances in Interventions to Enhance Poststroke Gait

Physical Medicine and Rehabilitation Clinics of North America — Thu, 18 Apr 2013 23:10:02 +0100

This article provides an overview of evidence-based research that supports the efficacy of these three interventions to improve gait, as well as providing perspective on future developments to enhance poststroke gait in neurologic rehabilitation. (Source: Physical Medicine and Rehabilitation Clinics of North America)

Index

Physical Medicine and Rehabilitation Clinics of North America — Thu, 18 Apr 2013 23:10:02 +0100

(Source: Physical Medicine and Rehabilitation Clinics of North America)

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Enhancing patient–provider communication for long‐term post‐stroke spasticity management

Acta Neurologica Scandinavica — Thu, 18 Apr 2013 04:00:00 +0100

Stroke is a major public health concern, with estimated 16 million people worldwide experiencing first‐time strokes each year, a number that is expected to rise. Two‐thirds of those experiencing a stroke are younger than 70 years of age. Stroke is a leading cause of disability in adults as a result of major sequelae that include spasticity, cognitive impairment, paresis, and depression. Disabling spasticity, defined as spasticity severe enough to require intervention, occurs in 4% of stroke survivors within 1 year of first‐time stroke. The aim of this report is to focus instead on a discussion of patient–provider communication, and its role in post‐stroke spasticity (PSS) rehabilitation within the context of patient‐centered health care. A discussion based on a review of the ...

The Resonating Arm Exerciser: design and pilot testing of a mechanically passive rehabilitation device that mimics robotic active assistance

Journal of NeuroEngineering and Rehabilitation — Thu, 18 Apr 2013 04:00:00 +0100

Conclusions: These results demonstrate that a simple mechanical device that snaps onto a manual wheelchair can use resonance to assist arm training, and that such training shows potential for safely increasing arm movement ability for people with severe chronic hemiparetic stroke. (Source: Journal of NeuroEngineering and Rehabilitation)

Training in MS: influence of two different endurance training protocols (aquatic versus overland) on cytokine and neurotrophin concentrations during three week randomized controlled trial

Multiple Sclerosis — Thu, 18 Apr 2013 04:00:00 +0100

Conclusion: This study indicates that aquatic training activates BDNF regulation and can be an effective training method during rehabilitation in PwMS. (Source: Multiple Sclerosis)

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Marginal bone loss of two implant systems with three different superstructure materials: a randomised clinical trial

Journal of Oral Rehabilitation — Wed, 17 Apr 2013 20:12:21 +0100

Summary Marginal bone level is a criterion for implant success. The aetiological factors of bone loss have not been clarified. The aim of this study was to evaluate the influence of implant systems and prosthetic materials on the marginal bone loss. Twenty‐three patients participated; two implant systems and three superstructure materials were used in this study. Twenty‐two of the implants were restored with porcelain fused to base metal alloy (BMA), 25 with porcelain fused to noble metal alloy (NMA) and 20 with zirconium oxide‐based ceramics. Radiographs were taken at baseline and 3, 6 and 12 months after loading. Crestal bone‐level changes were assessed with digital subtraction radiographs. The effects of superstructure materials and implants were evaluated with one‐way anova ...

Skeletal Muscle Signaling and the Heart Rate and Blood Pressure Response to Exercise: Insight From Heart Rate Pacing During Exercise With a Trained and a Deconditioned Muscle Group [Exercise and Blood Pressure]

Hypertension — Wed, 17 Apr 2013 04:00:00 +0100

Endurance training lowers heart rate and blood pressure responses to exercise, but the mechanisms and consequences remain unclear. To determine the role of skeletal muscle for the cardioventilatory response to exercise, 8 healthy young men were studied before and after 5 weeks of 1-legged knee-extensor training and 2 weeks of deconditioning of the other leg (leg cast). Hemodynamics and muscle interstitial nucleotides were determined during exercise with the (1) deconditioned leg, (2) trained leg, and (3) trained leg with atrial pacing to the heart rate obtained with the deconditioned leg. Heart rate was 15 bpm lower during exercise with the trained leg (P<0.05), but stroke volume was higher (P<0.05) and cardiac output was similar. Arterial and central venous pressures, rate-pressure ...

Cardiovascular fitness associated with cognitive performance in heart failure patients enrolled in cardiac rehabilitation

BMC Cardiovascular Disorders — Tue, 16 Apr 2013 04:00:00 +0100

Conclusion: The current findings indicate that better fitness levels measured by METs is independently associated with better cognitive function in older adults with HF. Results also showed that METs was closely associated with one office-based measure of fitness (2MST), but not another (DASI). Prospective studies are needed to clarify the mechanisms linking fitness and cognitive function in HF. (Source: BMC Cardiovascular Disorders)

Functional gait rehabilitation in elderly people following a fall-related hip fracture using a treadmill with visual context: design of a randomized controlled trial

BMC Geriatrics — Tue, 16 Apr 2013 04:00:00 +0100

DiscussionThe study will shed light on the relative importance of adaptive versus repetitive stepping and practice intensity for effective intervention programs directed at improving walking ability and reducing fall risk and fear of falling in older adults with a recent fall-related hip fracture, which may help reduce future fall-related health-care costs.Trial registration:The Netherlands Trial Register (NTR3222). (Source: BMC Geriatrics)

Traumatic versus non-traumatic spinal cord injuries: are there differential rehabilitation outcomes?

Spinal Cord — Tue, 16 Apr 2013 04:00:00 +0100

Traumatic versus non-traumatic spinal cord injuries: are there differential rehabilitation outcomes? Spinal Cord advance online publication, April 16 2013. doi:10.1038/sc.2013.27 Authors: P Kennedy & Z J Chessell (Source: Spinal Cord)

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Assessing potential sources of clustering in individually randomised trials

BMC Medical Research Methodology - Latest articles — Tue, 16 Apr 2013 04:00:00 +0100

Conclusions: Clustering is common in individually randomised trials. Trialists should assess potential sources of clustering during the planning stages of a trial, and account for any sources of non-ignorable clustering in the trial analysis. (Source: BMC Medical Research Methodology - Latest articles)

Lost therapeutic potential of monocyte‐derived DC through lost tissue homing; stable restoration of gut specificity with retinoic acid

Clinical and Experimental Immunology — Tue, 16 Apr 2013 04:00:00 +0100

Summary Human monocyte‐derived DC (MoDC) are utilised for immunotherapy. However, in vitro immunological effects are often not mirrored in vivo. We studied tissue homing potential of MoDC. Circulating monocytes and DC expressed different tissue homing markers and during in vitro development of MoDC homing marker expression was lost resulting in a “homeless” phenotype. Retinoic acid (RA) induced gut‐homing markers (β7 and CCR9) and a regulatory phenotype and function (decreased HLA‐DR and increased ILT3 and FITC‐Dextran uptake) in MoDC. RA‐MoDC were less stimulatory and primed conditioned T‐cells with a gut‐homing profile (β7+CLA‐). Unlike normal intestinal microenvironment, that from inflamed colon of ulcerative colitis (UC) patients did not induce regulatory properti...

Impact of complications of single tooth restorations on oral health‐related quality of life

Clinical Oral Implants Research — Mon, 15 Apr 2013 04:00:00 +0100

ConclusionIn the rehabilitation of a BSTS patients, OHRQoL was similar irrespective of treatment modality (ISC or cRBB). Among those who experienced complications their OHRQoL was associated with the nature of complications, treatment modality and gender. (Source: Clinical Oral Implants Research)

Long-term morbidities in stroke survivors: a prospective multicenter study of Thai stroke rehabilitation registry

BMC Geriatrics — Mon, 15 Apr 2013 04:00:00 +0100

Conclusion: Long-term complications are common in stroke survivors. More than three-fourths of the patients developed at least one during the first year after rehabilitation. Strategies to prevent complications should be concerned especially on musculoskeletal pain which was the most common complaint. Physical complications at discharge period associated with psychological complications at 1 year followed up. More attention should be emphasized on patients age older than 60 years who were the major risk group for developing such complications. (Source: BMC Geriatrics)