MedWorm: Rehabilitation

One step beyond, does rehabilitation influence physical activity?

Chronic Respiratory Disease — Wed, 08 Feb 2012 09:06:02 +0100

Authors: Singh S, Morgan M PMID: 22308548 [PubMed - in process] (Source: Chronic Respiratory Disease)

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In Bone Repair, The Smallest Tools Could Give The Biggest Results

Health News from Medical News Today — Wed, 08 Feb 2012 09:00:00 +0100

When William Murphy works with some of the most powerful tools in biology, he thinks about making tools that can fit together. These constructions sound a bit like socket wrenches, which can be assembled to turn a half-inch nut in tight quarters, or to loosen a rusted-tight one-inch bolt using a very persuasive lever. The tools used by Murphy, an associate professor of biomedical engineering and orthopedics and rehabilitation at University of Wisconsin-Madison, however, are proteins, which are vastly more flexible than socket wrenches - and roughly 100 million times smaller... (Source: Health News from Medical News Today)

Exercise Triggers Stem Cells In Muscle

Health News from Medical News Today — Wed, 08 Feb 2012 09:00:00 +0100

University of Illinois researchers determined that an adult stem cell present in muscle is responsive to exercise, a discovery that may provide a link between exercise and muscle health. The findings could lead to new therapeutic techniques using these cells to rehabilitate injured muscle and prevent or restore muscle loss with age. Mesenchymal stem cells (MSCs) in skeletal muscle have been known to be important for muscle repair in response to non-physiological injury, predominantly in response to chemical injections that significantly damage muscle tissue and induce inflammation... (Source: Health News from Medical News Today)

Bilateral step length estimation using a single inertial measurement unit attached to the pelvis

Journal of NeuroEngineering and Rehabilitation — Wed, 08 Feb 2012 05:00:00 +0100

Conclusions: The proposed method provided estimates of step length and traversed distance more accurate than any other method applied to measurements obtained from a single IMU that can be found in the literature. In healthy subjects, it is reasonable to expect that, errors in traversed distance estimation during daily monitoring activity would be of the same order of magnitude of those presented. (Source: Journal of NeuroEngineering and Rehabilitation)

Cell phone based balance trainer

Journal of NeuroEngineering and Rehabilitation — Wed, 08 Feb 2012 05:00:00 +0100

Conclusion: The results suggest users can use the real-time feedback provided by this system to reduce their trunk sway. Its advantages over more complex laboratory-based and commercial balance training systems in terms of cost, size, weight, functionality, flexibility, and accessibility make it a good candidate for further home-based balance training evaluation. (Source: Journal of NeuroEngineering and Rehabilitation)

Recommended number of strides for automatic assessment of gait symmetry and regularity in above-knee amputees by means of accelerometry and autocorrelation analysis

Journal of NeuroEngineering and Rehabilitation — Wed, 08 Feb 2012 05:00:00 +0100

This study aims presenting an algorithm to automatically compute symmetry and regularity indices, and assessing the minimum number of strides for appropriate evaluation of gait symmetry and regularity through autocorrelation of acceleration signals. Methods - Ten transfemoral amputees (AMP) and ten control subjects (CTRL) were studied. Subjects wore an accelerometer and were asked to walk for 70 m at their natural speed (twice). Reference values of step and stride regularity indices (Ad1 and Ad2) were obtained by autocorrelation analysis of the vertical and antero-posterior acceleration signals, excluding initial and final strides. The Ad1 and Ad2 coefficients were then computed at different stages by analyzing increasing portions of the signals (considering both the signals cleaned by ini...

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Is residential rehabilitation better (or as good as) ambulatory rehabilitation?

European Society of Cardiology — Tue, 07 Feb 2012 14:36:04 +0100

Paul Dendale comments on the study by O. Mittag et al, evaluating the medium-term effects of cardiac rehabilitation in Germany, published in European Journal of Preventive Cardiology.Read the comment by Paul Dendale. Topics: Cardiovascular Disease Prevention - Risk Assessment and Management, Rehabilitation and Exercise Physiology (Source: European Society of Cardiology)

Insights from the experiences of older people with hearing impairment in the United Kingdom: recommendations for nurse‐led rehabilitation

International Journal of Older People Nursing — Tue, 07 Feb 2012 05:00:00 +0100

Conclusions and implications for practice. The results highlight the need for early diagnosis of HI and the development of nurse‐led rehabilitation strategies and support services that address the felt stigma and potentially isolating experiences of older people with HI. (Source: International Journal of Older People Nursing)

Health Economics of Interdisciplinary Rehabilitation for Chronic Pain: Does it Support or Invalidate the Outcomes Research of These Programs?

Current Pain and Headache Reports — Mon, 06 Feb 2012 19:34:33 +0100

Abstract Interdisciplinary rehabilitation has been shown to be effective for treatment of patients suffering from chronic nonmalignant pain with respect to activity level, pain intensity, function, or days of sick leave. However, effects in clinical outcome do not necessarily imply a superiority of the intervention from an economic point of view. Despite an increasing number of cost-utility and cost-effectiveness studies, systematic reviews outline the methodological heterogeneity of studies, which makes it impossible to perform meta-analyses and to draw conclusions from the studies. Recent publications add interesting information to the current discussion; these studies cover the long-term development of sickness absence post-intervention and the cost effectiveness of wor...

Surgical Treatment of Persistent Fetal Vasculature and Visual Rehabilitation: One-Year Followup

Advances in Urology — Mon, 06 Feb 2012 12:46:42 +0100

We present the management and postoperative course of a persistent fetal vasculature (PFV) case. A four-year-old girl visited the Eye Department of Hippokration, General Hospital of Thessaloniki due to reduced visual acuity of her left eye. She was diagnosed with PFV and underwent surgery (lensectomy, capsulorhexis of the posterior capsule, insertion of an intraocular lens in the posterior chamber, and posterior vitrectomy) in order to dissect the PFV. Along with the postoperative medical care, she underwent intensive treatment for amblyopia. The postoperative course was uncomplicated, and the visual acuity of her left eye improved from hand movement to 20/25 with proper correction. Patients with unilateral PFV and gradually deteriorating visual acuity could be good candidates for a combin...

Epidemiologic data of the patients with spinal cord injury: Seven years experience of a single center. - Tuğcu I, Tok F, Yılmaz B, Göktepe AS, Alaca R, Yazicioğlu K, Möhür H.

SafetyLit: All (Unduplicated) — Mon, 06 Feb 2012 11:54:53 +0100

BACKGROUND: We aimed to present the demographic and epidemiologic data on spinal cord injury (SCI) patients who were rehabilitated at our hospital, to identify high-risk groups and etiological factors, and to evaluate the factors that affect the duration o... (Source: SafetyLit: All (Unduplicated))

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Quality of Care Indicators for the Structure and Organization of Inpatient Rehabilitation Care of Children With Traumatic Brain Injury. - Zumsteg JM, Ennis SK, Jaffe KM, Mangione-Smith R, MacKenzie EJ, Rivara FP.

SafetyLit: All (Unduplicated) — Mon, 06 Feb 2012 11:54:53 +0100

OBJECTIVES: To develop evidence-based and expert-driven quality indicators for measuring variations in the structure and organization of acute inpatient rehabilitation for children after traumatic brain injury (TBI) and to survey centers across the United ... (Source: SafetyLit: All (Unduplicated))

Quality of Care Indicators for the Rehabilitation of Children With Traumatic Brain Injury. - Rivara FP, Ennis SK, Mangione-Smith R, MacKenzie EJ, Jaffe KM.

SafetyLit: All (Unduplicated) — Mon, 06 Feb 2012 11:54:53 +0100

Rivara FP, Ennis SK, Mangione-Smith R, MacKenzie EJ, Jaffe KM; and the National Expert Panel for the Development of Pediatric Rehabilitation Quality Care Indicators. Quality of Care Indicators for the Rehabilitation of Children With Traumatic Brain Injury.... (Source: SafetyLit: All (Unduplicated))

Invited Commentary on Quality of Care Indicators for the Rehabilitation of Children With Traumatic Brain Injury, and Quality of Care Indicators for the Structure and Organization of Inpatient Rehabilitation Care of Children With Traumatic Brain Injury. - Whyte J.

SafetyLit: All (Unduplicated) — Mon, 06 Feb 2012 11:54:53 +0100

Whyte J. Invited commentary on quality of care indicators for the rehabilitation of children with traumatic brain injury, and quality of care indicators for the structure and organization of inpatient rehabilitation care of children with traumatic brain in... (Source: SafetyLit: All (Unduplicated))

Geriatric Patients At High Risk Of Vitamin D Deficiency

Health News from Medical News Today — Mon, 06 Feb 2012 09:00:00 +0100

The great majority of geriatric patients in a German rehabilitation hospital were found to have vitamin D deficiency. Stefan Schilling presents his study results in Deutsches Arzteblatt International (Dtsch Arztebl Int 2012; 109[3]: 33-8). In order to establish the vitamin D status in geriatric patients in Germany, the researchers measured 25-OH vitamin D in 1578 patients in the geriatric rehabilitation hospital in Trier after they had been examined on admission. Insufficiently high concentrations were found in 89% of patients, and 67% had severe vitamin D deficiency... (Source: Health News from Medical News Today)

ACI Procedure

About.com Eating Disorders — Mon, 06 Feb 2012 05:00:00 +0100

ACI treatment requires an extensive period of rehabilitation that includes limiting weight on the affected joint. The specifics of rehab following an ACI procedure depends on the size and location of the area of cartilage damage. (Source: About.com Eating Disorders)

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Exercise triggers stem cells in muscle

EurekAlert! - Medicine and Health — Mon, 06 Feb 2012 05:00:00 +0100

(University of Illinois at Urbana-Champaign) University of Illinois researchers determined that an adult stem cell present in muscle is responsive to exercise, a discovery that may provide a link between exercise and muscle health. The findings could lead to new therapeutic techniques using these cells to rehabilitate injured muscle and prevent or restore muscle loss with age. (Source: EurekAlert! - Medicine and Health)

Mandibular Rehabilitation: Treatment Options?

Dental Implants Discussed by Experts — Sun, 05 Feb 2012 20:31:18 +0100

I have a 65 year old female who presents with extensive mandibular fixed partial dentures which are failing. (Source: Dental Implants Discussed by Experts)

Nursing contribution to the rehabilitation of older patients: patient and family perspectives

Journal of Advanced Nursing — Sun, 05 Feb 2012 05:00:00 +0100

Conclusion. Patients and family members appreciate ‘best fit relationships’ where nurses seek to enter into the older person’s world of disability to form a partnership which enhances their motivation to achieve independence. (Source: Journal of Advanced Nursing)

Postoperative functional rehabilitation after repair of quadriceps tendon ruptures: a comparison of two different protocols

Knee Surgery, Sports Traumatology, Arthroscopy — Fri, 03 Feb 2012 17:53:10 +0100

Conclusion Early functional postoperative mobilization with full weight bearing after primary repair of a quadriceps tendon rupture is safe and will not lead to inferior clinical outcome or an increased complication rate. Level of evidence Therapeutic, III. Content Type Journal ArticleCategory KneePages 1-4DOI 10.1007/s00167-012-1887-8Authors Ronny Langenhan, Department of Orthopaedic and Trauma Surgery, Hegau-Bodensee-Klinikum Singen, Singen, GermanyMatthias Baumann, Department of Orthopaedic and Trauma Surgery, BG Unfallklinik Tübingen, Tübingen, GermanyPedro Ricart, Department of Orthopaedic Surgery, Westchester Medical Center, Valhalla, NY, USADavid Hak, Department of Orthopaedic Surgery, Denver Health Medical Center, Denver, CO, USAAxel Probs...

New device removes stroke-causing blood clots better than standard treatment

UCLA Newsroom: Health Sciences — Fri, 03 Feb 2012 14:00:00 +0100

An experimental device for removing blood clots in stroke patients dramatically outperformed the standard mechanical treatment, according to research presented by UCLA Stroke Center director Dr. Jeffrey L. Saver at the American Stroke Association's 2012 international conference in New Orleans on Feb. 3. The SOLITAIRE Flow Restoration Device is among an entirely new generation of devices designed to remove blood clots from blocked brain arteries in patients experiencing stroke. It has a self-expanding, stent-like design and, once inserted into a clot using a thin catheter tube, it compresses and traps the clot. The clot is then removed by withdrawing the device, thus reopening the blocked blood vessel. In the first U.S. clinical trial of SOLITAIRE, the device opened blocked ve...

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Differences in Predictors of Return to Work Among Long-Term Sick-Listed Employees with Different Self-Reported Reasons for Sick Leave

Journal of Occupational Rehabilitation — Fri, 03 Feb 2012 07:21:47 +0100

Conclusions Tailoring for different reasons for sick leave might improve the effects of new interventions because the predictors of full RTW differ among groups. Enhancement of partial RTW and RTW self-efficacy may be relevant components of any intervention, as these were predictors of full RTW in at least two groups. Content Type Journal ArticlePages 1-11DOI 10.1007/s10926-011-9351-zAuthors Jenny J. J. M. Huijs, TNO, Behavioural and Societal Sciences, Participation and Social Cohesion, P.O. Box 718, 2130 AS Hoofddorp, The NetherlandsLando L. J. Koppes, TNO, Behavioural and Societal Sciences, Participation and Social Cohesion, P.O. Box 718, 2130 AS Hoofddorp, The NetherlandsToon W. Taris, Department of Work and Organizational Psychology, Utrecht University, Utrecht, The Netherland...

Swisslog Lands First Rehabilitation Facility Order for MedRover™

PRWeb: Medical Pharmaceuticals — Fri, 03 Feb 2012 06:24:02 +0100

Rehabilitation facility in New Jersey to replace stationary medication cabinets with innovative mobile dispensing solution.(PRWeb February 01, 2012)Read the full story at http://www.prweb.com/releases/Bacharach/MedRover/prweb9154150.htm (Source: PRWeb: Medical Pharmaceuticals)

Validation of a Mechanism to Balance Exercise Difficulty in Robot-Assisted Upper-Extremity Rehabilitation after Stroke

Journal of NeuroEngineering and Rehabilitation — Fri, 03 Feb 2012 05:00:00 +0100

Conclusions: Our results support that Fitts' Law indeed constitutes a powerful mechanism for task difficulty adaptation and can be incorporated into exercises for upper-extremity rehabilitation. (Source: Journal of NeuroEngineering and Rehabilitation)

Development of an automated method to detect sitting pivot transfer phases using biomechanical variables: toward a standardized method

Journal of NeuroEngineering and Rehabilitation — Fri, 03 Feb 2012 05:00:00 +0100

Conclusion: The relative threshold-based algorithm used to automatically detect the four distinct phases of the SPT, is rapid, accurate and repeatable. A quantitative and thorough description of the precise phases of the SPT is prerequisite to better interpret biomechanical findings and measure task performance. The algorithm could also become clinically useful to refine the assessment and training of SPTs. (Source: Journal of NeuroEngineering and Rehabilitation)

Wearing a safety harness during treadmill walking influences lower extremity kinematics mainly through changes in ankle regularity and local stability

Journal of NeuroEngineering and Rehabilitation — Fri, 03 Feb 2012 05:00:00 +0100

Conclusions: Wearing a harness during treadmill walking marginally influences lower extremity kinematics, resulting in more or less subtle changes in certain kinematic variables. However, in cases where differences in gait patterns would be expressed through modifications in these variables, having subjects walk with a harness may mask or reinforce such differences. (Source: Journal of NeuroEngineering and Rehabilitation)

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Vitamin D deficiency in geriatric patients

EurekAlert! - Medicine and Health — Fri, 03 Feb 2012 05:00:00 +0100

(Deutsches Aerzteblatt International) The great majority of geriatric patients in a German rehabilitation hospital were found to have vitamin D deficiency. Stefan Schilling presents his study results in this week's issue of Deutsches Ärzteblatt International. (Source: EurekAlert! - Medicine and Health)

Profile of Child Labor in Indian Railways

Indian Journal of Pediatrics — Thu, 02 Feb 2012 18:10:36 +0100

Conclusions This study, first of its kind, attempted to delineate a distinctive socio-medical profile in a special group of children. It might, on the behalf of social pediatrics, increase the awareness and help the society to formulate a rehabilitation policy in collaboration with national and international organizations. Content Type Journal ArticleCategory Original ArticlePages 1-4DOI 10.1007/s12098-012-0685-0Authors Rakesh Mondal, Department of Pediatrics, NBMCH, Darjeeling, IndiaSumantra Sarkar, Department of Pediatrics, IPGMER, Kolkata, IndiaSomnath Bhattacharya, Department of Chest Medicine, NBMCH, Darjeeling, IndiaTapas Sabui, Department of Pediatrics, NBMCH, Darjeeling, IndiaKalyanbrata Mandal, Department of Pediatrics, NBMCH, Darjeeling, IndiaJayanta Ghosh...

A replacement for islet equivalents with improved reliability and validity

Acta Diabetologica — Thu, 02 Feb 2012 17:54:28 +0100

In conclusion, normalizing islet volume by IE overestimated the tissue volume, which may lead to erroneous results. Normalizing by cell number is a more accurate method to quantify tissue amounts used in islet transplantation and research. Content Type Journal ArticleCategory Original ArticlePages 1-10DOI 10.1007/s00592-012-0375-4Authors Han-Hung Huang, Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, MS 2002, 3901 Rainbow Blvd., Kansas City, KS 66160, USAKarthik Ramachandran, Bioengineering Graduate Program, University of Kansas, School of Engineering, Lawrence, KS 66045, USALisa Stehno-Bittel, Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, MS 2002, 3901 Rainbow Blvd., Kansas City, KS ...

“From Bench to Practice”, ESC Congress set for Munich this summer

European Society of Cardiology — Thu, 02 Feb 2012 16:43:01 +0100

In response to feedback from delegates, this year’s congress will kick off on Saturday with a fuller day of scientific sessions. The grand finale on Wednesday will be a two-hour highlight session in which world leading experts summarise all the new and exciting developments in basic, clinical and population sciences presented at the congress. Read more about this year's event.... Topics: Acute Coronary Syndromes (ACS), Arrhythmias, Atrial Fibrillation, Basic Science, Cardiac Tumours, Cardiovascular Disease Prevention - Risk Assessment and Management, Cardiovascular Nursing, Cardiovascular Surgery, Chronic Ischaemic Heart Disease (IHD), Clinical pharmacology, Computers in Cardiology, Congenital Heart Disease, Diabetic heart disease, Diseases of th...

Save on EuroPRevent registration until 6 February

European Society of Cardiology — Thu, 02 Feb 2012 16:04:51 +0100

EuroPRevent is the ideal occasion for clinicians, general practitioners, cardiologists in training, nurses and allied professionals to connect, network and discuss the latest topics in preventive cardiology. Don't miss this opportunity - Deadline is Monday 6 February Topics: Cardiovascular Disease Prevention - Risk Assessment and Management, Rehabilitation and Exercise Physiology (Source: European Society of Cardiology)

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Rasch analysis of the Indian vision function questionnaire.

The British Journal of Ophthalmology — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionsThe general functioning scale of the IND-VFQ consists of two separate unidimensional constructs: visual functioning and mobility. Both these Rasch scaled versions with good psychometric properties are effective tools for the assessment of visually impaired patients in India. PMID: 22308172 [PubMed - as supplied by publisher] (Source: The British Journal of Ophthalmology)

Post-treatment Lyme disease syndrome symptomatology and the impact on life functioning: is there something here?

Quality of Life Research — Wed, 01 Feb 2012 18:26:26 +0100

Conclusions Unlike clinical signs of Lyme disease, new-onset symptoms are reported by a subset of participants without evidence of depressive symptomatology. Patients who developed PTLDS had significantly lower life functioning compared to those without PTLDS. We propose future avenues for researching infection-triggered symptoms resulting from multiple mechanisms. Content Type Journal ArticlePages 1-10DOI 10.1007/s11136-012-0126-6Authors John N. Aucott, Department of Medicine, Johns Hopkins University School of Medicine, 10755 Falls Road, Suite 200, Lutherville, MD 21093, USAAlison W. Rebman, The Lyme Disease Research Foundation of Maryland, 10755 Falls Road, Suite 200, Lutherville, MD 21093, USALauren A. Crowder, The Lyme Disease Research Foundation of Maryland, 1...

Assessment of dual tasking has no clinical value for fall prediction in Parkinson’s disease

Journal of Neurology — Wed, 01 Feb 2012 18:26:25 +0100

The objective of this study is to investigate the value of dual-task performance for the prediction of falls in patients with Parkinson’s disease (PD). Two hundred sixty-three patients with PD (H&Y 1–3, 65.2 ± 7.9 years) walked two times along a 10-m trajectory, both under single-task and dual-task (DT) conditions (combined with an auditory Stroop task). To control for a cueing effect, Stroop stimuli were presented at variable or fixed 1- or 2-s intervals. The auditory Stroop task was also performed alone. Dual-task costs were calculated for gait speed, stride length, stride time, stride time variability, step and stride regularity, step symmetry and Stroop composite scores (accuracy/reaction time). Subsequently, falls were registered prospectively for 1 year...

Treatment of Neurocritical Care Emergencies in Pregnancy

Current Treatment Options in Neurology — Wed, 01 Feb 2012 17:14:15 +0100

Opinion statement Neurologic emergencies are a major cause of morbidity and mortality in pregnant women. In part because the patient population is young, the nihilistic approach that often accompanies neurologically devastating disorders in other contexts is largely absent. A number of studies have demonstrated improved patient outcomes in the setting of aggressive care delivered by neurointensivists in a specialty-specific environment. It stands to reason that young, pregnant women who suffer from neurologically devastating disorders and who have a wide range of prognosis may also benefit from such specialized care. Close collaboration between obstetricians and neurointensivists is critical in this context. A number of unique considerations in diagnosis and management pre...

The interaction between the location of lower extremity muscle fatigue and visual condition on unipedal postural stability

European Journal of Applied Physiology — Wed, 01 Feb 2012 17:13:15 +0100

In conclusion, fatigue in both proximal and distal musculature of the lower extremity yielded decreased postural stability during unipedal quiet standing in healthy young women. This effect was more accentuated when visual information was eliminated. Withdrawing vision following fatigue to the proximal musculature, led to a significantly greater impairment of postural stability compared to the fatigue of more distal muscles. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s00421-012-2330-zAuthors Manijeh Soleimanifar, Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, IranMahyar Salavati, Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, IranBehnam Akhbari, De...

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Sinus Imaging for Diagnosis of Chronic Rhinosinusitis in Children

Current Allergy and Asthma Reports — Wed, 01 Feb 2012 17:13:09 +0100

Abstract Chronic rhinosinusitis (CRS) is a relatively common disease in children but is often overlooked because at times the clinical symptoms are subtle and nonspecific. This makes imaging very important in the diagnosis. Among the different techniques, plain radiography has limited utility, whereas CT scan and MRI have a major role in evaluating the modifications caused by the disease. In particular, a CT scan provides higher resolution of bone and soft tissue and removes the overlapping structures that are present in conventional radiography. CT is recommended in isolated sphenoid sinusitis, is essential in diagnosing fungal sinusitis, and is the technique of choice when orbital complications are suspected. MRI allows investigation of not only the morphology of structu...

Is management of acute traumatic brain injury effective? A literature review of published Cochrane Systematic Reviews.

Chinese Journal of Traumatology — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions: For clinical physicians, to translate these conclusions into practice with caution is essential. Basic medication and nursing care deserve additional attention as well and can be beneficial. For researchers, high quality trials with perfect design and comprehensive consideration of various factors are urgently required. PMID: 22300914 [PubMed - in process] (Source: Chinese Journal of Traumatology)

Rehabilitation in older people: know more, gain more.

Hong Kong Med J — Wed, 01 Feb 2012 05:00:00 +0100

This article, with special reference to local studies, examines age, gender, cognitive function, and serum albumin levels as to how they influence rehabilitation in the elderly. The conclusion is that we should not exclude patients of advanced age from rehabilitation programmes, based on poor cognitive function and low serum albumin levels as they can achieve similar gains in motor and functional outcomes. A nutritional programme to improve the albumin level of older persons could speed up the rehabilitation progress, rendering it more efficient. A gender-specific rehabilitation programme is needed to improve functional outcome in men and motor outcome in women. Moreover, knowing the factors influencing residential care home placement affords an opportunity to reduce reliance on institutio...

Probably role of citicoline in stroke rehabilitation: review of the literature.

Revista de Neurologia — Wed, 01 Feb 2012 05:00:00 +0100

Authors: Secades JJ Abstract Stroke is a leading cause of mortality and the main cause of severe and long-term disability in adults. Following treatment during the acute phase, there is a need to continue the treatment of the patients in the rehabilitation phase, in order to improve the outcome and daily life activities. This is the role of rehabilitation programs. Rehabilitation is focused on increasing brain plasticity to recover some of the lost functions, based on different methodologies, including pharmaco-therapy. In this context, the role of citicoline in the rehabilitation of patients with stroke is reviewed. PMID: 22278894 [PubMed - as supplied by publisher] (Source: Revista de Neurologia)

The Economic Cost of Chronic Noncancer Pain in Ireland: Results From the PRIME Study, Part 2

The Journal of Pain — Wed, 01 Feb 2012 05:00:00 +0100

Abstract: To assess the economic cost of chronic pain in Ireland, information was gathered from 140 people with chronic pain. Direct and indirect costs attributable to chronic pain and medical conditions of which chronic pain was a feature were recorded retrospectively for 12 months. Mean cost per chronic pain patient was estimated at €5,665 per year across all grades of pain, with mean costs increasing according to the severity of pain. A small proportion of patients account for the bulk of costs—the top 5% most expensive patients accounted for 26.4% of costs, with a mean cost per patient of €29,936, and the 10% most expensive patients were responsible for 42.8% of all costs. Total cost for individuals aged 20 and above was estimated at €5.34 billion per year, or 2.86% of Irish GD...

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From “Sex Toy” to Intrusive Imposition: A Qualitative Examination of Women's Experiences with Vaginal Dilator Use Following Treatment for Gynecological Cancer

The Journal of Sexual Medicine — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions. Rehabilitative vaginal dilator use is a complex, multifaceted, and personal phenomenon that carries deep psychological and emotional implications that make it intrusive. These findings may enhance the way in which vaginal dilators are introduced and help healthcare providers address better women's difficulties and concerns with the dilators. Ultimately, it may also lead to improved health maintenance and quality of life for women recovering from gynecological cancer. Cullen K, Fergus K, DasGupta T, Fitch M, Doyle C, and Adams L. From “sex toy” to intrusive imposition: A qualitative examination of women's experiences with vaginal dilator use following treatment for gynecological cancer. J Sex Med **;**:**–**. (Source: The Journal of Sexual Medicine)

Functional and Biomechanical Outcomes After Using Biofeedback for Retraining Symmetrical Movement Patterns After Total Knee Arthroplasty: A Case Report

The Journal of Orthopaedic and Sports Physical Therapy — Wed, 01 Feb 2012 05:00:00 +0100

DISCUSSION: This case report describes the use of a novel rehabilitation protocol intended to improve walking biomechanics and functional outcomes after TKA. Restoration of symmetrical movement patterns could improve long-term outcomes of TKA. Further research is needed to evaluate the effectiveness and implementation of similar rehabilitation strategies in a wide range of patients after TKA. LEVEL OF EVIDENCE: Therapy, level 4. J Orthop Sports Phys Ther 2012;42(2):135-144. doi:10.2519/jospt.2012.3773KEY WORDS: motion analysis, osteoarthritis, physical therapy, rehabilitation, total knee replacement (Source: The Journal of Orthopaedic and Sports Physical Therapy)

Using staffing ratios for workforce planning: evidence on nine allied health professions

Human Resources for Health — Wed, 01 Feb 2012 05:00:00 +0100

Conclusion: The evidence for use of staffing ratios for allied health practitioners is scarce and lags behind the fields of nursing and medicine. (Source: Human Resources for Health)

Editors' Selections From This Issue