Biyernes, Nobyembre 30, 2012

Portugal’s special education law: implementing the International Classification of Functioning, Disability and Health in policy and practice

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.

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A controlled clinical trial investigating the effects of cycle ergometry training on exercise tolerance, balance and quality of life in patients with Parkinson’s disease

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.

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Reference values for the 6-Min Walking Test in obese subjects

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-5, Early Online.

Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.726313?ai=1lir&mi=3s94u5&af=R

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Association Between Participation in Life Situations of Children With Cerebral Palsy and Their Physical, Social, and Attitudinal Environment: A Cross-Sectional Multicenter European Study

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12

Allan Colver, Ute Thyen, Catherine Arnaud, Eva Beckung, Jerome Fauconnier, Marco Marcelli, Vicki McManus, Susan I. Michelsen, Jackie Parkes, Kathryn Parkinson, Heather O. Dickinson

Colver A, Thyen U, Arnaud C, Beckung E, Fauconnier J, Marcelli M, McManus V, Michelsen SI, Parkes J, Parkinson K, Dickinson HO. Association between participation in life situations of children with cerebral palsy and their physical, social, and attitudinal environment: a cross-sectional multicenter European study. Arch Phys Med Rehabil 2012;93: 2154-64. Objective To evaluate how participation of children with cerebral palsy (CP) varied with their environment. Design Home visits to children. Administration of Assessment of Life Habits and European Child Environment Questionnaires. Structural equation modeling of putative associations between specific domains of participation and environment, while allowing for severity of child's impairments and pain. Setting European regions with population-based registries of children with CP. Participants Children (n=1174) aged 8 to 12 years were randomly selected from 8 population-based registries of children with CP in 6 European countries. Of these, 743 (63%) agreed to participate; 1 further region recruited 75 children from multiple sources. Thus, there were 818 children in the study. Interventions Not applicable. Main Outcome Measure Participation in life situations. Results For the hypothesized associations, the models confirmed that higher participation was associated with better availability of environmental items. Higher participation in daily activities—mealtimes, health hygiene, personal care, and home life—was significantly associated with a better physical environment at home (P<.01). Mobility was associated with transport and physical environment in the community. Participation in social roles (responsibilities, relationships, recreation) was associated with attitudes of classmates and social support at home. School participation was associated with attitudes of teachers and therapists. Environment explained between 14% and 52% of the variation in participation. Conclusions The findings confirmed the social model of disability. The physical, social, and attitudinal environment of disabled children influences their participation in everyday activities and social roles.




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The International Classification of Functioning (ICF) Core Set for breast cancer from the perspective of women with the condition

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.

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Archives Manuscript Reviewers

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12








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Decompressive hemicraniectomy following malignant middle cerebral artery infarctions: a mixed methods exploration of carer experience and level of burden

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-11, Early Online.

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Huwebes, Nobyembre 29, 2012

Predictors of multidisciplinary treatment outcome in fibromyalgia:a systematic review

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-13, Early Online.

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Guttate Psoriasis

Definition

A form of psoriasis with characteristic water drop shaped scaly macules.


Alternative Names

Guttate psoriasis

Source: http://www.health.am/diseases/more/guttate_psoriasis/

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“I am just thankful”: the experience of gratitude following traumatic spinal cord injury

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.

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Successfully performing a university student’s role despite disabilities: challenges of an inclusive environment and appropriate task modification

Disability and Rehabilitation, Volume 34, Issue 25, Page 2201-2206, December 2012.

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Depression and pain among inpatients with spinal cord injury and spinal cord disease: differences in symptoms and neurological function

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.

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Validity evidence of the Lateral Step Up (LSU) test for adolescents with spastic cerebral palsy

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.

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ICF and casemix models for healthcare funding: use of the WHO family of classifications to improve casemix

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-4, Early Online.

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Nordic walking for geriatric rehabilitation: a randomized pilot trial

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-8, Early Online.

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Miyerkules, Nobyembre 28, 2012

Motivational interviewing: a novel intervention for translating rehabilitation research into practice

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-5, Early Online.

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Drug allergy discovery

The finding could lead to the development of a diagnostic test to determine drug hypersensitivity.


The study published today in the journal Nature, revealed how some drugs inadvertently target the immune system to alter how the body’s immune system perceives it’s own tissues, making them look foreign.


The immune system then attacks the foreign nature of the tissues as if they were incompatible transplants.


The study showed the biological mechanisms by which a person’s exact tissue type determined whether they would develop the drug allergy or not.

Source: http://www.health.am/allergies/more/drug-allergy-discovery/

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Motor Branch of Extensor Carpi Radialis Longus: Anatomic Localization

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12

François Genet, Katell Autret, Alexis Schnitzler, Christine Lautridou, Benjamin Bernuz, Philippe Denormandie, Yves Allieu, Bernard Parratte

Genet F, Autret K, Schnitzler A, Lautridou C, Bernuz B, Denormandie P, Allieu Y, Parratte B. Motor branch of extensor carpi radialis longus: anatomic localization. Objective To identify extensor carpi radialis longus (ECRL) motor nerve coordinates in relation to anatomic surface landmarks. Design Descriptive study. Setting Anatomy institute of a school of medicine in Paris, France. Cadavers Fresh adult cadaver upper limbs (N=20). Intervention Anatomic dissection of upper limbs. Main Outcome Measures Three measurements (mm) were taken of the position of the ECRL motor branch: the distance between the lateral epicondyle and the emergence of the ECRL branch along the forearm axis, the branch depth, and the ratio between the distance corresponding to the nerve depth and the intercondylar distance. Results The radial nerves of 4 men and 6 women (age range 59–80y) were identified between the brachioradialis and the ECRL and traced proximally to the lateral epicondyle. The injection point was between the lateral epicondyle posteriorly and the wrist extensor group anteriorly. Direction was perpendicular to the axis of the forearm. Mean depth was 35.6mm (minimal value: 24.0; maximal value: 58.0; SD=9mm). Ratio between nerve depth and intercondylar distance was .46 (.37; .53±.05). Conclusions The ECRL motor nerve branch is easy to reach using specified landmarks. Selective motor nerve block of the ECRL branch should be considered in the clinical assessment to test the capacity of the extensor carpi radialis brevis to extend the wrist alone and to assess the command and overactivity of antagonists before surgery.




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Tai Chi for Stroke Rehabilitation: A Focused Review.

Author: Ding, Meng PhD
Page: 1091-1096

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Fall Attributions among Middle Aged and Older Adults with Multiple Sclerosis

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation

Elizabeth W. Peterson, Eynat Ben Ari, Miho Asano, Marcia L. Finlayson

Objectives (1) To explore the falls attributions of middle aged and older adults with multiple sclerosis (MS), and (2) to examine the personal, health and MS-related factors associated with the three most common attributions. Design This was a cross-sectional, descriptive study using data collected through a telephone interview. Falls attributions were obtained through an open-ended question to elicit participants’ stories about their most recent fall. Setting United States Participants Recruitment was done through a national volunteer MS registry. Three hundred and fifty-four people who were ≥55 years of age were interviewed; 313 provided a falls story. Respondents were primarily married, community-dwelling women who had been living with MS for 21 years, on average. Intervention Not applicable Main outcome measure The three most common fall attributions were used as dependent variables to address the second research objective. Results A total of 14 falls attributions were identified. The most common were balance (41.5%), lower extremity malfunction (31.0%) and assistive technology (AT) (29.7%). Falls control was significantly associated with the balance attribution (OR = 0.51, CI = 0.29-0.88), no variables were associated with lower extremity malfunction attribution, and use of multiple mobility devices was significantly associated with the AT attribution (OR = 3.78, 95% CI = 2.09-6.85) Conclusion Findings highlight the complex nature of falls among middle-aged and older adults with MS and point to the need for comprehensive fall prevention interventions for this population. Further investigation of the role that perceived control over falls plays in this population is warranted.




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Anxiety and depression after stroke: a 5 year follow-up

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.

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Sexuality and occupational therapy in Ireland – a case of ambivalence?

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-8, Early Online.

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Electromyogram–Lengthening Velocity Relation in Plantar Flexors During Stance Phase of Gait in Patients With Hypertonia After Acquired Brain Injury

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12

John W. Chow, Stuart A. Yablon, Dobrivoje S. Stokic

Chow JW, Yablon SA, Stokic DS. Electromyogram–lengthening velocity relation in plantar flexors during stance phase of gait in patients with hypertonia after acquired brain injury. Objective To examine the velocity-dependent change in medial gastrocnemius (MG) activity during the stance phase of gait in patients with moderate to severe resting hypertonia after stroke or traumatic brain injury (TBI). Design Cohort study. Setting Motion analysis laboratory in a tertiary-care rehabilitation hospital. Participants Convenience sample of patients with chronic TBI and stroke (n=11 each), and age- and sex-matched healthy controls (n=22). Intervention Not applicable. Main Outcome Measures Frequency and gain (steepness) of positive (>0) and significant positive (>0 and goodness of fit P≤.05) electromyogram–lengthening velocity (EMG-LV) linear regression slope in MG during the stance phase of gait. Results Positive and significant positive slopes were found significantly more often on the more affected (MA) than less affected (LA) side in patients with TBI but not stroke. Both the frequencies of positive and significant positive slopes on the MA side in patients with TBI were also significantly higher than in controls. However, neither the gain of positive nor significant positive EMG-LV slope was different between the MA and LA sides or in comparison with controls. Positive slope parameters were not related to Ashworth score on the MA side. Conclusions The frequency and gain of positive EMG-lengthening slope did not effectively differentiate patients from controls, nor were they related to the resting muscle hypertonia. Motor output during MG lengthening in the stance phase of gait is apparently not exaggerated or related to resting hypertonia in patients with chronic TBI and stroke. Thus, changes in gait during stance cannot be ascribed to increased stretch reflex activity in MG muscle after acquired brain injury.




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Martes, Nobyembre 27, 2012

Improved Clinical Status, Quality of Life and Walking Capacity in Parkinson’s Disease after Body-Weight Supported High-Intensity Locomotor Training

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation

Martin H. Rose, Annemette Løkkegaard, Stig Sonne-Holm, Bente R. Jensen

Objective To evaluate the effect of body-weight supported progressive high-intensity locomotor training in Parkinson’s disease (PD) on: (1) clinical status; (2) quality of life; and (3) gait capacity. Design An open-label, fixed sequence cross-over study. Setting University motor control laboratory. Participants Thirteen patients with idiopathic PD (Hoehn & Yahr 2.1) and stable medication use. Interventions Patients completed an eight-week (3x1hour/week) training program on a lower-body positive-pressure treadmill. Body-weight support was used to facilitate increased intensity and motor challenges during treadmill training. The training program contained combinations of 1) running and walking intervals, 2) the use of sudden changes (e.g. in body-weight support and speed), 3) different types of locomotion (e.g. chassé, skipping and jumps) and 4) sprints at 50 % body-weight. Main outcome measures The Movement Disorders Society Unified-Parkinson’s-Disease-Rating Scale (MDS-UPDRS), Parkinson’s-Disease Questionnaire 39 (PDQ-39) and the six-minute walk test, eight weeks before, pre and post training. Results At the end of training, statistically significant improvements were found in all outcome measures compared to the control period. Total MDS-UPDRS changed from (mean±1SD) 58±18 to 47±18, MDS-UPDRS motor part from 35±10 to 29±12, PDQ-39 summary index from 22±13 to 13±12 and the six-minute walking distance from 576±93m to 637±90m. Conclusions Body-weight supported progressive high-intensity locomotor training is feasible and well tolerated by patients with PD. The training improved clinical status, quality of life and gait capacity significantly.




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Inpatient rehabilitation following stroke: amount of therapy received and associations with functional recovery

Disability and Rehabilitation, Volume 34, Issue 25, Page 2132-2138, December 2012.

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St Jude device lowers blood pressure in small study

St Jude Medical Inc said on Monday its procedure that deadens nerves near the kidneys helped lower blood pressure in a small study of patients whose hypertension could not be controlled with drugs.


Patients in the study who were treated with the Enlightn renal denervation system saw an average reduction of 28 points in systolic blood pressure, which is the first number expressed in a reading, after 30 days. At six months, the 46 patients who received the treatment maintained an average systolic blood pressure reduction of 26 mmHg points.


The results were presented at the annual meeting of the American Heart Association in Los Angeles.


Patients enrolled in the study had an average blood pressure of 176/96 mmHg despite being treated with multiple medications to manage the condition. No serious side effects were reported, St Jude said.

Source: http://www.health.am/hypertension/more/st-jude-device-lowers-blood-pressure/

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Portugal’s special education law: implementing the International Classification of Functioning, Disability and Health in policy and practice

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.

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A confirmatory factor analysis of the fitness of adults with intellectual disabilities

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-7, Early Online.

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Portugal’s special education law: implementing the International Classification of Functioning, Disability and Health in policy and practice

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.

Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.708816?ai=1lir&mi=3s94u5&af=R

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Why astronauts experience low blood pressure after returning to Earth from space

When astronauts return to Earth, their altitude isn’t the only thing that drops—their blood pressure does too. This condition, known as orthostatic hypotension, occurs in up to half of those astronauts on short-term missions (two weeks or less) and in nearly all astronauts after long-term missions (four to six months). A new research report published online in The FASEB Journal (http://www.fasebj.org) solves the biological mystery of how this happens by showing that low gravity compromises the ability of arteries and veins to constrict normally, inhibiting the proper flow of blood. Prevention and treatment strategies developed for astronauts may also hold promise for elderly populations on Earth who experience orthostatic hypotension more than any other age group.


“The idea of space exploration has been tantalizing the imagination of humans since our early existence. As a scientist, I have had the opportunity to learn that there are many medical challenges associated with travel in a weightless environment, such as orthostatic hypotension, bone loss and the recently recognized visual impairment that occurs in astronauts,” said Michael D. Delp, Ph.D., a researcher involved in the work from the Department of Applied Physiology and Kinesiology, and the Center for Exercise Science at the University of Florida in Gainesville, Florida. “Although I have come to realize that it is unlikely I will ever get to fulfill my childhood dream of flying in space, I take great satisfaction with helping in the discovery of how microgravity alters the human body and how we can minimize these effects, so humans can safely explore the bounds of our universe.”


To make this discovery, Delp and colleagues examined arteries and veins from mice housed at Kennedy Space Center in Florida with blood vessels from groups of mice flown on three of the last five space shuttle missions - STS-131, STS-133 and STS-135. Mice flown on the STS-131 and STS-135 missions were tested immediately after returning to Earth, whereas mice from STS-133 were tested one, five and seven days after landing. Not only did they find that these mice experienced the equivalent of orthostatic hypotension in humans, they also discovered that it takes as many as four days in normal gravity before the condition is reversed. 

Source: http://www.health.am/hypertension/more/why-astronauts-experience-low-blood-pressure/

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Lunes, Nobyembre 26, 2012

Hypertension not so simple

A recently published editorial in the Journal of the American Society of Hypertension (JASH), “Ambulatory Blood Pressure Monitoring Should Be Included in the National Health and Nutritional Examination Survey (NHANES),” recognizes the importance of this national survey instrument but questions the efficiency of its diagnostic methods in assessing hypertension in the population.*


Since the 1960s, CDC has utilized traditional blood pressure screening using a sphygmomanometer to measure the brachial artery pressure (a diagnostic instrument used since 1880). Drs. William B. White, President of the American Society of Hypertension, Inc. (ASH), Thomas D. Giles, a Past President of ASH, and colleagues have expressed concern regarding this methodology and its limitations in accurately detecting hypertension in patients. Their editorial strongly recommends that the CDC utilize a more sensitive and specific tool for assessing blood pressure in its national surveys.


Their recommendation for improving national statistics on hypertension is the inclusion of ambulatory BP monitoring in the NHANES’ methodology. Among many physicians and hypertension specialists, ambulatory BP monitoring has been recognized as a superior and accurate method for detecting hypertension. The utilization of this advanced diagnostic method may bring to light many mitigating factors that affect the proper diagnosis of this condition, such as white coat hypertension, resistant hypertension, and nocturnal hypertension. Leading hypertension specialists around the country recognize that ABPM can not only detect hypertension in cases in which the disease actually exists, but also identify who is really in control and who is not.

Source: http://www.health.am/hypertension/more/hypertension-not-so-simple/

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Mauritius Calling: Medical Care and Neurorehabilitation Needs in an Oceanic Idyll

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12

Anba Soopramanien

Soopramanien A. Mauritius calling: medical care and neurorehabilitation needs in an oceanic idyll. The tropical island of Mauritius, located off the coast of Southern Africa, has greatly improved its health care system, especially for frontline services and procedures such as cardiac surgery. But the post–acute neurorehabilitation care is still problematic, much to the detriment of disabled patients, their families, and Mauritian society overall. Comparisons with neurorehabilitation care in the United Kingdom suggest the scale of the problem in terms of uncoordinated medical teams, limited follow-ups, lack of expertise, and cultural stigma. This article assesses the needs of the neurologic rehabilitation segment in Mauritian health care and submits a set of policy recommendations addressing what medical professionals, hospitals, government officials, and other organizations can do to improve the neurologic rehabilitation infrastructure for Mauritian patients.




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Does the Six-Minute Walk Test Measure Aerobic Capacity in Persons With Cerebral Palsy?

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12

Jorrit Slaman, Annet Dallmeijer, Rita van den Berg-Emons






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The Contribution of Previous Episodes of Pain, Pain Intensity, Physical Impairment, and Pain-Related Fear to Disability in Patients with Chronic Mechanical Neck Pain.

Author: Saavedra-Hernandez, Manuel MsC; Castro-Sanchez, Adelaida M. PhD; Cuesta-Vargas, Antonio I. PhD; Cleland, Joshua A. PT, PhD; Fernandez-de-las-Penas, Cesar PT, PhD; Arroyo-Morales, Manuel PT, PhD
Page: 1070-1076

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Pediatric Arm Function Test: Reliability and Validity for Assessing More-Affected Arm Motor Capacity in Children with Cerebral Palsy.

Author: Uswatte, Gitendra PhD; Taub, Edward PhD; Griffin, Angi MA, OTL; Rowe, Jan DrOT; Vogtle, Laura PhD, OTR/L; Barman, Joydip MS
Page: 1060-1069

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A systematic review of research undertaken in vocational rehabilitation for people with multiple sclerosis

Disability and Rehabilitation, Volume 34, Issue 24, Page 2031-2038, December 2012.

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Persian translation and validation of the Kujala Patellofemoral Scale in patients with patellofemoral pain syndrome

Disability and Rehabilitation, Volume 34, Issue 26, Page 2259-2263, December 2012.

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Linggo, Nobyembre 25, 2012

Dynamic Essentials Loyalty is the Key

News from DE
Webster's Dictionary defines the word "loyalty" as: the state or quality of being loyal... feeling of faithfulness or alliance."
We could use and think of many illustrations of loyalty such as loyalty of a dog to its master... loyalty of a spouse to each other... loyalty to your team, family or country, etc. But probably the best...

This is a planetchiropractic content summary feed. Visit www.planetchiropractic.com for complete content, links, and related media. - Cheers!

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Methods to improve international comparability of census and survey measures of disability

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-4, Early Online.

Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.720353?ai=1lir&mi=3s94u5&af=R

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What does coping mean to the worker with pain-related disability? A qualitative study

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.

Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.723791?ai=1lir&mi=3s94u5&af=R

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Six-Minute Walk Test in Children With Cerebral Palsy Gross Motor Function Classification System Levels I and II: Reproducibility, Validity, and Training Effects

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12

Angeline Nsenga Leunkeu, Roy J. Shephard, Said Ahmaidi

Nsenga Leunkeu A, Shephard RJ, Ahmaidi S. Six-minute walk test in children with cerebral palsy Gross Motor Function Classification System levels I and II: reproducibility, validity, and training effects. Objectives To assess the reproducibility and validity of the 6-minute walk test (6MWT) with gas collection, and to evaluate effectiveness of a walking program in children with cerebral palsy (CP). Design Assessment and controlled training study. Setting Rehabilitation service. Participants Children/adolescents with CP (N=24; 12 boys, 12 girls; mean age, 14.2±2.0y, Gross Motor Function Classification System levels I and II). Intervention After a cycle-ergometer stress test and the 6MWT, subjects were assigned to training (n=12, 40min of moderate walking exercise 3 times per week for 8wk) or a matched control group (n=12). Main Outcome Measures Peak oxygen consumption (V̇o 2peak), peak ventilation, peak heart rate, and 6MWT distance. Results Test-retest correlations for the 6MWT were good (V̇o 2peak: r=.90, P<.001, intraclass correlation coefficient [ICC]=.85; peak ventilation: r=.88, P<.001, ICC=.83; peak heart rate: r=.86, P<.001, ICC=.82; distance walked: r=.87, P=.007, ICC=.80). Mean scores for the 6MWT also closely matched corresponding cycle-ergometer data. Significant improvements in 6MWT V̇o 2peak, peak ventilation, and peak heart rate were found after 8 weeks of training (P<.05). Conclusions The 6MWT appears reproducible and valid relative to cycle-ergometer assessments of cardiorespiratory responses, and offers a simple method of clinical assessment. An 8-week moderate walking program improves the cardiopulmonary fitness of children with CP, as measured by 6MWT.




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Guttate Psoriasis

Definition

A form of psoriasis with characteristic water drop shaped scaly macules.


Alternative Names

Guttate psoriasis

Source: http://www.health.am/diseases/more/guttate_psoriasis/

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Early identification of work-related stress predicted sickness absence in employed women with musculoskeletal or mental disorders: a prospective, longitudinal study in a primary health care setting

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.

Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.695854?ai=1lir&mi=3s94u5&af=R

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Protein reveals diabetes risk many years in advance

When a patient is diagnosed with type 2 diabetes, the disease has usually already progressed over several years and damage to areas such as blood vessels and eyes has already taken place. To find a test that indicates who is at risk at an early stage would be valuable, as it would enable preventive treatment to be put in place.


Researchers at Lund University have now identified a promising candidate for a test of this kind. The findings have been published in the journal Cell Metabolism.


“We have shown that individuals who have above-average levels of a protein called SFRP4 in the blood are five times more likely to develop diabetes in the next few years than those with below-average levels”, says Anders Rosengren, a researcher at the Lund University Diabetes Centre (LUDC), who has led the work on the risk marker.


Higher levels in diabetes patients

It is the first time a link has been established between the protein SFRP4, which plays a role in inflammatory processes in the body, and the risk of type 2 diabetes. Studies at LUDC, in which donated insulin-producing beta cells from diabetic individuals and non-diabetic individuals have been compared, show that cells from diabetics have significantly higher levels of the protein.

Source: http://www.health.am/db/more/protein-reveals-diabetes-risk-many-years-in-advance/

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Post-traumatic head injury pituitary dysfunction

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-4, Early Online.

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Sabado, Nobyembre 24, 2012

“Effect of pranayama and meditation as an add-on therapy in rehabilitation of patients with Guillain-Barré syndrome—a randomized control pilot study”

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-6, Early Online.

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Involving youth with disabilities in the development and evaluation of a new advocacy training: Project TEAM

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.

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Termination of sickness benefits or transition to disability pension after changes in sickness insurance: a Swedish register study

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-7, Early Online.

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Influence of Contraction Type, Speed, and Joint Angle on Ankle Muscle Weakness in Parkinson's Disease: Implications for Rehabilitation

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12

Marco Y. Pang, Margaret K. Mak

Pang MY, Mak MK. Influence of contraction type, speed, and joint angle on ankle muscle weakness in Parkinson's disease: implications for rehabilitation. Objective To compare the ankle muscle strength and torque-angle relationship between individuals with Parkinson's disease (PD) and participants without impairments. Design Cross-sectional, exploratory study. Setting Motor control laboratory in a university. Participants Convenience sample of community-dwelling individuals with PD (n=59) recruited from a PD self-help group and age-matched participants without impairments (n=37) recruited from community older adult centers. Interventions Not applicable. Main Outcome Measure Peak torque and angle-torque profile during concentric and eccentric contraction of ankle dorsiflexors and plantarflexors at 2 different angular speeds (45 and 90°/s). Results The PD group displayed lower muscle peak torque values than participants without impairments in all test conditions. Generally, concentric strength was more compromised, with a greater between-group difference (Cohen d=1.29–1.60) than eccentric strength (Cohen d=.81–1.37). Significant group by angular speed interaction was observed in ankle plantarflexion concentric peak torque (P<.001), indicating that muscle weakness was more pronounced when the angular speed was increased. The group by joint angle interaction in concentric contraction of ankle plantarflexors at 90°/s was also significant (P<.001), revealing that the between-group difference in torque values became increasingly more pronounced when the joint was moving toward the end range of the ankle plantarflexion. This exaggerated ankle plantarflexor muscle weakness at the end range was significantly correlated with clinical balance measures (P<.05). Conclusions Muscle weakness in PD is influenced by contraction type, angular speed, and joint range. Exaggerated weakness is found in concentric contraction of ankle plantarflexors, particularly when the angular speed is high and the muscle is in shortened lengths.




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Role of comprehensive geriatric assessment in the management of osteoporotic hip fracture in the elderly: an overview

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-8, Early Online.

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Parker University Holds Homecoming Event Celebrating 30 Years

By Parker University
DALLAS -- Parker University held Parker Homecoming 2012 on its campus in Dallas, Texas, on October 26 - 28. Doctors of chiropractic and massage therapists attended customized education tracks while earning continuing education credits. Classes covered numerous topics, including combining nutrition and chiropractic, multiple...

This is a planetchiropractic content summary feed. Visit www.planetchiropractic.com for complete content, links, and related media. - Cheers!

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Kambin Triangle Versus the Supraneural Approach for the Treatment of Lumbar Radicular Pain.

Author: Park, Ki Deok MD; Lee, Jiwon MD; Jee, Heami MS; Park, Yongbum MD
Page: 1039-1050

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“I am just thankful”: the experience of gratitude following traumatic spinal cord injury

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.

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Biyernes, Nobyembre 23, 2012

Request for Proposals 2015 Archives Supplement 1

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12








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Electromyogram–Lengthening Velocity Relation in Plantar Flexors During Stance Phase of Gait in Patients With Hypertonia After Acquired Brain Injury

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12

John W. Chow, Stuart A. Yablon, Dobrivoje S. Stokic

Chow JW, Yablon SA, Stokic DS. Electromyogram–lengthening velocity relation in plantar flexors during stance phase of gait in patients with hypertonia after acquired brain injury. Objective To examine the velocity-dependent change in medial gastrocnemius (MG) activity during the stance phase of gait in patients with moderate to severe resting hypertonia after stroke or traumatic brain injury (TBI). Design Cohort study. Setting Motion analysis laboratory in a tertiary-care rehabilitation hospital. Participants Convenience sample of patients with chronic TBI and stroke (n=11 each), and age- and sex-matched healthy controls (n=22). Intervention Not applicable. Main Outcome Measures Frequency and gain (steepness) of positive (>0) and significant positive (>0 and goodness of fit P≤.05) electromyogram–lengthening velocity (EMG-LV) linear regression slope in MG during the stance phase of gait. Results Positive and significant positive slopes were found significantly more often on the more affected (MA) than less affected (LA) side in patients with TBI but not stroke. Both the frequencies of positive and significant positive slopes on the MA side in patients with TBI were also significantly higher than in controls. However, neither the gain of positive nor significant positive EMG-LV slope was different between the MA and LA sides or in comparison with controls. Positive slope parameters were not related to Ashworth score on the MA side. Conclusions The frequency and gain of positive EMG-lengthening slope did not effectively differentiate patients from controls, nor were they related to the resting muscle hypertonia. Motor output during MG lengthening in the stance phase of gait is apparently not exaggerated or related to resting hypertonia in patients with chronic TBI and stroke. Thus, changes in gait during stance cannot be ascribed to increased stretch reflex activity in MG muscle after acquired brain injury.




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Clinicians’ actions associated with the successful patient care process: a content analysis of interviews with paediatric occupational therapists

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.

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Table of Contents

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12








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Balance Confidence Was Associated With Mobility and Balance Performance in Older People With Fall-Related Hip Fracture: A Cross-Sectional Study

Publication year: 2012
Source:Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 12

Erja Portegijs, Johanna Edgren, Anu Salpakoski, Mauri Kallinen, Taina Rantanen, Markku Alen, Ilkka Kiviranta, Sanna Sihvonen, Sarianna Sipilä

Portegijs E, Edgren J, Salpakoski A, Kallinen M, Rantanen T, Alen M, Kiviranta I, Sihvonen S, Sipilä S. Balance confidence was associated with mobility and balance performance in older people with fall-related hip fracture: a cross-sectional study. Objective To study the relationship between balance confidence, a concept closely related to fear of falling, mobility and balance performance, and perceived mobility limitation in older people after a fall-related hip fracture. Design Cross-sectional analyses of pretrial data of 2 randomized controlled trials of physical rehabilitation. Setting University research center. Participants Community-dwelling people aged over 60 years, 6 weeks to 7.5 years after a fall-related hip fracture (N=130). Interventions Not applicable. Main Outcome Measures The main outcome was the self-reported Activities-specific Balance Confidence (ABC) scale score. Assessments also included perceived ability to walk outdoors or climb 1 flight of stairs, and assessments of self-preferred walking speed, modified Timed-Up-and-Go test, and Berg Balance Scale. Results Higher ABC scale scores were related to better mobility and balance performance (ρ>.47) and perceived mobility function (ρ>.54). In univariate general linear models, all associations also remained significant after adjustment for age, sex, time since fracture, number of chronic diseases, and either level of physical activity or muscle strength of the fractured leg. An ABC scale score <85 points identified those with mobility and balance limitation across measures. Conclusions In people who have had a fall-related hip fracture, an independent relationship exists between balance confidence and mobility and balance performance as well as perceived mobility function. Since lack of balance confidence may compromise rehabilitation and recovery, the ABC scale may help to identify older hip fracture patients with mobility and balance limitation.




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The role of positive affect on social participation following stroke

Disability and Rehabilitation, Volume 34, Issue 25, Page 2119-2123, December 2012.

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Enhancing the conceptual clarity and utility of the international classification of functioning, disability & health: the potential of a new graphic representation

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-11, Early Online.

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Is Health Related Quality Of Life of people living with chronic conditions related to patient satisfaction with care?

Disability and Rehabilitation, Volume 0, Issue 0, Page 1-9, Early Online.

Source: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.707746?ai=1lir&mi=3s94u5&af=R

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