T-D Dimitriou, Eleni Verykouki, John Papatriantafyllou, A Konsta, D Kazis, M Tsolaki
{"title":"Non-pharmacological interventions for agitation/aggressive behaviour in patients with dementia: a randomized controlled crossover trial.","authors":"T-D Dimitriou, Eleni Verykouki, John Papatriantafyllou, A Konsta, D Kazis, M Tsolaki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Agitation/aggressive behaviour is a common behavioural and psychological symptom in people with dementia (PwD), occurring with a frequency of between 13-50.4% according to recent studies, and the rate increases as the severity of cognitive decline increases. The burden on caregivers is considerable. This trial is a randomized controlled crossover trial conducted in Greece. The following measures were used: the Mini-Mental State Examination, Addenbrooke's Cognitive Examination Revised, Geriatric Depression Scale, Functional Rating Scale for Symptoms in Dementia and Neuropsychiatric Inventory. According to the results the most effective nonpharmacological intervention for reducing agitation/aggressive behaviour in PwD was music therapy, followed by aromatherapy and massage, and finally physical exercise.</p>","PeriodicalId":12560,"journal":{"name":"Functional neurology","volume":"33 3","pages":"143-147"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36699799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Errata corrige Functional Neurology 2018;33:2 Article: Epidemiological and clinical characteristics of 492 patients in a vegetative state in 29 Italian rehabilitation units. What about outcome?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p></p>","PeriodicalId":12560,"journal":{"name":"Functional neurology","volume":"33 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36700400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alessio Baricich, L Cosenza, Giorgio Sandrini, Stefano Paolucci, G Morone, A Santamato, N Cinone, E Peri, A Picelli, M Invernizzi, G Ferriero
{"title":"Development of a patient-centered questionnaire for post-stroke spasticity assessment: a reliability study.","authors":"Alessio Baricich, L Cosenza, Giorgio Sandrini, Stefano Paolucci, G Morone, A Santamato, N Cinone, E Peri, A Picelli, M Invernizzi, G Ferriero","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the emerging scenario of patient-centered medicine, it is becoming increasingly important to involve patients in the management of chronic diseases. The rehabilitation field currently has no assessment tool for evaluating the functional impact of post-stroke spasticity on activities of daily living. The aim of this study was to identify a tool to fill this gap. The \"Spasticity Questionnaire in Real Life\" (SPQR) was administered, twice, to 39 patients with poststroke spasticity. Statistical analysis showed internal consistency and reliability of the questionnaire, with values greater than 0.96 and 0.76, respectively. These results show that the SPQR is a promising tool for evaluating the functional impact of post-stroke spasticity.</p>","PeriodicalId":12560,"journal":{"name":"Functional neurology","volume":"33 2","pages":"113-115"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36293127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Liguori, A de Sire, A Moretti, L Sodano, S Sampaolo, Francesca Gimigliano, Giovanni Iolascon
{"title":"Musculoskeletal impairment and functional limitations in a patient affected by mutation in the laminin a-5 gene.","authors":"S Liguori, A de Sire, A Moretti, L Sodano, S Sampaolo, Francesca Gimigliano, Giovanni Iolascon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12560,"journal":{"name":"Functional neurology","volume":"33 2","pages":"117-118"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36293128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D Saviola, Antonio De Tanti, S Delsoldato, M Chiari, M G Inzaghi, F Baldari
{"title":"Impact of epilepsy after severe brain injury on safe resumption of driving: two-year follow-up.","authors":"D Saviola, Antonio De Tanti, S Delsoldato, M Chiari, M G Inzaghi, F Baldari","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Safe resumption of driving after a severe acquired brain injury (sABI) is a strongly felt need because driving is related to recovery of independence and social-occupational re-integration. The aim of this prospective observational cohort study was to determine whether epilepsy secondary to sABI is a significant factor for being declared fit to drive by the relevant government authorities in Italy. In the period 2006-2015 we recruited 187 patients with sABI, 30 of whom (16.4%) developed secondary epilepsy. The interval between the acute event and the first seizure varied widely (6-96 months), confirming the need for prolonged follow-up. With regard to the aetiology, traumatic brain injury (TBI) was associated with the highest risk of epilepsy: 66.7% of the 30 patients with epilepsy had TBI, as opposed to cerebrovascular disease or anoxic brain damage (33.3%). The percentage of patients who resumed driving was about the same in the epilepsy (80%) and non-epilepsy (81%) groups.</p>","PeriodicalId":12560,"journal":{"name":"Functional neurology","volume":"33 2","pages":"91-95"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36293726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Direction-specific cortical response immediately after moving tactile stimuli in female humans.","authors":"Koichi Hiraoka, Yuki Kento, Hiroki Kiya, Yui Nozaki, Tatsuya Hayashi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study looked for a direction-specific cortical response immediately after application of moving tactile stimuli in healthy female humans. Four pairs of stimulus electrodes were placed over the left index finger pulp on the distal-proximal axis. Four times, once in every 40 ms interval, an electrical stimulus to the finger pulp was delivered through one of the four pairs of electrodes; each time the stimulus site changed in order to induce a sensation of tactile motion. The slope of the electroencephalographic trace, as recorded from electrodes placed over the CP, P4 and right hMT+/V5 in the period 150-200 ms after the onset of stimuli delivered in sequence from the distal to proximal site, was significantly different from that after stimuli delivered in sequence from the proximal to distal site. The cortical response immediately after the proximally-directed moving tactile stimuli was different from that after the distally-directed moving tactile stimuli in the hemisphere contralateral to the stimulus side.</p>","PeriodicalId":12560,"journal":{"name":"Functional neurology","volume":"33 2","pages":"81-89"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36293725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Shorter acute care hospital stay, longer stay in post-acute care facilities.","authors":"R. Formisano, M. Contrada, M. Aloisi","doi":"10.11138/FNeur/2018.33.2.065","DOIUrl":"https://doi.org/10.11138/FNeur/2018.33.2.065","url":null,"abstract":"","PeriodicalId":12560,"journal":{"name":"Functional neurology","volume":"33 2 1","pages":"65"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43157409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Baricich, L. Cosenza, G. Sandrini, S. Paolucci, G. Morone, A. Santamato, N. Cinone, E. Peri, A. Picelli, M. Invernizzi, G. Ferriero
{"title":"Development of a patient-centered questionnaire for post-stroke spasticity assessment: a reliability study.","authors":"A. Baricich, L. Cosenza, G. Sandrini, S. Paolucci, G. Morone, A. Santamato, N. Cinone, E. Peri, A. Picelli, M. Invernizzi, G. Ferriero","doi":"10.11138/FNEUR/2018.33.2.113","DOIUrl":"https://doi.org/10.11138/FNEUR/2018.33.2.113","url":null,"abstract":"In the emerging scenario of patient-centered medicine, it is becoming increasingly important to involve patients in the management of chronic diseases. The rehabilitation field currently has no assessment tool for evaluating the functional impact of post-stroke spasticity on activities of daily living. The aim of this study was to identify a tool to fill this gap. The \"Spasticity Questionnaire in Real Life\" (SPQR) was administered, twice, to 39 patients with poststroke spasticity. Statistical analysis showed internal consistency and reliability of the questionnaire, with values greater than 0.96 and 0.76, respectively. These results show that the SPQR is a promising tool for evaluating the functional impact of post-stroke spasticity.","PeriodicalId":12560,"journal":{"name":"Functional neurology","volume":"33 2 1","pages":"113-115"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48733460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R Avesani, F Dambruoso, M Scandola, Rita Formisano, Antonio De Tanti, S Ferro, Nicola Smania, L Roncari, E Rossato
{"title":"Epidemiological and clinical characteristics of 492 patients in a vegetative state in 29 Italian rehabilitation units. What about outcome?","authors":"R Avesani, F Dambruoso, M Scandola, Rita Formisano, Antonio De Tanti, S Ferro, Nicola Smania, L Roncari, E Rossato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent studies on recovery of consciousness of subjects in a vegetative state (VS) admitted to rehabilitation units have focused mainly on the identification of prognostic factors, whereas few studies have focused on outcome. The aim of this study was to compare demographic and clinical data and report functional outcome of patients in a VS due to severe acquired brain injury (ABI) of different aetiologies. The study was a retrospective multicentre cohort study and involved 492 patients in a VS due to traumatic (TBI) or non-traumatic (NTBI) severe ABI admitted to 29 Italian rehabilitation units. Demographic and clinical data recorded included age, gender, aetiology, Glasgow Coma Scale score; onset-to-admission interval; length of stay in the rehabilitation unit; the department from which they were referred; and the presence of percutaneous endoscopic gastrostomy or tracheostomy. Recovery of consciousness and disability were evaluated using a discharge Disability Rating Scale. At discharge, 53.11% patients had emerged from VS, with TBI subjects significantly more likely to recover consciousness than NTBI ones. Subjects with NTBI had a significantly worse prognosis than those with TBI, and within the NTBI group, subjects with a cerebrovascular aetiology had a better outcome than those with an anoxic aetiology. Among the patients who emerged from VS, 71.30% of TBI and 83.06% of NTBI subjects presented extremely severe disability. Only 37.93% of subjects affected by TBI and 17.44% of those affected by NTBI who presented extremely severe disability returned home after their rehabilitation stay. Even though almost a half of the patients emerged from VS, a large number of these subjects showed severe disability, often making it impossible for them to return home. This situation has a major impact on the healthcare system.</p>","PeriodicalId":12560,"journal":{"name":"Functional neurology","volume":"33 2","pages":"97-103"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36293727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}