Journal of Physical Medicine, Rehabilitation and Disabilities最新文献

Assessment of Balance in Individuals with and without Motion Sickness: A Comparative Study 有和没有晕动病的人的平衡评估:一项比较研究

Journal of Physical Medicine, Rehabilitation and Disabilities Pub Date : 2020-12-31 DOI: 10.24966/PMRD-8670/100056

S. Joshi

{"title":"Assessment of Balance in Individuals with and without Motion Sickness: A Comparative Study","authors":"S. Joshi","doi":"10.24966/PMRD-8670/100056","DOIUrl":"https://doi.org/10.24966/PMRD-8670/100056","url":null,"abstract":"Introduction: This vestibular malfunction leads to symptoms from dizziness, orientation problems and postural disequilibrium to the distressing visual symptoms of vertigo (an illusion of rotatory motion) and nystagmus during activities that require head movement suggesting that vestibular disorders markedly disrupt balance control. Therefore, in this study an attempt was made to assess whether individuals with motion sickness are having impaired balance compared to the healthy counterparts. Aim: To compare the balance of individuals with and without motion sickness. Materials and Methods: There were two groups in this study. Each group was having 48 participants. Group A was individuals with motion sickness (Experimental group) and group B was individuals without motion sickness, (control group). Balance of both the groups was assessed using, Neuro-Com basic balance manager i.e. Basic Balance Master (Version 9.2) from Natus balance and mobility. The test administered were unilateral stance and CTSIB. Results: There was statistically significant difference in sway velocity of both the groups in m CTSIB as well as unilateral stance. (p<0.001). Increased sway velocity was found in group with motion sickness. Conclusion: Balance was affected in individuals with motion sickness.","PeriodicalId":146012,"journal":{"name":"Journal of Physical Medicine, Rehabilitation and Disabilities","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132506723","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}

引用次数: 0

Historical Review of Endoscopic Spinal Decompression 内镜下脊柱减压术的历史回顾

Journal of Physical Medicine, Rehabilitation and Disabilities Pub Date : 2020-10-19 DOI: 10.24966/PMRD-8670/100055

A. Dezawa

{"title":"Historical Review of Endoscopic Spinal Decompression","authors":"A. Dezawa","doi":"10.24966/PMRD-8670/100055","DOIUrl":"https://doi.org/10.24966/PMRD-8670/100055","url":null,"abstract":"Improvements in imaging techniques, along with advancements in optomechanical devices such as 2-mm-thin endoscope, electronic scope, and CCD cameras, and development of new devices such as the high speed drill greatly affected the techniques of minimally invasive endoscopic surgery. In behind the birth of these groundbreaking medical techniques there were engineers who have supported from the beginning. Thus, it is also the history of medical- and-engineering ties between doctors and optical engineers, and past experience becomes a beam of light that shed upon the future. Primum nil nocere (minimize the invasion) was a concept since the days of Hippocrates, and it has been an everlasting theme for surgeons. Then, a paradigm shift occurred, from the times of microscopes to the times of video endoscope where operators can share the live image with others. With these advancements, surgeons were able to understand the anatomical structures and relative positional relationship of each organs through the endoscope and developed their depth perception through two-dimensional video images. Endoscopic spinal decompression that uses high-definition endoscopic images and can treat a wide range of the spinal column enabled to decrease numbers of complications and faster rehabilitation.","PeriodicalId":146012,"journal":{"name":"Journal of Physical Medicine, Rehabilitation and Disabilities","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132302980","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}

引用次数: 0

Concordance of Self-Report and Performance-Based Measures of Function and Differences between Clinic and Home among Wheelchair Users 轮椅使用者自我报告和基于表现的功能测量的一致性及诊所和家庭之间的差异

Journal of Physical Medicine, Rehabilitation and Disabilities Pub Date : 2019-06-04 DOI: 10.24966/PMRD-8670/100030

H. Sarsak

{"title":"Concordance of Self-Report and Performance-Based Measures of Function and Differences between Clinic and Home among Wheelchair Users","authors":"H. Sarsak","doi":"10.24966/PMRD-8670/100030","DOIUrl":"https://doi.org/10.24966/PMRD-8670/100030","url":null,"abstract":"Objective: The main objective of this study was to investigate concordance and differences among self-report and performance-based measures for wheelchair users. Method: The Functioning Everyday with a Wheelchair (FEW); a self-report measure, the FEW-Capacity (FEW-C); a performance-based measure for the clinic and the FEW-Performance (FEW-P) that measures clients’ skills in the home were the measures used in this study. We examined the concordance of the FEW and the FEW-C with the FEW-P as the criterion measure, and investigated the differences between the FEW-C and the FEW-P at pretest and posttest following the provision of a new wheeled mobility and seating device. Results: Our results suggested that the FEW-C was most concordant with the FEW-P for majority of the items compared to the FEW. At both pretest and posttest, for most of the tasks, the FEW-C and FEW-P were comparable suggesting that the environment may have a neutral effect. However, at posttest, the clients’ safety scores for the outdoor mobility task and the clients’ quality scores for the Personal Care task improved significantly suggesting that the standard supportive environment of the clinic may have enabling effect on activity performance. Conclusion: Clinically, rehabilitation clinicians may get a more accurate estimation of functional performance in the home from a clinic assessment, and they are cautioned that the inclusion of self-report assessment and data obtained from clients’ perceptions may be discrepant with actual performance. We also concluded that the impact of the environment on activity performance of wheelchair users can be neutral or enabling depending on time of assessment and tasks being assessed.","PeriodicalId":146012,"journal":{"name":"Journal of Physical Medicine, Rehabilitation and Disabilities","volume":"9 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120911559","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}

引用次数: 0

Factors Associated with Change in Functional Performance among Wheelchair Users 与轮椅使用者功能表现改变相关的因素

Journal of Physical Medicine, Rehabilitation and Disabilities Pub Date : 2019-06-04 DOI: 10.24966/PMRD-8670/100028

H. Sarsak

{"title":"Factors Associated with Change in Functional Performance among Wheelchair Users","authors":"H. Sarsak","doi":"10.24966/PMRD-8670/100028","DOIUrl":"https://doi.org/10.24966/PMRD-8670/100028","url":null,"abstract":"Objective: The main objective of this study was to explore demo- graphics, wheelchair characteristics, and functional status indicators associated with changes in perceptions and functional performance of wheelchair users. Method: Nineteen wheelchair users were selected for this explorato- ry study. Utilizing Exhaustive Chi-Squared Automatic Interaction Detector (CHAID) analysis, seven models were generated to examine specific demographics, wheelchair characteristics, and functional status indicators associated with pretest to posttest change scores in perceptions and performance of everyday tasks over time of three target variables. Validation of the models generated by Exhaustive CHAID analyses was conducted through the n-fold cross-validation procedure. The Functioning Everyday with a Wheelchair (FEW), the FEW-Capacity (FEW-C), and the FEW-Performance (FEW-P) were the measures used in this study. Results: The means for the change score were larger for the FEW (1.08 ± 0.59) followed by the FEW-C (0.69 ± 0.63), and then the FEW-P (0.33 ± 0.45). Most of the factors identified in each model were derived from the pretest. Our study explored factors that were significantly associated with change scores of the FEW tools. In - dependence, number of physical assists, safety, and tasks related to Outdoor Mobility at pretest were the functional status indicators found to be of greatest importance and significantly associated with changes in perceptions and performance of everyday tasks over time in our models. For all analyses, the values of the Risk Estimate for the Risk Statistics and Cross-validation were close with relatively small differences, suggesting strong and reasonable confidence in the validity of the seven models. Conclusion: This study may suggest specific focus areas for as - sessment and intervention and may highlight the importance of some factors that influence changes in functional performance among cli ents who have been referred for, and prescribed, a wheeled mobility device.","PeriodicalId":146012,"journal":{"name":"Journal of Physical Medicine, Rehabilitation and Disabilities","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122199560","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}

引用次数: 0

Association of Self-Report and Performance-Based Instruments to Measure Functional Performance among Wheelchair Users 自我报告和基于表现的工具测量轮椅使用者的功能表现的协会

Journal of Physical Medicine, Rehabilitation and Disabilities Pub Date : 2019-06-04 DOI: 10.24966/PMRD-8670/100029

H. Sarsak

引用次数: 0

A Possible Pathway from Stress to Fibrosis 从压力到纤维化的可能途径

Journal of Physical Medicine, Rehabilitation and Disabilities Pub Date : 2019-06-04 DOI: 10.24966/PMRD-8670/100032

P. Thomsen

引用次数: 0

Comfort Levels of Physical Medicine & Rehabilitation Residents during Call: A Survey Study 物理医学和康复住院医师来访期间的舒适度:一项调查研究

Journal of Physical Medicine, Rehabilitation and Disabilities Pub Date : 2018-08-22 DOI: 10.24966/PMRD-8670/100024

Jane Hwang

{"title":"Comfort Levels of Physical Medicine & Rehabilitation Residents during Call: A Survey Study","authors":"Jane Hwang","doi":"10.24966/PMRD-8670/100024","DOIUrl":"https://doi.org/10.24966/PMRD-8670/100024","url":null,"abstract":"Background There are few studies in the literature reviewing how comfortable residents are during call, especially in the field of Physical Medicine & Rehabilitation (PM&R). The aim of this study was to review how prepared residents feel during call as well as gather general information about residency call in the field of PM&R in the hope of improving the quality of call. Methods An anonymous online survey made up of 7 questions addressing level of comfort during call, reason for paging, level of training, type of internship was sent out to the ACGME PM&R programs in the United States/US territories. Results A total of 221 PM&R residents from at least 48 programs across 25 states/US territories participated in the survey. The top 3 reasons for which residents were getting paged during call were pain, abnormal vital signs, and bowel/bladder issues. The top 3 items residents were least comfortable with handling during call were running a code, arrhythmias and seizures. The top 3 items residents were most comfortable with were constipation, pain and insomnia. 50% of unique programs were found to take home call, 19% in-house call and 31% home and/or in-house call. 46% of residents completed their PGY-1 training in a preliminary medicine program, 36% in a transitional year program, 6% in a preliminary surgery program, and 12% in another type of program. Conclusion This study gives an idea of the common reasons why residents are getting paged during call and what residents feel comfortable and uncomfortable handling while on call. This information can better guide residency programs in regards to their educational conferences and improve the quality of PM&R residency call and ultimately patient care.","PeriodicalId":146012,"journal":{"name":"Journal of Physical Medicine, Rehabilitation and Disabilities","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132412399","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}

引用次数: 0

Efficacy of Early Treatment with Onabotulinum Toxin A in Post-Stroke Spasticity 早期应用肉毒杆菌毒素A治疗脑卒中后痉挛的疗效观察

Journal of Physical Medicine, Rehabilitation and Disabilities Pub Date : 2018-08-22 DOI: 10.24966/pmrd-8670/100025

A. Vázquez Doce

{"title":"Efficacy of Early Treatment with Onabotulinum Toxin A in Post-Stroke Spasticity","authors":"A. Vázquez Doce","doi":"10.24966/pmrd-8670/100025","DOIUrl":"https://doi.org/10.24966/pmrd-8670/100025","url":null,"abstract":"Background To compare the effect of early versus delayed administration of Onabotulinum Toxin Type A (OnabotA) injections in patients with post-stroke spasticity in the Upper (UL) and/or Lower Limbs (LL). Methods A retrospective study, from 2014 to 2017, was conducted on consecutive patients with moderate to severe stroke according to the National institute of Health Stroke Scale (NIHSS) [NIHSS score 14 to 25]. All patients received individualized treatment with OnabotA (Allergan Inc., Irvine, CA, USA) at baseline in the affected limbs. Study patients were divided in two groups; Group I: Administration of Onabot A within the first 6 months after stroke and Group II: Administration of Onabot A later than 6 months after stroke. The primary end-point was the changes in muscle tone, assessed by means of the Modified Ashworth Scale (MAS), at the end of the 1-year treatment period. Results Of 162 screened patients, 32 met the inclusion/exclusion criteria and were included in the study. In the LL, the MAS score reduction was significantly greater (p=0.0452) in those patients who received OnabotA treatment at early stages. Similarly, the Onabot A dose received throughout the study was significantly lower in patients receiving toxin treatment early in the process (p=0.0003). For each day that treatment with OnabotA was delayed, MAS score was 0.003 units (EE=0.001) greater. Conclusion The results of this study suggested that early treatment with Onabot A administered in post-stroke spasticity patients was associated with a better evolution of the process.","PeriodicalId":146012,"journal":{"name":"Journal of Physical Medicine, Rehabilitation and Disabilities","volume":"145 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133768051","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}

引用次数: 1