NeuroRehabilitation最新文献_第8页

Methodology for the generation of normative data for the U.S. adult Spanish-speaking population: A Bayesian approach. 美国成年西班牙语人口常模数据的生成方法：贝叶斯方法。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2024-01-01 DOI: 10.3233/NRE-240149

Diego Rivera, Anabel Forte, Laiene Olabarrieta-Landa, Paul B Perrin, Juan Carlos Arango-Lasprilla

{"title":"Methodology for the generation of normative data for the U.S. adult Spanish-speaking population: A Bayesian approach.","authors":"Diego Rivera, Anabel Forte, Laiene Olabarrieta-Landa, Paul B Perrin, Juan Carlos Arango-Lasprilla","doi":"10.3233/NRE-240149","DOIUrl":"10.3233/NRE-240149","url":null,"abstract":"Background: Hispanics are the largest growing ethnic minority group in the U.S. Despite significant progress in providing norms for this population, updated normative data are essential.Objective: To present the methodology for a study generating normative neuropsychological test data for Spanish-speaking adults living in the U.S. using Bayesian inference as a novel approach.Methods: The sample consisted of 253 healthy adults from eight U.S. regions, with individuals originating from a diverse array of Latin American countries. To participate, individuals must have met the following criteria: were between 18 and 80 years of age, had lived in the U.S. for at least 1 year, self-identified Spanish as their dominant language, had at least one year of formal education, were able to read and write in Spanish at the time of evaluation, scored≥23 on the Mini-Mental State Examination, <10 on the Patient Health Questionnaire- 9, and <10 on the Generalized Anxiety Disorder scale. Participants completed 12 neuropsychological tests. Reliability statistics and norms were calculated for all tests.Conclusion: This is the first normative study for Spanish-speaking adults in the U.S. that uses Bayesian linear or generalized linear regression models for generating norms in neuropsychology, implementing sociocultural measures as possible covariates.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"155-167"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Kinesiotaping on upper limb function and daily activities in subacute or chronic stroke survivors: A randomized control study. 运动塑形对亚急性或慢性中风幸存者上肢功能和日常活动的影响：随机对照研究

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2024-01-01 DOI: 10.3233/NRE-240047

Chia-Hsin Chou, Yan-Yuh Lee, Po-Cheng Chen, Chau-Peng Leong, Yu-Chi Huang

{"title":"Effects of Kinesiotaping on upper limb function and daily activities in subacute or chronic stroke survivors: A randomized control study.","authors":"Chia-Hsin Chou, Yan-Yuh Lee, Po-Cheng Chen, Chau-Peng Leong, Yu-Chi Huang","doi":"10.3233/NRE-240047","DOIUrl":"10.3233/NRE-240047","url":null,"abstract":"Background: Impaired upper limb function in stroke survivors is characterized by muscle weakness, increased muscle tone, contracture, or impaired motor control.Objective: We aimed to evaluate the effectiveness of Kinesio-taping application for functional recovery on the affected arm and forearm during rehabilitation.Methods: Forty-one patients eligible for this study were randomly assigned to either the Kinesio-taping group (n = 21), receiving Kinesio-taping intervention and conventional therapy, or control group (n = 20), receiving sham Kinesio-taping intervention and conventional therapy. The whole intervention lasted for 3 weeks. Fugl-Meyer assessment of the upper extremity, Barthel Index, the Stroke Impact Scale, and modified Ashworth scale were measured at 3 time points: baseline, post-treatment (3rd week), and follow-up (6th week).Results: In the Kinesio-taping group, there were significant differences in the upper extremity (p = 0.003), wrist (p = 0.000) and hand (p = 0.000) parts of the Fugl-Meyer assessment of the upper extremity between the three assessment times. On the other hand, the Barthel Index showed significant differences in both groups after therapy.Conclusion: Combining conventional rehabilitation with Kinesio-taping intervention may improve functional motor performance of both the proximal and distal parts of the affected upper extremity in stroke survivors, with potential benefits for activity of daily living.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"629-637"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of robotic-assisted gait training program on spatiotemporal gait parameters for ambulatory children with cerebral palsy: A randomized control trial. 机器人辅助步态训练计划对行走不便的脑瘫儿童时空步态参数的影响：随机对照试验

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2024-01-01 DOI: 10.3233/NRE-240156

Maha F Algabbani, Jaber Mohammed Fagehi, Muzaynah Aljosh, Manal Bawazeer, Mishal M Aldaihan, Tariq A Abdulrahman, Adel A Alhusaini

{"title":"Effect of robotic-assisted gait training program on spatiotemporal gait parameters for ambulatory children with cerebral palsy: A randomized control trial.","authors":"Maha F Algabbani, Jaber Mohammed Fagehi, Muzaynah Aljosh, Manal Bawazeer, Mishal M Aldaihan, Tariq A Abdulrahman, Adel A Alhusaini","doi":"10.3233/NRE-240156","DOIUrl":"10.3233/NRE-240156","url":null,"abstract":"Background: Gait training programs are commonly used to improve gait in children with cerebral palsy (CP).Objective: To compared the effects of robotic-gait assistant training (RAGT) and conventional body weight support treadmill training (CBWSTT) on gait parameters among ambulatory children with CP.Methods: The study is a randomized controlled trial of 36 children (17 in the RAGT group and 19 in the CBWSTT group) aged 5 to 14. Gait training involved 30-to 35-minute sessions three times per week over eight weeks.Results: Mixed ANCOVA showed no main effect of time or group on all gait parameters (P > .05). Gross motor function measure dimensions D (GMFM D) and E (GMFM E) show main effects on step width. Stride length, step length, speed, swing phase, and double support phase interacted with GMFM D and E. There was a negative correlation between motor function level and the change from baseline. Children with lower motor function show a greater change from baseline.Conclusion: There were no significant differences between CBWSTT and RAGT for children with CP; however, with gait training interventions, the level of motor function should be considered.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"55 1","pages":"127-136"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A preliminary examination of the TOMM2 in a sample of Spanish speakers in the United States. 在美国讲西班牙语的人中对 TOMM2 进行初步测试。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2024-01-01 DOI: 10.3233/NRE-240085

Daniela Ramos Usuga, Lindsay E Ayearst, Diego Rivera, Denise Krch, Paul B Perrin, Carmen I Carrión, Gloria M Morel Valdés, Delly Loro, Miriam J Rodriguez, Geovani Munoz, Christin I Drago, Patricia García, Patricia M Rivera, Juan Carlos Arango-Lasprilla

{"title":"A preliminary examination of the TOMM2 in a sample of Spanish speakers in the United States.","authors":"Daniela Ramos Usuga, Lindsay E Ayearst, Diego Rivera, Denise Krch, Paul B Perrin, Carmen I Carrión, Gloria M Morel Valdés, Delly Loro, Miriam J Rodriguez, Geovani Munoz, Christin I Drago, Patricia García, Patricia M Rivera, Juan Carlos Arango-Lasprilla","doi":"10.3233/NRE-240085","DOIUrl":"10.3233/NRE-240085","url":null,"abstract":"Background: The Test of Memory Malingering (TOMM) is a widely used performance validity measure that is available in both English and Spanish. The Spanish version, however, has historically lacked normative data from samples that are representative of the U.S. Hispanic/Spanish speaking population.Objective: The aim of the current study was to collect normative data on the update TOMM 2 for Hispanic individuals residing in the U.S.Methods: Normative data on the TOMM 2 was collected across 9 sites from different regions of the U.S. The total sample consisted of n = 188 cognitively healthy adults aged 18 and over with no current or prior history of neurological or psychiatric disorder. Descriptive analyses were performed on total raw scores.Results: Participants obtained a mean score of 48.15 (SD = 2.81) on trial 1 of the TOMM 2, 49.86 (SD = 0.487) on trial 2, and 49.84 (SD = 0.509) on the recognition trial. Scores are provided for traditional cutoff scores as well as some popular cutoffs reported in the literature. Item level analyses were conducted as well as evaluation of performance based on a variety of demographics.Conclusion: When compared to the English-speaking normative sample used for the original TOMM, this sample demonstrated better performance on the TOMM 2 indicating better cultural appropriateness of the items. This is the first study conducted that provides culturally appropriate descriptive norms for use with Spanish speakers living in the U.S.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"235-242"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Combining HD-tDCS with music stimulation for patients with prolonged disorders of consciousness: Study protocol for an RCT trial. 将 HD-tDCS 与音乐刺激相结合治疗长时间意识障碍患者：一项 RCT 试验的研究方案。

IF 2 4区医学

NeuroRehabilitation Pub Date : 2024-01-01 DOI: 10.3233/NRE-230282

Jie Yan, Fubing Zha, Juan Zhou, Jing Zhou, Jingpu Zhao, Qingfang Zhang, Jianjun Long, Dianrui Hou, Zhenhua Song, Yulong Wang

{"title":"Combining HD-tDCS with music stimulation for patients with prolonged disorders of consciousness: Study protocol for an RCT trial.","authors":"Jie Yan, Fubing Zha, Juan Zhou, Jing Zhou, Jingpu Zhao, Qingfang Zhang, Jianjun Long, Dianrui Hou, Zhenhua Song, Yulong Wang","doi":"10.3233/NRE-230282","DOIUrl":"10.3233/NRE-230282","url":null,"abstract":"Background: Patients with prolonged disorders of consciousness (pDOC) pose significant challenges to healthcare workers due to their severe motor impairments and limited interaction with the environment. Non-invasive brain stimulation such as high-definition transcranial direct current stimulation (HD-tDCS) and music stimulation show promise in awakening this population.Objective: In this study, we present a protocol aiming at investigating the efficacy of combined HD-tDCS and music stimulation in awakening patients with pDOC through a single-blind, randomized controlled trial.Methods: Ninety patients with pDOC will be randomly divided into three groups: active HD-tDCS with music stimulation, active HD-tDCS, and sham HD-tDCS. All participants will receive 20 treatment sessions over a period of 10 days and the Coma Recovery Scale-Revised, Glasgow Outcome Scale and electroencephalogram will be used as assessment measures to evaluate their level of consciousness throughout the study. Adverse events and complications will be recorded during treatment. Within-group pre-post comparisons and between-group efficacy comparisons will be conducted to identify the most effective intervention approach. Statistical analysis will be performed using SPSS software with a significance level set at P < 0.05.Conclusion: The pursuit of awakening therapy for patients with pDOC remains a clinical research challenge. This study protocol is designed with the aim of introducing an innovative non-pharmacological approach which combined HD-tDCS and music stimulation to facilitate the reinstatement of consciousness in patients with pDOC.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"495-504"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11091638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of a robot-mediated upper limb rehabilitation protocol for a customized treatment after stroke: A retrospective analysis. 实施以机器人为媒介的上肢康复方案，为中风后患者提供定制化治疗：回顾性分析

IF 2 4区医学

NeuroRehabilitation Pub Date : 2024-01-01 DOI: 10.3233/NRE-230367

Arianna Pavan, Alessio Fasano, Laura Cortellini, Stefania Lattanzi, Dionysia Papadopoulou, Sabina Insalaco, Marco Germanotta, Irene Aprile

{"title":"Implementation of a robot-mediated upper limb rehabilitation protocol for a customized treatment after stroke: A retrospective analysis.","authors":"Arianna Pavan, Alessio Fasano, Laura Cortellini, Stefania Lattanzi, Dionysia Papadopoulou, Sabina Insalaco, Marco Germanotta, Irene Aprile","doi":"10.3233/NRE-230367","DOIUrl":"10.3233/NRE-230367","url":null,"abstract":"Background: Many authors have emphasized the need for individualized treatments in rehabilitation, but no tailored robotic rehabilitation protocol for stroke patients has been established yet.Objective: To evaluate the effectiveness of a robot-mediated upper limb rehabilitation protocol based on clinical assessment for customized treatment of stroke patients.Methods: Clinical data from 81 patients with subacute stroke, undergoing an upper limb robot-mediated rehabilitation, were analyzed retrospectively. 49 patients were treated using a customized robotic protocol (experimental group, EG) based on a clinically guided flowchart, while 32 were treated without it (control group, CG). Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Motricity Index (MI), modified Barthel Index (mBI) and Numerical Rating Scale (NRS) measured before (T0) and after (T1) rehabilitation intervention were used as clinical outcomes.Results: There was statistically significant improvement in both groups in terms of FMA-UE, MI, and mBI, while no change in NRS. Intergroup analysis showed significantly greater improvement of the FMA-UE (P = 0.002) and MI (P < 0.001) in the EG, compared with the CG.Conclusion: The implementation of our robotic protocol for customized treatment of stroke patients yielded greater recovery in upper limb motor function and strength over robotic treatment without a defined protocol.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"411-420"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11091640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Internet + wearable device training effects on limb function recovery and serum neurocytokine content in stroke patients. 互联网+可穿戴设备训练对中风患者肢体功能恢复和血清神经细胞因子含量的影响

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2024-01-01 DOI: 10.3233/NRE-230347

Yijun Wang, Chang Liu, Zhangmin Wang, Yongjian Li, Hai Jiang, Yi Zhang, Youhong Xie

{"title":"Internet + wearable device training effects on limb function recovery and serum neurocytokine content in stroke patients.","authors":"Yijun Wang, Chang Liu, Zhangmin Wang, Yongjian Li, Hai Jiang, Yi Zhang, Youhong Xie","doi":"10.3233/NRE-230347","DOIUrl":"10.3233/NRE-230347","url":null,"abstract":"Background: The traditional method of post-hospital intervention and guidance of stroke patients has some limitations.Objective: To investigate the effects of Internet + wearable device training on limb function recovery and the levels of serum neurocytokines (BDNF, NT-3, and NGF) in stroke patients.Methods: 80 stroke patients with hemiplegia were randomly selected from the Department of Neurorehabilitation, Affiliated Rehabilitation Hospital of Chongqing Medical University. They were divided into a control group and an observation group, with 40 patients in each group. The control group received routine post-hospital follow-up guidance, while the observation group received Internet remote home rehabilitation guidance combined with wearable device training. The interventions were compared between the two groups.Results: At 4 weeks and 12 weeks after discharge, the observation group showed higher scores on the Fugl-Meyer scale (FMA), Berg Balance Scale (BBS), modified Barthel Index (MBI), stride length, gait speed, gait frequency, and higher levels of BDNF, NT-3, and NGF. Additionally, the observation group had lower scores on the Hamilton Anxiety and Depression Scale (HADS) (P < 0.05).Conclusions: The application of Internet remote home rehabilitation guidance combined with wearable device training in stroke patients with hemiplegia can improve limb function recovery. It effectively increases the levels of BDNF, NT-3, and NGF, promoting the nutritional repair of damaged nerves. These findings hold clinical significance.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"17-28"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141992371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traumatic brain injury rehabilitation for warfighters with post-traumatic stress. 为患有创伤后应激障碍的作战人员提供创伤性脑损伤康复治疗。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2024-01-01 DOI: 10.3233/NRE-230274

Ida Babakhanyan, Randi Sedigh, Rosemay Remigio-Baker, Lars Hungerford, Jason M Bailie

{"title":"Traumatic brain injury rehabilitation for warfighters with post-traumatic stress.","authors":"Ida Babakhanyan, Randi Sedigh, Rosemay Remigio-Baker, Lars Hungerford, Jason M Bailie","doi":"10.3233/NRE-230274","DOIUrl":"10.3233/NRE-230274","url":null,"abstract":"Background: While there is extensive empirical support and clinical guidance for the treatment of mild traumatic brain injury (mTBI) and post-traumatic stress disorder (PTSD) individually, less is known about treating the comorbid presentation of both conditions.Objective: The purpose of this review article is to provide information on the mental health treatment needs of service members (SMs) engaged in traumatic brain injury (TBI) rehabilitation. It also aims to offer a framework for an integrated treatment approach to address the cognitive and psychological health needs of warfighters.Methods: We review the prevalence and outcomes associated with comorbid TBI and PTSD and present relevant access to care considerations. Additionally, we identify an integrated approach to TBI treatment which takes psychological trauma into consideration. We introduce a trauma-informed care (TIC) model with specified diagnostic and treatment considerations for the service member and veteran (SM/V) communities. TIC is a strengths-based framework that raises the system-wide awareness of treatment facilities to the impact of psychological trauma on behavioral health.Results: A comprehensive diagnostic approach is recommended with considerations for symptom etiology. Clinical considerations derived from available guidelines are identified to meet critical treatment needs for SM/Vs presenting for TBI treatment with a remote history of mTBI and psychological trauma or known PTSD. Clinical practice guidelines are used to inform an integrated TBI treatment model and maximize rehabilitation efforts for warfighters.Conclusion: Given the prevalence of comorbid TBI and PTSD among SM/Vs and its impact on outcomes, this review presents the integration of appropriate diagnostics and treatment practices, including the incorporation of clinical practice guidelines (CPGs) into TBI rehabilitation.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"295-302"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic headaches after traumatic brain injury: Diagnostic complexity associated with increased cost. 脑外伤后的慢性头痛：诊断复杂性与成本增加相关。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2024-01-01 DOI: 10.3233/NRE-230277

Donald McGeary, Alicia A Swan, Eamonn Kennedy, Clara E Dismuke-Greer, Cindy McGeary, Jason J Sico, Megan E Amuan, Ajay Manhapra, Erin D Bouldin, Paul Watson, Kimbra Kenney, Maddy Myers, J Kent Werner, James L Mitchell, Kathleen Carlson, Roxana Delgado, Aryan Esmaeili, Mary Jo Pugh

{"title":"Chronic headaches after traumatic brain injury: Diagnostic complexity associated with increased cost.","authors":"Donald McGeary, Alicia A Swan, Eamonn Kennedy, Clara E Dismuke-Greer, Cindy McGeary, Jason J Sico, Megan E Amuan, Ajay Manhapra, Erin D Bouldin, Paul Watson, Kimbra Kenney, Maddy Myers, J Kent Werner, James L Mitchell, Kathleen Carlson, Roxana Delgado, Aryan Esmaeili, Mary Jo Pugh","doi":"10.3233/NRE-230277","DOIUrl":"10.3233/NRE-230277","url":null,"abstract":"Background: Chronic headache after traumatic brain injury (TBI) is a common, yet disabling, disorder whose diverse clinical characteristics and treatment needs remain poorly defined.Objective: To examine diagnostic coding patterns and cost among military Veterans with comorbid chronic headache and TBI.Methods: We identified 141,125 post-9/11 era Veterans who served between 2001 and 2019 with a headache disorder diagnosed after TBI. We first identified patterns of Complex Headache Combinations (CHC) and then compared the patterns of healthcare costs in 2022-dollar values in the three years following the TBI diagnosis.Results: Veterans had diverse individual headache and CHC diagnoses with uniformly high cost of care. Post-whiplash and post-TBI CHCs were common and consistently associated with higher costs after TBI than those with other types of headache and CHCs. Post-TBI migraine had the highest unadjusted mean inpatient ($27,698), outpatient ($61,417), and pharmacy ($4,231) costs, which persisted even after adjustment for confounders including demographic, military, and clinical characteristics.Conclusion: Headache diagnoses after TBI, particularly those diagnosed with post-traumatic headache, are complex, and associated with dual high cost and care burdens. More research is needed to examine whether this higher expenditure reflects more intensive treatment and better outcomes or refractory headache with worse outcomes.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"303-317"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of hand dexterity and hand laterality task in duchenne muscular dystrophy patients with typically developing peers. 比较杜兴氏肌肉萎缩症患者与发育正常的同龄人的手部灵活性和手部侧向性任务。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2024-01-01 DOI: 10.3233/NRE-240125

Demet Gözaçan Karabulut, Çağtay Maden, Sedat Yiğit

{"title":"Comparison of hand dexterity and hand laterality task in duchenne muscular dystrophy patients with typically developing peers.","authors":"Demet Gözaçan Karabulut, Çağtay Maden, Sedat Yiğit","doi":"10.3233/NRE-240125","DOIUrl":"https://doi.org/10.3233/NRE-240125","url":null,"abstract":"Background: Hand dexterity is important with Duchenne muscular dystrophy (DMD).Objective: The aim of this study was to compare hand dexterity and hand laterality task assessments in patients with DMD with typically-developing peers.Methods: The study included 25 DMD with a mean age of 10.2±2.38 and 21 typically-developing peers with a mean age of 10.33±2.26. Functional levels of DMD patients were determined by Brooke Upper Extremity Functional Classification Scale and Brooke Lower Extremity Functional Scale. The ABILHAND-Kids and 9-hole peg test were used to assess the hand dexterity of all participants, and assess the hand laterality task.Results: Patients with DMD had lower ABILHAND-Kids scores than their typically-developing peers (p < 0.001). Patients with DMD had higher 9-hole peg test duration on the dominant and non-dominant extremity compared to typically-developing peers (p < 0.001). Patients with DMD were found to be different from their typically-developing peers (p < 0.001) in lateralization response time and accuracy.Conclusion: Patients with DMD were found to have lower manual dexterity and hand laterality task skills compared to their typically-developing peers. It is recommended that hand dexterity and upper extremity recognition capacities should be considered in assessment and intervention programs for physiotherapists and clinicians working in this field.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"55 1","pages":"95-102"},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0