Brent L Hawkins, Francis A McGuire, Thomas W Britt, Sandra M Linder
{"title":"Identifying contextual influences of community reintegration among injured servicemembers.","authors":"Brent L Hawkins, Francis A McGuire, Thomas W Britt, Sandra M Linder","doi":"10.1682/JRRD.2014.08.0195","DOIUrl":"https://doi.org/10.1682/JRRD.2014.08.0195","url":null,"abstract":"<p><p>Research suggests that community reintegration (CR) after injury and rehabilitation is difficult for many injured servicemembers. However, little is known about the influence of the contextual factors, both personal and environmental, that influence CR. Framed within the International Classification of Functioning, Disability and Health and Social Cognitive Theory, the quantitative portion of a larger mixed-methods study of 51 injured, community-dwelling servicemembers compared the relative contribution of contextual factors between groups of servicemembers with different levels of CR. Cluster analysis indicated three groups of servicemembers showing low, moderate, and high levels of CR. Statistical analyses identified contextual factors (e.g., personal and environmental factors) that significantly discriminated between CR clusters. Multivariate analysis of variance and discriminant analysis indicated significant contributions of general self-efficacy, services and assistance barriers, physical and structural barriers, attitudes and support barriers, perceived level of disability and/or handicap, work and school barriers, and policy barriers on CR scores. Overall, analyses indicated that injured servicemembers with lower CR scores had lower general self-efficacy scores, reported more difficulty with environmental barriers, and reported their injuries as more disabling.</p>","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"52 2","pages":"235-46"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.08.0195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33892029","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":"Reduced gait automaticity in female patients with chronic fatigue syndrome: Case-control study.","authors":"Jan b Eyskens, J. Nijs, K. Wouters, G. Moorkens","doi":"10.1682/JRRD.2014.11.0293","DOIUrl":"https://doi.org/10.1682/JRRD.2014.11.0293","url":null,"abstract":"Patients with chronic fatigue syndrome (CFS) report difficulties walking for a prolonged period of time. This study compares gait automaticity between women with CFS and nondisabled controls. The \"stops walking with eyes closed with secondary cognitive task\" test is based on the classic \"stops walking while talking\" test but compares walking with eyes closed while performing a secondary cognitive task in a female CFS population (n = 34) and in female nondisabled controls (n = 38). When initiating gate, 23.5% of patients with CFS looked toward the ground compared with only 2.6% of nondisabled controls. After 7 m, subjects were asked to close their eyes, and after another 7 m, they were asked, \"How much is 100 minus 7?\" Of the patients with CFS, 55.9% stopped walking compared with 5.3% of nondisabled controls. Less automated walking was observed in patients with CFS than in nondisabled controls (p < 0.001). The test-retest reliability is moderate for global stopping. This simple test observed reduced gait automaticity in patients with CFS for the first time. Dual tasking could be helpful to address the functional limitations found in this particular study.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"52 7 1","pages":"805-14"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.11.0293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551515","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}
Jibby E Kurichi, Pui Kwong, W Bruce Vogel, Dawei Xie, Diane Cowper Ripley, Barbara E Bates
{"title":"Effects of prosthetic limb prescription on 3-year mortality among Veterans with lower-limb amputation.","authors":"Jibby E Kurichi, Pui Kwong, W Bruce Vogel, Dawei Xie, Diane Cowper Ripley, Barbara E Bates","doi":"10.1682/JRRD.2014.09.0209","DOIUrl":"10.1682/JRRD.2014.09.0209","url":null,"abstract":"<p><p>Our objective was to determine the relationship between receipt of a prescription for a prosthetic limb and 3 yr mortality postsurgery among Veterans with lower-limb amputation (LLA). We conducted a retrospective observational study that included 4,578 Veterans hospitalized for LLA and discharged in fiscal years 2003 and 2004. The outcome was time to all-cause mortality from the amputation surgical date up to the 3 yr anniversary of the surgical date. Of the Veterans with LLA, 1,300 (28.4%) received a prescription for a prosthetic limb within 1 yr after the surgical amputation. About 46% (n = 2,086) died within 3 yr of the surgical anniversary. Among those who received a prescription for a prosthetic limb, only 25.2% died within 3 yr of the surgical anniversary. After adjustment, Veterans who received a prescription for a prosthetic limb were less likely to die after the surgery than Veterans without a prescription, with a hazard ratio of 0.68 (95% confidence interval: 0.60-0.77). Findings demonstrated that Veterans with LLA who received a prescription for a prosthetic limb within 1 yr after the surgical amputation were less likely to die within 3 yr of the surgical amputation after controlling for patient-, treatment-, and facility-level characteristics. </p>","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"52 4","pages":"385-96"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563808/pdf/nihms-712643.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33983845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James Y Tung, Brent Stead, William Mann, Ba'Pham, Milos R Popovic
{"title":"Assistive technologies for self-managed pressure ulcer prevention in spinal cord injury: a scoping review.","authors":"James Y Tung, Brent Stead, William Mann, Ba'Pham, Milos R Popovic","doi":"10.1682/JRRD.2014.02.0064","DOIUrl":"10.1682/JRRD.2014.02.0064","url":null,"abstract":"<p><p>Pressure ulcers (PUs) in individuals with spinal cord injury (SCI) present a persistent and costly problem. Continuing effort in developing new technologies that support self-managed care is an important prevention strategy. Specifically, the aims of this scoping review are to review the key concepts and factors related to self-managed prevention of PUs in individuals with SCI and appraise the technologies available to assist patients in self-management of PU prevention practices. There is broad consensus that sustaining long-term adherence to prevention regimens is a major concern. Recent literature highlights the interactions between behavioral and physiological risk factors. We identify four technology categories that support self-management: computer-based educational technologies demonstrated improved short-term gains in knowledge (2 studies), interface pressure mapping technologies demonstrated improved adherence to pressure-relief schedules up to 3 mo (5 studies), electrical stimulation confirmed improvements in tissue tolerance after 8 wk of training (3 studies), and telemedicine programs demonstrated improvements in independence and reduced hospital visits over 6 mo (2 studies). Overall, self-management technologies demonstrated low-to-moderate effectiveness in addressing a subset of risk factors. However, the effectiveness of technologies in preventing PUs is limited due to a lack of incidence reporting. In light of the key findings, we recommend developing integrated technologies that address multiple risk factors. </p>","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"52 2","pages":"131-46"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33958109","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":"Systematic review of effects of current transtibial prosthetic socket designs--Part 2: Quantitative outcomes.","authors":"Mohammad Reza Safari, Margrit Regula Meier","doi":"10.1682/JRRD.2014.08.0184","DOIUrl":"10.1682/JRRD.2014.08.0184","url":null,"abstract":"<p><p>This review is an attempt to untangle the complexity of transtibial prosthetic socket fit and perhaps find some indication of whether a particular prosthetic socket type might be best for a given situation. In addition, we identified knowledge gaps, thus providing direction for possible future research. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, using medical subject headings and standard key words to search for articles in relevant databases. No restrictions were made on study design and type of outcome measure used. From the obtained search results (n = 1,863), 35 articles were included. The relevant data were entered into a predefined data form that included the Downs and Black risk of bias assessment checklist. This article presents the results from the systematic review of the quantitative outcomes (n = 27 articles). Trends indicate that vacuum-assisted suction sockets improve gait symmetry, volume control, and residual limb health more than other socket designs. Hydrostatic sockets seem to create less inconsistent socket fittings, reducing a problem that greatly influences outcome measures. Knowledge gaps exist in the understanding of clinically meaningful changes in socket fit and its effect on biomechanical outcomes. Further, safe and comfortable pressure thresholds under various conditions should be determined through a systematic approach. </p>","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"52 5","pages":"509-26"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34059900","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}
Stephanie L Carey, Derek J Lura, M Jason Highsmith
{"title":"Differences in myoelectric and body-powered upper-limb prostheses: Systematic literature review.","authors":"Stephanie L Carey, Derek J Lura, M Jason Highsmith","doi":"10.1682/JRRD.2014.08.0192","DOIUrl":"10.1682/JRRD.2014.08.0192","url":null,"abstract":"<p><p>The choice of a myoelectric or body-powered upper-limb prosthesis can be determined using factors including control, function, feedback, cosmesis, and rejection. Although body-powered and myoelectric control strategies offer unique functions, many prosthesis users must choose one. A systematic review was conducted to determine differences between myoelectric and body-powered prostheses to inform evidence-based clinical practice regarding prescription of these devices and training of users. A search of 9 databases identified 462 unique publications. Ultimately, 31 of them were included and 11 empirical evidence statements were developed. Conflicting evidence has been found in terms of the relative functional performance of body-powered and myoelectric prostheses. Body-powered prostheses have been shown to have advantages in durability, training time, frequency of adjustment, maintenance, and feedback; however, they could still benefit from improvements of control. Myoelectric prostheses have been shown to improve cosmesis and phantom-limb pain and are more accepted for light=intensity work. Currently, evidence is insufficient to conclude that either system provides a significant general advantage. Prosthetic selection should be based on a patient's individual needs and include personal preferences, prosthetic experience, and functional needs. This work demonstrates that there is a lack of empirical evidence regarding functional differences in upper-limb prostheses. </p>","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"52 3","pages":"247-62"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33885373","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}
M Alicia Urraca-Gesto, Gustavo Plaza-Manzano, Alejandro Ferragut-Garcías, Daniel Pecos-Martín, Tomás Gallego-Izquierdo, Natalia Romero-Franco
{"title":"Diastasis of symphysis pubis and labor: Systematic review.","authors":"M Alicia Urraca-Gesto, Gustavo Plaza-Manzano, Alejandro Ferragut-Garcías, Daniel Pecos-Martín, Tomás Gallego-Izquierdo, Natalia Romero-Franco","doi":"10.1682/JRRD.2014.12.0302","DOIUrl":"10.1682/JRRD.2014.12.0302","url":null,"abstract":"<p><p>Symphysis pubis diastasis (SPD) is an infrequent complication of labor that can impair womens' general health through failure of the passive stability of the pelvic girdle. Although conservative approaches are often used to decrease symptoms and interpubic separation, notably few studies have analyzed the effect of these methods on managing the symptoms of women with SPD. The purpose of this study was to review the available literature on the conservative treatment of SPD during pregnancy and labor. A computer-based search using PubMed, PEDro, and CINAHL was performed up to November 2014. We selected all studies that considered women with SPD during pregnancy or labor and treated them with conservative methods and excluded those that included surgical intervention. Eighteen studies were selected, most of which were case reports. Although the overall results of conservative treatment were unclear because of the type and design of the obtained studies, most of the studies reported bed rest in the lateral decubitus position and a pelvic girdle as basic treatments. Additionally, the few clinical trials reported recommended additional physiotherapy, including strengthening and stabilizing exercises, to reduce SPD symptoms. </p>","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"52 6 1","pages":"629-40"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551890","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}
James S Walter, Donald Thomas, Scott Sayers, R Anthony Perez-Tamayo, Timothy Crish, Sanjay Singh
{"title":"Respiratory responses to stimulation of abdominal and upper-thorax intercostal muscles using multiple Permaloc electrodes.","authors":"James S Walter, Donald Thomas, Scott Sayers, R Anthony Perez-Tamayo, Timothy Crish, Sanjay Singh","doi":"10.1682/JRRD.2014.01.0018","DOIUrl":"https://doi.org/10.1682/JRRD.2014.01.0018","url":null,"abstract":"<p><p>Stimulation of abdominal and upper-thoracic muscles was studied with the long-term goal of improved respiratory care for spinal cord injury (SCI) patients. A 12-channel stimulator and multiple surface and implanted Permaloc electrodes were evaluated in five anesthetized canines. Abdominal stimulation with 100 mA using four bilateral sets of surface electrodes placed on the midaxillary line at the 7th through 13th intercostal spaces and with a closed airway at a large lung volume produced an expiratory tracheal pressure of 109 +/- 29 cm H2O (n = 2, mean +/- standard error of the mean). Similar high pressures were induced with implanted electrodes at the same locations. Upper-thoracic stimulation with 40 mA and four sets of implanted electrodes ventral to the axilla induced inspiratory pressures of -12 +/- 2 cm H2O (n = 5). Combined extradiaphragmatic pacing with an open airway produced a tidal volume of 440 +/- 45 mL (n = 4). The robust respiratory volumes and pressures suggest applications in SCI respiratory care. </p>","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"52 1","pages":"85-96"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.01.0018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33952028","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}
Pietro Picerno, Valerio Viero, Marco Donati, Tamara Triossi, Virginia Tancredi, Giovanni Melchiorri
{"title":"Ambulatory assessment of shoulder abduction strength curve using a single wearable inertial sensor.","authors":"Pietro Picerno, Valerio Viero, Marco Donati, Tamara Triossi, Virginia Tancredi, Giovanni Melchiorri","doi":"10.1682/JRRD.2014.06.0146","DOIUrl":"https://doi.org/10.1682/JRRD.2014.06.0146","url":null,"abstract":"<p><p>The aim of the present article was to assess the reliability of strength curves as determined from tridimensional linear accelerations and angular velocities measured by a single inertial measurement unit (IMU) fixed on the upper arm during a shoulder abduction movement performed holding a 1 kg dumbbell in the hand. Within-subject repeatability of the task was assessed on 45 subjects performing four trials consisting of one maximal shoulder abduction-adduction movement. Intraclass correlation coefficient (ICC) was computed on the average movement angular velocity (VEL) and range of movement (ROM) across the four trials. Within-subject repeatability of torque curves was assessed in terms of waveform similarities by computing the coefficient of multiple determination (CMD). Accuracy of the estimated ROM was assessed using an isokinetic dynamometer. High ICC values of ROM (0.955) and VEL (0.970) indicated a high within-subject repeatability of the task. A high waveform similarity of torque curves was also found between trials (CMD = 0.867). Accuracy with respect to isokinetic dynamometer in estimating ROM was always <1 degree (p = 0.37). This study showed the effectiveness of using a single wearable IMU for the assessment of strength curve during isoinertial movements in a way that complies with the needs of clinicians in an ambulatory setting. </p>","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"52 2","pages":"171-80"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.06.0146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33952225","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}
Valery A Danilack, Osarenoma Okunbor, Caroline R Richardson, Merilee Teylan, Marilyn L Moy
{"title":"Performance of a pedometer to measure physical activity in a U.S. cohort with chronic obstructive pulmonary disease.","authors":"Valery A Danilack, Osarenoma Okunbor, Caroline R Richardson, Merilee Teylan, Marilyn L Moy","doi":"10.1682/JRRD.2014.11.0282","DOIUrl":"https://doi.org/10.1682/JRRD.2014.11.0282","url":null,"abstract":"<p><p>Objective assessment of physical activity (PA) in chronic obstructive pulmonary disease (COPD) is important. We examined the performance of the Omron HJ-720ITC pedometer. A sample of 176 persons with stable COPD wore the Omron and the StepWatch Activity Monitor (SAM) in the clinic and the community. A 4 s step filter in the Omron screens out erroneous intermittent steps; it captures continuous walking that lasts >4 s. The SAM captures all intermittent and continuous steps walked. Omron-steps were compared with manually counted steps in the clinic and with SAM-steps in the community. We calculated the intraclass correlation coefficient for the first 2 d, the first 3 d, etc., up to 14 d. The Omron registered >/= 90% of the manually counted steps from the in-clinic walk in 155 of 176 subjects (88%). In the community, 47 +/- 16% of SAM-steps were continuous ones that were captured by the Omron. For the Omron and the SAM, at least 7 d of monitoring should be used to capture decreases in PA on weekend days and obtain optimum reliability for all Global Initiative for Chronic Obstructive Lung Disease stages. The Omron accurately and reliably measures continuous walking in COPD. The Omron may be ideal for use in PA interventions that promote continuous walking as exercise. </p>","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"52 3","pages":"333-42"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.11.0282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33952273","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}