Journal of rehabilitation medicine. Clinical communications最新文献

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Production Time and User Satisfaction of 3-Dimensional Printed Orthoses For Chronic Hand Conditions Compared With Conventional Orthoses: A Prospective Case Series. 与传统矫形器相比,3d打印矫形器用于慢性手部疾病的生产时间和用户满意度:前瞻性案例系列。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-02-12 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000048
Tanja Oud, Yvette Kerkum, Peter de Groot, Harm Gijsbers, Frans Nollet, Merel-Anne Brehm
{"title":"Production Time and User Satisfaction of 3-Dimensional Printed Orthoses For Chronic Hand Conditions Compared With Conventional Orthoses: A Prospective Case Series.","authors":"Tanja Oud,&nbsp;Yvette Kerkum,&nbsp;Peter de Groot,&nbsp;Harm Gijsbers,&nbsp;Frans Nollet,&nbsp;Merel-Anne Brehm","doi":"10.2340/20030711-1000048","DOIUrl":"https://doi.org/10.2340/20030711-1000048","url":null,"abstract":"<p><strong>Objective: </strong>Hand orthoses are often prescribed for persons with chronic hand and wrist impairments. This study assessed the feasibility, in terms of production time and user satisfaction, of 3-dimensional printed hand orthoses compared with conventional hand orthoses for this population.</p><p><strong>Methods: </strong>In this prospective case series, both a conventional hand orthosis and a 3-dimensional printed hand orthosis were manufactured for 10 participants. Production time (in minutes) of each orthosis was recorded. Each orthosis was worn for one week, after which participants completed a self-designed questionnaire on satisfaction, scored on a 5-point Likert scale. Functionality and orthosis preference were also assessed.</p><p><strong>Results: </strong>The mean (standard deviation (SD)) production time for the 3-dimensional printed orthoses, of 112 (11.0) min, was significantly shorter compared with 239 (29.2) min for the conventional orthoses (95% confidence interval (95% CI) 71-182 min, <i>p =</i> 0.001). Satisfaction scores were similar for both orthoses, except for comfort item \"fitting method\", which was rated significantly higher for scanning compared with casting (median [IQR] score: 5 [0.0]; 4 [2.0], <i>p =</i> 0.034). Functionality and orthosis preference were rated similar for both orthoses.</p><p><strong>Conclusion: </strong>As the production time was halved, user satisfaction similar, and scanning experienced as slightly more comfortable than casting, 3-dimensional printed hand orthoses seem feasible and potentially beneficial for use in people with chronic hand and wrist impairments.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000048"},"PeriodicalIF":0.0,"publicationDate":"2021-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1c/0b/JRMCC-4-1000048.PMC8054741.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38817837","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}
引用次数: 7
Effectiveness of Exposure in Vivo for Patients with Painful Diabetic Neuropathy: a Pilot Study of Effects on Physical Activity and Quality of Life. 对糖尿病疼痛性神经病患者进行体内暴露的有效性:关于对身体活动和生活质量影响的试点研究。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-02-10 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000046
Charlotte C M van Laake-Geelen, Rob J E M Smeets, Marielle E J B Goossens, Jeanine A Verbunt
{"title":"Effectiveness of Exposure in Vivo for Patients with Painful Diabetic Neuropathy: a Pilot Study of Effects on Physical Activity and Quality of Life.","authors":"Charlotte C M van Laake-Geelen, Rob J E M Smeets, Marielle E J B Goossens, Jeanine A Verbunt","doi":"10.2340/20030711-1000046","DOIUrl":"10.2340/20030711-1000046","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effects of personalized exposure <i>in vivo</i> on level of physical activity and quality of life in patients with painful diabetic neuropathy.</p><p><strong>Design: </strong>Randomized, single-case, ABC design.</p><p><strong>Subjects: </strong>Twelve patients with painful diabetic neuropathy, age > 18 years, diabetes mellitus type II, Clinical Neurological Examination score > 5, Diabetic Neuropathy Symptom Score ≥ 1 and Douleur Neuropathique 4 Questions score ≥ 3.</p><p><strong>Methods: </strong>The treatment consists of an Intensive screening, followed by an 8-week exposure <i>in vivo</i> intervention specifically adapted to the needs/risks of patients with painful diabetic neuropathy, and 6-months follow-up. Outcome measures included daily and non-daily measures of physical activity, quality of life, metabolic parameters, disability, depression, general and painful diabetic neuropathy-related anxiety, pain intensity and pain catastrophizing.</p><p><strong>Results: </strong>Due to high drop-out rates (<i>n</i> = 6 during screening, <i>n</i> = 2 during treatment, <i>n</i> = 1 after treatment), only 3 participants completed the study. Slight, but non-significant, changes in physical activity and disability were observed. In quality of life, no changes were observed.</p><p><strong>Conclusion: </strong>Analysis of the reasons for the high drop-out rate indicate that exposure <i>in vivo</i> may have added value in patients with painful diabetic neuropathy only for those patients: (<i>i</i>) whose daily life functioning is impaired mainly by the painful diabetic neuropathy; (<i>ii</i>) in whom painful diabetic neuropathy-related fears are exaggerated and irrational; (<i>iii</i>) in whom specific activities evoke the painful diabetic neuropathy-related fears; (<i>iv</i>) whose spouse and healthcare providers are involved in the treatment; and (<i>v</i>) who are willing to change their daily behaviour. Further research is needed into this subject.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000046"},"PeriodicalIF":0.0,"publicationDate":"2021-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/81/JRMCC-4-1000046.PMC8054751.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38897026","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}
引用次数: 0
Radiation-Induced Obturator Nerve Injury in Cervical Cancer. 宫颈癌辐射致闭孔神经损伤。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-01-18 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000043
Radhika Manne, Parth Thakkar, Jasmine Zheng
{"title":"Radiation-Induced Obturator Nerve Injury in Cervical Cancer.","authors":"Radhika Manne,&nbsp;Parth Thakkar,&nbsp;Jasmine Zheng","doi":"10.2340/20030711-1000043","DOIUrl":"https://doi.org/10.2340/20030711-1000043","url":null,"abstract":"<p><p>Cancer itself can have lifelong devastating effects, but radiation treatment can often also result in long-lasting neurological and musculoskeletal complications, leading to subsequent severe functional impairments. Physiatrists caring for the cancer rehabilitation population must be able to recognize and treat radiation-induced peripheral nerve injuries. This report presents a rare case of radiationinduced obturator neuropathy in a patient with recurrent cervical cancer.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000043"},"PeriodicalIF":0.0,"publicationDate":"2021-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/34/JRMCC-4-1000043.PMC8054749.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38897024","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}
引用次数: 0
Effect of Whole-Body Vibration Training on Physical Fitness and Postural Control in Working-Age Patients on Haemodialysis. 全身振动训练对工作年龄血液透析患者体能和姿势控制的影响
Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-01-14 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000045
Ya-Fei Yang, Chiu-Ching Huang, Chia-Ming Chang, Hsiu-Chen Lin
{"title":"Effect of Whole-Body Vibration Training on Physical Fitness and Postural Control in Working-Age Patients on Haemodialysis.","authors":"Ya-Fei Yang, Chiu-Ching Huang, Chia-Ming Chang, Hsiu-Chen Lin","doi":"10.2340/20030711-1000045","DOIUrl":"10.2340/20030711-1000045","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of whole-body vibration training on working-age people on haemodialysis.</p><p><strong>Design: </strong>Consecutive case series study.</p><p><strong>Subjects: </strong>Seventeen working-age participants on maintenance haemodialysis were enrolled.</p><p><strong>Methods: </strong>A 12-week whole-body vibration training programme, including different postures, was designed. The study evaluated and compared physical fitness, including a list of tests such as the 5-repetition sit-to-stand test, hand grip test, 2-min step test, and 8-foot up-and-go test; modified Berg balance scale; static and dynamic balance function; and quality of life, using a quality of life questionnaire before and after the training.</p><p><strong>Results: </strong>All physical fitness parameters, except grip strength on the left side, improved after whole-body vibration training. For balance, the modified Berg balance scale demonstrated enhanced scores for equilibrium, with eyes closed on a stable surface and eyes open on an unstable surface, and movement velocity under the fast condition along the left and right directions (<i>p</i>=0.011). No significant improvements in quality of life were found.</p><p><strong>Conclusion: </strong>Whole-body vibration exercise training enhanced physical fitness and static and dynamic balance control in working-age participants on haemodialysis.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000045"},"PeriodicalIF":0.0,"publicationDate":"2021-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/28/JRMCC-4-1000045.PMC8054743.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38897025","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}
引用次数: 0
Recovery of Cognitive and Behavioural Function During Long-term Inpatient Rehabilitation in Patients with Moderate-To-Severe Traumatic Brain Injury: Evaluation of a Retrospective Case Series. 中重度创伤性脑损伤患者长期住院康复期间认知和行为功能的恢复:回顾性病例系列的评估
Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-01-12 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000047
Ryu Kokuwa, Shintaro Uehara, Shoko Kajiura, Hisae Onaka, Kei Yagihashi, Masaki Katoh, Aki Tanikawa, Chieko Sakuragi, Yoko Inamoto, Isao Morita, Yohei Otaka
{"title":"Recovery of Cognitive and Behavioural Function During Long-term Inpatient Rehabilitation in Patients with Moderate-To-Severe Traumatic Brain Injury: Evaluation of a Retrospective Case Series.","authors":"Ryu Kokuwa, Shintaro Uehara, Shoko Kajiura, Hisae Onaka, Kei Yagihashi, Masaki Katoh, Aki Tanikawa, Chieko Sakuragi, Yoko Inamoto, Isao Morita, Yohei Otaka","doi":"10.2340/20030711-1000047","DOIUrl":"10.2340/20030711-1000047","url":null,"abstract":"<p><strong>Objective: </strong>To elucidate the characteristics of recovery progression during long-term rehabilitation after moderate-to-severe traumatic brain injury.</p><p><strong>Methods: </strong>Longitudinal changes in consciousness, swallowing disorders, activities of daily living, and psychological and behavioural status were studied in 7 patients with moderateto-severe traumatic brain injury, using scores of the National Agency for Automotive Safety & Victim's Aid (NASVA score), Glasgow Coma Scale (GCS), Dysphagia Severity Scale (DSS), Eating Status Scale (ESS), Functional Independence Measure (FIM), Cognitive-related Behavioural Assessment (CBA), and Neuropsychiatric Inventory (NPI). Scores were collected every month until discharge (median 359 days after injury), or until the study end date for those patients who remained hospitalized (432 days).</p><p><strong>Results: </strong>Patients were qualitatively classified into those who improved well in the early phase, in terms of consciousness, swallowing, and activities of daily living, and those with less or delayed improvement. Psychological and behavioural difficulties appeared to remain less improved than the other functions for longer periods in many patients. Statistical comparisons that included all 7 patients revealed a significant improvement in NASVA score, GCS, DSS, and ESS, but not in FIM, CBA, and NPI at discharge/at the last measurement compared with scores at admission.</p><p><strong>Conclusion: </strong>Swallowing function is more responsive to long-term rehabilitation in patients with moderate-to-severe traumatic brain injury, while neuropsychiatric and behavioural difficulties tend to persist for longer periods.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000047"},"PeriodicalIF":0.0,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/a3/JRMCC-4-1000047.PMC8054746.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38817836","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}
引用次数: 0
FACTORS ASSOCIATED WITH ORAL INTAKE ABILITY IN PATIENTS WITH ACUTE-STAGE STROKE. 急性期脑卒中患者口服摄入能力的相关因素。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-01-01 DOI: 10.2340/20030711-1000078
Toshiyuki Ikegami, Mika Kobayashi, Shuji Matsumoto
{"title":"FACTORS ASSOCIATED WITH ORAL INTAKE ABILITY IN PATIENTS WITH ACUTE-STAGE STROKE.","authors":"Toshiyuki Ikegami,&nbsp;Mika Kobayashi,&nbsp;Shuji Matsumoto","doi":"10.2340/20030711-1000078","DOIUrl":"https://doi.org/10.2340/20030711-1000078","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the factors predicting oral feeding ability following acute stroke.</p><p><strong>Methods: </strong>This retrospective study compared patients admitted to a stroke care unit in 2 groups: an oral intake group and a tube feeding group. The groups were evaluated for 28 items and initial blood investigation tests, and the results compared. Logistic regression analysis was used to identify the clinical variables significantly associated with oral feeding ability.</p><p><strong>Results: </strong>A total of 255 stroke patients (162 in the oral intake group and 93 in the tube feeding group) were admitted to the stroke care unit. Significant differences were observed between the 2 groups for 20 items. Logistic analysis found that the following variables were significant in the prediction model: age, date of initiation of oral feeding, stroke recurrence/patient deterioration during hospitalization, and date of initiation of occupational therapy.</p><p><strong>Conclusion: </strong>Factors associated with achieving oral intake among stroke care unit patients were: young age at time of admission; starting oral intake early; no stroke recurrence/patient deterioration during hospitalization; and achieving rehabilitation of daily activities early during the physical function recovery stage.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"4 ","pages":"2657"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5b/97/JRMCC-4-2657.PMC9730258.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10513875","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}
引用次数: 0
The Efficacy of In-Reach Rehabilitation in Morbidly Obese Post Septic Patients: Two Retrospective Case Reports. 可及康复治疗对病态肥胖脓毒症后患者的疗效:两例回顾性病例报告。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2020-11-27 eCollection Date: 2020-01-01 DOI: 10.2340/20030711-1000042
Baheerathan Narayanan, Friedbert Kohler, Patrick Arulanandam
{"title":"The Efficacy of In-Reach Rehabilitation in Morbidly Obese Post Septic Patients: Two Retrospective Case Reports.","authors":"Baheerathan Narayanan,&nbsp;Friedbert Kohler,&nbsp;Patrick Arulanandam","doi":"10.2340/20030711-1000042","DOIUrl":"https://doi.org/10.2340/20030711-1000042","url":null,"abstract":"<p><strong>Objective: </strong>To report the functional outcomes of two patients with morbid obesity (> 250 kg) who received in-reach rehabilitation after hospitalization for sepsis in Sydney, Australia.</p><p><strong>Case reports: </strong>A retrospective review of hospital charts was performed with the informed consent of both patients. Body mass index, demographics, length of stay, functional status at admission and discharge, medical comorbidities, social history, hospital course, equipment needs, therapy methods used, and discharge disposition were compared.</p><p><strong>Results: </strong>Both patients had a positive outcome. Function improved in case 1, from requiring hoist transfers, to mobilizing 80 m with 2 assistants. The patient was transferred to a subacute rehabilitation facility, but did not make any gain in Functional Independence Measure. Function improved in case 2, from requiring 2 assistants to walk with a frame, to walking independently with a 4-wheeled walker. The patient was discharged home from the acute hospital, with a minimal Functional Independence Measure gain of 8. Both patients lost approximately 45 kg during acute hospitalization.</p><p><strong>Conclusion: </strong>These case reports demonstrate that in-reach rehabilitation can play an important role in the functional recovery of morbidly obese patients hospitalized with severe sepsis. This report also highlights the need for preventive interventions to reduce avoidable acute hospital presentations and to prevent functional decline.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"3 ","pages":"1000042"},"PeriodicalIF":0.0,"publicationDate":"2020-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/98/69/JRMCC-3-1000042.PMC8054740.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38897022","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}
引用次数: 0
Rehabilitation of Patients with Platypnea-Orthodeoxia Syndrome in COVID-19 Pneumonia: Two Case Reports. COVID-19肺炎稳压-正氧综合征患者康复治疗2例报告
Journal of rehabilitation medicine. Clinical communications Pub Date : 2020-11-20 eCollection Date: 2020-01-01 DOI: 10.2340/20030711-1000044
Shuen-Loong Tham, Poo Lee Ong, Audrey Jia Yi Lee, Matthew Rong Jie Tay
{"title":"Rehabilitation of Patients with Platypnea-Orthodeoxia Syndrome in COVID-19 Pneumonia: Two Case Reports.","authors":"Shuen-Loong Tham,&nbsp;Poo Lee Ong,&nbsp;Audrey Jia Yi Lee,&nbsp;Matthew Rong Jie Tay","doi":"10.2340/20030711-1000044","DOIUrl":"https://doi.org/10.2340/20030711-1000044","url":null,"abstract":"<p><p>Platypnea-orthodeoxia syndrome, characterized by dyspnoea and arterial desaturation while upright, is a rare complication of acute respiratory distress syndrome. We report here 2 patients with COVID-19 pneumonia, who were diagnosed with platypnea-orthodeoxia syndrome during commencement of rehabilitation, 18 and 9 days respectively after admission to the intensive care unit. Both patients presented with normocapnic hypoxaemia. One patient required mechanical ventilation with supplemental oxygen during intensive care, while the other required high-flow nasal oxygen therapy. The manifestations of platypnea-orthodeoxia syndrome were most prominent during physiotherapy, when verticalization was attempted, and hindered further mobilization out of bed, including ambulation. This report describes the clinical manifestations of platypnea-orthodeoxia syndrome and the rehabilitative strategies carried out for these 2 patients. The platypnea-orthodeoxia syndrome in these patients resolved after 65 and 22 days respectively from the day of detection. This report highlights this potentially under-recognized phenomenon, which may be unmasked during rehabilitation of patients with COVID-19 pneumonia. Good functional outcomes were achieved with a combination of verticalization training with supplemental oxygen support, respiratory techniques training and progressive endurance and resistance training, whilst awaiting resolution of the platypneaorthodeoxia syndrome.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"3 ","pages":"1000044"},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/b2/JRMCC-3-1000044.PMC8054748.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38897023","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}
引用次数: 8
Exercise Intervention Leads to Functional Improvement in a Patient with Spinal and Bulbar Muscular Atrophy. 运动干预导致脊髓和球性肌萎缩患者的功能改善。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2020-11-11 eCollection Date: 2020-01-01 DOI: 10.2340/20030711-1000041
Joanne Compo, Jamell Joseph, Vincent Shieh, Angela D Kokkinis, Ana Acevedo, Kenneth H Fischbeck, Christopher Grunseich, Joseph A Shrader
{"title":"Exercise Intervention Leads to Functional Improvement in a Patient with Spinal and Bulbar Muscular Atrophy.","authors":"Joanne Compo,&nbsp;Jamell Joseph,&nbsp;Vincent Shieh,&nbsp;Angela D Kokkinis,&nbsp;Ana Acevedo,&nbsp;Kenneth H Fischbeck,&nbsp;Christopher Grunseich,&nbsp;Joseph A Shrader","doi":"10.2340/20030711-1000041","DOIUrl":"https://doi.org/10.2340/20030711-1000041","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal and bulbar muscular atrophy is a progressive neuromuscular disease that leads to muscle weakness and reduced physical function. Benefits of physical therapy for people with spinal and bulbar muscular atrophy have not been reported in the literature.</p><p><strong>Case report: </strong>A 62-year-old male patient with spinal and bulbar muscular atrophy reported falling, difficulty walking and completing upright tasks, and showed clinical signs of low baseline function on examination. Transportation challenges made it difficult for this patient to attend frequent one-on-one physical therapy sessions.</p><p><strong>Interventions and outcomes: </strong>A minimally supervised home-based exercise intervention was chosen with the goal of safely improving his functional capacity. The 5-visit clinical intervention, spread over 10 months, provided 3 exercise modules: seated-to-standing postural alignment and core muscle activation; upright functional and endurance training; and balance training and rhythmic walking. Post-intervention the patient had increased lower extremity muscle strength, improved balance, and reduced self-reported fatigue.</p><p><strong>Conclusion: </strong>Home-based exercises were well tolerated with no increase in creatine kinase. Multiple clinical measures of strength and function improved, possibly related to the patients' excellent motivation and compliance with the programme. Promising utilization of a minimally supervised home-based programme is described here.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"3 ","pages":"1000041"},"PeriodicalIF":0.0,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/a5/JRMCC-3-1000041.PMC8008715.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38897021","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}
引用次数: 0
Hooverball: Case Study, Literature Review and Clinical Recommendations. 胡佛球:个案研究,文献回顾和临床建议。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2020-09-30 eCollection Date: 2020-01-01 DOI: 10.2340/20030711-1000038
Alpha Anders, Kenneth Vitale
{"title":"Hooverball: Case Study, Literature Review and Clinical Recommendations.","authors":"Alpha Anders,&nbsp;Kenneth Vitale","doi":"10.2340/20030711-1000038","DOIUrl":"https://doi.org/10.2340/20030711-1000038","url":null,"abstract":"<p><p>With the increasing popularity of extreme conditioning programmes, athletes and patients are searching for new, engaging, high-intensity, total-body workouts. The sport of Hooverball is increasingly used as a workout. First devised in the USA in 1929 to keep President Hoover physically fit, Hooverball has experienced increasing popularity in the past 15 years. The game is scored like tennis and played like volleyball, with players throwing and catching a heavy medicine ball over a volleyball net. Players use complex, multi-joint, explosive movements, featuring torsion, flexion and extension to absorb the forces involved. This paper reports a case of a Hooverball player who presented with a knee injury. The paper also reviews the origins of the sport, and its increase in popularity related to the increasing prominence of extreme conditioning programmes. A literature review, and common Hooverball-related injuries, are presented. Clinical recommendations are set out for patient safety, injury prevention and game coverage, including a prehabilitation strategy for players prior to engaging in this revived and growing sport.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"3 ","pages":"1000038"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/40/53/JRMCC-3-1000038.PMC8008713.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38897100","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}
引用次数: 0
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