Journal of rehabilitation medicine. Clinical communications最新文献

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A BIONIC HAND VS. A REPLANTED HAND. 仿生手与再植手再植手。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2024-01-18 eCollection Date: 2024-01-01 DOI: 10.2340/jrmcc.v7.24854
Ulrika Wijk, Anders Björkman, Ingela K Carlsson, Freyja Kristjansdottir, Ante Mrkonjic, Birgitta Rosén, Christian Antfolk
{"title":"A BIONIC HAND VS. A REPLANTED HAND.","authors":"Ulrika Wijk, Anders Björkman, Ingela K Carlsson, Freyja Kristjansdottir, Ante Mrkonjic, Birgitta Rosén, Christian Antfolk","doi":"10.2340/jrmcc.v7.24854","DOIUrl":"10.2340/jrmcc.v7.24854","url":null,"abstract":"<p><strong>Objective: </strong>Evaluation of the hand function affected when replacing a malfunctioning hand by a bionic hand.</p><p><strong>Design: </strong>Case report.</p><p><strong>Subjects: </strong>One individual that wished for a better quality of life after unsatisfying hand function following a replantation.</p><p><strong>Methods: </strong>A quantitative and qualitative evaluation of body functions as well as activity performance and participation before and after a planned amputation and prosthetic fitting is presented.</p><p><strong>Results: </strong>Improvements were seen in the patient-reported outcome measures (PROMs) that were used regarding activity (Disability of the Arm, Shoulder and Hand [DASH] and Canadian Occupational Performance Measure [COPM]), pain (Neuropathic Pain Symptom Inventory [NPSI], Brief Pain Inventory [BPI], Visual Analogue Scale [VAS]), cold intolerance (CISS) and health related quality of life (SF-36), as well as in the standardised grip function test, Southampton Hand Assessment Procedure (SHAP). No referred sensations were seen but the discriminative touch on the forearm was improved. In the qualitative interview, a relief of pain, a lack of cold intolerance, improved appearance, better grip function and overall emotional wellbeing were expressed.</p><p><strong>Conclusions: </strong>The planned amputation and subsequent fitting and usage of a hand prosthesis were satisfying for the individual with positive effects on activity and participation.</p><p><strong>Clinical relevance: </strong>When the hand function after a hand replantation does not reach satisfactory levels, a planned amputation and a prosthetic hand can be the right solution.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"7 ","pages":"24854"},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565463","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
CAN WE DIAGNOSE SARCOPENIA USING ANTERIOR FEMORAL MUSCLE THICKNESS IN PATIENTS WITH CARDIOVASCULAR DISEASE? 我们能用股前肌厚度诊断心血管疾病患者的 "肌肉疏松症 "吗?
Journal of rehabilitation medicine. Clinical communications Pub Date : 2024-01-17 eCollection Date: 2024-01-01 DOI: 10.2340/jrmcc.v7.12378
Taira Fukuda, Jun Yokomachi, Suomi Yamaguchi, Hiroshi Yagi, Ikuko Shibasaki, Yuusuke Ugata, Masashi Sakuma, Tomohiro Yasuda, Shichiro Abe, Hirotsugu Fukuda, Hideo Fujita, Shigeru Toyoda, Toshiaki Nakajima
{"title":"CAN WE DIAGNOSE SARCOPENIA USING ANTERIOR FEMORAL MUSCLE THICKNESS IN PATIENTS WITH CARDIOVASCULAR DISEASE?","authors":"Taira Fukuda, Jun Yokomachi, Suomi Yamaguchi, Hiroshi Yagi, Ikuko Shibasaki, Yuusuke Ugata, Masashi Sakuma, Tomohiro Yasuda, Shichiro Abe, Hirotsugu Fukuda, Hideo Fujita, Shigeru Toyoda, Toshiaki Nakajima","doi":"10.2340/jrmcc.v7.12378","DOIUrl":"10.2340/jrmcc.v7.12378","url":null,"abstract":"<p><strong>Objective: </strong>Making the diagnosis of sarcopenia is not always easy and this is especially true for those with cardiovascular disease. The purpose of this study is to investigate whether it is possible to diagnose sarcopenia by using ultrasound-guided measurements of anterior femoral muscle thickness.</p><p><strong>Methods: </strong>We investigated the utility of ultrasound-guided measurements of anterior femoral muscle thickness in 1075 hospitalized patients with cardiovascular disease (675 men). As a comparison, sarcopenia was assessed by skeletal muscle mass index using bioelectrical impedance analysis and the Asia Working Group for Sarcopenia criteria.</p><p><strong>Results: </strong>When the receiver operating characteristic curve using muscle thickness was examined, we found this could be used to make the diagnosis of sarcopenia (men: cutoff value 2.425 cm, area under the curve 0.796; women: cutoff value 1.995 cm, area under the curve 0.746). The prevalence of sarcopenia according to the criteria with skeletal muscle mass index was 34.2% in men and 51.8% in women, while its prevalence according to the cutoff value of muscle thickness was 29.2% in men and 36.7% in women.</p><p><strong>Conclusion: </strong>Ultrasound-guided measurement of the anterior femoral muscle thickness is a simple and useful method to help make the diagnosis of sarcopenia in patients with cardiovascular disease.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"7 ","pages":"12378"},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547626","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 EFFECT OF IN-BED LEG CYCLING EXERCISES ON MUSCLE STRENGTH IN PATIENTS WITH INTENSIVE CARE UNIT-ACQUIRED WEAKNESS: A SINGLE-CENTER RETROSPECTIVE STUDY. 单中心回顾性研究:在重症监护室内进行腿部骑车运动对重症监护室内肌无力患者肌力的影响。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2023-12-28 eCollection Date: 2023-01-01 DOI: 10.2340/jrmcc.v6.18434
Ayato Shinohara, Hitoshi Kagaya, Hidefumi Komura, Yusuke Ozaki, Toshio Teranishi, Tomoyuki Nakamura, Osamu Nishida, Yohei Otaka
{"title":"THE EFFECT OF IN-BED LEG CYCLING EXERCISES ON MUSCLE STRENGTH IN PATIENTS WITH INTENSIVE CARE UNIT-ACQUIRED WEAKNESS: A SINGLE-CENTER RETROSPECTIVE STUDY.","authors":"Ayato Shinohara, Hitoshi Kagaya, Hidefumi Komura, Yusuke Ozaki, Toshio Teranishi, Tomoyuki Nakamura, Osamu Nishida, Yohei Otaka","doi":"10.2340/jrmcc.v6.18434","DOIUrl":"10.2340/jrmcc.v6.18434","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effect of in-bed leg cycling exercise on patients with intensive care unit-acquired weakness (ICU-AW).</p><p><strong>Design: </strong>Single-center retrospective study.</p><p><strong>Subjects/patients: </strong>Patients admitted to the ICU between January 2019 and March 2023 were enrolled in the ergometer group, and those admitted to the ICU between August 2017 and December 2018 were enrolled in the control group.</p><p><strong>Methods: </strong>The ergometer group performed in-bed leg cycling exercises 5 times per week for 20 min from the day of ICU-AW diagnosis. Furthermore, the ergometer group received 1 early mobilization session per day according to the early mobilization protocol, whereas the control group received 1 or 2 sessions per day. The number of patients with recovery from ICU-AW at ICU discharge and improvement in physical functions were compared.</p><p><strong>Results: </strong>Significantly more patients in the ergometer group recovered from ICU-AW than in the control group (87.0% vs 60.6%, <i>p</i> = 0.039). Regarding physical function, the ergometer group showed significantly higher improvement efficiency in Medical Research Council sum score (1.0 [0.7-2.1] vs 0.1 [0.0-0.2], <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>In-bed leg cycling exercise, in addition to the early mobilization protocol, reduced the number of patients with ICU-AW at ICU discharge.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"18434"},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10768111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378942","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
Off-loading pressure relief with foam cut out cushions: experiences from Rancho los Amigos National Rehabilitation Center 用泡沫切割垫来减压:来自兰乔洛斯阿米戈斯国家康复中心的经验
Journal of rehabilitation medicine. Clinical communications Pub Date : 2023-11-14 DOI: 10.2340/jrmcc.v6.18706
Jan Furumasu, Robyn Buckner, Christine Mata, Philip Requejo
{"title":"Off-loading pressure relief with foam cut out cushions: experiences from Rancho los Amigos National Rehabilitation Center","authors":"Jan Furumasu, Robyn Buckner, Christine Mata, Philip Requejo","doi":"10.2340/jrmcc.v6.18706","DOIUrl":"https://doi.org/10.2340/jrmcc.v6.18706","url":null,"abstract":"This paper explores the efficacy of the cushion fitting technique using foam cut out cushions for off-loading bony prominences in the sitting position, with a particular focus on reducing the high risk of developing pressure injuries among aging wheelchair users. This technique, historically employed at Rancho Los Amigos National Rehabilitation Center, has shown promising results in reducing pressure injuries for patients with spinal cord injuries. However, its widespread adoption remains limited. This manuscript aims to raise awareness about foam cut out cushions, its historical context, and its contemporary relevance by presenting customized solutions for individual patients with specific deformities. Key clinical points are highlighted, emphasizing the importance of skilled clinicians in the fitting process and the need to consider foam cut out cushions alongside other preventive measures. Case examples illustrate successful outcomes, demonstrating improved pelvic stability, posture, and off-loading of bony prominences. By promoting foam cut out cushions as a valuable cushioning option, this manuscript equips clinicians with knowledge to utilize this technique effectively.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"52 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134901873","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
A DEDICATED AMPUTEE SPORTS PROGRAMME IMPROVES PHYSICAL FUNCTIONING AND SPORTS PARTICIPATION. 一个专门的截肢者运动项目可以改善身体功能和运动参与。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2023-11-06 eCollection Date: 2023-01-01 DOI: 10.2340/jrmcc.v6.12392
Wieneke VAN Oorschot, Ir René VAN Ee, Noël Keijsers
{"title":"A DEDICATED AMPUTEE SPORTS PROGRAMME IMPROVES PHYSICAL FUNCTIONING AND SPORTS PARTICIPATION.","authors":"Wieneke VAN Oorschot, Ir René VAN Ee, Noël Keijsers","doi":"10.2340/jrmcc.v6.12392","DOIUrl":"10.2340/jrmcc.v6.12392","url":null,"abstract":"<p><strong>Objective: </strong>People with a lower-limb amputation often have a sedentary lifestyle and increasing physical activity is important to optimize their health and quality of life. To achieve this the Amputee Parateam programme was developed. Amputee Parateam is a sports programme that addresses important physical, environmental, and social barriers for sports participation. This programme was evaluated in terms of various aspects of physical functioning and health.</p><p><strong>Design: </strong>Repeated measures design.</p><p><strong>Patients: </strong>Thirteen participants with a lower-limb amputation, with a median age of 51 (interquartile range (IQR) 40-63).</p><p><strong>Methods: </strong>Measurements were performed at T0 (baseline), T1 (after 6 weeks) and T2 (follow-up after 12 months). Outcome measures were walking ability, functional mobility, daily activity, health-related quality of life, and adherence to sports at follow-up.</p><p><strong>Results: </strong>Walking ability and functional ability significantly improved between T0 and T1. Adherence to sports at follow-up was high, with 11/13 participants still practicing sports weekly. There were no significant changes in daily activity or health-related quality of life.</p><p><strong>Conclusions: </strong>The Amputee Parateam programme successfully improved walking ability and functional mobility and resulted in a high adherence to sports among the participants. However, these improvements in physical capacity did not lead to less sedentary behaviour in daily life.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"12392"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10642343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592958","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
CASE REPORT OF IDIOPATHIC NORMAL PRESSURE HYDROCEPHALUS: A CHALLENGING DIAGNOSIS. 特发性常压脑积水病例报告:一个具有挑战性的诊断。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2023-10-30 eCollection Date: 2023-01-01 DOI: 10.2340/jrmcc.v6.11631
Lina VAN Brabander, Liesbet Huyghebaert, Marie-Sophie Vermoere
{"title":"CASE REPORT OF IDIOPATHIC NORMAL PRESSURE HYDROCEPHALUS: A CHALLENGING DIAGNOSIS.","authors":"Lina VAN Brabander,&nbsp;Liesbet Huyghebaert,&nbsp;Marie-Sophie Vermoere","doi":"10.2340/jrmcc.v6.11631","DOIUrl":"https://doi.org/10.2340/jrmcc.v6.11631","url":null,"abstract":"<p><strong>Introduction: </strong>This report concerns the case of a 70-year-old man with idiopathic normal pressure hydrocephalus (iNPH). The diagnosis in the current case took more than 2 years. iNPH is characterised by ventriculomegaly with a known triad of symptoms: gait disturbance, cognitive impairments and urinary incontinence. Although this is a difficult diagnosis and other conditions must be ruled out, several points in the process could lead to a correct diagnosis. The aim of the report is to identify several reasons why the diagnosis was delayed for such a long time, as well as lessons for the future.</p><p><strong>Case: </strong>This patient developed several symptoms over time. First, he presented with depressive mood and altered behaviour. He later developed gait difficulties and, finally, urinary incontinence. Multiple consultations and examinations failed to provide an exact explanation for all his symptoms. After 2 years, a new doctor at the hospital started from scratch and recognised the iNPH triad, and the diagnosis was confirmed by the radiologist.</p><p><strong>Conclusion: </strong>The diagnosis of iNPH is difficult, as symptoms may manifest over time. In this case, the delay of diagnosis exceeded estimations. A broader view through interdisciplinary consultation could provide new insights and lead to earlier diagnosis.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"11631"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489707","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
EFFECTS OF REHABILITATION PROGRAM FOCUSED ON IMPROVING REAL-LIFE DAILY ACTIVITIES OF PATIENTS WITH MILD COGNITIVE IMPAIRMENTS OR DEMENTIA AND THEIR CAREGIVERS. 康复计划的效果集中在改善轻度认知障碍或痴呆患者及其护理人员的日常生活活动上。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2023-10-05 eCollection Date: 2023-01-01 DOI: 10.2340/jrmcc.v6.12293
Yohei Otaka, Shin Kitamura, Megumi Suzuki, Akiko Maeda, Chinami Kato, Rena Ito, Asuka Hirano, Yuki Okochi, Koji Mizutani, Hiroshi Yoshino, Hajime Takechi
{"title":"EFFECTS OF REHABILITATION PROGRAM FOCUSED ON IMPROVING REAL-LIFE DAILY ACTIVITIES OF PATIENTS WITH MILD COGNITIVE IMPAIRMENTS OR DEMENTIA AND THEIR CAREGIVERS.","authors":"Yohei Otaka,&nbsp;Shin Kitamura,&nbsp;Megumi Suzuki,&nbsp;Akiko Maeda,&nbsp;Chinami Kato,&nbsp;Rena Ito,&nbsp;Asuka Hirano,&nbsp;Yuki Okochi,&nbsp;Koji Mizutani,&nbsp;Hiroshi Yoshino,&nbsp;Hajime Takechi","doi":"10.2340/jrmcc.v6.12293","DOIUrl":"10.2340/jrmcc.v6.12293","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of a dyadic outpatient rehabilitation program focused on improving the real-life daily activities of patients with mild cognitive impairments or dementia and their caregivers.</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Subjects: </strong>Eight patients with mild cognitive impairments or dementia and their caregivers.</p><p><strong>Methods: </strong>The rehabilitation program comprised eight 1-hour sessions by occupational therapists with patients and his/her caregivers. Patients were assessed for motor function, cognitive function, and quality of life, and their caregivers were assessed for depression and caregiver burden. Participants were assessed at pre-program and post-program, and 3-month follow-up.</p><p><strong>Results: </strong>The scores of caregiver-assessed Quality of life in Alzheimer's disease scale in patients significantly improved at post-program (median [interquartile range], 30.0 [7.0]) compared with pre-program (27.0 [2.8], effect size = 0.77, <i>p</i> = 0.029). In caregivers, the Zarit Caregiver Burden Interview scores decreased significantly at post-program (16.5 [13.0]) compared with pre-program (22.0 [17.5], effect size = 0.72, <i>p</i> = 0.042). There were no significant differences in other assessments.</p><p><strong>Conclusions: </strong>The rehabilitation program focused on real daily activities and demonstrated to improve patients' quality of life and caregivers' depression and caring burden through patient-caregiver interaction. Future enhanced follow-up systems are warranted.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"12293"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/3e/JRMCC-6-12293.PMC10566518.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41222320","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
CLINICAL AND HEALTHCARE IMPACTS OF PORTABLE ULTRASONOGRAPHY IN AMBULATORY CARE MUSCULOSKELETAL REHABILITATION CONSULTATIONS. 便携式超声在门诊护理肌肉骨骼康复咨询中的临床和医疗影响。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2023-09-13 eCollection Date: 2023-01-01 DOI: 10.2340/jrmcc.v6.6573
Jose M DE LA Lama, Manuel Morales, Juan DE Nicolas, Andrea Ucin, Antonio Galvan
{"title":"CLINICAL AND HEALTHCARE IMPACTS OF PORTABLE ULTRASONOGRAPHY IN AMBULATORY CARE MUSCULOSKELETAL REHABILITATION CONSULTATIONS.","authors":"Jose M DE LA Lama,&nbsp;Manuel Morales,&nbsp;Juan DE Nicolas,&nbsp;Andrea Ucin,&nbsp;Antonio Galvan","doi":"10.2340/jrmcc.v6.6573","DOIUrl":"https://doi.org/10.2340/jrmcc.v6.6573","url":null,"abstract":"<p><strong>Objective: </strong>We evaluated the impact of Point-of-care ultrasound (POCUS) in musculoskeletal consultations out of hospital using a Philips Lumify portable ultrasound device. We aimed to determine the impact of POCUS on the number of hospital referrals for injections as well as on the number of injections performed in consultation.</p><p><strong>Design: </strong>Retrospective case study comparing 2 periods: June to September 2021 (pre-POCUS) and November 2021 to February 2022 (POCUS). Statistical comparisons were performed using the χ<sup>2</sup>. In both periods, 21 medical consultations were performed. In the pre-POCUS period, 470 patients were assessed, with an average of 1.29 hospital referrals made per day of consultation for hospital injections and an average of 2.05 injections performed per day of medical consultation. In the POCUS period, 589 patients were assessed, with an average of 0.1 hospital referrals per day (-92.6%; <i>p</i> < 0.00001) and an average of 2.76 injections performed per day (+34.9%; <i>p</i> < 0.00001). The introduction of POCUS at our practice reduced the number of hospital referrals made for injections and increased the number of injections performed every day of consultation.</p><p><strong>Conclusion: </strong>This suggests that POCUS is of great clinical value in out-of-hospital musculoskeletal rehabilitation consultations.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"6573"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7d/ab/JRMCC-6-6573.PMC10518771.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41170547","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
FEASIBILITY STUDY ON SWALLOWING TELEREHABILITATION IN PATIENTS WITH CORONAVIRUS DISEASE 2019. 2019冠状病毒病患者吞咽远程康复可行性研究
Journal of rehabilitation medicine. Clinical communications Pub Date : 2023-01-01 DOI: 10.2340/jrmcc.v6.12348
Shigeto Soyama, Tomoo Mano, Akira Kido
{"title":"FEASIBILITY STUDY ON SWALLOWING TELEREHABILITATION IN PATIENTS WITH CORONAVIRUS DISEASE 2019.","authors":"Shigeto Soyama,&nbsp;Tomoo Mano,&nbsp;Akira Kido","doi":"10.2340/jrmcc.v6.12348","DOIUrl":"https://doi.org/10.2340/jrmcc.v6.12348","url":null,"abstract":"<p><strong>Objective: </strong>Direct swallowing rehabilitation assessment in patients with highly infectious diseases, such as COVID-19, is not recommended. We aimed to explore the feasibility of using telerehabilitation for managing dysphagia in patients with COVID-19 in isolated hospital rooms.</p><p><strong>Design: </strong>Open-label trial.</p><p><strong>Subjects/patients: </strong>We examined 7 enrolled patients with COVID-19 who presented with dysphagia and were treated with telerehabilitation.</p><p><strong>Methods: </strong>Telerehabilitation was performed for 20 min daily and included indirect and direct swallowing training. Dysphagia was assessed before and after telerehabilitation using the 10-item Eating Assessment Tool, the Mann Assessment of Swallowing Ability and graphical evaluation using tablet device cameras.</p><p><strong>Results: </strong>All patients showed significant improvement in swallowing ability, evaluated by the range of the upward movement of their larynxes and the Eating Assessment Tool and Mann Assessment of Swallowing Ability scores. The change in swallowing evaluation scores was correlated with the number of telerehabilitation sessions. There was no infection spread to the medical staff treating these patients. Dysphagia in patients with COVID-19 was improved using telerehabilitation while ensuring a high degree of safety for clinicians.</p><p><strong>Conclusion: </strong>Telerehabilitation might eliminate the risks associated with patient contact and has the advantage of infection control. Its feasibility needs further exploration.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"12348"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b2/92/JRMCC-6-12348.PMC10262383.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9648121","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
SARCOPENIA IS A FREQUENT DISEASE IN SARS-COV-2 INFECTION. 肌肉减少症是sars-cov-2感染的常见病。
Journal of rehabilitation medicine. Clinical communications Pub Date : 2023-01-01 DOI: 10.2340/jrmcc.v6.2222
Sandro Iannaccone, Luigia Brugliera, Alfio Spina, Gianluca Nocera, Andrea Tettamanti, Alessandra Giordani, Sara Angelone, Paola Castellazzi, Paolo Cimino, Jeffrey D Padul, Elise Houdayer, Federica Alemanno
{"title":"SARCOPENIA IS A FREQUENT DISEASE IN SARS-COV-2 INFECTION.","authors":"Sandro Iannaccone,&nbsp;Luigia Brugliera,&nbsp;Alfio Spina,&nbsp;Gianluca Nocera,&nbsp;Andrea Tettamanti,&nbsp;Alessandra Giordani,&nbsp;Sara Angelone,&nbsp;Paola Castellazzi,&nbsp;Paolo Cimino,&nbsp;Jeffrey D Padul,&nbsp;Elise Houdayer,&nbsp;Federica Alemanno","doi":"10.2340/jrmcc.v6.2222","DOIUrl":"https://doi.org/10.2340/jrmcc.v6.2222","url":null,"abstract":"Objective We aimed to investigate the clinical symptoms and specific care requirements of SARS-CoV-2 patients who were admitted to a COVID-19 Rehabilitation Unit while still infectious for SARS-CoV-2 and in the subacute phase of the disease. Methods Patients admitted to our COVID-19 Rehabilitation Unit from March 2020 to December 2020 were evaluated for sarcopenia, and they also completed the following assessments: functional independence measure, short physical performance battery and Hamilton Rating Scale for Depression. Age and body mass index and symptoms of dysosmia or dysgeusia were also recorded. Results A total of 126 patients were enrolled (50 women, median age 72 years, 18.7 years), of whom 82% of patients presented with low grip strength. Sarcopenia was diagnosed in 52 patients. Sarcopenic patients were older than non-sarcopenic ones (median age 73.4 years, IQR 13.2 vs 63.9 years, IQR 14.5, respectively, p = 0.014). Sarcopenia was associated with the presence of depression (p = 0.008), was more common in women (p = 0.023) and was associated with greater functional deficits (functional independence measure and short physical performance battery analyses, p < 0.05). Sarcopenic patients also had a lower body mass index than other patients (p < 0.01). Conclusion More than 40% of our patients suffered from sarcopenia, which was associated with ageing, depression, low body mass index, reduction in functional autonomy and being a woman. Such data provide evidence for the need to assist hospitalized COVID-19 patients by means of a multidisciplinary specialist team. LAY ABSTRACT Many COVID-19 patients who require hospitalization in the first phase of the disease benefit from respiratory, motor or cognitive rehabilitation before being dismissed from the hospital. During this rehabilitative phase, these patients are still positive for SARS-CoV-2 and potentially infectious, although their symptoms might differ from the symptoms they encountered in the first days. The objective of this study was to examine the clinical condition of 126 COVID-19 patients in a COVID-19 rehabilitation ward. Our data demonstrated that 41% of these patients presented with sarcopenia, which represents a drastic loss of muscle mass. We noticed that the risk factors associated with sarcopenia were ageing, depression, being a woman and having more issues with being independent in daily life. These results reveal the importance of providing such COVID-19 patients with specific care by multidisciplinary teams of healthcare professionals.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"6 ","pages":"2222"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/86/7a/JRMCC-6-2222.PMC9901050.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10693282","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}
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