Journal of rehabilitation medicine. Clinical communications最新文献_第8页

BENEFIT AND SAFETY OF INCOBOTULINUMTOXINA FOR EARLY MANAGEMENT OF POST-STROKE SPASTICITY IN A PATIENT WITH SARS-COV-2: A CASE REPORT. 在sars-cov-2患者中风后痉挛的早期管理中使用肉毒杆菌毒素的益处和安全性:一个病例报告

Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-06-14 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000065

Carlos Cordero-GarcÍa, María Del Mar SÁEnz De Tejada SÁnchez

{"title":"BENEFIT AND SAFETY OF INCOBOTULINUMTOXINA FOR EARLY MANAGEMENT OF POST-STROKE SPASTICITY IN A PATIENT WITH SARS-COV-2: A CASE REPORT.","authors":"Carlos Cordero-GarcÍa, María Del Mar SÁEnz De Tejada SÁnchez","doi":"10.2340/20030711-1000065","DOIUrl":"https://doi.org/10.2340/20030711-1000065","url":null,"abstract":"Objective: To describe a case of early management of post-stroke spasticity treated with incobotulinumtoxinA (IncoA) in a patient with SARS-CoV-2 (COVID-19). Scarce information is available on this subject, as the COVID-19 pandemic has necessitated postponement of interventions in infected and clinically suspicious patients.Case report: A 58-year-old woman presenting with ischaemic stroke, was infected with SARS-CoV-2 virus due to nosocomial contact. Despite clinical improvement, the patient developed early spasticity. Modified Ashworth Scale (MAS) was grade II in her left elbow, wrist flexors and left gastrocnemius. IncoA was injected, using ultrasound guidance, in her upper and lower limbs. No complications were reported after the procedure. Two weeks afterwards, there was an improvement in her motor balance and spasticity, MAS was graded I in the left elbow, wrist flexors, and II in the left gastrocnemius. At 12 weeks, the patient reported improvement at a global level, with increasing independence and functionality.Conclusion: This case indicates the benefits and safety of IncoA for early treatment of post-stroke spasticity in a patient with confirmed SARS-CoV-2. Despite the current status of national healthcare systems due to the COVID-19 pandemic, increased efforts should be made to avoid discontinuation of treatment for spasticity.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000065"},"PeriodicalIF":0.0,"publicationDate":"2021-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/cb/JRMCC-4-1000065.PMC8215229.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39196091","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

ROLE OF NURSING IN REHABILITATION. 护理在康复中的作用。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-06-14 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000061

Christoph Gutenbrunner, Alessandro Stievano, David Stewart, Howard Catton, Boya Nugraha

引用次数: 3

Electroacupuncture For Alleviation Of Phantom Limb Pain. 电针缓解幻肢痛的研究。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-05-31 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000063

Holly King, Max Forrester

{"title":"Electroacupuncture For Alleviation Of Phantom Limb Pain.","authors":"Holly King, Max Forrester","doi":"10.2340/20030711-1000063","DOIUrl":"https://doi.org/10.2340/20030711-1000063","url":null,"abstract":"Phantom limb pain is clinically defined as the perception of pain or discomfort in a limb that no longer exists. Most amputees will experience phantom limb pain, which is associated with a low health-related quality of life. Phantom limb pain represents an important challenge in finding an effective therapy. The scientific evidence for best practice is weak, and is characterized by various clinical reports describing the pragmatic use of drugs and interventional techniques. Recent approaches to restore the sensory motor input have shown promise. One such technique is electroacupuncture. We report here a case study of a male in his 30s who sustained severe injuries, including a high transfemoral amputation, as a result of being hit by a car. An electroacupuncture treatment protocol was used. Over the course of 3 months, electroacupuncture alleviated the patient's phantom limb pain, minimized his use of drugs, and improved his sleep and quality of life. The effect of electroacupuncture treatment lasted for 3-4 months, and successful top-up treatment maintained his pain relief. The results are in line with a study comparing massage and electroacupuncture in patients with spinal cord injury with neurogenic pain; a limited number of patients treated with electroacupuncture were significantly alleviated of their pain for months. This case report suggests that electroacupuncture may be useful in patients with phantom limb pain.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000063"},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a9/0c/JRMCC-4-1000063.PMC8278009.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39196090","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: 3

PATIENT-REPORTED OUTCOMES FOR USE OF SILVERSPLINTS IN OSTEOARTHRITIS OF THE HAND. 使用硅胶夹板治疗手部骨关节炎的患者报告结果。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-05-21 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000060

Nienke Roux, Jan Willem VAN DER Windt, Wouter Akkerman, Marco Toor

{"title":"PATIENT-REPORTED OUTCOMES FOR USE OF SILVERSPLINTS IN OSTEOARTHRITIS OF THE HAND.","authors":"Nienke Roux, Jan Willem VAN DER Windt, Wouter Akkerman, Marco Toor","doi":"10.2340/20030711-1000060","DOIUrl":"10.2340/20030711-1000060","url":null,"abstract":"Pain, stiffness and joint deformity can result in significantly reduced hand function in people with osteoarthritis. Characteristic finger deformities in osteoarthritis are swan neck deformity and boutonnière deformity. Several studies have reported that an orthosis decreases pain and increases function during daily activities for patients with arthritis. The aim of this study was to review patient-reported outcomes of current conservative therapeutic management with silver ring splints (silversplints) for patients with osteoarthritis of the hand. There was a 76% improvement in overall daily functioning and a 74% reduction in pain. Several questions concerned daily activities with different types of hand function and with different types of grip and use of fingers. The results show a major improvement in both the more open grip of the hand and activities requiring fine motor skills. The ability to use force with the hand, even when wearing an orthosis, is an important result. Patients who experienced \"no problems or minor problems\" had significantly increased functioning in several activities of daily living, but the largest improvement in functioning was seen in \"household chores\" (243%), \"opening jars\" (150%) and \"lifting groceries\" (143%). Overall, silversplints appear to serve as a suitable support for the joints in osteoarthritis of the hand, providing pain relief by preventing the joint from moving through its full range of motion. Use of silversplints to treat patients with osteoarthritis of the hand should be considered as a useful, non-surgical method.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000060"},"PeriodicalIF":0.0,"publicationDate":"2021-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/a7/JRMCC-4-1000060.PMC8192887.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39196144","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

A Multidisciplinary Approach to Optimizing Long-Term Functional Prognosis of A Girl With Quadriceps Fibrosis. 多学科方法优化女孩股四头肌纤维化的长期功能预后。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-05-10 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000054

Jessica Luthringer, Marc Garetier, Mathieu Lempereur, Laetitia Houx, Valérie Burdin, Juliette Ropars, Douraied Ben Salem, Camille Printemps, Sylvain Brochard, Christelle Pons

{"title":"A Multidisciplinary Approach to Optimizing Long-Term Functional Prognosis of A Girl With Quadriceps Fibrosis.","authors":"Jessica Luthringer, Marc Garetier, Mathieu Lempereur, Laetitia Houx, Valérie Burdin, Juliette Ropars, Douraied Ben Salem, Camille Printemps, Sylvain Brochard, Christelle Pons","doi":"10.2340/20030711-1000054","DOIUrl":"https://doi.org/10.2340/20030711-1000054","url":null,"abstract":"The consequences and optimal treatment of quadriceps fibrosis following intramuscular quinine injection during childhood remain unclear. We report here a case of a 17-year-old girl who experienced unilateral quadriceps fibrosis following intramuscular injection of quinine as a baby. This case report describes the evolution of the condition during the child's growth, the long-term impact of early fibrosis on range of motion, muscle volumes, strength, gait, and activities of daily living. Rehabilitation involved orthoses and physiotherapy from the age of 6 years, when her knee flexion was reduced to 90°. A Judet quadricepsplasty was performed at 12 years because of continued loss of knee range with consequences for gait. At 16 years, knee range was satisfactory and gait variables were normalized. Functional evaluations and quality of life scales showed excellent recovery. Isometric strength of the involved quadriceps remained lower than the expected age-matched strength. Magnetic resonance imaging identified amyotrophy of the quadriceps, specifically the vastus intermedius. Despite being a focal impairment, quadriceps fibrosis had wider consequences within the involved limb, the uninvolved limb and functioning. This case report illustrates how children with quadriceps fibrosis can have a good prognosis, with excellent functional results at the end of the growth period, following early and appropriate management.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000054"},"PeriodicalIF":0.0,"publicationDate":"2021-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/83/JRMCC-4-1000054.PMC8205268.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39196141","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

Improved Gait Capacity after Bilateral Achilles Tendon Lengthening for Irreducible Pes Equinus Due to Hereditary Spastic Paraplegia: a Case Report. 遗传性痉挛性截瘫导致无法复原的马足，双侧跟腱延长后步态能力的改善:1例报告。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-05-06 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000059

Jorik Nonnekes, Noël Keijsers, Angelique Witteveen, Alexander Geurts

{"title":"Improved Gait Capacity after Bilateral Achilles Tendon Lengthening for Irreducible Pes Equinus Due to Hereditary Spastic Paraplegia: a Case Report.","authors":"Jorik Nonnekes, Noël Keijsers, Angelique Witteveen, Alexander Geurts","doi":"10.2340/20030711-1000059","DOIUrl":"https://doi.org/10.2340/20030711-1000059","url":null,"abstract":"Objective: Toe walking due to progressive shortening of the calf muscles is common in people with hereditary spastic paraplegia. Achilles tendon lengthening is a treatment option, but clinicians are often hesitant to use this procedure, as it may result in weakening of the calf muscles and, subsequently, in reduced ankle power and knee instability during the stance phase of gait. We report here a case report supporting that these negative side-effects can be avoided in well-selected people with hereditary spastic paraplegia.Method: Bilateral Achilles tendon lengthening, combined with bilateral tenotomy of the tibialis posterior and toe flexors, was performed in a 29-year-old woman with uncomplicated hereditary spastic paraplegia who experienced progressive gait instability due to shortening of the soleus and gastrocnemius muscles (resulting in irreducible pes equinus).Results: Bilateral Achilles tendon lengthening resulted in improvement in both subjective and objective outcomes. Self-selected gait speed improved from 0.75 m/s before surgery to 1.07 m/s after surgery (p < 0.001). Knee instability during the stance phase did not occur post-surgery. The ankle moment trajectories normalized after surgery, while peak ankle powers increased.Conclusion: Correction of bilateral irreducible pes equinus by Achilles tendon lengthening may improve gait capacity in well-selected subjects with hereditary spastic paraplegia.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000059"},"PeriodicalIF":0.0,"publicationDate":"2021-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/2f/JRMCC-4-1000059.PMC8192886.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39196143","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: 1

Practical and Clinical Approaches Using Pacing to Improve Selfregulation in Special Populations such as Children and People with Mental Health or Learning Disabilities. 实践和临床方法使用步调提高自我调节在特殊人群，如儿童和人的精神健康或学习障碍。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-05-04 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000058

Andrew M Edwards, Ulric S Abonie, Florentina J Hettinga, David B Pyne, Tomasina M Oh, Remco C J Polman

{"title":"Practical and Clinical Approaches Using Pacing to Improve Selfregulation in Special Populations such as Children and People with Mental Health or Learning Disabilities.","authors":"Andrew M Edwards, Ulric S Abonie, Florentina J Hettinga, David B Pyne, Tomasina M Oh, Remco C J Polman","doi":"10.2340/20030711-1000058","DOIUrl":"https://doi.org/10.2340/20030711-1000058","url":null,"abstract":"For special populations such as people with a mental health issue or learning disability, a disconnect between the ability to accurately monitor and regulate exercise behaviour can lead to reduced levels of physical activity, which, in turn, is associated with additional physical or mental health problems. Activity pacing is a strategy used in clinical settings to address issues of pain amelioration, while self-pacing research is now well addressed in sport and exercise science literature. It has been proposed recently that these overlapping areas of investigation collectively support the development of self-regulatory, lifestyle exercise skills across broad population groups. Activity pacing appears to have substantial application in numerous development and rehabilitation settings and, therefore, the purpose of this short communication is to articulate how an activity pacing approach could be utilized among population groups in whom self-regulatory skills may require development. This paper provides specific examples of exercise practice across 2 discrete populations: children, and people with mental health and learning difficulties. In these cases, homeostatic regulatory processes may either be altered, or the individual may require extrinsic support to appropriately self-regulate exercise performance. A support-based exercise environment or approach such as programmatic activity (lifestyle) pacing would be beneficial to facilitate supervised and education-based self-regulation until such time as fully self-regulated exercise is feasible.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000058"},"PeriodicalIF":0.0,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/64/JRMCC-4-1000058.PMC8101060.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38965545","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: 6

CHECKLIST USE FOR ASSESSMENT OF SATISFACTION WITH TRANS-TIBIAL PROSTHESES. 使用检查表评估经胫骨假体的满意度。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-04-29 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000057

Erwin C Baars, Jan H Geertzen, Pieter U Dijkstra

{"title":"CHECKLIST USE FOR ASSESSMENT OF SATISFACTION WITH TRANS-TIBIAL PROSTHESES.","authors":"Erwin C Baars, Jan H Geertzen, Pieter U Dijkstra","doi":"10.2340/20030711-1000057","DOIUrl":"https://doi.org/10.2340/20030711-1000057","url":null,"abstract":"Objective: To assess satisfaction of prosthesis users with their prostheses, and the problems they experience with the residual limb, using a checklist, in order to evaluate potential benefits of checklist use and to summarize issues and problems with the prosthesis and/or residual limb presented by prosthesis users.Design: Cross-sectional study.Subjects: Participants were adult trans-tibial prosthesis users (n = 82) and certified prosthetist orthotist (n = 19) experienced in fitting lower-limb prostheses.Methods: Prosthesis users reported their reasons for consultation and factors concerning prosthesis (dis)satisfaction and residual limb problems, using a checklist. Checklist use was evaluated by certified prosthetist orthotists and prosthesis users and the significance of evaluation scores was determined.Results: Checklist use identified 126 issues/problems, most of which concerned prosthesis fit (33%) and pressure points on the residual limb skin (26%). Evaluation scores were significantly higher than neutral regarding the checklist helping the certified prosthetist orthotist to gather more information and to make clear with which issues the prosthesis user was dissatisfied. Prosthesis users reported that checklist use made them feel more understood by the certified prosthetist orthotist.Conclusion: Checklist use in the assessment of trans-tibial prostheses is beneficial in identifying factors related to dissatisfaction, and improves the quality of certified prosthetist orthotists' consultation. The implementation of checklist use is, however, challenging.","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":" ","pages":"1000057"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/07/JRMCC-4-1000057.PMC8091939.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38963981","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

Journal of Rehabilitation Medicine - Clinical Communications is now Included in Pubmed: Who Cares?? 康复医学杂志-临床交流现在被纳入Pubmed:谁在乎??

Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-04-16 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000049

Henk Stam, Kristian Borg

引用次数: 0

TAILORED USE OF COMPENSATION STRATEGIES TO ENABLE EXERCISE DESPITE FESTINATION IN PARKINSON'S DISEASE. 量身定制的补偿策略，使帕金森病患者即使有节日也能进行锻炼。

Journal of rehabilitation medicine. Clinical communications Pub Date : 2021-04-15 eCollection Date: 2021-01-01 DOI: 10.2340/20030711-1000055

Berber E A Koelmans, Niek A Verwey, Sjors C F VAN DE Weijer, Bastiaan R Bloem, Jorik Nonnekes

引用次数: 0