Europa medicophysica最新文献

Functional assessment in rehabilitative medicine. 康复医学中的功能评估。

Europa medicophysica Pub Date : 2007-12-01

C V Granger

引用次数: 0

Beyond PubMed. Other free-access biomedical databases. PubMed之外。其他免费获取的生物医学数据库。

Europa medicophysica Pub Date : 2007-12-01

E Giglia

引用次数: 0

Rasch psychometric validation of the Impact on Participation and Autonomy questionnaire in people with Parkinson's disease. 帕金森病患者参与和自主性问卷影响的Rasch心理测量验证。

Europa medicophysica Pub Date : 2007-12-01

F Franchignoni, G Ferriero, A Giordano, V Guglielmi, D Picco

{"title":"Rasch psychometric validation of the Impact on Participation and Autonomy questionnaire in people with Parkinson's disease.","authors":"F Franchignoni, G Ferriero, A Giordano, V Guglielmi, D Picco","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The aim of this study was to assess the psychometric properties of the Impact on Participation and Autonomy (IPA) questionnaire, in its two scales: IPA-I, perceived limitations in participation and autonomy; IPA-II, perceived problems in participation.Methods: The IPA data underwent Rasch analysis for rating scale diagnostics and a reliability and validity study. The work and education domain was left out of the analysis due to its low applicability to our subjects. A convenience sample of 100 patients with Parkinson's disease (PD) (41 male, 59 female; mean age 72+/-7 years) were consecutively observed at our Rehabilitation Clinic.Results: According to Rasch analysis, two response categories of IPA-I were collapsed into one and 1 item (''intimate relationship'') was deleted. The remaining 24 items fitted the unidimensional construct that the scale was intended to measure. IPA-I demonstrated good reliability (person separation = 0.93, item separation = 0.97) and internal construct validity. All six IPA-II items proved to belong to the same construct. For IPA-II, item separation = 0.97, person separation = 0.71. The targeting and spread of item difficulty and the quite low person separation reliability of IPA-II made it possible only to differentiate people with low vs high level of problems in participation. Both scales showed the expected correlation with PD-specific clinical and quality of life measures.Conclusions: IPA-I shows promise as a tool for measuring participation in people with PD. IPA-II has acceptable psychometric characteristics for measuring perceived problems in participation. Additional steps to improve their metric properties and further studies in people with different kinds of health conditions need to be carried out.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"451-61"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121811","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

Frozen shoulder development secondary to proximal humerus fracture and supraspinatus tendon tear following electrical injury. 电伤后继发于肱骨近端骨折和冈上肌腱撕裂的肩周炎。

Europa medicophysica Pub Date : 2007-12-01

I Aktas, K Akgun

引用次数: 0

Can we improve gait skills in chronic hemiplegics? A randomised control trial with gait trainer. 我们能改善慢性偏瘫患者的步态技巧吗?步态训练器随机对照试验。

Europa medicophysica Pub Date : 2007-12-01

D Dias, J Laíns, A Pereira, R Nunes, J Caldas, C Amaral, S Pires, A Costa, P Alves, M Moreira, N Garrido, L Loureiro

{"title":"Can we improve gait skills in chronic hemiplegics? A randomised control trial with gait trainer.","authors":"D Dias, J Laíns, A Pereira, R Nunes, J Caldas, C Amaral, S Pires, A Costa, P Alves, M Moreira, N Garrido, L Loureiro","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Partial body weight support (PBWS) is an accepted treatment for hemiplegic patients. The aim of this study is to compare the efficiency of gait trainer with conventional treatment on the gait management after stroke.Methods: Forty chronic post-stroke hemiplegics were part of a prospective research. Inclusion criteria were: first ever stroke in a chronic stage with stabilised motor deficits; age >18 and <80 years; cognitive and communication skills to understand the treatment; absence of cardiac, psychological and orthopedic contraindications. Patients were randomised into two groups: the control group (CG) that used the Bobath method in 40 minutes sessions, 5 times a week, for 5 weeks, and the experimental group (EG) that used the gait trainer, for the same period of time and frequency. Assessment tools: Motricity Index (MI); Toulouse Motor Scale (TMS); modified Ashworth Spasticity Scale (mASS); Berg Balance Scale (BBS); Rivermead Mobility Index (RMI); Fugl-Meyer Stroke Scale (F-MSS); Functional Ambulation Category (FAC); Barthel Index (BI); 10 meters, time up and go (TUG), 6 minutes, and step tests. EG and CG did the assessments before treatment (T(0)), right after treatment (T(1)), and on follow-up, 3 months later (T(2)).Results: CG and EG were homogenous in all the variables at T(0). CG and EG showed improvement in almost all the assessment scales after treatment, although only some with relevant differences. EG showed statistically relevant improvement on T(1) and on T(2) in several of the assessment tools, whereas CG only showed statistically significant improvement after T(1) and only in some of the assessment tools.Conclusions: Both groups of chronic hemiplegic patients improved after either PBWS with gait trainer or Bobath treatment. Only subjects undergoing PBWS with gait trainer maintained functional gain after 3 months.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"499-504"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121816","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

Role of stretching in Charcot-Marie-Tooth disease. 拉伸在腓骨肌萎缩症中的作用。

Europa medicophysica Pub Date : 2007-12-01

K J Rose, J Burns, R A Ouvrier

引用次数: 0

Functional assessment in rehabilitative medicine: principles and methods. 康复医学功能评估:原则与方法。

Europa medicophysica Pub Date : 2007-12-01

L Tesio

{"title":"Functional assessment in rehabilitative medicine: principles and methods.","authors":"L Tesio","doi":"","DOIUrl":"","url":null,"abstract":"In rehabilitative medicine, functional assessment means a decision process that results from the interaction between classifications (for example, diagnostic) and measures, and that aims to recognize, anticipate or modify the interaction between the disabled person and his environment. In this context, the measure is the intersection of a person along the conceptual gradient and continuum ''from less to more'' attributed to variability in the ''total person,'' such as independence, pain, cognitive capacity, or fatigability. The principal instrument is the additive questionnaire (functional scale). This consists of various items believed to represent a common variable. These kinds of variables are observable only partially across various aspects of the whole person, and are not completely predictable. Their measure, consequently, can only be derived from an estimated statistic. The additive questionnaire is the principal measurement instrument. Several items all representing the same variable receive scores whose sum is assumed to be proportional to the quantity of the underlying variable. For various reasons the sum of the scores does not represent a true linear and continuous measure like those seen in chemistry and physics. Recently developed methods, in particular Rasch analysis, can extract true measures from raw scores. Thanks to better measurement of variability in persons within rehabilitative medicine, functional assessment can become increasingly more valid and informative.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"515-23"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121819","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

Untangling function: measuring the severity, type and meaning of disabilities. 解缠功能:测量残疾的严重程度、类型和意义。

Europa medicophysica Pub Date : 2007-12-01

M G Stineman, W Qu

引用次数: 0

A new mechanical arm trainer to intensify the upper limb rehabilitation of severely affected patients after stroke: design, concept and first case series. 一种新型机械臂训练器加强严重中风后患者上肢康复:设计、概念和首例病例系列。

Europa medicophysica Pub Date : 2007-12-01

S Hesse, H Schmidt, C Werner, C Rybski, U Puzich, A Bardeleben

{"title":"A new mechanical arm trainer to intensify the upper limb rehabilitation of severely affected patients after stroke: design, concept and first case series.","authors":"S Hesse, H Schmidt, C Werner, C Rybski, U Puzich, A Bardeleben","doi":"","DOIUrl":"","url":null,"abstract":"Description and case series on a new mechanical arm trainer with three degrees of freedom (DoF), the REHA-SLIDE (RS), for stroke rehabilitation are presented. Similar to a rolling pin, it consists of two handles at either side of a connecting rod, the handles are bilaterally moved forward and backward, sideways, and rotated, the base plate is inclinable. A computer mouse attached to the rod enables playing games offering computer-biofeedback. Two patients, 6 and 5 weeks after a first-time supratentorial stroke, suffering from a flaccid non-functional upper extremity have been studied. Interventions performed were additional 30 min of RS-training every workday for 6 weeks; one session included 400 repetitions evenly distributed between the forward backward movement and drawing a circle clock- and counter clockwise. Afterwards the patients could play games. Upper extremity portion of the Fugl-Meyer Motor Assessment Score (FM, 0-66), and muscle strength by a Medical Research Council (MRC) sum score (0-45), the FM assessment was blinded. In the 2 patients, the FM (0-66) improved from 7 to 37, and from 17 to 43, their initial (terminal) MRC sum scores were 6 (36) and 13 (31). With the REHA-Slide (RS), severely affected patients practiced a bilateral 3 DoF movement. No conclusions can be drawn so far and a controlled clinical study must be the next step.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"463-8"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121812","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

Hip-fracture type does not affect the functional outcome after acute in-patient rehabilitation: a study of 684 elderly women. 髋部骨折类型不影响急性住院康复后的功能结局:一项对684名老年妇女的研究。

Europa medicophysica Pub Date : 2007-12-01

M Di Monaco, F Vallero, R Di Monaco, R Tappero, A Cavanna

{"title":"Hip-fracture type does not affect the functional outcome after acute in-patient rehabilitation: a study of 684 elderly women.","authors":"M Di Monaco, F Vallero, R Di Monaco, R Tappero, A Cavanna","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To investigate differences in the functional outcome between women sustaining cervical or trochanteric fractures of the hip.Methods: We studied 684 of 736 women admitted consecutively to a rehabilitation hospital in Italy because of their first hip fracture. Functional recovery was assessed by using Barthel index scores. Fractures were classified as either cervical (n=335) or trochanteric (n=349) on the basis of surgical and radiographic findings.Results: After acute in-patient rehabilitation, women with trochanteric fracture had a significantly lower Barthel index score than women with cervical fracture (median values were 85 and 90 respectively, interquartile ranges were 25 and 30 respectively, P=0.001). Length of stay in the hospital was significantly longer in women with trochanteric fractures (median was 37 days vs 36 days; interquartile range was 10 days vs 8 days, P=0.018). However, the differences between the two groups were no longer significant after adjustment for eight variables that affect functional ability in the same population (i.e., age, pressure ulcers, cognitive impairment, neurologic impairment, infections during the length of stay, bone mineral density, body mass index, and Barthel index scores assessed before rehabilitation). Further-more, we found no significant differences in the change of Barthel index scores during rehabilitation and in Barthel index efficiency (change in the Barthel index score after rehabilitation divided by the length of stay in hospital) between the two groups of women.Conclusions: After adjustment for several confounders, we did not show significant differences in the functional outcome between women with cervical or trochanteric fracture of the hip.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"439-44"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121862","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