Europa medicophysica最新文献_第2页

The effect of cardiac rehabilitation on quality of life, anxiety and depression in patients with congestive heart failure. A randomized controlled trial, short-term results. 心脏康复对充血性心力衰竭患者生活质量、焦虑和抑郁的影响。随机对照试验，短期结果。

Europa medicophysica Pub Date : 2007-12-01

D G Kulcu, Y Kurtais, B S Tur, S Gülec, B Seckin

{"title":"The effect of cardiac rehabilitation on quality of life, anxiety and depression in patients with congestive heart failure. A randomized controlled trial, short-term results.","authors":"D G Kulcu, Y Kurtais, B S Tur, S Gülec, B Seckin","doi":"","DOIUrl":"","url":null,"abstract":"Aim: One of the major treatment goals in congestive heart failure (CHF) is to preserve the functional level of the patient and to improve psychosocial factors. For these purposes, exercise training is recommended for the management of CHF. With this background, the aim of this study is to investigate the effects of aerobic exercise on quality of life, depression and anxiety levels in a Turkish patient population with CHF.Methods: Sixty patients with CHF in stage II-III according to NYHA were included. Patients were randomly assigned either to a cardiac rehabilitation group or to a control group. Twenty-seven patients were allocated to a weekly aerobic walking program on treadmill, thrice a week for 8 weeks, and 26 patients did not receive any exercise training. Both groups were assessed by an ergospirometric exercise test, Hacettepe Quality of Life Questionnaire (HQoL), Beck Depression Inventory (BDI), Spielberger Trait Anxiety Inventory (STAI) at baseline and at the end.Results: Forty-four patients (treatment group: 23) completed the study. In the treatment group, significant increases in peak oxygen consumption, exercise time and metabolic equivalents (MET) levels were attained (P=0.001, P=0.001, P=0.003, respectively). Significant decreases in BDI (P=0.004) and STAI subgroups (P=0.049, P=0.023, respectively) were observed, whereas there was no change in HQoL scores. In the control group, there was no difference between baseline and 8th week evaluation in all parameters.Conclusions: Patients with CHF tolerated aerobic exercise programs well. This resulted with improvement in both physical and psychologic wellbeing, but not in quality of life in the short term.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"489-97"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121815","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

Do bulbar-onset amyotrophic lateral sclerosis patients have an earlier respiratory involvement than spinal-onset amyotrophic lateral sclerosis patients? 球源性肌萎缩性侧索硬化症患者是否比脊髓源性肌萎缩性侧索硬化症患者有更早的呼吸系统受累?

Europa medicophysica Pub Date : 2007-12-01

S Pinto, A Pinto, M De Carvalho

{"title":"Do bulbar-onset amyotrophic lateral sclerosis patients have an earlier respiratory involvement than spinal-onset amyotrophic lateral sclerosis patients?","authors":"S Pinto, A Pinto, M De Carvalho","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease involving limbs and bulbar muscles. The major cause of death in these patients is respiratory insufficiency. However, bulbar-onset ALS patients have a shorter survival than those with spinal-onset. It is not established if this difference is related to an earlier respiratory dysfunction in bulbar-onset patients. The aim of the present study was to determine if bulbar-onset patients have an earlier respiratory impairment as compared with the spinal-onset ones.Methods: From the population of ALS patients followed in our centre, we studied 82 patients (45 spinal-onset and 37 bulbar-onset, group 1 and 2 respectively), all evaluated between 6-18 months after disease onset. We investigated forced vital capacity, maximal inspiratory (PI max) and expiratory (PE max) pressures, mouth occlusion pressure at 100 ms after inspiration, arterial blood gases, percutaneous nocturnal oxymetry, phrenic nerve conduction, needle electromyography (EMG) of the right diaphragm and right internal intercostals muscles and functional ALS scale (ALS-FRS).Results: No statistical difference was found for gender and disease duration between both groups, but bulbar-onset patients were older. PI max and PE max were statistically lower (P<0.001 and P<0.006, respectively) in group 2. However, no correlation was found between bulbar ALS-FRS subscore and PI max or PE max.Conclusions: Our results support that PI max and PE max are sensitive measurements of respiratory dysfunction in bulbar patients. Probably, this finding cannot be solely explained by the oro-facial weakness of bulbar-patients. We speculate that respiratory accessory muscles weakness can contribute for this observation.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"505-9"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121817","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

Rehabilitation and outcome measurement: where is Rasch analysis going? 康复和结果测量:Rasch分析将走向何方?

Europa medicophysica Pub Date : 2007-12-01

C V Granger

引用次数: 0

Functional assessment in rehabilitation: conceptual framework, goals and instruments. 康复功能评估:概念框架、目标和工具。

Europa medicophysica Pub Date : 2007-12-01

M G Ceravolo

引用次数: 0

Functional assessment in physiotherapy. A literature review. 物理治疗中的功能评估。文献综述。

Europa medicophysica Pub Date : 2007-12-01

J L Thonnard, M Penta

{"title":"Functional assessment in physiotherapy. A literature review.","authors":"J L Thonnard, M Penta","doi":"","DOIUrl":"","url":null,"abstract":"The present literature review on functional assessment in physiotherapy was carried out for the following reasons: 1) to identify the functional instruments used in the field of physiotherapy that were supported by published evidence of their psychometric qualities; 2) to investigate how these instruments relate to the International Classification of Functioning, Disability and Health (ICF); and 3) to investigate the use of functional instruments in the financing of physiotherapy. A search of Medline from 1990 to December 2005, in the domains of functional evaluation, psychometric qualities, functional classification, and health policy in relation to physiotherapy resulted in a list of 1,567 studies. Two reviewers examined the resulting references on the basis of their title and abstract, in order to select the studies that presented data on the psychometric qualities of functional evaluation tests, leading to a final selection of 44 such studies. A selection of functional tests was identified in four major diagnostic groups treated in community physiotherapy: musculoskeletal disorders (including lower back pain), stroke, the elderly, and traumatic brain injuries. The functional tests authors identified essentially cover the body and activities dimension of the ICF. The selected tests could be used as a basis for the standardisation of functional evaluation of the major diagnostic groups treated in community physiotherapy. This means that standards are available for reporting and following the evolution of patients both longitudinally and transversally. Nevertheless, in the current literature review no attempt at using functional outcomes as a rationale for financing physiotherapy could be found to date.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"525-41"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121682","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

Functional assessment in rehabilitation medicine: clinical applications. 功能评估在康复医学中的临床应用。

Europa medicophysica Pub Date : 2007-12-01

H Ring

{"title":"Functional assessment in rehabilitation medicine: clinical applications.","authors":"H Ring","doi":"","DOIUrl":"","url":null,"abstract":"Functional assessments have become a cornerstone of rehabilitation medicine, assisting in well-defined aspects such as: quality assurance, continuous quality improvement, accountability, cost/benefit analysis, education, and research. In the second part of the 20th century, scaling techniques have become an integral part of the rehabilitation medicine discipline, and everybody is aware of their essential importance. However, even when engaged in a purely scientific discussion on the theoretical, mathematical basis of these measurements, a fundamental question arises as to what depth of accuracy is it possible to bring such measurements into a clinical scenario (or any real scenario). When it comes to the integration of all these principles, a balance must be achieved between pure theory and clinical applications, making it accessible for the average clinician and department routinely running functional evaluations. All these considerations are discussed with examples of data management that can be performed by systematically collecting data with the help of a computerized database where demographic, clinical and functional data is recorded. Rehabilitation teams and systems must be aware of function measurement principles and applications and determine their position in this regard.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"551-5"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121684","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

Rehabilitation of chronic graft versus host disease in children. A clinical series. 儿童慢性移植物抗宿主病的康复。临床系列。

Europa medicophysica Pub Date : 2007-12-01

G Carenzio, P Gherardi, M T Bardoni, M Zecca, F Bonetti, F Locatelli, E Dalla Toffola

{"title":"Rehabilitation of chronic graft versus host disease in children. A clinical series.","authors":"G Carenzio, P Gherardi, M T Bardoni, M Zecca, F Bonetti, F Locatelli, E Dalla Toffola","doi":"","DOIUrl":"","url":null,"abstract":"The study was aimed at evaluating clinical and functional assessment and results obtained following rehabilitative treatment in children affected by chronic graft versus host disease (cGVHD) after allogeneic transplantation of hemopoietic stem cells (HSCT). From 1999 to 2003 we evaluated 6 children with cGVHD after HSCT presenting severe complications and disabilities. Clinical and functional assessment was performed prior to rehabilitative treatment (T1), at follow-up at 6 (T6) and 12 (T12) months after treatment. Each child received a personalized rehabilitative treatment program based on the use of neuromotor re-education techniques, massotherapy, chest rehabilitation and occupational therapy. Six children presented sclerodermoid skin lesions, joint contractures, anchylosis, respiratory insufficiency, postural and walking alterations which led to reduction in motor performance and autonomy in daily living activity. After 1 year of rehabilitation treatment, 3 patients showed improvement in motor performance, 2 remained stable and 1 patient worsened. Rehabilitative treatment associated with pharmacological therapy has proven to be useful in patients affected by cGVHD. We believe that cGVHD is a pathology which must be seen by a physiatrist as early as possible at onset of first cutaneous signs of cGVHD to limit its invalidating evolution.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"445-50"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121863","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

Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic review. 慢性阻塞性肺疾病患者呼吸康复的meta分析。Cochrane系统评价。

Europa medicophysica Pub Date : 2007-12-01

Y Lacasse, S Martin, T J Lasserson, R S Goldstein

{"title":"Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic review.","authors":"Y Lacasse, S Martin, T J Lasserson, R S Goldstein","doi":"","DOIUrl":"","url":null,"abstract":"Background: The widespread application of pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD) should be preceded by demonstrable improvements in function attributable to the programs.Objectives: To determine the impact of rehabilitation on health-related quality of life (QoL) and exercise capacity in patients with COPD.Methods: We identified randomized controlled trials (RCTs) from the Cochrane Airways Group Specialised Register. We selected RCTs of rehabilitation in patients with COPD in which quality of life (QoL) and/or exercise capacity were measured. Rehabilitation was defined as exercise training for at least 4 weeks with or without education and/or psychological support. Control groups received conventional community care without rehabilitation.Results: A total of 31 RCTs met the inclusion criteria. We found statistically significant improvements for all the outcomes. In 4 important domains of QoL (Chronic Respiratory Questionnaire scores for Dyspnea, Fatigue, Emotional function and Mastery), the effect was larger than the minimal clinically important difference. For exercise capacity, the effect was small and slightly below the threshold of clinical significance for the six-minute walking distance (WMD: 48 m; 95% CI: 32 to 65; n = 16 trials).Conclusions: Rehabilitation relieves dyspnea and fatigue, improves emotional function and enhances patients' control over their condition. These improvements are moderately large and clinically significant. Rehabilitation forms an important component of the management of COPD.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 4","pages":"475-85"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27121814","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

Gait strategy of uninvolved limb in children with spastic hemiplegia. 痉挛偏瘫患儿未受累肢体的步态策略。

Europa medicophysica Pub Date : 2007-09-01 Epub Date: 2007-01-30

V Cimolin, M Galli, N Tenore, G Albertini, M Crivellini

{"title":"Gait strategy of uninvolved limb in children with spastic hemiplegia.","authors":"V Cimolin, M Galli, N Tenore, G Albertini, M Crivellini","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The aim of this study is the gait pattern quantification in hemiplegic children with cerebral palsy using 3D Gait Analysis (GA), in order to distinguish kinematic and kinetic features of involved and uninvolved limbs.Methods: Gait pattern of 28 hemiplegic children and 10 healthy children was quantified using GA. Spatial/temporal parameters, kinematic and kinetic parameters of the main joints of lower limbs were identified and calculated.Results: In hemiplegic patients the gait pattern of uninvolved limbs was found to be different from those of involved limbs and of control group. The uninvolved limbs were characterized by significant longer stance phase, than involved limbs and healthy children. The main differences in kinematics were found at proximal joints: knee joint was more flexed than normality range during most of gait cycle and hip presented high flexion at the beginning of stance and in the swing phase. Ankle kinematics presented values closed to normative data, even if anomalous pattern was generally present. In term of ankle kinetics, excessive absorbed ankle power in the first phase of stance was found and ankle power generation revealed the mean value of its maximum to be closed to normative.Conclusion: Analysis of kinematic and kinetic parameters indicated that uninvolved limb of hemiplegic children generally presents a unique motor strategy, different from the involved limb and healthy group. Its gait pattern may be related to the search of a better stability in order to optimize gait and it may be a consequence of involved limb strategy due to the pathology.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 3","pages":"303-10"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26519394","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

Long-term effect of botulinum toxin (A) in the management of calf spasticity in children with diplegic cerebral palsy. 肉毒毒素(A)在治疗双瘫性脑瘫患儿小腿痉挛中的长期效果。

Europa medicophysica Pub Date : 2007-09-01 Epub Date: 2007-02-01

Z M Hawamdeh, A I Ibrahim, A A Al-Qudah

{"title":"Long-term effect of botulinum toxin (A) in the management of calf spasticity in children with diplegic cerebral palsy.","authors":"Z M Hawamdeh, A I Ibrahim, A A Al-Qudah","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The aim of this study was to determine possible long-term effects of multi-injections of botulinum toxin A (BT-A) on muscle tone and functional abilities in children with cerebral palsy.Methods: A randomized, single blind study was carried out. Sixty patients with spastic diplegia were enrolled; 40 received 3 successive doses of BT-A to the calf muscle bilaterally at intervals of 3 to 4 months; 20 received no injections and were considered the control group. Evaluation included measurement of muscle tone, passive ankle dorsiflexion range of motion, and gross motor function. The children in the study group were assessed at entry into the study, at 3 months, and at 18 months after the last injection. An identical assessment protocol was applied to the control group, with measurements taken at entry into the study, at 12 to 15 months, and then at 27 to 30 months, roughly corresponding to the time periods set for the study group.Results: Muscle tone and passive ankle dorsiflexion range showed clinically and statistically significant improvement following BT-A injection at 3 months (P=0.000, P=0.04, respectively) and at 18 months (P=0.005, P=0.007, respectively) compared to the control group, but gross motor function showed significant improvement only at 18 months (P=0.02). Comparison between the first and second evaluations after the last injection in the study group showed a significant improvement in gross motor function and ankle dorsiflexion range (P=0.000 for both parameters); however, muscle tone was significantly increased (P=0.002).Conclusion: This study gives support to a possible prolonged effect of intramuscular BT-A as an adjunct to conventional physiotherapy to reduce spasticity and improve functional mobility in children with spastic diplegic cerebral palsy.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"43 3","pages":"311-8"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26525993","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