Europa medicophysica最新文献_第9页

Multidimensional health-status assessment of chronic hemodialysis patients: the impact on quality of life. 慢性血液透析患者多维健康状况评估:对生活质量的影响

Europa medicophysica Pub Date : 2006-06-01

D Guerini Rocco, A Mercieri, G Yavuzer

{"title":"Multidimensional health-status assessment of chronic hemodialysis patients: the impact on quality of life.","authors":"D Guerini Rocco, A Mercieri, G Yavuzer","doi":"","DOIUrl":"","url":null,"abstract":"Aim: This study was designed to define impairment of body functions and structures, limitations in activity, restrictions in participation, and health-related quality of life of chronic hemodialysis (HD) patients, in order to assign proper rehabilitation programs.Methods: Forty-five patients with end-stage renal disease (ESRD) from the Dialysis Unit of the Trescore Balneario's Hospital were enrolled into the study. Clinical characteristics of the disease and Tinetti's test were used to assess impairment of body structures/functions. Limitations in activities were evaluated by functional independence measure (FIM). Marital status, living environment, employment status and recreational activities were questioned; short form-36 (SF-36) was used to measure health-related quality of life.Results: Mean age of the patients (27 male, 18 female) was 63.8+/-11 years. ESRD was mainly caused by glomerulonephritis (22%). Tinetti's test showed that 11% of HD patients could not walk without help. On the day of dialysis the total FIM score of HD patients dropped about 40 points. Only 2 patients (4.5%) were able to live alone and 6 patients (13%) have gone for vacation since they started dialysis treatment. Compared to the general population sample (91.99+/-23.41), HD patients (50.08+/-22.56) scored significantly lower total SF-36 scores (P<0.001).Conclusion: HD patients had to face increased limitations in functional independence on the day of dialysis, as well as highly restricted social participation. Preventive and rehabilitative programs including medical management, nursing care and a range of multidisciplinary services can promote quality of life of patients with ESRD on HD.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 2","pages":"113-9"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26083294","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 electrical stimulation-induced neural changes and recovery after stroke. 脑卒中后功能性电刺激诱导的神经改变和恢复。

Europa medicophysica Pub Date : 2006-06-01

H Weingarden, H Ring

引用次数: 0

Gait deviations of patients with diabetes mellitus: looking beyond peripheral neuropathy. 糖尿病患者的步态偏差:超越周围神经病变。

Europa medicophysica Pub Date : 2006-06-01

G Yavuzer, I Yetkin, F B Toruner, N Koca, N Bolukbasi

{"title":"Gait deviations of patients with diabetes mellitus: looking beyond peripheral neuropathy.","authors":"G Yavuzer, I Yetkin, F B Toruner, N Koca, N Bolukbasi","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The aim of this paper was to define the gait deviations in patients with diabetes mellitus (DM), to investigate the associations between electrophysiological findings and gait characteristics, and to interpret the findings in preventive and therapeutic rehabilitation protocols.Methods: Forty-six patients with DM and 20 healthy control subjects were enrolled into this controlled study. Electrophysiological studies and computerized gait analysis were performed. Gait deviations of DM patients with diabetic peripheral neuropathy (DPN) (n=20), without diabetic peripheral neuropathy (NDPN) (n=26) and healthy control subjects (C) (n=20) were compared, and associations between electrophysiological findings and gait characteristics were investigated.Results: NDPN, but not DPN, group revealed slower gait, shorter steps, limited knee and ankle mobility, lower ankle plantar flexor moment and power than C group, and the difference was statistically significant. HbA1c levels and F-wave latency were significantly correlated with ankle mobility, peak ankle plantar flexion moment and power.Conclusion: Neuropathy may not be the only reason for gait deviations in DM patients. Considering the spectrum of hyperglycemic complications including the mechanical characteristics of bones, muscles and soft tissues, patients with DM should start mobility and strengthening exercises in early stages.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 2","pages":"127-33"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26083291","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

Neutral wrist splinting in carpal tunnel syndrome: a 3- and 6-months clinical and neurophysiologic follow-up evaluation of night-only splint therapy. 中性腕夹板治疗腕管综合征:夜间夹板治疗的3个月和6个月临床和神经生理学随访评价

Europa medicophysica Pub Date : 2006-06-01

S Premoselli, P Sioli, A Grossi, C Cerri

{"title":"Neutral wrist splinting in carpal tunnel syndrome: a 3- and 6-months clinical and neurophysiologic follow-up evaluation of night-only splint therapy.","authors":"S Premoselli, P Sioli, A Grossi, C Cerri","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The aim of the study was to evaluate the long-term efficacy of night-only splint wear therapy for carpal tunnel syndrome (CTS).Methods: We conducted a randomized case-control trial with evaluation after three and six months of follow-up of outpatients with mild, recent onset symptoms of CTS recruited from the department clinic. Fifty patients (50 hands) were enrolled, of which 36 completed the study at 6 months. The case group utilized a thermoplastic neutral wrist splint for night-only wear. Outcome measures were instrumental parameters (sensory and motor nerve conduction velocity), symptom and function alterations (as measured by Levine's self-administered questionnaire), clinical parameters (pressure-provocative and Phalen tests).Results: Improvements were observed in Levine's symptom status score at the three-month (P=0.001) and the six-month (P=0.001) follow-up visits, in functional score (P=0.0001) and (P=0.0004), in median distal sensory latency (P=0.01) and (P=0.02), in pressure-provocative test outcome (P=0.01) and (P=0.003), in Phalen test outcome (P=0.04) and (P=0.05) respectively.Conclusion: Symptom relief and neurophysiological improvement after night-only splint wear therapy lasted up to the six-month follow-up visit.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 2","pages":"121-6"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26083290","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

On the introduction of a new parameter for the analysis of posture by acceleration of the centre of pressure. 介绍了用压力中心加速度分析姿态的新参数。

Europa medicophysica Pub Date : 2006-06-01

P B Pascolo, A Marini

引用次数: 0

The influence of comorbidities and complications on discharge function in stroke rehabilitation inpatients. 脑卒中康复住院患者合并症及并发症对出院功能的影响。

Europa medicophysica Pub Date : 2006-06-01

G Ferriero, F Franchignoni, E Benevolo, M Ottonello, M Scocchi, M Xanthi

{"title":"The influence of comorbidities and complications on discharge function in stroke rehabilitation inpatients.","authors":"G Ferriero, F Franchignoni, E Benevolo, M Ottonello, M Scocchi, M Xanthi","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The aims of this prospective study were: 1) to assess the frequency, type and severity of comorbidities (COMs) and complications (COMPLs) in acute stroke patients, according to the weighted comorbidity index (w-CI) of Liu et al. and 2 new indices, respectively COM severity index (COM-SI) and COMPL severity index (COMPL-SI); 2) to separately analyse the interference of COMs and COMPLs with functional status and recovery during stroke rehabilitation treatment; 3) to compare the ability of COM-SI and COMPL-SI to predict functional independence at discharge with that of w-CI.Methods: Eighty-five stroke rehabilitation inpatients participated in the study. The type, incidence and severity of COM at admission and of COMPL during the whole hospital stay were studied prospectively. The Functional Independence Measure (FIM) scale was administered at both admission and discharge.Results: About 1/3 suffered from some significant COM and another 1/3 developed COMPLs needing specific medical treatment and/or clinical monitoring. The most frequent COMs and COMPLs were cardiovascular and psychiatric/psychological diseases. The odds of having a high efficiency in the daily functional gain (FIM score) were greater for patients without any COM (3.5) and/or COMPL (4.6). Similarly, the odds of having a high FIM score at discharge were greater (3.5) for patients without COM or COMPL. The COM-SI demonstrated a higher predictive capacity of the FIM score at discharge (5%) than w-CI (4%), and COMPL-SI (1%).Conclusions: COM-SI resulted as the most interesting predictive index of functional outcome at discharge, after accounting for the functional status at admission.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 2","pages":"91-6"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26082866","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 of the lumbar spine through the optoelectronic ZooMS system. Clinical application. 利用光电zoom系统评估腰椎的功能。临床应用。

Europa medicophysica Pub Date : 2006-06-01

G L Ciavarro, G Andreoni, S Negrini, G C Santambrogio

{"title":"Functional assessment of the lumbar spine through the optoelectronic ZooMS system. Clinical application.","authors":"G L Ciavarro, G Andreoni, S Negrini, G C Santambrogio","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The radiographic method remains the main imaging technique for the physiological, anatomical and possibly pathological analysis of the spine thanks to its ease of use, precision and reliability. Despite this, the technique is inadequate for functional and dynamic studies. This paper aims to apply a dedicated noninvasive methodology based on optoelectronic techniques for the functional evaluation of the lumbar spine.Methods: A reference data set for typical movements (i.e. flexion/extension, lateral bending, axial rotation) of the lumbar spine has been developed. Twenty healthy subjects have been recruited (10 males and 10 females) to create the databases of healthy subjects; one subject who suffers from lumbar spine diseases has been analyzed and his mobility has been compared to healthy subjects.Results: Two databases have been created: in the former, the entire movement is normalized in time with respect to its duration; in the latter, all movements are classified in characteristic phases and each single phase is normalized to a defined duration. These databases include both the global movement of the lumbar tract of the spine and the movement of the single functional units (2 vertebrae, the intervertebral disk and the intervening surrounding soft tissues). Moreover, these databases are divided into male and female databases according to the natural differences in range of motion and pattern of movement. A clinical application for pathologic subjects is shown demonstrating the applicability and usability of this protocol.Conclusion: This method allows to assess both the quality and the quantity of lumbar spine movement (both global and metameric level) of the subject and to distinguish the patient from the healthy subject.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 2","pages":"135-43"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26083295","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

Diagnostic therapeutic flow-charts for low back pain patients: the Italian clinical guidelines. 下腰痛患者的诊断治疗流程图:意大利临床指南。

Europa medicophysica Pub Date : 2006-06-01

S Negrini, S Giovannoni, S Minozzi, G Barneschi, D Bonaiuti, A Bussotti, M D'Arienzo, N Di Lorenzo, A Mannoni, S Mattioli, V Modena, L Padua, F Serafini, F S Violante

引用次数: 0

Submaximal aerobic exercise with mechanical vibrations improves the functional status of patients with chronic fatigue syndrome. 机械振动的亚极限有氧运动改善慢性疲劳综合征患者的功能状态。

Europa medicophysica Pub Date : 2006-06-01

R Saggini, J Vecchiet, S Iezzi, D Racciatti, G Affaitati, R G Bellomo, E Pizzigallo

{"title":"Submaximal aerobic exercise with mechanical vibrations improves the functional status of patients with chronic fatigue syndrome.","authors":"R Saggini, J Vecchiet, S Iezzi, D Racciatti, G Affaitati, R G Bellomo, E Pizzigallo","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Chronic fatigue syndrome (CFS) is an illness characterised by disabling fatigue of uncertain aetiology and other nonspecific symptoms. Typically CFS patients complain of a severe fatigue made worse by exercise, with a consistent reduction of working activity. A physical deconditioning could explain CFS features as well as a neuromuscular dysfunction, of central or peripheric origin.Methods: Ten CFS patients were enrolled in a protocol of a rehabilitative treatment over a six-month period: they underwent a submaximal and predominantly aerobic exercise with a reduced O2 consumption using a Galileo 2000 system that provides mechanical vibrations characterised by sinusoid vertical sollecitations. Before and after such treatment, all patients underwent a pressure pain thresholds profile, an evaluation of physical and psychosocial parameters using the visual analogue scale (VAS) of Scott-Huskisson, and a muscle performance analysis by the CIBEX 6000 dynamometer.Results: After the six-month period of study there was an overall improvement of the above described parameters as compared to the basal determinations.Conclusion: We conclude that the rehabilitative exertion provides an useful treatment for CFS patients particularly to realize an effective training of the explosive strength.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 2","pages":"97-102"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26083289","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 functional outcome measures in corticosteroid-treated complex regional pain syndrome. 皮质类固醇治疗复杂局部疼痛综合征的长期功能结局测量。

Europa medicophysica Pub Date : 2006-06-01

C Bianchi, S Rossi, S Turi, A Brambilla, G Felisari, D Mascheri

{"title":"Long-term functional outcome measures in corticosteroid-treated complex regional pain syndrome.","authors":"C Bianchi, S Rossi, S Turi, A Brambilla, G Felisari, D Mascheri","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The aim of this paper was to assess the effects of low-dose systemic corticosteroid therapy in complex regional pain syndrome (CRPS), to measure the long-term functional outcome, and to evaluate an arbitrary scale of severity of CRPS.Methods: An evaluation of 31 consecutive subjects diagnosed with CRPS before and after they underwent corticosteroid therapy was carried out. The clinical and functional variables considered were evaluated at baseline, halfway through therapy, at the end and after 1, 6 and 12 months after the end of treatment. A clinical severity scale of CRPS was devised.Results: The comparison between baseline and post-treatment data of the principal variables resulted in all cases significant (P<0.001), as did, in most cases, the changes in variables between successive time intervals (P<0.05), supporting the long-term efficacy of treatment. The score of the clinical severity scale of CRPS showed a significant improvement in the one-year follow-up.Conclusion: Corticosteroid therapy in CRPS provides a short-term response to the pain with a low risk of side effects. The improvement in all the variables considered persisted at one-year follow-up. The arbitrary scale of clinical severity of CRPS should be further tested in order to propose it as an instrument for use in following the course of CRPS.","PeriodicalId":87180,"journal":{"name":"Europa medicophysica","volume":"42 2","pages":"103-11"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26083293","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