Physical medicine and rehabilitation international最新文献

{"title":"Study of Red Ginseng Preparation HRG80 for Relieving Muscle Pain/Soreness and Supporting the Neuromuscular Performance of Elite Weightlifters in Intense Resistance Exercise: An Open-Label, Randomized, Crossover Trial","authors":"Hovhannisyan As, Mosinyan Dn, Hayrumyan Sa, Panossian Ag","doi":"10.26420/physmedrehabilint.2022.1207","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2022.1207","url":null,"abstract":"This study aimed to assess the efficacy of new Panax ginseng C.A.Mey preparation of increased bioavailability in fatigue assessed as relief of muscle soreness and improving the neuromuscular performance of healthy subjects following a bout of intense resistance exercise. The effects of the hydroponically cultivated red ginseng root powder HRG80TM (RG) γ-Cyclodextrin -based chewable tablets and cyclodextrin-free RG capsules were compared in an openlabel, randomized, crossover trial on 20 elite weightlifters. The RG treatments for 10 days have a statistically significant effect on the relief of the muscle’s soreness compared to the control. No statistically significant difference was observed in the effects of two capsules vs. one tablet suggesting that γ-Cyclodextrin based chewable tablets of red ginseng preparation HRG80 are almost 4-fold active of cyclodextrin-free HRG80 capsules. Furthermore, the effect of tablets vs. control was significant on the 5th day of the treatment, while the effect of capsules vs. control was observed three days later - on the 8th day. However, in push-ups on the uneven bars (PUB) test of neuromuscular performance, the capsule intake results in increased physical performance compared to tablets or control with maximal effect on the 7th day of treatment. The results of this study provide evidence for the efficacy of γ-cyclodextrin-based chewable tablets containing 100 mg of red ginseng HRG80TM for relief of muscle soreness and supporting the neuromuscular performance of healthy subjects in intense resistance exercise.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43852287","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}

{"title":"Decannulation Timing is an Expression of Neurological Recovery Time: The Need to Define a Performance within a Time Frame","authors":"Lombardi F, B. A, C. G., M. P, Massobrio M, Lusuardi M","doi":"10.26420/physmedrehabilint.2022.1206","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2022.1206","url":null,"abstract":"Introduction: The factors that influence the likelihood of tracheostomy tube weaning in patients with severe acquired brain injury (sABI) are fairly well known, and recently it has been pointed out that improving swallowing and cough resistance are among the most important. What has not yet been focused on is the “passage of time” factor and how much it affects weaning opportunities. Objective: With this study, we wanted to analyze how the probability of decannulation varies over time, consistent with neurological improvement. Method: We examined the tracheostomy database of our neurological rehabilitation unit, which reports data from 359 patients with sABI, hospitalized between 2000 and 2012, and all carriers of tracheostomy tube upon admission. The sample was divided into two groups based on the time gap between the acute event and admission to rehabilitation, an Early Group = 60 days and a Late Group > 60 days. The probability of decannulation, both overall and subdivided by groups, was then evaluated. Results: The E-Group showed better functional scores at discharge and a better percentage of decannulation compared with the L-Group. The differences were statistically significant, but later decannulations were not unusual: 12% late weanings versus 88% earlier. The probability of decannulation increases over time and is a factor dependent on the degree of neurological and functional recovery. It is of primary importance to consider these aspects when making comparisons between different centers, defining a product standard or performing benchmarking analyses. Conclusions: The rehabilitative prognosis for decannulation can be reliably judged only after a suitable and well-defined period of time, because the probability of tube weaning has been shown to be strongly dependent on the amount of time that passes. This study also showed that effective decannulations can be achieved even more than 6 months after the acute event, although with significantly lower probabilities.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43231200","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}

{"title":"Vincer EMO Project: Physical Activity for Haemophilic Patients. How We Faced Up SARS COV2 Pandemic","authors":"Valeri F, Borchiellini A, D. C., Bardetta M, S. C, Merli P, Galizia M, Agostino S, Cunsolo N, Maffia M, Zanon F, Bruno B, Massazza G","doi":"10.26420/physmedrehabilint.2022.1205","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2022.1205","url":null,"abstract":"The SARS COVID pandemic has negatively impacted health care activities in the entire world, both in emergency and ordinary inpatient and outpatient regimes. Rehabilitation has also suffered a heavy penalty which has not spared research projects in specific sectors. The VINCEREMO project stems from the need to objectively evaluate the benefits of a regular personalized physical activity program on musculoskeletal health in patients with severe haemophilia A and B. These patients present in a high percentage of important functional limitations and reduction of trophism and muscle strength due to the consequences of haemophilic arthropathy. Multi-district impairments in addition with the high risk of bleeding hinder the performance of common recreational and sports activities, resulting in social isolation of patients, especially in childhood and youth age. Even if the SARS COVID pandemic interrupted the various rehabilitation activities in the expected mode of the project, we were also able to continue the training course thanks to personalized tele-rehabilitation programs, who supported patients during the lockdown period, maintaining good adherence to therapeutic proposals. The preliminary results of the controls at the end of the reference period showed positive changes in the outcome indicators.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44385804","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}

{"title":"Risk Assessment System of Fall in the Elderly Using Artificial Intelligence and Cloud Computing","authors":"Blasco-García Jd, P. N, López-Riquelme Ja, Feliu-Batlle Jj, Nieto-Galera R, Herrero Mt","doi":"10.26420/physmedrehabilint.2022.1204","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2022.1204","url":null,"abstract":"This paper presents a Cloud-based online tool for helping health professionals to predict the risk of falling in the elderly by using the well-known Tinetti’s Test. This tool implements a Deep Learning-based method for allowing several Tinetti scale’s items to be automatically estimated, simply using a conventional camera or a recorded video. From these sources of information, patients’ skeleton is recognized and their movements analyzed by applying some geometric calculations, which provide an objective risk assessment. Results are represented as a set of plots easily interpretable by experts. Several tests, in a controlled environment, have been carried out to validate the accuracy and reliability of the system. Moreover, some tests have been also made with real elderly patients, whose results have been evaluated by therapists. The benefits of using such remote tool for assessing (objective) fall risk, from a usability point of view, are also highlighted.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46587348","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}

{"title":"Short Wave Diathermy (SWD) Therapy in Patients with Adhesive Capsulitis of Shoulder","authors":"H. A, Khan Zi","doi":"10.26420/physmedrehabilint.2022.1203","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2022.1203","url":null,"abstract":"Introduction: There are several options for the management of adhesive capsulitis. Short Wave Diathermy (SWD) is also an important option for adhesive capsulitis management, but very few data are available to support SWD use in adhesive capsulitis. Therefore, we studied the effectiveness of SWD to improve the pain and range of motions in frozen shoulder. Methods: A total 56 patients with adhesive capsulitis were selected in this randomized controlled trial for a study period of 6 months. The subjects were divided into two intervention groups; one group with conventional treatment plan plus SWD and second group with conventional treatment alone. Visual Analogue Scale (VAS) with Tenderness Grading (TG) and Shoulder Pain And Disability Index scoring (SPADI) were used to measure the pain and disability, The SPSS (version 20) was used for the statistical analysis; differences between the intervention groups were determined by independent t-test. Results: Among 56 patients, male and female gender were matched (p>0.05) and male to female ratio was 1.66: 1. Only one patient had both shoulders involvement, 48.2% of subjects had right sided and 50.0% had left sided involvement. There were 92.7% of patients who had localized pain and only 7.3% had radiating pain. About 56.4% of the patients had evening time of onset of the pain and 43.6% at night. Most of the patients in both groups had constant and intermittent type of pain, 47.5% and 45.5% respectively, and other types were sharp and dull. Significant differences were observed in VAS, TG and SPADI analysis in between Group A and Group B at week 2, 4 and 6 (P<0.05), whereas initial follow-up was non-significant in VAS and TG analysis (p>0.05). Conclusion: We conclude that when SWD is combined with conventional management of adhesive capsulitis, it gives better reduction in shoulder pain and disability.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45780540","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}

{"title":"Neurophysiological Examination of the Effects of Behavioral Antecedents on Physical Balance in Older Individuals","authors":"Kodama T, A. T., Matsuo N, Yamaguchi H","doi":"10.26420/physmedrehabilint.2022.1202","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2022.1202","url":null,"abstract":"Falls in older individuals can be caused by balance disorders, influenced by predictive factors based on self-efficacy and outcome expectation. This study investigated the relationship between predictive factors related to regional neural functional activity and postural control. We included 16 older men (average age, 76.4±5.8 years) and evaluated their balancing ability and fall-related selfefficacy using the Japanese version of Mini-Balance Evaluation Systems Test (J-Mini-BESTest) and the Japanese version of the Falls Efficacy Scale (JFES), respectively. We performed an electroencephalogram before, during, and after postural perturbations. The cortical activity in the right Inferior Parietal Lobe (IPL) and Supplementary Motor Area (SMA) was analyzed using current density in the specific regions of interest. Foot Response Values (FRV) were used to evaluate physical responses during postural perturbations. The neural activity values in the IPL after postural perturbations indicated a significant positive correlation with JFES and J-Mini-BESTest scores when prior information was provided to participants. The neural activity values in the SMA before postural perturbations showed a significant positive correlation with J-Mini-BESTest score and a significant negative correlation with FRV. Furthermore, during postural perturbations, subjects with prior information exhibited significant positive neural correlations with neural activity between the SMA and IPL. These results suggest that neural activity in these brain regions influence balancing ability and predictive factors. Prior knowledge of a postural perturbation’s timing could be a compensatory factor promoting the activation of predictive factors.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42769098","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}

{"title":"Less Medicines in Older Patients in the Netherlands, The Lemon Study: Study Protocol of a Cluster Randomised Controlled Trial","authors":"Abou J, Elders Pjm, H. D, Domic J, Marum Rv, H. J.","doi":"10.26420/physmedrehabilint.2022.1201","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2022.1201","url":null,"abstract":"Background and Objective: Overtreatment with cardiometabolic medication is a common phenomenon in older patients. Up to 20% of these patients may be eligible for deprescribing. Deprescribing may decrease the risk of adverse drug events and is indicated when a drug may lead to more harm than benefits. The LeMON study aims to develop, implement and evaluate a standardized template for the performance of clinical medication reviews (CMR) using evidence based tools and training to support deprescribing of cardiometabolic medication. Method: A clustered randomized controlled study involving twenty community pharmacists (CP). CP will be asked to conduct a CMR in ten patients. The intervention group will receive training on the background of deprescribing cardiometabolic medication and the use of tools and the control group will perform a CMR according to standard practice. Follow-up will take place within four weeks (T1) and after three months (T2) following the CMR. Patients 70 years or older; polypharmacy and chronic use of at least one blood pressure medicine and having a systolic blood pressure below 140 mmHg, or chronic use of glucose lowering medication and HbA1c level below 54 mmol/ mol were included. Discussion: The LeMON study will assess whether a primary care-based intervention educating CPs about deprescribing cardiometabolic medication reduces the number of cardiometabolic medication used by older patients with a blood pressure or HbA1c lower than the treatment targets tment. The use of algorithms including information on blood pressure and/or HbA1c and cardiometabolic medication use has not been studied previously.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49113092","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}

{"title":"The Importance of an Early Suppression of the Moro Reflex","authors":"Niklasson M, N. I.","doi":"10.26420/physmedrehabilint.2022.1200","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2022.1200","url":null,"abstract":"The vestibular-Moro reflex connection was elaborated and it was concluded that a retained Moro reflex after the age of four months should be further investigated in order to prevent future sensorimotor difficulties.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42064552","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}

{"title":"Shortwave Diathermy: Actualization","authors":"Sanchez Hm, M. Eg","doi":"10.26420/physmedrehabilint.2022.1197","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2022.1197","url":null,"abstract":"Short wave diathermy (SWD) is a therapeutic modality that offers the body an increase in temperature, through the high frequency in electromagnetic irradiation, so as not to generate ionization to the tissues. This therapeutic modality works based on the principle that energy is transferred within the layers of deep tissues by a high frequency current and the generation of tissue heat. Therefore, there is an agitation of the molecules in response to an electric field, converting the kinetic energy into heat [1-4]. It uses radio frequency bands generally centered at 13.56MHz, 27.12MHz and 40.68MHz, with the most commonly used frequency being 27.12MHz with a corresponding wavelength of 11.6m (1.5).","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48559532","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}

{"title":"Reliability Comparisons of Cervical Active Range of Motion Measuring Methods: Universal Goniometer versus Virtual Reality","authors":"C. P.","doi":"10.26420/physmedrehabilint.2022.1195","DOIUrl":"https://doi.org/10.26420/physmedrehabilint.2022.1195","url":null,"abstract":"The purpose of this research study is to compare the reliability of measuring active cervical range of motion performed with the universal goniometer with an FDA approved XRHealth virtual reality computer program and the Oculus Rift. Methods: The design of the study is a single-blinded randomized controlled study. A sample size of 40 adults was recruited via email, posters, and person to person recruitment. The sample was comprised of males and females, ages 20 to 72-year-old. Equipment included a large universal goniometer with 12-inch arms and a covered full circle plastic body, oculus rift with a computer, VR Health System, chair with arms and a gait belt to control for trunk movements. All four investigators underwent a training session in the measurement of cervical range of motion utilizing a universal goniometer. Each participant was measured with each tool twice. Results: Virtual reality demonstrated a statistically significant difference from the standard goniometer methods at a 99% confidence level (p=0.01). Both tools (goniometer and virtual reality) were found to have good to excellent inter-rater reliability. Conclusion: This study suggests a virtual reality method can be used as a reliable clinical tool in comparison with the universal goniometric cervical active range of motion measurement. Recommendations for future studies should be focused on establishing the validity of virtual reality as an assessment tool using a larger sample size with a wide age range and those who have current cervical discomfort or are experiencing functional limitations in cervical ranges of motion.","PeriodicalId":90945,"journal":{"name":"Physical medicine and rehabilitation international","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48166296","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}