Kathryn Anne Sinnott Jerram, J. Dunn, R. Smaill, J. Middleton
{"title":"Using mixed methods to better appreciate the life impact of upper limb reconstruction surgeries for tetraplegia in New Zealand – a study protocol","authors":"Kathryn Anne Sinnott Jerram, J. Dunn, R. Smaill, J. Middleton","doi":"10.15761/pmrr.1000194","DOIUrl":"https://doi.org/10.15761/pmrr.1000194","url":null,"abstract":"Background: Until the recent advent of innovative nerve transfer (NT) procedures, upper limb reconstructive surgeries for people with tetraplegia have traditionally involved tendon transfers being performed at a time when neurological recovery had plateaued and the person had returned to live, adapt and acquire new life skills prior to having surgery. This study aims to provide a greater understanding of the process of decision-making for upper limb reconstructive surgical procedures at an early stage prior to full knowledge of life with tetraplegia, as well as the life impacts of surgical arm/hand reconstruction procedures. Methods: A mixed methods convergent design is utilized to allow for the concurrent exploration of narrative data from a case series; and qualitative content analysis of one and quantitative analysis of the two patient-reported outcome measures (PROMs) collected in New Zealand Upper Limb Surgery Registry since 2010. Concurrently, the international classification of functioning, disability and health (ICF) taxonomy is used as the analytical lens to guide data interpretation. Discussion: This study series challenges the conduit role of research and lived experience collaborations for embracing both rehabilitation and disability philosophies to generate and translate knowledge in the SCI field. The designed studies will inform identification of the most relevant therapeutic targets and their measurement, with increased integrity around the ‘person-centred assessment process’ and elaboration of PROMs that reflect that integrity, and are less clinician-directed in terms of content.","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506608","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}
S. Zampieri, N. Šarabon, Stefan Löfler, C. Hofer, Sascha Sajer, Felix Kabas, Ján Cvečka, M. Sedliak, Mathias Krenn, Wolfgang Hüebl, H. Kern
{"title":"Cayenne Pepper Cataplasm “Munari” reduces pain and improves mobility in patients with non-specific chronic low back pain","authors":"S. Zampieri, N. Šarabon, Stefan Löfler, C. Hofer, Sascha Sajer, Felix Kabas, Ján Cvečka, M. Sedliak, Mathias Krenn, Wolfgang Hüebl, H. Kern","doi":"10.15761/PMRR.1000202","DOIUrl":"https://doi.org/10.15761/PMRR.1000202","url":null,"abstract":"1Department of Biomedical Sciences, Padova, Italy 2University of Primorska, Faculty of Health Sciences, Koper, Slovenia 3S2P, Science to Practice Ltd., Laboratory for Motor Control and Motor Behaviour, Ljubljana, Slovenia 4Ludwig Boltzmann Institute of Rehabilitation Research, St Pölten, Austria 5Institute of Physical Medicine and Rehabilitation, Prim. Dr. H Kern GmbH, Amstetten, Austria 6Comenius University, Institute for Human Performance, Bratislava, Slovakia 7Comenius University, Department of Sport Kinanthropology, Bratislava, Slovakia 8Department of Laboratory Medicine, Wilhelminenspital, Vienna, Austria","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506684","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}
S. Wojkowski, H. Khurana, J. Richardson, Susanne Sinclair, L. Letts, V. D. Bello-Haas, L. Shimmell
{"title":"Rehabilitation for Hard to Reach Populations: A Scoping Review Protocol","authors":"S. Wojkowski, H. Khurana, J. Richardson, Susanne Sinclair, L. Letts, V. D. Bello-Haas, L. Shimmell","doi":"10.15761/PMRR.1000198","DOIUrl":"https://doi.org/10.15761/PMRR.1000198","url":null,"abstract":"Rehabilitation is a set of interventions designed to reduce disability, and optimize functioning in individuals with health conditions, such as disease, injury, trauma, aging, stress, or genetic predisposition, in interaction with their environments [1]. The field of rehabilitation is primarily focused on optimizing the function of persons with health conditions to promote independence [2]. The overall need for rehabilitation care is steadily increasing as global trends indicate an escalation in injuries and diseases in an aging population [2]. Timely access to health services, including rehabilitation, is critical to promote and sustain health [3].","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506988","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":"Creating a standardized, quantitative training protocol for upper limb bypass prostheses","authors":"Conor Bloomer, Sophie L. Wang, K. Kontson","doi":"10.15761/PMRR.1000191","DOIUrl":"https://doi.org/10.15761/PMRR.1000191","url":null,"abstract":"We aim to present a standard protocol for training able-bodied individuals to use a body-powered bypass prosthesis and assess training length and impact of prepositioning. The protocol design and subsequent analysis aims to facilitate controlled and efficient implementation of the able-bodied bypass user in the research setting. Six volunteers completed ten two-hour sessions with a body-powered bypass prosthesis. Each session included standardized training tasks: object manipulation, free training, and activities of daily living. Two outcome measures, a modified Southampton Hand Assessment Procedure and the Box and Blocks Test were used to score performance during each session. A standard learning curve was fitted to the scores to determine an optimal training length based on learning rate and learning plateau values; further tested through an effect size calculation. To assess prepositioning, scores were normalized and grouped by a measure of terminal device rotations. Scores then underwent a linear regression analysis. Optimal training lengths were found to be three and six sessions for modified Southampton Hand Assessment Procedure and Box and Blocks Test results respectively, with support from effect size calculations. Prepositioning and normalized score were weakly correlated, +0.38, and poorly fit, R2 = 0.016, contradictory to the expected strong correlation that would accompany the supposed performance benefits attributed to prepositioning. A lack of resources to guide the use of upper limb bypass prostheses is addressed with the presented standard, quantitatively assessed protocol. A framework for evaluating adequate training length and prepositioning is established and shared.","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"3 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2018-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46174934","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":"Creating a standardized, quantitative training protocol for upper limb bypass prostheses.","authors":"Conor Bloomer, Sophie Wang, Kimberly Kontson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We aim to present a standard protocol for training able-bodied individuals to use a body-powered bypass prosthesis and assess training length and impact of prepositioning. The protocol design and subsequent analysis aims to facilitate controlled and efficient implementation of the able-bodied bypass user in the research setting. Six volunteers completed ten two-hour sessions with a body-powered bypass prosthesis. Each session included standardized training tasks: object manipulation, free training, and activities of daily living. Two outcome measures, a modified Southampton Hand Assessment Procedure and the Box and Blocks Test were used to score performance during each session. A standard learning curve was fitted to the scores to determine an optimal training length based on learning rate and learning plateau values; further tested through an effect size calculation. To assess prepositioning, scores were normalized and grouped by a measure of terminal device rotations. Scores then underwent a linear regression analysis. Optimal training lengths were found to be three and six sessions for modified Southampton Hand Assessment Procedure and Box and Blocks Test results respectively, with support from effect size calculations. Prepositioning and normalized score were weakly correlated, +0.38, and poorly fit, <i>R</i> <sup><i>2</i></sup> = 0.016, contradictory to the expected strong correlation that would accompany the supposed performance benefits attributed to prepositioning. A lack of resources to guide the use of upper limb bypass prostheses is addressed with the presented standard, quantitatively assessed protocol. A framework for evaluating adequate training length and prepositioning is established and shared.</p>","PeriodicalId":92704,"journal":{"name":"Physical medicine and rehabilitation research","volume":"3 6","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6547834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37047356","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}