Padua L.,Don Carlo Gnocchi Onlus Foundation |
Padua L.,Catholic University of the Sacred Heart |
Pazzaglia C.,Don Carlo Gnocchi Onlus Foundation |
Schenone A.,Neurology |
And 4 more authors.
European Journal of Physical and Rehabilitation Medicine | Year: 2014
Background. Charcot Marie Tooth (CMT) disease is the most common inherited polyneuropathy. At the moment there is no pharmacological therapy for this pathology and the conservative treatment is mostly based on rehabilitation program. Moreover there is no medical consensus on it and the perception of its efficacy is mostly clinician-oriented. Aim. To evaluate, through ad hoc self-administered questionnaires, the patient and family/caregiver perspective on rehabilitation access and perceived benefit from it. Design. Observational survey study. Setting. Clinical and genetic records of in and out-patients of third level hospitals and a patients association (ACMT-Rete) and familiar/caregiver. Population. Patients affected by CMT and familiar/ caregiver. Results. Questionnaires showed that patients perceive physical and mental benefit from rehabilitation, but also perceived that do not perform the best rehabilitation program for their pathology. Familiar and caregiver, are not sure that rehabilitation is effective for their kin, probably because the benefits are too small to be seen by someone other than the patient. Conclusion. The study shows as the lack of a consensus on rehabilitation tailored on CMT patients need is perceived by patients and familiar/caregiver. Clinical Rehabilitation Impact. The knowledge of patients perception is very important in order to obtain the best rehabilitation program for CMT disease.
Busch J.C.,German Sport University Cologne |
Lillou D.,Rehabilitation |
Wittig G.,Rehabilitation |
Bartsch P.,Rehabilitation |
And 4 more authors.
Journal of the American Geriatrics Society | Year: 2012
Objectives To compare the efficacy of intensive functional exercise training with that of usual cardiac rehabilitation (CR) in very old adults soon after coronary bypass surgery (CABG). Design Randomized controlled trial. Setting In-hospital CR. Participants Individuals aged 75 and older (n = 173, mean 78.5 ± 3.2) participated in inpatient CR, which started soon after surgery (13.1 ± 5.3 days) and lasted for a mean of 20.4 ± 3.2 days. Intervention Participants were randomly assigned to an inpatient CR intervention group (IG; n = 84) or a control group (CG; n = 89). All participants participated in the inpatient CR program. In addition, IG participants participated in resistance training and special balance training (5 d/wk). Measurements Six-minute walk test, cardiopulmonary exercise testing, Timed-Up-and-Go Test (TUG), and a maximal isometric strength test were used to access functional capacity and the MacNew questionnaire to evaluate health-related quality of life (HRQL). Results There were significant improvements (P < .001) in all measured variables over the duration of CR. Improvements in functional capacity were significantly greater in the IG than the CG for 6-minute walk distance (6-MWD) (IG Δ 67.3 ± 49.0 m vs CG Δ 41.9 ± 51.7 m; P = .003), TUG time (IG Δ -2.4 ± 2.2 seconds vs CG Δ -1.2 ± 3.4 seconds; P = .005), and relative workload (IG Δ 0.19 ± 0.21 W/kg vs CG Δ 0.13 ± 0.11 W/kg; P = .03). Conclusion There were significant improvements in all measured variables in very old adults participating in CR soon after CABG. With additional functional exercise training, participants randomized to IG improved significantly more than those randomized to CG on 6-MWD, TUG time, and relative workload. © 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.
Bansi J.,Rehabilitation |
Bloch W.,German Sport University Cologne |
Gamper U.,Rehabilitation |
Multiple Sclerosis Journal | Year: 2013
Background: The influences of exercising on cytokine response, fatigue and cardiorespiratory values are important aspects of rehabilitation in persons with multiple sclerosis (PwMS). Exercise performed within these programs is often practised in water but the effects of immersion on PwMS have not been systematically investigated. Objective: The objective of this study is to determine differences in cytokine and neurotrophin concentrations, fatigue and cardiorespiratory values in response to 3 week endurance training conducted on a cycle ergometer or an aquatic bike. Methods: A randomized controlled clinical trial was conducted in 60 MS patients (Expanded Disability Status Scale range 1.0-6.5). Resting serum levels of brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), Interleukin-6, soluble receptor of IL-6 and tumor necrosis factor alpha, and concentrations in response to cardiopulmonary exercise test (CPET), fatigue and cardiorespiratory values were determined at entry and discharge. Subjects performed daily 30 minute training at 60% of VO2max. Results: Cytokines and neurotrophins showed no significant differences between groups over the training intervention. Within the water group BDNF resting and post-CPET concentrations (p<0.05) showed a significant increase and NGF tended to increase after the training intervention. Short-term effects on BDNF (CEPT) tended to increase at the start and significantly thereafter (p<0.05). No changes occurred in the land group. Other cytokines and fatigue scores remained unchanged over the training period. Cardiorespiratory values improved significantly over time within both groups. Conclusion: This study indicates that aquatic training activates BDNF regulation and can be an effective training method during rehabilitation in PwMS. © The Author(s) 2012.
Krastanova M.,Rehabilitation |
General Medicine | Year: 2012
The aim of the study was to analyze, follow up and assess the recovery of daily life and working activities in patients with sequelae of cerebrovascular disease. The study involved 61 patients with sequelae of cerebrovascular disease, who underwent a physio-rehabilitation program adjusted to each particular case, including kinesitherapy, occupational therapy (ergotherapy and daily life activities) and electrotherapy. In all patients, tests were performed at initiation and completion of the rehabilitation course, where the main activities of the affected limb were self-evaluated by the patients, regardless of this whether the paretic limb was the dominant or non-dominant. To analyze the data, the Wilcoxon rank test, a statistical method for analysis and distribution of non-parametric data, was used. The comparative analysis of the obtained results has shown that in the early recovery period, the patients with paretic non-dominant limbs face less difficulties, compared to these with paresis and plegia in the dominant limbs. In the later recovery periods, the patients with paretic dominant limbs have shown a significant improvement of the test results.
Zvijac J.E.,Doctors Hospital |
Toriscelli T.A.,Sports Medicine and Performance |
Merrick W.S.,Rehabilitation |
Papp D.F.,Johns Hopkins Hospital |
Kiebzak G.M.,Doctors Hospital
Journal of Strength and Conditioning Research | Year: 2014
Zvijac, JE, Toriscelli, TA, Merrick, WS, Papp, DF, and Kiebzak, GM. Isokinetic concentric quadriceps and hamstring normative data for elite collegiate American football players participating in the NFL scouting combine. J Strength Cond Res 28(4): 875- 883, 2014-Isokinetic concentric quadriceps and hamstring strength data using a Cybex dynamometer are collected for elite collegiate American football players invited to the annual National Football League Scouting Combine.We constructed a normative (reference) database of the Cybex strength data for the purpose of allowing comparison of an individual's values to his peers. Data reduction was performed to construct frequency distributions of hamstring/quadriceps (H/Q) ratios and side-to-side strength differences. For the cohort (n = 1,252 players), a statistically significant but very small (1.9%) mean quadriceps strength preference existed for dominant side vs. nondominant side. Peak torque (Newton meters, best repetition) for quadriceps and hamstrings was significantly correlated to player body mass (weight) (the same relationship was found for other variables using peak torque in the calculation). Peak torque varied by player position, being greatest for offensive linemen and lowest for kickers (p < 0.0001). Adjusting for body weight overcorrected these differences. The H/Q ratios and frequency distributions were similar across positions, with a mean of 0.6837 ± 0.137 for the cohort dominant side vs. 0.6940 ± 0.145 for the nondominant side (p = 0.021, n = 1,252). Considerable variation was seen for dominant-to-nondominant side difference for peak torque. For quadriceps, 47.2% of players had differences between -10% and +10%, 21.0% had a peak torque dominant-side deficit of 10% or greater compared to nondominant side, and for 31.8% of players, dominant-side peak torque was greater than 10% compared to nondominant side. For hamstrings, 57.0% of players had differences between -10%and +10%, 19.6%had a peak torque dominant-side deficit of 10% or greater compared to nondominant side, and 23.4% of players, dominant-side peak torque was greater than 10% compared to nondominant side. We observed that isokinetic absolute strength variables are dependent on body weight and vary across player position. The H/Q ratios vary only within a relatively narrow range. Side-to-side differences in strength variables >10% are common, not the exception. © 2014 National Strength and Conditioning Association.
Mihailov C.I.,Ovidius University |
Journal of Environmental Protection and Ecology | Year: 2015
The use of water for medical treatment is very old tradition and hydrotherapy treatments were very popular until the middle of the last century. However, no modern treatment is fully effective neither in relieving pain, nor in curing much affection, such as rheumatoid arthritis (RA). The aim of this study was to evaluate a cohort of patients with RA in order to determinate the possible association between hydrotherapy and RA. One hundred and eighty eight patients who presented polyarticular pain which was evaluated by visual analogue scale (VAS), morning stiffness over 1 h/day, and the average functional impotence were determined. All these patients effectuated physical therapy (PT) and hydrokinetotherapy (HKT) with the aim of muscle tonification, the rising of articular amplitude, restoring stability, the equilibrium and dynamic control for walking and maintaining the good joints functionality. The 1st group consisted of 110 patients with erythrocyte sedimentation rate (ERS) < 20 div/h and had completed 3 sessions/week of PT at gym. The 2nd group consisted of 78 patients with ESR > 40 div/h and had completed 3 sessions/week of HKT with Techirghiol salt water having temperature of 33°C. After 12 months of follow up, it was seen a reduction of the VAS, morning stiffness (< 30 min), easy functional impotence with the rise of articular mobility for both groups. Furthermore, the ESR was seen to be decreased at < 20 div/h for the 2nd group in respect with the 1st group. Our results suggest that HKT with Techirghiol salt water have improved the algo-functional status of the patients. The effects of the hydrotherapy could represent a useful palliative treatment in rheumatoid diseases.
Tacchino A.,Scientific Research AreaItalian MS Foundation FISM Genoa Italy |
Brichetto G.,Scientific Research AreaItalian MS Foundation FISM Genoa Italy |
Roccatagliata L.,Health Science University |
Bommarito G.,Rehabilitation |
And 4 more authors.
Human Brain Mapping | Year: 2016
Motor imagery (MI) relies on the mental simulation of an action without any overt motor execution (ME), and can facilitate motor learning and enhance the effect of rehabilitation in patients with neurological conditions. While functional magnetic resonance imaging (fMRI) during MI and ME reveals shared cortical representations, the role and functional relevance of the resting-state functional connectivity (RSFC) of brain regions involved in MI is yet unknown. Here, we performed resting-state fMRI followed by fMRI during ME and MI with the dominant hand. We used a behavioral chronometry test to measure ME and MI movement duration and compute an index of performance (IP). Then, we analyzed the voxel-matched correlation between the individual MI parameter estimates and seed-based RSFC maps in the MI network to measure the correspondence between RSFC and MI fMRI activation. We found that inter-individual differences in intrinsic connectivity in the MI network predicted several clusters of activation. Taken together, present findings provide first evidence that RSFC within the MI network is predictive of the activation of MI brain regions, including those associated with behavioral performance, thus suggesting a role for RSFC in obtaining a deeper understanding of neural substrates of MI and of MI ability. © 2016 Wiley Periodicals, Inc.
Ohman A.,Gothenburg University |
Westblom C.,Hallands Hospital |
Clinical and Experimental Rheumatology | Year: 2014
Objective: The purpose was to investigate the distribution of hypermobility among school children aged five to eight years. Methods: One hundred and twenty-eight participants were assessed using the Beighton score and the Hospital del Mar criteria. Results: With the Beighton score using the cut-off ≥4, the prevalence was 12%, and with the Hospital del Mar criteria the prevalence was 34%. There were significantly higher scores for females on both the Beighton (p=0.01) and Hospital del Mar criteria (p<0.0001). The youngest children aged five to six years scored higher compared with the seven-and eight-year-olds (p=0.016). The knee flexion was most likely to be hypermobile (97%), followed by shoulder rotation (80%), thumb (31%), elbow (27%), metatarsal-phalangeal (16%), hip (15.5%), fingers (10%) or knee (10%), ankle (6%), trunk (4%) and patella (2%). Conclusion: Gender and probably age must be taken into account when children are assessed for hypermobility. The Hospital del Mar criteria need to be modified for some of the motions. © Clinical and Experimental Rheumatology 2014.
PubMed | Rehabilitation
Type: Journal Article | Journal: Journal of rehabilitation medicine | Year: 2014
To assess the number and nature of complications during the acute phase following traumatic spinal cord injury and to explore the relationship between number of complications and length of hospital stay.Multi-centre prospective cohort study.A total of 54 patients with traumatic spinal cord injury, referred to 3 level 1 trauma centres in The Netherlands.The number and nature of complications were registered weekly from September 2009 to December 2011.A total of 32 patients (59%) had 1 or more medical complications. The most common complications were pressure ulcers (17 patients, 31%) and pulmonary complications (15 patients, 28%). PATIENTS with 3 or 4 complications had significantly (p<0.01) longer hospital stays (58.5 [32.5] days) compared with those with 1 or 2 complications (33.1 [14.8] days) or no complications (21.5 [15.6] days).Complications, particularly pressure ulcers and pulmonary complications, occurred frequently during the acute phase following traumatic spinal cord injury. More complications were associated with longer hospital stays. Despite the existence of protocols, more attention is needed to prevent pressure ulcers during the acute phase following traumatic spinal cord injury for patients in The Netherlands.
PubMed | PA Micone Hospital, A Fiorini Hospital and Rehabilitation
Type: Journal Article | Journal: Multiple sclerosis (Houndmills, Basingstoke, England) | Year: 2015
Radial shock wave therapy (RSWT) has been extensively used in rehabilitative medicine to treat pain, and more recently muscle hypertonia, in patients with cerebral palsy and stroke.To assess the long-term effects of RSWT in a cohort of subjects affected by multiple sclerosis (MS) who were suffering from painful hypertonia of ankle extensor muscles.In this randomised, double blind, placebo-controlled study, we treated 34 patients with four sessions of RSWT (once weekly) and treated 34 patients with placebo. Participants were assessed at baseline, 1 week after the first session, and 1 week and 4 weeks after the last session. We measured pain using the visual analogue scale for pain, while we assessed muscle tone using the modified Ashworth scale and evaluated spinal excitability using the H-reflex.After RSWT, muscle tone decreased 1 week after the last session and pain decreased at all the follow-up evaluations, while spinal excitability was unaffected. No significant changes were found after the placebo treatment.RSWT can reduce pain and muscle tone in MS patients without adverse effects. The lack of RSWT effects on spinal excitability supports the idea that RSWT is likely to act on non-reflex hypertonia, for example reducing muscle fibrosis.