Content

Content - Volume 42, Issue 9

Editors choice in this issue

All articles

REVIEW ARTICLE
How to clinically assess and treat muscle overactivity in spastic paresis
Alain P. Yelnik, Olivier Simon, Bernard Parratte, Jean Michel Gracies
Objective: This educational paper aims to describe, in adult patients, the different aspects of muscle overactivity after a central nervous system lesion, including spasticity, spastic dystonia and spastic co-contraction, the assessment of their symptoms and consequences, and therapeutic options. Discussion and Conclusion: Clinical evaluation involves the assessment of passive range of motion, a ...
Pages: 801-807
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ORIGINAL REPORT
Physical and rehabilitation medicine and self-management education: A comparative analysis of two approaches
Feyuna Jansma, Sacha Twillert, Klaas Postema, Robbert Sanderman, Ant T. Lettinga
Background: Discussion surrounds the publication The White Book on Physical and Rehabilitation Medicine in Europe as to whether the medical specialty termed “physical and rehabilitation medicine” is in fact a reality. Objective: To disclose previously undiscussed issues related to The White Book on Physical and Rehabilitation Medicine in Europe by juxtaposing its content with a body of work ...
Pages: 808-814
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Caregivers burden and needs in community neurorehabilitation
Michelangelo Bartolo, Danila De Luca, Mariano Serrao, Elena Sinforiani, Chiara Zucchella, Giorgio Sandrini
Objective: The aim of this study was to analyse the burden on caregivers of chronic neurological patients taking part in community neurorehabilitation programmes, and to describe caregivers’ socio-demographic features and needs. Subjects: A total of 118 pairs of chronic neurological patients and their caregivers. Methods: Caregivers completed the Caregiver Burden Inventory, the Beck Depressio ...
Pages: 818-822
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Myotonic dystrophy - the burden for patients and their partners
Reinier Timman, Aad Tibben, Axel R. Wintzen
Objective: Dystrophia myotonica is characterized by progressive muscular weakness, myotonia, mental slowness and lack of initiative, which causes problems in daily life both for patients and for their spouses. Some couples seem to deal with these problems satisfactorily, while for others they are quite burdensome. The aim of this study was to describe the relationship of severity of dystrophia myo ...
Pages: 823-830
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Belonging: A qualitative, longitudinal study of what matters for persons after stroke during the one year of rehabilitation
Anette Erikson, Melissa Park, Kerstin Tham
Objective: To investigate the meaning of acting with others, in different places over the course of 1 year post-stroke. Methods: Qualitative interviews with 9 persons, age range 42–61 years (7 persons with cerebrovascular accident and 2 with subarachnoidal haemorrhage) over the course of a year (i.e. 3, 6, 9 and 12 months) were analysed using a grounded theory approach. Results: Four categorie ...
Pages: 831-838
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Effects of training frequency on lumbar extension strength in patients recovering from lumbar dyscectomy
You-Sin Kim, Jaebum Park, Jeffrey Hsu, Kyu Kwon Cho, Yoon Hyuk Kim, Jae Kun Shim
Objective: To determine the effects of lumbar extension exercise on strength, disability index, and pain scores in patients after lumbar discectomy surgery. Design: Prospective comparative study. Subjects: Forty patients experiencing a herniated disc at lumbar levels were divided into 4 subgroups for different training frequencies: twice/week (group 1), once/week (group 2), once/2 weeks (group ...
Pages: 839-845
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Cost-utility analysis of a three-month exercise programme vs. routine usual care following multidisciplinary rehabilitation for chronic low back pain
Yves Henchoz, Christophe Pinget, Jean-Blaise Wasserfallen, Roland Paillex, Pierre de Goumoëns, Michael Norberg, Alexander Kai-Lik So
Objective: To assess the cost-utility of an exercise programme vs usual care after functional multidisciplinary rehabilitation in patients with chronic low back pain. Design: Cost-utility analysis alongside a randomized controlled trial. Subjects/patients: A total of 105 patients with chronic low back pain. Methods: Chronic low back pain patients completing a 3-week functional multidisciplinary ...
Pages: 846-852
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Thickening of finger extensor tendons in affected hands among patients with stroke: prevalence and sonographic features
Nai-Hsin Meng, Li-Wei Chou, Pei-Yu Yang
Objective: To evaluate the prevalence and sonographic characteristics of thickened finger extensor tendons in affected hands of patients with stroke. Design: Observational survey. Subjects: Thirty-six patients (12 women, 24 men) admitted for rehabilitation because of stroke. Control group: 30 right-handed healthy volunteers. Methods: We used an 8–16 or a 6–12 MHz sonographic transducer to ...
Pages: 853-857
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Curved walking in hemiparetic patients
Marco Godi, Antonio Nardone, Marco Schieppati
Objective: Curved walking requires complex adaptations, including shift of body weight to counteract the ensuing centrifugal force, and the production of strides of different length between legs. We hypothesized that gait capacities would be more stressed in hemiparetic patients than in healthy subjects when walking along curved, compared with straight, trajectories. Methods: Twenty chronic, stab ...
Pages: 858-865
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Exploring the effects of a 20-week whole-body vibration training programme on leg muscle performance and function in persons with multiple sclerosis
Tom Broekmans, Machteld Roelants, Geert Alders, Peter Feys, Herbert Thijs, Bert O Eijnde
Objective: To investigate the acute effects of long-term whole-body vibration on leg muscle performance and functional capacity in persons with multiple sclerosis. Design: A randomized controlled trial. Subjects: Twenty-five patients with multiple sclerosis (mean age 47.9 ± 1.9 years; Expanded Disability Status Scale 4.3 ± 0.2) were assigned randomly to whole-body vibration training (n ...
Pages: 866-872
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Feasibility of functional electrical stimulated cycling in subjects with spinal cord injury: An energetic assessment
Claudio Perret, Helen Berry, Kenneth J. Hunt, Nick de N. Donaldson, Tanja H. Kakebeeke
Objective: To determine the functional electrical stimulated (FES) cycling volume necessary to reach the recommended weekly exercise caloric expenditure of 1000–2200 kcal in FES-trained subjects with paraplegia. Subjects: Eight (7 males, 1 female) FES-trained subjects with traumatic motor and sensory complete paraplegia (AIS A, lesion level between Th3 and Th9) of at least 3 years duration were ...
Pages: 873-875
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Position sense acuity of the upper extremity and tracking performance in subjects with non-specific neck and upper extremity pain and healthy controls
Maaike A Huysmans, Marco JM Hoozemans , Allard J van der Beek , Michiel P de Looze , Jaap H van Dieën
Objective: We aimed to investigate whether position sense acuity of the upper extremity and tracking performance, pen pressure and muscle activity in a tracking task are affected in subjects with neck and upper extremity pain. Methods: Twenty-three subjects with neck and upper extremity pain and 26 healthy controls participated in the study. Position sense acuity of the upper extremity was measur ...
Pages: 876-883
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Reduced pressure pain thresholds in response to exercise in chronic fatigue syndrome but not in chronic low back pain: An experimental study
Mira Meeus, Nathalie A Roussel, Steven Truijen, Jo Nijs
Objective: The aims of this study were to examine: (i) baseline pressure pain thresholds in patients with chronic fatigue syndrome and those with chronic low back pain compared with healthy subjects; (ii) the change in mean pain threshold in response to exercise; and (iii) associations with exercise-induced increase in nitric oxide. Participants: Twenty-six patients with chronic fatigue syndrome ...
Pages: 884-890
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Effect of intrathecal baclofen, botulinum toxin type A and a rehabilitation programme on locomotor function after spinal cord injury: A case report
Andrea Santamato, Francesco Panza, Maurizio Ranieri, Maria Teresa Amoruso, Loredana Amoruso, Vincenza Frisardi, Vincenzo Solfrizzi, Pietro Fiore
Objective: A few studies have reported the use of botulinum toxin injections after spinal cord injury, as this is the gold standard to treat focal spasticity. We report such a case here. Case report: A 38-year-old woman who had become paraplegic and care-dependent secondary to cervico-thoracic intramedullary ependymoma, presented 8 months later with painful lower limb spasticity, which was being ...
Pages: 891-894
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