[New Therapeutic Approaches in the Treatment of Neglect: Transcranial Magnetic Stimulation].

[New therapeutic approaches in the treatment of neglect: transcranial magnetic stimulation].

Filed under: Rehab Centers

Rev Neurol. 2012 Sep 1; 55(5): 297-305
Munoz-Marron E, Redolar-Ripoll D, Zulaica-Cardoso A

AIM. To highlight the effectiveness of transcranial magnetic stimulation (TMS) as therapeutic tool in rehabilitation of neglect. DEVELOPMENT. The therapeutic benefits of TMS in different neurological disorders, such as epilepsy, Parkinson’s disease, stroke or dementias, are increasingly evident. For many years clinical research has been conducted to develop new and effective rehabilitation strategies for neglect, being repetitive transcranial stimulation an important tool in this regard. The positive outcomes of treatment of neglect based on noninvasive brain stimulation have been demonstrated by several researchers. So, TMS should be, at least, considered as a therapeutic intervention adjuvant to conventional approaches. CONCLUSIONS. Although the evidence for considering TMS as a new therapeutic tool is still scarce, as therapeutic applications of TMS are a subject of recent study, the findings so far are encouraging. Further research is essential to know the real TMS potential in the rehabilitation of neglect in particular, and of neurological diseases in general.
HubMed – rehab


Proprioception, laxity, muscle strength and activity limitations in early symptomatic knee osteoarthritis: Results from the CHECK cohort.

Filed under: Rehab Centers

J Rehabil Med. 2012 Aug 29;
Holla JF, van der Leeden M, Peter WF, Roorda LD, van der Esch M, Lems WF, Gerritsen M, Voorneman RE, Steultjens MP, Dekker J

Objective: To establish whether proprioception and varus-valgus laxity moderate the association between muscle strength and activity limitations in patients with early symptomatic knee osteoarthritis. Design: A cross-sectional study. Subjects: A sample of 151 participants with early symptomatic knee osteoarthritis from the Cohort Hip and Cohort Knee study. Methods: Regression analyses were performed to establish the associations between muscle strength, proprioception (knee joint motion detection threshold in the anterior–posterior direction), varus-valgus laxity and activity limitations (self-reported and performance-based). Interaction terms were used to establish whether proprioception and laxity moderated the association between muscle strength and activity limitations. Results: Proprioception moderated the association between muscle strength and activity limitations: the negative association between muscle strength and activity limitations was stronger in participants with poor proprioception than in participants with accurate proprioception (performance-based activity limitations p?=?0.02; self-reported activity limitations p?=?0.08). The interaction between muscle strength and varus-valgus laxity was not significantly associated with activity limitations. Conclusion: The results of the present study support the theory that in the absence of adequate proprioceptive input, lower muscle strength affects a patient’s level of activities to a greater degree than in the presence of adequate proprioceptive input.
HubMed – rehab


Telemetry capsule for measuring contractile motion in the small intestine.

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Biomed Microdevices. 2012 Aug 29;
Woo SH, Mohy-Ud-Din Z, Cho JH

The aim of this study was to develop a capsule which can measure contractions in the small intestine. Currently available methods cause discomfort to the patient while taking measurements; with the development of a telemetry capsule that can measure contractions, patients can avoid pain and continue with ordinary activities while the information is automatically collected from the external receiver. In order to develop the contraction force measuring capsule, various types of silicone transducers were designed and implemented to measure the contraction pressure in the small intestine. The minimum resolution of the implemented transducer was 0.05 mbar, which was small enough to measure contractions. The transducer was assembled with telemetry modules and packaged as a capsule (?13?×?L25 mm) that had a similar size to a commercial capsule endoscope. In order to verify the function of the capsule, in vitro experiments were conducted and contractile motion was measured as 16.6 cycles per minute (CPM).
HubMed – rehab


[Injured soldiers and their quality of life].

Filed under: Rehab Centers

Ned Tijdschr Geneeskd. 2012; 155(35): A5360
Haerkens MH, Tan EC, Lely E

This is a commentary on the article entitled ‘Dutch military casualties of the war in Afghanistan – Quality of life and level of participation after rehabilitation’ by de Kruijff and colleagues, published in the Dutch Journal of Medicine (Nederlands Tijdschrift voor Geneeskunde, NTvG). The article addresses a very relevant issue: the impact of war injuries on a wounded soldier’s recovery, quality of life and level of participation after rehabilitation. The choice was made to compare soldiers wounded during their mission in Uruzgan with the Dutch general trauma population by means of the ‘Injury Severity Score’ (ISS) and the ‘Abbreviated Injury Scale’ (AIS) score. As mechanisms of trauma in the military setting (e.g. war injuries such as blast and penetrating trauma; blunt trauma in civilians), their resulting injuries and their psychological context differ strongly from those encountered in the Dutch general population, the question arises whether such a comparison is the optimal choice. We encourage the authors to follow up on this study and in doing so, to correct for type of injury and to integrate findings from the military-psychology field of expertise into the outcome.
HubMed – rehab



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