Rehabilitation Engineering.

Rehabilitation engineering.

Filed under: Rehab Centers

IEEE Pulse. 2012 Nov-Dec; 3(6): 3-4
Neuman MR

HubMed – rehab


Heel-rise test in the assessment of individuals with peripheral arterial occlusive disease.

Filed under: Rehab Centers

Vasc Health Risk Manag. 2013; 9: 29-35
Monteiro DP, Britto RR, Lages AC, Basílio ML, de Oliveira Pires MC, Carvalho ML, Procópio RJ, Pereira DA

The Heel-Rise Test (HRT) is a clinical instrument relevant to vascular rehabilitation that has been proposed to assess the function of the triceps surae muscle. To use HRT in the assessment of individuals with peripheral arterial occlusive disease (PAOD), its ability to detect differences in the functional performance of patients with PAOD must be verified.To verify whether the test is sensitive in differentiating between individuals with PAOD with distinct functional capacities.A transversal study in which individuals with PAOD were assessed using the HRT, the Walking Impairment Questionnaire (WIQ), and the Shuttle Walk Test. The following variables were analyzed: number of plantar flexions performed in the HRT (time in seconds) and velocity (plantar flexions per second) when performing plantar flexions up to the point of volunteer fatigue, maximum distance walked in the Shuttle Walk Test, and scores obtained in each WIQ domain.Twenty-five individuals (14 male) were included in the study, with a mean age of 63.36 ± 9.83 years. The variables number of plantar flexions and time to perform the HRT were sensitive enough to differentiate between distinct functional capacities in individuals with PAOD (P = 0.003 and P = 0.009, respectively). However, this result was not found for the variable of velocity in the HRT. The number of plantar flexions in the HRT was sensitive enough to differentiate individuals of extreme classes on the WIQ domain, stairs (P = 0.008).The HRT can be applied in clinical practice as a valid assessment of the distinct function capacities of individuals with PAOD.
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Surgical Therapy by Sandwich Transplantation using a Dermal Collagen-Elastin Matrix and Full Thickness Split Grafts and Gait Rehabilitation with Individualized Orthesis.

Filed under: Rehab Centers

J Cutan Aesthet Surg. 2012 Oct; 5(4): 277-80
Wollina U, Heinig B

Painful callosities of the feet (PCOF) are a rare complaint in children with severe impairment of mobility and quality of life. There is no medical treatment available. We investigated the usefulness of a recently developed combined transplant technique-the sandwich transplantation with dermal collagen-elastin template in this rare condition. A 14-year-old boy suffered from PCOF for several years without any improvement by topical therapy, dermabrasion, and oral retinoids. He was unable to walk normally and suffered from severe pain. We performed a complete deep excision of the hyperkeratotic plantar tissue in general anaesthesia in combination with sandwich transplantation in the same setting. Dry sheets of collagen-elastin matrix (1 mm thickness) were placed on the soft tissue defects and covered by full-thickness mesh graft transplants from the upper leg. An individualized orthosis was produced for gait rehabilitation. Two weeks after surgery the gait-related pain was reduced remarkably. Using the orthosis, the boy was able to walk pain-free even on staircase. Surgery of PCOF with sandwich transplantation and gait rehabilitation appears to be a promising strategy for this rare condition.
HubMed – rehab



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