Restless Legs Syndrome Is Underdiagnosed in the US Renal Data System.

Restless legs syndrome is underdiagnosed in the US Renal Data System.

Filed under: Rehab Centers

QJM. 2013 Jan 28;
Kutner NG, Zhang R, Bliwise DL

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Comparative Lung Function Performance of Stroke Survivors and Age-matched and Sex-matched Controls.

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Physiother Res Int. 2013 Jan 29;
Ezeugwu VE, Olaogun M, Mbada CE, Adedoyin R

BACKGROUND AND PURPOSE: Reduced endurance and excessive fatigue in stroke survivors (SS) during exercise may be linked to impairment of lung function and breathing mechanics, but little is known about lung function of SS. The purpose of this study is to determine lung function (forced expiratory volume in 1?second [FEV(1) ], forced vital capacity [FVC], FEV(1) /FVC ratio and peak expiratory flow [PEF]) and influence of anthropometrics on lung function in SS compared with healthy controls (CG). METHODS: In this case-control, cross-sectional study, we recruited 70 participants (42 males, 28 females), comprising 35 SS and 35 CG (range 34-73?years). Anthropometrics were measured using standard instruments and procedure. Chest excursion was measured at the axilla, xiphoid and lower costal levels. Lung function indices were measured using a micro-computerized spirometer. Ethical approval was obtained from the Ethics and Research Committee of Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria. RESULTS/FINDINGS: Compared with the CG, the SS had significantly lower values for FEV(1) (1.99?±?0.66 vs. 2.36?±?0.45?L, p?=?0.004), FVC (2.55?±?0.70 vs. 2.90?±?0.54?L, p?=?0.014), PEF (3.88?±?1.38 vs. 5.24?±?1.30?L?second(-1) , p?=?0.001) and chest excursion (3.0?±?0.71 vs. 3.5?±?0.91 cm, p?=?0.018). Correlations between chest excursion, FEV(1) , FVC and PEF were not significant (p?>?0.05). DISCUSSION: The weakness of respiratory muscles associated with stroke may have contributed to decreases in lung function observed. There was a significant reduction in chest excursion of SS compared with CG. Chest excursion has been used as an indicator of respiratory muscle function because the range of motion of the thorax serves the respiration. Movements of the thorax influence the content of the thorax cavity, leading to alterations in lung volumes. IMPLICATIONS FOR PHYSIOTHERAPY PRACTICE: Stroke survivors have lower lung function when compared with CG; this has implications for clinicians in stroke rehabilitation, underscoring the importance for inclusion of interventions to improve lung function. Copyright © 2013 John Wiley & Sons, Ltd.
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Upper limb tendinitis and entrapment neuropathy in coal miners.

Filed under: Rehab Centers

Am J Ind Med. 2013 Jan 28;
Ozdolap S, Emre U, Karamercan A, Sarikaya S, Köktürk F

BACKGROUND: It is well-known that work-related upper limb musculoskeletal disorders, particularly tendinitis and nerve entrapment, remain a difficult and costly problem in industrialized countries. The aim of this study was to evaluate tendinitis and entrapment neuropathy of the upper limb of Turkish coal miners. METHODS: Eighty coal miners and 43 age-matched clerical workers were included in the study. The evaluation procedures included collection of personal and clinical data, physical examination and bilateral electrodiagnostic testing. Subjects were examined to diagnose tendinitis and nerve entrapment of the upper limb. Bilateral median and ulnar nerves conduction tests were performed on all subjects. Data were collected between August 2011 and December 2011. RESULTS: There were 33 subjects with lateral epicondylitis, 10 with medial epicondylitis, and 22 with De Quervain’s disease among the coal miners. There were seven subjects with lateral epicondylitis, eight with medial epicondylitis, and four with De Quervain’s disease in the control group. The two groups significantly differed in the prevalences of lateral epicondylitis and De Quervain’s disease (P?=?0.024 and P?=?0.029, respectively). Sixteen subjects in the coal miners and 12 subjects in the controls had carpal tunnel syndrome (P?=?0.66). Thirty-seven subjects in the coal miners had ulnar neuropathy of the elbow (UNE), while four subjects in the controls had UNE; this difference was statistically significant (P?HubMed – rehab



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