Utilization of Physical Rehabilitation Among People With Multiple Sclerosis.

Utilization of physical rehabilitation among people with multiple sclerosis.

Filed under: Rehab Centers

Ir J Med Sci. 2013 Jan 22;
Milivojevi? I, Adamec I, Habek M

BACKGROUND: The goal in rehabilitating patients with multiple sclerosis (MS) is to minimize their physical and mental impairments and keep them integrated into their social environment. However, rehabilitation is not systematically utilized in MS patients. OBJECTIVES: This study aimed to determine how many patients diagnosed with MS use rehabilitation as a way of treatment and to evaluate correlation between use of rehabilitation and level of impairment. METHODS: We analyzed data regarding the use of rehabilitation in the last 2 years in 63 MS patients. Data were gathered using questionnaires during regular visits to neurological outpatient clinic from October to December 2011. Expanded Disability Status Scale (EDSS) was determined for all patients. RESULTS: One or more types of rehabilitation were used in 41.3 % of questioned patients: inpatient, outpatient and home-based rehabilitation were used in 28.5, 17.4 and 4.7 % of patients, respectively. Average EDSS in group with inpatient rehabilitation was 2.9, in group with outpatient rehabilitation 3.0 and in group without rehabilitation 1.0. We found that patients who used inpatient, outpatient and home-based rehabilitation had higher level of impairment comparing to patients who were not rehabilitated (p = 0.002, p = 0.004 and p = 0.021, respectively). CONCLUSION: Rehabilitation of MS patients is not systematically provided, especially in early stages of disease when best results can be achieved.
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The association of serum prolidase activity with developmental dysplasia of the hip.

Filed under: Rehab Centers

Rheumatol Int. 2013 Jan 22;
Soran N, Altindag O, Aksoy N, Cak?r H, Ta?k?n A, Soran M, I??kan E

The purpose of this study was to evaluate serum prolidase activity in patients with developmental dysplasia of the hip (DDH). Prolidase enzyme activity was measured spectrophotometrically to pointing out the collagen metabolism. The prolidase activity in patients with DDH was significantly higher than that in the control group (p = 0.002). Furthermore, there was positive correlation between prolidase activity and dysplasia level. Increased serum prolidase activity may have played a role in the presence of DDH. We therefore hypothesized that the increased prolidase activity related to collagen turnover may be associated with etiopathogenesis and/or the progression of the disease.
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The Effect of Low-Pass Filtering on Identification of Nonsense Syllables in Quiet by School-Age Children With and Without Cochlear Dead Regions.

Filed under: Rehab Centers

Ear Hear. 2013 Jan 18;
Malicka AN, Munro KJ, Baer T, Baker RJ, Moore BC

OBJECTIVES:: The presence of cochlear dead regions (DRs) can have a significant effect on speech perception. Some studies have reported that adults do not benefit from amplification of frequencies well inside an extensive DR. However, the importance of high-frequency amplification for hearing-impaired children has been emphasized by many researchers. This study investigates the benefit of high-frequency amplification for children with various degrees of high-frequency hearing impairment, with and without DRs. DESIGN:: The children, aged 8 to 13 years, were divided into two groups according to the severity of their hearing impairment. Group MS had moderate to severe impairment (9 ears without DRs and 3 ears with restricted DRs). Group SP had severe to profound hearing impairment (7 ears with DRs and 1 ear without a DR). The vowel-consonant-vowel stimuli were subjected to the frequency-gain characteristics prescribed by the desired sensation level fitting method and presented via headphones broadband and under various low-pass filtering conditions. RESULTS:: Group MS benefited from high-frequency amplification whether or not a restricted DR was present. In contrast, ears in group SP with continuous extensive DRs showed limited benefit from high-frequency amplification. For the latter, performance improved with increasing cutoff frequency up to approximately 1 octave above the edge frequency of the DR and generally stayed the same, or deteriorated, with further increases in bandwidth. In one case of severe to profound hearing impairment without evidence of DRs, performance increased with increasing cutoff frequency up to 2 kHz and remained almost constant with further increases in bandwidth. CONCLUSIONS:: For children with severe to profound hearing impairment and continuous high-frequency DRs commencing from approximately 1 kHz, applying amplification only for frequencies up to approximately 1 octave above the edge frequency of the DR may be of benefit. Tests with more participants are needed to confirm this finding.
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