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[PMID]:25815679
[Au] Autor:Carver J; Ganus A; Ivey JM; Plummer T; Eubank A
[Ad] Endereço:a School of Occupational Therapy, Belmont University , Nashville , TN , USA.
[Ti] Título:The impact of mobility assistive technology devices on participation for individuals with disabilities.
[So] Source:Disabil Rehabil Assist Technol;11(6):468-77, 2016 08.
[Is] ISSN:1748-3115
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: This study aims to address the gap in research and contribute to the body of knowledge on the perspectives assistive technology device users have toward their devices. METHOD: Mixed methods were used to better understand the impact of mobility assistive technology devices (MATDs) on participation for individuals with disabilities. The Functional Mobility Assessment was administered in conjunction with two qualitative questions developed by the research team allowing participants to expound on the impact of their MATD experience. Participants were recruited online via the National Spinal Cord Injury Association website and in-person at Abilities Expo in Atlanta, Georgia, and the International Seating Symposium in Nashville, Tennessee. RESULTS: Results are consistent with findings from prior research regarding accessibility for individuals with disabilities. Corresponding findings were found in both the quantitative and qualitative data and are categorized into several major themes: environment (indoor and outdoor), surface heights, transportation, dependence, independence, quality of life and participation. CONCLUSION: Quantitative data from this study indicate that users of MATD are satisfied with the way in which their devices enable maneuvering indoors, while qualitative data suggest otherwise. Implications for healthcare practitioners are described and future recommendations are provided. Implications for Rehabilitation Healthcare professionals should advocate for proper mobility assistive technology devices (MATDs) for their patients in order to enable increased independence, safety and efficiency. Healthcare professionals must be cognizant of the impact of the environment and/or environmental barriers when prescribing MATD. Additional areas of interest for future research may include investigating the impact of MATD in association with date of onset of disability, according to diagnoses, or specific to length of time since acquiring the device.
[Mh] Termos MeSH primário: Pessoas com Deficiência/reabilitação
Equipamentos de Autoajuda
[Mh] Termos MeSH secundário: Bengala
Meio Ambiente
Georgia
Seres Humanos
Vida Independente
Entrevistas como Assunto
Qualidade de Vida
Participação Social
Transportes
Andadores
Cadeiras de Rodas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.3109/17483107.2015.1027295


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[PMID]:29176406
[Au] Autor:Bertrand K; Raymond MH; Miller WC; Martin Ginis KA; Demers L
[Ad] Endereço:From the Université de Montréal, Faculty of Medicine, School of Rehabilitation, Montreal, Quebec, Canada (KB, M-HR, LD); Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada (WCM); Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (WCM); School of Health and Exercise Sciences, Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, Canada (KAMG); and Research Centre, Institut Universitaire de gériatrie de Montréal, CIUSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Quebec, Canada (LD).
[Ti] Título:Walking Aids for Enabling Activity and Participation: A Systematic Review.
[So] Source:Am J Phys Med Rehabil;96(12):894-903, 2017 Dec.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this systematic literature review, we examined whether and how walking aids (i.e., canes, crutches, walkers, and rollators) enable activity and participation among adults with physical disabilities. Medline, Embase, all EBM reviews, PsychInfo, CINAHL, and Web of Science databases were used to identify studies published since 2008. Quantitative and qualitative designs were included. Data regarding participants, assistive device use, outcome measures, and domains of participation were extracted. Two reviewers independently rated the level of evidence and methodological quality of the studies. Outcomes were categorized per types of walking aids and activity and participation domains. Thirteen studies were included. Two studies involved canes, four pertained to rollators, and seven dealt with multiple types of walking aids. Mobility was the most frequently examined domain of activity and participation. Both negative and positive results were found. Negative outcomes were linked to the physical characteristics of the device, the use, environment, and personal reluctance. When incorporated in daily life, walking aids were found to enable several domains of activity and participation. Whether walking aids facilitate activity and participation may depend on the user's ability to overcome obstacles and integrate them in daily life. More high-quality research is needed to draw conclusions about their effectiveness.
[Mh] Termos MeSH primário: Pessoas com Deficiência/reabilitação
Equipamentos Ortopédicos/utilização
Qualidade de Vida
Equipamentos de Autoajuda/utilização
Caminhada/fisiologia
[Mh] Termos MeSH secundário: Bengala/utilização
Muletas/utilização
Avaliação da Deficiência
Estudos de Avaliação como Assunto
Feminino
Seres Humanos
Masculino
Resultado do Tratamento
Andadores/utilização
Caminhada/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000836


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[PMID]:28320671
[Au] Autor:Zhang H; Ye C
[Ti] Título:An Indoor Wayfinding System Based on Geometric Features Aided Graph SLAM for the Visually Impaired.
[So] Source:IEEE Trans Neural Syst Rehabil Eng;25(9):1592-1604, 2017 Sep.
[Is] ISSN:1558-0210
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This paper presents a 6-degree of freedom (DOF) pose estimation (PE) method and an indoor wayfinding system based on the method for the visually impaired. The PE method involves two-graph simultaneous localization and mapping (SLAM) processes to reduce the accumulative pose error of the device. In the first step, the floor plane is extracted from the 3-D camera's point cloud and added as a landmark node into the graph for 6-DOF SLAM to reduce roll, pitch, and Z errors. In the second step, the wall lines are extracted and incorporated into the graph for 3-DOF SLAM to reduce X , Y , and yaw errors. The method reduces the 6-DOF pose error and results in more accurate pose with less computational time than the state-of-the-art planar SLAM methods. Based on the PE method, a wayfinding system is developed for navigating a visually impaired person in an indoor environment. The system uses the estimated pose and floor plan to locate the device user in a building and guides the user by announcing the points of interest and navigational commands through a speech interface. Experimental results validate the effectiveness of the PE method and demonstrate that the system may substantially ease an indoor navigation task.
[Mh] Termos MeSH primário: Bengala
Deambulação com Auxílio
Imagem Tridimensional/instrumentação
Sistemas de Identificação de Pacientes/métodos
Equipamentos de Autoajuda
Interface Usuário-Computador
[Mh] Termos MeSH secundário: Desenho de Equipamento
Análise de Falha de Equipamento
Seres Humanos
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Navegação Espacial
Resultado do Tratamento
Pessoas com Deficiência Visual/reabilitação
Tecnologia sem Fio/instrumentação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171101
[Lr] Data última revisão:
171101
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1109/TNSRE.2017.2682265


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[PMID]:28286203
[Au] Autor:Lin YN; Chiu CC; Huang SW; Hsu WY; Liou TH; Chen YW; Chang KH
[Ad] Endereço:Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei, Taiwan; Department of Physical Medicine and Rehabilitation, School of Me
[Ti] Título:Association Between Manual Loading and Newly Developed Carpal Tunnel Syndrome in Subjects With Physical Disabilities: A Follow-Up Study.
[So] Source:Arch Phys Med Rehabil;98(10):2002-2008, 2017 Oct.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To identify the association between body composition and newly developed carpal tunnel syndrome (CTS) and to search for the best probabilistic cutoff value of associated factors to predict subjects with physical disabilities developing new CTS. DESIGN: Longitudinal. SETTING: University-affiliated medical center. PARTICIPANTS: Subjects with physical disabilities (N=47; mean age ± SD, 42.1±7.7y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Median and ulnar sensory nerve conduction velocity (SNCV) were measured at the initial and follow-up tests (interval >2y). Total and regional body composition were measured with dual-energy x-ray absorptiometry at the initial test. Leg lean tissue percentage was calculated to delineate each participant's manual loading degree during locomotion. Leg lean tissue percentage is the lean tissue mass of both legs divided by body weight. RESULTS: Based on median SNCV changes, we divided all participants into 3 groups: subjects with bilateral CTS (median SNCV value <45m/s plus a normative ulnar SNCV value >37.8m/s) in the initial test (n=10), subjects with newly developed CTS in the follow-up test (n=8), and subjects without additional CTS in the follow-up test (n=27). Eight of 35 subjects not having bilateral CTS initially developed new CTS (8.8% per year; mean follow-up period, 2.6y). Leg lean tissue percentage was associated with the probability of newly developed CTS (adjusted odds ratio, .64; P<.05). Subjects with a leg lean tissue percentage >12% were less likely to have developed new CTS at the follow-up test (sensitivity, .75; specificity, .85; area under the curve, .88; P<.005). CONCLUSIONS: Leg lean tissue percentage may be useful for early identification of developing new CTS in subjects with physical disabilities. Therefore, a preventive program for those subjects at risk can start early.
[Mh] Termos MeSH primário: Composição Corporal/fisiologia
Síndrome do Túnel Carpal/diagnóstico
Pessoas com Deficiência
[Mh] Termos MeSH secundário: Absorciometria de Fóton
Adulto
Distribuição da Gordura Corporal
Bengala
Síndrome do Túnel Carpal/fisiopatologia
Feminino
Seres Humanos
Estudos Longitudinais
Extremidade Inferior/fisiologia
Masculino
Força Muscular/fisiologia
Condução Nervosa/fisiologia
Estudos Prospectivos
Andadores
Cadeiras de Rodas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170314
[St] Status:MEDLINE


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[PMID]:28201821
[Au] Autor:Van Ginckel A; Hinman RS; Wrigley TV; Hunter DJ; Marshall CJ; Melo L; Meneses SRF; Simic M; Kasza J; Duryea J; Wallis JA; Bennell KL
[Ad] Endereço:Centre for Health, Exercise and Sports Medicine, The University of Melbourne, 161 Barry St, Alan Gilbert Level 7, Carlton, Victoria, Australia.
[Ti] Título:Impact of Cane Use on Bone Marrow Lesion Volume in People With Medial Knee Osteoarthritis (CUBA Trial).
[So] Source:Phys Ther;97(5):537-549, 2017 May 01.
[Is] ISSN:1538-6724
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background: No effective cure exists for knee osteoarthritis (OA). Low-burden self-management strategies that can slow disease progression are needed. Bone marrow lesions (BMLs) are a source of knee pain and accelerate cartilage loss. Importantly, they may be responsive to biomechanical off-loading treatments. Objective: The study objective is to investigate whether, in people with medial tibiofemoral OA, daily cane use for 12 weeks reduces the volume of medial tibiofemoral BMLs and improves pain, physical function, and health-related quality of life. Design: This study will be an assessor-masked, 2-arm, parallel-group, multisite randomized controlled trial. Setting: The community will serve as the setting for this study. Participants: The study participants will be people who are 50 years old or older and have medial tibiofemoral OA and at least 1 medial tibiofemoral BML. Intervention: The participants will be allocated to either the cane group (using a cane daily whenever walking for 12 weeks) or the control group (not using any gait aid for 12 weeks). Measurements: Outcomes will be measured at baseline and 13 weeks. The primary outcome will be total medial tibiofemoral BML volume measured from magnetic resonance imaging. Secondary outcomes will include BML volume of the medial tibia and/or femur, knee pain overall and on walking, physical function, participant-perceived global change, and health-related quality of life. Additional measures will include physical activity, cointerventions, adverse events, participation, participant demographics, cane training process measures and feasibility, barriers to and facilitators of cane use, and loss to follow-up. Limitations: People who are morbidly obese will not be included because of difficulties with magnetic resonance imaging. Conclusions: The findings of this study will help to determine whether cane use can alter disease progression in people with medial tibiofemoral OA and/or influence clinical symptoms. This study may directly influence clinical guidelines for the management of knee OA.
[Mh] Termos MeSH primário: Medula Óssea/patologia
Bengala
Osteoartrite do Joelho/fisiopatologia
[Mh] Termos MeSH secundário: Atividades Cotidianas
Idoso
Fenômenos Biomecânicos
Medula Óssea/diagnóstico por imagem
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Osteoartrite do Joelho/diagnóstico por imagem
Manejo da Dor
Medição da Dor
Qualidade de Vida
Resultado do Tratamento
Suporte de Carga
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170216
[St] Status:MEDLINE
[do] DOI:10.1093/ptj/pzx015


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[PMID]:27761625
[Au] Autor:Krych AJ; Reardon PJ; Johnson NR; Mohan R; Peter L; Levy BA; Stuart MJ
[Ad] Endereço:Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. Krych.Aaron@Mayo.edu.
[Ti] Título:Non-operative management of medial meniscus posterior horn root tears is associated with worsening arthritis and poor clinical outcome at 5-year follow-up.
[So] Source:Knee Surg Sports Traumatol Arthrosc;25(2):383-389, 2017 Feb.
[Is] ISSN:1433-7347
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Medial meniscus posterior root tears (MMPRTs) are a significant source of pain and dysfunction, but little is known about the natural history and outcome and for non-operative management of these lesions. The purpose of this study was to evaluate (1) the mid-term clinical and radiographic outcomes of non-operative treatment of MMPRTs and (2) risk factors for worse outcomes. METHODS: A retrospective review was performed for patients with symptomatic, unrepaired MMPRTs and a minimum 2-year follow-up for IKDC and Tegner outcome scores. Baseline and final radiographs were reviewed and graded according to Kellgren-Lawrence scores. Baseline MRIs were reviewed for the presence of meniscal extrusion, subchondral oedema, and insufficiency fractures. Failure was defined as conversion to arthroplasty or severely abnormal patient subjective IKDC score. RESULTS: Fifty-two patients (21M:31F) with a mean age of 58 ± 10 years were diagnosed with symptomatic MMPRTs clinically and confirmed by MRI and followed for a mean of 62 ± 30 months. Sixteen patients (31 %) underwent total knee arthroplasty at a mean of 30 ± 32 months after diagnosis with higher Kellgren-Lawrence grades associated with increased rates of arthroplasty (p = 0.01). Mean IKDC scores for the remaining patients were 61.2 ± 21 with significantly lower scores in females compared to males (75 ± 12 vs. 49 ± 20; p = 0.03). Mean Kellgren-Lawrence grades and rates of arthritis progressed over time on radiographs (1.5 ± 0.7 vs. 2.4 ± 1.0; p < 0.001 and 78 % vs. 51 %; p = 0.01). Overall, 87 % of patients failed non-operative treatment. CONCLUSIONS: Non-operative treatment of medial meniscus posterior horn root tears is associated with poor clinical outcome, worsening arthritis, and a relatively high rate of arthroplasty at 5-year follow-up. Female gender was associated with lower subjective scores and higher rate of arthroplasty. The current study provides a natural history benchmark for clinical outcomes that can be expected in patients with medial meniscus posterior horn root tears undergoing non-operative treatment and helps in counselling patients with these types of injuries. LEVEL OF EVIDENCE: IV.
[Mh] Termos MeSH primário: Artroplastia do Joelho
Meniscos Tibiais/cirurgia
Osteoartrite do Joelho/diagnóstico por imagem
Lesões do Menisco Tibial/terapia
[Mh] Termos MeSH secundário: Corticosteroides/uso terapêutico
Adulto
Idoso
Idoso de 80 Anos ou mais
Braquetes
Bengala
Muletas
Progressão da Doença
Feminino
Seguimentos
Fraturas de Estresse/epidemiologia
Fraturas de Estresse/terapia
Seres Humanos
Injeções Intra-Articulares
Estimativa de Kaplan-Meier
Imagem por Ressonância Magnética
Masculino
Meniscos Tibiais/diagnóstico por imagem
Meia-Idade
Aparelhos Ortopédicos
Osteoartrite do Joelho/epidemiologia
Osteoartrite do Joelho/fisiopatologia
Radiografia
Estudos Retrospectivos
Fatores de Risco
Lesões do Menisco Tibial/epidemiologia
Lesões do Menisco Tibial/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE
[do] DOI:10.1007/s00167-016-4359-8


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[PMID]:27666157
[Au] Autor:McCullagh R; Dillon C; O'Connell AM; Horgan NF; Timmons S
[Ad] Endereço:Centre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland. Electronic address: r.mccullagh@ucc.ie.
[Ti] Título:Step-Count Accuracy of 3 Motion Sensors for Older and Frail Medical Inpatients.
[So] Source:Arch Phys Med Rehabil;98(2):295-302, 2017 Feb.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To measure the step-count accuracy of an ankle-worn accelerometer, a thigh-worn accelerometer, and a pedometer in older and frail inpatients. DESIGN: Cross-sectional design study. SETTING: Research room within a hospital. PARTICIPANTS: Convenience sample of inpatients (N=32; age, ≥65 years) who were able to walk 20m independently with or without a walking aid. INTERVENTIONS: Patients completed a 40-minute program of predetermined tasks while wearing the 3 motion sensors simultaneously. Video recording of the procedure provided the criterion measurement of step count. MAIN OUTCOME MEASURES: Mean percentage errors were calculated for all tasks, for slow versus fast walkers, for independent walkers versus walking-aid users, and over shorter versus longer distances. The intraclass correlation was calculated, and accuracy was graphically displayed by Bland-Altman plots. RESULTS: Thirty-two patients (mean age, 78.1±7.8y) completed the study. Fifteen (47%) were women, and 17 (51%) used walking aids. Their median speed was .46m/s (interquartile range [IQR], .36-.66m/s). The ankle-worn accelerometer overestimated steps (median error, 1% [IQR, -3% to 13%]). The other motion sensors underestimated steps (median error, 40% [IQR, -51% to -35%] and 38% [IQR -93% to -27%], respectively). The ankle-worn accelerometer proved to be more accurate over longer distances (median error, 3% [IQR, 0%-9%]) than over shorter distances (median error, 10% [IQR, -23% to 9%]). CONCLUSIONS: The ankle-worn accelerometer gave the most accurate step-count measurement and was most accurate over longer distances. Neither of the other motion sensors had acceptable margins of error.
[Mh] Termos MeSH primário: Acelerometria/instrumentação
Tecnologia de Sensoriamento Remoto/instrumentação
Caminhada/fisiologia
[Mh] Termos MeSH secundário: Acelerometria/normas
Idoso
Idoso de 80 Anos ou mais
Bengala
Estudos Transversais
Feminino
Seres Humanos
Pacientes Internados
Masculino
Tecnologia de Sensoriamento Remoto/normas
Andadores
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160927
[St] Status:MEDLINE


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[PMID]:27577181
[Au] Autor:Winser S; Smith CM; Hale LA; Claydon LS; Whitney SL; Klatt B; Mottershead J; Zaydan I; Heyman R
[Ad] Endereço:Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong. Electronic address: stanley.j.winser@polyu.edu.hk.
[Ti] Título:Psychometric Properties of a Core Set of Measures of Balance for People With Cerebellar Ataxia Secondary to Multiple Sclerosis.
[So] Source:Arch Phys Med Rehabil;98(2):270-276, 2017 Feb.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine the reliability, validity, and interpretability of 4 clinical measures in assessing the severity of balance dysfunction among people with cerebellar ataxia (CA) secondary to multiple sclerosis (MS). DESIGN: Cross-sectional observation study. SETTING: Outpatient clinics. PARTICIPANTS: Consecutive participants with CA secondary to MS (N=60). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Balance was assessed and video recorded using the Berg Balance Scale (BBS), timed Up and Go (TUG) test, posture and gait subcomponent of the International Co-operative Ataxia Rating Scale (ICARS), and gait, stance, and sit subcomponents of the Scale for the Assessment and Rating of Ataxia (SARA). The videos were later used to estimate reliability. The Barthel Index, Expanded Disability Status Scale (EDSS), ICARS, and SARA were assessed, and disease duration was recorded. RESULTS: Reliability was good for all 4 measures (intraclass correlation coefficient range, .95-.99). Internal consistency was moderate to good for all 4 measures (α range, .72-.94), with a moderate to good correlation between the measures of balance (Spearman ρ range, .72-.85) and poor to moderate correlation with disease severity (EDSS), functional independence (Barthel Index), and disease duration (Spearman ρ range, -.37 to .76). Minimal detectable change was derived for the BBS (3), posture and gait subcomponent of the ICARS (2), and gait, stance, and sit subcomponents of the SARA (2). Measures were able to discriminate between assistive walking device users and nonusers. CONCLUSIONS: All 4 measures showed good reliability and acceptable validity; however, because of the item repetition in scoring of the posture and gait subcomponent of the ICARS and moderate construct, criterion, and convergent validity of the TUG, the BBS and gait, stance, and sit subcomponents of the SARA are recommended for balance assessment in clinical practice for people with CA secondary to MS.
[Mh] Termos MeSH primário: Ataxia Cerebelar/etiologia
Ataxia Cerebelar/reabilitação
Avaliação da Deficiência
Esclerose Múltipla/complicações
Esclerose Múltipla/reabilitação
Modalidades de Fisioterapia/normas
[Mh] Termos MeSH secundário: Adulto
Idoso
Bengala
Estudos Transversais
Feminino
Marcha/fisiologia
Seres Humanos
Masculino
Meia-Idade
Variações Dependentes do Observador
Equilíbrio Postural/fisiologia
Psicometria
Reprodutibilidade dos Testes
Índice de Gravidade de Doença
Andadores
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160901
[St] Status:MEDLINE


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[PMID]:27495837
[Au] Autor:Peterson LJ; Meng H; Dobbs D; Hyer K
[Ad] Endereço:Florida Policy Exchange Center on Aging, School of Aging Studies, University of South Florida, Tampa.
[Ti] Título:Gender Differences in Mobility Device Use Among U.S. Older Adults.
[So] Source:J Gerontol B Psychol Sci Soc Sci;72(5):827-835, 2017 09 01.
[Is] ISSN:1758-5368
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Objectives: Research has shown greater mobility limitations among women than men. We aimed to examine (a) gender differences in the use of canes for mobility and (b) what factors contribute to these differences under the frameworks of the disablement model and the Theory of Planned Behavior. Method: Using National Health and Aging Trends Study data, we estimated hierarchical logistic regression models to predict the likelihood of cane use among older adults who completed performance-based measures (n = 5,503). We tested the interactions between gender and selected variables to further understand gender difference. Results: In unadjusted analysis, 22% of women and 16% of men used canes. In models adjusted in steps for sociodemographics, health, physical impairments, capacity, psychosocial, and social environment factors, women were progressively less likely to use canes, significantly so at the last step. Suppression effect analyses showed the influence of living alone and receiving mobility help variables. Interaction analyses showed that women reporting poor health or balance were less likely to use canes; obese women were more likely. Discussion: Significant gender differences exist in cane use among older community-living adults. Findings suggest that health and function partly account for these differences. Future research is needed to understand social/cultural factors involved.
[Mh] Termos MeSH primário: Bengala/utilização
Limitação da Mobilidade
[Mh] Termos MeSH secundário: Atividades Cotidianas/classificação
Adaptação Psicológica
Idoso
Idoso de 80 Anos ou mais
Doença Crônica/epidemiologia
Doença Crônica/psicologia
Avaliação da Deficiência
Feminino
Nível de Saúde
Seres Humanos
Funções Verossimilhança
Masculino
Fatores Sexuais
Estados Unidos
Revisão da Utilização de Recursos de Saúde
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160807
[St] Status:MEDLINE
[do] DOI:10.1093/geronb/gbw081


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[PMID]:27065052
[Au] Autor:Kim DS; Wall Emerson R; Naghshineh K; Auer A
[Ad] Endereço:a Department of Blindness and Low Vision Studies , Western Michigan University , Kalamazoo , MI , USA.
[Ti] Título:Drop-off detection with the long cane: effect of cane shaft weight and rigidity on performance.
[So] Source:Ergonomics;60(1):59-68, 2017 Jan.
[Is] ISSN:1366-5847
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Most travellers who are blind rely on a long cane to detect drop-offs on their walking paths. We examined how different cane shaft materials affect drop-off detection performance through providing different vibrotactile and proprioceptive feedbacks to the cane user. Results of the study showed a significant interaction between cane shaft weight and how the cane is used. A heavier cane was advantageous for detecting drop-offs when the individual used the 'constant contact technique' - cane tip stays in contact with the walking surface at all times - but not when he used the 'two-point touch technique' - cane tip is rhythmically tapped on the surface. In addition, a more flexible cane was advantageous for detecting drop-offs when the two-point touch technique was used but not when the constant contact technique was used. It is recommended that, when blind individuals select a cane shaft material, they consider which long cane technique they use more often. Practitioner Summary: Long cane shaft material affects how well a blind individual can detect drop-offs. A heavier shaft was advantageous when using the constant contact technique (cane tip stays in continuous contact with the surface), while a more flexible shaft was better when using the two-point touch technique (cane tip rhythmically taps the surface).
[Mh] Termos MeSH primário: Cegueira/reabilitação
Bengala
Desenho de Equipamento
Propriocepção
Vibração
[Mh] Termos MeSH secundário: Adulto
Idoso
Fenômenos Biomecânicos
Feminino
Seres Humanos
Masculino
Meia-Idade
Equipamentos de Autoajuda
Caminhada
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:160412
[St] Status:MEDLINE
[do] DOI:10.1080/00140139.2016.1171403



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