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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]:28661948
[Au] Autor:Newland P; Kimutis A; Salter A; Flick L; Thomas FP; Rantz M; Skubic M
[Ti] Título:Continuous In-Home Symptom and Mobility Measures for Individuals With Multiple Sclerosis: A Case Presentation.
[So] Source:J Neurosci Nurs;49(4):241-246, 2017 Aug.
[Is] ISSN:1945-2810
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Gait impairment represents one of the most common and disabling symptoms of multiple sclerosis (MS). To identify which temporal or spatial parameters of gait could be used as outcome measures in interventional studies of individuals with MS with different levels of disability, we evaluated characteristics of these parameters in a case study of 3 participants with MS, using 1 case as an exemplar and the other participants as validation. A case study of an exemplar participant was conducted with a 67-year-old woman with secondary progressive MS served as exemplar, with 2 other participants (52 and 55 years old) as validation. The primary outcome measures we used were stride time, stride length, gait velocity, and daily symptoms. Stride length and velocity of gait decreased with increasing pain and fatigue. The step time was significantly longer later in the day, whereas the step length remained the same. Stride length and velocity are associated with the level of fatigue and pain, as well as the time of day. These characteristics and parameters of gait need to be considered in future studies of gait in MS, with particular attention to temporality of occurrence in persons with MS.
[Mh] Termos MeSH primário: Transtornos Neurológicos da Marcha/terapia
Limitação da Mobilidade
Esclerose Múltipla/complicações
Amplitude de Movimento Articular/fisiologia
Equipamentos de Autoajuda/utilização
[Mh] Termos MeSH secundário: Adjuvantes Imunológicos/uso terapêutico
Idoso
Feminino
Transtornos Neurológicos da Marcha/etiologia
Acetato de Glatiramer/uso terapêutico
Seres Humanos
Masculino
Meia-Idade
Esclerose Múltipla/tratamento farmacológico
Andadores
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adjuvants, Immunologic); 5M691HL4BO (Glatiramer Acetate)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1097/JNN.0000000000000299


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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]:28241769
[Au] Autor:Schülein S; Barth J; Rampp A; Rupprecht R; Eskofier BM; Winkler J; Gaßmann KG; Klucken J
[Ad] Endereço:Geriatrics Centre Erlangen, Waldkrankenhaus St. Marien, Erlangen, Germany.
[Ti] Título:Instrumented gait analysis: a measure of gait improvement by a wheeled walker in hospitalized geriatric patients.
[So] Source:J Neuroeng Rehabil;14(1):18, 2017 Feb 27.
[Is] ISSN:1743-0003
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In an increasing aging society, reduced mobility is one of the most important factors limiting activities of daily living and overall quality of life. The ability to walk independently contributes to the mobility, but is increasingly restricted by numerous diseases that impair gait and balance. The aim of this cross-sectional observation study was to examine whether spatio-temporal gait parameters derived from mobile instrumented gait analysis can be used to measure the gait stabilizing effects of a wheeled walker (WW) and whether these gait parameters may serve as surrogate marker in hospitalized patients with multifactorial gait and balance impairment. METHODS: One hundred six patients (ages 68-95) wearing inertial sensor equipped shoes passed an instrumented walkway with and without gait support from a WW. The walkway assessed the risk of falling associated gait parameters velocity, swing time, stride length, stride time- and double support time variability. Inertial sensor-equipped shoes measured heel strike and toe off angles, and foot clearance. RESULTS: The use of a WW improved the risk of spatio-temporal parameters velocity, swing time, stride length and the sagittal plane associated parameters heel strike and toe off angles in all patients. First-time users (FTUs) showed similar gait parameter improvement patterns as frequent WW users (FUs). However, FUs with higher levels of gait impairment improved more in velocity, stride length and toe off angle compared to the FTUs. CONCLUSION: The impact of a WW can be quantified objectively by instrumented gait assessment. Thus, objective gait parameters may serve as surrogate markers for the use of walking aids in patients with gait and balance impairments.
[Mh] Termos MeSH primário: Acelerometria/instrumentação
Acelerometria/métodos
Marcha
Exame Neurológico/instrumentação
Exame Neurológico/métodos
Andadores
[Mh] Termos MeSH secundário: Atividades Cotidianas
Idoso
Envelhecimento
Estudos Transversais
Feminino
Seres Humanos
Cinética
Masculino
Sapatos
Caminhada
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170530
[Lr] Data última revisão:
170530
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170301
[St] Status:MEDLINE
[do] DOI:10.1186/s12984-017-0228-z


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[PMID]:28102429
[Au] Autor:Street T; Swain I; Taylor P
[Ad] Endereço:Clinical Science and Engineering, Salisbury NHS Foundation Trust, SP2 8BJ Salisbury, United Kingdom. tamsyn.street@salisburyfes.com, tamsyn.street@nhs.net.
[Ti] Título:Training and orthotic effects related to functional electrical stimulation of the peroneal nerve in stroke.
[So] Source:J Rehabil Med;49(2):113-119, 2017 Jan 31.
[Is] ISSN:1651-2081
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine the evidence for a training effect on the lower limb of functional electrical stimulation. DESIGN: Cohort study. PATIENTS: A total of 133 patients >6 months post-stroke. METHODS: Training and orthotic effects were determined from walking speed over 10 m, associated minimal and substantial clinically important differences (i.e. >0.05 and >0.10 m/s), and Functional Ambulation Category (FAC), ranging from household walking to independent walking in the community. RESULTS: An overall significant (p < 0.01) training effect was found that was not a clinically important difference (0.02 m/s); however, "community" FAC (≥ 0.8 m/s) and "most limited community walkers" FAC (0.4-0.58 m/s), but not "household walkers" (< 0.4 m/s), benefitted from a clinically important difference. A highly significant (p< 0.001), substantial clinically important orthotic effect (0.10 m/s) was found. In terms of overall improvement of one or more FACs, 23% achieved this due to a training effect, compared with 43% due to an orthotic effect. CONCLUSION: The findings suggest that functional electrical stimulation provides a training effect in those who are less impaired. Further work, which optimizes the use of the device for restoration of function, rather than as an orthotic device, will provide greater clarity on the effectiveness of functional electrical stimulation for eliciting a training effect.
[Mh] Termos MeSH primário: Terapia por Estimulação Elétrica/métodos
Transtornos Neurológicos da Marcha/fisiopatologia
Aparelhos Ortopédicos/utilização
Nervo Fibular/fisiopatologia
Reabilitação do Acidente Vascular Cerebral/métodos
Acidente Vascular Cerebral/fisiopatologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Estudos de Coortes
Feminino
Seres Humanos
Masculino
Meia-Idade
Andadores
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170120
[St] Status:MEDLINE
[do] DOI:10.2340/16501977-2181


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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]:27193227
[Au] Autor:Mun KR; Lim SB; Guo Z; Yu H
[Ad] Endereço:Imaging Media Research Center, Korea Institute of Science and Technology, Seoul, 136791, Republic of Korea.
[Ti] Título:Biomechanical effects of body weight support with a novel robotic walker for over-ground gait rehabilitation.
[So] Source:Med Biol Eng Comput;55(2):315-326, 2017 Feb.
[Is] ISSN:1741-0444
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Body weight support (BWS) promotes better functional outcomes for neurologically challenged patients. Despite the established effectiveness of BWS in gait rehabilitation, the findings on biomechanical effects of BWS training still remain contradictory. Therefore, the aim of this study is to comprehensively investigate the effects of BWS. Using a newly developed robotic walker which can facilitate pelvic motions with an active BWS unit, we compared gait parameters of ten healthy subjects during a 10-m walk with incremental levels of body weight unloading, ranging from 0 to 40 % at 10 % intervals. Significant changes in joint angles and gait temporospatial parameters were observed. In addition, the results of an EMG signal study showed that the intensity of muscle activation was significantly reduced with increasing BWS levels. The reduction was found at the ankle, knee, and hip joints in the sagittal plane as well as at the hip joint in the frontal plane. The results of this study provide an important indication of increased lateral body balance and greater stabilization in sagittal and frontal plane during gait. Our findings provide a better understanding of the biomechanical effects of BWS during gait, which will help guide the gait rehabilitation strategies.
[Mh] Termos MeSH primário: Peso Corporal
Marcha
Robótica
Andadores
[Mh] Termos MeSH secundário: Adulto
Articulação do Tornozelo/fisiologia
Fenômenos Biomecânicos
Eletromiografia
Marcha/fisiologia
Articulação do Quadril/fisiologia
Seres Humanos
Articulação do Joelho/fisiologia
Músculo Esquelético/fisiologia
Aparelhos Ortopédicos
Caminhada/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171104
[Lr] Data última revisão:
171104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160520
[St] Status:MEDLINE
[do] DOI:10.1007/s11517-016-1515-8


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[PMID]:26209797
[Au] Autor:Luz C; Bush T; Shen X
[Ad] Endereço:Department of Family Medicine, College of Human Medicine, Michigan State University, East Lansing.
[Ti] Título:Do Canes or Walkers Make Any Difference? NonUse and Fall Injuries.
[So] Source:Gerontologist;57(2):211-218, 2017 Apr 01.
[Is] ISSN:1758-5341
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose of the Study: Examine patterns of cane and walker use as related to falls and fall injuries. Hypotheses: Among people who fall at home, most do not have an assistive device with them when they fall. Nonusers who fall sustain more severe injuries. Design and Methods: This was a cross-sectional study using a self-administered written survey completed by 262 people aged 60 and older who were community dwelling, cognitively intact, and current cane/walker users with a history of falls. They were recruited through clinical practice sites, churches, and senior housing in central Michigan. Outcomes of interest included patterns of device use, reasons for nonuse, device use at time of fall, and fall-related injuries. Results: Seventy-five percent of respondents who fell were not using their device at the time of fall despite stating that canes help prevent falls. Reasons for nonuse included believing it was not needed, forgetfulness, the device made them feel old, and inaccessibility. Perceived risk was not high enough to engage in self-protective behavior. However, nonuse led to a significantly higher proportion of falls resulting in surgery than among device users. Among respondents requiring surgery, 100% were nonusers. Most respondents never received a home safety evaluation (68%) and only 50% received training on proper device use. Implications: Providers must place increased emphasis on the importance of cane/walker use for injury prevention through patient education to promote personal relevance, proper fitting, and training. New strategies are needed to improve device acceptability and accessibility.
[Mh] Termos MeSH primário: Acidentes por Quedas/estatística & dados numéricos
Bengala/utilização
Andadores/utilização
Ferimentos e Lesões/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Feminino
Seres Humanos
Masculino
Michigan/epidemiologia
Meia-Idade
Cooperação do Paciente
Equipamentos de Autoajuda/utilização
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150726
[St] Status:MEDLINE
[do] DOI:10.1093/geront/gnv096



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