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Periodic Limb Movement

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181. Outcome of Type 3 Open Tibial Diaphyseal Fractures Managed with a Limb Reconstruction System: Analysis of a 49-Patient Cohort Full Text available with Trip Pro

Outcome of Type 3 Open Tibial Diaphyseal Fractures Managed with a Limb Reconstruction System: Analysis of a 49-Patient Cohort To evaluate functional and radiological results following treatment with the single-plane external fixator limb reconstruction system (LRS) for open tibial diaphyseal fractures resulting from high-energy trauma.From a total of 62 patients who were operated on between 2011 and 2014 for open tibial diaphyseal fractures resulting from high-energy trauma, 50 tibias from 49 (...) patients (males: 32, females: 17) were classified as type 3 according to the Gustilo-Anderson open fracture classification, and definitive treatment was applied with the LRS. The patients ranged in age from 20 to 36 years. Time to union, time of external fixator usage, complications and functional results according to the Johner-Wruhs criteria were recorded.The mean follow-up period was 23 ± 12 months (range: 11-44). Of the 50 tibias, full union was achieved with the LRS in 48 (96%). No shortness

2015 Medical Principles and Practice

182. A Low Cost Virtual Reality System for Home Based Rehabilitation of the Upper Limb Following Stroke

Purpose: Treatment Official Title: A Low Cost Virtual Reality System for Home Based Rehabilitation of the Upper Limb Following Stroke Study Start Date : November 2009 Actual Primary Completion Date : December 2012 Actual Study Completion Date : September 2013 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: Intervention The virtual glove in their homes for a period of 8 weeks and advised to try to build up (...) discharge) still experiencing residual upper limb dysfunction. Exclusion Criteria: no detectable movement in the upper limb; premorbid disability in upper limb function; severe symptomatic arm or shoulder pain; severe visual impairments; other neurological illnesses such as head injury or multiple sclerosis; unstable medical condition; psychiatric illness; epilepsy triggered by screen images; cardiac pacemaker; unable to tolerate sitting in a chair for 30 minutes or follow a two stage command or living

2015 Clinical Trials

183. Lower limb biomechanical characteristics of patients with neuropathic diabetic foot ulcers: the diabetes foot ulcer study protocol. Full Text available with Trip Pro

measurements), kinematics (joint movements), kinetics (forces on the lower limb) and plantar pressures (pressure placed on the foot during walking) contribute to foot ulcer healing. The primary aim of this study is to establish the biomechanical characteristics (temporal spatial parameters, kinematics, kinetics and plantar pressures) of patients with plantar neuropathic foot ulcers compared to controls without a history of foot ulcers. The secondary aim is to assess the same biomechanical characteristics (...) (reduced temporal spatial parameters, kinematics and kinetics) at base line and then throughout the follow-up period compared to controls. The study may provide evidence for the design of gait-retraining, neuro-muscular conditioning and other approaches to off-load the limbs of those with foot ulcers in order to reduce the mechanical loading on the foot during gait and promote ulcer healing.

2015 BMC Endocrine Disorders

184. Training Induced Reduction of Lower-limb Joint Loads During Locomotion in Obese Children

result in increased joint stress and damage to articular cartilage. A training programme, which aims at developing a more neutral alignment of the trunk and lower limbs during movement tasks may be able to reduce knee loading during locomotion. Despite the large number of guidelines for muscle strength training and neuromuscular exercises that exists, most are not specifically designed to target the obese children and adolescent demographic. The purpose of this study is to evaluate a training (...) Training Induced Reduction of Lower-limb Joint Loads During Locomotion in Obese Children Training Induced Reduction of Lower-limb Joint Loads During Locomotion in Obese Children - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies

2015 Clinical Trials

185. Effects of Upper Limb Motor and Robotic Training Over Neuroplasticity and Function Capacity

Effects of Upper Limb Motor and Robotic Training Over Neuroplasticity and Function Capacity Effects of Upper Limb Motor and Robotic Training Over Neuroplasticity and Function Capacity - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Effects of Upper Limb Motor and Robotic Training Over Neuroplasticity and Function Capacity (NARLE1) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02700061 Recruitment Status : Unknown Verified August 2015 by University of Sao Paulo General Hospital. Recruitment status

2015 Clinical Trials

186. Functional rehabilitation of upper limb apraxia in poststroke patients: study protocol for a randomized controlled trial. Full Text available with Trip Pro

or a traditional health education group. The experimental group will receive an 8-week combined functional program at home, including physical and occupational therapy focused on restorative and compensatory techniques for upper limb apraxia, 3 days per week in 30-min intervention periods. The control group will receive a conventional health education program once a month over 8 weeks, based on improving awareness of physical and functional limitations and facilitating the adaptation of patients to the home (...) ) the Test of Upper Limb Apraxia (TULIA), and 7) the Quality of Life Scale For Stroke (ECVI-38).This trial is expected to clarify the effectiveness of a combined functional rehabilitation approach compared to a conservative intervention for improving upper limb movement and function in poststroke patients.Clinical Trial Gov number NCT02199093 . The protocol registration was received 23 July 2014. Participant enrollment began on 1 May 2014. The trial is expected to be completed in March 2016.

2015 Trials Controlled trial quality: predicted high

187. Double Upper Limb Allograft: Intervention and Clinical Evaluation. A Pilot Study of 5 Cases

Double Upper Limb Allograft: Intervention and Clinical Evaluation. A Pilot Study of 5 Cases Double Upper Limb Allograft: Intervention and Clinical Evaluation. A Pilot Study of 5 Cases - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Double Upper Limb Allograft: Intervention and Clinical Evaluation. A Pilot Study of 5 Cases (DAMIE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02508831 Recruitment Status : Recruiting First

2015 Clinical Trials

188. Electromyography-Based Quantitative Representation Method for Upper-Limb Elbow Joint Angle in Sagittal Plane Full Text available with Trip Pro

. Based on the dynamics model, a quadratic-like quantitative relationship between EMG signals and the elbow joint angle is built using a Hill-type-based muscular model. Furthermore, a state switching model is designed to stabilize the transition of EMG signals between different muscle contraction motions during the whole movement. To evaluate the efficiency of the method, ten subjects performed continuous experiments during a 4-day period and five of them performed a subsequent consecutive stepping (...) Electromyography-Based Quantitative Representation Method for Upper-Limb Elbow Joint Angle in Sagittal Plane This paper presents a quantitative representation method for the upper-limb elbow joint angle using only electromyography (EMG) signals for continuous elbow joint voluntary flexion and extension in the sagittal plane. The dynamics relation between the musculotendon force exerted by the biceps brachii muscle and the elbow joint angle is developed for a modified musculoskeletal model

2015 Journal of Medical and Biological Engineering

189. Relationship between structural brainstem and brain plasticity and lower-limb training in spinal cord injury: a longitudinal pilot study Full Text available with Trip Pro

Relationship between structural brainstem and brain plasticity and lower-limb training in spinal cord injury: a longitudinal pilot study Rehabilitative training has shown to improve significantly motor outcomes and functional walking capacity in patients with incomplete spinal cord injury (iSCI). However, whether performance improvements during rehabilitation relate to brain plasticity or whether it is based on functional adaptation of movement strategies remain uncertain. This study assessed (...) training improvement-induced structural brain plasticity in chronic iSCI patients using longitudinal MRI. We used tensor-based morphometry (TBM) to analyze longitudinal brain volume changes associated with intensive virtual reality (VR)-augmented lower limb training in nine traumatic iSCI patients. The MRI data was acquired before and after a 4-week training period (16-20 training sessions). Before training, voxel-based morphometry (VBM) and voxel-based cortical thickness (VBCT) assessed baseline

2015 Frontiers in human neuroscience

190. Accurate Test of Limb Isometric Strength (ATLIS) in ALS

: Subjects 18 years or older diagnosed with clinically possible, laboratory supported probable, probable or clinically definite ALS according to the World Federation of Neurology Revised El Escorial Criteria. Capable of providing informed consent and complying with trial procedures. Active movement of at least two limbs at the time of study entry Intend to routinely attend clinic for neurological care at the clinical site Exclusion criteria: Patients, judged by the site clinical investigator to have (...) Accurate Test of Limb Isometric Strength (ATLIS) in ALS Accurate Test of Limb Isometric Strength (ATLIS) in ALS - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Accurate Test of Limb Isometric Strength

2015 Clinical Trials

191. Robot-supported upper limb training in a virtual learning environment : a pilot randomized controlled trial in persons with MS. Full Text available with Trip Pro

Activity Log) level were administered before and after an intervention period of 8 weeks. The intervention group were also evaluated on robot-mediated movement tasks in three dimensions, providing active range of motion, movement duration and speed and hand-path ratio as indication of movement efficiency in the spatial domain. Non-parametric statistics were applied.PwMS commented favourably on the robot-supported virtual learning environment and reported functional training effects in daily life (...) . Movement tasks in three dimensions, measured with the robot, were performed in less time and for the transporting and reaching movement tasks more efficiently. There were however no significant changes for any clinical measure in neither intervention nor control group although observational analyses of the included cases indicated large improvements on the Fugl-Meyer in persons with more marked upper limb dysfunction.Robot-supported training lead to more efficient movement execution which was however

2015 Journal of neuroengineering and rehabilitation Controlled trial quality: uncertain

192. Do lycra garments improve function and movement in children with cerebral palsy?

quadriplegia). 2 were new to wearing splints and 2 had worn splint for more than 12 months. Lycra splints for upper limb worn for up to 6.5 h/day Case series (level 4) Melbourne Assessment (upper limb). Assessed at baseline and intervention phase twice weekly. Data collection period ranged from 14 to 17 weeks No change in quality of unilateral upper limb movement. 1 Patient had a decrease in movement with long-term use Within-patient trends were analysed. Study lacked large homogeneous group of subjects (...) ). References Blair E, Ballantyne J, Horsman S, et al. A study of a dynamic proximal stability splint in the management of children with cerebral palsy. Dev Med Child Neurol 1995;37:544–54. Edmondson J, Fisher K, Hanson C. How effective are lycra suits in the management of children with cerebral palsy? J Assoc Paediatr Chart Physiotherapists 1999;90:49–57. Nicholson JH, Morton RE, Attfield S, et al. Assessment of upper-limb function and movement in children with cerebral palsy wearing lycra garments. Dev

2010 BestBETS

193. Effectiveness of commercial gaming-based virtual reality movement therapy on functional recovery of upper extremity in subacute stroke patients. Full Text available with Trip Pro

Effectiveness of commercial gaming-based virtual reality movement therapy on functional recovery of upper extremity in subacute stroke patients. To investigate the effectiveness of commercial gaming-based virtual reality (VR) therapy on the recovery of paretic upper extremity in subacute stroke patients.Twenty patients with the first-onset subacute stroke were enrolled and randomly assigned to the case group (n=10) and the control group (n=10). Primary outcome was measured by the upper limb (...) commercial gaming-based VR therapy using Wii (Nintendo, Tokyo, Japan), and the control group received conventional occupational therapy (OT) for 30 minutes a day during the period of 4 weeks. All patients were evaluated before and after the 4-week intervention.There were no significant differences in the baseline between the two groups. After 4 weeks, both groups showed significant improvement in the FMA-UL, MFT, BBT, K-MBI, K-MMSE, and correct detection of auditory CPT. However, grip strength

2014 Annals of rehabilitation medicine Controlled trial quality: uncertain

194. Ankle Stability and Movement Coordination Impairments

following a recent or recurring lateral ankle sprain, assessment of activity limitation, participa- tion restriction, and symptom reproduction should include objective and reproducible measures, such as single-limb hop tests that assess performance with lateral movements, diagonal movements, and directional changes. (Recommen- dation based on moderate evidence.) EXAMINATION – PHYSICAL IMPAIRMENT MEASURES: When evaluating a patient with an acute or subacute lateral ankle sprain over an episode of care (...) -bearing tolerance in patients recovering from a lateral ankle sprain. (Recommendation based on strong evidence.) INTERVENTION – PROGRESSIVE LOADING/SENSORIMOTOR TRAINING PHASE – THERAPEUTIC EXERCISE AND ACTIVITIES: Clinicians may include therapeutic exercises and activities, such as weight-bearing functional exercises and single- limb balance activities using unstable surfaces, to improve mobility, strength, coordination, and postural control in the postacute period of rehabilitation for ankle sprains

2013 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

195. Effects of Modified Constraint Induced Movement Therapy on Infantile Hemiplegia

by (Responsible Party): CEU San Pablo University Study Details Study Description Go to Brief Summary: The purpose of this study is to assess the functionality of the affected upper limb in infantile hemiplegia by applying a protocol of modified constraint-induced movement therapy. Condition or disease Intervention/treatment Phase Hemiplegia Procedure: mCIMT Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 16 participants (...) Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Treatment Study Start Date : June 2014 Actual Primary Completion Date : December 2014 Actual Study Completion Date : December 2014 Resource links provided by the National Library of Medicine resources: Arms and Interventions Go to Arm Intervention/treatment No Intervention: Control Experimental: mCIMT The study is conducted over a period of 5 weeks of treatment, using a movement restriction time

2014 Clinical Trials

196. Nerve pressure pain hypersensitivity and upper limb mechanosensitivity in breast cancer survivors: a case-control study. Full Text available with Trip Pro

and shoulder pain was evaluated using an 11-point numerical point rating scale. Pressure pain thresholds (PPTs) were bilaterally assessed over the median, radial, and ulnar nerve trunks and tibialis muscle, and the neurodynamics of the upper limb by neural tolerance to movement was evaluated in the median, radial, and ulnar nerves.Thirteen (59.1%) patients reported spontaneous neck pain, and 16 (72.7%) patients showed spontaneous shoulder/axillary pain. Analysis of variance revealed that breast cancer (...) Nerve pressure pain hypersensitivity and upper limb mechanosensitivity in breast cancer survivors: a case-control study. This study aims to investigate the presence of bilateral pressure pain hypersensitivity in arm trunk nerves and upper limb mechanosensitivity in breast cancer patients with neck-shoulder pain after medical treatments.Twenty-two breast cancer survivors (mean age 49.05 ± 7.8 years) and matched healthy controls (mean age 50.76 ± 7.6 years) participated in the study. Neck

2014 Pain Medicine

197. Effects of Robot-Assisted Combined Therapy in Upper Limb Rehabilitation in Stroke Patients

. The inclusion criteria of subjects are first-ever unilateral stroke with more than 3 months onset ; (2) an initial UL subsection of the Fugl-Meyer Assessment score of 18 to 56 indicating moderate to severe and moderate UL movement impairment; (3) no excessive spasticity in any of the joints of the affected UL (shoulder, elbow, wrist, fingers); (4) be able to follow study instructions and perform study tasks; (5) without upper limb fracture within 3 months; (6) lack of participation in any experimental (...) and lower limb movement variables, the Fugl-Meyer Assessment (FMA), Medical Research Council scale (MRC), MYOTON-3, accelerometers, Functional Ambulation Category (FAC), Ten-meter walk test, Functional Independence Measure (FIM), Stroke Impact Scale (SIS), Action Research Arm Test (ARAT), Wolf Motor Function Test (WMFT), ABILHAND, Motor Activity Log (MAL), and Modified Ashworth Scale (MAS). All the data will be calculated by SPSS 13.0. Subject's age, sex, time after stroke in each group will be compared

2014 Clinical Trials

198. Virtual Reality Rehabilitation for Individuals With Lower Limb Amputation

Virtual Reality Rehabilitation for Individuals With Lower Limb Amputation Virtual Reality Rehabilitation for Individuals With Lower Limb Amputation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Virtual (...) Reality Rehabilitation for Individuals With Lower Limb Amputation The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02328859 Recruitment Status : Completed First Posted : December 31, 2014 Last Update Posted : June 28, 2017 Sponsor: VA Office of Research and Development Information provided

2014 Clinical Trials

199. Myoelectric Robot-assisted Rehabilitation for the Upper Limb After Stroke

patients will be recruited in this study, all the patients will receive 1 hour of standard therapy together with 45 min of robot therapy every day. The robot therapy will last 45 minutes, for 15 consecutive days within a maximum period of four weeks. Additional 15 minutes are required for placing surface electrodes on the shoulder and patient preparation. The study will include passive and active shoulder training of four movements: Horizontal abduction/adduction, abduction/adduction, internal/external (...) Myoelectric Robot-assisted Rehabilitation for the Upper Limb After Stroke Myoelectric Robot-assisted Rehabilitation for the Upper Limb After Stroke - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2014 Clinical Trials

200. Study to Assess Impact of Dysport Injections Early After Stroke on Upper Limb Spasticity Progression

of ≥ 1 on the 4-point Likert scale (scale ranges from 0 [no impact] to 3 [severe impact]) An impact on active function measured by a score of ≥ 1 on the 4-point Likert scale An involuntary movements score ≥1 on the 4-point Likert scale in relevant upper limb. Results are reported overall for subjects with both symptomatic and asymptomatic spasticity. Secondary Outcome Measures : Mean Change in MAS of the Primary Targeted Muscle Group. [ Time Frame: From baseline up to Week 28 ] Increased muscle tone (...) Study to Assess Impact of Dysport Injections Early After Stroke on Upper Limb Spasticity Progression Study to Assess Impact of Dysport Injections Early After Stroke on Upper Limb Spasticity Progression - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2014 Clinical Trials

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