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Periodic Limb Movement

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181. Restless Legs Syndrome: Would You Like That with Movements or Without? Full Text available with Trip Pro

Restless Legs Syndrome: Would You Like That with Movements or Without? The restless legs syndrome (RLS) is a common sensorimotor condition that often results in discomfort and sleep disturbance. Diagnosis of RLS is entirely clinical and based upon a patient's description of subjective symptoms, and thus when considering RLS diagnosis non-specificity is a real problem. RLS is associated with periodic limb movements during sleep (PLMS) in up to 90% of RLS sufferers; however, their presence

2015 Tremor and Other Hyperkinetic Movements

182. Constraint-Induced Movement Therapy After Injection of Botulinum Toxin Type A for a Patient With Chronic Stroke: One-Year Follow-up Case Report. Full Text available with Trip Pro

of the combination of BTX type A injection and constraint-induced movement therapy on spasticity and arm function in a patient with chronic stroke and arm paresis are described.The patient was a 66-year-old man who had had an infarction in the right posterior limb of the internal capsule 4 years before the intervention. At screening, the patient was not able to voluntarily extend his interphalangeal or metacarpophalangeal joints beyond the 10 degrees required for constraint-induced movement therapy. From 12 days (...) after BTX type A injection, the patient received 5 hours of constraint-induced movement therapy for 10 weekdays.All outcome measures (Modified Ashworth Scale, Fugl-Meyer Assessment, Action Research Arm Test, and amount of use scale of the Motor Activity Log) improved substantially over the 1-year period (before intervention to 1 year after intervention). Repeat BTX type A injections were not necessary because muscle tone and arm function did not worsen during the observation period.The improved arm

2015 Physical therapy

183. Movement Evoked Pain and Mechanical Hyperalgesia after Intramuscular Injection of Nerve Growth Factor: A Model of Sustained Elbow Pain. Full Text available with Trip Pro

Movement Evoked Pain and Mechanical Hyperalgesia after Intramuscular Injection of Nerve Growth Factor: A Model of Sustained Elbow Pain. Lateral epicondylalgia presents as lateral elbow pain provoked by upper limb tasks. An experimental model of elbow pain provoked by movement/muscle contraction and maintained over several days is required to better understand the mechanisms underlying sustained elbow pain. This study investigated the time course and pain location induced by nerve growth factor (...) (NGF) injection into a wrist extensor muscle, and whether movement and muscle contraction/stretch provoked pain.On Day 0 twenty-six painfree volunteers were injected with NGF (N = 13) or isotonic saline (randomized) into the extensor carpi radialis brevis (ECRB) muscle of the dominant arm. On Day 2 pain was induced in all participants by hypertonic saline injection into ECRB. A Likert scale and patient-rated tennis elbow evaluation (PRTEE) was used to assess pain and functional limitation (Days 0

2015 Pain Medicine Controlled trial quality: uncertain

184. Creutzfeldt-Jakob disease versus anti-LGI1 limbic encephalitis in a patient with progressive cognitive dysfunction, psychiatric symptoms, involuntary facio-brachio-crural movement, and an abnormal electroencephalogram: a case report Full Text available with Trip Pro

and brief left upper limb dystonic posturing lasting 1-2 seconds, with hyponatremia that was difficult to rectify. Neurological examination showed increased muscle tension in the left limb but without pathological reflexes. His early EEG showed focal periodic wave complexes. Diffusion-weighted magnetic resonance imaging showed a suspected "lace sign" in the occipital cortex. His cerebrospinal fluid was negative for LGI1 antibodies and positive for 14-3-3 brain protein. Therefore, we made a presumptive (...) Creutzfeldt-Jakob disease versus anti-LGI1 limbic encephalitis in a patient with progressive cognitive dysfunction, psychiatric symptoms, involuntary facio-brachio-crural movement, and an abnormal electroencephalogram: a case report Diagnosis of Creutzfeldt-Jakob disease (CJD) is often challenging in elderly individuals, not only because of its variable clinical features but also because of nonspecific changes on the electroencephalogram (EEG) in the early stages of the disease. Here we report

2015 Neuropsychiatric disease and treatment

185. Functional Movement-power Training for Children With Developmental Coordination Disorder: A Randomised Controlled Trial

and no intervention in improving balance strategies and performance among children with developmental coordination disorder (DCD). Design: A randomised controlled clinical trial. Sample: 87 children with DCD. Interventions: 12 weeks of PT and FMT or FMT alone in the two intervention groups. Major outcomes: Sensory organisation test - balance strategy and composite scores; Movement Assessment Battery for Children - total impairment score and balance subscore; hand-held dynamometer measurements of lower limb muscle (...) subscore; hand-held dynamometer measurements of lower limb muscle strength and time to peak force. Anticipated results and clinical significance: DCD-affected children who receive FMT together with PT will have the best balance performance outcomes. If the results are positive, this training programme could be readily transferrable to clinical practice. This could have positive socio-economic implications, such as shorter treatment periods and reduced healthcare costs. Study Design Go to Layout table

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. 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

188. 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

189. 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

190. 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

191. 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

192. 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

193. 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

194. 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

195. 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

196. 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

197. 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

198. 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

199. Accelerometer measurement of upper extremity movement after stroke: a systematic review of clinical studies. Full Text available with Trip Pro

Accelerometer measurement of upper extremity movement after stroke: a systematic review of clinical studies. The aim of this review was to identify and summarise publications, which have reported clinical applications of upper limb accelerometry for stroke within free-living environments and make recommendations for future studies. Data was searched from MEDLINE, Scopus, IEEExplore and Compendex databases. The final search was 31st October 2013. Any study was included which reported clinical (...) patients. Accelerometers were worn for either 24 hours or 3 days. Data were collected as summed acceleration counts over a specified time or as the duration of active/inactive periods. Activity in both arms was reported by all studies and the ratio of impaired to unimpaired arm activity was calculated in six studies. The correlation between clinical assessments and accelerometry was tested in five studies and significant correlations were found. The efficacy of a rehabilitation intervention

2014 Journal of neuroengineering and rehabilitation

200. 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.

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