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Periodic Limb Movement

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81. Fu's subcutaneous needling and constraint-induced movement therapy for a patient with chronic stroke: One-year follow-up case report. Full Text available with Trip Pro

A injection.A 35-year-old male experienced arm paresis after an infarction in the right posterior limb of the internal capsule 1 year before the intervention.The BTX type A injection did not work, so the patient received Fu's subcutaneous needling as an alternative therapy before 5 h of constraint-induced movement therapy for 12 weekdays.All outcome measures (Modified Ashworth Scale, Fugl-Meyer Assessment, Action Research Arm Test, and Motor Activity Log) substantially improved over the 1-year period (...) paresis.The patient suffered an infarction in the right posterior limb of the internal capsule 1 year ago, which resulted in hemiparesis in his left (nondominant) hand and arm. The only limitation for constraint-induced movement therapy was insufficient finger extension. The patient was unable to voluntarily extend his interphalangeal or metacarpophalangeal joints beyond the 10 degrees required for constraint-induced movement therapy. However, his muscle tension did not change after the BTX type

2019 Medicine

82. Current therapy for the upper limb after stroke: a cross-sectional survey of UK therapists. Full Text available with Trip Pro

and social networks to UK-based therapists.Respondents were occupational or physiotherapists currently working clinically in the UK with people after stroke. Over the 6 week data collection period, 156 respondents opened the survey, and 154 completed it. Respondents comprised 85 physiotherapists and 69 occupational therapists.Respondents reported treating the upper limb a median of three times a week (range: 1 to 7) for a mean of 29 min (SD: 18). Most (n=110) stated this was supplemented (...) deficits after stroke and a detailed template to inform standard therapy interventions in future research. Several evidence-based therapies were reported to be used by respondents (eg, constraint induced movement therapy), but others were not (eg, mental imagery). The findings also highlight that the current reported provision of upper limb therapy is markedly less than what is likely to be effective. This underlines an urgent need to configure and fund services to empower therapists to deliver greater

2019 BMJ open

83. Non-invasive monitoring of stress biomarkers in the newborn period. (Abstract)

Non-invasive monitoring of stress biomarkers in the newborn period. The neonatal period is a highly sensitive time span during which stressful experiences may have an influence on later health outcomes. Medical procedures applied to newborn babies during hospitalization are stressors that trigger a physiological and psychological stress response. Stress response has been traditionally evaluated using scores based on behavioural signs such as facial expressions, limb movements, crying, etc (...) ., which are subjectively interpreted. Only few studies have employed measurable physiological signs to objectively evaluate the stress response to specific interventions. The aim of this review is to inform of recently developed biochemical methods that allow clinicians to evaluate the stress response to medical procedures performed in the neonatal period in biological samples non-invasively obtained. Stress biomarkers are based on the physiological stress response mediated by the hypophysis-pituitary

2019 Seminars in fetal & neonatal medicine

84. Modified Constraint-Induced Movement Therapy is a feasible and potentially useful addition to the Community Rehabilitation tool kit after stroke: A pilot randomised control trial. (Abstract)

asked to wear a constraint device on their unaffected hand for 90% of their waking hours and were provided with a home exercise program based on CIMT principles. Participants were included if they had some active upper limb movement, no significant cognitive deficits and sufficient balance. Outcome measures included upper limb function (WMFT) and participation (MAL) evaluated at baseline, immediately following the two-week intervention period and at four-week follow-up.Only a very small proportion (...) Modified Constraint-Induced Movement Therapy is a feasible and potentially useful addition to the Community Rehabilitation tool kit after stroke: A pilot randomised control trial. The National Stroke Foundation recommends that Occupational Therapists use Constraint-Induced Movement Therapy (CIMT) with stroke survivors that experience an upper limb deficit. CIMT involves constraining the unaffected upper limb coupled with intensive therapy. The aim of this study was to evaluate the feasibility

2018 Australian occupational therapy journal Controlled trial quality: uncertain

85. Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain

Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain - 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. Scapular Movement Training Versus General Exercises for Individuals With Shoulder Pain 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: NCT03528499 Recruitment Status : Recruiting First Posted : May 17

2018 Clinical Trials

86. Spastic Cocontractions and Limitation of Active Movements Before and After Treatment During Injection of Botulinum Toxin

Design Go to Layout table for study information Study Type : Observational Estimated Enrollment : 30 participants Observational Model: Case-Only Time Perspective: Prospective Official Title: Study of Spastic Cocontractions and Limitation of Active Movements of the Upper Limb Before and After Treatment During Injection of Botulinum Toxin in Patients After Stroke Actual Study Start Date : January 14, 2018 Estimated Primary Completion Date : August 2019 Estimated Study Completion Date : September 2019 (...) Spastic Cocontractions and Limitation of Active Movements Before and After Treatment During Injection of Botulinum Toxin Spastic Cocontractions and Limitation of Active Movements Before and After Treatment During Injection of Botulinum Toxin - 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

2018 Clinical Trials

87. Kinesiotaping and Constraint Induced Movement Therapy in Subacute Stroke

will be constraint for 2 hours a day, 5 days a week for three weeks. And they will receive sham taping on the affected limb. Behavioral: modified Constraint Induced Movement Training A 2-hour time period would be arranged to constraint patient's unaffected hand by using a bandage by a therapist. During this two hours, patients would not be allowed to use this unaffected to do any activity, so that they will need to use the affected hand. The caregivers would also be educated to provide less help (...) : September 25, 2018 See Sponsor: Chang Gung Memorial Hospital Information provided by (Responsible Party): Chang Gung Memorial Hospital Study Details Study Description Go to Brief Summary: In stroke patients, the most common neurological deficits were motor impairment, loss of somatosensation, abnormal muscle tone, and impaired fractionated movement at affected limbs. Therefore, the investigators try to facilitate upper extremity function and normalize the muscle tone to enlarge their capacity to perform

2018 Clinical Trials

88. Leg Movement Activity During Sleep in Adults With Attention-Deficit/Hyperactivity Disorder Full Text available with Trip Pro

in children and seems to differentiate ADHD from other pathophysiological related conditions like restless legs syndrome (RLS) or periodic limb movement disorder (PLMD). The reduced subjective sleep quality reported by ADHD adults contrasted with the normal objective polysomnographic parameters, which could suggest a sleep-state misperception in these individuals or more subtle sleep abnormalities not picked up by the traditional sleep staging. (...) Leg Movement Activity During Sleep in Adults With Attention-Deficit/Hyperactivity Disorder Objectives: To conduct a first detailed analysis of the pattern of leg movement (LM) activity during sleep in adult subjects with Attention-Deficit/Hyperactivity Disorder (ADHD) compared to healthy controls. Methods: Fifteen ADHD patients and 18 control subjects underwent an in-lab polysomnographic sleep study. The periodic character of LMs was evaluated with established markers of "periodicity," i.e

2018 Frontiers in Psychiatry

89. A Review of Scales to Evaluate Sleep Disturbances in Movement Disorders Full Text available with Trip Pro

A Review of Scales to Evaluate Sleep Disturbances in Movement Disorders Patients with movement disorders have a high prevalence of sleep disturbances that can be classified as (1) nocturnal sleep symptoms, such as insomnia, nocturia, restless legs syndrome (RLS), periodic limb movements (PLM), obstructive sleep apnea (OSA), and REM sleep behavior disorder; and (2) diurnal problems that include excessive daytime sleepiness (EDS) and sleep attacks. The objective of this review is to provide (...) a practical overview of the most relevant scales that assess these disturbances to guide the choice of the most useful instrument/s depending on the line of research or clinical focus. For each scale, the reader will find a brief description of practicalities and psychometric properties, use in movement disorder cohorts and analyzed strengths and limitations. To assess insomnia, the Pittsburgh Sleep Quality Index, a generic scale, and three disease-specific scales: the Parkinson Disease Sleep Scale (PDSS

2018 Frontiers in neurology

90. Movement Characterization in Spastic/Dystonic Cerebral Palsy Using Haptic Feedback in Virtual Reality

: Tested during the assessment sessions spanning over a 6 to 7 week period. ] The QUEST is 36 items in length and measures upper limb movement, hand function, and cooperativeness in children with CP. It has been found to be reliable to assess children with CP between 18 months and 8 years of age, with increased reliability in children up to 12 years of age [30]. It has also been found to show adequate to excellent validity. Initial scores range from 50 to 100, which are then standardized to be between (...) , but for typically developing participants. Outcome Measures Go to Primary Outcome Measures : Smoothness Index [ Time Frame: Tested during the assessment sessions spanning over a 6 to 7 week period. ] The smoothness index will be measured by analyzing the the integrated accelerometry signals of sensors placed on the upper limbs. Accelerometry data will be integrated to calculate the smoothness index on the velocity profile of the trajectories. The maximum value is 0, being the greatest level of smoothness

2018 Clinical Trials

91. Integral Versus Local Movement Therapy Approach in Patients With Idiopathic Chronic Low Back Pain

strengthening exercises (e.g. bird dog, plank) and there is no evidence about supervised, individually graded integral movement therapy program for patients with chronic low back pain (CLBP). The research design is a randomized clinical trial with parallel-group design including two intervention groups: integral movement therapy and conventional local movement therapy. Participants in each group will receive 20 supervised sessions in a 10 week period, two times per week, with approximately 1 hour per (...) . However, learning dynamic trunk muscle control in various body positions with added limb movements could be beneficial because of the parallels to everyday work. The study will contribute to clinical practice by providing evidence to guide professionals when deciding for the proper and efficient treatment of patients with CLBP. Condition or disease Intervention/treatment Phase Low Back Pain Other: Local Movement Therapy Other: Integral Movement Therapy Not Applicable Study Design Go to Layout table

2018 Clinical Trials

92. Impact of dairy protein during limb immobilization and recovery on muscle size and protein synthesis; a randomized controlled trial. Full Text available with Trip Pro

Impact of dairy protein during limb immobilization and recovery on muscle size and protein synthesis; a randomized controlled trial. Muscle disuse results in the loss of muscular strength and size, due to an imbalance between protein synthesis (MPS) and breakdown (MPB). Protein ingestion stimulates MPS, although it is not established if protein is able to attenuate muscle loss with immobilization (IM) or influence the recovery consisting of ambulatory movement followed by resistance training (...) Twenty grams of daily protein supplementation does not attenuate the loss of muscle size and function induced by 2 wk of muscle disuse or potentiate recovery in middle-age men. Average mitochondrial but not myofibrillar muscle protein synthesis was attenuated during immobilization with no effect of supplementation. Protein supplementation increased myofibrillar protein synthesis during a 2-wk period of ambulatory recovery following disuse but without group differences in phenotype recovery.

2018 Journal of applied physiology (Bethesda, Md. : 1985) Controlled trial quality: uncertain

93. Synergistic Bilateral Upper-Limb Stroke Rehabilitation Based on Robotic Priming Technique

Synergistic Bilateral Upper-Limb Stroke Rehabilitation Based on Robotic Priming Technique Synergistic Bilateral Upper-Limb Stroke Rehabilitation Based on Robotic Priming Technique - 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. Synergistic Bilateral Upper-Limb Stroke Rehabilitation Based on Robotic Priming Technique 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: NCT03773653 Recruitment Status : Recruiting First Posted

2018 Clinical Trials

94. Assessment of a Upper Limb Robotic Device in Stroke Patients

minutes, including initial patient positioning and adjusting and after a sequence of game tasks. Device: Robotic Therapy Robotic Therapy Outcome Measures Go to Primary Outcome Measures : Fugl Meyer Assessment Upper Limb (FMA-UL) [ Time Frame: Mean change from baseline at six weeks (19 sessions of robotic therapy). ] FMA-UL evaluates the recovery of the hemiplegic patient after stroke. It includes the measurement of reflex activity, movement with and without synergy, voluntary movements (...) Assessment of a Upper Limb Robotic Device in Stroke Patients Assessment of a Upper Limb Robotic Device in Stroke Patients - 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. Assessment of a Upper Limb Robotic

2018 Clinical Trials

95. The Effects of Intensive Therapy on Quantitative and Qualitative Parameters of Trunk and Lower Limbs in Children With Spastic Cerebral Palsy.

minutes ] Static and dynamic sitting balance. Secondary Outcome Measures : 3D-motion analysis system movements of lower limbs and trunk during gait [ Time Frame: 1h ] Clinical outcomes [ Time Frame: 30 minutes ] Range of motion (passive and active), muscle tone, muscle strength Timed Up and Go [ Time Frame: 5 minutes ] Assesses dynamic balance and mobility of the child. 1 Minute Walking Test [ Time Frame: 5 minutes ] Evaluates walking ability and endurance of the child Eligibility Criteria Go (...) The Effects of Intensive Therapy on Quantitative and Qualitative Parameters of Trunk and Lower Limbs in Children With Spastic Cerebral Palsy. The Effects of Intensive Therapy on Quantitative and Qualitative Parameters of Trunk and Lower Limbs in Children With Spastic Cerebral Palsy. - 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

2018 Clinical Trials

96. NIBS With mCIMT for Motor and Functional Upper Limb Recovery in Stroke Patients.

to the estimates, 12,500 people suffer a new or recurrent ischemic stroke in Chile annually, which shows the magnitude of the problem. Motor impairment of the upper limb (UL) stands out as the principal sequel after a CVA (50% of the patients experience it), and the Constraint-Induced Movement Therapy (CIMT) is the rehabilitation approach that shows more scientific evidence today. Even though patients reach certain recuperation levels through this approach, results are still insufficient since 50-80 (...) for programming and installing the tDCS, who will proceed to set the tDCS either active or simulated. Patients, treating occupational therapists, and the results evaluator will be kept masked to the assignment process. Primary Purpose: Treatment Official Title: Non-invasive Brain Stimulation Combined With Modified Constraint Induced Movement Therapy for Motor and Functional Upper Limb Recovery of Patients With Sub-acute Stroke: Multicenter Randomized Clinical Trial Actual Study Start Date : June 4, 2018

2018 Clinical Trials

97. Predicting Real World Physical Activity and Upper Limb Use After Stroke

provided by the National Library of Medicine related topics: Groups and Cohorts Go to Group/Cohort Intervention/treatment Assessment of real world performance Behavioral: Real world performance of physical activity and arm use Patients will be assessed by using movement sensors and standard clinical assessments Outcome Measures Go to Primary Outcome Measures : Daily life assessment of physical activity engagement and upper limb use [ Time Frame: 90 days after stroke onset ] Real world performance (...) , measured with movement sensors (number) Secondary Outcome Measures : National Institutes of Health Stroke Scale [ Time Frame: 3, 10, 28, 90 (expected rehabilitation discharge) and 365 days after stroke onset ] Neurological impairments (0-42 points, lower scores being better) Fugl-Meyer Assessment [ Time Frame: 3, 10, 28, 90 (expected rehabilitation discharge) and 365 days after stroke onset ] Upper limb motor function (0-66 points, higher scores being better) Motricity Index [ Time Frame: 3, 10, 28, 90

2018 Clinical Trials

98. Training with Hybrid Assistive Limb for walking function after total knee arthroplasty Full Text available with Trip Pro

Training with Hybrid Assistive Limb for walking function after total knee arthroplasty The Hybrid Assistive Limb (HAL, CYBERDYNE) is a wearable robot that provides assistance to patients while walking, standing, and performing leg movements based on the intended movement of the wearer. We aimed to assess the effect of HAL training on the walking ability, range of motion (ROM), and muscle strength of patients after total knee arthroplasty (TKA) for osteoarthritis and rheumatoid arthritis (...) , and to compare the functional status after HAL training to the conventional training methods after surgery.Nine patients (10 knees) underwent HAL training (mean age 74.1 ± 5.7 years; height 150.4 ± 6.5 cm; weight 61.2 ± 8.9 kg), whereas 10 patients (11 knees) underwent conventional rehabilitation (mean age 78.4 ± 8.0 years; height 150.5 ± 10.0 cm; weight 59.1 ± 9.8 kg). Patients underwent HAL training during 10 to 12 (average 14.4 min a session) sessions over a 4-week period, 1 week after TKA

2018 Journal of orthopaedic surgery and research

99. Clinical Trial of the Virtual Integration Environment to Treat Phantom Limb Pain With Upper Extremity Amputation Full Text available with Trip Pro

as a therapy device to effectively treat PLP in individuals with UE amputation. Methods: Participants with UE amputation and PLP were recruited at Walter Reed National Military Medical Center (WRNMMC) and instructed to follow the limb movements of a virtual avatar within the VIE system across a series of study sessions. At the end of each session, participants drove virtual avatar limb movements during a period of "free-play" utilizing surface electromyography recordings collected from their residual limbs (...) Clinical Trial of the Virtual Integration Environment to Treat Phantom Limb Pain With Upper Extremity Amputation Background: Phantom limb pain (PLP) is commonly seen following upper extremity (UE) amputation. Use of both mirror therapy, which utilizes limb reflection in a mirror, and virtual reality therapy, which utilizes computer limb simulation, has been used to relieve PLP. We explored whether the Virtual Integration Environment (VIE), a virtual reality UE simulator, could be used

2018 Frontiers in neurology

100. Leg Prosthesis With Somatosensory Feedback Reduces Phantom Limb Pain and Increases Functionality Full Text available with Trip Pro

Leg Prosthesis With Somatosensory Feedback Reduces Phantom Limb Pain and Increases Functionality Phantom limb pain (PLP) develops in most patients with lower limb amputation. Changes in the peripheral and central nervous system (CNS) are hypothesized to contribute to PLP. Based on ideas to modify neural reorganization within the CNS, the aim of the study was to test, whether prostheses with somatosensory feedback might help to reduce PLP, and increase the functionality of movement (...) with a prosthesis. We therefore equipped the prostheses of 14 lower leg amputees with a simple to use feedback system that provides electrocutaneous feedback to patients' thigh whenever the foot and toes of the prosthesis touch the ground. Two weeks of training with such a feedback prosthesis reduced PLP, increased the functional use of the prosthesis, and increased patients' satisfaction with prosthesis use. We found a significant overall reduction of PLP during the course of the training period. Most patients

2018 Frontiers in neurology

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