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Periodic Limb Movement

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101. 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

102. 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

103. 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

104. 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

105. 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

106. Limb Asymmetry During Recovery from Anterior Cruciate Ligament Reconstruction. Full Text available with Trip Pro

Limb Asymmetry During Recovery from Anterior Cruciate Ligament Reconstruction. There is limited literature that follows a population of Anterior Cruciate Ligament Reconstruction (ACLR) patients through recovery. Our aim was to examine differences in movement and loading patterns across time and between limbs over four visits during 12 months post-ACLR. We hypothesized that kinematic and kinetic data during a stop-jump would have time- and limb-dependent differences through 12 months post (...) and sagittal hip range of motion (ROM) were different between 12 months and each previous visit. Asymmetries were present in peak vGRF, peak knee extension moment and impulse up to 12 months. The loading rate and peak pGRF demonstrated between limb differences up to 6 months; limb stiffness demonstrated differences up to 5 months post-ACLR. PKF was only asymmetric at the 4 month visit. While some variables improved in the 12 months post-ACLR, limb asymmetries in peak knee extension moment, peak vGRF

2018 Journal of Orthopaedic Research

107. The neural basis of induced phantom limb pain relief. Full Text available with Trip Pro

The neural basis of induced phantom limb pain relief. Phantom limb pain (PLP) is notoriously difficult to treat, partly due to an incomplete understanding of PLP-related disease mechanisms. Noninvasive brain stimulation (NIBS) is used to modulate plasticity in various neuropathological diseases, including chronic pain. Although NIBS can alleviate neuropathic pain (including PLP), both disease and treatment mechanisms remain tenuous. Insight into the mechanisms underlying both PLP and NIBS (...) -induced PLP relief is needed for future implementation of such treatment and generalization to related conditions.We used a within-participants, double-blind, and sham-controlled design to alleviate PLP via task-concurrent NIBS over the primary sensorimotor missing hand cortex (S1/M1). To specifically influence missing hand signal processing, amputees performed phantom hand movements during anodal transcranial direct current stimulation. Brain activity was monitored using neuroimaging during and after

2018 Annals of Neurology Controlled trial quality: uncertain

108. Upper Limb Treatment With "Gloreha Aria" in the Hemiplegic Patients

patients will be educated by physiotherapist to perform the movements for wrist, hand and arm in complete autonomy. In Treatment Group, the movements will be performed using Gloreha ARIA. Gloreha Aria is a sensor-based therapy device designed for motor recovery of impaired upper limb. Gloreha Aria is equipped with sensors that can detect any movements in space: the software processes and displays them on the screen. Device: Gloreha Aria Device offers specific programs that help patients to move arm (...) Upper Limb Treatment With "Gloreha Aria" in the Hemiplegic Patients Upper Limb Treatment With "Gloreha Aria" in the Hemiplegic 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. Upper Limb Treatment

2018 Clinical Trials

109. Auto Control of Volume Management for Limb Loss

to another period within the same test session where socket adjustments are made. Change in Limb Movement [ Time Frame: Change from baseline period (non-adjustment) to test period (adjustment), commonly each 1 hour long and separated by a seated period of approximately 30 minutes. ] Limb movement within the socket will be measured as socket adjustment strategies are tested. It will be used as an indicator of how well the socket is fitting (loose, tight, etc). The measurement will be made using (...) an inductance sensor that is placed in the socket which measures the displacement of a sensor patch on the prosthetic liner. Specifically, the change in limb movement will be assessed from a baseline period where no socket adjustments are made to another period within the same test session where socket adjustments are made. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family

2018 Clinical Trials

110. Mirror Therapy With Cutaneous Electrical Sensory Stimulation on Lower Limb Motor Functions in Stroke

lower limb exercises. After 15 minutes of priming with TENS + MT, all subjects will perform 60 minutes of lower limb task-oriented training. Behavioral: MT A customised angle-adjustable frame with a mirror board (60 × 90 cm) will be used. All subjects are instructed to perform hip flexion/abduction, knee flexion/extension and ankle dorsiflexion/plantarflexion on the intact-limb during a 15 minutes period. Device: TENS TENS will be delivered to the common peroneal nerve of the paretic leg (...) disconnected inside. After 15 minutes of priming, all subjects will perform 60 minutes of lower limb task-oriented training. Behavioral: MT A customised angle-adjustable frame with a mirror board (60 × 90 cm) will be used. All subjects are instructed to perform hip flexion/abduction, knee flexion/extension and ankle dorsiflexion/plantarflexion on the intact-limb during a 15 minutes period. Behavioral: Lower-limb task-oriented training The lower-limb task-oriented training comprises 6 exercises, namely

2018 Clinical Trials

111. Upper Limb Training Modalities in Patients With Stroke

the assisted and non-assisted modality, increasing the number of repetitions over the study period. Other Name: Robot assisted treatment (Armotion®) Active Comparator: Control group The control group was treated using a conventional training, without end effector robot. Other: Control group - conventional treatment Upper limb passive mobilization and stretching (10 minutes) followed by exercises (35 minutes) that incorporated single or multi-joints movements for the scapula, shoulder and elbow, performed (...) in different positions (i.e. supine and standing position). The increase of difficulty and progression of intensity were obtained by increasing ROM, repetitions and performing movements against gravity or against slight resistance. Other Name: Conventional treatment Outcome Measures Go to Primary Outcome Measures : Fugl Meyer Upper Limb Assessment scale [ Time Frame: Up to six weeks ] Evaluate functional improvements of upper limbs Secondary Outcome Measures : Modified Ashworth Scale [ Time Frame: Up

2018 Clinical Trials

112. A Narrative Review on Avulsion Fractures of the Upper and Lower Limbs Full Text available with Trip Pro

A Narrative Review on Avulsion Fractures of the Upper and Lower Limbs Avulsion fractures compromise function and movement at the affected joint. If left untreated, it can lead to deformity, nonunion, malunion, pain, and disability. The purpose of this review was to identify and describe the epidemiology and available treatment options for common avulsion fractures of the upper and lower extremities. Current evidence suggests that optimal treatment is dependent on the severity of the fracture (...) . Conservative efforts generally include casting or splinting with a period of immobilization. Surgery is typically indicated for more severe cases or if nonoperative treatments fail; patient demographics or preferences and surgeon experience may also play a role in decision making. Some avulsion fractures can be surgically managed with any one of various techniques, each with their own pros and cons, and often there is no clear consensus on choosing one technique over another; however, there is some

2018 Clinical medicine insights. Arthritis and musculoskeletal disorders

113. Lower limb joint motion during a cross cutting movement differs in individuals with and without chronic ankle instability. Full Text available with Trip Pro

Lower limb joint motion during a cross cutting movement differs in individuals with and without chronic ankle instability. To compare the kinematics of lower limb joints between individuals with and without chronic ankle instability (CAI) during cross-turn and -cutting movements.Cross-sectional study.Motion analysis laboratory.Twelve subjects with CAI and twelve healthy controls.Hip flexion, adduction, and internal rotation, knee flexion, and ankle dorsiflexion and inversion angles were (...) calculated in the 200 ms before initial ground contact and from initial ground contact to toe-off (stance phase) in a cross-turn movement during gait and a cross-cutting movement from a forward jump, and compared across the two groups.In the cross-cutting movement, the CAI group exhibited greater hip and knee flexion than the control group during the stance phase, and more hip abduction during the period before initial contact and the stance phase. In the cross-turn movement the joint kinematics were

2014 Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine Controlled trial quality: uncertain

114. The effects of a modified spinal mobilisation with leg movement (SMWLM) technique on sympathetic outflow to the lower limbs. (Abstract)

The effects of a modified spinal mobilisation with leg movement (SMWLM) technique on sympathetic outflow to the lower limbs. Physiotherapy management of lumbar disorders, based on Mulligan's mobilization techniques, is a treatment of choice by many physiotherapists, however, there is only limited evidence of any neurophysiological effects and much of this has focused on the cervical spine and upper limbs. This study aims to extend the knowledge base underpinning the use of a modified Mulligan's (...) spinal mobilisation with leg movement technique (SMWLM) by exploring its effects on the peripheral sympathetic nervous system (SNS) of the lower limbs. Using a single blind, placebo controlled, independent groups study design, 45 normal naive healthy males were randomly assigned to one of three experimental groups (control, placebo or treatment; SMWLM). SNS activity was determined by recording skin conductance (SC) obtained from lower limb electrodes connected to a BioPac unit. Validation

2014 Manual therapy Controlled trial quality: uncertain

115. Effect and Feasibility of Non-linear Periodized Resistance Training in People With COPD

intervention period target several different aspects of limb muscle function, by alternating the intensity and volume of the exercises. Progression of exercise is symptom dependent and will be based on Borg CR-10 ratings (dyspnea, muscle fatigue and exertion). All exercises will be performed using exercise equipment that are available at each included center. All sessions are supervised and conducted by local professionals using a group format, with approximately 2-4 participants per group. Other: Non (...) Effect and Feasibility of Non-linear Periodized Resistance Training in People With COPD Effect and Feasibility of Non-linear Periodized Resistance Training in People With COPD - 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

2018 Clinical Trials

116. Cutaneous Silent Period and Spasticity

, 2018 Estimated Primary Completion Date : January 1, 2019 Estimated Study Completion Date : February 1, 2019 Groups and Cohorts Go to Intervention Details: Other: cutaneous silent period In the upper limb the cutaneous silent period (CSP) is a brief transient suppression of the voluntary muscle contraction that follows painful stimulation applied to the finger (digits II-V, C6-C8 dermatomes) Outcome Measures Go to Primary Outcome Measures : Cutaneous silent period latency (ms) [ Time Frame: Day 1 (...) Cutaneous Silent Period and Spasticity Cutaneous Silent Period and Spasticity - 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. Cutaneous Silent Period and Spasticity The safety and scientific validity

2018 Clinical Trials

117. Home-Based Functional Exercise Program in Patients With Patellar Femoral Syndrome Over a 10-Week Period

thought to be associated specifically with anterior knee pain syndrome (walking, running, jumping, climbing stairs, squatting and sitting for prolonged periods with knees bent, as well as symptoms such as limp, inability to weight bear through affected the affected limb, swelling, abnormal patellar movement, muscle atrophy and limitation of knee flexion. The maximum score is 100 and lower scores indicate greater pain/disability. Eligibility Criteria Go to Information from the National Library (...) Home-Based Functional Exercise Program in Patients With Patellar Femoral Syndrome Over a 10-Week Period Home-Based Functional Exercise Program in Patients With Patellar Femoral Syndrome Over a 10-Week Period - 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

2018 Clinical Trials

118. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain

. EXAMINATION – PHYSICAL IMPAIRMENT MEASURES B When evaluating a patient with ligament sprain over an epi- sode of care, clinicians should use assessments of impair- ment of body structure and function, including measures of knee laxity/ stability, lower-limb movement coordination, thigh muscle strength, knee effusion, and knee joint range of motion. INTERVENTIONS – CONTINUOUS PASSIVE MOTION C Clinicians may use continuous passive motion in the immedi- ate postoperative period to decrease postoperative pain (...) Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain Clinical Practice Guidelines DAVID S. LOGERSTEDT , PT , PhD • DAVID SCALZITTI, PT , PhD • MAY ARNA RISBERG, PT , PhD LARS ENGEBRETSEN, MD • KATE E. WEBSTER, PhD • JULIAN FELLER, MD LYNN SNYDER-MACKLER, PT , ScD • MICHAEL J. AXE, MD • CHRISTINE M. MCDONOUGH, PT , PhD Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain Revision 2017 Clinical Practice Guidelines Linked to the International

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

119. Time-frequency mapping of the rhythmic limb movements distinguishes convulsive epileptic from psychogenic nonepileptic seizures. Full Text available with Trip Pro

Time-frequency mapping of the rhythmic limb movements distinguishes convulsive epileptic from psychogenic nonepileptic seizures. A definite diagnosis of psychogenic nonepileptic seizures (PNES) usually requires in-patient video-electroencephalography (EEG) monitoring. Previous research has shown that convulsive psychogenic nonepileptic seizures (PNES) demonstrate a characteristic pattern of rhythmic movement artifact on the EEG. Herein we sought to examine the potential for time-frequency (...) transformations to determine the dominant frequency for sequential 2.56-s blocks for the course of each event.The coefficient of variation (CoV) of limb movement frequency for the PNES events was less than for the epileptic seizure events (median, 17.18% vs. 52.23%; p < 0.001). A blinded review of the time-frequency maps by an epileptologist was accurate in differentiating between the event types, that is, 38 (92.7%) of 41 and 6 (75%) of 8 nonepileptic and epileptic seizures, respectively, were diagnosed

2013 Epilepsia

120. Acupuncture and constraint-induced movement therapy for a patient with chronic stroke: One-year follow-up case report. Full Text available with Trip Pro

, the patient was unable to voluntarily extend her interphalangeal or metacarpophalangeal joints beyond the 10 degrees required for constraint-induced movement therapy. However, the BTX type A injection couldn't be used as she had ever suffered a severe allergic reaction in the injection of BTX type A for facial anti-wrinkle.A 40-year-old female experienced arm paresis after an infarction in the right posterior limb of the internal capsule 2 years before the intervention.The BTX type A injection couldn't (...) be used as she had ever suffered a severe allergic reaction in the injection of BTX type A for facial anti-wrinkle, so the patient received 1 hour of acupuncture as an alternative therapy before 5 hours of constraint-induced movement therapy for 12 weekdays.All outcome measures (Modified Ashworth Scale, Fugl-Meyer Assessment, Action Research Arm Test, Motor Activity Log) substantially improved over the 1-year period. Moreover, during the observation period, the patient's muscle tone and arm function

2017 Medicine

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