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Periodic Limb Movement

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101. 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

102. 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

103. 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

104. 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

105. 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

106. 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

107. 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

108. 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

109. 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

110. 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

111. 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

112. 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

113. 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

114. 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

115. 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

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. 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

118. Constraint Induced Movement Therapy (mCIMT), Pediatric Modified, plus Bimanual Training (BIT)

a period of intensive bilateral upper extremity therapy following mCIMT/BIT improve long-term outcomes? Evidence-Based Care Guideline for Pediatric Constraint Induced Movement Therapy Guideline 34 Copyright © 2014 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 8 Yes Start: New patient mCIMT/BIT Referral received Pt not eligible. Consider other therapy options in traditional setting or discharge. Is the pt appropriate for mCIMT/BIT? Is the family able to commit? No 1. Patient (...) are related to quality of movement, not to chronological age ? Administered within a normal play context Administration and Scoring: ? Comprised of 34 items ? Approximately 30-45 minutes to administer the test ? Both impaired and unimpaired upper limbs are assessed and included in the scoring Reliability: ? Internal consistency (Cronbach’s alpha = 0.97) ? Inter-rater reliability (ICC = 0.86-0.96) ? Intra-rater reliability (ICC = 0.97-0.99) ? Test-retest reliability (ICC = 0.95) and (Spearman’s p = (0.85

2014 Cincinnati Children's Hospital Medical Center

119. 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.

120. 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

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