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Periodic Limb Movement

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161. Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review Full Text available with Trip Pro

measures: the FMT was often combined with the Motor Activity Log (MAL), the Wolf Motor Function Test and the Action Research Arm Test, but infrequently combined with the Motor Assessment Scale or the Nine Hole Peg Test. Key components of manual dexterity such as selective finger movements were rarely measured. Frequency of use increased over a twelve-year period for the FMT and for assessments of kinematics, whereas other measures, such as the MAL and the Jebsen Taylor Hand Test showed decreased use (...) Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review Establishing which upper limb outcome measures are most commonly used in stroke studies may help in improving consensus among scientists and clinicians.In this study we aimed to identify the most commonly used upper limb outcome measures in intervention studies after stroke and to describe domains covered according to ICF, how measures are combined, and how their use varies geographically and over

2016 PloS one

162. Robotic lower limb prosthesis design through simultaneous computer optimizations of human and prosthesis costs Full Text available with Trip Pro

Robotic lower limb prosthesis design through simultaneous computer optimizations of human and prosthesis costs Robotic lower limb prostheses can improve the quality of life for amputees. Development of such devices, currently dominated by long prototyping periods, could be sped up by predictive simulations. In contrast to some amputee simulations which track experimentally determined non-amputee walking kinematics, here, we explicitly model the human-prosthesis interaction to produce (...) a prediction of the user's walking kinematics. We obtain simulations of an amputee using an ankle-foot prosthesis by simultaneously optimizing human movements and prosthesis actuation, minimizing a weighted sum of human metabolic and prosthesis costs. The resulting Pareto optimal solutions predict that increasing prosthesis energy cost, decreasing prosthesis mass, and allowing asymmetric gaits all decrease human metabolic rate for a given speed and alter human kinematics. The metabolic rates increase

2016 Scientific reports

163. Phenotypical expression of reduced mobility during limb ontogeny in frogs: the knee-joint case Full Text available with Trip Pro

/tendons have not yet developed and therefore are not affected by immobilization. These results suggest the existence of a specific period of phenotypical expression in which normal limb movement is necessary for the correct development of the joint tissue framework. (...) Phenotypical expression of reduced mobility during limb ontogeny in frogs: the knee-joint case Movement is one of the most important epigenetic factors for normal development of the musculoskeletal system, particularly during genesis and joint development. Studies regarding alterations to embryonic mobility, performed on anurans, chickens and mammals, report important phenotypical similarities as a result of the reduction or absence of this stimulus. The precise stage of development at which

2016 PeerJ

164. Neuromodulation of Limb Proprioceptive Afferents Decreases Apnea of Prematurity and Accompanying Intermittent Hypoxia and Bradycardia Full Text available with Trip Pro

during vibration periods, relative to baseline (p<0.005). Significantly fewer SpO2 declines occurred with vibration (p<0.05), relative to control periods. Significantly fewer bradycardic events occurred during vibration periods, relative to no vibration periods (p<0.05).In premature neonates, limb proprioceptive stimulation, simulating limb movement, reduces breathing pauses and IH episodes, and lowers the number of bradycardic events that accompany aberrant breathing episodes. This low-cost (...) Neuromodulation of Limb Proprioceptive Afferents Decreases Apnea of Prematurity and Accompanying Intermittent Hypoxia and Bradycardia Apnea of Prematurity (AOP) is common, affecting the majority of infants born at <34 weeks gestational age. Apnea and periodic breathing are accompanied by intermittent hypoxia (IH). Animal and human studies demonstrate that IH exposure contributes to multiple pathologies, including retinopathy of prematurity (ROP), injury to sympathetic ganglia regulating

2016 PloS one Controlled trial quality: uncertain

165. Monitoring Upper Limb Recovery after Cervical Spinal Cord Injury: Insights beyond Assessment Scores Full Text available with Trip Pro

Monitoring Upper Limb Recovery after Cervical Spinal Cord Injury: Insights beyond Assessment Scores Preclinical investigations in animal models demonstrate that enhanced upper limb (UL) activity during rehabilitation promotes motor recovery following spinal cord injury (SCI). Despite this, following SCI in humans, no commonly applied training protocols exist, and therefore, activity-based rehabilitative therapies (ABRT) vary in frequency, duration, and intensity. Quantification of UL recovery (...) is limited to subjective questionnaires or scattered measures of muscle function and movement tasks.To objectively measure changes in UL activity during acute SCI rehabilitation and to assess the value of wearable sensors as novel measurement tools that are complimentary to standard clinical assessments tools.The overall amount of UL activity and kinematics of wheeling were measured longitudinally with wearable sensors in 12 thoracic and 19 cervical acute SCI patients (complete and incomplete

2016 Frontiers in neurology

166. Use of mental practice to improve upper-limb recovery after stroke: a systematic review Full Text available with Trip Pro

Use of mental practice to improve upper-limb recovery after stroke: a systematic review Use of mental practice to improve upper-limb recovery after stroke: a systematic review Use of mental practice to improve upper-limb recovery after stroke: a systematic review Nilsen DM, Gillen G, Gordon AM CRD summary This review assessed whether upper limb recovery following stroke was improved through mental practice of physical movements. The authors concluded that there was evidence of benefit (...) , but general conclusions were difficult to make. Limitations in the review methods and in the studies that were not acknowledged by the review authors limit the reliability of the authors’ conclusions. Authors' objectives To evaluate whether mental practice, whereby a person mentally rehearses a physical skill using motor imagery without using overt physical movements, improves upper limb recovery following stroke. Searching An electronic search of PubMed, The Cochrane Library, PsycINFO and CINAHL

2010 DARE.

167. Mirror Therapy: Effects on Functional Recuperation of Severe Upper Limb Paresis After Stroke

a regimen of 30 minutes of therapy, 5 times a week, for 4 weeks on top of conventional therapy. One group performs MT and the other one performs a therapy in which the same movements are performed, but without the use of a mirror, with unrestricted view of both limbs. Allocation to each group will be randomized. Arm function will be evaluated by use of a scale before, during and after the 4 week period. The assessor for the primary outcome measure will not know in which group the patient (...) while hiding the paretic one, and then asking him to perform movements of his healthy arm while looking at its reflection in the mirror. Active Comparator: Control Therapy (CT) Standard therapy + 30 min/day of CT. Other: Control Therapy Performance of the same movements as the experimental group without the mirror or instructions as to where to look, 5 days/week, for 4 weeks. Outcome Measures Go to Primary Outcome Measures : Change in Fugl Meyer Assessment - Upper Limb (FMA-UE) [ Time Frame

2016 Clinical Trials

168. Study to Evaluate Effects of DYSPORT® Injected in Lower and Upper Limb Combined With Guided Self-Rehabilitation Contract (GSC)

Status : Completed First Posted : November 21, 2016 Last Update Posted : December 13, 2018 Sponsor: Ipsen Information provided by (Responsible Party): Ipsen Study Details Study Description Go to Brief Summary: The purpose of this clinical study is to assess whether AbobotulinumtoxinA (Dysport®) injections in upper and lower limbs accompanied with a personal exercise plan called "Guided Self-rehabilitation Contract" (GSC) can improve voluntary movements in subjects with hemiparesis. Condition (...) : The percentage of responder subjects after the second injection, according to composite active range of motion (AROM) in the primary treatment target (TT) limb [ Time Frame: Week 6 cycle 2 (each cycle can have a duration of from 12 to 20 weeks) ] Composite AROM will be measured by goniometer in the primary TT limb, using zero as the theoretical position of minimal stretch for the muscle assessed. The subject will be asked to perform the active movement as far as possible against that muscle and the angle

2016 Clinical Trials

169. NEurocontrolled BIdirectional Artificial Upper Limb and Hand prosthesiS

afferent pathway within the residual limb. The NEBIAS proposal is also aimed at finding out the 'language' intrinsically linking central nervous system with peripheral nerve signals in order to govern simple and complex hand/fingers movements. To reach this goal, a variety of techniques exploring brain and nerve functions will be assembled and integrated; this includes the analysis of electromagnetic brain and nerve signals, as well as of movement-related changes in brain's blood flow/metabolism (...) NEurocontrolled BIdirectional Artificial Upper Limb and Hand prosthesiS NEurocontrolled BIdirectional Artificial Upper Limb and Hand prosthesiS - 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

2016 Clinical Trials

170. Upper Limb Muscular Strengthening in the Rehabilitation of Patients Submitted to the Breast Cancer Surgical Treatment

of motion (ROM), pain, perimetry of the upper limbs and applied questionnaires of the upper lim function and quality of life, in patients after surgical treatment of breast cancer in different postoperative periods and different groups following rehabilitation: traditional postoperatively exercise to perform at home versus traditional exercises associated with weekly physiotherapy sessions to strength training for shoulder movements. Condition or disease Intervention/treatment Phase Muscle Strength (...) : December 6, 2016 Last Update Posted : December 14, 2016 Sponsor: Federal University of São Paulo Information provided by (Responsible Party): Gil Facina, Federal University of São Paulo Study Details Study Description Go to Brief Summary: The presence of pain, reduced range of motion and decrease of muscle strength of the upper limb in the early postoperative period are some of the major deficiencies of the breast cancer patients. The objectives of this study were to evaluate muscle strength, range

2016 Clinical Trials

171. Impact of a New Technology to Functional Recovery Upper Limb in Post Stroke Patients.

. The protocol (N° U0074917/11110) was approved by the Local Ethical Committee of Bergamo, Italy. A number of clinical trials have shown significant advances in upper limb recovery with the use of different sensory - motor techniques, including intensive repetitive movement, constraint-induced movement therapy, functional electrical stimulation treatment, the use of robot-assisted therapy in association with virtual reality. Robot-assisted virtual reality intervention has been shown more effective than (...) : Armeo Spring All patients of experimental group were treated according to an established protocol for ARMEO Spring. In the first session the device was adjusted for patients arms. The physiotherapist controlled functional space of upper limb movement and correct position of working station. Each training session consisted of two parts with 30 minutes per session with "Armeo Spring" and 30 minutes per session with conventional treatment 5 days per week, for 6 weeks. Device: Armeo Spring All patients

2016 Clinical Trials

172. Upper Limb Botulinum Toxin Injection Combined With Self Rehabilitation

(Boston Diagnostic Aphasia Examination(BDAE) <3) Osteoarticular lesion which contraindicates part of the rehabilitation involved in the study Patients with other interventions planned prior to the end of the study period (orthosis, surgery etc.) Surgery to the paretic limb treated in the study less than 6 months previously Contra-indications to botulinum toxin Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact (...) Upper Limb Botulinum Toxin Injection Combined With Self Rehabilitation Upper Limb Botulinum Toxin Injection Combined With Self Rehabilitation - 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

2016 Clinical Trials

173. Combining Non-Invasive Vagus Nerve Stimulation and Robotic Training in Upper Limb-Impaired Chronic Stroke Patients

Combining Non-Invasive Vagus Nerve Stimulation and Robotic Training in Upper Limb-Impaired Chronic Stroke Patients Combining Non-Invasive Vagus Nerve Stimulation and Robotic Training in Upper Limb-Impaired Chronic 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. Combining Non-Invasive Vagus Nerve Stimulation and Robotic Training in Upper Limb-Impaired Chronic Stroke Patients 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: NCT02878720 Recruitment Status : Unknown Verified August 2016

2016 Clinical Trials

174. Transcranial Magnetic Stimulation (TMS) for Upper Limb Dysfunction in Spinal Cord Injury: a Feasibility Study

acute (<3 months) SCI patients Implanted electrical devices such as pacemakers, Concomitant neurological conditions, including any history of epilepsy Significant joint-related limitation of passive range of movement Unable to attend all TMS sessions Pregnancy Inability to tolerate TBS Significant upper limb contractures Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using (...) Transcranial Magnetic Stimulation (TMS) for Upper Limb Dysfunction in Spinal Cord Injury: a Feasibility Study Transcranial Magnetic Stimulation (TMS) for Upper Limb Dysfunction in Spinal Cord Injury: a Feasibility Study - 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

2016 Clinical Trials

175. Recovery of Upper Limb Function in Persons With Spinal Cord Injury: Lead-In Study

and right upper extremities) as clinically indicated for each study participant. Over the course of 20 one hour sessions, participants will progress through the various movement sequences aimed at regaining natural, unassisted voluntary movement in the affected limb(s). The MyndMove therapy will be in addition to the conventional upper limb rehabilitation therapy the participant will be prescribed to undertake at their local institution. From previous experience, the first signs of function recovery may (...) to evaluate improvements in the gross motor function of the unilateral grasp due to FES for reaching and grasping treatment. Hand functions that will be tested with the TRI-HFT are: lateral or pulp pinch, and palmar grasps. Change in participant's grasp, grip, pinch and gross movement of the arm and upper limb using the Action Research Arm Test (ARAT). [ Time Frame: Change from baseline to 4/7 weeks ] A test developed to assess the upper limb function in stroke and SCI patients. It consists of four sub

2016 Clinical Trials

176. Upper limb motor training using a Saebo (Abstract)

Upper limb motor training using a Saebo Assistive technologies have the potential to increase the amount of movement practice provided during inpatient stroke rehabilitation. The primary aim of this study was to investigate the feasibility of using the Saebo-Flex™ device in a subacute stroke setting to increase task-specific practice for people with little or no active hand movement. The secondary aim was to collect preliminary data comparing hand/upper limb function between a control group (...) . The control group received usual rehabilitation (task-specific motor training) only. Participants were assessed at baseline (pre-randomisation) and at the end of the eight-week study period. Feasibility was assessed with respect to ease of recruitment, application of the device, compliance with the treatment programme and safety. Secondary outcome measures included the Motor Assessment Scale (upper limb items), Box and Block Test, grip strength and the Stroke Impact Scale.Recruitment to the study was very

2016 Australian occupational therapy journal Controlled trial quality: uncertain

177. Minimising impairment: Protocol for a multicentre randomised controlled trial of upper limb orthoses for children with cerebral palsy. Full Text available with Trip Pro

Minimising impairment: Protocol for a multicentre randomised controlled trial of upper limb orthoses for children with cerebral palsy. Upper limb orthoses are frequently prescribed for children with cerebral palsy (CP) who have muscle overactivity predominantly due to spasticity, with little evidence of long-term effectiveness. Clinical consensus is that orthoses help to preserve range of movement: nevertheless, they can be complex to construct, expensive, uncomfortable and require commitment (...) from parents and children to wear. This protocol paper describes a randomised controlled trial to evaluate whether long-term use of rigid wrist/hand orthoses (WHO) in children with CP, combined with usual multidisciplinary care, can prevent or reduce musculoskeletal impairments, including muscle stiffness/tone and loss of movement range, compared to usual multidisciplinary care alone.This pragmatic, multicentre, assessor-blinded randomised controlled trial with economic analysis will recruit 194

2016 BMC pediatrics

178. Checking a Security Protocol of Modified FUT and Efficacy Reducing the Constriction the Movement Time in 12 Hours

of the developed protocol and analyze the feasibility of reducing the daily time of constriction 12 hours, with a new protocol movement constriction, easier to perform and more patient acceptance. Participate in this study 82 individuals hemiparetic post Stroke, which will be recruited to Neurovascular Diseases Clinic and will be registered at the Rehabilitation Center of Integrated State Hospital. Participants will be randomly divided into three groups: the FUT24 (non-paretic upper limb constriction 24 hours (...) mesh) of non paretic upper limb for a period of 12 and 24 hours, 5 days per week for 4 weeks. Device: Tubular mesh. Rehabilitation in upper limb during and after applying of FUT (through the tubular mesh) post stroke. Active Comparator: Classical Kinesiotherapy Rehabilitation of classical kinesiotherapy,at least 2 times a week for 4 weeks. Other: Classical kinesiotherapy. Applying classical kinesiotherapy in upper limb post stroke. Outcome Measures Go to Primary Outcome Measures : Evaluation of RMS

2015 Clinical Trials

179. Effects of Elastic Tape in Shoulder Movements in Hemiparetic Subjects

(most superficial part of the acromion), arm (positioned below the insertion of the deltoid muscle), and forearm (5 cm below the cubital fossa). After positioning the markers and clusters, the collection of static posture (duration 5 seconds) will be performed. In static posture, the individuals should be seated in an adjustable chair. Then, the subject will perform the reaching movement to touch a glass placed at 80% of the length of the upper limb and return to the starting position (pronated (...) Effects of Elastic Tape in Shoulder Movements in Hemiparetic Subjects Effects of Elastic Tape in Shoulder Movements in Hemiparetic Subjects - 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 Elastic

2015 Clinical Trials

180. The Movement Control Training Associated With Conventional Physical Therapy is More Effective Than Conventional Physical Therapy Alone in Pain and Functional Performance?

and lower limbs during single leg hop test after movement control training associated to hip and knee muscle strengthening. Condition or disease Intervention/treatment Phase Patellofemoral Pain Syndrome Other: Conventional Physical Therapy Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 34 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Outcomes Assessor) Primary Purpose (...) The Movement Control Training Associated With Conventional Physical Therapy is More Effective Than Conventional Physical Therapy Alone in Pain and Functional Performance? The Movement Control Training Associated With Conventional Physical Therapy is More Effective Than Conventional Physical Therapy Alone in Pain and Functional Performance? - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search

2015 Clinical Trials

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