Science topic

Rehabilitation - Science topic

Restoration of human functions to the maximum degree possible in a person or persons suffering from disease or injury.
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Greetings!
I, Darshan Prakashbhai Parmar, MPT student, from Government Physiotherapy College Jamnagar, am conducting a survey on 'EFFICACY OF PELVIC PNF TO IMPROVE TRUNK CONTROL, BALANCE AND GAIT PATTERN IN NEUROLOGICAL CONDITIONS' as a part of my Evidence Based Study(EBS) under the supervision of my Guide, Dr. Karishma Jagad (MPT-NEURO), Sr. Lecturer at Government Physiotherapy College Jamnagar.
We therefore request physiotherapists practicing in India to kindly fill this questionnaire, which will hardly take around 10-15 minutes. The link for the survey is provided below. The responses will be kept anonymous.
I further request you to forward the link to your friends or colleagues.
*(In case the link does not open, please copy and paste the link in your web browser or you can whatsapp me on +917984377793, I will share the form link there.)*
Thank you for your time and participation.
Take care and stay safe
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Do you have real experience of rehabilitating sodium (alkaline) soils in your country or region?
Alkaline soils have been mentioned in many articles and books. I seek to gather real information in other regions and countries in the field of alkalinity.
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Greetings! Sorry, but we do not deal with this area of ​​research.
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Hello, we applied Epidural Electrical Stimulation to a patient who had a Spinal Cord Injury for the first time in Turkey. As a result of my literature research, no information was given about the design of rehabilitation programs. How should the rehabilitation program be shaped for this patient? Also, how should epidural electrical stimulation mapping be?
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Thank you Ragab
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I would love to know the existing approaches and ideas to make it possible!
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Children with cerebral palsy or other NDDs commonly want to be physically active together with others. They want to have fun and enjoy the sensation of being physically active.
Therefore, having fun with physical therapists, families, and others when being physically active, and enjoying the sensation of being physically active should be taken into consideration when designing interventions.
Look at the following article for further information. The article articleexplored the experiences of children with cerebral palsy regarding participation in physical activities, and described facilitators and barriers.
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What tool do you use to make clinical decisions?
Example:
a)sum of criteria (signs - symptoms);
b)the weighting of clinical scales;
c)use of RPS form and application of a CORE set ICF and thus obtain an operating profile?
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I suggest going through the down-mentioned article, which was published in the American Journal of Physical Medicine and Rehabilitation in 2020. The article argues that several factors (related to the service organization and health system, besides the contextual personal/environmental factors) have a relevant influence on the decision-making in evidence-based practice in rehabilitation.
Good luck!
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I would like to inquiry about the history of occupational therapy in your countries. In this topic, there are some documents in US or UK. However, as far as I know, the history of other countries is not enough.
In Japan, the dawn of occupational therapy had started together physical therapy to legislate them in the 1960s. Japan had held a lot of patients with cerebral vascular accidents or mental health problems and struggled to build a system of rehabilitation. At that time, the economic boom of Japan had made the rehabilitation system financially enriched. I have heard such episodes and many troubles from senior occupational therapists.
I would like to know the history of occupational therapy in your country. One of the most interesting topics is the definition of “Occupational therapy”. I think the explanation in Japan is difficult to understand for people except for occupational therapists. I would like to communicate with each other. If you know the academic documents on this topic, please let me share the information.
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Dear Stephanie Grömminger
Thanks for your reply from Germany. I'm honored to hear the German voice.
Germany and Japan have interesting relations. The Japanese psychiatrist, "Syuzo Kure" had imported basic psychiatric occupational therapy from Germany in the 1990s. He had learned German-style psychiatry in German and generalized OT in Japan. So he is called the father of OT in Japan.
Return to the main subject in your country's situation, I think the situation is similar to OT in the US from the process of establishment. I also think our situation is similar to your situation. However, in Japan, "the sense of being or belonging" is difficult to understand in other medical or health professions...
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I found that a senior professor has done data fabrication to get funding and make publications. That is eventually for his private company. Making money using disabilities is ok, but research needs to be conducted in a transparent way for fair competition.
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In general, when researchers willfully deceive their colleagues by falsifying information, misrepresenting study results, or appropriating the words and ideas of others without providing credit, they are breaking fundamental research norms as well as fundamental society values.
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I'm looking for a simple scale, that evaluate children motor handicap in general, not specific to only one affection.
Thank you,
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The gross motor function classification system
level 1 patients are vambulatory in all settings
level2 patients walk without aid but have limitation in community settings
level 3 patients walk with aid
level 4 require wheelchair
level 5 fully dependant for mobility
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It would be so nice if i could get help because i have to prepare one class about how sport helps people with some sort of addiction to any substance and i haven't found much information about it.
I really apreciate any help, thank you.
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There's a recent systematic review on exercise for improving mental health and quality of life for substance users which might help. check out the evidence they use: The Benefits of Physical Exercise on Mental Disorders and Quality of Life in Substance Use Disorders Patients. Systematic Review and Meta-Analysis.
Giménez-Meseguer J, Tortosa-Martínez J, Cortell-Tormo JM.Int J Environ Res Public Health. 2020 May 23;17(10):3680. doi: 10.3390/ijerph17103680.
However, it might be worth looking at mutual aid recovery evidence too for testimonials as there's lots of anecdotal evidence. My research into recovery has revealed a lot of stories from people who have engaged in hobbies such as exercise, gardening, cooking, etc. but we haven't published this as yet. Try this website for some ideas: https://www.arkbh.com/physical-activity-addiction-recovery/
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Have you ever imagined how the physically disabled people feel under COVID-19?
Which type of disability is most impacting these minority under COVID-19?
Autism? Cleft patients? Mental health patients? Deaf? Dumb? Blind? Loss of limbs?
How can we help them?
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Please see these links for info on health and consequences of COVID-19 for people with disabilities:
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Dera Dr,
I have been working as a proffessor at Hacettepe University since 1984. We planned a MsC thesis on Duchenne Muscular Dystrophy patients about their physical performans. We would like to researh the relation between pulmonary function and PA level is investigated. One of our outcomes is Bouchard 3 days physical activity diary. If you don't mind we would like to use your diary in our study. I am looking forward to hear your response.
Best regards.,
A. Ayşe Karaduman PT. PhD Prof.
Hacettepe University Faculty of Healty Sciences
Department of Physiotherapy & Rehabilitation
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Yes, we can. But pls don't call me dr, I dispense the formalities
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I have couple of questions and will really appreciate it if you can help me with them:
1) I want to test if different age groups (IV) will score differently to punitive and rehabilitation attitudes (DV's).
2) Same with gender and ethnicity (IV's)
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I think you could run a repeated measures ANOVA.
Dependent variables: Means of 4 Punishment and Rehabilitation questions
Independent variables: Gender x Age Category x Ethnicity
You would predict an interaction between Gender and Age Categories
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I need to publish my article but for free in physical therapy and rehabilitation field
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Bulletin of physical therapy journal.
If you are master candidate, it will be a fit for you
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To evaluate participants with follow up interviews, who completed residential rehabilitation and now currently in the community. The objective is to assess why they relapsed if they did, and what helped them to be abstinent after engaging with a community.
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Norman G Hoffmann Thank you for adding more details, I certainly agree the choice of method collection will depend on the research problem/question. I hope our answers help Lahiru Channaka
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Many suspected cases of Corona virus are self or home quarantine , some of them may have difficulty in breathing and other symptoms but are still having negative report for coronavirus disease. So what should be the advice given by Physiotherapist to them.
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An Update for COVID-19 patients and their families - April 16, 2021, as follows:
"Caring for Someone Sick at Home" (USA Center for Disease Control website):
Advice for caregivers in non-healthcare settings
Updated Apr. 16, 2021
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If you are caring for someone with COVID-19 at home or in a non-healthcare setting, follow this advice to protect yourself and others. Learn what to do when someone has symptoms of COVID-19 or when someone has been diagnosed with the virus. This information also should be followed when caring for people who have tested positive but are not showing symptoms.
*Note: Older adults and people of any age with serious underlying medical conditions are at higher risk for developing more severe illness from COVID-19. People at higher risk of severe illness should call their doctor as soon as symptoms start.
Provide support
Help cover basic needs
📷
Make sure the person who is sick drinks a lot of fluids and rests
  • Help the person who is sick follow their doctor’s instructions for care and medicine.For most people, symptoms last a few days, and people usually feel better after a week.
  • See if over-the-counter medicines for fever help the person feel better.
  • Make sure the person who is sick drinks a lot of fluids and rests.
  • Help them with grocery shopping, filling prescriptions, and getting other items they may need. Consider having the items delivered through a delivery service, if possible.
  • Take care of their pet(s), and limit contact between the person who is sick and their pet(s) when possible.
Watch for warning signs
  • Have their doctor’s phone number on hand.
  • Use CDC’s self-checker tool to help you make decisions about seeking appropriate medical care.
  • Call their doctor if the person keeps getting sicker. Call local emergency service and tell them that the person has or might have COVID-19.
When to seek emergency medical attention
Look for emergency warning signs* for COVID-19. If someone is showing any of these signs, seek emergency medical care immediately:
  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone
*This list is not all possible symptoms. Please call your medical provider for any other symptoms that are severe or concerning to you.
Call 911 or call ahead to your local emergency facility: Notify the operator that you are seeking care for someone who has or may have COVID-19.
Protect yourself
In This Section
  • Limit contact
  • Eat in separate areas
  • Avoid sharing personal items
  • When to wear a mask or gloves
  • Clean your hands often
  • Track your own health
Limit contact
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Keep a separate bedroom and bathroom for a person who is sick
COVID-19 spreads between people who are in close contact (within about 6 feet) through respiratory droplets, created when someone talks, coughs or sneezes. Staying away from others helps stop the spread of COVID-19.
The caregiver, when possible, should not be someone who is at higher risk for severe illness from COVID-19.
The person who is sick should isolate
The sick person should separate themselves from others in the home. Learn when and how to isolate.
  • If possible, have the person who is sick use a separate bedroom and bathroom. If possible, have the person who is sick stay in their own “sick room” or area and away from others. Try to stay at least 6 feet away from the sick person.
  • Shared space: If you have to share space, make sure the room has good air flow.Open the window to increase air circulation. Improving ventilation helps remove respiratory droplets from the air.
  • Avoid having visitors. Avoid having any unnecessary visitors, especially visits by people who are at higher risk for severe illness.
Caregivers should quarantine
Caregivers and anyone who has been in close contact with someone who has COVID-19 should stay home, except in limited circumstances. Learn when and how to quarantine.
When it's safe for a person who has been sick to be around others
Deciding when it is safe to be around others is different for different situations. Find out when someone who is sick can safely end home isolation.
Eat in separate rooms or areas
  • Stay separated: The person who is sick should eat (or be fed) in their room, if possible.
  • Wash dishes and utensils using gloves and hot water: Handle any dishes, cups/glasses, or silverware used by the person who is sick with gloves. Wash them with soap and hot water or in a dishwasher.
  • Clean hands after taking off gloves or handling used items.
Avoid sharing personal items
  • Do not share: Do not share dishes, cups/glasses, silverware, towels, bedding, or electronics (like a cell phone) with the person who is sick.
When to wear a mask or gloves
The person who is sick
  • The person who is sick should wear a mask when they are around other people at home and out (including before they enter a doctor’s office).
  • The mask helps prevent a person who is sick from spreading the virus to others. It keeps respiratory droplets contained and from reaching other people.
  • Masks should not be placed on young children under age 2, anyone who has trouble breathing, or is not able to remove the covering without help.
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Caregiver
  • Put on a mask and ask the sick person to put on a mask  before entering the room.
  • Wear gloves when you touch or have contact with the sick person’s blood, stool, or body fluids, such as saliva, mucus, vomit, and urine. Throw out gloves into a lined trash can and wash your hands right away.Practice everyday preventive actions to keep from getting sick:  wash your hands often; avoid touching your eyes, nose, and mouth; and frequently clean and disinfect surfaces.
Note: During the COVID-19 pandemic, medical grade masks are reserved for healthcare workers and some first responders.
Clean your hands often
  • Wash hands: Wash your hands often with soap and water for at least 20 seconds. Tell everyone in the home to do the same, especially after being near the person who is sick.
  • Hand sanitizer: If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
  • Hands off: Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Learn more about handwashing.
When and how to clean surfaces and objects
Cleaning with a household cleaner that contains soap or detergent reduces the amount of germs on surfaces and objects and decreases risk of infection from surfaces. In most situations, cleaning alone removes most virus particles on surfaces.
  • Clean high-touch surfaces and objects regularly (for example, daily or after each use) and after you have visitors in your home.
  • Focus on high-touch surfaces and objects (doorknobs, tables, handles, light switches, phones, remote controls, and countertops).
  • Clean other surfaces in your home when they are visibly dirty or as needed. Clean them more frequently if people in your household are more likely to get very sick from COVID-19. Disinfect if certain conditions apply.
  • Clean surfaces using a product suitable for each surface, following instructions on the product label.
When Someone Is Sick
If someone in your home is sick or someone who has COVID-19 has been in your home in the last 24 hours, clean and disinfect your home. Disinfecting removes germs and reduces their spread. See Caring for Someone Who Is Sick at Home for more information.
For more information on cleaning and disinfecting safely, see Cleaning and Disinfecting Your Home.
Track your own health
  • Caregivers should stay home and monitor their health for COVID-19 symptoms while caring for the person who is sick.Symptoms include fever, cough, and shortness of breath but other symptoms may be present as well. Trouble breathing is a more serious warning sign that you need medical attention.
  • Caregivers should continue to stay home after care is complete. Caregivers can leave their home 14 days after their last close contact with the person who is sick (based on the time it takes to develop illness), or 14 days after the person who is sick meets the criteria to end home isolation.
  • The best way to protect yourself and others is to stay home for 14 days if you think you’ve been exposed to someone who has COVID-19. Check your local health department’s website for information about options in your area to possibly shorten this quarantine period.
  • Use CDC’s self-checker tool to help you make decisions about seeking appropriate medical care."
  • www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/care-for-someone.html
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Participating in an ICU based study looking at intubated and ventilated COVID patients first out of bed rehabilitation session with Physiotherapists and trying to determine if it is safe by using group analysis to analyse physiological parameters such as systolic and diastolic blood pressure, heart rate and oxygenation. Currently very little data on what the MCID to determine how much of a change in these parameters would be clinically important that may determine if rehabilitation is safe for this patient group.
Any help would be greatly appreciated.
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The clinical significance of the selected parameters is related to the initial condition of the patient and the disease. Any sustained positive dynamics should be considered clinically significant.
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The novel Covid-19 pandemic gives rise to a global increase in ICU admissions.
Due to the nature of disease, the high incidence and a longer stay on intensive care, we can expect a tremendous increase in ICUAW (intensive care unit acquired weakness).
I wanted to ask if there is research conducted and data available describing the incidence and prevalence of CIP and CIM (critical illness polyneuropathy and myopathy resp.) post Covid-19.
I would like to know whether there is a predisposition for one or the other in function of a more specific rehabilitation.
Friendly greetings.
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Hi Freek Van den Bossche, Great questioning, on a relevant topic, in addition to polyneuropathy and myopathy of the critical patient, we have polyneuropathy and myositis secondary to covid in front of them and their reflection in diagnosis and rehabilitation.
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Participating in an ICU based study looking at intubated and ventilated COVID patients first out of bed rehabilitation session with Physiotherapists and trying to determine if it is safe by using group analysis to analyse physiological parameters such as systolic and diastolic blood pressure, heart rate and oxygenation. Currently very little data on what the MCID to determine how much of a change in these parameters would be clinically important that may determine if rehabilitation is safe for this patient group.
Any help would be greatly appreciated.
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In hereditary neuropathy, "uniform conduction block" was once thought to be a characteristic in contrast to "non-uniform conduction block". Uniform conduction block is characterized by conduction block without any temporal dispersion. Now this is only seen CMT 1A hereditary neuropathy. Non-uniform conduction block is seen in other hereditary neuropathies and acquired demyelinating neuropathy. In the recent years, uniform conduction block is also observed in "axonal form of GBS" (AMAN and AMSAN), Some called this "axonal conduction block". This is misnomer. This is discussed in my recent paper in Muscle Nerve in 2021 Feb issue.
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Hi All,
I am working on the rehabilitation of a fire-damaged structure.
Should I consider the Column below Soil structurally deficient.
visually it doesn't look like fire affected the column below grade.
Should I retrofit whole member or just the section above plinth beam.
as Slab on Grade is a 6" the Plain Concrete Slab which is difficult to chissel/excavate.
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Assessment and repair of concrete structures ( Fire damages)
Dear Ahmad Uzair Arshad
A visual inspection is required to assess concrete structures damaged by fire. However, fire (heat) decreases the strength of a concrete-structure. Therefore, you cannot limit your investigation to visual inspection. A structural test to assess the integrity of the structure is required above and below soils. I advise measuring the strength of all the concrete members using a rebound hammer (Schmidt Hammer) on-site, or you can drill a core sample from the concrete member and measure the strength in the lab. For the concrete slab, load testing to evaluate de deflection of the reinforced concrete slab is required. The repair methods are selected base on the assessment results. For example, you can use jacketing (attached files) for columns
Attached documents
1-handbook Repairs concrete structures
2-Jacketing
Thank you.
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May I know someone that have full data of any rehabilitation process that used electromyography data for that movement?
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Some threatened endemic plants, which were more widespread in the cold ages (relict), when the environmental conditions were appropriate, their rehabilitation process is very difficult. These plants are restricted in their survival to the presence of water, as they are spread around springs and wells saturated with water throughout the year. As a result of successive droughts, the plant was confined to the tops of the mountains (which sometimes provides it with a continuous source of water as a result of the snow). In some cases, due to the nature of the confined micro-habitat (steep, water-rich mountain cliffs), it is extremely difficult to use seedlings in the rehabilitation process, and the only opportunity is to grow plants in the wild through previously treated seeds to break dormancy. Although these seeds germinate, their survival rates do not exceed 1%. How can we improve the survival rate of these new plants, taking into account the dry and water-poor desert environment?
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Can you please give us a clue, what plant family this plant is from, and what kind of plant (annual, perennial, herbaceous perennial, shrub, etc.) ?
1.) When you plant, cut terraces in the side of the slope. Do not make the terrace flat, have it sloping very slightly inward towards the slope. And then make drains at either end--so that water from the springs, or in case of a downpour of rain, water can drain out.
2.) Get some soil from around the site that already has some organic matter in it, to put into your "terrace garden" at least 4 cm deep.
3.) Make your own compost, ideally from local native plants like grasses and FORBS, and no shrubs or tree leaves--and add a 1:40 ratio of bone meal and blood meal to the compost, and keep it moist and age it for about three months so all of the herbicide-like allelochemicals in the plant materials have decomposed, so you will not have interference with the seedlings. Only use bone meal whose N-P-K percentage numbers have "0" as the first number, which means zero nitrogen and indicates pure bone meal.
4.) Or you could harvest the surface litter as compost if there is enough, and add the two fertilizers and compost it for 2-3 weeks, to get rid of the fertilizer smell so animals will not be attracted to it. In both cases, you should sift the compost through 1/4 inch (7-8 mm) mesh screen to use.
4.) Sow your seeds on top of your "soil" then cover them with your compost, only 3-4 times as deep as the seed's diameters. Easy to sow seeds too deep, so be very careful when sowing.
Adding compost with a little organic fertilizers added, may solve all of your problems. You can see the difference in sowing seeds in a desert, without and with compost and fertilizers at https://www.ecoseeds.com/good.example.html -- from my classes on Ecological Restoration that I taught here in California.
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I am a candidate student in phd nursing. Doing my dissertation under the title"
Improving the Patient Safety Process in Brain and spinal injuries Ward Rofeideh Rehabilitation Hospital".
To assess patient safety, I need Accreditation procedures in a rehabilitation hospital.
also i need sample Nursing report in rehabilitation hospital .
thanks a lot
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Avoid ambiguous wording that may confuse the next nurse when writing your end-of-shift study. Filling the end-of-shift report with any piece of relevant information relating to the condition of the patient is vital. Checking the end-of-shift report directly with the patient, his or her accompanying family members. Even though bedside reporting is not performed before each shift, many nurses have concerns about the end-of-shift report.
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I am currently doing my research on sustainable rehabilitation of selected abandoned mine sites in Namibia. One of the selected site has got a huge slag dump and is a source of heavy metal pollution especially arsenic, zinc, lead and vanadium.
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Tshivute Iipinge you may contact Dr Ibrahim A. Allamin in Nigeria for further advise as he did the experiment in our lab. Would be interesting to see the capability of this hardy plant to remediate the contaminated soil. In addition you can do metagenomic studies to see population shifts/succession.
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  1. With an improvised document, a plagiarism issue was reversely raised. And several plagiarism issues were raised intentionally afterward.
  2. Slander with ungrounded information has been made to you in front of people despite your commitment to the lab’s work and projects even though they were out of your task and interest for more than 2 years.
  3. Incorrect information has been continuously produced to avoid academic discussion, concealing the fact. Even last week, wrong information was given out to people again.
Are you willing to publicize this matter, although the advisor is being investigated by school?
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Thank you for your good comment.
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Dear colleagues! I would like to clarify for myself, when you use the ICF to assess the rehabilitation potential of a child, do you use the ICF for adults or use the ICF for children and youth version? I am asking this question because I heard that the version for children and youths was canceled. How true is this information?
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Achilds Potential depends a lot on his immediate environment, family ecology /strength and his/her motivation. Body structure in termas of fixed contractures also plays a part.
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Hi there,
I am eager to hear from researchers or clinicians who have used n-of-1 studies for the above purposes. They seem to offer advantages over many other study designs, particularly for when there is little guidance or predictors of outcome on which therapeutic option to choose for a patient. They also seem rare, and most of the literature I've seen so far suggests that they have mostly been used for trying out different medicines.
I'm hoping to hear some encouraging stories of their use, but can see that there may be limitations with implementing them (due to costs / time etc.)
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Depends what you want to do with the data. However, there are some great "how-to" texts that you might want to look at (e.g.):
Nikles J, Mitchell G, editors. The essential guide to N-of-1 trials in health. New York, NY, USA:: Springer, 2015.
Janosky JE, Leininger SL, Hoerger MP, Libkuman TM. Single-subject designs in biomedicine. Springer, 2009
There are others that go back further but check them out
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I'm working on project to better understand comprehensive rehabilitative needs for people with a history of low-voltage electrical injury. Progressive cellular damage in low-voltage electrical injury sequelae isn't well understood. Providing rehabilitation options for clients with ongoing rehabilitation needs will improve quality of life.
Historically, research indicates that people with a history of electrical injury experience the initial injury and then a unique neurological/neuropsych sequelae (including muscle weakness, arrhythmia, tardive seizures, general motor dysregulation, channelopathies, brainstem dysfunction, cataracts and deficits in memory, executive functioning, visual perceptual, visual spatial, visual processing, auditory processing and sensory integration).
The constellation of electrical injury sequelae symptoms is vast. Presently there is limited information on comprehensive rehabilitative needs. This project is designed to fill a present gap in rehabilitative research to improve quality of life including academic and employment outcomes.
"The long-term sequelae of electrical injury are difficult to study. The strength of the literature is impaired by the necessity of retrospective methods and case studies that typically describe small cohorts. Despite these limitations, there are consistent reports of similar findings of late effects of electrical injury" (Wesner & Hickie, 2013).
"Most of the literature associates these long-term sequelae with a highly diffuse injury ... The appearance of these late consequences of electrical injury might be substantially delayed, with onset 1 to 5 or more years after the electrical injury." (Wesner & Hickie, 2013).
Wesner, M. L., & Hickie, J. (2013). Long-term sequelae of electrical injury. Canadian Family Physician, 59(September), 935–939.
Stockly, O. R., Wolfe, A. E., Espinoza, L. F., Simko, L. C., Kowalske, K., Carrougher, G. J., … Schneider, J. C. (2019). The impact of electrical injuries on long-term outcomes: A Burn Model System National Database study. Burns, 46(2), 352–359. https://doi.org/https://doi.org/10.1016/j.burns.2019.07.030
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we studied the fatigue in Electrical burns patients using TMS, it is an interesting area to explore further:
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How standard rehabilitation (rehabilitation -physiatric interventions) be practiced safely and keeping the patients safe during COVID 19 pandemic ?
a) Rehabilitation medicine practice requires good physician/therapist relationship including physical/psychological contacts, b) many of the low resource rehabilitation settings have space and rehabilitation health care worker shortage and c) Rehabilitation is a continuum of care from acute/critical care to home/community)
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Experience is a vital trait for telerehabilitation and/or telemonitoring or telecoaching. In addition, adaptability and quick reaction times are fundamental. Also, having a toolbox filled with dispensable at home training and educational equipment and programs makes video visits more valid & applicable. Finally, having a passion/mission when it comes to improving the health, fitness and functional life of every virtual patient/client with an endpoint of improving society.
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Does energy cost affect gait performance?
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Nice question and I sharing my view...
I not a from physics or from any modern medicine stream...
In our Ayurveda literature we consider every human being has his own unique identity and each individual is different from each other.
We called it as Prakruti (Basic constitution of each individual). And this Prakruti decides his Structural-Physical and mental abilities in future.
We consider Sahas (Extreme Courageous physical activity) is responsible for debilitating disorders including neuro-spine diseases.
So it all depends on the physical strength or we call it as Sharira Prakruti (Human body Constitution) of each individual and we may can adopt a appropriate range according to specific age group for 'energy cost and relationship with gait performance'.
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I believe that there are a number of areas in which we should discuss how to improve clinical rehabilitation for patients. For example regarding the issue of where the majority of rehabilitation should take place;
It could be argued that the more rehabilitation takes place in the family home the better the potential for the patient for the following reasons;
Working Environment: Apparently, the environment we are in determines how we live our lives, and the influence of family, friends and neighbours needs to be appreciated and incorporated more into rehabilitation. Gladwell (2011) introduces the ‘Rosetto Effect’ (apparent cardiovascular prevention from living in a close community environment), and rehabilitation patients may also benefit from the cumulative effects of rehabilitating at home. As brain changes are context dependent (Robertson 2012), home advantage increases testosterone release due to associated cues, and the physical and social world we inhabit shape our brain. Home creates a set of smells, sounds, cues that reduce stress. Any safety signal (being at home) acts as an antidote to some of the damaging effects from the stress of being disabled and potentially losing control of independence. Furthermore, it also releases brain-derived neurotrophic factor (BDNF) a brain fertiliser that helps foster new connections in brain. Thus being at home actually inhibits stress and its toxic consequences. If home is associated with a signal that we will not be subject to stress i.e. warning signals, then does it not make sense to carry out more rehabilitation at home.
What is your opinion of this? Thanks Ken
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Beautifully explained !
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My position on this is perhaps slightly different to some others as I was working in East London helping Moslem run colleges as a consultant at the time students were being radicalised and recruited, and I am perhaps more aware of what was happening, especially within Bangladesh communities.
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Spare time and energy for the victims, who largely remain ignored. Their crimes were appalling, reinducing barbarism into human behaviour.
In the UK attempts at rehabilitation failed dismally resulting in more victims.
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a) Find out the disability situation of the defined region/settings which is truly non-existent
b) Needs of Rehabilitation Medicine at low resource region and settings : take the examples from high resource settings
c) Capacity Building eg Rehabilitation professionals education/ training /job creation/placements/ team meetings and quality control
d) Rehabilitation in national focus specific areas like Musculoskeletal Disorders and Neurological -orthopedic conditions
e) Rehabilitation at disaster and austere situations
f) Rehabilitation leaders development
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We had a reviewer article ...
Uddin T, Khasru MR, Islam MT et al. Rehabilitation in Bangladesh. Phys Med Rehabil Clin N Am.2019. https://doi.org/10.1/016/j.pmr.2019.07.005
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tDCS = Transcranial direct current stimulation
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Nice Dear Luigi Tesio
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In your opinion, in a program of rehabilitation of motor deficit with tDCS, a condition of neoformation or tumor removal is a criteria of exclusion?
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Nice Dear Tamer Roushdy
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How do you remove oil pollution from the soil?
I think the bioremediation or phytoremediation by native tree is the best approach for rehabilitation of contamination soil.
What do you think?
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Hello,
I am willing to submit my manuscript in JNER of Biomed central journal. Regarding adding figures in latex file, in the authors guidelines , it says that the figures should be added separately under a FIGURE section at the END of the tex file. I have a doubt regarding the following instruction - " Each figure of a manuscript should be submitted as a single file that fits on a single page in portrait format." Does it mean that the pdflatex generated should contain just one figure per page? Anyone, if you have any prior experience on submitting to JNER, could you guide me in this regard.
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Hello Vijaykumar Rajasekaran How to cite the figures) I do it with \ cite? Thanks for the help
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So if you use one, please share your cases. If you not use it, please answer: have you considered using them?
I know that such systems are used for rehabilitation, training of athletes, animation and in other areas. I would like to know your best cases at the current time.
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It depends on what phase and what is your application. You can easily bring mocap data to unity and control objects or rigged avatars live. But to also mimic motion parallax in projections or create interactive activities. If you're working with live visual feedback, frame rates, delays, and correct representations are extremely important. Here it is one example of one of a scene that tracks the head motion to try recreating parallax. Notice at the end of the tunnel how it moves with the head.
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Are there any commercially available test system/walking simulator to test
(1) ankle foot orthotics
(2) knee braces
(3) knee ankle foot orthosis
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Yes, there are many lower body exoskeletons commercially available.
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Physiotherapy and exercise show short-term improvements in physical function. I would like to know particularly cycling exercise for treatment.
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Cycling after a total knee replacement can improve range of motion. This exercise is often included in physical therapy after TKR, as early as the first week after surgery.
Early on, the seat can be raised to limit the amount of bending required. You might only be able to do partial revolutions at first, and this is normal. As motion improves, the seat can gradually be lowered.
Cycling for range of motion is performed slowly, pausing at the top to stretch into bending, and at the bottom of the revolution to stretch into extension — a straight-knee position. During the range of motion phase, there is no added resistance on the bike.
Avid exercisers may be accustomed to moderate to high-intensity workouts. However, for patients who have recently undergone a total knee replacement, it is important not to over-exert initially.
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I need titles of articles on the energetic rehabilitation of the old building in the arid environment
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Thanks
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We are conducting a research project about impact of word/wording on pain perception: implications for rehabilitation/ physiotherapy practice.
Please Any suggestion for recommended articles or reference, or previous experience.
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Look into the Noi group research. ~Maureen
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Self-immolation is a common suicidal method that is placed in burn injury category that required long-term treatment as well as social and emotional rehabilitation. The situation for survivors is further aggravated by the limited access to psychiatric care following physical
treatment, and the post-treatment stigmatization by family and community members.
How can we prevent stigmatization in women who committed self immolation?
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(1) Define the problem: conduct surveillance;
(2) Identify the cause: complete risk and protective factor research;
(3) Develop and test interventions;
(4) Implement interventions; and
(5) Evaluate effectiveness of interventions.
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I have recently read that some people think that extremist offenders should be kept in prisons separately from other inmates, make sure they can't corrupt the other inmates and get them to commit terrorist acts, this is a one of the solution that has been recently presented on the question about how to deal with extremist offenders. Although I have to admit that the nature of crime that this offenders did is quite different than the majority of other crimes that we come across, I don't think that this solution works. What's wrong with this solution? Firstly, I think that if you keep extremist offenders together and isolated from the other inmates they may get better at what they do, they will share/learn new practices which will help them to perform better than they did before. Secondly, they probably will find it more difficult to get rehabilitated because of the pressure of majority of the people that they live with on their landings, any desire towards rehabilitation can be seen as a sign of weakness in the eyes of extremists that are not changed, this may cause violence and other issues. Thirdly, isolated them from the rest of community will not prepare them to live in the community after released, and if we fail in delivering that, all of us have to suffer the consequences. This kind of offenders should be given the chance to change themselves and shouldn't be isolated, they need our trust in order to be able to change their life. This action is so vital for them and for the entire society. Isolated them unless is "for ever" will not get us anything, will damage their chance of getting rehabilitation, waste our resource and threaten our security. Changing their mind, this is what these offenders need, this process requires trust, good example and help, we as a society have got this obligation to offer that and we have to fulfil our obligation. We should treat these offenders as they treated us by using this algorithm, "we against them", we have to treat them differently, we all together, we are all humans". We can't change them if we do the same thing like they did to us. We have to try to help them by changing their mind, and we can do that by giving them the chance to live among other inmates, obviously we have to watch them carefully and correct all their mistakes, but we shouldn't stop thinking that they can changed themselves. If we isolated them we just protect the others, or protect us for a short period of time, which is not good at all, in this case we definitely can't afford to think like that.
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Is this your opinion Lucian Stiopu?
To release dangerous extremists?
And for your society to rehabilitate them knowing full well that they view society's intention to rehabilitate them as a sign of exploitable weakness?
This is unheard of?
Extremists involved in terrorism related activities MUST BE HANDED THE MAXIMUM PENALTY OF DEATH!
They are unfit to live amongst humans since they consider our humanity and our empathy, a sign of weakness, hat they can continuously manipulate and exploit to insidiously Inflict grievous bodily harm, strike terror in our hearts, maim and mindlessly kill us to satisfy their psychopathic bloodlust!
Society's collective security and well being trumps, overrides, and forecloses the liberty of extremist terrorist to undermine and sabotage the lives, security and well being of society.
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Every year, millions of people suffer from injuries that require long-term medical rehabilitation. The rehabilitation process is typically complex, with physical and psychological dimensions, and outcomes are often difficult to guarantee.
Through novel application of robotics technology, however, some aspects of rehabilitation may soon look very different. New medical robots are being developed to help people with a variety of medical conditions on their road to recovery.
Do you have any clinical experience or study results?
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COLLABORATIVE ROBOTS FOR MOBILITY ASSISTANCE AND REHABILITATION
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I have a published article based on Bio-psycho social model titled " Needs Assessment of a woman with disability after completing the rehabilitation program from Centre for the Rehabilitation of the Paralysed and possible solutions through bio-psychosocial model: A case study". You can go through it if you would like to and you can get it either from Research gate or google scholar indexed.
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Dear all,
I have been searching through the literature for examples of possible impacts on biological communities of interventions targeted at restoring / stabilizing landslides. I found just a few studies focusing on plant/invertebrates. I wonder whether there are no works about the potential impact of landslide restoration/rehabilitation on other animal groups/species (I'm particularly interested in birds), or I missed something...
Any hint would be much appreciated!
Thank you in advance.
Mattia
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Grazie Marco!!
Mattia
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Leguminous are known to be nitrogen fixers , which is a criteria for choosing them as main culture, moreover , those cultures reduce the amount of fertilisers used by agricultor , which contribute environmentaly and economicaly.
Are there any reasons for choosing fabaceae cultures ? and which spices are themost use in soil rehabilitation?
Any references or articles are welcomed.
Regards
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The problem is here, when we say Fabaceae, we directly mean Nitrogen fix/Best development on poor soil. But, Not all Fabaceae can make symbiosis to fix nitrogen.
Regards
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Student physiotherapist
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I am not aware of any studies looking at this for spasticity and/or pain.
Best wishes,
Steve
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Student physiotherapist
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In "Structural Engineering":
What are the differences between: Strengthening, Rehabilitation, Upgrading, Retrofitting, Repairing?
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Strengthening: provide extra strength to a weakened structure/structural element (example: add extra stiffeners to the plate girder of a weakened bridge deck).
Rehabilitation: the act of restoring something to its original state (for example restoring blocks of offices to flats (as they were originally)).
Upgrading: to improve the quality or usefulness of a structure, or change it for something newer or of a better standard (for example upgrade an existing bridge that could only take a certain load, to a bridge that can take much higher loads).
Retrofitting: modification of existing structures to make them more resistant to certain loading. For example modify the structure to make it resistant seismic loading.
Repairing: Repair is the technical aspect of rehabilitation
Sometimes, and may be often, these words are interchangeably used.
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Buenas tardes,
Soy médico residente de Medicina Física y Rehabilitación, con interés en realizar un estudio de correlación de calidad de vida en pacientes con Esclerosis Múltiple y los resultados de pruebas físicas funcionales. ¿Usted podría por favor indicarme qué proceso realizar para poder utilizar esta versión en español en este proyecto? De antemano, muchas gracias.
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Estimada Marta Aymerich me parece tremendamente interesante conocer la información que dará a Javier Delgado M. Mi correo es lfernandez@udla.cl
Muchísimas Gracias!
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A RC slab undergoing a considerably large deflection, it can easily be noted visually. The slab is a rectangular in shape resting on walls from the four sides. This large deflection is due to inappropriate design (low concrete grade and low reinforcement) and overloading. How can this slab be rehabilitated ?
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Thank you Dr. Qasim M. Shakir , but the large deflection indicates that the steel is most probably reaches the yield limit. Do I need to jack upward first and then apply the FRP plate?
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Since we face with heteronomy and self-censorship in the nature of traditional arts, can teaching handicraft, rather than fine art project, lead to different consequence in the quality of rehabilitation of incacerated men and women?
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Dear Prof. @Michael_Uebel I really thank you.
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My graduation project is about rehabilitation using upper limb exoskeleton
i have been searching papers for previous work in this field
and i found everyone of them used different type (DC brushed , DC brushless ,DC servo and stepper)
i can't decide which one to use
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No
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Those who believe that psychological rehabilitation precedes educational rehabilitation to achieve learning goals
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I co-taught business English communication and directed a psychophysiology laboratory research project at a university using Russian pedagogy tactics with undergraduate students. Their technique is a little different. If a student has qualified to enter the program the focus is on getting the student past the mental trap/obstacle hindering their learning, though this does not mean sending them to a counsellor nor psychologist. Instead routinely undergraduate instructors took on the role of a military style drill sargeant, making the student, along with others, focus on finishing properly a physical task, like standing up and doing jumping jacks or writing with a pen what the instructor dictated. Then returning to the discussion and question segment that the troublesome student interrupted or acted strangely to, as if nothing occurred and not isolating that troubled student from the group. In this manner the students usually aided the troubled student to focus, without the instructor bringing attention to the one student.
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A neat and smooth way of life, avoiding the acquisition of inadequate health habits, as well as certain foodstuffs, and the sensitivity which can be a cause of neurological disease, including MS, may also be cure for the disease
Such a macrobiotic diet, and low radioactive water (cca 6 Becquerel / Bq) lower temperatures (18-20° C), swimming pool and professionally indicated and controlled use of corticosteroids, symptomatic therapy and immunomodulatory drugs in different phases of the disease, proved to be very useful in many cases the form of RR MS, as evidenced by reports of many research papers, observations, the patients themselves and their medical practitioners.
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valuable contribution
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The ICF model of rehabilitation is not only to improve body structure and function but also activity and participation level of the patient....
Do you think that physiotherapists are justifying this model?
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Hello, I´ve taught Clinical reasoning, based upon the ICF structure. The idea was to clarify for them the interaction between function, activity and participation and teach them that participation is more important than function. They learned to base a therapyplan on the three pillars of the ICF. I wrote an article about it and would send it to you, but it is in German and I´m not sure if German ist taught in Lahore :-)
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I am interesting with the historical city centers
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dear Dr Ihsan,
many thanks for your reply .
I agree with your opinion, NGO should play a role in solves problem.
Regards
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- collaboration among 3 local (Malaysia) or 1 foreign university
- maximum fund RM 25000 each project
- all projects run simultaneously
- output:1 index article
- duration: 2 years
- required MoU/agreement letter among universities
- participated university agreed to provide similar grant's amount
- niche ares : biomedical engineering, biomechanics, sports science, rehabilitation
Please contact me if interested: yusof.b@fsskj.upsi.edu.my
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Hi, Happy New Year 2019, Dr. Mohd Yusof, happy to hear from you. How are you? For the collaboration, I am not working in the are listed. Any way it is good to hear about it. All the best and keep in touch.
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We are looking for data for community acquired MRSA (CA-MRSA). It is very hard to find. One direction would be through athlete sources, since CA-MRSA is a serious problem with athletes. 
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For examples Dohsa-hou is a Japanese rehabilitation program which has been used for years in special education and rehabilitation sectores.
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yes. go to
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I'm looking for the best way to use a VR system in a motor rehabilitation protocol for post-stroke patients.
Thanks to everyone who will respond!
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I am setting up a protocol using VR combined with balance exercises to improve the core and the balance on stroke patients.
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Need case reports regarding the effects of physical exercise/functional rehabilitation/aquatic exercises or On-field training on ACL injured soccer goalkeeper.
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Hi Mario, this paper seems good after reading the abstract. Unfortunately is not in English. Whereas many author might want to cite the author
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We want to start a new trial on stroke recovery and the clinicians involved are not used to administer the Fugl-Meyer. How to prevent learning effects to maximize intra-rater reliability and external validity? I wonder how do other labs and hospitals deal with this issue. Are there any official common guidelines on this?
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Thanks for your answer Erich. I know there is literature on the reliability and validity of FM but how to ensure that the evaluators involved in our trials will reach those thresholds? Is there any training protocol and exam for evaluators?
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particularly for patients after knee surgery, is there evidence to support whether it is best for rehabilitation and functional range of motion to elevate the affected lower extremity with or without support under the length of the lower extremity
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Great Question. Following Knee Surgery, I have found after working with many post operative knee patients, while in bed, supine, that it is best to avoid placing objects such as pillows under the knee, as this may decrease knee extension ROM. Several strategies that have worked is to place foam wedge between the mattress and the box spring at night and/or have someone elevate the front of the bed posts by placing small wood pieces, thus at night the leg/knee remain straight yet elevated. The leg remaining higher than the head while sleeping. The result is less edema and a knee that is able to be straight.
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My friend is in a stroke and he needs a recommendation for his diet. He lost 17kg and 1/3 of his brain function. Motor functional but weak.
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Dear Song Kang Teo,
I am very sorry for the stroke situation of your friend. In the following two recent reviews, you will find evidence-based dietary recommendations for patients at risk of stroke:
Spence JD. Diet for stroke prevention. Stroke Vasc Neurol 2018;3(2):44-50. doi: 10.1136/svn-2017-000130. https://svn.bmj.com/content/svnbmj/early/2018/01/12/svn-2017-000130.full.pdf
Iacoviello L, Bonaccio M, Cairella G, Catani MV, Costanzo S, D'Elia L, et al. Diet and primary prevention of stroke: Systematic review and dietary recommendations by the ad hoc Working Group of the Italian Society of Human Nutrition. Nutr Metab Cardiovasc Dis 2018;28(4):309-334. doi: 10.1016/j.numecd.2017.12.010. https://www.nmcd-journal.com/article/S0939-4753(18)30001-2/pdf
All the best from Germany,
Martin
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Proprioceptive Neuromuscular Facilitation (PNF) is a stretching technique utilized to improve muscle elasticity and has been shown to have a positive effect on active and passive range of motions.what are the mechanisms, proposed theories, and physiological changes that occur due to proprioceptive neuromuscular facilitation techniques?
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Thank you, but that is from the year 2012. And the mechanisms of PNF is quite simple. Kind regards
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Most of the amputees are suffering from the secondary disorders which are more common in upper extremity one. There is more pressure on upper limb amputees’ intact hand since they have to do every single task just by one hand and this imbalance causes musculoskeletal problems such as scoliosis. Despite doctors advice, due to the difficulties of prosthetic hands uses especially in above elbow cases, some of the amputees desist from using it, after a while. I want to know if cosmetic prosthetic really prevents spine deformity like scoliosis?
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I'm writing on my master thesis about evaluating SCI rehabilitation outcome in a specific setting. Do you know if there is any german version of the needs assessment checklist?
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Hi, to be honest, I don't know out of my pocket. You may ask Dr Juliane Müller from the University of Trier: Juliane Müller <jule.mue@icloud.com>
Kind regards, Kathrin Steffen
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tDCS and tACS are forms of neurostimulation that  delivered via electrodes on the head and have therapeutic effects.
I want to know which one has a longer-lasting effect.
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Hi Fateme,
if the question stems from the need to find a suitable tES intervention, I would suggest to start with the analysis of psychopathological/neurobiological mechanism responsible for the "to-be-treated" phenomenon (i.e., is it related to a decreased activity of a brain structure/network or is it related to certain bands of oscillatory power?).
Although you could compare the duration of tDCS vs tACS aftereffects (e.g., reviewing single or multiple session tES studies), such comparison might not be therapeutically valid given that tDCS and tACS induce qualitatively diverging effect and you would need to consider WHICH of the effects are meaningful for the particular therapeutic intervention (rather than which lasts longer).
On the other hand, both tDCS and tACS are assumed to modulate neuroplasticity, so perhaps this could be set as the common feature, enabling a meaningful comparison to start with.
Best, M.
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I need wireless pressure insoles for a study of gait disorders on elders.
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Dear colleagues
We are starting to publish new peer-review journal entitled: "Journal of Physiotherapy and Osteopathic Medicine (JPhysOM). The Journal is an international, peer-reviewed, online-only periodical issued monthly. JPhysOM is designed to publish articles covering a broad spectrum of topics related to all aspects of physiotherapy and osteopathic medicine. We aims to create a top level journal that publish high quality articles in the filed of physiotherapy and osteopathy. The quality of a journal is in a way reflective of the quality of its Editor(s) and Editorial Board and its members. JPhysOM is seeking energetic, qualified researchers to join its editorial board team as a member of editorial board and reviewers. If you feel an expert in your field of interest, do not hesitate to write to me and join to our journal. Applicants should submit their CVs with complete list of peer reviewed publications.The Review Board will consists of scholars willing to reviewing around 2-4 papers per year.
For further information and submission of your request (along with your CV) contact with me:
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Dear colleagues
The journal website is almost done. Please check www.jphysom.com
I cordially invite you and your academic colleagues to submit manuscript to our journal. Papers submitted to end of the year are free of any publication charges.
If you have any questions feel free to contact me j_kocjan@wp.pl
Kind regards
Janusz Kocjan
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I want to find some tools to assess the comprehensive rehabilitation needs of children/adults wtih disability, including educational needs, vocational needs, medical needs and social needs.
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Hello Sheryl,
I had a look and the majority of tools seemed to relate to learning disability, but this paper, at the end of the abstract, the authors state: "Our findings may serve as a resource for researchers who are working to develop valid tools to assess needs of families with children with disabilities, and such a tool can be instrumental in tuning the care processes to the individual needs of these families." Although it discusses children, perhaps there might be something relevant to your requirements:
Siebes, R., Ketelaar, M., Gorter, J. W., Alsem, M., & Jongmans, M. J. (2012). Needs of families with children who have a physical disability: a literature review. Critical Reviews™ in Physical and Rehabilitation Medicine, 24(1-2).
Very best wishes,
Mary
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The data which shows the walking therapy progression or walking ability recovery throughout a rehabilitation therapy course; from therapy admission until recovery. For example data for weekly therapy over four months therapy duration/course. I am interested in hip/knee/ankle joints angle vs gait cycle or stride time data for each therapy session until end.
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Your best bet may be to mine this data from PDFs of published reviews on the topic.