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postural balance in the Elderly with Mild Cognitive Impairment: Relationship to Accidental Falls

Open Journal of Therapy and Rehabilitation 2016年第2期4卷 67-75页

作者： Josélia Braz dos Santos Ferreira Selma Petra Chaves Sá Rosimere Ferreira Santana Ana Maria Domingos Juliana Peres da Costa Pereira Luciana Krauss Rezende The Antô nioPedro Hospital/UFF/Niterói The Miguel Pedro Municipal Hospital of Geriatrics and Gerontology (SMS) Rio de Janeiro Brazil The Aurora Afonso Costa Nursing School Fluminense Federal University (UFF) Niterói Brazil The AnaNeri Nursing School Federal University of Rio de Janeiro/UFRJ Rio de Janeiro Brazil The Estacio de Sa University The Redentor College Rio de Janeiro Brazil The Aurora Afonso Costa Nursing School (UFF) Niterói Brazil

This study analyzed postural balance in the elderly with mild cognitive impairment and its relationship to accidental falls. A quantitative and quasi-experimental method was used in a sample of 43 elderlies between 64 and 88 years old, mostly females. Data collection was performed in two Basic Health Units in the city of Rio de Janeiro in 2014. The instruments used were the Mini-Mental State Examination (MMSE), Tinetti scale, Motor Scale for the Elderly (EMTI) scale, and Elderly Falls Diary. The data were analyzed with the SAS statistical software version 9.3.1. The scales were applied before and after the psychomotor interventions. A significant difference was observed between the evaluating moments. balance improvements were observed in all age groups, suggesting that all elderlies, regardless of age, showed satisfactory responses to the implemented psychomotor activities. The elderlies who fell more frequently were those between 60 and 69 years old. It is noteworthy that the age group with the lowest incidence of falls was that of elderlies between 70 and 79 years old. It was concluded that psychomotor activities are beneficial, regardless of age, proving their effectiveness when continued stimuli with cognitive and psychomotor activities are carried out.

关键词： postural balance Accidental Falls Elderlies Mild Cognitive Impairment

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Neurorehabilitation using a voluntary driven exoskeletal robot improves trunk function in patients with chronic spinal cord injury: a single-arm study

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Neural Regeneration Research 2022年第2期17卷 427-432页

作者： Hiroki Okawara Syoichi Tashiro Tomonori Sawada Keiko Sugai Kohei Matsubayashi Michiyuki Kawakami Satoshi Nori Osahiko Tsuji Narihito Nagoshi Morio Matsumoto Masaya Nakamura Department of Orthopaedic Surgery Keio University School of MedicineTokyoJapan Department of Rehabilitation Medicine Keio University School of MedicineTokyoJapan Department of Orthopedic Surgery National Hospital OrganizationMurayama Medical CenterTokyoJapan

Body weight-supported treadmill training with the voluntary driven exoskeleton(VDE-BWSTT) has been shown to improve the gait function of patients with chronic spinal cord injury. However, little is known whether VDE-BWSTT can effectively improve the trunk function of patients with chronic spinal cord injury. In this open-label, single-arm study, nine patients with chronic spinal cord injury at the cervical or thoracic level(six males and three females, aged 37.8 ± 15.6 years, and time since injury 51.1 ± 31.8 months) who underwent outpatient VDE-BWSTT training program at Keio University Hospital, Japan from September 2017 to March 2019 were included. All patients underwent twenty 60-minute gait training sessions using VDE. Trunk muscular strength, i.e., the maximum force against which patient could maintain a sitting posture without any support, was evaluated in four directions: anterior, posterior, and lateral(right and left) after 10 and 20 training sessions. After intervention, lateral muscular strength significantly improved. In addition, a significant positive correlation was detected between the change in lateral trunk muscular strength after 20 training sessions relative to baseline and gait speed. The change in trunk muscular strength after 20 training sessions relative to baseline was greatly correlated with patient age. This suggests that older adult patients with chronic spinal cord injury achieved a greater improvement in trunk muscle strength following VDE-BWSTT. All these findings suggest that VDE-BWSTT can improve the trunk function of patients with chronic spinal cord injury and the effect might be greater in older adult patients. The study was approved by the Keio University of Medicine Ethics Committee(IRB No. 20150355-3) on September 26, 2017.

关键词： body weight-supported treadmill training gait disorders hybrid assistive limb neurologic neurophysiotherapy postural balance precision medicine robot-assisted gait training robotics spinal cord injury trunk

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Application of a hospital–community–family trinity rehabilitation nursing model combined with motor imagery therapy in patients with cerebral infarction

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World Journal of Clinical Cases 2023年第3期11卷 621-628页

作者： Wen-Wen Li Min Li Xiao-Juan Guo Fu-De Liu Department of Neurology The First Affilated Hospital of Xi'an Jiaotong UniversityXi'an 710061Shaanxi ProvinceChina

BACKGROUND Rehabilitation nursing is considered an indispensable part of the cerebral infarction treatment *** hospital–community–family trinity rehabilitation nursing model can provide continuous nursing services across hospitals,communities,and families for *** To explore the application of a hospital–community–family rehabilitation nursing model combined with motor imagery therapy in patients with cerebral *** From January 2021 to December 2021,88 patients with cerebral infarction were divided into a study(n=44)and a control(n=44)group using a simple random number *** control group received routine nursing and motor imagery *** study group was given hospital–community–family trinity rehabilitation nursing based on the control *** function(FMA),balance ability(BBS),activities of daily living(BI),quality of life(SS-QOL),activation status of the contralateral primary sensorimotor cortical area to the affected side,and nursing satisfaction were evaluated before and after intervention in both *** Before intervention,FMA and BBS were similar(P>0.05).After 6 months’intervention,FMA and BBS were significantly higher in the study than in the control group(both P0.05).However,after 6months’intervention,BI and SS-QOL were higher in the study than in the control group(P0.05).After 6 months’intervention,the activation frequency and volume were higher in the study than in the control group(Pbalance

关键词： Activities of daily living Cerebral infarction Hospital-community-family trinity rehabilitation nursing model Motor skills Motor imagery therapy postural balance

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Effects of short-term active video game play on community adults： under International Classification of Functioning, Disability and Health consideration

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Chinese Medical Journal 2013年第12期126卷 2313-2319页

作者： Wei-Che Tseng Ru-Lan Hsieh Department of Physical Medicine and Rehabilitation Shin Kong Wu Ho-Su Memorial Hospital Taipei 11101 Taiwan China School of Medicine College of Medicine Taipei Medical University Taipei Taiwan China

Background The effects of active video game play on healthy individuals remain uncertain.A person＇s functional health status constitutes a dynamic interaction between components identified in the International Classification of Functioning,Disability,and Health （ICF）.The aim of this study was to investigate the short-term effects of active video game play on community adults using the *** Sixty community adults with an average age of 59.3 years and without physical disabilities were *** 2 weeks,each adult participated in six sessions of active video game play lasting 20 minutes *** were assessed before and af^er the *** were collected using sources related to the ICF components,including the Hospital Anxiety and Depression Scale,Multidimensional Fatigue Inventory,Biodex Stability System,chairrising time,Frenchay Activity Index,Rivermead Mobility Index,Chronic Pain Grade Questionnaire,Work Ability Index,and World Health Organization Quality of Life-Brief *** Compared to baseline data,significantly reduced risk of a fall measured by Biodex Stability System and improvements in disability scores measured by the Chronic Pain Grade Questionnaire were *** was no significant change in the other variables *** Short-term,active video game play reduces fall risks and ameliorates disabilities in community adults.

关键词： postural balance health video games accidental falls

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postural control and sensory information integration abilities of boys with two subtypes of attention deficit hyperactivity disorder： a case-control study

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Chinese Medical Journal 2014年第24期127卷 4197-4203页

作者： Ren Yuanchun Yu Lishen Yang Li Cheng Jia Feng Lei Wang Yufeng Department of Child Psychiatry Research Peking University Sixth Hospital Peking University Institute of Mental Health Key Laboratory of Ministry of HealthBeijing 100191 China Institute of Aviation Medicine of Air Force Beijing 100036 China Depression Treatment Center Beijing Anding Hospital Beijing 100124 China

Background Attention deficit hyperactivity disorder （ADHD） is one of the most commonly diagnosed psychiatric disorder in childhood. ADHD children with overlapping symptoms and signs of motor problems have more serious prognosis than that of children with ADHD only. However, the motor and sensory processing problems in children with ADHD have not been studied well. Few people adopt the technique of computerized dynamic posturography （CDP） in the study of ADHD, which is applied widely in clinical and laboratory research to objectively evaluate human＇s balance performance. This study aimed to assess the characteristics of postural control and sensory information processing of boys with two subtypes of ADHD by using CDP, so as to provide the proof for non-drug therapy of ADHD. Method From June 2003 to September 2004, a total of 73 boys （7-15 years of age） with ADHD and 73 normal developing boys matched by age and intelligence quotient from Peking University Institute of Mental Health were recruited in the study. The Sensory Organization Test was adopted to test the static balance performance under six sensory input conditions by SMART EquiTest 8.0 （NeuroCom） instrument. The sensory information from three sensory systems were available under condition 1, the visual inputs were removed or distorted under condition 2 or 3, the somatosensory inputs were in conflict with or without the visual inputs removed under condition 4 or 5, and both the visual and somatosensory inputs were in conflict under condition 6. The indexes of equilibrium score, somatosensory, vestibular, and visual ratios, and strategy scores were analyzed to indicate the subjects＇ postural control ability. Results ADHD boys had significantly lower composite equilibrium score （CES） than the normal group （P 〈0.05）. Under condition 1 and conditions 3-6, the equilibrium scores （ES） of the ADHD group were significantly lower （all P 〈0.05） than those of the control. Significantly lower visual and vestibular ratios

关键词： postural balance sensory integration attention deficit hyperactivity disorder subtypes childhood

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Virtual reality interface devices in the reorganization of neural networks in the brain of patients with neurological diseases

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Neural Regeneration Research 2014年第8期9卷 888-896页

作者： Valeska Gatica-Rojas Guillermo Méndez-Rebolledo Laboratory of Human Motor Control Faculty of Health SciencesUniversity of Talca Laboratory of Human Motor Control School of KinesiologyFaculty of Health SciencesUniversity of Talca

Two key characteristics of all virtual reality applications are interaction and immersion. Systemic interaction is achieved through a variety of multisensory channels （hearing, sight, touch, and smell）, permitting the user to interact with the virtual world in real time. Immersion is the degree to which a person can feel wrapped in the virtual world through a defined interface. Virtual real- ity interface devices such as the Nintendo~ Wii and its peripheral nunchuks-balance board, head mounted displays and joystick allow interaction and immersion in unreal environments created from computer software. Virtual environments are highly interactive, generating great activation of visual, vestibular and proprioceptive systems during the execution of a video game. In addi- tion, they are entertaining and safe for the user. Recently, incorporating therapeutic purposes in virtual reality interface devices has allowed them to be used for the rehabilitation of neurological patients, e.g., balance training in older adults and dynamic stability in healthy participants. The improvements observed in neurological diseases （chronic stroke and cerebral palsy） have been shown by changes in the reorganization of neural networks in patients＇ brain, along with better hand function and other skills, contributing to their quality of life. The data generated by such studies could substantially contribute to physical rehabilitation strategies.

关键词： nerve regeneration virtual reality virtual environment virtual reality exposuretherapy rehabilitation stroke postural balance cerebral palsy aged review nintendo wii balanceboard neural regeneration

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Differences in standing balance between patients with diplegic and hemiplegic cerebral palsy

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Neural Regeneration Research 2013年第26期8卷 2478-2483页

作者： Valeska Gatica Rojas Guillermo Méndez Rebolledo Eduardo Guzman Muoz Natalia Ibarra Cortés Caterine Berrios Gaete Carlos Manterola Delgado Laboratory of Human Motor Control Faculty of Health Sciences University of Talca Laboratory of Human Motor Control School of Kinesiology Faculty of Health Sciences University of Talca School of Kinesiology University Santo Tomas Student School of Kinesiology Faculty of Health Sciences University of Talca Program in Medical Sciences University of the Frontera

Maintaining standing postural balance is important for walking and handling abilities in patients with cerebral palsy. This study included 23 patients with cerebral palsy （seven with spastic diplegia and 16 with spastic hemiplegia）, aged from 7 to 16 years of age. Standing posture balance measurements were performed using an AMTI model OR6-7 force platform with the eyes open and closed. Patients with diplegic cerebral palsy exhibited greater center of pressure displacement areas with the eyes open and greater center of pressure sway in the medial-lateral direction with the eyes open and closed compared with hemiplegic patients, Thus, diplegic patients exhibited weaker postural balance control ability and less standing stability compared with hemiplegic cerebral palsy patients.

关键词： neural regeneration cerebral palsy postural balance postural control center of pressure children diplegia hemiplegia grants-supported paper neuroregeneration

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The Application of Scales in the Diagnosis of Perceived Needs in the Elderly with Mild Cognitive Impairment

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Open Journal of Nursing 2016年第8期6卷 573-581页

作者： Josélia Braz dos Santos Ferreira Selma Petra Chaves Sa Luciana Krauss Rezende Rosana Moreira de Sant’Anna Ana Maria Domingos Rosimere Ferreira Santana University Hospital Antônio Pedro Universidade Federal Fluminense (UFF) Niterói Brazil Afonso Aurora Costa Nursing School Universidade Federal Fluminense (UFF) Niterói Brazil Ana Neri School of Nursing Universidade Federal do Rio de Janeiro (UFRJ) Rio de Janeiro Brazil

The study evaluated the use of the Mini-Mental State Examination scale (MMSE), Tinettiscale, and Motor Scale for the Elderly (EMTI) toassist in the diagnosis of potential needs observed in elderlies with Mild Cognitive Impairment. This was aquasi-experimental research, conducted in a Basic Health Unit in thecityof Rio de Janeiro in 2014. The sample population consisted of 22 elderlies aged 64 to 88 years and 86.36% females. The SAS statistical software (version 9.3.1) and Kruskal-Wallis test were used at a 95% confidence interval and a significance level of 0.05 and demonstrated significant differences in the evaluations performed before and after the intervention. The detected diagnoses were: impaired memory, the risk of falls, and willingness to improved relationships, among others. The evaluations showed MMSE results that were suggestive of cognitive impairment in 22.73% of the elderlies;the Tinetti scale showed a high risk of falls in 31.82% of theelderlies;and EMTI with 88.36 points, which was equivalent to the normal low classification. The intervention took place through ten weekly activity sessions after the initial evaluations. In the second evaluation, the Tinetti showed 59.09% of the elderlies with a moderate risk of falls and the EMTI as the normal average classification with 90.32 points. It was concluded that the scales offered diagnostic possibilities, which allowed for the implementation of necessary interventions according to the detected problems.

关键词： Nursing Diagnosis Mild Cognitive Impairment Sensory-Motor Performance postural balance Elderlies

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