Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation

Search Page

Filters

My NCBI Filters

Results by year

Table representation of search results timeline featuring number of search results per year.

Year Number of Results
2016 7
2017 96
2018 994
2019 6185
2020 1016
2021 74
2024 0

Text availability

Article attribute

Article type

Publication date

Search Results

6,185 results

Results by year

Filters applied: . Clear all
Page 1
Randomized Controlled Trial
. 2021 Dec;10(12):663-670.
doi: 10.1089/wound.2018.0876. Epub 2019 Mar 15.

Early Intensified Rehabilitation Training with Hyperbaric Oxygen Therapy Improves Functional Disorders and Prognosis of Patients with Traumatic Brain Injury

Affiliations
Randomized Controlled Trial

Early Intensified Rehabilitation Training with Hyperbaric Oxygen Therapy Improves Functional Disorders and Prognosis of Patients with Traumatic Brain Injury

Yin Lu et al. Adv Wound Care (New Rochelle). 2021 Dec.

Abstract

Objective: Traumatic brain injury (TBI) is a global public health problem. Hyperbaric oxygen (HBO) therapy may be beneficial for TBI because it improves cerebral blood flow into tissues exhibiting low blood flow. This was done to observe the clinical therapeutic effect of different intensities of rehabilitation training and HBO therapy in early stages of TBI. Approach: In this multicenter, randomized, stratified case-controlled prospective clinical trial, we selected 158 patients with moderate-severe TBI and assigned them into (1) a control group receiving routine once-daily (1/d) rehabilitation training without HBO, (2) study group A receiving routine 1/d rehabilitation training with HBO, (3) study group B receiving twice-daily (2/d) intensified rehabilitation training with HBO, and (4) study group C receiving 2/d intensified rehabilitation training without HBO, all for 3 months. The cognitive ability, activities of daily life (ADL), and movement ability were assessed before and after training with the Fugl-Meyer Assessment (FMA), Functional Independence Measure (FIM), Modified Barthel Index (MBI), and Mini-Mental State Examination (MMSE). Results: FIM, FMA, MBI, and MMSE scores were improved significantly after 1-, 2-, and 3-month rehabilitation training in all TBI patients (p < 0.01), and this improvement was especially remarkable in patients who received 2/d intensified rehabilitation training with HBO (p < 0.01). Innovation: With extensive and intensive research on TBI rehabilitation, it was proved that TBI rehabilitation intervention should be initiated as early as possible. Conclusion: Early intensified rehabilitation training in combination with HBO is more beneficial to the recovery of cognitive, ADL, and movement abilities of TBI patients.

Keywords: comprehensive rehabilitation; function assessment; hyperbaric oxygen therapy; multicenter research; traumatic brain injury.

Conflict of interest statement

No competing financial interests exist. The content of this article was expressly written by the authors listed. No ghostwriters were used to write this article.

Supplementary info

Publication types, MeSH terms
Proceed to details
. 2021 Dec;37(12):1337-1345.
doi: 10.1080/09593985.2019.1698085. Epub 2019 Dec 3.

Perceived barriers and facilitators for gait-related participation in people after stroke: From a patients' perspective

Affiliations

Perceived barriers and facilitators for gait-related participation in people after stroke: From a patients' perspective

Ilona J M de Rooij et al. Physiother Theory Pract. 2021 Dec.

Abstract

Background: An important focus of post-stroke physical therapy is to improve walking and walking capacity. However, many people after stroke experience difficulties with gait-related participation, which includes more than walking capacity alone. Gait-related participation involves walking with a participation goal and requires to deal with changes in the environment during walking and perform dual tasks, for example.Objective: To explore barriers and facilitators for gait-related participation from the perspective of people after stroke. This knowledge can contribute to the development of effective interventions to improve gait-related participation.Methods: Semi-structured interviews were conducted to investigate how people after stroke experience gait-related participation. Audio-recorded interviews were transcribed, anonymized, and analyzed thematically. Barriers and facilitators were categorized according to the International Classification of Functioning, Disability and Health (ICF) framework.Results: Twenty-one people after stroke participated. Median age was 65 years, median time since stroke 16 weeks. Barriers were reported in movement-related functions, cognitive functions, mobility, personal factors, and environmental factors. Facilitators were found on participation level and in personal and environmental factors, such as motivation and family support.Conclusion: People after stroke who were physically able to walk independently still described multiple barriers to gait-related participation in all components of the ICF framework.

Keywords: ICF; Stroke; gait; participation; patient perspective; physical therapy.

Supplementary info

MeSH terms
Proceed to details
. 2021 Nov 2;33(6):333-340.
doi: 10.1080/10400435.2019.1644685. Epub 2019 Aug 20.

The use of everyday information communication technologies in the lives of older adults living with and without dementia in Sweden

Affiliations

The use of everyday information communication technologies in the lives of older adults living with and without dementia in Sweden

Sarah Wallcook et al. Assist Technol. .

Abstract

Background: Increasingly services and interventions involve everyday information communication technologies (EICTs) in provision, however, use of EICTs among people with dementia is little known. Therefore, this study aimed to investigate the relevance, use, and ability to use EICTs between a group of older adults with dementia and a comparison group with no known cognitive impairment.Method: Interviews with 35 people with dementia, 34 comparison participants using the standardized Everyday Technology Use Questionnaire. Variables were compared using descriptive statistics, t-tests and correlation analyses.Results: Median 7 EICTs (maximum 31) were relevant to the group with dementia; significantly less than the comparison group's 11 (p< .05, d= 0.64). The difference in use appeared more pronounced (group with dementia 5, comparison group 10.5; p< .001, d= 0.93). Large, significant relationships were evident between ability to use technology, and relevant or used EICTs in the group with dementia. No such relationships in the comparison group.Conclusion: Differences in the amounts of EICTs relevant and used among people with and without dementia are further reflected in the dementia group's ability to use technology. Accommodating the demands that EICTs place on users and harnessing the dominant EICT relevancies and abilities of people with dementia better contributes towards an inclusive, dementia-friendly society.

Keywords: activities of daily living; cognitive impairment; information technology and telecommunications; older adults.

Supplementary info

Publication types, MeSH terms
Proceed to details
. 2021 Nov-Dec;28(6):737-744.
doi: 10.1080/23279095.2019.1698582. Epub 2019 Dec 13.

Can deficits in functional capacity and practical judgment indicate cognitive impairment in older adults?

Affiliations

Can deficits in functional capacity and practical judgment indicate cognitive impairment in older adults?

Anna S Ord et al. Appl Neuropsychol Adult. 2021 Nov-Dec.

Abstract

Neuropsychological literature has demonstrated a significant relationship between cognitive decline and functional capacity, but the directionality of this relationship is still not well understood. Further, the construct of practical judgment has been linked to both cognitive impairment and functional capacity, but these associations are still under-researched. Moreover, few studies to date have examined the relationships among all three constructs utilizing performance-based, ecologically valid and psychometrically sound measures. The present study aimed to address this gap in published literature and investigated whether a practical judgment and functional capacity can help differentiate individuals with cognitive dysfunction from those without. Participants were 270 community-dwelling individuals aged 56-95 years referred for neuropsychological evaluation in an outpatient setting. Bivariate correlations revealed moderate to strong relationships among the three studied variables. Additionally, logistic regression analysis indicated that ability to make sound practical judgments and ability to perform instrumental activities of daily living (IADL) can be used as indicators of cognitive impairment. The clinical implications of these findings are discussed.

Keywords: Activities of daily living; cognitive impairment; functional capacity; judgment; older adults.

Supplementary info

MeSH terms
Proceed to details
. 2021 Nov-Dec;28(6):673-684.
doi: 10.1080/23279095.2019.1683561. Epub 2019 Nov 12.

Using a serious game to measure executive functioning: Response inhibition ability

Affiliations

Using a serious game to measure executive functioning: Response inhibition ability

Tiffany Tong et al. Appl Neuropsychol Adult. 2021 Nov-Dec.

Abstract

In previous research, we developed a serious target acquisition game (with moles as targets) for assessing cognitive speed. Tong, Chignell, Tierney, and Lee demonstrated that performance on the game may be a useful screening tool for risk of delirium onset. In this study, we validate a version of the game where there are not only targets (moles) that should be hit but also distractors (butterflies, or moles with hats) that should not be hit. We hypothesized that performance on the game should be a measure of response inhibition ability, which has been implicated as a factor in many types of psychopathology. We carried out an experiment (with 30 healthy participants) to test whether the serious game does in fact measure response inhibition by comparing game performance with a standard response inhibition task (the Go/No-Go discrimination task). Our results show that, with the distractors, the game does in fact assess response inhibition ability. We discuss the implications of this work for assessing executive functions in the elderly, and for evaluating recovery in neuro-rehabilitation, and declining ability to perform activities of daily living.

Keywords: go/no-go discrimination task; cognitive assessments; executive function; response inhibition; serious games.

Supplementary info

MeSH terms
Proceed to details
. 2021 Oct;37(10):1096-1108.
doi: 10.1080/09593985.2019.1683921. Epub 2019 Oct 30.

Safety and feasibility of an early telephone-supported home exercise program after anterior cervical discectomy and fusion: a case series

Affiliations

Safety and feasibility of an early telephone-supported home exercise program after anterior cervical discectomy and fusion: a case series

Rogelio A Coronado et al. Physiother Theory Pract. 2021 Oct.

Abstract

Objective: To describe the safety, feasibility, and preliminary outcomes of an early telephone-supported home exercise program (HEP) performed within the first 6 weeks after anterior cervical discectomy and fusion (ACDF) surgery.Methods: Eight patients (mean ± SD age = 53.4 ± 14.9 years, 5 females) were enrolled in this case series. Immediately after surgery, patients began a 6-week HEP including daily walking, deep breathing, distraction techniques, and cervical and upper body exercises. The HEP was supported by weekly telephone calls by a physical therapist. Safety for performing early exercise was examined with radiographic imaging at 6 months. Adverse events were assessed through weekly calls with a physical therapist. HEP adherence and acceptability data were obtained by patient self-report. Clinical measures were assessed preoperatively, at 6 weeks and at 6 months, and included the Neck Disability Index, Numeric Rating Scale for pain, Tampa Scale of Kinesiophobia, Pain Catastrophizing Scale, Pain Self-Efficacy Questionnaire, and accelerometry for physical activity.Results: Early radiographic imaging showed no signs of nonunion at 6 months. There were no reports of serious adverse events. At 6 months, all patients reported clinically significant changes in pain catastrophizing. Seven (88%) patients had clinically significant changes in disability and arm pain, six (75%) patients for neck pain and pain self-efficacy, and five (53%) patients for fear of movement. Only three (43%) of seven patients showed increased physical activity at 6 months.Conclusion: Based on this small case series, an early telephone-supported HEP appears safe for patients, feasible to implement, and promising for clinical benefits.

Keywords: Radiculopathy; Spinal fusion; exercise therapy; feasibility studies; neck pain; surgical decompression.

Conflict of interest statement

Declaration of Interest

The authors declare that there is no conflict of interest.

Supplementary info

MeSH terms, Grants and funding
Proceed to details
Randomized Controlled Trial
. 2021 Oct;37(10):1080-1095.
doi: 10.1080/09593985.2019.1683923. Epub 2019 Oct 26.

Group-based, individualized exercises can provide perceived bodily changes and strengthen aspects of self in individuals with MS: a qualitative interview study

Affiliations
Randomized Controlled Trial

Group-based, individualized exercises can provide perceived bodily changes and strengthen aspects of self in individuals with MS: a qualitative interview study

Ellen Christin Arntzen et al. Physiother Theory Pract. 2021 Oct.

Abstract

Background: Group-based physiotherapy is effective for individuals with MS; nevertheless individualization within groups is questioned and little is known regarding individuals´ experiences with individualization in small groups.Objective: We aimed to explore the short- and long-term experiences of individuals with MS participating in a 6-week, group-based, individualized physiotherapy-intervention.Methods: Within a randomized controlled trial (RCT), 25 in-depth interviews with a strategic sample of 13 people (9 women; age 25-79 years old; European Disability Status Scale (EDSS) 1-6.5) were conducted at weeks 7 and 30 using systematic text condensation, with dynamic systems theory and phenomenology as analytical frameworks.Results: The main categories were: 1) movement control, orientation and insights: Bodily improvements were associated with targeted exercises, specific adjustments by the physiotherapist, emotional engagement and re-access to activities; and 2) the individual within the group: Equal distributions of one-to-one interactions and attention were important for experiencing success. Less attention and improvements turned attention toward own disability. Physical changes felt particularly emotional short term, implying that individuals' feelings of ownership and control of body and movement, new views of themselves and changed affordances in daily life were involved.Conclusion: Equally distributed attention and engagement, targeted exercises and hands-on adjustments resulting in visible and perceived bodily changes were experienced as key factors of individualization in small groups.

Keywords: Multiple sclerosis; balance; core stability; group-based; physiotherapy.

Supplementary info

Publication types, MeSH terms
Proceed to details
. 2021 Sep 3;33(5):271-277.
doi: 10.1080/10400435.2019.1629124. Epub 2019 Jul 11.

Evaluation of the usability of an actively actuated arm support

Affiliations

Evaluation of the usability of an actively actuated arm support

Audrey Lebrasseur et al. Assist Technol. .

Abstract

Dynamic arm supports can be used to increase the autonomy of people with upper limb disabilities, but their usability is often poorly documented. The objective of this study is to evaluate the usability of an actuated arm support (AAS), namely the Gowing power-assisted arm support. Nine participants with neurological disorders restricting their upper limb capacities (DASH = 63.51 ± 7.72) completed various tasks (Upper Extremity Performance Test for the Elderly (TEMPA)) with and without the AAS. Users' satisfaction (Quebec User Evaluation of Satisfaction with assistive Technology (QUEST)) and perceived benefits of the device (semi-structured interviews) were assessed. Large (effect size ≥ 1.15) and statistically significant (p < .05) improvements were found in the TEMPA functional rating, range of motion, strength, precision of gross movements and prehension patterns subscales while using the AAS. Two third of the participants were quite or very satisfied with the arm support (QUEST > 4/5) and interviews were positive about its usefulness in daily living activities. Our study demonstrated that the use of an AAS could result in significant improvements in the autonomy of people with upper limb disabilities.

Keywords: actively actuated device; assistive devices; power-assisted arm support; rehabilitation.

Supplementary info

Publication types, MeSH terms
Proceed to details
. 2021 Sep-Oct;33(5):473-486.
doi: 10.1080/08952841.2019.1707152. Epub 2019 Dec 27.

Who did it better? Gender differences in effects of a dietary self-management intervention for older community-dwelling adults

Affiliations

Who did it better? Gender differences in effects of a dietary self-management intervention for older community-dwelling adults

Jung-Hua Shao et al. J Women Aging. 2021 Sep-Oct.

Abstract

This study aimed to determine whether there were gender differences in the effectiveness of a 12-week dietary self-management program for older community-dwelling adults in northeast Taiwan. This was a secondary analysis of a previous study; participants (N = 58) were purposively sampled from two public health centers. Non-parametric models examined differences in outcome measures because of the small sample size; 20 males and 38 females completed the study. The results showed males scored significantly better than females for nutritional status, internal health locus of control, and responsibility for food preparation, which may have implications for older female adults' nutritional health.

Keywords: Older adults; nutrition; self-management.

Supplementary info

MeSH terms
Proceed to details
. 2021 Sep;43(18):2561-2567.
doi: 10.1080/09638288.2019.1704894. Epub 2019 Dec 25.

Views and experiences of visually impaired older people and exercise instructors about the Falls Management Exercise programme: a qualitative study

Affiliations

Views and experiences of visually impaired older people and exercise instructors about the Falls Management Exercise programme: a qualitative study

Lex D de Jong et al. Disabil Rehabil. 2021 Sep.

Abstract

Purpose: To gain insight into visually impaired older people's views regarding acceptability of an adapted Falls Management Exercise programme, and to explore Postural Stability Instructors's perspectives on provision of the programme.

Materials and methods: Data from this qualitative study comprised interviews with nine visually impaired older people and two Postural Stability Instructors. Data were analysed using thematic analysis.

Results: Themes identified from interviews with the participants related to self-perception, exercise-related factors and facilitators to participation. Participants positioned themselves as not old or at risk of falls, felt exercises were not challenging enough and recommended that home exercise materials be offered in individually tailored formats. Themes identified from interviews with the instructors related to programme adaptations for visual impairments, exercises and facilitators to participation. Instructors recommended stratifying groups into levels of ability. Social time after the exercise sessions was deemed key in programme adherence by both participants and instructors.

Conclusions: Visually impaired older people have similar barriers and facilitators to group-based falls prevention sessions as older people without visual impairment, but seem to have more difficulties in motivation to exercise at home. Both participants and instructors felt the main facilitator to adherence to group exercise sessions was the social time.Implications for rehabilitationVisually impaired older people have similar barriers and facilitators to group-based falls prevention sessions as older people without visual impairment, but seem to have more difficulties in motivation to exercise at home.Key recommended adaptations for falls prevention interventions in visually impaired older people include offering individually-tailored home exercise materials, stratifying groups into level of ability and involving social time.The social time after the exercise sessions was key in programme adherence.

Keywords: Accidental falls; aged; exercise; qualitative research; vision impairments.

Supplementary info

Publication types, MeSH terms, Grants and funding
Proceed to details
6,185 results