Intelligent post-stroke rehabilitation has attracted great attention, since the high incidence rate of stroke with the aging of the population world-widely. It is well known that effective ...rehabilitation training can help the rehabilitation of neuromuscular injuries. In recent decades, biological signal-based closed-loop rehabilitation has significantly progressed and attracted widespread attention in clinics and academia, achieving relatively promising results. These biological signals are mainly electromyographic (EMG) signal and Electroencephalographic (EEG) signal. Firstly, this paper briefly overviews how to use EMG and EEG to be involved in rehabilitation. Special attention is paid to the detailed changes in EMG signal, EEG signal, and brain rhythm after stroke. Regarding technology-based intervention in stroke rehabilitation including intention cognitive, function rehabilitation devices, gesture decoded, and motor imagery. Finally, the feasibility of state-of-the-art motor function rehabilitation with EEG and EMG signals is analyzed. Our results show that rehabilitation with EEG and EMG signals is relatively more favorable than a single signal. Though the challenges may be tough, new theories and technological approaches able to exploit the full potential of EEG and EMG.
Neuralgic amyotrophy IJspeert, Jos; Janssen, Renske M J; van Alfen, Nens
Current opinion in neurology,
10/2021, Volume:
34, Issue:
5
Journal Article
Peer reviewed
This review focuses on the current insights and developments in neuralgic amyotrophy (NA), an auto-immune multifocal peripheral nervous system disorder that leaves many patients permanently impaired ...if not recognized and treated properly.
NA is not as rare as previously thought. The phenotype is broad, and recent nerve imaging developments suggest that NA is the most common cause of acute anterior or posterior interosseous nerve palsy. Phrenic nerve involvement occurs in 8% of all NA patients, often with debilitating consequences. Acute phase treatment of NA with steroids or i.v. immunoglobulin may benefit patients. Long-term consequences are the rule, and persisting symptoms are mainly caused by a combination of decreased endurance in the affected nerves and an altered posture and movement pattern, not by the axonal damage itself. Patients benefit from specific rehabilitation treatment. For nerves that do not recover, surgery may be an option.
NA is not uncommon, and has a long-term impact on patients' well-being. Early immunomodulating treatment, and identifying phrenic neuropathy or complete nerve paralysis is important for optimal recovery. For persistent symptoms a specific treatment strategy aiming at regaining an energy balance and well-coordinated scapular movement are paramount.
Adhesive capsulitis, or frozen shoulder, causes pain and reduces glenohumeral joint motion.
This study aims to assesses ultrasound-guided hydrodistention with rehabilitation in hospital versus home ...settings.
Forty patients with adhesive capsulitis were split into two groups: one received hydrodistention with hospital-assisted rehabilitation, and the other with home-based rehabilitation, following the same exercise protocol. Clinical assessments included range of motion (ROM), numeric pain rating scale (NPRS), shoulder pain and disability index (SPADI), disability of the arm, shoulder and hand (DASH), and assessment shoulder and elbow scale (ASES)
The hospital-based group showed more rapid and substantial improvements in ROM and NPRS scores compared to the home-based group. The hospital-based group had a mean flexion ROM of 104.3 ± 31.6°, which increased to 149.5 ± 20.6° at the final follow-up. The home-based group started with a mean flexion ROM of 103.3 ± 29.2°, improving to 161.3 ± 23.2° by the end of the study. Both groups showed significant improvements, with the home-based group slightly outperforming in flexion ROM by the third follow-up. Initial NPRS scores were 4.7 ± 1.92 for the hospital-based group and 6.6 ± 1.63 for the home-based group. By the six-month mark, the hospital-based group’s SPADI score dropped to 17.4 ± 19.5, while the home-based group’s score was 10.5 ± 13.03. Both groups demonstrated significant improvements, with the hospital-based group showing slightly better outcomes at various follow-ups.
Hydrodistention combined with supervised rehabilitation is optimal for treating frozen shoulder, though home-based therapy is also effective. Both methods significantly benefit from hydrodistention, highlighting its importance in treatment strategies.
In recent years, the state attaches more and more importance to physical education. As a result, physical education for children has become the focus of social and school attention. Schools not only ...opened a variety of sports, all kinds of sports classes also emerged. Children have gradually become an important part of social sports activities, but they are not mature enough because they are lively and active and their mastery of sports skills is not mature enough. Therefore, in the process of participating in sports activities, children will often appear sports injury, among which the most common is muscle and soft tissue injury. Therefore, it is of great significance to study the rehabilitation of children sports muscle and soft tissue injury. The purpose of this paper is to provide beneficial guidance for the rehabilitation training of children's sports injury through the rehabilitation of children's sports muscle and soft tissue injury. In this paper, the concept and pathology of soft tissue injury and muscle soft tissue injury were analyzed and discussed in detail. Then on the basis of the relevant experimental investigation, the treatment and rehabilitation training of children's muscle and soft tissue injury were described. The results showed that among the children sports participants, 53 had muscle injury, accounting for 85.5% of the total number of participants, and only 9 had no or muscle injury, accounting for 14.5%. Under the guidance of the rehabilitation treatment principles proposed in this paper, the rehabilitation speed of children's muscle injury increased by about 25%, and the overall rehabilitation effect increased by about 11%. Key words: Sports, Soft Tissue Injury, Muscle Injury, Rehabilitation Treatment
Intelligent poststroke rehabilitation has attracted great attention worldwide, since the high incidence rate of stroke with the aging of the population. It is well known that effective rehabilitation ...training can help the rehabilitation of neuromuscular injuries. In recent decades, biological signal-based closed-loop rehabilitation has significantly progressed and attracted widespread attention in clinics and academia, achieving relatively promising results. These biological signals are mainly electromyographic (EMG) signals and electroencephalographic (EEG) signals. First, this article briefly overviews how to use EMG and EEG to be involved in rehabilitation. Special attention is paid to the detailed changes in the EMG signal, EEG signal, and brain rhythm after stroke, regarding technology-based intervention in stroke rehabilitation including intention cognitive, function rehabilitation devices, gesture decoded, and motor imagery (MI). Finally, the feasibility of state-of-the-art motor function rehabilitation with EEG and EMG signals is analyzed. Our results show that rehabilitation with EEG and EMG signals is relatively more favorable than a single signal. Though the challenges may be tough, new theories and technological approaches able to exploit the full potential of EEG and EMG.
Background
The aim of this study was to evaluate the frequency of temporomandibular joint dysfunction and related factors in patients with traumatic brain injury.
Methods
A total of 60 participants, ...30 patients with traumatic brain injury and 30 healthy volunteers of similar age, have been included in this study, which was designed as a hospital‐based cross sectional study. Fonseca questionnaire was used to evaluate and classify the temporomandibular joint dysfunction. Temporomandibular joint range of motion was evaluated with a digital calliper, and masticatory muscles pressure pain threshold was evaluated with an algometer. Labial commissure angle measurement was used to evaluate the severity of facial paralysis. Complications related to traumatic brain injury were recorded in patients with traumatic brain injury.
Results
According to Fonseca questionnaire score, 80% of traumatic brain injury patients and 16.7% of the control group had temporomandibular dysfunction (p < .001). In the intergroup comparison, a significant decrease was found in all temporomandibular range of motion and masticatory muscles pressure pain threshold parameters in favour of the traumatic brain injury group (p < .001). Labial commissure angle and Fonseca questionnaire scores were higher in the traumatic brain injury group (p < .001). The frequency of temporomandibular dysfunction was more common in traumatic brain injury patients with headache than in those without headache, as shown by the results of the Fonseca questionnaire (p = .044).
Conclusion
Compared to healthy controls, patients with traumatic brain injury experienced issues with the temporomandibular joint more frequently. Additionally, TBI patients with headaches had a greater frequency of temporomandibular joint dysfunction. Therefore, it is advised to check for temporomandibular joint dysfunction in traumatic brain injury patients during follow‐up. In addition, the presence of headache in traumatic brain injury patients may be a stimulant for temporomandibular joint dysfunction.
PDF
