2,029 results match your criteria: "Impairment Rating and Disability Determination"

Electrical status epilepticus in sleep (ESES) is an electrographic pattern associated with cognitive impairment. Our study aimed to prospectively evaluate the psychiatric findings and language skills in patients diagnosed with ESES and to determine the immune modulatory treatment-responsive subgroups. We assessed the patients for psychiatric features and language skills at the baseline and 12 months after.

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Background: Engaging in physical activity is critical for maintaining well-being in older adults, particularly those at heightened risk for mobility disability. We assessed the effects of a physical activity (PA) intervention on perceived stress, fatigue, and depressive symptoms compared to a health education (HE) program in older adults with mobility challenges and evaluated differential effects of the interventions among those with the poorest self-rated mental health at baseline.

Methods: Secondary data analysis of the Lifestyle Interventions and Independence for Elders (LIFE) Study, a single-blinded, parallel randomized controlled trial conducted between February 2010 and December 2013.

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Does a Prolonged Sham Theta Burst Stimulation Intervention Regimen Outperform Standard Care in Terms of Functional Recovery and Pain Relief After an Upper Limb Fracture?

Psychosom Med

January 2025

From the Department of Psychology, Université de Montréal (Proulx-Bégin, Brazeau); Hôpital du Sacré-Cœur de Montréal (CIUSSS du Nord de-l'Île-de-Montréal) (Proulx-Bégin, Jodoin, Brazeau, Babiloni, Provost, Rouleau, Arbour, De Beaumont); Division of Experimental Medicine, McGill University (Herrero Babiloni); Faculty of Nursing, Université de Montréal (Arbour); and Department of Surgery, Université de Montréal (Rouleau, De Beaumont), Montréal, Québec, Canada.

Objective: In a recent sham-controlled 13-session prolonged continuous theta burst stimulation intervention protocol, recovery from upper limb fracture at both 1 and 3 months was better than anticipated in patients assigned to the sham intervention group. To determine whether potential placebo effect and close patient monitoring affected recovery, the current study aimed to compare clinical outcomes between sham-treated participants who also received standard care with similarly injured patients who only received standard care.

Methods: Twenty participants with isolated upper limb fractures from the sham group were seen 13 times post-fracture (1 baseline session, 10 treatments, and 2 follow-ups [1 and 3 months]) over 3 months.

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Multicenter Validation of the Ocular Myasthenia Gravis Rating Scale Questionnaire.

Neurology

January 2025

From the Department of Neuro-Ophthalmology (S.H.W.), Moorfields Eye Hospital NHS Foundation Trust; Departments of Ophthalmology and Neurology (S.H.W.), Guy's and St Thomas' NHS Foundation Trust; Department of Ophthalmology (S.H.W.), Faculty of Life Sciences & Medicine, King's College London; Department of Clinical and Movement Neuroscience (S.H.W.), UCL Queen Square Institute of Neurology, University College London, United Kingdom; Department of Ophthalmology and Visual Sciences (R.A., W.T.C., T.D., J.R.E., C.A.A., L.B.D.L.), Kellogg Eye Center, University of Michigan, Ann Arbor; Departments of Ophthalmology, Neurology, and Neurosurgery (E.R.E., S.K.), Mayo Clinic, FL; Survey Research Center (J.R.E.), Institute for Social Research, University of Michigan, Ann Arbor; and Division of Neurology (C.B.-T.), Department of Medicine, University Health Network and University of Toronto, Ontario, Canada.

Background And Objectives: Ocular myasthenia gravis (OMG) causes disabling ocular symptoms of ptosis and diplopia, but a validated disease-specific patient-reported outcome measure (PROM) has not been reported. We sought to validate a novel PROM for OMG, OMG Rating Scale Questionnaire (OMGRate-q), as a measure of visual functioning to support patient-centered care.

Methods: This was a prospective study of patients aged 18 years and older with OMG receiving care at 3 medical centers (January 2022-October 2023).

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Background: Fatigue is common in multiple sclerosis (MS); it significantly impairs quality of life, and treatment options are limited. A randomized controlled trial of Elevida, a self-guided, online German fatigue intervention, showed significant benefit. We tested an English version of Elevida with people with MS in Australia.

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Background: There is a large literature on the prevalence of disability in older men, but less data on the incidence of new disability.

Objectives: 1. To determine the incidence of moderate-to-severe disability in a prospective cohort study of aging men; and 2.

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Article Synopsis
  • The study investigates neurocognitive deficits (NCD) in first-episode schizophrenia (FES) patients from Africa, highlighting their prevalence and changes over 8 weeks of treatment, compared to healthy controls (HC).
  • Among the FES group, 62.9% showed NCD after 8 weeks, significantly higher than just 1.2% in the HC group, with improvements in cognitive function noted at each follow-up.
  • The results indicate that better cognitive performance in FES correlates with lower psychopathology scores, suggesting a potential link between cognitive function and overall mental health outcomes in schizophrenia.
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Fascial manipulation for musculoskeletal disorders: A scoping review.

J Bodyw Mov Ther

October 2024

Department of Physical Therapy, School of Health Sciences, Shinshu University, Matsumoto, Japan.

Objective: To synthesize the available literature on myofascial manipulation interventions and adverse events to assess the knowledge gaps and select adaptations to determine the optimal approach.

Methods: PubMed, CINAHL, Web of Science, Embase, MEDLINE, and the Physiotherapy Evidence Database were searched from inception to December 11, 2022. This review included patients with musculoskeletal disorders, pain, and dysfunction.

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Article Synopsis
  • - The study examines how the presentation of Amyotrophic Lateral Sclerosis (ALS) varies across different stages and phenotypes, utilizing movement system diagnoses (MSD) to inform care strategies.
  • - Four patients from an ALS clinic were assessed over nine years, highlighting differences in disability and mobility based on their specific ALS characteristics, such as bulbar or limb onset.
  • - Findings suggest that understanding the interplay between MSD and ALS phenotype can improve clinical decisions and treatment approaches for managing the disease effectively.
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Successful Aging Rates of Global Older Adults: A Systematic Review and Meta-analysis.

J Am Med Dir Assoc

November 2024

Department of Medical Statistics and Epidemiology, School of Public Health, Tianjin Medical University, Tianjin, China.

Objective: This meta-analysis aimed to qualitatively analyze the different aspects of the successful aging (SA) criteria and quantitatively assess the rate of SA and its different dimensions among people aged ≥60 years globally to provide a basis for constructing criteria for SA.

Design: This is a systematic review and meta-analysis, which has been registered on PROSPERO (CRD42024585934).

Setting And Participants: Older adults (≥60 years).

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Background: Many patients with enterostomy and their family caregivers experience severe anxiety and fatigue, which affects their participation in normal social activities and family life, resulting in impaired social function. The purpose of this study was to understand the status of social function of patients with enterostomy and their family caregivers;at the same time to analyze the subjective and objective effects of anxiety and fatigue on their social functions.

Methods: The self-made general information questionnaire, WHO Social Disability rating Scale, Miao Yu's Multidimensional Fatigue Scale-20 and Zung et al.

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Assessing cognition with interview-based measures could be a low-resource alternative to traditional cognitive tests. We previously adapted the Cognitive Assessment Interview (CAI) into Amharic (CAI-A) for use with people with schizophrenia (PWS) in Ethiopia. This study examined the convergent and structural validity of the CAI-A in a group of 350 PWS sub-sampled from the Neuropsychiatric Genetics of African Populations - Psychosis (NeuroGAP-Psychosis) study, who fulfilled the inclusion criteria.

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Background: Generalized anxiety disorder (GAD) affects up to 6% of the population, which if not detected early and adequately treated will continue as a hidden impairment resulting in disability.

Aim: The primary objective of the study is to assess the hair cortisol levels (HairF) in persons with GAD with and without alcohol dependence syndrome (ADS), and the secondary objective is to assess whether HairF can be used as a biomarker for assessment of GAD.

Materials And Methods: This comparative study was done on 94 subjects (68 persons with GAD with or without ADS and 26 healthy controls) who were divided into three groups.

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Objectives: Diversity and inclusion in clinical trials remains an important topic, particularly for participants with disabilities such as vision impairment. With advances in smartphone and tablet technologies and their increasing use in clinical trials, accessibility features, such as pinch to zoom, are now at our fingertips. However, implementing such accessibility features when collecting electronic clinical outcomes assessments (eCOA) does not come without risks and must be designed with careful consideration and scientifically tested to ensure no impact to data integrity.

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Objective: To investigate cross-sectional associations between spouses' sensory loss and depressive symptoms, self-rated health, and functional disability.

Methods: We included 10,410 individuals from the China Health and Retirement Longitudinal Study. We used the cross-sectional design and determined hearing loss, vision loss, and dual sensory loss by self-reports.

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Constructing a picture of fatigue in the context of cancer: assessment of construct overlap in common fatigue scales.

Support Care Cancer

October 2024

Department of Psychiatry, Perelman School of Medicine, Behavioral Sleep Medicine Program, University of Pennsylvania, Philadelphia, PA, USA.

Purpose: Individuals diagnosed with cancer experience multiple inter-related short- and long-term side effects. Chief among such symptomology is cancer-related fatigue (CRF), which, if left unmanaged, can become chronic and result in increased disability and healthcare utilization. A growing number of self-report scales have been developed to measure CRF symptoms based on various theoretical conceptualizations with the aim of promoting targeted assessment and intervention efforts.

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Background And Purpose: Common sequelae for patients with congenital heart disease (CHD) are neurodevelopmental disabilities including executive function, attention, and socio-emotional deficits. Although these are common diagnoses for patients with CHD, limited research has investigated the mechanistic underpinnings of these findings. Our previous research examined the association between abnormal respiratory ciliary motion and brain abnormalities in infants with CHD.

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Article Synopsis
  • * Results showed that those with poor balance had lower multifidus muscle thickness and cross-sectional area (CSA), and higher levels of pain, disability, and fear of falling.
  • * The findings suggest that decreased muscle size may contribute to balance issues in LSS patients, indicating that strengthening lumbar muscles could help improve balance and reduce related problems.
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Article Synopsis
  • * Results show that lower voice intensity correlates with greater swallowing impairment, with significant data suggesting a strong risk of dysphagia when voice intensity drops below 60 dB.
  • * The findings suggest that using instrumental voice assessments is an effective, cost-efficient way to identify individuals with PD who may need further evaluation for swallowing issues, potentially reducing serious health complications.
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Article Synopsis
  • Neck pain is a significant global health issue, often leading to sensorimotor control problems and impacting individuals' quality of life.
  • The study developed the Craniocervical Flexion Movement Control Test (CFMCT) using inertial sensor technology and real-time feedback to assess neck movement control more accurately than previous methods.
  • Results showed that the new testing protocols were safe, user-friendly, and demonstrated good reliability, making them useful for evaluating neck pain in both healthy individuals and patients.
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Recurrence, Reoperation, and Patient-Reported Outcomes after Wrist Ganglion Excision.

J Wrist Surg

October 2024

Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

Article Synopsis
  • Ganglion excision is a surgical procedure done for pain relief, functionality, or cosmetic improvements, with recurrence rates between 9-20%.
  • This study analyzed data from 1,076 patients on their recurrence and reoperation rates after ganglion excision, finding a low reoperation rate of 3.3% and a recurrence rate of 13%.
  • Patient-reported outcomes showed good functional scores and minimal ongoing pain, with females reporting slightly higher scores on pain and disability assessments.
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Article Synopsis
  • Thoracic spine manipulation (TSM) enhances the range of motion in the thoracic spine and reduces pain and disability in patients with mechanical neck pain.
  • In a randomized controlled trial, participants were divided into TSM and sham manipulation groups, assessing outcomes through pain ratings, disability indices, and range of motion at multiple time points.
  • Results showed TSM significantly reduced pain during neck rotation compared to sham manipulation, suggesting TSM could improve treatment outcomes for neck pain patients.
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Article Synopsis
  • * A questionnaire was distributed to various professionals across healthcare and education, revealing that while ENTs and therapists had slightly better knowledge about APD, none scored above 50%, indicating a critical gap.
  • * The study recommends creating formal educational programs at different academic levels to enhance understanding of APD, which is essential for improving the referral and management of affected individuals.
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Psychometric properties of the modified reaching performance scale in persons with multiple sclerosis.

Mult Scler Relat Disord

October 2024

UMSC, University MS Centre, Hasselt Pelt, Belgium; REVAL Rehabilitation Research Centre, Faculty of Rehabilitation Science, UHasselt, Belgium; Noorderhart, Rehabilitation and MS Center, Pelt, Belgium.

Article Synopsis
  • - The study aims to evaluate the modified Reaching Performance Scale (mRPS) as a reliable tool for assessing movement patterns in individuals with Multiple Sclerosis (pwMS), addressing a gap in the psychometric properties of the original scale developed for stroke patients.
  • - A sample of 45 pwMS participated, performing reach-to-grasp tasks, with content validity assessed by experts and reliability determined through repeated measurements over different sessions.
  • - Results indicated strong reliability within and between sessions and significant correlations between mRPS scores and other established functional assessments, suggesting that the mRPS is a valid assessment tool for evaluating motor performance in pwMS.
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