Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Oct 2014
Controlled Clinical TrialExergaming with additional postural demands improves balance and gait in patients with multiple sclerosis as much as conventional balance training and leads to high adherence to home-based balance training.
To assess the effectiveness of and adherence to an exergame balance training program with additional postural demands in patients with multiple sclerosis (MS). ⋯ Playing exergames on an unstable surface seems to be an effective way to improve balance and gait in patients with MS, especially in DT situations. The integration of exergames seems to have a positive effect on adherence and is thus potentially beneficial for the long-term effectiveness of rehabilitation programs.
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Arch Phys Med Rehabil · Oct 2014
Determining the activation of gluteus medius and the validity of the single leg stance test in chronic, nonspecific low back pain.
To determine the activation of the gluteus medius in persons with chronic, nonspecific low back pain compared with that in control subjects, and to determine the association of the clinical rating of the single leg stance (SLS) with chronic low back pain (CLBP) and gluteus medius weakness. ⋯ Individuals with CLBP had weaker gluteus medius muscles than control subjects without back pain. Even though there was no significant difference in onset time of the gluteus medius when moving to unipedal stance between the groups, the CLBP group had greater gluteus medius activation. A key finding was that a positive SLS test did not distinguish the CLBP group from the control group, nor was it a sign of gluteus medius weakness.
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Arch Phys Med Rehabil · Oct 2014
Morphology versus function: the relationship between lumbar multifidus intramuscular adipose tissue and muscle function among patients with low back pain.
To explore the bivariate and multivariate relations between fatty degeneration of the lumbar multifidus muscle (LMM) and LMM function among patients with low back pain (LBP). ⋯ We observed higher levels of physical activity and LMM function and less LMM IMAT than previous studies involving patients with LBP. There was no relation between LMM morphology and function in this cohort of patients with LBP. Issues specific to LMM measurement and recommendations for future research are discussed.
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Arch Phys Med Rehabil · Sep 2014
Clinical TrialHandgrip strength but not appendicular lean mass is an independent predictor of functional outcome in hip-fracture women: a short-term prospective study.
To investigate the contribution of muscle mass and handgrip strength in predicting the functional outcome after hip fracture in women. ⋯ Grip strength, but not DXA-assessed aLM, significantly predicted short-term functional outcome in women after a hip fracture.
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Arch Phys Med Rehabil · Sep 2014
Review Meta AnalysisPsychometric properties of 2-minute walk test: a systematic review.
To systematically review the psychometric evidence on the 2-minute walk test (2MWT). ⋯ There is inadequate breadth and depth of psychometric evidence of the 2MWT for clinical and research purposes-specifically, minimal clinically important changes and responsiveness. More good-quality studies are needed, especially in the pediatric population. Consensus on standardized testing procedures of the 2MWT is also required.