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  1. Article ; Online: Physical Rehabilitation of Motor Functional Neurological Disorders: A Narrative Review.

    Kelmanson, Ayelet N / Kalichman, Leonid / Treger, Iuly

    International journal of environmental research and public health

    2023  Volume 20, Issue 10

    Abstract: Functional Neurological Disorders (FNDs) are one of the most common and disabling neurological disorders, affecting approximately 10-30% of patients in neurology clinics. FNDs manifest as a range of motor, sensory, and cognitive symptoms that are not ... ...

    Abstract Functional Neurological Disorders (FNDs) are one of the most common and disabling neurological disorders, affecting approximately 10-30% of patients in neurology clinics. FNDs manifest as a range of motor, sensory, and cognitive symptoms that are not explained by organic disease. This narrative review aims to assess the current state of knowledge in physical-based rehabilitation for motor/movement FNDs in the adult population, with the goal of improving research and medical care for this patient population. To ensure optimal outcomes for patients, it is critical to consider several domains pertaining to FNDs, including which field of discipline they should belong to, how to investigate and test, methods for rating outcome measures, and optimal courses of treatment. In the past, FNDs were primarily treated with psychiatric and psychological interventions. However, recent literature supports the inclusion of physical rehabilitation in the treatment of FNDs. Specifically, physical-based approaches tailored to FNDs have shown promising results. This review utilized a comprehensive search of multiple databases and inclusion criteria to identify relevant studies.
    MeSH term(s) Adult ; Humans ; Nervous System Diseases/diagnosis ; Conversion Disorder ; Databases, Factual ; Outcome Assessment, Health Care
    Language English
    Publishing date 2023-05-11
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20105793
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Unilaterally Applied Resistance to Swing Leg Shows a Different Adaptation Pattern Compared to Split-Belt Treadmill in Patients with Stroke.

    Mizrachi, Nama / Bar-Haim, Simona / Treger, Iuly / Melzer, Itshak

    Brain sciences

    2023  Volume 13, Issue 2

    Abstract: Persons with chronic stroke (PwCS) have a decreased ability to ambulate and walk independently. We aimed to investigate the differences between the motor adaptation process for two different perturbation methods: split-belt treadmill walking and ... ...

    Abstract Persons with chronic stroke (PwCS) have a decreased ability to ambulate and walk independently. We aimed to investigate the differences between the motor adaptation process for two different perturbation methods: split-belt treadmill walking and unilaterally applied resistance to the swing leg during walking. Twenty-two PwCS undergo split-belt treadmill walking and unilaterally applied resistance to the swing leg during walking, each one week apart. The test included three phases: the baseline period, the early-adaptation period and the late-adaptation period, as well as the early-de-adaptation period and the late-de-adaptation period. The average step length, swing duration, double-limb support duration, and coefficient of variance (CV) of these parameters were measured. During the split-belt treadmill walking, PwCS showed an adaptation of double-limb support duration symmetry (
    Language English
    Publishing date 2023-02-03
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2651993-8
    ISSN 2076-3425
    ISSN 2076-3425
    DOI 10.3390/brainsci13020264
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Organization of acute patients' transfer to rehabilitation services during COVID-19 crisis.

    Treger, Iuly / Lutsky Treger, Lena / Friedman, Alan

    European journal of physical and rehabilitation medicine

    2020  Volume 56, Issue 3, Page(s) 366

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/rehabilitation ; Health Services Accessibility/organization & administration ; Humans ; Pandemics ; Patient Transfer/organization & administration ; Pneumonia, Viral/rehabilitation ; Rehabilitation/organization & administration ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-24
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2426908-6
    ISSN 1973-9095 ; 1973-9087
    ISSN (online) 1973-9095
    ISSN 1973-9087
    DOI 10.23736/S1973-9087.20.06324-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Hospital-Based Rehabilitation of Patients Who Had Undergone an Open Reduction and Internal Fixation of the Ribs Due to a Flail Chest: Case Series.

    Milson, Nehama / Treger, Iuly / Vered, Michal / Acker, Asaf / Kalichman, Leonid

    International journal of environmental research and public health

    2022  Volume 19, Issue 23

    Abstract: Flail chest, a severe chest injury, is caused by multiple rib fractures. The open reduction and internal fixation (ORIF) of rib fractures is an effective treatment; however, the patients' subsequent condition remains unsatisfactory in terms of the ... ...

    Abstract Flail chest, a severe chest injury, is caused by multiple rib fractures. The open reduction and internal fixation (ORIF) of rib fractures is an effective treatment; however, the patients' subsequent condition remains unsatisfactory in terms of the activities of daily living (ADL) and pain. No research study has, as yet, reported on hospital-based rehabilitation of patients who had undergone an ORIF. Our aim was to evaluate the efficacy of hospital-based rehabilitation of flail chest post-ORIF patients. Physical therapists assessed the pain, functional independence measure (FIM), and the Berg balance test. A total of three females and four males (mean age 59.43 ± 18.88) were hospitalized. A significant reduction in pain was observed (7.00 ± 1.83 upon admission to 4.10 ± 2.05 pre-discharge (Z = -2.07,
    Language English
    Publishing date 2022-11-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph192316026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Ethical Issues in Medical Rehabilitation: The Dilemma of Who to Admit.

    Friedman, Alan / Friedman, Basil / Lutzky, Lena / Friedman, Elisha / Strous, Rael D / Treger, Iuly

    American journal of physical medicine & rehabilitation

    2022  Volume 101, Issue 12, Page(s) 1168–1174

    Abstract: Abstract: Ethical allocation of scare medical resources is a ubiquitous challenge in many, if not all, medical specialties. The field of physical medicine and rehabilitation is no exception and presents its own unique dilemmas. We report on a small ... ...

    Abstract Abstract: Ethical allocation of scare medical resources is a ubiquitous challenge in many, if not all, medical specialties. The field of physical medicine and rehabilitation is no exception and presents its own unique dilemmas. We report on a small inpatient rehabilitation unit at a large university medical center with a large catchment area representing a vast range of socioeconomic classes. The decision of whom to admit is a constant challenge. We review the existing literature regarding ethical considerations in rehabilitation department admission criteria and attempt to analyze criteria used to admit patients to a general physical medicine and rehabilitation ward. Finally, we discuss our medical center approach to the ethical dilemma of admission priority. A systemic search was conducted in six sources (PubMed, Google Scholar, ScienceDirect, Cochrane Library, LILACS, Embase). Searches were limited to English language articles with no date restriction, reflecting all available data. A reviewer applied the inclusion criteria to identify relevant articles.This review highlights a number of important ethical issues in evaluation and selection criteria that may assist clinicians in improving selection procedures and standardizing access to inpatient rehabilitation. Further high-quality empirical studies and reviews of ethical admission practice with regard to rehabilitation acceptance are required.
    MeSH term(s) Humans ; Hospitalization ; Inpatients ; Physical and Rehabilitation Medicine ; Patient Selection
    Language English
    Publishing date 2022-01-21
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 219390-5
    ISSN 1537-7385 ; 0002-9491 ; 0894-9115
    ISSN (online) 1537-7385
    ISSN 0002-9491 ; 0894-9115
    DOI 10.1097/PHM.0000000000001971
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section).

    Zampolini, Mauro / Oral, Aydan / Barotsis, Nikolaos / Aguiar Branco, Catarina / Burger, Helena / Capodaglio, Paolo / Dincer, Fitnat / Giustini, Alessandro / Hu, Xiaolei / Irgens, Ingebjorg / Negrini, Stefano / Tederko, Piotr / Treger, Iuly / Kiekens, Carlotte

    European journal of physical and rehabilitation medicine

    2024  Volume 60, Issue 2, Page(s) 165–181

    Abstract: Introduction: The evidence on the utility and effectiveness of rehabilitation interventions delivered via telerehabilitation is growing rapidly. Telerehabilitation is expected to have a key role in rehabilitation in the future.: Aim: The aim of this ... ...

    Abstract Introduction: The evidence on the utility and effectiveness of rehabilitation interventions delivered via telerehabilitation is growing rapidly. Telerehabilitation is expected to have a key role in rehabilitation in the future.
    Aim: The aim of this evidence-based position paper (EBPP) is to improve PRM physicians' professional practice in telerehabilitation to be delivered to improve functioning and to reduce activity limitations and/or participation restrictions in individuals with a variety of disabling health conditions.
    Methods: To produce recommendations for PRM physicians on telerehabilitation, a systematic review of the literature and a consensus procedure by means of a Delphi process have been performed involving the delegates of all European countries represented in the UEMS PRM Section.
    Results: The systematic literature review is reported together with the 32 recommendations resulting from the Delphi procedure.
    Conclusions: It is recommended that PRM physicians deliver rehabilitation services remotely, via digital means or using communication technologies to eligible individuals, whenever required and feasible in a variety of health conditions in favor of the patient and his/her family, based on evidence of effectiveness and in compliance with relevant regulations. This EBPP represents the official position of the European Union through the UEMS PRM Section and designates the professional role of PRM physicians in telerehabilitation.
    MeSH term(s) Humans ; Male ; Female ; Telerehabilitation ; Evidence-Based Practice ; Physical and Rehabilitation Medicine ; Physical Therapy Modalities ; Professional Practice
    Language English
    Publishing date 2024-03-13
    Publishing country Italy
    Document type Systematic Review ; Journal Article
    ZDB-ID 2426908-6
    ISSN 1973-9095 ; 1973-9087
    ISSN (online) 1973-9095
    ISSN 1973-9087
    DOI 10.23736/S1973-9087.24.08396-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Time to replace the inappropriate old name of Physiotherapy for the medical specialty of Physical and Rehabilitation Medicine in official EU documents.

    Zampolini, Mauro / Treger, Iuly / Nulle, Anda / Kiekens, Carlotte / Aguiar Branco, Catarina / Barotsis, Nikolaos / Frischknecht, Rolf / Tederko, Piotr / Janssen, Wim / Christodoulou, Nicolas / Oral, Aydan

    European journal of physical and rehabilitation medicine

    2023  Volume 58, Issue 6, Page(s) 799–801

    MeSH term(s) Humans ; Physical and Rehabilitation Medicine ; Medicine ; Physical Therapy Modalities ; Physical Examination
    Language English
    Publishing date 2023-01-30
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2426908-6
    ISSN 1973-9095 ; 1973-9087
    ISSN (online) 1973-9095
    ISSN 1973-9087
    DOI 10.23736/S1973-9087.22.07814-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Myofascial component of cancer pain review.

    Kalichman, Leonid / Menahem, Itay / Treger, Iuly

    Journal of bodywork and movement therapies

    2019  Volume 23, Issue 2, Page(s) 311–315

    Abstract: Background: Pain is a common complaint of cancer patients, experienced by 38%-85% of patients. Some studies have shown a high incidence of myofascial pain syndrome (MPS) in cancer patients.: Aims: 1) To estimate the prevalence of MPS in cancer ... ...

    Abstract Background: Pain is a common complaint of cancer patients, experienced by 38%-85% of patients. Some studies have shown a high incidence of myofascial pain syndrome (MPS) in cancer patients.
    Aims: 1) To estimate the prevalence of MPS in cancer patients; 2) to examine the efficacy of current treatment options for MPS in cancer patients.
    Methods: Narrative review. PubMed, CINAHL, PEDro, and Google Scholar databases were searched from inception until November 2017, for the keywords: cancer; cancer pain; breast cancer; mastectomy; lumpectomy; myofascial pain; trigger points. Trials of any methodological quality were included. All published material with an emphasis on randomized control trials was analyzed.
    Results: MPS is prevalent in cancer patients who suffer from pain, with a prevalence of between 11.9% and 44.8% in those diagnosed either with neck or head or breast cancer. Clinical studies showed conflicting results. Four interventional studies found that specific treatment for MPS may reduce the prevalence of active myofascial trigger points and therefore decrease pain level, sensitivity, and improve range of motion (in shoulder) in cancer patients. Two recent randomized control trials showed that pressure release of trigger points provides no additional beneficial effects to a standard physical therapy program for upper limb pain and function after breast cancer surgery.
    Conclusions: We recommend including the evaluation of myofascial pain in routine clinical examination of cancer patients suffering from pain. Future studies are needed to investigate the long- and short-term effect of MPS treatments in cancer patients.
    MeSH term(s) Breast Neoplasms/epidemiology ; Breast Neoplasms/surgery ; Cancer Pain/epidemiology ; Cancer Pain/physiopathology ; Dry Needling/methods ; Exercise Therapy/methods ; Head and Neck Neoplasms/epidemiology ; Humans ; Mastectomy/adverse effects ; Myofascial Pain Syndromes/epidemiology ; Myofascial Pain Syndromes/physiopathology ; Myofascial Pain Syndromes/therapy ; Quality of Life ; Severity of Illness Index ; Therapy, Soft Tissue/methods ; Trigger Points/physiopathology
    Language English
    Publishing date 2019-02-15
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2029441-4
    ISSN 1532-9283 ; 1360-8592
    ISSN (online) 1532-9283
    ISSN 1360-8592
    DOI 10.1016/j.jbmt.2019.02.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A Preliminary Study of Dual-Task Training Using Virtual Reality: Influence on Walking and Balance in Chronic Poststroke Survivors.

    Fishbein, Pavel / Hutzler, Yeshayahu / Ratmansky, Motti / Treger, Iuly / Dunsky, Ayelet

    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

    2019  Volume 28, Issue 11, Page(s) 104343

    Abstract: Background: Stroke is a leading cause of death and disability in the Western world, and leads to impaired balance and mobility.: Objective: To investigate the feasibility of using a Virtual Reality-based dual task of an upper extremity while ... ...

    Abstract Background: Stroke is a leading cause of death and disability in the Western world, and leads to impaired balance and mobility.
    Objective: To investigate the feasibility of using a Virtual Reality-based dual task of an upper extremity while treadmill walking, to improve gait and functional balance performance of chronic poststroke survivors.
    Methods: Twenty-two individuals chronic poststroke participated in the study, and were divided into 2 groups (each group performing an 8-session exercise program): 11 participated in dual-task walking (DTW), and the other 11 participated in single-task treadmill walking (TMW). The study was a randomized controlled trial, with assessors blinded to the participants' allocated group. Measurements were conducted at pretest, post-test, and follow-up. Outcome measures included: the 10-m walking test (10 mW), Timed Up and Go (TUG), the Functional Reach Test (FRT), the Lateral Reach Test Left/Right (LRT-L/R); the Activities-specific Balance Confidence (ABC) scale, and the Berg Balance Scale(BBS).
    Results: Improvements were observed in balance variables: BBS, FRT, LRT-L/R, (P < .01) favoring the DTW group; in gait variables: 10 mW time, also favoring the DTW group (P < .05); and the ABC scale (P < .01). No changes for interaction were observed in the TUG.
    Conclusions: The results of this study demonstrate the potential of VR-based DTW to improve walking and balance in people after stroke; thus, it is suggested to combine training sessions that require the performance of multiple tasks at the same time.
    MeSH term(s) Aged ; Disability Evaluation ; Exercise Therapy ; Feasibility Studies ; Female ; Humans ; Male ; Middle Aged ; Postural Balance ; Preliminary Data ; Recovery of Function ; Stroke/diagnosis ; Stroke/physiopathology ; Stroke/psychology ; Stroke/therapy ; Stroke Rehabilitation/methods ; Time Factors ; Treatment Outcome ; Virtual Reality ; Walking
    Language English
    Publishing date 2019-09-05
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1131675-5
    ISSN 1532-8511 ; 1052-3057
    ISSN (online) 1532-8511
    ISSN 1052-3057
    DOI 10.1016/j.jstrokecerebrovasdis.2019.104343
    Database MEDical Literature Analysis and Retrieval System OnLINE

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