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  1. Article ; Online: Strengthening education in rehabilitation: Assessment technology and digitalization.

    Herrera-Ligero, Cristina / Chaler, Joaquim / Bermejo-Bosch, Ignacio

    Frontiers in rehabilitation sciences

    2022  Volume 3, Page(s) 883270

    Abstract: Rehabilitation is a discipline increasingly growing around the world due to several reasons, but probably the most important one is aging population and chronicity. A need to harmonize education has been identified, and although several International ... ...

    Abstract Rehabilitation is a discipline increasingly growing around the world due to several reasons, but probably the most important one is aging population and chronicity. A need to harmonize education has been identified, and although several International organizations such as the European Union of Medical Specialists (UEMS) and the International Society of Physical Medicine and Rehabilitation (ISPRM) have defined standards, given the quick growth of new evidence and assessment methods an urge to establish new ones arises. Functional assessment and tools used to do so are key in rehabilitation processes. This comprises self-reported questionnaires, conventional clinical evaluation but more notably high technology assessment methods, such as movement analysis systems, posturography, different types of dynamometers and kinesiologic electromyography among others. More recently, a wide range of wearable systems has been introduced in patient assessment. This is generating many published protocols as well as reliability and validity studies. The objective of this narrative review is to present main assessment technologies relevant to rehabilitation, its situation of this specific area in pre-graduate and post-graduate rehabilitation educational programs, and to elaborate a formative proposal including technological foundations of assessment and also highlighting the importance of solid reliability and validity of assessment methods comprehension. The main objective of this proposal is to provide basic knowledge about rehabilitation and methodologies for outcomes evaluation, including new technologies, to all health professionals, but especially to those who work or will work in the field of Rehabilitation.
    Language English
    Publishing date 2022-08-24
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2673-6861
    ISSN (online) 2673-6861
    DOI 10.3389/fresc.2022.883270
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Reducir la presión en las zonas de antepié y talón.

    Barberà i Guillem, Ricard / Gómez Sendra, Fernando / Bermejo Bosch, Ignacio / Garcés Pérez, Luis

    Revista de enfermeria (Barcelona, Spain)

    2010  Volume 33, Issue 3, Page(s) 51–56

    Abstract: Introduction: The study of plantar pressure distribution allows detecting possible overpressure in areas of the foot that could cause discomfort or even injury. The use of dressings is a possible measure for for proper management of pressure to prevent ... ...

    Title translation Reducing the pressure on heel and foot-sole areas by means of Allevyn Gentle, Gentle Border and Gentle Border Heel dressings.
    Abstract Introduction: The study of plantar pressure distribution allows detecting possible overpressure in areas of the foot that could cause discomfort or even injury. The use of dressings is a possible measure for for proper management of pressure to prevent and treat pressure sores.
    Materials and methods: An experimental study was designed to calculate the pressure level with and without the use of Allevyn dressing: Allevyn Gentle and Gentle Border in the forefoot, and Allevyn Gentle Border Heel in the Heel of five healthy people. The measurements were performed with bare feet and with different dressings controlling gait speed to achieve uniform cadences. Biofoot/IBV V6.0., a system of instrumented insoles, was used to determine pressure in the forefoot and the heel.
    Results: Allevyn Gentle Border Heel reduced 45% the average pressure and 42% the maximum pressure (p <0.05). Allevyn Gentle and Allevyn Gentle Border reduced 27% the average pressure and 23%-25% maximum pressures (p <0.05).
    Discussion: Although our study has some limitations, such as the valuation based on healthy volunteers and walking with bare feet, we can establish that dressings studied, had a local lowering effect of pressure on the foot (heel and forefoot) during the gait cycle.
    MeSH term(s) Adult ; Bandages ; Female ; Forefoot, Human/physiology ; Heel/physiology ; Humans ; Male ; Middle Aged ; Pressure
    Language Spanish
    Publishing date 2010-03
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ZDB-ID 1201957-4
    ISSN 0210-5020
    ISSN 0210-5020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  3. Article ; Online: Functional principal component analysis as a new methodology for the analysis of the impact of two rehabilitation protocols in functional recovery after stroke.

    Sánchez-Sánchez, M Luz / Belda-Lois, Juan-Manuel / Mena-del Horno, Silvia / Viosca-Herrero, Enrique / Gisbert-Morant, Beatriz / Igual-Camacho, Celedonia / Bermejo-Bosch, Ignacio

    Journal of neuroengineering and rehabilitation

    2014  Volume 11, Page(s) 134

    Abstract: Background: This study addressed the problem of evaluating the effectiveness of two protocols of physiotherapy for functional recovery after stroke. In particular, the study explored the use of Functional Principal Component Analysis (FPCA), a ... ...

    Abstract Background: This study addressed the problem of evaluating the effectiveness of two protocols of physiotherapy for functional recovery after stroke. In particular, the study explored the use of Functional Principal Component Analysis (FPCA), a multivariate data analysis in order to assess and clarify the process of regaining independence after stroke.
    Methods: A randomized double-blind controlled trial was performed. Thirteen subjects with residual hemiparesis after a single stroke episode were measured in both in- and outpatient settings at a district hospital. All subjects were able to walk before suffering the stroke and were hemodynamically stable within the first week after stroke. Control and target groups were treated with conventional physiotherapy for stroke, but specific techniques were added for treatment of the target group depending on patients' functional levels.Independence level was assessed with the Barthel Index (BI) throughout 7 evolution stages (hemodynamic stability, beginning of standing, beginning of physical therapy sessions in the physiotherapy ward and monthly assessment for 6 months after stroke).
    Results: FPCA was applied for data analysis. Statistically significant differences were found in the dynamics of the recovery process between the two physiotherapy protocols. The target group showed a trend of improvement six months after stroke that was not present in the control group.
    Conclusions: FPCA is a method which may be used to provide greater insight into the analysis of the rehabilitation process than that provided by conventional parametric methods. So, by using the whole curves as basic data parameters, subtle differences in the rehabilitation process can be found.FPCA represents a future aid for the fine analysis of similar physiotherapy techniques, when applied in subjects with a huge variability of functional recovery, as in the case of post-stroke patients.
    MeSH term(s) Aged ; Double-Blind Method ; Female ; Humans ; Male ; Physical Therapy Modalities ; Principal Component Analysis/methods ; Recovery of Function ; Stroke Rehabilitation
    Language English
    Publishing date 2014-09-10
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2164377-5
    ISSN 1743-0003 ; 1743-0003
    ISSN (online) 1743-0003
    ISSN 1743-0003
    DOI 10.1186/1743-0003-11-134
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Rehabilitation of gait after stroke

    Belda-Lois Juan-Manuel / Mena-del Horno Silvia / Bermejo-Bosch Ignacio / Moreno Juan C / Pons José L / Farina Dario / Iosa Marco / Molinari Marco / Tamburella Federica / Ramos Ander / Caria Andrea / Solis-Escalante Teodoro / Brunner Clemens / Rea Massimiliano

    Journal of NeuroEngineering and Rehabilitation, Vol 8, Iss 1, p

    a review towards a top-down approach

    2011  Volume 66

    Abstract: Abstract This document provides a review of the techniques and therapies used in gait rehabilitation after stroke. It also examines the possible benefits of including assistive robotic devices and brain-computer interfaces in this field, according to a ... ...

    Abstract Abstract This document provides a review of the techniques and therapies used in gait rehabilitation after stroke. It also examines the possible benefits of including assistive robotic devices and brain-computer interfaces in this field, according to a top-down approach, in which rehabilitation is driven by neural plasticity. The methods reviewed comprise classical gait rehabilitation techniques (neurophysiological and motor learning approaches), functional electrical stimulation (FES), robotic devices, and brain-computer interfaces (BCI). From the analysis of these approaches, we can draw the following conclusions. Regarding classical rehabilitation techniques, there is insufficient evidence to state that a particular approach is more effective in promoting gait recovery than other. Combination of different rehabilitation strategies seems to be more effective than over-ground gait training alone. Robotic devices need further research to show their suitability for walking training and their effects on over-ground gait. The use of FES combined with different walking retraining strategies has shown to result in improvements in hemiplegic gait. Reports on non-invasive BCIs for stroke recovery are limited to the rehabilitation of upper limbs; however, some works suggest that there might be a common mechanism which influences upper and lower limb recovery simultaneously, independently of the limb chosen for the rehabilitation therapy. Functional near infrared spectroscopy (fNIRS) enables researchers to detect signals from specific regions of the cortex during performance of motor activities for the development of future BCIs. Future research would make possible to analyze the impact of rehabilitation on brain plasticity, in order to adapt treatment resources to meet the needs of each patient and to optimize the recovery process.
    Keywords Neurosciences. Biological psychiatry. Neuropsychiatry ; RC321-571 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Neurology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; DOAJ:Internal medicine
    Subject code 629
    Language English
    Publishing date 2011-12-01T00:00:00Z
    Publisher BioMed Central
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Rehabilitation of gait after stroke: a review towards a top-down approach.

    Belda-Lois, Juan-Manuel / Mena-del Horno, Silvia / Bermejo-Bosch, Ignacio / Moreno, Juan C / Pons, José L / Farina, Dario / Iosa, Marco / Molinari, Marco / Tamburella, Federica / Ramos, Ander / Caria, Andrea / Solis-Escalante, Teodoro / Brunner, Clemens / Rea, Massimiliano

    Journal of neuroengineering and rehabilitation

    2011  Volume 8, Page(s) 66

    Abstract: This document provides a review of the techniques and therapies used in gait rehabilitation after stroke. It also examines the possible benefits of including assistive robotic devices and brain-computer interfaces in this field, according to a top-down ... ...

    Abstract This document provides a review of the techniques and therapies used in gait rehabilitation after stroke. It also examines the possible benefits of including assistive robotic devices and brain-computer interfaces in this field, according to a top-down approach, in which rehabilitation is driven by neural plasticity.The methods reviewed comprise classical gait rehabilitation techniques (neurophysiological and motor learning approaches), functional electrical stimulation (FES), robotic devices, and brain-computer interfaces (BCI).From the analysis of these approaches, we can draw the following conclusions. Regarding classical rehabilitation techniques, there is insufficient evidence to state that a particular approach is more effective in promoting gait recovery than other. Combination of different rehabilitation strategies seems to be more effective than over-ground gait training alone. Robotic devices need further research to show their suitability for walking training and their effects on over-ground gait. The use of FES combined with different walking retraining strategies has shown to result in improvements in hemiplegic gait. Reports on non-invasive BCIs for stroke recovery are limited to the rehabilitation of upper limbs; however, some works suggest that there might be a common mechanism which influences upper and lower limb recovery simultaneously, independently of the limb chosen for the rehabilitation therapy. Functional near infrared spectroscopy (fNIRS) enables researchers to detect signals from specific regions of the cortex during performance of motor activities for the development of future BCIs. Future research would make possible to analyze the impact of rehabilitation on brain plasticity, in order to adapt treatment resources to meet the needs of each patient and to optimize the recovery process.
    MeSH term(s) Data Interpretation, Statistical ; Electric Stimulation ; Electroencephalography ; Gait/physiology ; Humans ; Learning ; Movement ; Neurophysiology ; Robotics ; Spectroscopy, Near-Infrared ; Stroke Rehabilitation ; User-Computer Interface
    Language English
    Publishing date 2011-12-13
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2164377-5
    ISSN 1743-0003 ; 1743-0003
    ISSN (online) 1743-0003
    ISSN 1743-0003
    DOI 10.1186/1743-0003-8-66
    Database MEDical Literature Analysis and Retrieval System OnLINE

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