Rehab Centers: A Pilot Study of the Feasibility of an Internet-Based Electronic Outpatient Cardiac Rehabilitation (EOCR) Programme in Rural Primary Care.

A Pilot Study of the Feasibility of an Internet-based Electronic Outpatient Cardiac Rehabilitation (eOCR) Programme in Rural Primary Care.

Filed under: Rehab Centers

Heart Lung Circ. 2013 Jan 4;
Clark RA, Tideman P, Tirimacco R, Wanguhu K, Poulsen V, Simpson P, Duncan MJ, Van Itallie A, Corry K, Vandelanotte C, Mummery WK

BACKGROUND: Interventions that facilitate access to cardiac rehabilitation and secondary prevention programmes are in demand. METHODS: This pilot study used a mixed methods design to evaluate the feasibility of an Internet-based, electronic Outpatient Cardiac Rehabilitation (eOCR). Patients who had suffered a cardiac event and their case managers were recruited from rural primary practices. Feasibility was evaluated in terms of the number of patients enrolled and patient and case manager engagement with the eOCR website. RESULTS: Four rural general practices, 16 health professionals (cardiologists, general practitioners, nurses and allied health) and 24 patients participated in the project and 11 (46%) completed the programme. Utilisation of the website during the 105 day evaluation period by participating health professionals was moderate to low (mean of 8.25 logins, range 0-28 logins). The mean login rate for patients was 16 (range 1-77 logins), mean time from first login to last (days using the website) was 51 (range 1-105 days). Each patient monitored at least five risk factors and read at least one of the secondary prevention articles. There was low utilisation of other tools such as weekly workbooks and discussion boards. CONCLUSIONS: It was important to evaluate how an eOCR website would be used within an existing healthcare setting. These results will help to guide the implementation of future internet based cardiac rehabilitation programmes considering barriers such as access and appropriate target groups of participants.
HubMed – rehab

Validity and reliability of skin markers for measurement of intersegmental mobility at L2-3 and L3-4 during lateral bending in healthy individuals: A fluoroscopy study.

Filed under: Rehab Centers

J Bodyw Mov Ther. 2013 Jan; 17(1): 46-52
Hashemirad F, Hatef B, Jaberzadeh S, Ale Agha N

It is clinically important to assess kinematic parameters of lumbar spine movement to increase our understanding of lumbar mobility impairments in patients with low back pain. This is the first step for restoration of motor function. The use of non-invasive surface markers has currently attracted the interests of many researchers but scientific utilization of this technique for clinical research requires validity and reliability studies. The aim of the present study was to examine whether skin markers can be used to measure lumbar motions during lateral bending. Twelve healthy individuals were lying in prone position on the video fluoroscopy table and skin markers were attached over their spinous processes. Fluoroscopy images were taken in two positions of neutral and right lateral bending (RLB). The correlation of the L2-3 and L3-4 angles and lumbar curvature between markers and vertebrae measurements in the neutral and RLB positions was determined by Pearson Correlation Coefficient. The Intraclass correlation coefficient (ICC) was used to measure inter-examiner reliability of measurement in five participants. The results showed high reliability (ranging from 0.94 to 0.99) for angular measurements at L2-3 and L3-4 and lumbar curvature and also significant correlation between angular measurement derived from markers and vertebrae at L2-3 (r = 0.7, p = 0.015), L3-4 and lumbar curvature (r = 0.91 p = 0.001). The results showed that motions of skin markers follow the motions of the assigned underlying lumbar vertebrae. Therefore, skin markers can be confidently used for estimation of lumbar movements during lateral bending.
HubMed – rehab

Rehabilitation of an osteochondral fracture using blood flow restricted exercise: A case review.

Filed under: Rehab Centers

J Bodyw Mov Ther. 2013 Jan; 17(1): 42-5
Loenneke JP, Young KC, Wilson JM, Andersen JC

In this case review we report on a bodybuilder who used a practical model of blood flow restriction (BFR) training to successfully rehabilitate himself following an injury to his right knee.The patient originally thought he had torn his meniscus however repeat radiographs and magnetic resonance imaging (MRI) confirmed an osteochondral fracture. The patient initially sought out a low load alternative to help with the maintenance of skeletal muscle mass. However, following rehabilitation with low load BFR resistance training, radiographs indicated that the bone had begun to heal suggesting that this type of training may also benefit bone.In conclusion, this case review provides evidence that practical BFR using knee wraps can serve as an effective stimulus during rehabilitation from a knee injury.
HubMed – rehab

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