Sonography in the Management of Painful Shoulder in Ambulatory Practice – Case Report.

Sonography in the management of painful shoulder in ambulatory practice – case report.

Filed under: Rehab Centers

Maedica (Buchar). 2012 Jan; 7(1): 63-5
Poenaru D, Cinteza D

We present the case of an old patient with a painful shoulder, diagnosed in the ambulatory practice with an impingement syndrome and supraspinatus thendinopathy, with no response to appropriate therapeutically approach. As the MRI and diagnostic arthroscopy were not suitable for this patient, the sonographic examination changes the diagnosis to a supraspinatus complete tear with glenohumeral reaction and oriented the therapy, which proved to be successful.
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Effectiveness of sensory processing strategies on activity level in inclusive preschool classrooms.

Filed under: Rehab Centers

Neuropsychiatr Dis Treat. 2012; 8: 475-81
Lin CL, Min YF, Chou LW, Lin CK

The purpose of this study was to investigate the effectiveness of sensory processing strategies in improving the activity level of children with sensory integration dysfunction.The study used a matching-only pretest-posttest control group design, which requires random matching of sensory integration dysfunction to the corresponding intervention group (n = 18) and control group (n = 18). The intervention group comprised 3-6-year-old children who received an 8-week school-day intervention during implementation of the theme curriculum.The 8-week treatment significantly reduced the activity level and foot-swinging episodes in children with sensory integration dysfunction, and obtained a medium-effect size. However, the level of improvement in the control group did not show any statistically significant change.Sensory processing strategies could improve activity levels in children with sensory integration dysfunction. However, this study was unable to exclude a developmental effect. The social validity results show that sensory processing strategies can be integrated into the theme curriculum and improve activity levels in children.
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Linking self-determined functional problems of patients with neck pain to the International Classification of Functioning, Disability, and Health (ICF).

Filed under: Rehab Centers

Patient Prefer Adherence. 2012; 6: 749-55
Andelic N, Johansen JB, Bautz-Holter E, Mengshoel AM, Bakke E, Roe C

To describe commonly reported self-determined functional problems in patients with neck pain and to evaluate their fit to the components of the International Classification of Functioning, Disability, and Health (ICF).Overall, 249 patients were included in this cross-sectional study that comprised patients with neck pain referred to the outpatient clinic at Oslo University Hospital (2007-2009). Patients were asked to report their three most significant functional problems on the Patient-Specific Functional Scale, a self-determined measure of function. The ICF was used as a tool for analysis. Meaningful concepts within the functional problems were identified, coded, and linked to second-level categories within the components of “body functions,” and “activities and participation.” Two researchers performed coding and linking independently. The ICF categories were presented by percentage of the total number of functional problems linked to the ICF.Of 628 reported functional problems, 13 meaningful ICF domains were identified: four domains belonging to the body functions component (b) and nine domains belonging to activities and participation components (d). Within the 88 second-level ICF classification categories of body functions, the most frequently reported items were sleep function (b134; 27%) and mobility of joint functions (b710; 26%). Within the 538 second-level categories of activities and participation, remunerative employment was reported as the most frequent item (d850; 15%), closely followed by doing housework (d640; 14%), and recreation and leisure activities (d920; 13%). Only two meaningful concepts, described as “be active” and “to function after activities,” were not assigned to a specific ICF category.The majority of the specific functional problems presented by patients in this study showed a good fit with the ICF model. The substantial number of links to the activities and participation categories, such as mobility, domestic life, employment, and social and civic life, suggests that a comprehensive approach, as well as the involvement of a multidisciplinary team, should be present in the rehabilitation of neck pain-related disability.
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