Browsing by Subject "rehabilitation"
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Item Intensity of Usual Care Therapeutic Interventions in Inpatient Rehabilitation - A Pilot Study(2019-12) Di Pasquale, Jake A.; Millar, J. Cameron; Ranjan, Amalendu P.Minimal evidence exists describing key dosing parameters of interventions used during the subacute phase of recovery after neurological injury. This prospective cohort study aims to assess cardiorespiratory strain resulting from novel and conventional therapeutic interventions. Gait training provided relatively more moderate to vigorous exercise, reaching the associated %HRR 25% and 42% of the time in patients post spinal cord injury (SCI) and stroke, respectively. Specifically, EksoGT overground robotic gait training appears more effective, evoking targeted %HRR for 48% and 52% of sessions. Rate of Perceived Exertion (RPE) was moderately correlated with very light intensity in patients with SCI but ultimately ineffective at gauging %HRR. EksoGT can administer moderate to vigorous intensity exercise to patients with severe disabilities. Inpatient rehabilitation is inherently variable in method and population but can provide minimally sufficient exercise intensity. Further research into the dose-response relationship and accurate estimation of intensity are needed.Item Intermittent Hypoxic Preconditioning: A Potential New Powerful Strategy for COVID-19 Rehabilitation(Frontiers Media S.A., 2021-04-30) Cai, Ming; Chen, Xuan; Shan, Jieling; Yang, Ruoyu; Guo, Qi; Bi, Xia; Xu, Ping; Shi, Xiangrong; Chu, Lixi; Wang, LiyanCOVID-19 is a highly infectious respiratory virus, which can proliferate by invading the ACE2 receptor of host cells. Clinical studies have found that the virus can cause dyspnea, pneumonia and other cardiopulmonary system damage. In severe cases, it can lead to respiratory failure and even death. Although there are currently no effective drugs or vaccines for the prevention and treatment of COVID-19, the patient's prognosis recovery can be effectively improved by ameliorating the dysfunction of the respiratory system, cardiovascular systems, and immune function. Intermittent hypoxic preconditioning (IHP) as a new non-drug treatment has been applied in the clinical and rehabilitative practice for treating chronic obstructive pulmonary disease (COPD), diabetes, coronary heart disease, heart failure, hypertension, and other diseases. Many clinical studies have confirmed that IHP can improve the cardiopulmonary function of patients and increase the cardiorespiratory fitness and the tolerance of tissues and organs to ischemia. This article introduces the physiological and biochemical functions of IHP and proposes the potential application plan of IHP for the rehabilitation of patients with COVID-19, so as to provide a better prognosis for patients and speed up the recovery of the disease. The aim of this narrative review is to propose possible causes and pathophysiology of COVID-19 based on the mechanisms of the oxidative stress, inflammation, and immune response, and to provide a new, safe and efficacious strategy for the better rehabilitation from COVID-19.Item The Effect of Aquatic Therapy on Patients with a Complete Spinal Cord Injury in the In-Patient Rehabilitation Setting(2018-12) Bailey, David G.; Gwirtz, Patricia A.; Mathew, Stephen O.; Froehlich-Grobe, Katherine; Berg, Rance E.; Callender, LibradaAlthough aquatic therapy has been proven to be effective in the treatment of incomplete spinal cord injuries, it is consistently underutilized in the spinal cord injury patient population. Approximately 56% (n=57) of the complete spinal cord injury patients included in this study received aquatic therapy and 44% did not (n=45). This study compared the additional rehabilitation benefit for patients who received aquatic-based therapy in addition to traditional land-based therapy to those who did not. This is an important treatment modality and it has not been studied solely in patients with a complete spinal cord injury. This retrospective study did not demonstrate significantly better outcomes for the group receiving aquatic therapy, but there were significant demographic differences between groups. The results highlight the need for larger and more time intensive studies on aquatic therapy for the complete spinal cord injury population.