Kanstrupwebster3015

001) and lower survivor self-reported MPAI-4 Total Score (p less then 0.001) significantly predicted caregiver burden. Conclusions Survivors of ABI's level of functioning and their level of self-awareness significantly impacted caregiver burden. Survivors of ABI with impaired self-awareness not only lack insight into their functional abilities but also tend to overestimate their capabilities; this likely contributes to the need for greater levels of supervision and worsened caregiver burden.Background Stroke is one of the most important causes of swallowing difficulty. It is seen in one of every two patients with stroke. Although swallowing function are controlled by both hemispheres, it is unknown which hemisphere is more dominant than another for controlling of swallowing function. However, the aspiration and pharyngeal phase dysfunction can be seen in right hemisphere involvement while oral phase dysfunction can be seen in left hemisphere involvement. Objective The aim of this study was to investigate whether water swallowing performance, deep cervical flexor muscle endurance, and maximum phonation time were affected in right handed patients with HEMIPLEGIA. Study design The study was designed as a cross-sectional study. Methods The patients with unilateral strokes that damaged the right (Group I n = 37) and left (Group II n = 20) hemispheres were included. Swallowing difficulties were evaluated with Turkish version of the Eating Assessment Tool. The water swallowing performance was measured swallowing should be evaluated in detail especially in hemiplegic patients with right hemisphere involvement. There is a need for studies examining the results of swallowing rehabilitation on right or left hemisphere in the hemiplegic individuals.Background While Walkbot-assisted locomotor training (WLT) provided ample evidence on balance and gait improvements, the therapeutic effects on cardiopulmonary and psychological elements as well as fall confidence are unknown in stroke survivors. Objective The present study aimed to compare the effects of Walkbot locomotor training (WLT) with conventional locomotor training (CLT) on balance and gait, cardiopulmonary and psychological functions and fall confidence in acute hemiparetic stroke. Methods Fourteen patients with acute hemiparetic stroke were randomized into either the WLT (60-minute physical therapy +30-minute Walkbot-assisted gait training) or CLT (60 min physical therapy +30 min gait training) groups, 7 days/week over 2 weeks. Clinical outcomes included the Berg balance scale (BBS), functional ambulation category (FAC), heart rate (HR) and Borg rating of perceived exertion (BRPE), Beck depression inventory-II (BDI-II), and the activities-specific balance confidence (ABC) scale. The analysis of covariance (ANCOVA) was conducted at P less then 0.05. Results ANCOVA showed that WLT showed superior effects, compared to CLT, on FAC, HR, BRPE, BDI-II, and ABC scale (P less then 0.05), but not on BBS (P = 0.061). Conclusions Our results provide novel, promising clinical evidence that WLT improved balance and gait function as well as cardiopulmonary and psychological functions, and fall confidence in acute stroke survivors who were unable to ambulate independently.Background Parkinson's disease (PD) is a multisystem-progressive neurodegenerative disease characterized by dopaminergic neurons, however, the role of the non-dopaminergic system (such as melatonin hormone) in the pathogenesis of PD is now emerging. Objective To identify any potential correlation between the dopamine and melatonin serum levels, and motor, cognitive, and sleep dysfunctions in patients with PD. Method Cross-sectional piloting study conducted with a sample of 34 patients with PD (aged 50-72 yrs. old). Correlation tests performed to identify any potential correlations between the biomarkers' serum levels and motor, cognitive, and sleep dysfunctional levels in "on-medication" status. Results Spearman's test showed significant correlations between the melatonin serum level and sleep dysfunctions including; overall sleep quality (P = 0.010) and subjective sleep quality sub-score (P = 0.001). On the other hand, spearman's test showed significant correlations between the dopamine serum level and motor dysfunctions including; Berg Balance Scale (P = 0.026), 10-Meters Walking Test (P = 0.016), and Fearing of Fall index (P = 0.007), as well between the dopamine serum level and cognitive dysfunction (P = 0.048). Conclusions Melatonin serum level would serve as a potential biomarker in understanding the PD pathogenesis, and consider the melatonin serum level in the future study related to PD besides to the dopamine serum level.Background Pisa syndrome (PS) is a clinical condition frequently associated with Parkinson's Disease (PD). selleckchem It is characterized by a trunk lateral flexion higher than 10 degrees and reversible when lying. One pathophysiological hypothesis is the altered verticality perception, due to a somatosensory impairment. Osteopathic Manipulative Treatment (OMT) manages fascial-system alterations, linked to somatic dysfunctions. Fascial system showed to be implicated in proprioceptive sensibility. Objective The aim of the study was to assess OMT efficacy on postural control in PD-PS patients by stabilometry. Methods In this single-blinded trial we studied 24 PD-PS patients, 12 of whom were randomly assigned to receive a multidisciplinary physical therapy protocol (MIRT) and sham OMT, while the other 12 received four OMT plus MIRT, along one month. The primary endpoint was the eye closed sway area assessment after the intervention. Evaluation of trunk lateral flexion (TLF) with DIERS formetrics was also performed. Results At one month, the sway area of the OMT group significantly decreased compared to placebo (mean delta OMT - 326.00±491.24 mm2, p = 0.01). In the experimental group TLF showed a mean inclination reduction of 3.33 degrees after treatment (p = 0.044, mean d = 0.54). Moreover, a significant positive association between delta ECSA and delta TLF was observed (p = 0.04, r = 0.46). Discussion Among PD-PS patients, MIRT plus OMT showed preliminary evidence of postural control and TLF improvement, compared to the control group.