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1.
Sensors (Basel) ; 22(21)2022 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-36366250

RESUMO

Neurorehabilitation research in patients with traumatic brain injury (TBI) showed how vestibular rehabilitation (VR) treatments positively affect concussion-related symptoms, but no studies have been carried out in patients with severe TBI (sTBI) during post-acute intensive neurorehabilitation. We aimed at testing this effect by combining sensor-based gait analysis and clinical scales assessment. We hypothesized that integrating VR in post-acute neurorehabilitation training might improve gait quality and activity of daily living (ADL) in sTBI patients. A two-arm, single-blind randomized controlled trial with 8 weeks of follow-up was performed including thirty sTBI inpatients that underwent an 8-week rehabilitation program including either a VR or a conventional program. Gait quality parameters were obtained using body-mounted magneto-inertial sensors during instrumented linear and curvilinear walking tests. A 4X2 mixed model ANOVA was used to investigate session−group interactions and main effects. Patients undergoing VR exhibited improvements in ADL, showing early improvements in clinical scores. Sensor-based assessment of curvilinear pathways highlighted significant VR-related improvements in gait smoothness over time (p < 0.05), whereas both treatments exhibited distinct improvements in gait quality. Integrating VR in conventional neurorehabilitation is a suitable strategy to improve gait smoothness and ADL in sTBI patients. Instrumented protocols are further promoted as an additional measure to quantify the efficacy of neurorehabilitation treatments.


Assuntos
Atividades Cotidianas , Lesões Encefálicas Traumáticas , Humanos , Método Simples-Cego , Resultado do Tratamento , Marcha , Lesões Encefálicas Traumáticas/reabilitação
2.
Sensors (Basel) ; 19(23)2019 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-31816843

RESUMO

Despite existing evidence that gait disorders are a common consequence of severe traumatic brain injury (sTBI), the literature describing gait instability in sTBI survivors is scant. Thus, the present study aims at quantifying gait patterns in sTBI through wearable inertial sensors and investigating the association of sensor-based gait quality indices with the scores of commonly administered clinical scales. Twenty healthy adults (control group, CG) and 20 people who suffered from a sTBI were recruited. The Berg balance scale, community balance and mobility scale, and dynamic gait index (DGI) were administered to sTBI participants, who were further divided into two subgroups, severe and very severe, according to their score in the DGI. Participants performed the 10 m walk, the Figure-of-8 walk, and the Fukuda stepping tests, while wearing five inertial sensors. Significant differences were found among the three groups, discriminating not only between CG and sTBI, but also for walking ability levels. Several indices displayed a significant correlation with clinical scales scores, especially in the 10 m walking and Figure-of-8 walk tests. Results show that the use of wearable sensors allows the obtainment of quantitative information about a patient's gait disorders and discrimination between different levels of walking abilities, supporting the rehabilitative staff in designing tailored therapeutic interventions.


Assuntos
Lesões Encefálicas Traumáticas/fisiopatologia , Análise da Marcha , Monitorização Fisiológica/instrumentação , Aceleração , Adulto , Antropometria , Estudos de Casos e Controles , Cognição , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica/métodos , Destreza Motora , Equilíbrio Postural , Sobreviventes , Resultado do Tratamento , Teste de Caminhada , Dispositivos Eletrônicos Vestíveis
3.
Am J Infect Control ; 41(6): 560-1, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23410947

RESUMO

This report examines hand hygiene practices among 171 therapists from an Italian hospital for neuromotor rehabilitation, the Fondazione Santa Lucia of Rome. Compliance with hand hygiene measures was assessed by direct observation during daily neurorehabilitative activities. This study highlights that attention to this task is generally poor among therapists.


Assuntos
Fidelidade a Diretrizes/estatística & dados numéricos , Higiene das Mãos/métodos , Controle de Infecções/métodos , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Adulto , Atitude do Pessoal de Saúde , Pré-Escolar , Pessoal de Saúde , Humanos , Itália , Guias de Prática Clínica como Assunto , Centros de Reabilitação
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