国际神经康复杂志

Introduction: A well-planned rehabilitation programme is just as crucial to a patient's rotator cuff repair procedure's successful completion of tendon healing and the best possible shoulder functional outcome as the size/location of the tear, the surgical approach and the fixation techniques (RCR). There is ongoing debate over the best order to carry out rehabilitation.

Purpose: This meta-objective analysis compares the results of an intense post-operative care regimen versus a traditional rehabilitation programme. The Cochrane Library, CINAHL, PubMed, Ovid MEDLINE and CEPS databases were also searched. We ultimately included six publications that met our criterion for selection.

Results: The traditional strategy improves ROM and shoulder function more than the intensive postoperative rehabilitation method, but it also involves a larger risk of the rotator cuff tendon failing to heal or rupturing again.

Conclusion: Despite the fact that patients with RCR benefit from the rigorous postoperative rehabilitation routine, additional research on the variables impacting the risk of tendon un-healing/re-tearing is needed. These elements must be taken into account while designing a postoperative programme for RCR patients.

Introduction: The management of dizziness and balance impairment following a concussion is a substantial concern. The goal of this study was to see if vestibular rehabilitation may help persons with concussions feel less dizzy and improve their gait and balance.

Methods: A retrospective chart analysis of 114 patients referred for vestibular therapy following concussion was undertaken (67 children aged 18 years and younger [mean, 16 years; range, 8–18 years]; 47 adults aged 18 years and older [mean, 41 years; range, 19–73 years]. At the time of the initial evaluation and discharge, outcome measures of self-report (e.g., dizziness severity, Activities-specific Balance Confidence Scale and Dizziness Handicap Inventory) as well as gait and balance performance (e.g., Dynamic Gait Index, gait speed and the Sensory Organization Scale) were recorded. The effect of vestibular rehabilitation therapy was investigated using a mixed-factor repeated-measures analysis of variance. To see if there was an influence of vestibular rehabilitation therapy and age on the outcome measures, researchers performed a mixed-factor repeated-measures analysis of variance.

Results: The median period between the concussion and the initial evaluation was 61 days. 84 of the 114 patients who were referred came back for more than one appointment. At the time of release, these patients showed improvements in all self-report, gait and balance performance tests (P.05). Children improved more in dizziness severity (P.005) and the Sensory Organization Test conditions 1 (eyes open, fixed support) and 2 (eyes closed, fixed support) (P.025).

Discussion: After a concussion, vestibular rehabilitation may help to lessen dizziness and improve gait and balance. The improvement was not dependent on age for most criteria, showing that vestibular therapy may benefit both children and adults equally.

Conclusion: Vestibular rehabilitation should be explored in the treatment of those who have dizziness, gait and balance problems after a concussion that do not improve with rest.

Addictions have long been viewed from the biomedical perspective as persistent infections of the brain. While we perceive that the personalities of people with addictions shift from those without, we fight that the "broken frontal cortex" model of reliance has huge limitations. We propose that a structures level perspective even more effectively gets the planned designing of the exemplified and organized human mind and frontal cortex relating to the improvement of addictions. The dependent mind is the substrate of the dependent psyche and as a result, it is arranged in a physical and socio-social climate, which places fixation in the more extensive setting of the dependent cerebrum that drives behavior. This more unique conceptualization places fixation in this setting. From this point of view, neurorehabilitation should move away from a "broken-mind" approach and toward a hypothetical framework that incorporates undeniable level ideas about the physical and social environment, inspiration, mental self-view and the importance of elective exercises, all of which will progressively influence the changes in the brain that result. Arranged neurorehabilitation is the name we give this framework for coordinated methodology. By demonstrating the connection between habit and the engineering of the typical mind, along with a framework-level perspective on old-style molding that has successfully been transformed into neurorehabilitation, we present our proposition. Fundamental to this model is the possibility that the human frontal cortex makes gauges on future states also exactly as expected (or counterfactual) bumbles, with respect to its goals. We advocate framework-organized neurorehabilitation of compulsive disorders in which the goals of the patient are the focus of designated, individualized evaluation and mediation.