Treatment of Shoulder Dislocation Due to Rotator Cuff Syndrome: A Comparative Study Between A Manual Relocating Technique and A Shoulder Rehabilitation Device

Our objective is to introduce a new device designated to reduce shoulder dislocation (METHOD-2) compared to a manual technique (METHOD-1). Eighteen shoulders in 20 right-handed participants (22±5) were evaluated as non-traumatic posterior instability. Patients recorded scores ranging between 71.6 and 88.42% when performing the Japanese orthopaedic association shoulder scale (JOASS). Participants were divided into two groups of tens. A licensed physical therapist applied METHOD-1 on GROUP-1. As for GROUP-2, they completed two sets of 10 tractions and pulls using METHOD-2. Participants were asked to complete a relocating maneuver (METHOD-1 or METHOD-2) followed by a pain assessment (Borg-CR10) and a «Self-Assessment Manikin» (SAM). A retest was set 6 to 8 days later.  The data collected were abduction, elevation, medial and lateral rotation goniometry, as well as, the scores obtained from the SAM and Borg-CR10 scales. A paired Student-T test was realized in order to compare test and retest results (p<.05).  GROUP-1 procured a decrease in Borg-CR10 Scale (0.9) and an increase in the SAM scale (1.5). The gains of amplitude in GROUP-1 participants were significantly higher (p<.05) than those attained in GROUP-2 (p>.05). In conclusion, METHOD-2 had no shoulder relocating effects, but decreased the self-reported pain perception

eHealth in Geriatric Rehabilitation: An International Survey of the Experiences and Needs of Healthcare Professionals

eHealth; Geriatric rehabilitation; Information needseSalud; Rehabilitación geriátrica; Necesidades de informacióneSalut; Rehabilitació geriàtrica; Necessitats d'informacióWhile eHealth can help improve outcomes for older patients receiving geriatric rehabilitation, the implementation and integration of eHealth is often complex and time-consuming. To use eHealth effectively in geriatric rehabilitation, it is essential to understand the experiences and needs of healthcare professionals. In this international multicentre cross-sectional study, we used a web-based survey to explore the use, benefits, feasibility and usability of eHealth in geriatric rehabilitation settings, together with the needs of working healthcare professionals. Descriptive statistics were used to summarize quantitative findings. The survey was completed by 513 healthcare professionals from 16 countries. Over half had experience with eHealth, although very few (52 of 263 = 20%) integrated eHealth into daily practice. Important barriers to the use or implementation of eHealth included insufficient resources, lack of an organization-wide implementation strategy and lack of knowledge. Professionals felt that eHealth is more complex for patients than for themselves, and also expressed a need for reliable information concerning available eHealth interventions and their applications. While eHealth has clear benefits, important barriers hinder successful implementation and integration into healthcare. Tailored implementation strategies and reliable information on effective eHealth applications are needed to overcome these barriers

eHealth in Geriatric Rehabilitation: An International Survey of the Experiences and Needs of Healthcare Professionals.

While eHealth can help improve outcomes for older patients receiving geriatric rehabilitation, the implementation and integration of eHealth is often complex and time-consuming. To use eHealth effectively in geriatric rehabilitation, it is essential to understand the experiences and needs of healthcare professionals. In this international multicentre cross-sectional study, we used a web-based survey to explore the use, benefits, feasibility and usability of eHealth in geriatric rehabilitation settings, together with the needs of working healthcare professionals. Descriptive statistics were used to summarize quantitative findings. The survey was completed by 513 healthcare professionals from 16 countries. Over half had experience with eHealth, although very few (52 of 263 = 20%) integrated eHealth into daily practice. Important barriers to the use or implementation of eHealth included insufficient resources, lack of an organization-wide implementation strategy and lack of knowledge. Professionals felt that eHealth is more complex for patients than for themselves, and also expressed a need for reliable information concerning available eHealth interventions and their applications. While eHealth has clear benefits, important barriers hinder successful implementation and integration into healthcare. Tailored implementation strategies and reliable information on effective eHealth applications are needed to overcome these barriers

Effect of growth, gender and expertise on the lower-limb biomechanical properties

L’objectif de cette thèse était d’appréhender les effets de la croissance et de l’expertise sur les propriétés biomécaniques des membres inférieurs de l’Homme. Pour ce faire, une série d’expérimentations se basant sur un modèle “masse-ressort” associé à des tâches de sauts verticaux ont été menées dans des conditions de terrain. Nous avons démontré dans un premier temps qu’un système accélérométrique transportable et autonome pourrait être utilisé, in situ, d’une manière fiable et valide afin d’estimer l’ensemble des paramètres mécaniques et indices neuromusculaires étudiés au cours de ce travail de recherche. Ensuite, au cours d’une étude croisée, nous avons identifié un âge d’or pour la maturation des paramètres neuromusculaires des membres inférieurs qui se situe autour de 15-16 ans, âge de début de différenciation fille/garçon et d’évolution des propriétés neuromusculaires du cycle étirement-renvoi vers l’âge adulte. Enfin, nous avons étudié l’effet de l’expertise sur les qualités physiques du sportif. Les résultats montrent clairement que le comportement neuromécanique des membres inférieurs évolue avec l’expertise sportive, d’une façon spécifique à l’activité.The aim of this thesis was to apprehend the growth and expertise effects on the biomechanicalproperties of the human lower limb. For that aim, we basically used a “spring-mass” model whichwas associated to in-field vertical jump tasks. Firstly, we demonstrated that a transportable andautonomous accelerometric system was reliable and valid for assessing the whole mechanical andneuromuscular parameters which we studied in the current research work. Secondly, we identified agolden age for the maturation of the lower limb neuromuscular properties through a crossover study.That was the age of 15-16 years, which corresponds to a beginning of a gender differentiation and anevolution of the neuromuscular properties of the stretch-shortening cycle to the adulthood. Finally, westudied the effects of expertise on the sportsman physical abilities. The results clearly show that theneuromechanical behaviour of the lower limbs evolves with expertise by following an activity-relatedspecific way

How should metaverse augment humans with disabilities?

The metaverse is a new paradigm made possible by emerging technologies like virtual reality, augmented reality, and blockchains. Humans with disabilities should not be excluded from the metaverse and should have equitable access to it. However, it is unclear which options humans with physical and cognitive disabilities will have in the current metaverse to use and represent themselves – and feel included. Our research seeks to determine how humans with disabilities should be augmented in the metaverse, as well as whether the current metaverse permits such augmentations. If not, what features should be added to make the metaverse more accessible and inclusive? In this regard, we have begun to investigate one of the most well-known decentralized metaverses, namely Decentraland

Effet de la croissance, du genre et de l'expertise sur les propriétés biomécaniques des membres inférieurs

L objectif de cette thèse était d appréhender les effets de la croissance et de l expertise sur les propriétés biomécaniques des membres inférieurs de l Homme. Pour ce faire, une série d expérimentations se basant sur un modèle masse-ressort associé à des tâches de sauts verticaux ont été menées dans des conditions de terrain. Nous avons démontré dans un premier temps qu un système accélérométrique transportable et autonome pourrait être utilisé, in situ, d une manière fiable et valide afin d estimer l ensemble des paramètres mécaniques et indices neuromusculaires étudiés au cours de ce travail de recherche. Ensuite, au cours d une étude croisée, nous avons identifié un âge d or pour la maturation des paramètres neuromusculaires des membres inférieurs qui se situe autour de 15-16 ans, âge de début de différenciation fille/garçon et d évolution des propriétés neuromusculaires du cycle étirement-renvoi vers l âge adulte. Enfin, nous avons étudié l effet de l expertise sur les qualités physiques du sportif. Les résultats montrent clairement que le comportement neuromécanique des membres inférieurs évolue avec l expertise sportive, d une façon spécifique à l activité.The aim of this thesis was to apprehend the growth and expertise effects on the biomechanicalproperties of the human lower limb. For that aim, we basically used a spring-mass model whichwas associated to in-field vertical jump tasks. Firstly, we demonstrated that a transportable andautonomous accelerometric system was reliable and valid for assessing the whole mechanical andneuromuscular parameters which we studied in the current research work. Secondly, we identified agolden age for the maturation of the lower limb neuromuscular properties through a crossover study.That was the age of 15-16 years, which corresponds to a beginning of a gender differentiation and anevolution of the neuromuscular properties of the stretch-shortening cycle to the adulthood. Finally, westudied the effects of expertise on the sportsman physical abilities. The results clearly show that theneuromechanical behaviour of the lower limbs evolves with expertise by following an activity-relatedspecific way.PARIS11-SCD-Bib. électronique (914719901) / SudocSudocFranceF

Recognition system for behavior & activities of daily living among patients with dementia using smart algorithms and assistive technology

Dementia is a syndrome consisting of a group of symptoms that cause progressive brain dysfunction and impairment of cognition or intellects. Dementia causes problems with memory, orientation and thinking processes to the extent that it decreases functionality in Activities of Daily Living (ADL) and causes behavior change. Several studies have focused on the unusual behavior detection and pattern detection of daily activities using in-home sensors. Activities are detected either through specific rules or by applying learning techniques. This study focuses on utilizing adaptive algorithms where the relationship between environmental and cognitive state will be predicted. To automatically assess cognitive health based on activity and behavior, this research will focus on introducing a method to automatically predict the behavior of patients at homes in a smart way and predicting the patient’s cognitive state

Haptic-Enabled Hand Rehabilitation in Stroke Patients: A Scoping Review

There is a plethora of technology-assisted interventions for hand therapy, however, less is known about the effectiveness of these interventions. This scoping review aims to explore studies about technology-assisted interventions targeting hand rehabilitation to identify the most effective interventions. It is expected that multifaceted interventions targeting hand rehabilitation are more efficient therapeutic approaches than mono-interventions. The scoping review will aim to map the existing haptic-enabled interventions for upper limb rehabilitation and investigates their effects on motor and functional recovery in patients with stroke. The methodology used in this review is based on the Arksey and O’Malley framework, which includes the following stages: identifying the research question, identifying relevant studies, study selection, charting the data, and collating, summarizing, and reporting the results. Results show that using three or four different technologies was more positive than using two technologies (one technology + haptics). In particular, when standardized as a percentage of outcomes, the combination of three technologies showed better results than the combination of haptics with one technology or with three other technologies. To conclude, this study portrayed haptic-enabled rehabilitation approaches that could help therapists decide which technology-enabled hand therapy approach is best suited to their needs. Those seeking to undertake research and development anticipate further opportunities to develop haptic-enabled hand telerehabilitation platforms

Digital Health Technology to Support Health Care Professionals and Family Caregivers Caring for Patients With Cognitive Impairment: Scoping Review

BackgroundDigital health technology is a promising way of supporting health care providers and family caregivers as they care for patients with cognitive impairment. ObjectiveThis scoping review aimed to portray the use of digital health technology to assist health care providers and family caregivers in caring for patients with cognitive impairment who live in the community or in a facility. MethodsWe conducted a scoping review of peer-reviewed scientific articles available in MEDLINE, PsycINFO, Scopus, and CINAHL with Full Text, as well as gray literature available in preprint servers, theses depositories, and various national and international dementia organizations’ websites. The search yielded 975 articles, of which we included 7 (0.7%) in the review. ResultsOf the 7 interventions included in the retrieved manuscripts, 2 (29%) were digital calendar reminder systems to support activities of daily living and medication management; 2 (29%) were apps on tablet devices to simulate the presence of family before therapy interventions; 1 (14%) was a social robot used in therapeutic sessions to include elements of musicotherapy, reminiscence, cognitive games, and relaxation; 1 (14%) was a commercially available computer system that provides access to various recreational leisure activities; and 1 (14%) was a web-based self-management support system that helps family caregivers to deal with behavior changes in a relative with dementia. Of the 7 articles, only 1 (14%) reported on the use of a behavior change theory, namely a comprehensive process model of engagement coupled with cognitive stimulation therapy. ConclusionsLiterature on the topic is scarce, recent, and heterogeneous. There is a clear need for a theoretical framework to conceptualize and govern the use of behavior change models that incorporate technology for patients with cognitive impairment