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In 2017, Cochrane Rehabilitation created an online relational database to crowd-source the identification and categorization of Cochrane publications for relevance to rehabilitation. One of the challenges of this work has been the lack of an operational definition to determine what is or is not a rehabilitation intervention. As such, categorization decisions have been largely based on expert opinion, with two health professionals screening each review, and with disagreements in categorization decisions being adjudicated by the Cochrane Rehabilitation Review Committee.
To analyze the rationale for resolving conflicts in the identification of rehabilitation reviews from all Cochrane reviews to contribute to future work on the scope and definition of rehabilitation interventions.
We extracted data on decisions made about all Cochrane titles (both protocols and reviews) published between 1 January, 1996, and 31 August, 2019, and identified all titles where there had been disagreement between any people cateThe challenges and conflicts identified in this study clearly indicate the need for better operational definition of rehabilitation interventions. This study provides a foundation for future work to check the utility of any new definition of rehabilitation interventions and to improve the trustworthiness of categorization decisions regarding the Cochrane Rehabilitation database.
The challenges and conflicts identified in this study clearly indicate the need for better operational definition of rehabilitation interventions. This study provides a foundation for future work to check the utility of any new definition of rehabilitation interventions and to improve the trustworthiness of categorization decisions regarding the Cochrane Rehabilitation database.There is a need for a common, shared definition of rehabilitation to conduct systematic reviews and identify relevant systematic reviews for knowledge translation purposes, which is an important task of Cochrane Rehabilitation. The present paper aimed to introduce and compare existing health-related definitions of rehabilitation and to propose core aspects that should characterize a new and workable definition of rehabilitation that is able to serve both as the basis for internal communication and identity work and for external communication. We have conducted a PubMed literature search on current definitions that have been published since the launch of WHO's ICF in 2001. Definitions were analyzed by framing questions to which the definitions provide answers. Nine definitions were included in the analysis. Rehabilitation has been defined as a process, as a set or bundle of interventions, and as a health strategy. The main beneficiaries were mainly related to the presence of disability, however, no specific means or interventions in rehabilitation could be identified. The definitions provided varying answers to the questions "by whom…," "where…," and "when…" and additionally identified certain conditions for rehabilitation. The present analysis can serve as a valuable source of information for developing a Cochrane Rehabilitation definition of rehabilitation.
In the literature, there are few papers on long-term results after brace treatment and there is no consensus on whether scoliotic curves stop progressing at skeletal maturity. To date the factors that could influence curve behaviour following bracing have not been fully determined.
The aim of this study was to evaluate the results and the loss of the scoliotic curve correction in a cohort of patients treated with PASB brace during adolescence and to compare patient outcomes of under and over 30 Cobb degrees 10 years after brace removal.
This is an observational controlled cohort study nested in a prospective clinical on-going database including 1,536 patients with idiopathic scoliosis.
Inpatients and outpatients in Rome.
The study enrolled 163 patients with idiopathic adolescent scoliosis who had been treated with the PASB brace at a 10 years minimum long-term follow-up examination.
163 (female) patients with AIS treated with the Progressive Action Short Brace (PASB) at a mean age of 13.4 years (rs.
At 10 years follow-up after bracing, scoliotic curves had not deteriorated beyond their original curve size.
At 10 years follow-up after bracing, scoliotic curves had not deteriorated beyond their original curve size.Loturco, I, McGuigan, MR, Rodríguez-Rosell, D, Pereira, LA, and Pareja-Blanco, F. A novel strategy to determine the 1-repetition maximum in the jump squat exercise. J Strength Cond Res XX(X) 000-000, 2020-This study aimed to determine the maximum relative load of the half-squat (HS; i.e., % HS 1-repetition maximum [1RM]) that can be used in its ballistic variation, namely, the jump squat (JS) exercise, and to examine whether this reference value varies in subjects with different strength levels. In total, 186 elite athletes from 10 distinct sport disciplines participated in this study. A progressive loading test up to HS 1RM was performed during the competitive phase of the season for all athletes. Mean propulsive velocity and propulsive phase duration were also assessed during the 1RM test. Athletes were divided into 3 distinct subgroups "low," "middle," and "high" strength levels, based on their relative HS 1RM values (kg·kg). A 1-way analysis of variance was used to compare the variables assessed between the groups. Significance level was set at p 0.05). It was observed that at 86.0 ± 5.4% 1RM, the full concentric action can already be considered as entirely propulsive in the HS exercise for all subjects, independent of their strength levels. Therefore, this relative strength value may be used as a reference for the 1RM in the JS exercise.With an expanding aging population burdened with comorbidities, there is considerable interest in treatments that optimize health in later life. Selleckchem Linrodostat Acarbose (ACA), a drug used clinically to treat type 2 diabetes mellitus (T2DM), can extend mouse life span with greater effect in males than in females. Using a genetically heterogeneous mouse model, we tested the ability of ACA to ameliorate functional, pathological, and biochemical changes that occur during aging, and we determined which of the effects of age and drug were sex dependent. In both sexes, ACA prevented age-dependent loss of body mass, in addition to improving balance/coordination on an accelerating rotarod, rotarod endurance, and grip strength test. Age-related cardiac hypertrophy was seen only in male mice, and this male-specific aging effect was attenuated by ACA. ACA-sensitive cardiac changes were associated with reduced activation of cardiac growth-promoting pathways and increased abundance of peroxisomal proteins involved in lipid metabolism. ACA further ameliorated age-associated changes in cardiac lipid species, particularly lysophospholipids - changes that have previously been associated with aging, cardiac dysfunction, and cardiovascular disease in humans.
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