Rehabilitation Practice Research Articles

Older Aboriginal and Torres Strait Islander People's Experiences With Hearing Loss and Audiological Services: A Scoping Review.

In Australia, older Aboriginal and Torres Strait Islander people have the highest prevalence of hearing loss, for which dedicated audiological services are available. However, there is limited research on the experiences older Aboriginal and Torres Strait Islander people have with hearing loss and audiological services. Therefore, this study aimed to consolidate existing literature with a scoping review, specifically on the above to identify gaps and guide future research. Ten databases, including electronic journal databases and government databases, were systematically searched. Additional studies were sought from article reference lists, review articles, conference abstracts and Google Scholar. We identified 540 records and 22 of them met our inclusion criteria. Our inclusion criteria constituted research of any design on the experiences of older Aboriginal and Torres Strait Islander people (aged 45+ years) with hearing loss and audiological services. Seventeen studies reported on experiences with hearing loss, four studies reported on experiences with audiological services and one study reported on both experiences. Prevalence of hearing loss was estimated to be 20%-34% in older Aboriginal and Torres Strait Islander people; a discrepancy between self-reported and objective hearing difficulties was also identified. Audiological services currently available to older Aboriginal and Torres Strait Islander people were also underutilised. Future research on older Aboriginal and Torres Strait Islander people is required to uncover: (1) the reasons for underreported hearing loss; (2) types of hearing loss experienced; (3) barriers to accessing audiological services; and (4) best hearing-loss management and rehabilitation practices.

Tackling soil erosion and contamination within the SDGs framework: a case study of the Erdenet copper-molybdenum mine

AbstractMining operations in Mongolia have contributed significantly to national economic growth. However, the lack of adequate mine land rehabilitation practices has resulted in various forms of land degradation, including land cover change, soil erosion and contamination with heavy metals and metalloids. These issues have negatively affected ecosystems and posed potential risks to human health due to the interconnected relationships between land, water and human activities. This study focuses on the copper-molybdenum mining site of Erdenet, the oldest and one of the largest copper mines in Mongolia, to investigate the main drivers of soil degradation and evaluate effective rehabilitation strategies. By combining findings from our previous studies on soil erosion and contamination in the Erdenet area with a review of existing research, we assess key rehabilitation priorities. Taking a Nexus approach, this study explores the interconnections between environmental, economic and social sectors, emphasizing the importance of balancing mining activities with sustainable land management. The previous studies suggest that for the next 10–15 years, priorities should focus on tailings storage facility rehabilitation and soil contamination remediation, while longer-term goals include developing sustainable environmental management strategies that foster cooperation between mining corporations and local communities, enforce regulations and improve monitoring in the Erdenet mining area. The study aligns these priorities with the Sustainable Development Goals, offering science-based recommendations for managing soil erosion and reducing contamination.

Influential Factors of Indonesian Cocoa Export: Evidence from FMOLS and DOLS Approaches

The study investigated the determinants of cocoa exports using both FMOLS and DOLS approaches. The time series data were obtained from FAOSTAT and ICCO websites from the year 1990 to 2022. ADF and PP stationary unit roots were conducted to examine the stationarity of the variables while Johansen cointegration was used to verify the cointegrating among the variables. The outcome of the Johansen cointegration analysis suggests the existence of a cointegration relationship among the eight variables, indicating the presence of long-run relationships among the variables. The estimated results revealed that cocoa productivity, domestic cocoa production, domestic cocoa supply, exchange rates, and world cocoa prices affect Indonesian cocoa exports. Based on the estimated results and discussion, the study draws a conclusion that cocoa productivity, domestic cocoa production, exchange rates, and world cocoa prices positively and statistically significantly influenced cocoa exports while domestic cocoa supply negatively affected Indonesian cocoa exports. The study recommends that the government of Indonesia should stabilize the fluctuating exchange rates and encourage cocoa production via higher productivity by practicing farm rehabilitation practices to increase productivity and cocoa beans for exports. Moreover, the supply of cocoa beans should also be increased by increasing domestic producer prices. These key determinants are crucial for policymakers and industry stakeholders to understand and address to enhance the competitiveness and growth of the cocoa export industry in Indonesia.

Cognitive effect of passively induced kinesthetic perception associated with virtual body augmentation modulates spinal reflex.

The virtual movement of an augmented body, perceived as part of oneself, forms the basis of kinesthetic perception induced by visual stimulation (KINVIS). KINVIS is a visually induced virtual kinesthetic perception that clinically suppresses spasticity. The present study hypothesized that central neural network activity during KINVIS affects subcortical neural circuits. The present study aimed to elucidate whether reciprocal and presynaptic inhibition occurs during KINVIS. Seventeen healthy participants were recruited (mean age: 27.9 ± 3.6 years), and their soleus Hoffmann-reflexes (H-reflexs) were recorded by peripheral nerve stimulation while perceiving the dorsiflexion kinesthetic illusion in the right-side foot (seated in a comfortable chair). Two control conditions were set to observe the same foot video without the kinesthetic illusion while focusing on the static foot image. Unconditioned H-reflex and two types of conditioned H-reflexes were measured: Ia (reciprocal inhibition) and D1 (presynaptic inhibition). Reciprocal Ia and D1 inhibition of the soleus muscle was significantly enhanced during the kinesthetic illusion compared to the condition without kinesthetic illusion (a post-hoc analysis using the Bonferroni test: Ia inhibition, p = 0.002; D1 inhibition, p = 0.049). This study indicates that kinesthetic illusion elicits an inhibitory effect on the monosynaptic reflex loop of Ia afferents, potentially inhibiting the hyperexcitability of the stretch reflex. These findings demonstrate that brain activity associated with visually induced kinesthetic illusions acts on spinal inhibition circuits. These insights may be valuable in clinical rehabilitation practice, specifically for the treatment of spasticity.

THE RELATIONSHIP BETWEEN POLYMORPHISM 1357 G → A OF THE CNTF GENE AND GLY482SER OF THE PPARGC1A GENE WITH MUSCLE STRENGTH

Muscle strength is the process of energy synthesis during certain tasks in muscle fibers. In modern sports and sports medicine, exploring methods to enhance muscle strength through targeted exercises and training programs is a key area of focus. While many athletes can achieve the physical conditioning necessary for competitive performance, the role of genetics in sports has gained attention as it offers insights for optimizing training strategies and enhancing performance based on individual genetic profiles. Among the well-researched genes in muscle strength studies are the ciliary neurotrophic factor gene (CNTF) and the peroxisome proliferator-activated receptor gamma coactivator 1-alpha gene (PPARGC1A). This study investigates the relationship between polymorphisms in these genes and the function of motor units in muscle fibers. The aim of the study is to analyze and explain the mechanisms by which polymorphisms in the CNTF and PPARGC1A genes influence muscle strength. Materials and Methods. Following PRISMA guidelines, a comprehensive literature review was conducted using relevant keywords across leading scientometric databases. Results and Discussion. This article explores the relationship between genetic variants of the CNTF and PPARGC1A genes and muscle strength in adults. Specifically, it examines the impact of the CNTF 1357 G→A and PPARGC1A Gly482Ser polymorphisms on muscle strength gains in response to strength training. The study results indicate that these genetic variations significantly affect individual differences in response to exercise. Notable fluctuations in strength gains and changes in maximal voluntary contraction were observed. The data underscore the need for further research to deepen our understanding of how the CNTF and PPARGC1A genes influence muscle adaptation to training, as well as to assess their roles across different populations and training conditions. It has been found out that the AA genotype of the 1357 G→A variation leads to a functionally inactive neurotrophic factor protein, thereby significantly diminishing its myotrophic effect on skeletal muscles. Regarding the Gly482Ser polymorphism, homozygosity for the T allele is associated with reduced skeletal muscle metabolism and decreased oxidative activity. Conclusions. The results obtained can be applied for developing personalized training programs and improving practice of sports medicine and rehabilitation, thus facilitating the more effective achievement of individual fitness and health goals.

QOL-28. CANCER-RELATED DISTRESS IN NEURO-ONCOLOGY: PATIENTS INFORM PROGRAM DEVELOPMENT FOR ENHANCING QUALITY OF LIFE

Abstract BACKGROUND Brain tumor diagnosis and treatment result in significant negative sequelae, including cognitive decline, fatigue, and psychosocial symptoms. This study aimed to identify brain tumor patients’ sources of cancer-related distress and examine their interest in various treatment modalities targeting cognitive decline to inform program development for this underserved population. METHODS In pursuit of program development, patients with both primary and secondary brain tumors completed an anonymous survey. They reported demographics, tumor characteristics, subjective cognitive functioning; and, rated sources of cancer-related symptom distress (i.e., cognitive changes, fatigue, physical symptoms, motor functioning, balance, mood, and relationship) and interest in treatments targeting cancer-related cognitive decline (i.e., cognitive rehabilitation, mindfulness-based practices, psychotherapy, and medication). Descriptive statistics, t-tests, chi-square, and linear regressions were conducted. RESULTS Among participants (N=137, Mage=49.6±15.8, 58.1% female, 84.8% White), 50.4% endorsed subjective cognitive functioning below the mean (MFACT-Br-CI=22.6±7.5). Nearly half reported significant distress due to cancer-related fatigue (49.6%) and cognitive change (48.9%). Patients’ mean severity of distress due to cognitive decline was significantly greater relative to all other cancer-related symptoms (ps<.001), except fatigue (p>.05). Age, gender, or time since diagnosis were not significant predictors (ps>.05) of distress due to cognitive decline. Most patients with distress due to cognitive change were interested in cognitive rehabilitation (63.6%) and mindfulness-based practices (61.6%), and only 40.4% were interested in medication. Interest in cognitive rehabilitation was not predicted by symptom distress, subjective cognitive functioning, age, gender, or time since diagnosis (ps>.05). Gender was the only significant predictor of interest in mindful movement (b=.18, p=.041), with greater interest among women (χ2(1)=4.65, p=.031). CONCLUSIONS Fatigue and cognitive decline were the most distressing cancer-related symptoms for neuro-oncology patients. These findings emphasize the need for integrated interventions, including cognitive rehabilitation and mindfulness, as well as multi-targeted and individualized treatments for fatigue and cognitive decline in neuro-oncology.

Mind–Body Practices and Exercise in the Rehabilitation of Poststroke Aphasia, Mild Cognitive Impairment, and Dementia

Purpose: The purpose of this article is to provide speech-language pathologists (SLPs) with a background in mind–body practices and exercise to prevent and treat cognitive, language, and cognitive communication disorders from a healthy aging viewpoint. Method: An online database search was conducted using a narrative review of mind–body interventions recommended by SLPs and other rehabilitation specialists. Conclusions: Mind–body practices and exercise are a low-cost, accessible, nonpharmacological intervention that may promote beneficial outcomes for individuals who are at risk for neurologic disease. Recent research on risk factors for mild cognitive impairment and dementia suggests that the underlying disease progression may be slowed or stopped with lifestyle modification (e.g., increased physical activity). Additionally, individuals recovering from stroke could potentially experience better outcomes with lifestyle modification (e.g., stress reduction). There has been increased popular interest in mindfulness as a component of a healthy lifestyle, which suggests that both patients and therapists may be receptive to incorporating it into traditional rehabilitation practices, provided there is reasonable support for its benefits. The aim of this article is to provide a rationale for integrating mind–body practices and exercise into speech-language pathology services to decrease levels of unhealthy stress, increase physical activity, and enhance cognition and communication.

Effectiveness of Robotic Devices for Medical Rehabilitation: An Umbrella Review.

Background/Objectives: Clinical trials have investigated the efficacy of rehabilitation robotics for various pathological conditions, but the overall impact on rehabilitation practice remains unclear. We comprehensively examined and analyzed systematic reviews (SRs) of randomized controlled trials (RCTs) investigating rehabilitative interventions with robotic devices. Methods: Four databases were searched using term combinations of keywords related to robotic devices, rehabilitation, and SRs. The SR meta-analyses were categorized into "convincing", "highly suggestive", "suggestive", "weak", or "non-significant" depending on evidence strength and validity. Results: Overall, 62 SRs of 341 RCTs involving 14,522 participants were identified. Stroke was most frequently reported (40 SRs), followed by spinal cord injury (eight SRs), multiple sclerosis (four SRs), cerebral palsy (four SRs), Parkinson's disease (three SRs), and neurological disease (any disease causing limited upper- and lower-limb functioning; three SRs). Furthermore, 38, 21, and 3 SRs focused on lower-limb devices, upper-limb devices, and both upper- and lower-limb devices, respectively. Quantitative synthesis of robotic intervention effects was performed by 51 of 62 SRs. Robot-assisted training was effective for various outcome measures per disease. Meta-analyses offering suggestive evidence were limited to studies on stroke. Upper-limb devices were effective for motor control and activities of daily living, and lower-limb devices for walking independence in stroke. Conclusions: Robotic devices are useful for improving impairments and disabilities in several diseases. Further high-quality SRs including RCTs with large sample sizes and meta-analyses of these RCTs, particularly on non-stroke-related diseases, are required. Further research should also ascertain which type of robotic device is the most effective for improving each specific impairment or disability.

Rehabilitation after reverse total shoulder arthroplasty: a survey of members of the American Shoulder and Elbow Surgeons

Surgeons disagree about whether patients should undertake home physical therapy (HPT) or formal physical therapy (FPT) after undergoing reverse total shoulder arthroplasty (RTSA). Recent studies suggest that HPT is as effective as FPT, but surgeons who perform RTSA may believe that FPT continues to have a role. Our primary purpose was to describe the opinions and self-reported practices of surgeons who perform RTSA regarding prescribing physical therapy (PT) after surgery. We also sought to identify factors associated with prescription of FPT. A survey was distributed electronically from May to September 2023 to the 1076 members of the American Shoulder and Elbow Surgeons who were practicing in the United States at that time. Of these surgeons, 237 (22%) responded to the survey. Anonymous responses were collected via Qualtrics, including demographic data and information about the RTSA implant systems used. Descriptive statistics were used to analyze surgeon characteristics, implant types, and rehabilitation practices. Multivariate logistic regression was used to identify surgeon, procedure, and implant characteristics associated with the likelihood of FPT prescription. Because some respondents reported using multiple RTSA implant types and some did not answer implant-specific questions, a total of 225 RTSA implant types were included. Forty-six percent of respondents reported that they recommended FPT for every patient; 64% said they typically prescribe FPT. A smaller proportion of respondents who had completed a hand and upper-extremity fellowship said that they prescribed FPT compared with those who had not completed such a fellowship. However, PT prescription was not associated with any other studied characteristics, such as number of years in practice or whether the surgeon tended to repair the subscapularis. On average, respondents estimated that 92% of their patients received either FPT or HPT. Respondents also reported varying timeframes for starting PT activities after surgery. For example, 50% of respondents reported recommending passive shoulder range of motion below the shoulder level within the first postoperative week, whereas 73% recommended waiting 2-6 weeks for active shoulder range of motion below shoulder level. Most surveyed surgeons prescribe FPT and/or HPT after primary RTSA, with a slight preference for FPT. Surgical factors did not influence rehabilitation preferences. Further randomized studies to investigate the impact of PT on clinical outcomes of RTSA are needed.

THE ESSENTIAL ROLE OF PHYSIOTHERAPY IN PROFESSIONAL FOOTBALL

The role of physiotherapists in professional football is critical for both the physical recovery of athletes and the implementation of strategies that promote injury prevention and enhance performance. With a comprehensive understanding of biomechanics and movement principles, physiotherapists can assess players’ performance and work closely with coaching staff to devise effective game tactics. Their expertise enables them to identify movement patterns and areas of stress that can lead to injuries, ultimately helping to minimize these risks. Education plays a vital part in the physiotherapist's responsibilities, as they teach athletes about health maintenance and the significance of injury prevention. This educational component is essential for ensuring that players can sustain a long and successful sports career. Despite progress in prevention and rehabilitation practices, studies reveal persistent gaps between clinical practice and scientific evidence. Increased regulation of the profession, coupled with a multidisciplinary approach that incorporates psychological support, emphasizes the growing importance of physiotherapy within football. Moreover, recognizing the psychological factors that influence recovery and utilizing evidence-based protocols are vital for optimizing rehabilitation outcomes. The physiotherapist’s influence extends beyond physical recovery; they are integral in fostering the overall health and well-being of athletes, which significantly impacts team performance. Moving forward, the field of physiotherapy in football must prioritize continuous professional development, the adoption of innovative practices, and the establishment of an environment that values both the physical and mental health of players.

Rehabilitation is [still] necessary to optimize function in neuromuscular disorders.

The landscape of care for children and adults with neuromuscular disorders (NMDs) is rapidly changing as more disease-modifying treatments (DMTs) become available. These DMTs provide hope and opportunity for evolving phenotypes, though none (yet) are curative. Rehabilitation has been the standard of care for patients with NMDs and should remain so, even with the advent of novel DMTs. An interdisciplinary rehabilitation approach is holistic and comprehensive, addressing functional needs, musculoskeletal complications, pain, durable medical equipment, and bracing needs. This care will continue to be essential for patients who experience impairments and disability, despite receiving DMTs. Additionally, we must consider how to care for a new rapidly expanding cohort of patients aging with NMDs. Children with NMDs are expected to live longer into adulthood; a population that we may not have the workforce to support at this time. At this point, we have the perfect opportunity to reemphasize the importance of rehabilitation in the care of persons with NMDs, while we reexamine historical rehabilitation practices and innovatively deliver services to optimize the effects of these high-cost DMTs.

The effect of unaffected side resistance training on upper limb function reconstruction and prevention of sarcopenia in stroke patients: a randomized controlled trial

Aging has made stroke a top killer and disabler, with post-stroke sarcopenia worsening disability and quality of life. While resistance training benefits the elderly, its impact on stroke patients is understudied. This study evaluates the potential of a 4-week unilateral resistance training (URT) program to prevent sarcopenia in stroke patients. It assesses the impact of URT on hand grip strength (HG), muscle thickness (MT), upper limb functionality, and the psychological status of the patients. The study aims to quantitatively analyze these indicators to inform evidence-based post-stroke rehabilitation practices. This study employed a randomized controlled trial (RCT) involving 77 eligible stroke survivors, equally allocated into a control group (n = 39) and an intervention group (n = 38). The control group received standard rehabilitation, while the intervention group additionally underwent a 4-week URT program. The primary outcomes were unaffected side HG and MT, measuring muscle mass and function. Secondary outcomes included the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) for upper limb functionality and the Hamilton Depression Rating Scale (HAMD) for psychological well-being changes. Statistical analysis showed significant differences (p < 0. 05) in all measured parameters between the intervention and control groups after the 4-week period. Intra-group comparisons also indicated substantial improvements (p < 0. 05). Unilateral resistance training significantly mitigates muscle atrophy in stroke patients, preventing sarcopenia and enhancing upper limb function. It also ameliorates depressive symptoms, improving rehabilitation outcomes and overall quality of life.

A survey of dysphagia services practice in China.

Dysphagia services have only recently been formalised within Chinese health services. There has been no comprehensive evaluation of all aspects of dysphagia services practice in China. To provide a profile for the dysphagia practice in China by assessing various facets of dysphagia services. This is a survey study carried out from December 2022 to May 2023 online in China. One hundred fifty-nine respondents comprising doctors, nurses or therapists involved in the field of dysphagia rehabilitation completed a questionnaire via Sojump. The questionnaire included dichotomous (e.g., yes/no) and multiple-choice questions related to participants' general information and their provision of dysphagia management services. Results were analysed descriptively and the differences among different levels of hospitals were analysed. Approximately two-thirds of hospitals (67.9%) started dysphagia services within the last 5 years. A significant difference in the initiation of dysphagia rehabilitation was observed across different hospital levels (χ2=32.70;p<0.001). Routine dysphagia screening was a standard practice in most hospitals (71.7%), with the most frequently employed screening method being the water swallow test (95.6%). Clinical swallowing evaluation emerged as the preferred initial assessment method (80.5%) and the most utilised assessment method (91.8%). Video fluoroscopic swallow study and flexible endoscopic evaluation swallowing were used by 22.7% and 12.6% of respondents. A significant difference was observed in the choice of assessment methods across hospitals of different levels (χ2=43.397; p < 0.001). The majority of respondents (53.5%) primarily employed rehabilitation as the main intervention method (76%-100%). Most respondents indicated that they would reevaluate patients after treatment (74.8%) and reported routine follow-up with patients (60.4%). Despite the relatively recent development of dysphagia management in China, the practice patterns uncovered in this study are broadly consistent with Chinese guidelines and consensus. However, the use of instrumental assessments remains low, resulting in a lack of objective evaluation of patient conditions and outcomes. There is a need for policy and resource support in the field of dysphagia rehabilitation in China. What is already known on this subject Assessment and treatment methods for dysphagia are various across different patients, medical facilities and settings. There has been no comprehensive evaluation of all aspects of dysphagia rehabilitation practice in China. What this study adds to existing knowledge The study assessed various facets of dysphagia rehabilitation in China through an online survey. We found that the relatively recent development of dysphagia management in China, but the practice patterns uncovered in this study are broadly consistent with Chinese guidelines and consensus. Variations in practice patterns between hospitals of different levels may be attributed to resource constraints and patient needs. Besides, while rehabilitation exercises are the primary intervention method for dysphagia in China, the assessment largely centres on clinical swallowing evaluation. The use of instrumental assessments remains low, resulting in a lack of objective evaluation of patient conditions and outcomes. What are the clinical implications of this work? The study assessed various facets of dysphagia rehabilitation in China, and the results indicate that the use of instrumental assessments needs to be improved and there is a need for policy and resource support in the field of dysphagia rehabilitation in China.

Adaptive Movement Analysis And Enhanced Self-Monitoring Hypercube For Parkinson’s Disease

Parkinson’s Disease (PD) is a chronic neurodegenerative disorder characterized by motor impairments, including tremors, rigidity, bradykinesia, and postural instability, which progressively diminish patients’ ability to perform daily activities independently. Current rehabilitation practices, primarily focused on physical therapy, medication, and traditional support devices, provide essential symptom management but often lack customization to individual patient needs, leading to inconsistent adherence and limited long-term benefits. This paper introduces the Adaptive Movement Analysis and Enhanced Self-Monitoring Hypercube, a novel rehabilitation framework aimed at improving PD management through a comprehensive, adaptive approach.The system leverages cutting-edge sensors, including the MPU6050 Inertial Measurement Unit (IMU) and infrared proximity sensors, integrated with a Teensy microcontroller to deliver real-time movement analysis and tailored exercise feedback. Through Bluetooth-enabled connectivity, patient data is transmitted to a digital platform where it can be analyzed and adjusted based on performance metrics. Additionally, gamification techniques, task-specific training modules, and customizable feedback mechanisms are embedded to increase patient engagement and adherence to exercise routines. This adaptive solution provides a structured, motivating environment that addresses the fluctuating capabilities of PD patients, promoting functional recovery and enhanced self-monitoring.

Hope and Haunting Images: The Imaginary in Danish Parkinson’s Disease Rehabilitation

Much in life is imagined: hoped for, dreamed about, or dreaded, as we engage with potential futures. Parkinson’s disease is a progressive and neuro-degenerative disease, currently incurable. During long-term fieldwork among Danish rehabilitees with Parkinson’s disease, rehabilitees’ mentioning of hope and images of the future gradually inspired attention to an imaginary dimension in rehabilitation. We explore haunting images and hope among rehabilitees as examples of the imaginary in rehabilitation, but also as windows into how rehabilitees orientate themselves towards an uncertain future. We show how rehabilitees’ imaginations of the future resemble hauntings instigating an urge to ‘do something’ to avoid their actualisation; to insist on living in the now, keeping up training, and partaking in clinical trials. This urge translates into rehabilitation practices, where rehabilitees and professionals work with both hope and rehabilitation goals to maximise the present and postpone the future. We emphasise that hope is a complex phenomenon; it is multiple and has a certain elasticity. A person can carry multiple hopes at once; hope can be agentic, co-created and worked with, located, or be an existential stance.

Filipino Rehabilitation Practitioners’ COVID-19 knowledge, practice and attitude: A cross-sectional study

Background: The rehabilitation team, consisting of physiatrists, physical and occupational therapists, and speech pathologists, faces heightened risk of COVID-19 exposure because of treatment practices in rehabilitation settings.Aim: The study aimed to assess the knowledge, practices and attitudes of rehabilitation professionals in treating COVID-19 patients and to determine potential associations with respondents’ demographic factors (e.g., age, gender, type of profession).Setting: The study was conducted in the Philippines.Methods: This cross-sectional study was conducted from June 2021 to July 2021. Researchers employed snowballing and purposive homogenous convenient sampling methods. Participants completed a 31-item online questionnaire via Google Forms.Results: A total of 410 rehabilitation professionals participated in the study. The total mean scores for knowledge, practices and attitudes are 41.14 ± 3.16, 104.54 ± 33.65 and 37.13 ± 3.55, respectively which were considered adequate. However, only 9.8% (n = 40) professional was actively treating COVID-19 patients with analysis of variance indicated that age, type of profession and gender did not significantly impact COVID-19 knowledge. However, age (p = 0.005) and type of profession (p = 0.004) were found to influence COVID-19 practices, with physiatrists exhibiting higher adherence. There was a strong positive correlation between age and positive COVID-19 attitudes (p 0.000).Conclusion: Filipino rehabilitation professionals have positive attitude, adequate knowledge and skills about COVID-19.Contribution: The study provides information to modify training courses and curricula to further improve the knowledge and practices related to COVID-19.

Influence of Potentially Toxic Elements and Physio-Chemical Parameters of Industrially Contaminated Soil on Arbuscular Mycorrhizal Fungal Diversity in BBN Corridor, Himachal Pradesh, India

ABSTRACT Arbuscular mycorrhizal fungi (AMF) play an essential role in plant growth and have great potential to enhance plant tolerance under polluted and toxic conditions. This study deals with a survey of five contaminated sites of the Baddi Barotiwala Nalagarh (BBN) industrial corridor/hub to investigate the morpho-diversity of endotrophic AM fungi associated with native plants. The high contamination factor of Cd and Fe in different study sites revealed a high intensity of contamination, indicating that the sites were significantly polluted with Cd and Fe. Results showed that AM symbioses were successfully established in the roots of native plants, highlighting their role in mitigating the harmful effects of potentially toxic elements (PTEs) through bioremediation. A total of 50 AMF morphotypes across 9 genera (Acaulospora, Entrophospora, Ambispora, Diversispora, Gigaspora, Scutellospora, Glomus, Rhizophagus, and Sclerocystis) were identified, with Glomeraceae being the most abundant (46%), followed by Acaulosporaceae (39%) and others contributing less (15%). The study also indicated that the hyphal and vesicular infections were prominent than arbuscular infections in roots. This is the first report on the diversity of native and putative AMF species associated with plants in the BBN industrial corridor, suggesting that these fungi could be cultured for further use as a sustainable organic approach in agriculture and rehabilitation practices in polluted areas.

Asphalt pavement structural competency during staged airfield runway construction strategy

ABSTRACT This paper reports the results from a full-scale evaluation of asphalt pavement structural competency during a multi-stage construction strategy. The staged pavement construction included three stages: (1) new conventional asphalt pavement, (2) unpaved full depth reclaimed (FDR) pavement, and (3) thin surface asphalt paved FDR layer. The full-scale pavement sections consisted of a standard and substandard pavement structural design. The accelerated pavement testing (APT) experiments were executed by simulating the loading conditions of an aircraft with a critical combination of relatively high wheel load and high tire inflation pressure. The structural capacity of the pavement test items was monitored using a falling weight deflectometer. From this study, the staged pavement construction concept was found to be a potential approach to extend the service life of asphalt pavements. Unpaved FDR layers are structurally competent to support a low volume of aircraft operations. These findings support the transition to the use of asphalt pavements containing an FDR layer from an experimental to routine rehabilitation practice for airfield asphalt pavements.

Quadriceps Strength Testing Practices & Barriers During Return to Sport from ACL Reconstruction: A Survey of Collegiate Athletic Trainers.

Quadriceps strength is a key outcome for guiding rehabilitation and return to sport-specific activities after ACL reconstruction (ACLR) surgery. 1) Describe the quadriceps strength testing practices and barriers college athletic trainers (ATs) are using and experiencing when returning patients to sport-specific activities after ACLR. 2)Compare testing methods between college ATs working in the National Collegiate Athletic Association (NCAA) Division I setting and other college settings. Cross-sectional. Online survey. 243 full-time collegiate ATs who had primarily overseen/directed an ACLR rehabilitation in the past five years (age: 34.8±10.7, years of AT practice: 11.7±9.3, NCAA division I setting: 56%). Our survey included four sections: Demographics, General ACLR rehabilitation practices, Quadriceps strength testing methods & criteria, and Quadriceps strength testing barriers. Knee muscle strength was the most common (98%) outcome collegiate ATs use when determining whether an ACLR patient is ready to progress to sport-specific activities. Manual muscle testing (MMT) was the most used testing method (57%), followed by isokinetic dynamometry (IKD) (48%), repetition max (RM) testing (35%) and handheld dynamometry (HHD) (22%). Most ATs (63-64%) used >90% side-to-side symmetry as their return to sport-specific activities criteria. Lack of equipment needed (83%), lack of financial means (28%), and lack of training/education (20%) were the barriers that most limited ATs use of IKD testing, the gold-standard testing method. Compared to ATs in other settings, a greater proportion of ATs working in the NCAA Division I setting used IKD testing (65% vs 28%) and a smaller proportion used MMT (47% vs 70%). While almost all college ATs considered knee muscle strength an important outcome to assess when returning patients to sport-specific activities after ACLR, quadriceps strength testing practices were highly variable among ATs and may be impacted by access to necessary resources.

РЕАБИЛИТАЦИОННАЯ РОЛЬ ПАТОЛОГИЧЕСКИХ РЕФЛЕКСОВ

In most post-stroke patients, an increase in muscle tone on the hemiplegic side is accompanied by a revival of tendon reflexes and an expansion of their reflexogenic zone, as well as the appearance of specific abnormal reflexes. All these signs have long been considered when diagnosing damage to the pyramidal system in diseases of the spinal cord and brain, but their rehabilitation significance has not yet been considered. Based on literature data, the clinical and neurophysiological characteristics of known abnormal reflexes were assessed. It is concluded that it is possible to use lively tendon reflexes, as well as tonic reflexes of the foot and hand (Babinsky and its analogues, Mayer's, Klippel – Feil, Larry`s reflexes) in rehabilitation practice. The role of phasic abnormal hand and foot reflexes (Rossolimo's sign and its analogues) in the rehabilitation process is considered insignificant due to their short duration.