International Journal of Neurorehabilitation

ISSN: 2376-0281

Open Access

Volume 10, Issue 2 (2023)

Mini Review Pages: 1 - 2

Clinical Effects of Rehabilitation after Arthroscopic Rotator Cuff Repair

Zachary Chandler*

DOI: 10.37421/2376-0281.2023.10.503

Introduction: A well-planned rehabilitation program is just as important as the size and location of the tear, the surgical method, and the fixation methods for patients undergoing rotator cuff repair to complete tendon healing and achieve the best possible shoulder functional outcome (RCR). It is still up for debate which stages of rehabilitation should take precedence.

Purpose: The purpose of this meta-objective analysis is to contrast the outcomes of conventional rehabilitation with post-operative aggressive treatment. Methods: We searched PubMed, Ovid MEDLINE, CINAHL, the Cochrane Library, and CEPS databases. In the end, six publications that met our selection criteria were included.

Results: Although the intensive postoperative rehabilitation approach has a higher risk of the rotator cuff tendon failing to repair or rupturing once more, it achieves greater improvements in ROM and shoulder function than the conventional protocol.

Conclusion: There is a need for additional research on the factors that influence the risk of tendon unhealing or re-tearing, despite the fact that RCR patients benefit from the rigorous postoperative rehabilitation regimen. When developing a post-operative program for RCR patients, it is necessary to take these aspects into consideration.

Mini Review Pages: 1 - 3

Pupillometry and Neurosonography for Neuromonitoring in a Unit for Weaning and Early Rehabilitation

Fumiko Enchi*

DOI: 10.37421/2376-0281.2023.10.504

Background and purpose: Because neuroimaging is rarely readily available, long-term monitoring of intracranial pressure (ICP) in neurological/ neurosurgical patients during ventilator weaning and early neurorehabilitation currently relies on clinical observation. Pupilometry and multimodal neurosonography are evaluated for follow-up monitoring in this prospective study.

Methods: During weaning and early neurorehabilitation, sonographic neuromonitoring was used to noninvasively examine the ICP of patients. It made it possible to measure the width of the third ventricle, the possibility of a midline shift, the flow velocities of the middle cerebral artery, and the diameters of the bilateral optic nerve sheaths. The size and reactivity of the pupils were measured with quantitative pupillometry. As controls, we used data from clinical follow-up, ICP measurements from a spinal tap, and other neuroimaging results.

Results: During a mean observation period of 21 days, 17 patients-11 with intracranial hemorrhage, four with encephalopathies, and two with ischemic stroke-were examined for ICP changes using neurosonography and pupillometry. 354 out of 980 analyses, or 36.1%, produced pathological findings. Pathological values without a clear clinical correlate were found during follow-up in 15 of 17 patients (88.2%). Neurosonography was used to identify clinically relevant changes in ICP in two patients (11.8%). The absence of clinical improvement was highly predicted by abnormal pupillometry results.

Conclusion: Pupilometry can only detect rapid ICP changes in acute neurointensive care, whereas multimodal neurosonography may be a noninvasive method for long-term ICP assessment. With a large number of pathological but nonsignificant findings, the study also demonstrates typical pitfalls in neuromonitoring. The effect of detected subtle changes in ICP on neurological outcome should be confirmed by additional controlled studies.

Mini Review Pages: 1 - 2

Brain Injury in Children Can Help Improve Patient Care

Eric Sribnick*

DOI: 10.37421/2376-0281.2023.10.513

This autonomic deregulation is still poorly understood, and there are few treatment options. By means of glancing through writing concerning youth frontal cortex injury, we expected to see whether understanding autonomic liberation following youth mind injury as a model can help us with better sorting out the autonomic liberation in RTT. After the articles were separated, a topical analysis revealed that Acknowledgment of Autonomic Deregulation, Potential Instruments and Evaluation of Autonomic Deregulation, and Treatment of Autonomic Deregulation were the three primary topics. We argue that physical issues involving the thalamus and hypothalamus in patients with RTT should be investigated, and drug-induced secondary effects that can impair autonomic function, such as dystonia and diaphoresis, should be considered. Our combination of data on autonomic deregulation in children with brain injuries has led to more information and a better understanding of its foundations, which has led to the development of RTT treatment protocols for children.

Mini Review Pages: 1 - 2

Criticism's Impact on the Brain's Functional Connectivity and Links to Neuroticism

Henry Markram*

DOI: 10.37421/2376-0281.2023.10.514

A brain or sensory system disorder, confusion, or injury will affect one in three Canadians at some point in their lives. These conditions range the presence cycle. Emotional health issues frequently cause psychological problems in young Canadians during their prime of life that begin before the age of 18. In adult life, wounds to the sensory system, such as blackout, are common and can result in profound impairment. According to the Assessment Board of the CIHR Foundation of Neurosciences, Psychological wellness, and Enslavement, the overall cost of neurological and emotional well-being issues to the Canadian economy is estimated to be at computer aided design every year. Age-related dementia has outperformed other conditions as the biggest financial burden on the Canadian medical services framework at the moment.

Google Scholar citation report
Citations: 984

International Journal of Neurorehabilitation received 984 citations as per Google Scholar report

International Journal of Neurorehabilitation peer review process verified at publons

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