TABLE OF CONTENTS

抄録全体を表示

9th INTERNATIONAL BIOPHILIA REHABILITATION CONFERENCE Warsaw, Poland; September 29-30, 2011 and The Biophilia Workshop, Bucharest, Romania, September 25, 2011. It is a pleasure to welcome you to the 9th International Conference set up by the International Biophilia Rehabilitation Academy. This year's conference is special as it is preceded by a day's Workshop organized in Bucharest by renowned Romanian professionals and doctors in the field of rehabilitation medicine.

抄録全体を表示

On behalf of Japan Biophilia Rehabilitation Academy, it is a great pleasure to announce to hold “ the 9th International Biophilia Rehabilitation Conference (IBRC 2011)" cosponsored by Medical Research Center and Institute of Psychology of Opole University in Poland. In addition to main conference, the Workshop Biophilia 2011 “The networking study for advancing home rehabilitation" will also be held in Romania.

抄録全体を表示

We report our study of Brain activity using the functional near-infrared spectroscopy (fNIRS) by performing motivative and passive exercise(PEX) on the lower extremities, including RCT for gropes motivative exercise(MEX) accession or not. We compare the legs MEX which is a simultaneous legs training, leaded by unaffected side with the PEX, in order to clarify the feature which the MEX activate the brain.

抄録全体を表示

Recently, the number of stroke patients has increased according to an aging of society in Japan. For the recovery from stroke externally forcing training is performed in the rehabilitation hospital. But the increase of the number of physical therapist (PT) is less than that of stroke patients. We propose the method that one PT can treat with plural stroke patients with the device such as “Pata-Koro", and so on. Our study is to inspect the difference between the efficacy of external forcing by PT and that by Pata-Koro. If the difference is very little, our proposed method is valid for rehabilitation. We study the difference of efficacy by both trainings by inspecting the brain activity at the rehabilitation. The fMRI is adequate for the brain activity measurement, but fMRI cannot be used at rehabilitation. We pay attention to NIRS for the measurement. Since the output of NIRS is different from that of fMRI, we must perform correspondence analysis between outputs of fMRI and NIRS. In this study, we perform the corresponding mapping from the active site of fMRI to head surface, and compare the mapping of fMRI with the active site of NIRS.

抄録全体を表示

We report our study of Brain activity using the functional near-infrared spectroscopy (fNIRS) by performing motivative and passive exercise on the lower extremities. We compare the legs motivative exercise which is a simultaneous legs training, leaded by unaffected side with the passive exercise, in order to clarify the feature which the motivative exercise activate the brain.

抄録全体を表示

Escalar is a popular in Poland, over the counter herbal medication in the form of a gel (containing 2 g per 100 g of spissum extract of arnica and marigold and 5 g per 100 g of dry extract of horse chestnut), applied directly to the skin and recommended in various musculoskeletal and traumatic problems such as swelling, post-traumatic or post-surgery hematoma, chronic venous insufficiency, sports injures and inflammation of skin and subcutaneous tissue. The medication is frequently used in the field of rehabilitation (musculoskeletal pain management, sports medicine). Post-marketing surveillance using tools such as data mining of spontaneous (passive) reports and investigation of case reports to identify adverse drug reactions are very important in drug safety monitoring.

抄録全体を表示

Ibuprofen gel is a popular topical, over the counter, non-steroidal anti-inflammatory medication, applied directly to the skin, containing 5% ibuprofen and 3% levo-menthol, offering pain relief in various musculoskeletal problems and frequently used in field of rehabilitation including: musculoskeletal pain management, rheumatologic rehabilitation and sports medicine. Post-marketing surveillance using tools such as data mining of spontaneous (passive) reports and investigation of case reports to identify adverse drug reactions are very important in drug safety monitoring.

抄録全体を表示

Heparin gel is a popular topical, over the counter medication, applied directly to the skin and recommended in various traumatic and venous problems such as: soft tissue injuries (swelling, contusions, post-traumatic hematoma), sports injuries (muscles strains, sprains), chronic venous insufficiency (superficial thrombophlebitis, varicose veins inflammation and post-injection phlebitis). The medication is frequently used in field of rehabilitation (sports medicine, chronic venous insufficiency). Post-marketing surveillance using tools such as data mining of spontaneous (passive) reports and investigation of case reports to identify adverse drug reactions are very important in drug safety monitoring.

抄録全体を表示

Naproxen gel is a popular topical, over the counter, non-steroidal anti-inflammatory medication, applied directly to the skin, offering pain relief in various musculoskeletal problems and frequently used in field of rehabilitation including: musculoskeletal pain management, rheumatologic rehabilitation and sports medicine. Post-marketing surveillance using tools such as data mining of spontaneous (passive) reports and investigation of case reports to identify adverse drug reactions are very important in drug safety monitoring.

抄録全体を表示

Introduction: The other side of economical development is sedentary life style and increased consumption of rich in fat, processed food. In parallel to economical growth, a deficit of physical activity is becoming more and more prevalent in Poland with the threat of civilization diseases such as obesity, hypertension, atherosclerosis, diabetes and non-alcoholic steatohepatitis.

抄録全体を表示

Cerebral palsy (CP) is a common, non-progressive, usually spastic, neurologic disorder requiring long term rehabilitation. CP presents as various disturbances in motor activity, sensation, depth perception and other sight-based perceptual problems, including the ability to communicate and occasionally problems with cognition. Due to its diversity in symptoms, CP is subdivided into several subtypes.

抄録全体を表示

Introduction: Typical strength training requires performing heavy efforts to be effective. Cardiovascular system responds to this kind of training with high increase of arterial pressure. Whole body vibration (WBV) training also increases the muscle strength; however, it is accompanied with lesser increases in blood pressure. The vibration training is performed according to overload principle. An increase of load is achieved by increasing the amplitude of vibration, their frequency, and duration. Typically, the training frequencies ranging from 20 to 40 Hz are applied. The data describing effect of different vibration on cardiovascular response are scarce and ambiguous.

抄録全体を表示

Mango leaves (Mangifera indica L.) have been used in the traditional South American and Indian medicine. The main biological substance in Mango is a polyphenol isolated from the bark of Mango tree, called mangiferin. It is believed that it is healthy for a number of organs, including liver and brain tissues. Since mangiferin is used in both traditional and formal medicine to treat a number of conditions, possibly its effectiveness is partly due to its capacity to neutralize free radicals - superoxides and hydroxyl radicals. It has been proved that mangiferin has antiviral, antitumor, antidiabetic and immunostimulating properties as well analgetic and antiphlogistic effects. Mangiferin could significantly prevent progression of diabetic nephropathy and improve renal function. Moreover our study of its antioxidant properties would expand the scope of its application to the food industry as an inhibitor of lipid autooxidation. All that indicates that mangiferin's broad bioactivity should also have to do with its antioxidant properties. An aqueous extract of Mangifera indica used in clinical medicine - Vimang improves the quality of life of patients suffering from inflammatory diseases. Mangiferin also lowers resting and, most notably, hypoxic metabolic rate, whereby it may enhance endurance to hypoxia; a factor which should not be underestimated in preventing the deleterious organ effects of the old age-associated development of stagnant hypoxia. These results suggest that Mangifera indica extracts, used as nutrient supplements, may be of benefit not only in clinical syndromes underlain by enhanced oxidative and inflammatory processes, like diabetes or atherosclerosis, but also in nutritional rehabilitation and disease prevention, particularly in old age. The free radical scavenging and ant-lipid peroxidative properties of mangiferin make it a useful nutritional supplement. These properties are worth exploring by both food and pharmaceutical industries.

抄録全体を表示

Vascular rhythms and blood fatty acids are two critical factors that significantly impact on health. Abnormalities in the circadian variability of blood pressure and heart rate are impossible to detect in a classic office visit, yet can raise the cardiovascular disease risk (gauged by the occurrence of a morbid event over the next 6 years) from 6% to 100%. These risks (notably the risk of circadian hyper-amplitude tension or CHAT) can usually be reduced through chronobiological approach, with or without pharmacological support. The proportion of omega-6 highly unsaturated fatty acids or HUFA in tissue is a surrogate endpoint in successful primary prevention of coronary heart disease or CHD. The status of omega-6 HUFA helps predict the likely risk of a fatal event. This information is a clear indication of personal risk and also an direction for well focused-nutritional advice. People with more than half of their HUFA as omega-6 are at a greater risk of death from CHD than those with less than half. The two factors in pre-rehabilitation of non-communicable diseases and preventive personalized medicine are aimed at: target variability, enhance performance and detect pre-metabolic syndrome (pMS).

抄録全体を表示

As specified in the UN Convention on the Rights of Persons with Disabilities (PWD), universal accessibility is a crucial element in ensuring that people with disabilities enjoy the political, economic and social rights in full. Basic to the requirement for accessibility in the contemporary development theories that emphasize the inclusive approach, for even with a marginal minority being left out of the development process, true development cannot be said to be have been achieved. Nepal is experiencing historic changes these days, and awareness of disability rights is one important sector where policy planners have been quick to accommodate demands for the rights of PWDs. An interesting instance of this rising awareness could be seen in the building up of an accessibility ramp in the Legislature-Parliament of Nepal. However, it should be noted that accessibility is a concept that transcends the mere building up of ramps and elevators - which nevertheless are too important cornerstones to be ignored in the initial phases of the accessibility drives. Apart from adding the accessibility equipment and tools to public transportation and buildings, it is much more important to formulate building codes that guarantee an in-built mechanism for accessibility. More so in those societies where economic development is witnessing an upward move in countries like Nepal, with the construction of new homes and roads as a more visible element of such advancement. In other countries though, the policy of adaptation will have remain a key component of the accessibility movement. There are several advantages in this approach. First, people with disabilities would be in a position to benefit with immediate effect. Second, massive expenditures for new set ups can be saved. In sum, universal accessibility is a key human rights issue, and its bearing on ensuring the full enjoyment of the rights of people with disabilities cannot be exaggerated.

抄録全体を表示

Vascular rhythms and blood fatty acids are two critical factors that significantly impact on health. Abnormalities in the circadian variability of blood pressure and heart rate are impossible to detect in a classic office visit, yet can raise the cardiovascular disease risk (gauged by the occurrence of a morbid event over the next 6 years) from 6% to 100%. These risks (notably the risk of circadian hyper-amplitude tension or CHAT ) can usually be reduced through chronobiological approach, with or without pharmacological support. The proportion of omega-6 highly unsaturated fatty acids or HUFA in tissue is a surrogate endpoint in successful primary prevention of coronary heart disease or CHD. The status of omega-6 HUFA helps predict the likely risk of a fatal event. This information is a clear indication of personal risk and also an direction for well focused-nutritional advice. People with more than half of their HUFA as omega-6 are at a greater risk of death from CHD than those with less than half. The two factors in pre-rehabilitation of non-communicable diseases and preventive personalized medicine are aimed at: target variability, enhance performance and detect pre-metabolic syndrome (pMS).

抄録全体を表示

A telomere is a region of repetitive DNA sequence at the end of a chromosome, which potects the end of the chromosome from deterioration or from fusion with neighboring chromosomes. The telomere regions deter the degradation of genes near the ends of chromosomes by allowing for the shortening of chromosome ends, which necessarily occurs during chromosome replication. The telomere length at Conception is: 15,000 kb, at Birth: 10,000 kb, during the Life cycle we lose approximately 50 base pairs per year, which may be accelerated by stress factors; at Death it remains only: 5,000 base pairs. Lenhard Hayflick is the researcher responsible for proving in 1961 that somatic cells are not immortal. He showed that somatic cells have a finite limit to the number of replications they can undergo. The number of replications varies among somatic cells, presumably because of the varying activity of telomerase. Specifically, highly replicative cells, such as lymphocytes and epidermal cells, have higher telomerase activity than bone, brain, and heart cells. In normal humans, cells with higher telomerase activity are more replicative and can undergo more divisions and extend cellular lifespan. Cells from less replicative tissues (bone, brain, heart) have lower telomerase activity (or none) because they do not replicate as often. This allows for the possibility of replicative synchronicity: Your immune system should not fail before your heart stops! Replicative senescence refers to the inability of a cell to further duplicate itself. When a cell can no longer divide, it either becomes senescent or goes into apoptosis and dies. When too many cells in an organ system cease to perform their proper function, that organ system shuts down leading to the death of the whole organism. Replicative senescence happens when telomeres get too short. So you can see how telomere length limits human lifespan. In 1990 Calvin Harley solved the mystery of the Hayflick Limit by showing that telomere shortening caused cells to stop dividing and senesce. The cell life can be extended beyond the Hayflick Limit if the telomeres are made active and lengthened by adding enzyme telomerase to normal cells so that they could keep dividing, technology discovered by Bill Andrews and his team working then at the Geron Corp under Calvin Harley. People who live a healthy lifestyle and doing what their doctor tells them have been shown to have longer telomeres than people who lead unhealthy lives. Does this mean that healthy living activates telomerase and lengthens telomeres? Although Telomere Length (TL) is known to play a critical role in cellular senescence, the relationship of TL to aging and longevity in humans is not well understood. Findings suggest that TL may not be a strong biomarker of survival in older individuals, but it may be an informative biomarker of healthy aging. In order to clarify whether telomere is a biomarker for longevity in Japan, we investigated the telomere length of individuals living in one of the longevity village in Nagano prefecture. Interestingly, the telomere length of the people in this village is significantly longer than the people living in other parts of Japan. This result strongly suggests that the telomere is a useful biomarker for longevity and healthy lifespan in Japan, which is possibly determined by the lifestyle in the village. We are now focusing on which environmental factors are contributing to the telomere length with respect to diet, exercises, and attitude towards life.

抄録全体を表示

When we discuss advances in longevity research during lectures and seminars, the question of the deciding factor for longevity often comes up. Even without looking at examples of research in molecular biology research, it is obvious to most that genetics play a major factor in longevity. The longest-lived human recorded was a French woman named Jeanne Calment, who died at age 122. All her family was long-lived. The quest for the identification of longevity genes by studying centenarian families has been explored for a decade, but no bona-fide longevity gene was identified. The environmental factors influencing the lifespan of human beings, such as nutrition, physical exercise, and mental relaxation play an important role in the determination of an individual lifespan. The mortality rates of lifestyle-related diseases such as heart disease, stroke, and cancer becoming getting higher and higher in Japan as well as in western countries where much of the population is graying. The preventive measures for lifestyle-related diseases such as nutritional intervention or regular physical exercise should be introduced for further extension of the healthy lifespan. Caloric restriction in experimental animals has been shown to extend the lifespan of animals with the decreased frequency of age-related diseases. Regular physical exercise stimulates the adipose tissues to secrete beneficial adipose hormones, such as adiponectin that suppress the progression of atherosclerosis and insulin resistance in type II DM and metabolic syndrome. In my presentation, I will focus on the Japanese-style diets, physical exercises, and challenging spirit towards life, of the people living in the Nagano prefecture village, which were enrolled in the study. Interestingly, the telomere length of the people in this village is significantly longer than the people living in other parts of Japan. The reason is, in my opinion, the fact that these villagers live in a pristine environment, at high altitude, having the walk up and down the slopes every day, thus doing a very healthy exercise without them even knowing. Most of them are involved in agriculture, mainly growing apples and grapes, as well as growing their own organic vegetables and gardening. The stress level of daily life is close to zero. The water source is clean springs coming off the top of the mountains; the air is clean and full of minus ions coming off the surrounding forests. These environmental factors may play an important role in the extension of healthy lifespan in longevity village in Japan.

抄録全体を表示

It is not certain whether spontaneous videogaming supports or harms the therapy plan of patients with emotional deficits, cognitive impairment or low stress-coping skills. Therefore, exploratory research on the effects of gaming on cognition, emotions and coping with stress are needed. We decided to investigate the general effect of games on users' emotional personality adjustment, cognitive functioning and coping with stress in ‘natural', spontaneous videogamers. We assumed that spontaneous use of commercial games is bonded with higher extrovertion and less neuroticism, better performance in cognitive task solving and more frequent choosing of task-oriented style of coping with stress. We examined thirty users (F/M - 3/27; age range 20-25 years) of the video game Counter Strike (simulates modern battlefield) and thirty non- users (declared never to play any games, F/M - 4/26; age range 20-25 years). Eysenck's EPQ-R was used to assess personality, selected tests of Dr. Schufrieds' Vienna Test System, Hasomed's RehaCom and Wechsler's WAIS-R to assess cognitive functioning and Endler's and Parker's Coping Inventory for Stressful Situations to assess coping with stress. As predicted, gamers were better emotionally adjusted: more extrovert and less neurotic; performed better in all cognitive tasks, especially associated with perception of details (16.4 ±0.8 vs. 10.6 ±1.0 points) and the perceptive processing (55.2 ±1.5 vs. 38.0 ±2.2 points) (P<0.001 for all comparisons) and more willing to choose task -oriented style of coping with stress. In conclusion, there is a connection between videogaming and emotional functioning, cognitive performance and style of coping in stress and it is in favor of gamers. The present study opens the field of research on gaming effects on therapy and rehabilitation of patients with various disorders which involve impairment in emotions, cognition and coping with stress.

抄録全体を表示

We try to certify that "Motivative exercise" is more effective rehabilitation tool than passive ROM exercise to ankle joints by physical therapist in chronic stroke patients. To prove these facts we use functional MRI and get good results in "Motivative exercise". In "Motivative exercise" patients do exercise by very simple tools designed by K. Takizawa RPT. In this study, we use Pata, one of Motivative tools.

抄録全体を表示

Medical rehabilitation play significant role in treatment of balance disturbances. Modern physiotherapy methods use various stimulations of nervous system. Biofeedback acts positively in compensation processes in balance impairments of both peripheral (vertigo) and central (ataxia) origin. Vision stimulus as a part of attractive scene in computer game in virtual reality (VR) system encourages exercising and performing motor tasks based on losing and retrieving balance. This is a base of stability in everyday activities. The presentation will exhibit a battery of tests performed on posturograph equipment (Pro-Med®). Sways of the center of feet pressure (COP) in the standing position with open and closed eyes are analyzed. The measurements with visual feedback are also performed, when tested subject could correct his position watching screen image. Some numbers of virtual reality scenes are presented to the subject; he/she can influence on the scene by voluntary moves. We calculated very basic parameters of motion trajectory of COP: mean radius, developed surface area, mean COP movement velocity related to upright position and standing in tandem, semi-tandem positions, and there are custom measures developed to evaluate performance and speed of non-standard exercises: leaning forwards or backwards. VR and biofeedback training has been performed on force plate in vertigo, ataxia and SM. Active assist exercises outcomes seem to be satisfactory.

抄録全体を表示

It is necessary to evaluate elderly's walking ability correctly to execute rehabilitation effectively, and to do appropriate training. However, a walking ability is usually judged qualitatively by physical therapists. Moreover, a manpower shortage and an increase of senior citizen is an issue. In this paper, it aims at the construction of the system that can quantitatively judge a walking ability by choosing the evaluation item with a high correlation between the walking ability and parameters obtained from measurement results.

抄録全体を表示

Background: Cranio-cerebral injuries are the most common reasons of hospitalizations in pediatric intensive care units, following cardiovascular disorders and neoplasmas. The type of cranio-cerebral injury and circumstances leading to the injury strictly depend on the age of a victim. Objectives: To estimate the proportion of children with cranio-cerebral injuries among patients hospitalized in one pediatric intensive care unit in Warsaw. Materials and methods: The retrospective analysis of medical documentation of patients aged 0-18 years hospitalized with diagnosis of cranio-cerebral injury in a pediatric intensive care unit of one of tertiary hospitals in Warsaw in 2005-2009. Results: 195 patients with cranio-cerebral injury were hospitalized, which makes up 21.6% of all hospitalized patients. Most of the patients with cranio-cerebral injury were boys (56%) and most of them were aged 13-18 years (38%). The majority of children with cranio-cerebral injuries were victims of traffic accidents (51.4%). The mortality rate among children with cranio-cerebral injury was 24.5%, only 3 patients became organ donors. A minority of patients (41%) with cranio-cerebral injury was in a good condition and with complete contact after the discharge from the intensive care unit. Conclusions: Cranio-cerebral injuries plays an important role in hospitalizations among patients in pediatric intensive care unit. Some of them could have been avoided thanks to the better care and awareness of both children and their caregivers. More educational activities directed to the society are needed. General practitioners may and should be more involved into the educational activities and prophylactic procedures in order to diminish number of cranio-cerebral injuries in children and adolescents. Medical professional must also know and remember that some of the cerebro-cranial injuries may be a result of domestic violence.

抄録全体を表示

Background: Meningitis is one of the most important reason of mortality among children with infectious diseases. The disease is a clinical and epidemiological problem. Meningitis may cause persistent neurological complications required long rehabilitation. Objectives: To describe the epidemiology of meningitis among children hospitalized in a pediatric intensive care unit. Materials and methods: The retrospective analysis of medical records of 1158 children hospitalized in one pediatric intensive care unit in Warsaw in 2002-2010 was conducted. The proportion of children with diagnosis of meningitis was calculated, the course and etiology of meningitis were analyzed. Results: The mean proportion of children with meningitis among all hospitalized pediatric patients was 3.7% and varied from 1.8% (in 2006) to 6.2% (in 2010). Most of meningitis cases (65%) were diagnosed among children younger than 5 years. The cumulative mortality rate was 21% and all deaths were noted in children younger than 10 years. The most often complications of meningitis were: brain edema (30%), brain hemorrhage (28%), secondary nosocomial pneumonia (25.5%). 21% of children developed neurological complications required prolonged rehabilitation. Conclusions: The proportion of meningitis cases among hospitalizations in the pediatric intensive care unit is at a stable level of about 4%. The general practitioner's role should be to promote vaccinations against pneumcoocci and meningococci to decrease the number of meningitis and also to decrease the number of children requiring long and expensive rehabilitation due to neurological complications of meningitis.

抄録全体を表示

The patients with implanted cardioverter- defibrilator (ICD) who underwent the multiple device interventions or so called ‘electric storm' need special attention. Key point in everyday functioning of the patient with ICD play information concerning the mechanism and performance of the ICD given by the doctor and psychologist as well as information about physical activity given by physiotherapist. The role of a psychologist is crucial also after the intervention of ICD. Rehabilitation process begins before the implementation of ICD and lasts during the whole hospitalization. Further rehabilitation under supervision of a physiotherapist after discharge is desirable, as well. The aim of this presentation is to point out a problem and introduce the analysis of illness and treatment history of the patient with recurrent ICD discharges in the aspect of psychological intervention made in parallel to the standard medical treatment. We present a 66 year-old patient, married, having 3 adult children with the history of heart failure (NYHA III), stable angina pectoris (CCSII), hypertension, hypercholesterolemia and psoriasis. A few years ago ICD implementation took place. Subsequently several phantom discharges occurred which were described by the patient as unpleasant and suffocating painless feeling. However, one adequate ICD discharge occurred, characterized by the patient as painful with a feeling of ‘thunder in his head' and ‘fire in his chest'. At the presentation to our Department, the patient was emotionally tensed with the feeling of fear and anticipatory anxiety before another ICD discharges. Psychological interview, conversation and examination with the use of STAI Questionnaire (by Spielberger, Strelau, Tysarczyk, Wrześniewski) in the 1stand 4thday of hospitalization showed significant changes in the anxiety level depending on the time interval from ICD intervention. In the Intensive Care Unit, the feeling of the patient's anxiety as a state reached 10thsten, when the level of anxiety as a feature achieved 6thsten. The patient reported the feeling of nervousness, problems with sleeping, vigilance at night hours connected with the fear of another discharges, despite the ICD being turned off. After discharging from ICU, the patient was treated on General Cardiac Department where, in the 4thday of hospital stay, the level of anxiety as a state decreased to 5thsten. During hospitalization the patient took part in the physiotherapy process every day. Before discharge he made 6-minute walk test (distance of 480 m), his blood pressure level and pulse were correct. The patient was recommended to continue exercises and cykloergometer riding after discharge. He was also directed to rehabilitation hospital for further physiotherapy. Conclusions: In the cases of ICD discharges psychological and physiotherapeutic help, in parallel to the standard medical interventions, seems to be necessary. Future research could be aimed at the verification of the correlation between psychological evaluation of the patient's functioning and biochemical tests: determination of the levels of steroids and catecholamines in the blood and urine.

抄録全体を表示

Study Design: Clinical survey and interviews/ correspondence within long term post-trial follow-up, on 9 chronic, post spinal cord injury tetraplegics. Objective: To assess efficiency of the use of an Electroencephalography-based Brain Computer Interface (EEG-BCI) for reaching/ grasping assistance in tetraplegics, through a robotic arm. Settings: Physical and (neuromuscular) Rehabilitation Medicine, Cardiology, Neurosurgery Clinic Divisions of TEHBA and UMPCD, in collaboration with "Brain2Robot" (composed of the European Commission-funded Marie Curie Excellence Team by the same name, hosted by Fraunhofer Institute-FIRST), in the second part of 2008. Methods: The enrolled patients underwent EEG-BCI training sessions. Statistics entailed multiple linear regressions and cluster analysis. Follow-up - including questionnaire on patients' perception upon their EEG-BCI control capacity - continued up to 14 months after the experiments. Results: EEG-BCI performance/ calibration-phase classification accuracy averaged 80.99 %; feedback training sessions averaged 70.51% accuracy, for 8 subjects who completed at least one feedback training session; 7 (77.7%) of the 9 subjects reported having had the feeling to control the cursor; 3 (33.3%) subjects felt they were also controlling the robot through their movement imagination. BCI performance was positively correlated with beta (13-30 Hz) spectral power density (coefficient 0.432, standardized coefficient 0.745, p-value=0.025); with possible influence was also the sensory AIS score (range: 0 min to 224 max, coefficient -0.177, std. coefficient -0.512, p=0.089). Conclusion: Potential self-assistance for chronic tetraplegics by EEG-BCI actuated mechatronic devices we herein observed, was mainly related to density of EEG in the beta range, positively (increasing therewith) and to AIS sensory score (negatively). Keywords: spinal cord injury, brain computer/machine interface, electroencephalogram, mechatronic/robotic arm device, quality of life.

抄録全体を表示

Objective: Evaluation (from the ICF-DH conceptual approach) of the complex medico-psycho-social problems encountered at home, by persons with spinal cord injury (SCI) sequels. Material, Methods: 660 patients with chronic SCI were reviewed by the questionnaire technique (focused mainly on basic, instrumental activities of daily living, medical, social problems encountered after discharge from the Teaching Emergency Hospital, Bagdasar-Arseni - TEHBA, Bucharest). The feed-back rate was 64,4% (425 from 660 subjects). There were 205 quadriplegics (48%), 220 paraplegics (52%). The mortality was 9% during the follow-up period, 2001-2010. Results: Most of the patients had a good accessibility to the medical services, but 33% of them had a tiny medical supervision. Main medical complications at home were: pressure sores (22%), recurrent urinary infections (52%) and incontinence (20%). After discharge 53% of the patients had continued the therapy program; 18% managed to walk independently. Only 13% of the patients managed to make minor adaptations at home and ambient. Scholar (14%) and professional reintegration (12,6%) were low. Discussion and Conclusions: The paper emphasizes the aspects of the comprehensive rehabilitation and follow-up, the progress archived by the combined efforts of our Neural-Muscular Physical Rehabilitation Medicine Clinic Division of TEHBA, RoSCoS and the National Insurance House, for managing the neurogenic bladder, for a specialized web site and an electronic National Register for SCI (pending for approval). Our society must do serious efforts to accept, to solve and to reintegrate (educationally, professionally, socially) the subjects with such severe handicap, especially in the context of the global economic crisis.

抄録全体を表示