A5005913950- Stroke Rehabilitation and Recovery
- Botulinum Toxin and Related Neurological Disorders
- Traumatic Brain Injury Research
- Cerebral Palsy and Movement Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Frailty in Older Adults
- Medical and Biological Sciences
- Hip and Femur Fractures
- Nutrition and Health in Aging
- Musculoskeletal Disorders and Rehabilitation
- dental development and anomalies
- Body Composition Measurement Techniques
- Appendicitis Diagnosis and Management
- Medical Imaging and Analysis
- Neurological disorders and treatments
- Hereditary Neurological Disorders
- Intracerebral and Subarachnoid Hemorrhage Research
- Neurological and metabolic disorders
- Efficiency Analysis Using DEA
- Dental Health and Care Utilization
- Thyroid Disorders and Treatments
- Oral microbiology and periodontitis research
- Cerebrospinal fluid and hydrocephalus
- AI in Service Interactions
- Healthcare Policy and Management
Semmelweis University
1997-2024
National Institute of Medical Rehabilitation
2009-2023
Objective: To assess the impact of new botulinum neurotoxin type A preparation NT 201 (Xeomin®; Merz Pharmaceuticals GmbH, Frankfurt, Germany) on muscle tone, functional disability, and caregiver burden in patients with poststroke upper limb spasticity a randomized, placebo-controlled, double-blind study. Methods: One hundred forty-eight an Ashworth Scale score 2 or higher for wrist finger flexors at least moderate disability their principal therapeutic target Disability Assessment were...
To demonstrate single abobotulinumtoxinA injection efficacy in lower limb vs placebo for adults with chronic hemiparesis and assess long-term safety of repeated injections.In a multicenter, double-blind, randomized, placebo-controlled, single-cycle study followed by 1-year open-label, multiple-cycle extension, ≥6 months after stroke/brain injury received one (abobotulinumtoxinA 1,000 U, 1,500 placebo) ≤4 open-label cycles (1,000, U) at ≥12-week intervals. Efficacy measures included Modified...
To investigate the efficacy and safety of repeated treatment with incobotulinum toxin A (botulinum neurotoxin type free from complexing proteins; NT 201) in post-stroke upper limb spasticity.After completing a double-blind, placebo- controlled, multicentre study (up to 20 weeks), 145 patients received up 5 additional sets 201 injections for an open-label extension period 69 weeks.Upper muscle groups were treated as clinically indicated; injection intervals ≥ 12 weeks. Outcome was assessed 4...
The growing number of older adults places insurmountable load on family members and professional caregivers. Assistive technology with the aid robots can present a possible solution. goal this article was to test companion robot supporting in their home environments. Eight senior volunteers were involved field test. They all lived alone self-supporting. capable providing cognitive assistance manage user's daily routine. Each participant used for 94.9 ± 19.6 days. primary communication...
The purpose of the study was to evaluate consequences severe malnutrition in patients with head injury during rehabilitation.The data were collected from medical records admitted neurorehabilitation unit over last 5 years. Twenty 1850 had malnutrition, body mass index (BMI) these under 15 (10-14) kg/m2. majority suffered traumatic brain damage (17/20). Thirteen arrived percutaneous endoscopic gastrotomy /PEG, three nasogastric tube 3 cases we placed PEG. nutritional strategy included a...
The objective of this study was to determine the incidence posttraumatic hydrocephalus (PTH) among patients in our rehabilitation unit for traumatic brain injury. Furthermore, we aimed assess effect shunt implantation and identify postoperative complication rate. This is a retrospective cohort study, which between 2000 2009, data were collected from inpatients with injury complicated by PTH. During period, 55 presented PTH; all these underwent ventricular implantation. PTH treated 4.8%. mean...
Abstract Repeated injection cycles with abobotulinumtoxinA, a botulinum toxin type A, are recommended in current clinical guidelines as treatment option for adults upper limb spastic paresis. However, the magnitude of maximal therapeutic effect repeated abobotulinumtoxinA across different efficacy parameters and number required to reach remain be elucidated. Here, we present post hoc exploratory analysis randomized, double-blind, placebo-controlled trial (12–24 weeks; NCT01313299) open-label...
Safe therapeutic robot systems must be equipped with, among other, safety devices and enabling devices. Enabling were developed first for the operators of industrial ensuring thresholds during a short term presence in safeguarded area. On contrary, therapy robots continuously operated by patients treatment session to permit therapy. The used robotics, broader sense rehabilitation robotics adhere different requirements than their versions. authors review current legal framework that should...
Purpose: Performance evaluation is a general problem both in production and service systems. Generally, operation performance determined based on input resource utilization outputs related data. especially complicated when financial nonfinancial indicators must be considered the of efficiency healthcare system. The purpose this paper to apply data envelopment analysis (DEA) order measure rehabilitation departments curing musculoskeletal diseases.Methodology/Approach: includes several...
Acquired brain injury (ABI) is damage to the that occurs after birth caused either by a traumatic or nontraumatic injury. The rehabilitation process following ABI should be performed multi-professional team, working in an interdisciplinary way, with aim of organizing comprehensive and holistic approach persons every severity ABI. This Evidence Based Position Paper represents official position European Union through UEMS Physical Rehabilitation Medicine (PRM) Section designates professional...
Introduction: Progress in intensive care management of patients with severe brain injury due to trauma or vascular lesion significantly improved the mortality and increased number tracheostomy who undergo treatment rehabilitation departments. Aim: The aim authors was describe safe decannulation method during rehabilitation. Method: A prospective, descriptive study performed at departments National Institute for Medical Rehabilitation Budapest, Hungary. Results: From January 1 until December...
Baleset vagy betegség következtében az emberi szervezetet érő primer károsodások (agysérülés) mellett a másodlagos határozzák meg páciens helyreállításának lehetőségét, rehabilitáció során elérhető maximális funkcionális állapotot és későbbiekben beteg életminőségét. Ezért egészségügyi ellátás kialakulásának megakadályozása legalább olyan jelentőségű, mint prevenció. Célkitűzések: A súlyos agysérülést követően kialakuló legfontosabb meghatározása, ezek rehabilitációt befolyásoló hatásának...
There are few data on the rehabilitation knowledge of medical specialists and students. Aim: Assessment working in general hospitals final year Methods: A paper form survey was performed using a questionnaire containing seven multiple choice questions three definitions. Questionnaires were filled independently spot. The answering groups physicians (specialized orthopedic surgery, neurology or neurosurgery) hospital that had ward, students from Semmelweis University, trainees medicine....
Although malnutrition may negatively impact the outcomes of rehabilitation and increase cost care, there are still no valid nutritional assessment methods appropriate for specific groups patients undergoing rehabilitation. This study aimed to determine if a multifrequency bioelectrical impedance is suitable monitoring changes in body composition brain-injured whom individualized goals were set during Fat mass index (FMI) skeletal muscle (SMMI) examined by Seca mBCA515 or portable mBCA525...
Multiprofessional teamwork in physical and rehabilitation medicine (PRM) allows achieving patient-centered goals accordance with the assumptions of bio-psycho-social model functioning. Team composition methods collaboration depend specificity to be achieved, as well local contextual factors. International comparative studies on are lacking, despite data how teams differ between countries crucial for process harmonization PRM practice across Europe.To compare models within Central Europe.A...
The effective and efficient operation of public healthcare systems is more important as a consequence the increasing amount money spent on their operation. For this reason, accurate science-based efficiency information needed for managers policy makers. evaluation in sector particularly difficult because several measures indicators are used. Data envelopment analysis (DEA) can provide aggregate overall efficiency. purpose paper examination in-patient rehabilitation units curing...
Introduction: We do not have a diagnostic method for malnutrition yet that can monitor the nutritional status of patients in rehabilitation institutions and its changes an objective, accurate, reproducible way. Objective: The aim this study was to determine risk at National Institute Medical Rehabilitation Hungary completing with bioimpedance-based body composition order develop adequate nutrition therapy. Method: Nutritional Risk Screening 2002 questionnaire used. Body analysis determined...
Stiff person syndrome is a rare neuroimmunological disease, characterized by severe, involuntary stiffness with superimposed painful muscle spasms, which are worsened external stimuli. The classical form associated high levels of antibodies against glutamic acid decarboxylase. One the variant forms amphiphysin. This entity paraneoplastic syndrome, caused primarily breast cancer, secondarily lung cancer. Symptomatic therapy anti amphiphysin positive stiff includes treatment benzodiazepines...