Poststroke sexual issues are complex and suggest the need for the development of a biopsychosocial model of education and treatment intervention. Rehabilitation programs need to evaluate the level of training and services provided to address poststroke sexual issues. Development of clinically useful poststroke sexual adjustment assessment tools and interventions is warranted.

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For quality promotion of bronchial asthma management in Germany, the development of a national evidence-based guideline, using the internationally accepted quality criteria for clinical practice guidelines, was recommended by an expert group of the German Guideline Clearinghouse. The experts identified and peer-reviewed 16 out of 54 guidelines, which might be useful as benchmarks and examples for a German asthma guideline. From the peer review results, the expert group identified 18 key topics for a national asthma guideline.

Traditionally, young children with limb loss who require a prosthetic knee have been fitted with a prosthesis that does not flex at the knee until they have achieved unaided walking without knee function. This study assessed the effects of an Early Knee protocol, in which children received an articulating prosthetic knee in their first prosthesis, as many as 3 years before the conventional protocol would dictate. Motion analysis was conducted on five children who crawled with a prosthetic knee operating normally and then locked into full extension. All participants achieved flexion (mean, 97.76-) of the prosthetic knee in the unlocked condition. Compensatory movements were variable and frequently greater in the locked condition. Bilateral asymmetry was apparent and a variety of crawling patterns emerged, even in the small sample size, indicating volatility in this stage of motor development.

No abstract