Neurology ReportPub Date : 1900-01-01DOI: 10.1097/01253086-200327030-00005
L. Dibble
{"title":"Motor Effects of Dopamine Replacement: Taking the Positive with the Negative","authors":"L. Dibble","doi":"10.1097/01253086-200327030-00005","DOIUrl":"https://doi.org/10.1097/01253086-200327030-00005","url":null,"abstract":"&NA; Dopamine replacement, with levo‐dopa, is the mainstay of pharmacologic treatment of Parkinson disease (PD). Although the benefits of dopamine replacement on clinical rating scales are well documented, many physical therapists may not be aware of the specific effects of levo‐dopa on the cardinal motor impairments in persons with PD. This paper reviews the positive and negative motor effects of dopamine replacement and discusses the implications for physical therapy practice. Through an increased understanding of the motor effects of dopamine replacement, physical therapists will have an improved ability to distinguish between the basic pathophysiology of PD, the complications of dopamine replacement, and how rehabilitation interventions may be affected by these factors.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127212198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology ReportPub Date : 1900-01-01DOI: 10.1097/01253086-199519040-00046
J. Peck
{"title":"Role Release in Neurologic Physical Therapy: OT to PT","authors":"J. Peck","doi":"10.1097/01253086-199519040-00046","DOIUrl":"https://doi.org/10.1097/01253086-199519040-00046","url":null,"abstract":"","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124999962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology ReportPub Date : 1900-01-01DOI: 10.1097/01253086-200327030-00007
S. Schleifer, Ami Patel
{"title":"Depressive Disorders Following Stroke: Diagnostic and Pharmacotherapeutic Considerations","authors":"S. Schleifer, Ami Patel","doi":"10.1097/01253086-200327030-00007","DOIUrl":"https://doi.org/10.1097/01253086-200327030-00007","url":null,"abstract":"&NA; Rehabilitation following stroke is often complicated by the presence of clinical depressive disorders, with a prevalence as high as 40%. Such disorders, which may be more common in patients with left prefrontal lesions, may emerge gradually during the months after stroke and may not be detected unless patients and families are specifically questioned. Pharmacotherapy for depression is effective and well tolerated, leading to dramatically enhanced quality of life, improved function and return to work, and prevention of serious and life threatening sequelae of depression including suicide and medical morbidities. Current antidepressant medications, such as the selective serotonin reuptake inhibitors (SSRIs), can be readily managed by nonpsychiatrist physicians and have few side effects that compromise rehabilitation. Therapists can play an important educational and supportive role in enhancing medication compliance and clinical recovery, especially during the initial weeks of a depressive episode prior to the onset of the antidepressant response.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122468473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology ReportPub Date : 1900-01-01DOI: 10.1097/01253086-200125010-00003
Catherine L Curtis, C. Bassile, L. Cote, A. Gentile
{"title":"Effects of Exercise on the Motor Control of Individuals with Parkinson's Disease: Case Studies","authors":"Catherine L Curtis, C. Bassile, L. Cote, A. Gentile","doi":"10.1097/01253086-200125010-00003","DOIUrl":"https://doi.org/10.1097/01253086-200125010-00003","url":null,"abstract":"&NA; Individuals with Parkinson's disease (PD) are known to have motor control impairments involving coordination and sequencing of multiple movement components and postural control. The effects of an 8‐week exercise program on the motor control of individuals with PD were evaluated in this case‐series study. Four individuals with PD (Hoehn & Yahr stage I ‐ III), 3 with bradykinesia and one with dyskinesia were tested before and after participating in the exercise program. Subjects were tested on a timed walk task, the SF‐36 health survey, and the Posturo‐Locomotion‐Manual (PLM) test. The PLM test involves bending to pick up a box and standing up (Postural phase), walking a 1.82 m distance (Locomotion phase), and placing the box on a raised shelf (Manual phase). Performance on the PLM test was videotaped and movement was analyzed kinematically. The exercise program emphasized activities challenging both balance and coordination of multiple movement components. At the completion of the exercise program, all 4 subjects demonstrated a reduction in movement time on the PLM test. For the 3 bradykinetic subjects, movement simultaneity (phase overlap) increased postexercise for movement combinations involving the postural phase. In contrast, the subject with dyskinesia executed the postural phase more quickly, thereby decreasing overlap of the postural with the other 2 phases, while increasing the overlap between the locomotion and manual phases. For the timed walk task, no systematic change postexercise was observed for the 4 subjects. Postexercise improvement was noted for some of the SF‐36 scales, but changes were not systematic across subjects. The improvements in speed and the pathology specific changes in movement simultaneity suggest that exercise may improve both the coordination of sequential movement components and postural control in individuals with PD.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129809776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology ReportPub Date : 1900-01-01DOI: 10.1097/01253086-199317030-00026
M. Schenkman
{"title":"Productive Partnerships Between Clinicians and Researchers","authors":"M. Schenkman","doi":"10.1097/01253086-199317030-00026","DOIUrl":"https://doi.org/10.1097/01253086-199317030-00026","url":null,"abstract":"","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129647707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology ReportPub Date : 1900-01-01DOI: 10.1097/01253086-200226020-00008
Toby M. Long
{"title":"Quality Indicators for Assistive Technology Services: Implications for Physical Therapists","authors":"Toby M. Long","doi":"10.1097/01253086-200226020-00008","DOIUrl":"https://doi.org/10.1097/01253086-200226020-00008","url":null,"abstract":"&NA; Assistive technology devices and assistive technology services are specifically defined under the Individuals with Disabilities Education Act (IDEA). Physical therapists who provide services under IDEA are often members of the team who must consider a student's need for or potential benefit from assistive technology as part of the Individualized Education Program (IEP) or Individualized Family Service Plan (IFSP) process. There is little agreement within the field of assistive technology as to what constitutes high quality assistive technology services. The Quality Indicators for Assistive Technology Services were made available in 2000 to provide practitioners with a description of the essential elements of assessing, providing, and implementing assistive technology services under IDEA. The purpose of this paper is to introduce to physical therapists the quality indicators and discuss how they can be integrated into practice.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123792434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology ReportPub Date : 1900-01-01DOI: 10.1097/01253086-199519040-00038
T. Denham, K. Kline, M. Thornby, D. Malamut
{"title":"The Effect of Vestibular Rehabilitation on Perception of Function in Patients With Movement‐related Dizziness","authors":"T. Denham, K. Kline, M. Thornby, D. Malamut","doi":"10.1097/01253086-199519040-00038","DOIUrl":"https://doi.org/10.1097/01253086-199519040-00038","url":null,"abstract":"","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"362 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116321786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology ReportPub Date : 1900-01-01DOI: 10.1097/01253086-200327020-00004
L. Swan
{"title":"Facilitating Psychological Intervention for a Patient with Unilateral Vestibular Hypofunction","authors":"L. Swan","doi":"10.1097/01253086-200327020-00004","DOIUrl":"https://doi.org/10.1097/01253086-200327020-00004","url":null,"abstract":"Background and Purpose: Patients with vestibular dysfunction often have concurrent anxiety. Although physical therapists are not licensed to evaluate or treat anxiety, they can be alert to signs and symptoms of anxiety and facilitate referral to the appropriate practitioner. The purpose of this case report is to describe how clinicians can recognize psychological symptoms and to provide a model for facilitating psychological intervention that includes the use of screening tools to assist in determining the need for psychological referral. Case Description: The patient was a 49‐year‐old man with a diagnosis of unilateral vestibular hypofunction and signs of a developing anxiety disorder that included the use of anti‐anxiety medication and selfimposed limitations in leaving the home environment, in exercising, and in driving at work. The efforts of the physical therapist in identifying signs and symptoms of anxiety and in facilitating the patient's acceptance of a psychological referral are discussed. Outcomes: After physical therapy intervention there was a decrease in the physical symptoms of dizziness. In addition, after receiving education from the physical therapist, the patient initiated concurrent psychological treatment. Discussion: The high incidence of concurrent anxiety disorders for patients with vestibular dysfunction is an important modifier for the plan of care. Specific suggestions based on the model are offered for facilitating psychological referral.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121664207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology ReportPub Date : 1900-01-01DOI: 10.1097/01253086-200024040-00004
L. Saladin
{"title":"Measuring Quality of Life Post‐Stroke","authors":"L. Saladin","doi":"10.1097/01253086-200024040-00004","DOIUrl":"https://doi.org/10.1097/01253086-200024040-00004","url":null,"abstract":"There has been increasing interest in reporting post‐stroke, health related quality of life (QOL) as a key outcome measure and indicator of therapeutic efficacy. The measurement of quality of life typically encompasses physical, functional, psychological, cognitive, and social aspects of life and generally reflects an individual's subjective perception of his/her current function and overall health. Generic instruments that have been used to examine QOL post‐stroke and 3 recently developed stroke specific QOL instruments are reviewed and their advantages and disadvantages are discussed. The stroke specific QOL measures reviewed here include the Stroke Adapted Sickness Impact Profile (SA‐SIP30), the Stroke Impact Scale, and the Stroke Specific Quality of Life Measure (SS‐QOL). The factors that contribute to a decrease in post‐stroke quality of life, and which may influence QOL scores, are then described. Finally, clinical recommendations for the selection and appropriate application of quality of life outcome measures to stroke survivors are presented.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133985717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}