Neurology ReportPub Date : 1900-01-01DOI: 10.1097/01253086-200024020-00006
D. Basso, A. Behrman, S. Harkema
{"title":"Recovery of Walking after Central Nervous System Insult: Basic Research in the Control of Locomotion as a Foundation for Developing Rehabilitation Strategies","authors":"D. Basso, A. Behrman, S. Harkema","doi":"10.1097/01253086-200024020-00006","DOIUrl":"https://doi.org/10.1097/01253086-200024020-00006","url":null,"abstract":"","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":"115142718","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: 10.1097/01253086-200327010-00003
William G. Werner, A. Gentile
{"title":"Instructional Cues and Parkinsonian Gait: A Pilot Study","authors":"William G. Werner, A. Gentile","doi":"10.1097/01253086-200327010-00003","DOIUrl":"https://doi.org/10.1097/01253086-200327010-00003","url":null,"abstract":"&NA; Verbal instruction to increase either arm swing or step length has been shown to improve the overall gait pattern of individuals with Parkinson disease (PD). Presently, the aim was to determine the relative efficacy of these 2 instructions for improving Parkinsonian gait. Six individuals with PD were randomly assigned to 1 of 2 instructional groups: step length (SL) or arm swing (AS). Both groups were given videotape feedback about the prior trial and transitional information (ie, guidelines to improve the next performance). Gait parameters were measured prior to, during, and immediately after training. To determine if improvements were maintained over an extended period of time, a retention test was administered 1 week after training. Findings indicated that both instructional groups improved on gait parameters during training, with more marked change evident for the instructed parameter. Gait velocity, however, increased more for the SL than the AS group. Although the SL group maintained this improvement in gait velocity on the 1‐week retention test, the effects were not consistent across subjects. Rather, subject characteristics seemed to affect the efficacy of instructional cues and the retention of gait changes. The findings from this pilot study will be useful in guiding subject selection in future research.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"13 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":"116243313","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: 10.1097/01253086-200024010-00005
P. E. Sullivan, Prudence D. Markos
{"title":"Applying the Framework of Clinical Practice to a Patient with Multiple Sclerosis","authors":"P. E. Sullivan, Prudence D. Markos","doi":"10.1097/01253086-200024010-00005","DOIUrl":"https://doi.org/10.1097/01253086-200024010-00005","url":null,"abstract":"This report presents a clinical decision making process guided by the Framework of Clinical Practice including its Evaluation and Intervention Models. A case example of a patient with multiple sclerosis who demonstrates balance impairments and proximal dynamic instability with limitation in ambulation is used to illustrate the application of the examination, evaluation, and intervention process associated with this decision making model. The therapist is guided through a process including: examining the systems encompassed in the Evaluation Model to determine the patient's findings, transposing these findings into the impairment classifications of the Intervention Model, and developing treatment procedures. In addition to exercise procedures other intervention strategies encompassing modifications of the environment, provision of compensatory aids, and education are discussed.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"247 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":"116521576","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: 10.1097/01253086-200226040-00002
V. D. Bello-Haas, M. Bene, H. Mitsumoto
{"title":"End of Life: Challenges and Strategies for the Rehabilitation Professional","authors":"V. D. Bello-Haas, M. Bene, H. Mitsumoto","doi":"10.1097/01253086-200226040-00002","DOIUrl":"https://doi.org/10.1097/01253086-200226040-00002","url":null,"abstract":"The overall goals of the health care professional working with an individual with a neurodegenerative disease in the end‐of‐life stage are: (1) to improve quality of life through physical and psychosocial interventions, in order to reduce the gap between a patient's expectations and hopes and actual experiences is narrowed; and (2) to assist the person to live as fully as possible within the limitations of the disease. This paper reviews the psychological, legal, ethical, rehabilitation, and professional issues related to end‐of‐life care for individuals with a neurodegenerative disease. By understanding these complex aspects, health care professionals can more effectively work towards maintaining or improving functional abilities, and enhancing quality of life in these individuals.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"109 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":"124070101","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: 10.1097/01253086-200226020-00002
J. McComas, H. Sveistrup
{"title":"Virtual Reality Applications for Prevention, Disability Awareness, and Physical Therapy Rehabilitation in Neurology: Our Recent Work","authors":"J. McComas, H. Sveistrup","doi":"10.1097/01253086-200226020-00002","DOIUrl":"https://doi.org/10.1097/01253086-200226020-00002","url":null,"abstract":"&NA; Virtual reality (VR) is a relatively new technology that may be useful for physical therapists working in neurology. In this paper our recent work related to the development and evaluation ofVR applications for demonstrating transfer of training, improvement of spatial memory, teaching disability awareness, prevention of pedestrian injuries, and improvement of balance is discussed. Our experiences as researchers in this area are discussed including collaboration with industry and the limitations and strengths of the technology. Our research and the research of others have shown that skills can be learned in VR, that these skills can transfer to similar tasks in the real world, that patient (consumer) involvement is essential in making VR environments meaningful, and that collaboration with industry requires special knowledge and skills. We conclude that VR has a future in neurologic physical therapy but that it may be some time before strong evidence for each possible application is available to clinicians. As this evidence becomes available, VR may provide physical therapists with interesting and innovative ways to extend evaluation and treatment in neurology.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"47 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":"131065623","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: 10.1097/01253086-200327040-00002
Mohamed Ibrahim, J. Wurpel, Barbara Gladson
{"title":"Intrathecal Baclofen: A New Treatment Approach for Severe Spasticity in Patients with Stroke","authors":"Mohamed Ibrahim, J. Wurpel, Barbara Gladson","doi":"10.1097/01253086-200327040-00002","DOIUrl":"https://doi.org/10.1097/01253086-200327040-00002","url":null,"abstract":"&NA; Intrathecal baclofen (ITB) is a relatively new treatment approach that may be useful for treating spasticity in patients with chronic stroke. In this paper, we examine ITB treatment of spasticity caused by stroke and the implications for physical therapy management. We also present ITB pharmacology, side effects, and the screening procedure.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"9 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":"133245969","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: 10.1097/01253086-200226020-00007
K. Coleman, J. Harry
{"title":"Development and Testing of a Novel EMG Feedback Technology to Induce Movement","authors":"K. Coleman, J. Harry","doi":"10.1097/01253086-200226020-00007","DOIUrl":"https://doi.org/10.1097/01253086-200226020-00007","url":null,"abstract":"&NA; The purpose of this paper is to chronicle the development of a new feedback type of rehabilitation technology by a team of therapists and engineers and the process of testing and refining to optimize the system for clinical use. The new rehabilitation system is personal computer (PC) based and uses signals from a patient, detected by surface electromyography (sEMG), to control cursor movements within the PC. Therapists select from a variety of engaging activities designed to encourage different muscle activations and movements. The choice of computer and Technology to Induce Movement led to the system being called TIM. This paper concludes with a case description of changes in ankle motor function after use of the TIM system was added to the treatment program of a patient with chronic hemiplegia, whose progress toward improved ankle muscle performance had reached a plateau.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"20 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":"132455318","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: 10.1097/01253086-199418030-00017
{"title":"Call for Nominations Neurology Section Research Award","authors":"","doi":"10.1097/01253086-199418030-00017","DOIUrl":"https://doi.org/10.1097/01253086-199418030-00017","url":null,"abstract":"","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"26 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":"125156857","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: 10.1097/01253086-200327020-00006
J. Schaechter, S. Cramer
{"title":"Effects of Experience After Stroke on Brain and Behavior","authors":"J. Schaechter, S. Cramer","doi":"10.1097/01253086-200327020-00006","DOIUrl":"https://doi.org/10.1097/01253086-200327020-00006","url":null,"abstract":"&NA; Animal and patient studies provide evidence that experience after stroke influences functional outcome. We review animal studies regarding the effects of environmental enrichment and motor training on the brain after stroke. Such studies have observed cellular changes resulting from experience, some of which likely contribute to facilitation or retardation of functional recovery after stroke. We then discuss studies in patients suggesting that certain experiences after stroke can improve functional recovery. We review human brain mapping studies that have probed changes in brain activity that underlie spontaneous and experience‐dependent recovery of motor function after stroke. Knowledge being gathered from animal and patient studies on the relationship between brain plasticity and motor recovery after stroke is expected to lead to the development of biologically‐based poststroke therapies that maximize functional outcome after stroke.","PeriodicalId":345729,"journal":{"name":"Neurology Report","volume":"51 3 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":"134513768","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}