Posts Tagged ‘occupational therapist’
Computer-based cognitive rehabilitation (CBCR) effective on improving cognitive function after stroke. This conclusion was reached by occupational therapists from Department of Occupational Therapy, Semyung University, Jecheon, Republic of Korea. The group publish their results in NeuroRehabilitation, 04/16/2013.
The Wii is an example of a activity promoting video game (APVG). Practice with the Wii will increase recorded pulmonary ventilation (VE), oxygen consumption (VO2) and HR in normal uninjured subjects. Published in European Journal of Physical and Rehabilitation Medicine, 04/12/2013, Gaffurini P et al show that while practicing with the Wii Spinal cord injury (SCI) patients also saw an increase in energy expenditure (EE). The Physical and occupational therapists from the Laboratory of Neuromuscular Rehabilitation (LaRiN), University of Brescia, Italy conclude that APVG practice in subjects with SCI can be used to counteract deconditioning due to inactivity.
Writing in Archives of Physical Medicine Rehabilitation Dr. Foley and his team discuss that evidence from the literature shows that botulinum toxin type A (BTX-A) is associated with improvements in activity capacity or performance associated with poststroke spasticity in the upper extremity. Dr Foley and his team of physical and occupational therapists work at the Aging, Rehabilitation and Geriatric Care Program, Lawson Health Research Institute, Parkwood Hospital London, Ontario, Canada.
Published in J Neuroeng Rehabilitation Dr. Holper and colleagues from the University Hospital Zurich Switzerland shed insight into how neural networks located in the primary and secondary motor areas are activated during observation or imagery of a motor action investigated during neurorehabilitative training by physical and occupational therapists. The physical rehabilitation techniques of observation, imagery and imitation is also know as the simulation hypothesis The research was funded by the Swiss Society for Neuroscience (SSN), the International Brain Research Organization (IBRO).
Published in topics in stroke rehabilitation Dr. Akinwuntan and his team from Department of Physical Therapy, Georgia Health Sciences University, Augusta, GA, USA discuss how to predict the driving performance of mildly impaired stroke survivors.
Writing in the January edition of Brain Injury Dr. Inobe and his group from Rehabilitation Centre, Inobe Hospital , Nakao, Oita , Japan look at the effectiveness of finger-equipped electrode (FEE)-triggered electrical stimulation to improve upper extremity function in chronic stroke patients with severe hemiplegia.
Arriving at the University Medical Center in Salt Lake City all the way from South Africa, the helicopter carrying Jeremy Clark landed noisily. Jeremy, a 23 year old college graduate had been on a Mormon religious mission for just a few weeks when he woke one morning to find that his legs were completely paralyzed. Doctors in S.A. were unable to find anything wrong with him medically.
Also not speaking made his examination process in Utah more difficult. Doctors were determined to get to the bottom of the problem and arranged for various tests to be performed. It was necessary to rule out diseases such as multiple sclerosis (ms); myasthenia gravis, a neuromuscular autoimmune disease that causes varying degrees of muscle weakness; Guillain-Barré syndrome, an acute condition associated with progressive muscle weakness and paralysis and stroke. A lumbar puncture to collect fluid from around the brain and inside the spinal cord had to be done to rule out infection.
Then a full medical examination was conducted. Jeremy was a healthy and physically fit young man and his heart, lungs, abdomen, neurological exam, muscle tone all acted in a normal fashion. He was able to move his head, neck and arms without a problem but his legs would not move at all. More surprising was the fact that tapping his legs with a rubber hammer showed that there was no damage to the nerve path between muscles and spinal cord.
A stroke was ruled out as that usually would have affected only one side of the body. A discussion with Jeremy’s parents ruled out drug use or mental health problems. A doctor involved in the case was wondering whether Jeremy was ”faking” his symptoms and finally the staff psychiatrist was called in for an evaluation.
After another neurological exam the psychiatrist came up with a diagnosis of ”conversion disorder”. He explained that conversion disorder is an unusual psychological state with symptoms that resemble a neurological disorder or another medical condition. It usually begins abruptly and begins with a mental conflict or emotional crisis. Then it “converts” to a physical problem that prevents the patient from being involved in the activity that was causing him stress. There are a relatively small number of cases reported per 100,000 people and it is more common in women. Beginning at almost any age it usually occurs between the ages of 11 and 35. Aside from paralysis it can also cause amnesia, blindness, motor tics and other ”symptoms”.Usually the disorder will disappear spontaneously after 2 weeks of hospitalization and in some cases a physical illness is discovered later.
Jeremy was told about his condition, reassured that there was no physical disability and that he would recover very soon. After further routine questioning Jeremy broke down and and stated that he could not continue with the mission he was sent on. He didn’t like talking about religion with people. He was reluctant to come home because he thought he would let his parents or God down . This caused him enormous stress. The doctor informed him that no one could force him to go back. The situation was explained to his parents who agreed to get involved in his therapy sessions and rehabilitation. Within days Jeremy was walking the halls and was discharged from the hospital after making a complete recovery from the paralysis.
When a disease or surgery causes an incomplete paralysis of a limb or joint the most effective physical therapy solution should be found. Fortunately, a recent innovation has created the TUTOR system of products known as the HANDTUTOR, ARMTUTOR, LEGTUTOR and 3DTUTOR. The TUTOR system was developed to allow intensive exercise practice to those who have incurred a stroke, brain/spinal cord injury, MS, CP, knee/hip surgery or other type of upper or lower limb disabling event.
The TUTORs consist of ergonomically comfortable gloves or braces that are strategically placed and contain sensors connected to sophisticated exercise game programs. Physical or occupational therapists record and monitor the progress made and then design a specific exercise regimen for that patient. The TUTOR system is now in use in leading U.S. and European hospitals and clinics. Fully certified by the FDA and CE they are available for use at home through telerehabilitation and can be used by adults and children from the age of 5 and up. See WWW.MEDITOUCH.CO.IL for further information.