Are musculoskeletal problems in Parkinson’s disease neglected

Parkinson’s disease – PD patients do not receive adequate treatment for musculoskeletal problems. This was the conclusion reached by Kim YE et al. from the Department of Neurology and Movement Disorder Center, Parkinson Study Group, Seoul National University Hospital, Seoul, Republic of Korea.

The researches found the prevalence of musculoskeletal problems was significantly higher in the Parkinson disease (PD) group compared to controls. However these musculoskeletal problems in the PD group tended to receive less treatment than that of the control group despite PD patients having a higher prevalence than in the controls.

Balance and mobility problems in patients with Mild Traumatic Brain Injury MTBI

Reliability, validity, and responsiveness of the High–Level Mobility Assessment Tool (HiMAT) in Mild Traumatic Brain Injury MTBI was looked at in Physical Therapy, 05/08/2013. The research was conducted by

Kleffelgaard I et al from the Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Norway together with the Department of Physiotherapy, Oslo and Akershus University College of Applied Sciences, Norway. The group concluded that the above measure is a reliable outcome measure for balance and mobility in Mild Traumatic Brain Injury MTBI.

 

The contribution of movement activation and inhibition in Parkinson’s Disease

Writing in Journal of Parkinson’s Disease, 05/08/2013 Disbrow EA et al.use functional magnetic resonance imaging (fmri) to look at  circuits within the basal ganglia that coordinate activation and inhibition involved in action selection as well as execution in PD patients. The researchers are from the VA Northern California Health Care System, CA, USA and the Department of Neurology, UC Davis, CA, USA.

 

Post-stroke spasticity Management

An estimated 16 million people worldwide experience first-time strokes each yea. Of these two-thirds of stroke patients are younger than 70 years of age. Stroke is therefore a leading cause of disability in adults with functional movement disability being caused by spasticity, cognitive impairment, paresis, and depression. Disabling spasticity is defined as spasticity that is severe enough to require intervention. This post-stroke spasticity  occurs in 4% of stroke survivors within 1 year of first-time stroke. Post-stroke spasticity – PSS management and rehabilitation  is discussed in Acta Neurologica Scandinavica, 05/07/2013  by Sunnerhagen KS et al. from the Institute of Neuroscience and Physiology – Section for Clinical Neuroscience and Rehabilitation, Gothenburg University, Göteborg, Sweden.

Rehabilitation of traumatic and non-traumatic spinal cord injuries (SCI)

Kennedy P et al. working at the National Spinal Injuries Centre, Stoke Mandeville Hospital, UK discuss whether patients with traumatic spinal cord injuries and patients with non-traumatic spinal cord injuries benefitted from the same rehabilitation programme. The research published in Spinal Cord, 05/07/2013 found that the two groups has the same rehabilitation outcome. The Needs Assessment Checklist (NAC) was used as the outcome measure. The group concluded that it is effective to admit and rehabilitate patients with injuries resulting from both traumatic and non-traumatic aetiologies in the same specialised in patient and out patient rehabilitation setting.

 

Unraveling the `black box of physical rehabilitation’

How to support professionals to better understand the effective components of inpatient and outpatient physical rehabilitation programmes after acquired brain injury. In addition how out-patient group rehabilitation programmes  and physical and occupational therapy gives brain injury patients the tools they need to change their everyday lives and integrate new routines and habits that contribute to improvements in their everyday lives. These points are discussed by Lexell EM et al. from Department of Rehabilitation Medicine, Skåne University Hospital , Lund , Sweden in Brain Injury, 05/07/2013.

Home therapy to improve arm and hand function after brain injury in New Zealand

Over 30,000 New Zealanders have a traumatic brain injury (TBI) each year. Added to this only 11 per cent of people with stroke receive any rehabilitation therapy after they leave hospital.

Because of this the Health Research council of New Zealand have awarded two grants to physical therapists from  The University of Auckland who will use technologies to treat and support brain injury patietns including stroke after discharge from in patient therapy. Firstly, Dr Kersten and her team will train people in the community who have had a TBI in the past to act as mentors or peer mentors for people with a recent moderate to severe TBI. Participation is considered a fundamental outcome of rehabilitation for people with TBI,” Dr Kersten says.

A second project lead by Dr Stinear will evaluate a new home-coach model of therapy for stroke survivors. In New Zealand, only 11 per cent of people with stroke receive any rehabilitation therapy after they leave hospital. This is despite research that shows rehabilitation therapy is capable of improving hand and arm function months or years after stroke. Dr James Stinear from The University of Auckland says “There are tens of thousands of people living with stroke in our community who have an untapped capacity to recover,” explains Dr Stinear and the objective of this study is to test and design a ‘home-therapy’ protocol.”

After a physiotherapist has assessed the therapy needs of a person with stroke a family member, carer, friend or other volunteer will act as a ‘home-coach’ to deliver daily therapy in the home.