Posts Tagged ‘Norway’

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.


Association of arm motor impairment on arm use and functional ability and quality of life post stroke

動脚 (Moving Legs)
In the March edition of Journal of Rehabilitation Medicine Dr. Gyrd Thrane and his team from the Department of Physical rehabilitation University of TromsøNorway assess the effect of arm motor impairment on actual arm use, measured by an accelerometer, in the early post-stroke period. The group found that Fugl-Meyer Motor Assessment (FMA) score was associated with Arm movement ratio (AMR) score, the ratio of arm use duration between the more and less affected arm.
The HandTutor and ArmTutor system encourages the patient to actively exercise their impaired hand and arm in order to train arm and hand movement impairments and increase arm and hand movement ability and functional outcome.

Average hours for PT and OT in SCI Patients in Australia, Norway and the Netherlands

Pie chart representation of the amount of male...

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Number of hours of inpatient physical and occupational therapy in SCI patients in Australia, Norway and the Netherlands:
The January edition of the Journal of American Physiotherapy presents a report by Dr. Langeveld of the Revalidatiecentrum De Hoogstraat in Holland on the number of hours per week of inpatient physical and occupational therapy of spinal cord injury (SCI) patients over four week time span. The report found that the number of hours was Holland 28 compared to  Australia 43 hours and Norway 39 hours.

The report does not comment on the quality of the rehabilitation outcome or the uptake in the use of new neuro rehabilitation devices such as the HandTutor system that encourage active exercise practice and increase the amount of intensive repetitive exercises performed by the SCI patients in the inpatient environment.

Cognitive Impairment 3-months after Traumatic Brain Injury (TBI)

A CT of the head years after a traumatic brain...

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In the December edition of Archives of Physical Medicine and Rehabilitation Dr. Skandsen and his team at Dept of Physical Medicine and Rehabilitation Trondheim University Hospital, Norway explored the magnitude and frequency of cognitive impairment 3 months after moderate to severe traumatic brain injury (TBI), and evaluated its relationship to disability at 1-year follow-up. They found that found that the presence of cognitive impairment was associated with future disability.

The HandTutor system has been clinically designed by physical rehabilitation experts who recognize that in order to improve a patient’s movement ability the therapist needs to work on sensory, motor and cognitive movement impairments.

The “virtual functional tasks” in the HandTutor system have been designed so that the therapist can customize the tasks to the patient’s motor and cognitive ability.

To elaborate on this, different tasks have varying degrees of planning involved or needed to execute the tasks. For instance, if the therapist starts with a screen that shows a picture of the hand then the aim is to start to show the patient that extending and flexing their fingers they will begin to paint there fingers on the screen in blue. In this way the patient receives real time feedback on what they need to do to complete the task and their success in completing the task.

Likewise one of the treatment tasks is a ball that goes along a path. We therapist is using the HandTutor as a tool to show the patient that as they extend their fingers how the ball goes up and as they flex their finger, how the ball goes down. In addition, the HandTutor system has puzzle tasks that require series and sequential planning in order to execute the task.