Posts Tagged ‘Physical Medicine Rehabilitation’

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.

 

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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.

The impact of rehabilitative services in the lives of adults and children with disabilities

What is the impact of rehabilitative services in the lives of adults and children with disabilities and is their a relationship between amount of treatment and functional gains. This question was asked by Dr. Patel from St. Bartholomew’s Hospital , London , UK in Disability & Rehabilitation, 05/06/2013. Occupational therapy and physical therapy were the primary rehabilitation services received by patients across impairment groups. The authors failed to find enough evidence in the literature to answer these questions and concluded that better systematic reporting of type and quantity of rehabilitation therapies along with functional assessments is needed.

Factors associated with employment in Spinal Cord Injury (SCI)

Participation in organized sports is positively associated with employment in adults with Spinal Cord Injury (SCI). This conclusion was reached by Blauwet C et al. and published in the American Journal of Physical Medicine & Rehabilitation, 04/22/2013. The researchers are from the Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston and Spaulding-Harvard Model System, Spaulding Rehabilitation Hospital, Boston, Massachusetts USA. Alternatively, sex, duration of injury, wheelchair use, and participation in individually planned exercise were not significantly associated with employment.

 

Tremor dominant and postural gait difficulty subtypes in Parkinson disease

In  Parkinson disease (PD) differences in gray matter (GM) atrophy is seen when looking at patients with tremor dominant (TD) subtype compared to postural instability gait difficulty (PIGD).

GM atrophy in motor–related regions and decreased functional connectivity was associated with gait instability symptoms. The decrease in spontaneous coactivation between cortical and subcortical motor–planning areas may therefore relate to this movement impairment.
The above results was reported in a study published in Neurology. 2013 Mar was conducted by Physical Medicine specialists from the Movement Disorders Unit, Department of Neurology and Department of Physical Therapy Sackler School of Medicine Tel Aviv, Israel together with the Department of Medicine (J.M.H.), Harvard Medical School, Boston, MA USA.

Improving daily living activities after stroke

20 sessions of neuromotor exercises including sit-to-stand, balance, gait training seen to improve the recovery of motor and daily living activities in subacute stroke patients. Outcome measures looked at include 6-minute walking test, Berg Balance Scale, the Functional Independence Measure, and the Barthel Index. In the study published in Clinical Rehabilitation, 04/08/2013 Dr. Monticone M et al from Physical Medicine and Rehabilitation Unit, Scientific Institute of Lissone, Salvatore Maugeri Foundation IRCCS, Italy used the Regent Suit an elastic element based suit to administer resistance training.

 

Predicting rehabilitation and walking performance post stroke

Writing in the Archives of Physical Medicine and Rehabilitation, 04/05/2013 Dr. Rose DK et al look at the predictive power of the results of Exercise Tolerance Testing and the 6MWT (six minute walk test). The group compare the scores to the number of physical therapy rehabilitation sessions – treadmill and overground Locomotor Training Program (LTP), needed to achieve 20 minutes stepping duration in these patients. ETT is a measure of cardiac performance where as 6MWT is more a measure of neurological impairment and muscular condition.