Posts Tagged ‘USA’

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.



Physical and occupational therapy guidelines for treatment of pediatric Traumatic brain injury (TBI)

The second edition of the Guidelines for the Medical Management of Traumatic Brain Injury in Infants, Children and Adolescents is updated from the first edition published in 2003. This 2012 edition edited by Bell MJ et al appears in Critical Care Clinics, 04/09/2013. The team work at the Department of Critical Care Medicine, Safar Center for Resuscitation Research, University of Pittsburgh, Department of Neurological Surgery, Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, USA.


Predicting driving ability in PD patients Parkinsons Disease

Predicting driving ability in Parkinsons Disease patients is discussed in the Journal of Parkinson’s Disease, 04/09/2013. Dr. Crizzle AM et al from the Department of Occupational Therapy, University of Florida, Gainesville, FL, USA  compare the predictive power of the unified Parkinson’s Disease Rating Scale (UPDRS) motor section, the Modified Hoehn and Yahr and the Rapid Paced Walk Test to the pass to fail outcome of a formal road test in PD drivers.

The group that look at movement Disorders and neurorestoration together with the Department of Neurology, University of Florida, Gainesville, FL, USA conclude that the gold standard for screening should always be the road test.


Controlled exercise practice following stroke

eccentric resistance training

Writing in Neurorehabil Neural Repair  Jan 2013 Dr. Clark from Randall VA Medical Center, Gainesville, FL, USA shows that eccentric (ECC) resistance training is more effective than concentric (CNN) resistance training in improving walking speed following stroke.

It is worth considering further controlling exercise practice in terms of speed and range of motion using the LegTutor so that intensive controlled exercise practice will further concentrate on eccentric resistance training together with motion feedback.

Successful Joint Replacement

joint replacement walking rehabilitation

Joint replacement surgery is indicated if chronic joint pain interferes with daily activities such as walking, exercising and working.

In the USA, over 1 million hip and knee replacement surgeries are performed each year with studies showing that joint replacement surgery can significantly relieve pain and increase mobility.

Following joint replacement therapy the rehabilitation centers objective is to return the patient to an active lifestyle as quickly as possible. In the US the national average hospital stay is 3.3 days with more than 71% of patients being back to their active lifestyles within six weeks. It is agreed by surgeons and physical therapists that early hospital discharge and the collection of data and the tracking of a  patients’ outcome is an important objective that allows patients to recover more quickly.

Rapid rehabilitation protocols include assistive technology that aims to customize the patients exercise practice to their movement ability. This is where the legTutor fits in as the device uses motion feedback to allow the patients after joint replacement surgery to do intensive exercises according to their range of motion through the use of interactive exercise games using the computer. The devices are used in the outpatient clinic and by the patient at home and can be supported by the physical therapist offering telerehabilitation.