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Condition: Cerebral Palsy
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Total 64 results found since Jan 2013.

The Effect of a Low-Cost Body Weight-Supported Treadmill Trainer on Walking Speed and Joint Motion.
Conclusions: The AccesSportAmerica Gait Trainer has the potential to improve the walking speed of people with ambulatory difficulty. PMID: 31366161 [PubMed - in process]
Source: Medicina (Kaunas) - July 29, 2019 Category: Universities & Medical Training Authors: Ventura JD, Charrette AL, Roberts KJ Tags: Medicina (Kaunas) Source Type: research

Influence of Combined Transcranial Direct Current Stimulation and Motor Training on Corticospinal Excitability in Children With Unilateral Cerebral Palsy
Conclusion This proof-of-principle study evaluated the influence of cathodal contralesional tDCS on corticospinal excitability in pediatric participants with UCP. A hypothesized decrease in contralesional excitability was noted in participants in the Active+CIMT group, however, the efficacy of tDCS to modulate corticospinal excitability was not statistically different than the Sham+CIMT group. A more detailed understanding of how tDCS impacts M1 neurophysiology will be essential to inform future clinical trials on the optimal dosing parameters, based on individual brain circuitry, to explore the potential functional benef...
Source: Frontiers in Human Neuroscience - April 23, 2019 Category: Neuroscience Source Type: research

Robot-Assisted Therapy in Upper Extremity Hemiparesis: Overview of an Evidence-Based Approach
Conclusion Robotic therapy has matured and represents an embodiment of a paradigm shift in neurorehabilitation following a stroke: instead of focusing on compensation, it affords focus in ameliorating the impaired limb in line with concepts of neuroplasticity. This technology-based treatment provides intensity, interactivity, flexibility, and adaptiveness to patient's performance and needs. Furthermore, it increases the productivity of rehabilitation care. Of course, efficiency must be discussed within a local perspective. For example, following the cost containment shown in the VA ROBOTICS study (46), the UK Nati...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

Motor Abilities in Adolescents Born Preterm Are Associated With Microstructure of the Corpus Callosum
Conclusions: Impairments in motor abilities are present in preterm born adolescents without major neuromotor impairment and in the absence of focal brain injury. Altered microstructure of the corpus callosum microstructure appears a crucial factor, in particular for movement quality. Introduction Very preterm birth (birth <32 weeks of gestation) is associated with high risk of impaired neurodevelopment. Rates of severe neuromotor impairment, i.e., Cerebral Palsy (CP), are decreasing, in particular in those preterm children born with moderately low and very low birth weight (1). However, in a substantial propo...
Source: Frontiers in Neurology - April 15, 2019 Category: Neurology Source Type: research

A Portable Passive Rehabilitation Robot for Upper-Extremity Functional Resistance Training
Conclusion: These results indicate that PaRRo is a feasible approach to provide functional resistance training to the muscles along the upper-extremity. Signific- nce: The proposed robotic device could provide a technological breakthrough that will make rehabilitation robots accessible for small outpatient rehabilitation centers and in-home therapy.
Source: IEEE Transactions on Biomedical Engineering - January 25, 2019 Category: Biomedical Engineering Source Type: research

Improving walking ability in people with neurological conditions: A theoretical framework for biomechanics driven exercise prescription
The purpose of this paper is to discuss how knowledge of the biomechanics of walking can be used to inform the prescription of resistance exercises for people with mobility limitations. Muscle weakness is a key physical impairment that limits walking in commonly occurring neurological conditions such as cerebral palsy, traumatic brain injury and stroke. Few randomised trials to date have shown conclusively that strength training improves walking in people living with these conditions. This appears to be because 1) the most important muscle groups for forward propulsion when walking have not been targeted for strengthening,...
Source: Archives of Physical Medicine and Rehabilitation - January 25, 2019 Category: Rehabilitation Authors: Gavin Williams, Leanne Hassett, Ross Clark, Adam Bryant, John Olver, Meg E. Morris, Louise Ada Source Type: research

Improving Walking Ability in People With Neurologic  Conditions: A Theoretical Framework for Biomechanics-Driven Exercise Prescription
The purpose of this paper is to discuss how knowledge of the biomechanics of walking can be used to inform the prescription of resistance exercises for people with mobility limitations. Muscle weakness is a key physical impairment that limits walking in commonly occurring neurologic conditions such as cerebral palsy, traumatic brain injury, and stroke. Few randomized trials to date have shown conclusively that strength training improves walking in people living with these conditions. This appears to be because (1) the most important muscle groups for forward propulsion when walking have not been targeted for strengthening,...
Source: Archives of Physical Medicine and Rehabilitation - January 24, 2019 Category: Rehabilitation Authors: Gavin Williams, Leanne Hassett, Ross Clark, Adam Bryant, John Olver, Meg E. Morris, Louise Ada Tags: Special communication Source Type: research

Improving Walking Ability in People With Neurologic Conditions: A Theoretical Framework for Biomechanics-Driven Exercise Prescription
The purpose of this paper is to discuss how knowledge of the biomechanics of walking can be used to inform the prescription of resistance exercises for people with mobility limitations. Muscle weakness is a key physical impairment that limits walking in commonly occurring neurologic conditions such as cerebral palsy, traumatic brain injury, and stroke. Few randomized trials to date have shown conclusively that strength training improves walking in people living with these conditions. This appears to be because (1) the most important muscle groups for forward propulsion when walking have not been targeted for strengthening,...
Source: Archives of Physical Medicine and Rehabilitation - January 24, 2019 Category: Rehabilitation Authors: Gavin Williams, Leanne Hassett, Ross Clark, Adam Bryant, John Olver, Meg E. Morris, Louise Ada Tags: Special communication Source Type: research

Economic evaluations of physiotherapy interventions for neurological disorders: a systematic review.
CONCLUSIONS: There are limited studies that have evaluated the cost-effectiveness of physiotherapy treatments in neurological disorders. Three studies that combined extra physiotherapy-by-physiotherapy assistant and novel interventions with conventional physiotherapy were found not cost-effective. Implications for Rehabilitation Progressive muscle strengthening exercise over a period of 6-month is reported to be cost-effective for falls prevention in people with Parkinson's disease Aerobic training is reported as potentially cost-effective for older adults with vascular cognitive impairment Physiotherapy given as an adjuva...
Source: Disability and Rehabilitation - January 7, 2019 Category: Rehabilitation Authors: Winser S, Lee SH, Law HS, Leung HY, Bello UM, Kannan P Tags: Disabil Rehabil Source Type: research

Registered nurses ’ knowledge and care practices regarding patients with dysphagia in Saudi Arabia
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 896-909, October 2018. Purpose The purpose of this paper is to assess the knowledge and practices of nursing staff caring for patients with dysphagia to determine any needs for further education programmes. Design/methodology/approach A self-administered questionnaire with close-ended questions was completed by nurses at a tertiary hospital in Saudi Arabia to measure the depth of their dysphagia knowledge. Findings From 316 potential participants, a sample of 174 nurses completed the questionnaire. The results revealed that the participants had...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Retraining Reflexes: Clinical Translation of Spinal Reflex Operant Conditioning
AbstractNeurological disorders, such as spinal cord injury, stroke, traumatic brain injury, cerebral palsy, and multiple sclerosis cause motor impairments that are a huge burden at the individual, family, and societal levels. Spinal reflex abnormalities contribute to these impairments. Spinal reflex measurements play important roles in characterizing and monitoring neurological disorders and their associated motor impairments, such as spasticity, which affects nearly half of those with neurological disorders. Spinal reflexes can also serve as therapeutic targets themselves. Operant conditioning protocols can target benefic...
Source: Neurotherapeutics - July 9, 2018 Category: Neurology Source Type: research

First-Person Perspective Action Observation Training in Individuals With Parkinson's Disease: A Consideration-of-Concept Controlled Pilot Trial
Conclusions: This pilot study suggests that FPP AOT is a feasible intervention and the research protocol designed would be suitable, with minor modifications, for the conduction of a subsequent stage 2 trial designed to verify the hypothesis that the adjunct of FPP AOT might improve motor performance in individuals with IPD.
Source: Journal of Geriatric Physical Therapy - June 20, 2018 Category: Physiotherapy Tags: Research Reports Source Type: research

A wearable resistive robot facilitates locomotor adaptations during gait.
CONCLUSION: This study provides preliminary evidence indicating that robotic-resisted treadmill walking using our knee brace can result in meaningful biomechanical aftereffects that translate to overground walking. PMID: 29526856 [PubMed - in process]
Source: Restorative Neurology and Neuroscience - March 13, 2018 Category: Neurology Tags: Restor Neurol Neurosci Source Type: research

Lower-extremity Dynamometry as a Novel Outcome Measure in a Double-blind, Placebo-controlled, Feasibility Trial of Intravenous Immunoglobulin (IVIG) for HIV-associated Myelopathy
Conclusion: We conclude that an adequately powered clinical trial of IVIG for HIVM would likely require a prolonged recruitment period and multiple participating sites. Lower limb dynamometry is a useful outcome measure for HIVM, which might also be useful in other HIV-related gait disorders. KEYWORDS: Dynamometry, intravenous immunoglobulin (IVIG), human immunodeficiency virus (HIV), myelopathy INTRODUCTION Human immunodeficiency virus (HIV)-associated myelopathy (HIVM) is a rare but well-described neurologic complication of HIV; it was first described early in the acquired immunodeficiency syndrome (AIDS) epidemic, and i...
Source: Innovations in Clinical Neuroscience - February 1, 2018 Category: Neuroscience Authors: ICN Online Editor Tags: Assessment Tools Current Issue Demyelinating Disease Movement Disorders Neurodegenerative Disease Neurology Original Research Primary Care Technology Trial Methodology Dynamometry human immunodeficiency virus (HIV) intravenous immu Source Type: research