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What Causes Muscle Weakness?
Discussion Muscle tone is the slight tension that is felt in a muscle when it is voluntarily relaxed. It can be assessed by asking the patient to relax and then taking the muscles through a range of motion such as moving the wrists, forearm and upper arm. Muscle strength is the muscle’s force against active resistance. Impaired strength is called weakness or paresis. There are 5 levels of muscle strength. 0 = No muscle contraction detected 1 = Barely detected flicker of contraction 2 = Active movement with gravity eliminated 3 = Active movement against gravity 4 = Active movement against gravity and some resistance ...
Source: PediatricEducation.org - December 9, 2013 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Novel robotic walker helps patients regain natural gait and increases productivity of physiotherapists
Survivors of stroke or other neurological conditions such as spinal cord injuries, traumatic brain injuries and Parkinson’s disease often struggle with mobility. To regain their motor functions, these patients are required to undergo physical therapy sessions. A team of researchers has invented a novel robotic walker that helps patients carry out therapy sessions to regain their leg movements and natural gait. The system also increases productivity of physiotherapists and improves the quality of rehabilitation sessions.
Source: ScienceDaily Headlines - November 21, 2014 Category: Science Source Type: news

New recommendations aim to improve safety of pain-relieving spinal steroid injections
More and more people are seeking injections of anti-inflammatory steroid medications for back and neck pain. In 2011, the last year for which complete information is available, doctors pushed the plunger on 2.3 million steroid injections into the spine — and that’s just among people covered by Medicare. These injections deliver drugs that mimic the effects of two hormones, cortisone and hydrocortisone, to reduce inflammation and help relieve pain. When they work — they don’t always — such injections can bring profound relief. “If you are in severe pain with a ruptured spinal disc and you get a stero...
Source: New Harvard Health Information - May 7, 2015 Category: Consumer Health News Authors: Daniel Pendick Tags: Back Pain Drugs and Supplements anti-inflammatory steroid medications spinal injections spine steroid injections Source Type: news

How a Paralyzed Man Walked Again
Adam Fritz was just another 21-year-old kid back in 2008—about to enter his senior year of college, cruising home from work on his motorcycle near Diamond Bar, California—when his life changed forever: A table from a truck in front of him slipped off and struck him, flinging him off his motorcycle onto the freeway. “It’s what I called my ‘oh shit’ moment,” he told TIME. “I tried to sit up and get up on my feet. I remember the firefighters telling me not to move. Everything just hurt.” Two days later, Fritz was told he had a spinal cord injury—and that he’d n...
Source: TIME.com: Top Science and Health Stories - September 24, 2015 Category: Consumer Health News Authors: tanyabasutime Tags: Uncategorized brain-computer interface neuroscience Paralysis public health Research spinal cord injuries Virtual Reality walking Source Type: news

Immediate affective responses of gait training in neurological rehabilitation: A randomized crossover trial.
CONCLUSION: Affective responses might be positively influenced by robotic-assisted gait training, which may help to overcome motivational problems during the rehabilitation process in neurological patients. PMID: 28218343 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - February 23, 2017 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Telehealth in Physical Medicine and Rehabilitation: A Narrative Review
Publication date: May 2017 Source:PM&R, Volume 9, Issue 5, Supplement Author(s): Adam S. Tenforde, Jaye E. Hefner, Jodi E. Kodish-Wachs, Mary A. Iaccarino, Sabrina Paganoni Telehealth refers to health care interactions that leverage telecommunication devices to provide medical care outside the traditional face-to-face, in-person medical encounter. Technology advances and research have expanded use of telehealth in health care delivery. Physical medicine and rehabilitation providers may use telehealth to deliver care to populations with neurologic and musculoskeletal conditions, commonly treated in both acute care ...
Source: PMandR - May 18, 2017 Category: Rehabilitation Source Type: research

Use of Lower-Limb Robotics to Enhance Practice and Participation in Individuals With Neurological Conditions.
CONCLUSIONS: Use of these devices is limited by insufficient data, cost, and in some cases size of the machine. However, robotic technology is likely to become more prevalent as these machines are enhanced and able to produce targeted physical rehabilitation. RECOMMENDATIONS FOR CLINICAL PRACTICE: Therapists should be aware of these technologies as they continue to advance but understand the limitations and challenges posed with therapeutic/mobility robots. PMID: 28654477 [PubMed - in process]
Source: Physical Therapy - June 29, 2017 Category: Physiotherapy Authors: Jayaraman A, Burt S, Rymer WZ Tags: Pediatr Phys Ther 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

Necessity of early-stage verticalization in patients with brain and spinal cord injuries: Preliminary study.
Abstract BACKGROUND: Integration of the verticalization robot, Erigo, with functional electric stimulation and passive leg movements in the postacute rehabilitation of neurological patients could reduce the risk of secondary complications and improve functional outcomes (i.e. orthostatic hypotension, postural control and walking ability). OBJECTIVE: The aim of this study was to estimate and quantify changes in the postacute stage, mainly related to heart rate and blood pressure in functional recovery, postural parameters, walking ability and psychoemotional reactions, during training using the verticalization...
Source: Technology and Health Care - May 18, 2018 Category: Medical Devices Authors: Daunoraviciene K, Adomaviciene A, Svirskis D, Griškevičius J, Juocevicius A Tags: Technol Health Care Source Type: research

Physical Therapy Provider Continuity Predicts Functional Improvements in Inpatient Rehabilitation
CONCLUSIONS: PT provider continuity is related to the functional improvement of neurologically impaired patients in inpatient rehabilitation.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A405, which discusses the findings of this work in a narrative format).PMID:36279402 | DOI:10.1097/NPT.0000000000000422
Source: Health Physics - October 24, 2022 Category: Physics Authors: Mitchell D Adam Debra K Ness John H Hollman Source Type: research

Hitting the Target? Achieving Optimal Cardiovascular Intensity for Persons With Spinal Cord Injury And Stroke
To investigate the feasibility of achieving the American Physical Therapy Association Locomotor Clinical Practice Guideline's cardiovascular intensity recommendations for persons with acute or sub-acute spinal cord injury (SCI) and acute or sub-acute cerebrovascular accident (CVA).
Source: Archives of Physical Medicine and Rehabilitation - December 1, 2022 Category: Rehabilitation Authors: Zachary Crump, Amol Karmarkar Tags: Research Poster 2184095 Source Type: research

A review of combined neuromodulation and physical therapy interventions for enhanced neurorehabilitation
Rehabilitation approaches for individuals with neurologic conditions have increasingly shifted toward promoting neuroplasticity for enhanced recovery and restoration of function. This review focuses on exercise strategies and non-invasive neuromodulation techniques that target neuroplasticity, including transcranial magnetic stimulation (TMS), vagus nerve stimulation (VNS), and peripheral nerve stimulation (PNS). We have chosen to focus on non-invasive neuromodulation techniques due to their greater potential for integration into routine clinical practice. We explore and discuss the application of these interventional stra...
Source: Frontiers in Human Neuroscience - July 21, 2023 Category: Neuroscience Source Type: research

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