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Total 227 results found since Jan 2013.

Functional Outcomes of Adults with Left Ventricular Assist Devices Receiving Inpatient Rehabilitation
This study included 11 patients with an implanted LVAD who required acute inpatient rehabilitation. All the patients with LVADs were included irrespective of the initial admitting diagnosis. Nine patients were admitted for cardiac diagnoses and underwent LVAD placement before their transfer to the IRU; 2 patients received LVADs before this hospital admission and were admitted for stroke. Methods: Demographic, clinical, and functional data were abstracted. Acute care length of stay (LOS), IRU LOS, and discharge disposition, along with IRU Functional Independence Measure (FIM) scores, were analyzed. Main Outcome Measureme...
Source: PM and R - January 18, 2013 Category: Rehabilitation Authors: Elizabeth Nguyen, Joel Stein Tags: Original Research Source Type: research

A Randomized Comparative Study of Manually Assisted Versus Robotic-Assisted Body Weight Supported Treadmill Training in Persons With a Traumatic Brain Injury
Conclusions: The results of this study demonstrate greater improvement in symmetry of gait (step length) for RATT and no significant differences between RATT and MATT with regard to improvement in gait velocity, endurance, and SIS. Our study provides evidence that participants with a chronic TBI can experience improvements in gait parameters with gait training with either MATT or RATT.
Source: PM and R - November 29, 2012 Category: Rehabilitation Authors: Alberto Esquenazi, Stella Lee, Andrew T. Packel, Leonard Braitman Tags: Original Research Source Type: research

Diagnosis and Treatment of Abductor Hallucis Focal Dystonia With Botulinum Toxin Injection: A Case Presentation
Orthopedic foot deformities can result from neurologic conditions such as stroke, multiple sclerosis, and cerebral palsy . In such cases, imaging studies of the foot are often not diagnostic of the underlying problem. Although it is not always considered, electrodiagnostic assessment can detect dystonia, spasticity, and neuropathy . The information gained from these electrodiagnostic studies can guide therapy, including medical and surgical management. This case study describes the successful evaluation and treatment of abducted hallux deformity by using electrodiagnostic testing and botulinum injection treatment.
Source: PM and R - August 1, 2013 Category: Rehabilitation Authors: Nathan S. Rosenberg, Ib R. Odderson Tags: Case Presentation Source Type: research

Adherence Associated With Oral Medications in the Treatment of Spasticity
Objective: To examine adherence to baclofen, tizanidine, and dantrolene (U.S. Food and Drug Administration–approved oral spasticity medications), and identified determinants of adherence.Design: A retrospective administrative claims data analysis that used medical and pharmacy claims data and enrollment information from a large, national U.S. health plan.Subjects and Methods: The subjects were commercial health plan members who initiated treatment on baclofen, tizanidine, or dantrolene from January 1, 2004, through September 30, 2009, and who had stroke, spinal cord injury, traumatic brain injury, cerebral palsy, or mult...
Source: PM and R - May 6, 2013 Category: Rehabilitation Authors: Rachel Halpern, Patrick Gillard, Glenn D. Graham, Sepideh F. Varon, Richard D. Zorowitz Tags: Original Research Source Type: research

Balancing Burdens and Benefits: Ethical Issues of Off-Label Prescription Pharmaceutical Use
I remember when Botox (Allergen, Irvine, CA) was becoming all the rage in rehabilitation in the mid 1990s. As I recall, the only U.S. Food and Drug Administration (FDA) approved uses at the time were for spasmodic torticollis and blepharospasm. In a short period of time, however, Botox was the new treatment du jour for adults and children alike with spasticity from CP, traumatic brain injury (TBI), and stroke. I also remember feeling a bit queasy about it. Perhaps having recently completed a fellowship in clinical medical ethics colored my view. Images of thousands of people with limb deficiencies, the tragic consequence ...
Source: PM and R - October 1, 2013 Category: Rehabilitation Authors: Ford Vox, Alexander M. Capron, Marilyn F. Kraus, G. Caleb Alexander, Kristi L. Kirschner Tags: Ethical Legal Source Type: research

Perceptions of Inpatient Rehabilitation Changes After the Centers for Medicare and Medicaid Service 2010 Regulatory Updates Contrasted With Actual Performance
Conclusion: Comparison with actual data identified that gaps exist between diagnostic category perceptions and actual diagnostic category admission performance. Regulations such as the 75%-60% rule and audit focus on non-neurologic conditions as well as actual inpatient rehabilitation facility program payment reports may have influenced respondents perceptions to change associated with the Medicare Benefit Policy Manual modifications. This disparity between perception and actual data may have implications for programmatic planning, forecasting, and resource allocation.
Source: PM and R - August 26, 2013 Category: Rehabilitation Authors: Richard V. Riggs, Pamela S. Roberts, Margaret A. DiVita, Paulette Niewczyk, Carl V. Granger Tags: Original Research Source Type: research

Response and Prediction of Improvement in Gait Speed From Functional Electrical Stimulation in Persons With Poststroke Drop Foot
Conclusions: When an FDS was used, GS-C improved progressively over 42 weeks, with ≥50% of patients achieving a clinically meaningful 42-week total effect and 50% achieving a maximum GS-C by 12 weeks. Younger patients with greater mobility levels may benefit most from use of an FDS. AEs were frequent, mild, and reversible.
Source: PM and R - January 13, 2014 Category: Rehabilitation Authors: Michael W. O'Dell, Kari Dunning, Patricia Kluding, Samuel S. Wu, Jody Feld, Jivan Ginosian, Keith McBride Tags: Original Research Source Type: research

Balance and stability focussed exercise programme improves stability and balance in post- acute stroke patients in a resource poor setting
Source: PM and R - June 26, 2014 Category: Rehabilitation Authors: Threethambal Puckree, Pooveshni Uthum Source Type: research

Therapeutic Synergism in the Treatment of Post-stroke Arm Paresis Utilizing Botulinum Toxin, Robotic Therapy, and Constraint-induced Movement Therapy
Source: PM and R - May 28, 2014 Category: Rehabilitation Authors: Takashi Takebayashi, Satoru Amano, Keisuke Hanada, Atsushi Umeji, Kayoko Takahashi, Tetsuo Koyama, Kazuhisa Domen Source Type: research

Gait Disturbances in Patients With Stroke
Source: PM and R - January 21, 2014 Category: Rehabilitation Authors: Birol Balaban, Fatih Tok Tags: Narrative Review Source Type: research

Is Motor-Imagery Brain-Computer Interface Feasible in Stroke Rehabilitation?
Source: PM and R - January 14, 2014 Category: Rehabilitation Authors: Wei-Peng Teo, Effie Chew Source Type: research

Severity of Spatial Neglect During Acute Inpatient Rehabilitation Predicts Community Mobility After Stroke
Source: PM and R - January 13, 2014 Category: Rehabilitation Authors: Mooyeon Oh-Park, Cynthia Hung, Peii Chen, A.M. Barrett Source Type: research

Effect of Body Mass Index on Hemiparetic Gait
To evaluate the relationship between body mass index (BMI) and spatiotemporal, kinematic, and kinetic gait parameters in chronic hemiparetic stroke survivors.
Source: PM and R - April 5, 2014 Category: Rehabilitation Authors: Lynne R. Sheffler, Stephanie Nogan Bailey, Douglas Gunzler, John Chae Source Type: research

The Role of Autonomic Function on Sport Performance in Athletes With Spinal Cord Injury
Devastating paralysis, autonomic dysfunction, and abnormal cardiovascular control present significant hemodynamic challenges to individuals with spinal cord injury (SCI), especially during exercise. In general, resting arterial pressure after SCI is lower than with able-bodied individuals and is commonly associated with persistent orthostatic intolerance along with transient episodes of life-threatening hypertension, known as “autonomic dysreflexia.” During exercise, the loss of central and reflexive cardiovascular control attenuates maximal heart rate and impairs blood pressure regulation and blood redistribution, whi...
Source: PM and R - August 1, 2014 Category: Rehabilitation Authors: Andrei Krassioukov, Christopher West Tags: Original Research Source Type: research