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The Suicidal Outpatient: Balancing Autonomy, Trust, and Responsibilities
The intersection where mental health and rehabilitation care converge can raise ethical questions involving boundaries, duties, and perhaps more importantly, our role in recovery, adjustment, and flourishing. The patient with a stroke-related depression is one prototypical example. We know that damage to specific parts of the brain can cause depressive symptomatology as well as the fact that the adjustment process during rehabilitation itself can impact well-being and a sense of self-efficacy. In this column, we explore a case of when a patient becomes severely depressed and suicidal and expresses this ideation during an o...
Source: PM and R - July 1, 2018 Category: Rehabilitation Authors: Elizabeth E. Sita, R. Brett Lloyd, Lynne C. Brady Wagner, Vu Q.C. Nguyen, Eric Swirsky, Debjani Mukherjee Tags: Ethical Legal Feature Source Type: research

Tone-inhibiting insoles enhance the reciprocal inhibition of ankle plantarflexors of post-stroke hemiparetic subjects: an electromyographic study
Spasticity is a common sequela of upper motor neuron pathology, such as cerebrovascular diseases and cerebral palsy. Intervention for spasticity of the ankle plantarflexors in physical therapy may include tone-inhibiting casting and/or orthoses for the ankle and foot. However, the physiological mechanism of tone reduction by such orthoses remains unclarified.
Source: PM and R - July 20, 2017 Category: Rehabilitation Authors: Nobushige Takahashi, Hidetoshi Takahashi, Osamu Takahashi, Ryosuke Ushijima, Rie Umebayashi, Junji Nishikawa, Yasutomo Okajima Source Type: research

Tone-Inhibiting Insoles Enhance the Reciprocal Inhibition of Ankle Plantarflexors of Subjects With Hemiparesis After Stroke: An Electromyographic Study
Spasticity is a common sequela of upper motor neuron pathology, such as cerebrovascular diseases and cerebral palsy. Intervention for spasticity of the ankle plantarflexors in physical therapy may include tone-inhibiting casting and/or orthoses for the ankle and foot. However, the physiological mechanism of tone reduction by such orthoses remains unclarified.
Source: PM and R - July 20, 2017 Category: Rehabilitation Authors: Nobushige Takahashi, Hidetoshi Takahashi, Osamu Takahashi, Ryosuke Ushijima, Rie Umebayashi, Junji Nishikawa, Yasutomo Okajima 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

Daily Treatment Time and Functional Gains of Stroke Patients During Inpatient Rehabilitation
Objective: To study the effects of daily treatment time on functional gain of patients who have had a stroke. Design: A retrospective cohort study. Setting: An inpatient rehabilitation hospital (IRH) in northern California. Participants: Three hundred sixty patients who had a stroke and were discharged from the IRH in 2007. Interventions: Average minutes of rehabilitation therapy per day, including physical therapy, occupation therapy, speech and language therapy, and total treatment. Main Outcome Measures: Functional gain measured by the Functional Independence Measure, including activities of daily living, mob...
Source: PM and R - November 5, 2012 Category: Rehabilitation Authors: Hua Wang, Michelle Camicia, Joseph Terdiman, Murali K. Mannava, Stephen Sidney, M. Elizabeth Sandel Tags: Original Research Source Type: research