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Tone-inhibiting insoles enhance the reciprocal inhibition of ankle plantarflexors of post-stroke hemiparetic subjects: an electromyographic study
Conclusion Tone-inhibiting insoles enhanced RI of the soleus in post-stroke subjects, which might enhance standing stability by reducing unfavorable ankle plantarflexion tone.
Source: PMandR - July 20, 2017 Category: Rehabilitation Source Type: research

Tone-Inhibiting Insoles Enhance the Reciprocal Inhibition of Ankle Plantarflexors of Subjects With Hemiparesis After Stroke: An Electromyographic Study
Conclusion Tone-inhibiting insoles enhanced RI of the soleus in subjects after stroke, which might enhance standing stability by reducing unfavorable ankle plantarflexion tone. Level of Evidence To be determined
Source: PMandR - August 8, 2017 Category: Rehabilitation 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

Does acupuncture help patients with spasticity? A narrative review
Publication date: Available online 5 November 2018Source: Annals of Physical and Rehabilitation MedicineAuthor(s): Yi Zhu, Yujie Yang, Jianan LiAbstractSpasticity is a motor disorder encountered after upper motor neuron lesions. It adversely affects quality of life in most patients and causes long-term burden of care and has significant financial implications. The effect of conventional therapies for spasticity including physical therapy, surgery, and pharmacotherapy are not always satisfying because of the short-term effects or side effects in some patients. Acupuncture is a part of traditional medicine originating from C...
Source: Annals of Physical and Rehabilitation Medicine - November 6, 2018 Category: Rehabilitation Source Type: research

Feasibility of High Repetition Upper Extremity Rehabilitation for Children with Unilateral Cerebral Palsy
CONCLUSIONS: Results suggest high repetition therapy is feasible in school-aged children with perinatal stroke, albeit with high individual variability. Multiple associations between repetition rates and baseline function and change point to the clinical importance of this measurable and potentially modifiable factor.PMID:34872435 | DOI:10.1080/01942638.2021.2010857
Source: Physical Therapy - December 7, 2021 Category: Physiotherapy Authors: Megan J Metzler Kathleen O'Grady Linda Fay Mia Herrero Mary Dunbar Darcy Fehlings John Andersen Adam Kirton Source Type: research

Study Protocol: Multimodal Longitudinal Assessment of Infant Brain Organization and Recovery in Perinatal Brain Injury
DISCUSSION: This protocol will identify bioindicators of motor outcome and neuroplasticity and subsequently inform early detection, diagnosis, and intervention strategies for infants with perinatal stroke, brain bleeds, and related diagnoses.PMID:35385465 | DOI:10.1097/PEP.0000000000000886
Source: Physical Therapy - April 6, 2022 Category: Physiotherapy Authors: Catarina Saiote Ellen Sutter Annette Xenopoulos-Oddsson Raghavendra Rao Michael Georgieff Kyle Rudser Colleen Peyton Douglas Dean Ryan M McAdams Bernadette Gillick Source Type: research

Gait analysis patterns and rehabilitative interventions to improve gait in persons with hereditary spastic paraplegia: a systematic review and meta-analysis
ConclusionKnee hyperextension, non-sagittal pelvic movements, and reduced ROM at the knee, ankle, and hip represent the most peculiar patterns in HSP, compared to diplegic cerebral palsy and stroke. Botulinum improved comfortable gait velocity after 2 months. Nonetheless, interventions reducing spasticity might result in ineffective functional outcomes unveiling weakness. Intensive active physical therapy and FES might improve gait velocity in the very short term.
Source: Frontiers in Neurology - September 20, 2023 Category: Neurology Source Type: research

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

The effectiveness of surgery for adults with hallux valgus deformity: partial results of quantitative systematic review.
Conclusion: Data collection and synthesis, along with assessment of methodological quality will be undertaken using JBI MAStARI software. International Journal of Evidence-Based Healthcare (C) 2014 The Joanna Briggs Institute
Source: International Journal of Evidence-Based Healthcare - September 1, 2014 Category: Nursing Tags: Abstracts of Oral Presentations: Evidence Synthesis: PDF Only Source Type: research

Newly Identified Gait Patterns in Patient With Multiple Sclerosis May Be Related to Push-Off Quality.
CONCLUSION: Based on a small set of nine variables measured with 2D clinical gait analysis, patients with MS could be divided into three different gait classes. The gait variables are suggestive of insufficient ankle push-off. PMID: 27174257 [PubMed - as supplied by publisher]
Source: Physical Therapy - May 11, 2016 Category: Physiotherapy Authors: Kempen JC, Doorenbosch CA, Knol DL, de Groot V, Beckerman H Tags: Phys Ther Source Type: research

Newly Identified Gait Patterns in Patients With Multiple Sclerosis May Be Related to Push-off Quality.
CONCLUSIONS: Based on a small set of 9 variables measured with 2-dimensional clinical gait analysis, patients with MS could be divided into 3 different gait classes. The gait variables are suggestive of insufficient ankle push-off. PMID: 27174257 [PubMed - in process]
Source: Physical Therapy - October 31, 2016 Category: Physiotherapy Authors: Kempen JC, Doorenbosch CA, Knol DL, de Groot V, Beckerman H Tags: Phys Ther 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. PMID: 27893565 [PubMed - as supplied by publisher]
Source: Physical Therapy - November 22, 2016 Category: Physiotherapy Authors: Giorgi G, Ferrarello F, Merlo F, Fumagalli S, Marchionni N, Di Bari M Tags: J Geriatr Phys Ther Source Type: research

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