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Teamwork and toughness: Living with cerebral palsy
Growing up in Querétaro, Mexico, María was an exceptionally bright and inquisitive child. At just 18 months old, she spoke at the level of a 6-year-old, and could even sing the tongue-twisting “Supercalifragilisticexpialidocious” song. Her parents marveled at her intelligence at such a young age, but there was something in her development that seemed off. “At 1 year, she wasn’t crawling well and had difficulty standing,” her mother, María José, recalls. “She hadn’t learned to walk by 18 months, and she would crawl by pulling her two legs at the same time — like a little bunny.” Her parents knew that s...
Source: Thrive, Children's Hospital Boston - February 2, 2018 Category: Pediatrics Authors: Connor Ertz Tags: Our Patients’ Stories cerebral palsy Cerebral Palsy Center Child and Young Adult Hip Preservation Program Dr. Benjamin Shore Dr. Donna Nimec Source Type: news

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

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

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
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

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

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

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

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

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

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