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Journal of Neurologic Physical Therapy: JNPT

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https://www.readbyqxmd.com/read/30199518/experience-of-robotic-exoskeleton-use-at-four-spinal-cord-injury-model-systems-centers
#1
Allen W Heinemann, Arun Jayaraman, Chaithanya K Mummidisetty, Jamal Spraggins, Daniel Pinto, Susan Charlifue, Candy Tefertiller, Heather B Taylor, Shuo-Hsiu Chang, Argyrios Stampas, Catherine L Furbish, Edelle C Field-Fote
BACKGROUND AND PURPOSE: Refinement of robotic exoskeletons for overground walking is progressing rapidly. We describe clinicians' experiences, evaluations, and training strategies using robotic exoskeletons in spinal cord injury rehabilitation and wellness settings and describe clinicians' perceptions of exoskeleton benefits and risks and developments that would enhance utility. METHODS: We convened focus groups at 4 spinal cord injury model system centers. A court reporter took verbatim notes and provided a transcript...
October 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/30199517/is-this-study-a-clinical-trial-why-does-it-matter
#2
Edelle Edee Field-Fote
No abstract text is available yet for this article.
October 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/30138234/aerobic-training-in-canadian-stroke-rehabilitation-programs
#3
Celine Nathoo, Shawna Buren, Roni El-Haddad, Kaylee Feldman, Erika Schroeder, Dina Brooks, Elizabeth L Inness, Susan Marzolini
BACKGROUND AND PURPOSE: Aerobic training (AT) is recommended for people after stroke, yet uptake and operationalization of AT in clinical practice in Canada have not been measured. We surveyed inclusion of structured AT and barriers to implementation in public inpatient/outpatient stroke rehabilitation programs across Canada. METHODS: A Web-based questionnaire was sent to 89 stroke rehabilitation program leads. RESULTS: Forty-six programs from 7 of 9 eligible Canadian provinces/territories completed the questionnaire...
October 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/30138233/turning-stability-in-individuals-with-parkinson-disease
#4
David Conradsson, Caroline Paquette, Erika Franzén
BACKGROUND AND PURPOSE: Although instability during turning is a disabling feature of Parkinson disease (PD), little is known about the associated postural characteristics. Our goals were to compare turning stability between individuals with PD and healthy individuals and to investigate whether dopaminergic medication improves turning stability. METHODS: Nineteen older adults with mild to moderate PD and 19 healthy individuals walked straight or walked and turned 180° to the right or left...
October 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/30138232/barnes-and-leahy-promotion-of-doctoral-studies-pods-2018-awards
#5
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/30138231/feasibility-of-aerobic-exercise-in-the-subacute-phase-of-recovery-from-traumatic-brain-injury-a-case-series
#6
Timothy P Morris, David Costa-Miserachs, Pablo Rodriguez-Rajo, Jordi Finestres, Montserrat Bernabeu, Joyce Gomes-Osman, Alvaro Pascual-Leone, Jose Maria Tormos-Muñoz
BACKGROUND AND PURPOSE: Aerobic exercise is as important for individuals with traumatic brain injury (TBI) as for the general population; however, the approach to aerobic training may require some adaptation. The objective of the trial program was to examine the feasibility of introducing aerobic physical exercise programs into the subacute phase of multidisciplinary rehabilitation from moderate to severe TBI, which includes computerized cognitive training. CASE DESCRIPTION: Five individuals undergoing inpatient rehabilitation with moderate or severe TBIs who also have concomitant physical injuries...
October 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/30138230/minimal-clinically-important-difference-of-the-6-minute-walk-test-in-people-with-stroke
#7
George D Fulk, Ying He
BACKGROUND AND PURPOSE: The 6-minute walk test (6MWT) is commonly used in people with stroke. The purpose of this study was to estimate the minimal clinically important difference (MCID) of the 6MWT 2 months poststroke. METHODS: We performed a secondary analysis of data from a rehabilitation trial. Participants underwent physical therapy between 2 and 6 months poststroke and the 6MWT was measured before and after. Two anchors of important change were used: the modified Rankin Scale (mRS) and the Stroke Impact Scale (SIS)...
October 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/30138229/commentary-on-mobility-function-and-recovery-after-stroke-preliminary-insights-from-sympathetic-nervous-system-activity
#8
Kim Delbaere, Thomas Hadjistavropoulos
No abstract text is available yet for this article.
October 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/30138228/mobility-function-and-recovery-after-stroke-preliminary-insights-from-sympathetic-nervous-system-activity
#9
Sudeshna A Chatterjee, Janis J Daly, Eric C Porges, Emily J Fox, Dorian K Rose, Theresa E McGuirk, Dana M Otzel, Katie A Butera, David J Clark
BACKGROUND AND PURPOSE: Poststroke hemiparesis increases the perceived challenge of walking. Perceived challenge is commonly measured by self-report, which is susceptible to measurement bias. A promising approach to objectively assess perceived challenge is measuring sympathetic nervous system (SNS) activity with skin conductance to detect the physiological stress response. We investigated the feasibility of using skin conductance measurements to detect task-related differences in the challenge posed by complex walking tasks in adults poststroke...
October 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29912034/vestibular-rehabilitation-is-associated-with-visuovestibular-improvement-in-pediatric-concussion
#10
Eileen P Storey, Douglas J Wiebe, Bernadette A DʼAlonzo, Kim Nixon-Cave, Janet Jackson-Coty, Arlene M Goodman, Matthew F Grady, Christina L Master
BACKGROUND AND PURPOSE: Vision and vestibular-related deficits are common after concussion and are associated with prolonged recovery times, substantially impacting the quality of life for children. The utility of targeted vestibular rehabilitation for these deficits in children after concussion is unknown. The purpose of this study was to determine whether active vestibular rehabilitation is associated with an improvement in visuovestibular signs and symptoms in children with concussion...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29901487/a-core-set-of-outcome-measures-for-adults-with-neurologic-conditions-undergoing-rehabilitation-a-clinical-practice-guideline
#11
Jennifer L Moore, Kirsten Potter, Kathleen Blankshain, Sandra L Kaplan, Linda C OʼDwyer, Jane E Sullivan
BACKGROUND: Use of outcome measures (OMs) in adult neurologic physical therapy is essential for monitoring changes in a patient's status over time, quantifying observations and patient-reported function, enhancing communication, and increasing the efficiency of patient care. OMs also provide a mechanism to compare patient and organizational outcomes, examine intervention effectiveness, and generate new knowledge. This clinical practice guideline (CPG) examined the literature related to OMs of balance, gait, transfers, and patient-stated goals to identify a core set of OMs for use across adults with neurologic conditions and practice settings...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29864104/jnpt-congratulates-apta-award-winners
#12
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29864102/comparison-of-uninjured-and-concussed-adolecent-athletes-on-the-concussion-balance-test-cobalt
#13
Shelly Massingale, Amy Alexander, Steven Erickson, Elizabeth McQueary, Richard Gerkin, Haroon Kisana, Briana Silvestri, Sarah Schodrof, Bryce Nalepa, Jamie Pardini
BACKGROUND AND PURPOSE: Dizziness and balance problems are common symptoms following sports-related concussion (SRC). Most sports require high-level balance skills that integrate the sensory inputs used for balance. Thus, a comprehensive assessment of postural control following SRC is recommended as an integral part of evaluation and management of the injury. The purpose of this exploratory study was to examine performance differences between uninjured and concussed athletes on the Concussion Balance Test (COBALT), as well as complete preliminary analyses of criterion-related validity and reliability of COBALT...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29864101/prospective-changes-in-vestibular-and-ocular-motor-impairment-after-concussion
#14
R J Elbin, Alicia Sufrinko, Morgan N Anderson, Samantha Mohler, Philip Schatz, Tracey Covassin, Anne Mucha, Michael W Collins, Anthony P Kontos
BACKGROUND AND PURPOSE: The utility of prospective changes on the Vestibular/Ocular Motor Screening (VOMS) assessment are unknown, and 2 methods of scoring are published in the literature. Total scores are the total symptom scores for each VOMS component, and change scores are the difference between the pretest total symptom score and component total symptom scores. This study documented prospective changes in vestibular and ocular motor impairments and symptoms in high school athletes with concussion using the total and change scoring methods and compared the percentage of scores over clinical cutoffs using the total and change scoring methods for the VOMS...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29864100/commentary-on-an-exploration-of-the-impact-of-initial-timing-of-physical-therapy-on-safety-and-outcomes-after-concussion
#15
Anne Mucha
No abstract text is available yet for this article.
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29864099/returning-individuals-to-activities-and-participation-it-s-what-we-do
#16
Karen L McCulloch, Kathleen Gill-Body
No abstract text is available yet for this article.
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29864098/activity-and-exercise-intolerance-after-concussion-identification-and-management-of-postural-orthostatic-tachycardia-syndrome
#17
Nicole A Miranda, Jeffrey R Boris, Kristen M Kouvel, Lauren Stiles
BACKGROUND AND PURPOSE: Postural orthostatic tachycardia syndrome (POTS) is increasingly recognized as a complication affecting recovery from concussion. Individuals with POTS demonstrate refractory dizziness, lightheadedness, cognitive dysfunction, fatigue, headache, chronic pain, nausea and gastrointestinal dysmotility, activity and exercise intolerance, syncope, and tachycardia. Subtypes of POTS may include hypovolemia, hyperadrenergic states, autonomic neuropathy, and underlying autoimmunity, which may variably impact response to rehabilitation in varying ways...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29864097/the-role-of-physical-activity-in-recovery-from-concussion-in-youth-a-neuroscience-perspective
#18
Julia Schmidt, Cristina Rubino, Lara A Boyd, Naznin Virji-Babul
BACKGROUND AND PURPOSE: Concussion is a major public health concern and one of the least understood neurological injuries. Children and youth are disproportionally affected by concussion, and once injured, take longer to recover. Current guidelines recommend a period of physical and cognitive rest with a gradual progressive return to activity. Although there is limited high-quality evidence (eg, randomized controlled trials) on the benefit of physical activity and exercise after concussion, most studies report a positive impact of exercise in facilitating recovery after concussion...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29846269/an-exploration-of-the-impact-of-initial-timing-of-physical-therapy-on-safety-and-outcomes-after-concussion-in-adolescents
#19
Anne Lennon, Jason A Hugentobler, Mary Claire Sroka, Katharine S Nissen, Brad G Kurowski, Isabelle Gagnon, Catherine C Quatman-Yates
BACKGROUND AND PURPOSE: Physical therapy (PT) is a management strategy increasingly recognized to facilitate recovery after concussion. The purpose of this study was to investigate the safety and outcomes of multimodal impairment-based PT at varying time points after injury in youth diagnosed with concussion. METHODS: Data were extracted retrospectively from medical records for patients who received PT for concussion-related impairments. Patient records were categorized into 3 cohorts on the basis of the timing of PT implementation: 0-20 days following injury (early intervention), 21 to 41 days following injury (middle intervention), and 42 or more days following injury (late intervention)...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29864103/abstracts-of-current-concussion-research-literature
#20
(no author information available yet)
No abstract text is available yet for this article.
June 1, 2018: Journal of Neurologic Physical Therapy: JNPT
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