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Occupational Therapy Neuro

Kyeong Woo Lee, Sang Beom Kim, Jong Hwa Lee, Sook Joung Lee, Seung Wan Yoo
OBJECTIVE: To determine the efficacy of a stretching and strengthening exercise program using an upper extremity robot, as compared with a conventional occupational therapy program for upper extremity spasticity in stroke patients. METHODS: Subjects were randomly divided into a robot-assisted therapy (RT) group and a conventional rehabilitation therapy (CT) group. RT group patients received RT and CT once daily for 30 minutes each, 5 days a week, for 2 weeks. RT was performed using an upper-extremity robot (Neuro-X; Apsun Inc...
December 2016: Annals of Rehabilitation Medicine
Harika Dasari, Bharath Wootla, Arthur E Warrington, Moses Rodriguez
We provide an overview of rehabilitation in neurological diseases. A large amount of literature available on neurorehabilitation is based from the rehabilitative work on stroke and spinal cord injuries. After a brief description of rehabilitation, the potential application of neurorehabilitation in neurodegenerative diseases specifically multiple sclerosis (MS) is summarized. Since MS causes a wide variety of symptoms, the rehabilitation in MS patients may benefit from an interdisciplinary approach that encloses physiotherapy, cognitive rehabilitation, psychological therapy, occupational therapy, and other methods to improve fatigue...
August 2016: International Journal of Physical Medicine & Rehabilitation
Laurence Vaivre-Douret, Christophe Lalanne, Bernard Golse
BACKGROUND: Developmental Coordination Disorder (DCD) defines a heterogeneous class of children exhibiting marked impairment in motor coordination as a general group of deficits in fine and gross motricity (subtype mixed group) common to all research studies, and with a variety of other motor disorders that have been little investigated. No consensus about symptoms and etiology has been established. METHODS: Data from 58 children aged 6 to 13 years with DCD were collected on DSM-IV criteria, similar to DSM-5 criteria...
2016: Frontiers in Psychology
M Vahabzadeh, M Balali-Mood
Occupational exposure to elemental mercury vapor usually occurs through inhalation during its utilizations. This leads to a variety of adverse health effects. In some Islamic cities, this type of poisoning may occur during gilding of shrines using elemental mercury with gold. Herein, we report on three male patients aged 20-53 years, who were diagnosed with occupational metallic mercury poisoning due to gilding of a shrine. All patients presented with neuro-psychiatric disorders such as anxiety, loss of memory and concentration, and sleep disorders with high urinary mercury concentrations of 326-760 μg/L upon referring, 3-10 days after cessation of elemental mercury exposure...
April 2016: International Journal of Occupational and Environmental Medicine
Louise Gustafsson, Laura Hutchinson, Deborah Theodoros, Katrina Williams, Anna Copley, Amy Fagan, Laura Desha
Student-led clinics are becoming more prominent as educators seek alternate models of clinical education for health professionals. The purpose of this study was to evaluate healthcare students' experiences of an interprofessional student-led clinic for clients with neurological conditions. Thirteen students representing occupational therapy, physiotherapy, and speech pathology were recruited for the study. A sequential mixed-methods evaluation was employed and the results from the Interprofessional Education Scale and focus group revealed that the students experienced positive perceptions of working collaboratively with other professions, forming good relationships with others, as well as an increased respect for the roles of other professions...
2016: Journal of Interprofessional Care
Anna Yam, Tyler Rickards, Carey A Pawlowski, Odette Harris, Ninad Karandikar, Maya V Yutsis
OBJECTIVE: To describe a coordinated interdisciplinary approach to the treatment of functional neurological symptom (conversion) disorder (FNSD), mixed symptoms, including motor dysfunction, in a rehabilitation setting. DESIGN: Adult patient was admitted with worsening neurological symptoms in the absence of contributory clinical pathology. Interdisciplinary diagnostic and treatment approach included physiatry, neuro- and rehabilitation- psychology, occupational, physical, recreational, and speech therapy...
February 2016: Rehabilitation Psychology
Farzaneh Yazdani, Malahat Akbarfahimi, Afsoon Hassani Mehraban, Shohreh Jalaei, Mohammad Torabi-Nami
BACKGROUND: Visual attention is known as a critical base for learning. The purpose of the present study was to design, develop and evaluate the test-retest and internal consistency reliability as well as face, content and convergent validity of the computer- based selective visual attention test (SeVAT) for healthy first-grade school children. METHODS: In the first phase of this study, the computer-based SeVAT was developed in two versions of original and parallel...
2015: Medical Journal of the Islamic Republic of Iran
Elise Piot, Benoît F Leheup, Séverine Losson, Lorène Gédor, Lucie Domina, Chantal Béhem, Malika Amanzouggarene
BACKGROUND: Interventions of mobile palliative care teams in nursing homes have been the subject special consideration, however very little data are available on this subject. OBJECTIVES: To determine the proportion of patients followed and consultations conducted in nursing homes for the dependent elderly by a mobile palliative care team, to describe the patients followed and to analyze the various aspects of this intervention. METHOD: Retrospective study on the interventions carried out by a mobile palliative care team in nursing homes between January 1st and December 31st, 2012...
December 2014: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
S Agarwal, Mn Akhtar
There are only few reports of clavicular duplication in the literature and all authors have agreed that duplicated clavicles are clinically insignificant. This is the first report of this unique association. A 22-year-old female student reported with features of neurogenic thoracic outlet syndrome mainly involving C8-T1 components of the brachial plexus, seemingly originating from involvement in costo-clavicular space. Radiograph of the shoulder revealed clavicular duplication. Neuro-physiological studies corroborated the diagnosis...
September 2014: Annals of Medical and Health Sciences Research
Katarzyna Hojan, Piotr Milecki
This review discusses the pathophysiology, evaluation, and treatment of neuromuscular, musculoskeletal, and functional disorders that can result as late effects of radiation treatment. Although radiation therapy is often an effective method of killing cancer cells, it can also damage nearby blood vessels that nourish the skin, ligaments, tendons, muscles, nerves, bones and lungs. This can result in a progressive condition called radiation fibrosis syndrome (RFS). It is generally a late complication of radiotherapy which may manifest clinically years after treatment...
January 2014: Reports of Practical Oncology and Radiotherapy
Anne Cusick, Natasha A Lannin, Robyn Hanssen, Jeanine Allaous
BACKGROUND/AIM: The Western Neuro Sensory Stimulation Profile (WNSSP) is designed to measure disorders of consciousness in people with severe traumatic brain injury who are slow-to-recover. This study explores internal consistency reliability and concurrent validity of the WNSSP with function and two other consciousness measures. METHOD: Retrospective chart audit of all severe traumatic brain injury patients admitted to a specialist neurological rehabilitation centre from January 2001 to December 2006 in a vegetative or minimally conscious state...
August 2014: Australian Occupational Therapy Journal
Osaretin Albert Taiwo Ebuehi, Oluseyi Cyril Ayinde
BACKGROUND: Lead is an environmental toxicant, occupational and environmental exposures remain a serious problem in developing and industrializing countries. OBJECTIVE: This study is designed to investigate the effects of L-ascorbic acid and L-tryptophan on the neurotoxicity and neurobehavioural alterations in lead exposed male Sprague Dawley rats. METHODS: Experimental animals were exposed to oral doses of lead (Pb), L-ascorbic acid, and L-tryptophan at 75 mg/kg body weight, 40 mg/kg body weight, and 20 mg/kg body weight respectively, while control animals received 0...
October 2012: Nigerian Quarterly Journal of Hospital Medicine
Masahiro Abo
NEURO (NovEl intervention Using Repetitive TMS and intensive Occupational therapy) have been recently reported to be clinically beneficial for post-stroke patients with upper limb hemiparesis. We confirmed the safety and feasibility of the protocol in 1,008 post-stroke patients from different institutions, and identify predictors of the clinical response to the treatment. And in our randomized controlled study of NEURO and constraint-induced movement therapy, NEURO showed the superiority of NEURO relative to constraint-induced movement therapy; NEURO improved the motion of the whole upper limb and resulted...
2013: Rinshō Shinkeigaku, Clinical Neurology
Masahiro Abo, Wataru Kakuda, Ryo Momosaki, Hiroaki Harashima, Miki Kojima, Shigeto Watanabe, Toshihiro Sato, Aki Yokoi, Takuma Umemori, Jinichi Sasanuma
BACKGROUND: Many poststroke patients suffer functional motor limitation of the affected upper limb, which is associated with diminished health-related quality of life. AIMS: The aim of this study is to conduct a randomized, multicenter, comparative study of low-frequency repetitive transcranial magnetic stimulation combined with intensive occupational therapy, NEURO (NovEl intervention Using Repetitive TMS and intensive Occupational therapy) versus constraint-induced movement therapy in poststroke patients with upper limb hemiparesis...
July 2014: International Journal of Stroke: Official Journal of the International Stroke Society
Natasha A Lannin, Anne Cusick, Robyn McLachlan, Jeanine Allaous
OBJECTIVE: The Western Neuro Sensory Stimulation Profile (WNSSP) presents a hierarchy of items suggestive of a sequence of recovery. The aim of this study was to understand the sequence of recovery of neurobehavioral function in patients with brain injury and determine whether this sequence was consistent with the WNSSP test item order. METHOD: We conducted a retrospective clinical chart audit of 37 adult inpatients (mean age = 29 yr; 31 men, 6 women) with a diagnosis of traumatic brain injury and a minimum of two medical record entries on the WNSSP...
September 2013: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
D Howell
Neuro-occupation is an emerging concept in occupational therapy. The concept of neuro-occupation provides a basis to understand how the nervous system is intertwined with all aspects of occupational performance. This paper uses the framework of neuro-occupation to link a neurological system, the reticular activating system (RAS), to the performance of self-care by patients in an intensive care setting. This correlation is made because the RAS is responsible for organizing sensory information. Inappropriate amounts of stimulation effect the RAS and result in sensory deprivation or sensory overload, which negatively impacts occupational performance...
1999: Occupational Therapy in Health Care
Adriana Sarah Nica, Consuela Monica Brailescu, Rodica Gabriela Scarlet
In the last decade, Virtual Reality has encountered a continuous development concerning medical purposes and there are a lot of devices based on the classic "cyberglove" concept that are used as new therapeutic method for upper limb pathology, especially neurologic problems [1;2;3]. One of the VR devices is Pablo (Tyromotion), with very sensitive sensors that can measure the hand grip strenght and the pinch force, also the ROM (range of motion) for all the joints of the upper limb (shoulder, elbow, wrist) and offering the possibility of interactive games based on Virtual Reality concept with application in occupational therapy programs...
2013: Studies in Health Technology and Informatics
N Gerdes, U-N Funke, U Schüwer, P Themann, G Pfeiffer, C Meffert
In the context of developing and testing a procedure for "Outcome-oriented payment for rehabilitation after stroke", we found that the instruments commonly used to measure the outcomes of rehabilitation after stroke (e. g., Barthel-Index or FIM) were not meeting the special requirements of the new payment system. Therefore the "Scores of Independence for Neurologic and Geriatric Rehabilitation" (SINGER) was developed as a new assessment instrument. This instrument is based on the ICF and measures 20 aspects of "independence in activities of daily living"...
October 2012: Die Rehabilitation
P M O Andrade, Fernanda Oliveira Ferreira, Ana Paula Mendonça, Vitor Geraldi Haase
PURPOSE: To identify relevant items and most frequents categories related to functioning and disability recorded by professionals involved in rehabilitation of children with cerebral palsy (CP) and to assess the filling of the records. METHODS: A retrospective cross-sectional study based on the written documents provided by an interdisciplinary rehabilitation team. Participated in the study 40 patients with CP, aged 10 months to 17 years. Two raters extracted information from the patients' medical documents as recorded by physicians, physiotherapists, occupational therapists, speech therapists, social workers, psychologists and dieticians using the ICF-CY...
2012: Disability and Rehabilitation
Wataru Kakuda, Masahiro Abo, Masato Shimizu, Jinichi Sasanuma, Takatsugu Okamoto, Aki Yokoi, Kensuke Taguchi, Sugao Mitani, Hiroaki Harashima, Naoki Urushidani, Mitsuyoshi Urashima
BACKGROUND: Both low-frequency repetitive transcranial magnetic stimulation (rTMS) and intensive occupational therapy (OT) have been recently reported to be clinically beneficial for post-stroke patients with upper limb hemiparesis. Based on these reports, we developed an inpatient combination protocol of these two modalities for the treatment of such patients. The aims of this pilot study were to confirm the safety and feasibility of the protocol in a large number of patients from different institutions, and identify predictors of the clinical response to the treatment...
January 20, 2012: Journal of Neuroengineering and Rehabilitation
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