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"active rehabilitation training"

Changhong Dong, Jiang Shouhail, Mingliang Xu, Jingnan Hu, Aimin Peng, Xuejian Zheng
OBJECTIVE: To discuss the effectiveness of Ilizarov technology combined with tarsal V-shape osteotomy for the treatment of traumatic clubfoot. METHODS: Between August 2011 and August 2014, 14 patients with traumatic clubfoot were treated. There were 10 males and 4 females, aged 13 to 61 years (mean, 31 years). of 14 cases, 11 had open fractures of the tibia and ankle and 3 had closed fracture of the ankle joint. The interval from trauma to operation was 7-78 months (mean, 36 months)...
December 2015: Chinese Journal of Reparative and Reconstructive Surgery
Yao Sun, Joanne Boots, E Paul Zehr
It was once falsely believed that neurological and functional recovery after stroke occurred only in the first 6 months after lesion. The perception of this "6-month myth" continues to negatively impact the attitudes of patients towards their rehabilitation and on the clinicians and therapists making optimal training plans. Here we briefly outline some evidence that debunked the 6-month myth, where the concept of this temporal limit may have originated, and the lingering misunderstanding that individuals with stroke reach a plateau of recovery after 6 months even with rehabilitation training...
August 2015: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
Kathryn S Hayward, Bridee A Neibling, Ruth N Barker
This single-case, mixed-method study explored the feasibility of self-administered, home-based SMART (sensorimotor active rehabilitation training) Arm training for a 57-yr-old man with severe upper-limb disability after a right frontoparietal hemorrhagic stroke 9 mo earlier. Over 4 wk of self-administered, home-based SMART Arm training, the participant completed 2,100 repetitions unassisted. His wife provided support for equipment set-up and training progressions. Clinically meaningful improvements in arm impairment (strength), activity (arm and hand tasks), and participation (use of arm in everyday tasks) occurred after training (at 4 wk) and at follow-up (at 16 wk)...
July 2015: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
Kathryn S Hayward, Ruth N Barker, Sandra G Brauer, David Lloyd, Sally A Horsley, Richard G Carson
BACKGROUND: The SMART (SensoriMotor Active Rehabilitation Training) Arm is a nonrobotic device designed to allow stroke survivors with severe paresis to practice reaching. It can be used with or without outcome-triggered electrical stimulation (OT-stim) to augment movement. The aim of this study was to evaluate the efficacy of SMART Arm training when used with or without OT-stim, in addition to usual care, as compared with usual care alone during inpatient rehabilitation. METHODS: Eight stroke survivors received 20 hours of SMART Arm training over 4 weeks; they were randomly assigned to either (1) SMART Arm training with OT-stim or (2) SMART Arm training alone...
July 2013: Topics in Stroke Rehabilitation
Enrico M Clini, Ernesto Crisafulli, Francesca Degli Antoni, Claudio Beneventi, Ludovico Trianni, Stefania Costi, Leonardo M Fabbri, Stefano Nava
BACKGROUND: Rehabilitation is a non-pharmacologic therapy that can restore health and reverse the patient's disability, but the efficacy of rehabilitation in critically ill patients is not well documented. METHODS: In a prospective cohort study, we assessed whether the degree of change in functional status after comprehensive rehabilitation influenced clinical outcomes in 77 tracheotomized patients (mean ± SD age 75 ± 7 y) admitted for difficult weaning to our regional weaning center...
March 2011: Respiratory Care
Ruth N Barker, Sandra G Brauer, Richard G Carson
BACKGROUND AND PURPOSE: Severe upper limb paresis is a major contributor to disability after stroke. This study investigated the efficacy of a new nonrobotic training device, the Sensorimotor Active Rehabilitation Training (SMART) Arm, that was used with or without electromyography-triggered electrical stimulation of triceps brachii to augment elbow extension, permitting stroke survivors with severe paresis to practice a constrained reaching task. METHODS: A single-blind, randomized clinical trial was conducted with 42 stroke survivors with severe and chronic paresis...
June 2008: Stroke; a Journal of Cerebral Circulation
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