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Neuromuscular reeducation

Christopher M Wilson, Christina L Mitchell, Katherine M Hebert
Cerebellar stroke increases the risk of extensive physical disability and long-term institutionalization. The purpose of this case report is to describe the 14-month longitudinal rehabilitation management and outcomes from the intensive care unit, inpatient rehabilitation unit and outpatient care of a patient after cerebellar stroke. A goal of this case report is to provide rehabilitation clinicians with a long-term perspective and understanding of the course of recovery for a patient after cerebellar cerebrovascular accident or related injury...
December 14, 2017: Curēus
Janet E Simon, Erik A Wikstrom, Dustin R Grooms, Carrie L Docherty, Thomas P Dompier, Zachary Y Kerr
CONTEXT:   Limited information exists on the amount and type of care provided by athletic trainers (ATs) treating athletes who sustained ankle sprains in the high school setting. OBJECTIVE:   To describe AT services provided for patients with ankle sprains injured in high school athletics. DESIGN:   Descriptive epidemiology study. SETTING:   Athletic training facility (ATF) visits and AT services collected from 147 high schools in 26 states...
January 26, 2018: Journal of Athletic Training
Brian J Eckenrode
BACKGROUND AND PURPOSE: Loss of knee range of motion (ROM) has been reported as the most common complication following anterior cruciate ligament reconstruction (ACLR). Arthrofibrosis of the knee, or specifically Cyclops syndrome, has been described as the formation of a scar tissue nodule adjacent to the tibial tunnel of the anterior cruciate ligament (ACL) graft. This lesion often results in loss of knee extension ROM, pain, and impaired function. CASE DESCRIPTIONS: Three consecutive patients were referred to physical therapy following arthroscopic knee surgery for lysis of adhesions of a Cyclops lesion from a previous ACLR...
January 2018: Physiotherapy Theory and Practice
Kardem Soyer, Banu Unver, Seval Tamer, Ozlem Ulger
OBJECTIVE: To evaluate and point out the importance of prosthetic rehabilitation of upper extremity. METHODS: A systematic literature search was performed to identify studies concerning prosthetic rehabilitation in upper extremity. The PRISMA Statement 2009 was used to establish the study and the methodological quality was assessed. RESULTS: The literature search identified 620 studies. Of these 620, 9 studies fulfilled the inclusion criteria and were included for data extraction...
September 2016: Pakistan Journal of Medical Sciences Quarterly
Wendy H Teoh, Thomas Ledowski, Phillip S Tseng
Introduction. This survey aimed to investigate the attitudes/practice pertaining the use, management, and monitoring of neuromuscular blockade amongst Singaporean anaesthetists. Methods. All specialist accredited anaesthetists registered with the Singapore Medical Council were invited to complete an anonymous online survey. Results. The response rate was 39.5%. Neuromuscular monitoring (NM) was used routinely by only 13.1% despite the widespread availability of monitors. 82% stated residual NMB (RNMB) was a significant risk factor for patient outcome, but only 24% believed NMB monitoring should be compulsory in all paralyzed patients...
2016: Anesthesiology Research and Practice
Stacey M Cornelson, William Hogarth, Daniel L Ault, Norman W Kettner
OBJECTIVE: The purpose of this report is to describe osteoarthritis and internal derangement of the shoulder in a collegiate softball player. CLINICAL FEATURES: A 25-year-old female softball athlete presented with a history of chronic right shoulder pain. A thorough clinical examination and multiple imaging studies were performed. Osteoarthritis was demonstrated on radiographs, and ligamentous and rotator cuff tendon tears were displayed on magnetic resonance imaging...
June 2016: Journal of Chiropractic Medicine
Dana L Judd, Joshua D Winters, Jennifer E Stevens-Lapsley, Cory L Christiansen
BACKGROUND: Following total hip arthroplasty, patients demonstrate compensatory movement strategies during activities of daily living such as walking and stair climbing. Movement compensations are important markers of functional decline in older adults and are related to poor functional capacity. Despite increased utilization of hip arthroplasty, persistent movement compensation, and functional performance deficits, no consensus on postoperative rehabilitation exists. Neuromuscular reeducation techniques offer a strategy to improve movement quality by emphasizing hip abductor performance and pelvic stability...
February 2016: Clinical Biomechanics
Ji Cheol Shin, Ji Yong Kim, Han Kyul Park, Na Young Kim
OBJECTIVE: To determine the effect of robotic-assisted gait training (RAGT) compared to conventional overground training. METHODS: Sixty patients with motor incomplete spinal cord injury (SCI) were included in a prospective, randomized clinical trial by comparing RAGT to conventional overground training. The RAGT group received RAGT three sessions per week at duration of 40 minutes with regular physiotherapy in 4 weeks. The conventional group underwent regular physiotherapy twice a day, 5 times a week...
December 2014: Annals of Rehabilitation Medicine
No abstract text is available yet for this article.
July 1950: Permanente Foundation Medical Bulletin
Adam Stivala, Greg Hartley
BACKGROUND: Currently, little information describing the relationship of Pilates-based strength and stability exercises with fall risk in the geriatric population exists. PURPOSE: The purpose of this report was to examine the impact of a Pilates-based rehabilitation (PBR) program on reducing fall risk in an aging adult status postfall with resulting hip fracture and open reduction and internal fixation. CASE DESCRIPTION: The patient was an 84-year-old woman admitted to a skilled nursing facility (SNF) after a right hip fracture resulting from a fall at home...
July 2014: Journal of Geriatric Physical Therapy
Adam Stivala, Greg Hartley
BACKGROUND: Currently, little information describing the relationship of Pilates-based strength and stability exercises with fall risk in the geriatric population exists. PURPOSE: The purpose of this report was to examine the impact of a Pilates-based rehabilitation (PBR) program on reducing fall risk in an aging adult status postfall with resulting hip fracture and open reduction and internal fixation. CASE DESCRIPTION: The patient was an 84-year-old woman admitted to a skilled nursing facility (SNF) after a right hip fracture resulting from a fall at home...
November 25, 2013: Journal of Geriatric Physical Therapy
M L Galantino
As a multisystem chronic illness, two areas come to the forefront for management by the rehabilitation specialist. Pain and neuromuscular deficits may be a result of direct insult by the human immunodeficiency virus (HIV) or opportunistic infections affecting functional abilities. A brief overview of pathologic findings reveals that the types of pain experiences is based upon the disease processes that are occurring secondary to HIV. The management of pain and resultant functional changes depends on the source, symptoms and signs of pain...
1991: Occupational Therapy in Health Care
Wagner Monteiro, Thomaz Francisco de Oliveira Dantas da Gama, Robiana Maria dos Santos, Luanda André Collange Grecco, Hugo Pasini Neto, Claudia Santos Oliveira
The aim of the present study was to evaluate the effectiveness of global postural reeducation in the treatment of temporomandibular disorder through bilateral surface electromyographic (EMG) analysis of the masseter muscle in a 23-year-old volunteer. EMG values for the masseter were collected at rest (baseline) and during a maximal occlusion. There was a change in EMG activity both at rest and during maximal occlusion following the intervention, evidencing neuromuscular rebalancing between both sides after treatment as well as an increase in EMG activity during maximal occlusion, with direct improvement in the recruitment of motor units during contractile activity and a decrease in muscle tension between sides at rest...
January 2013: Journal of Bodywork and Movement Therapies
Maria Daniela Havriş, Codrina Ancuţa, Cristina Iordache, Rodica Marieta Chirieac
UNLABELLED: Selecting the appropriate treatment decision is essential for achieving optimal results in the management of algo-dysfunctional syndrome of the temporo-mandibular joint (TMJD). The study aims to decide on the most effective (symptomatic control, preserved motility) kinetic program in patients with TMJ involvement. MATERIAL AND METHODS: prospective observational study on 83 consecutive patients with rheumatic diseases and TMJ dysfunction. Clinical assessment (pain, noises, muscle spasm, range of motion, ROM) was performed at baseline and after 3 months of specific kinetic rehabilitation program...
July 2012: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Dawn T Gulick, John C Castel, Francis X Palermo, David O Draper
BACKGROUND: Patterned electrical neuromuscular stimulation (PENS) uses the electrical stimulation of sensory and motor nerves to achieve a skeletal muscle contraction using an electromyogram-derived functional pattern. PENS is used extensively for neuromuscular reeducation and treatment of muscle disuse atrophy. PURPOSE: To explore the effectiveness of PENS as applied to the quadriceps muscles on the vertical jump of an athletic population. STUDY DESIGN: Experimental with control and repeated measures over time...
March 2011: Sports Health
A J Yenchak, Kevin E Wilk, Christopher A Arrigo, Charles D Simpson, James R Andrews
STUDY DESIGN: Case report. BACKGROUND: Joint stiffness, also called arthrofibrosis, remains the primary complication following any reconstructive knee surgery. Acute anterior cruciate ligament surgery, performed with concomitant multiple ligamentous repair and/or reconstruction, further increases the likelihood of developing impaired knee motion following surgery. The purpose of this case report is to present a criteria-based approach to the postoperative management of a multiligament knee injury...
September 2011: Journal of Orthopaedic and Sports Physical Therapy
Richard W Willy, Irene S Davis
STUDY DESIGN: Block randomized controlled trial. OBJECTIVES: To investigate whether a strengthening and movement education program, targeting the hip abductors and hip external rotators, alters hip mechanics during running and during a single-leg squat. BACKGROUND: Abnormal movement patterns during running and single-leg squatting have been associated with a number of running-related injuries in females. Therapeutic interventions for these aberrant movement patterns typically include hip strengthening...
September 2011: Journal of Orthopaedic and Sports Physical Therapy
Michael F Joseph, Michael Rahl, Jessica Sheehan, Bradley MacDougall, Elaine Horn, Craig R Denegar, Thomas H Trojian, Jeffrey M Anderson, William J Kraemer
BACKGROUND: Female athletes are at a greater risk for noncontact anterior cruciate ligament injuries than male athletes. Gender differences in frontal plane kinematics (hip adduction, knee valgus, and ankle eversion) and temporal relationships that make up the components of dynamic knee valgus may explain this discrepancy. HYPOTHESIS: The authors hypothesized that women would reach peak frontal plane kinematic values earlier during landing compared with their male counterparts...
July 2011: American Journal of Sports Medicine
Christine B Novak
Many treatment techniques, including exercise, electrical stimulation, biofeedback, and neuromuscular retraining, have been described for the treatment of patients with facial paresis. The degree of nerve injury determines the recovery of the facial muscles. Patients with a Sunderland third-degree injury benefit most from therapy to maximize facial nerve function. Following a facial nerve palsy, many patients present with facial muscle weakness in addition to aberrant synkinetic movements. Therefore therapy must be directed toward control of voluntary movement and decreasing synkinesis...
February 2004: Seminars in Plastic Surgery
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