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D V Pokhabov, V G Abramov, D D Pokhabov
In this article, non-drug methods of treatment of Parkinson's disease are reviewed. Particular attention is given to the motor symptoms of disease, specifically to gait disorders. Information about objective methods of gait impairment is presented. Own results that confirm the effect of a method of tempo-rhythmical correction of walk in patients with Parkinson's disease (PD) and vascular parkinsonism as well as a device for assessment of gait parameters developed by the authors are analyzed. The efficacy of other methods of gait correction using external cues, study design and level of evidence are analyzed as well...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Nathalie Dieudonné, Rita De Micheli, Andreas Hottinger
Patients with glioblastoma have a limited life expectancy and an impaired quality of life and they should be offered palliative care soon after the diagnosis is established. Still, only a quarter of patients aged over 65 return home or medical institution after completing treatments. Home care must be promoted by coordinating assistance and care, combining disciplines such as physiotherapy and ergotherapy, medical and nursing care and psychosocial support. Patients are at risk of mood, personality and behavioural disorders...
April 27, 2016: Revue Médicale Suisse
Marie Blanchet, Tammy Huynh, Dominique Giroux, Carolina Bottari
DESCRIPTION: Plusieurs ergothérapeutes contribuent à l'évaluation de l'aptitude à prendre soin de sa personne et à gérer ses biens, mais peu de balises encadrent cette pratique auprès d'adultes ayant subi un traumatisme craniocérébral (TCC). BUT: Cette étude explorait la contribution du Profil des activités instrumentales (PAI) à la documentation de l'aptitude suite à un TCC. MÉTHODOLOGIE: La réalisation des tâches du PAI par un homme de 46 ans (ML) ayant été déclaré inapte suite à un TCC sévère a été comparée à celle de huit participants témoins (âge moyen 49,3 ± 4,2 ans)...
June 2016: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
C Boulay, G Finidori
Although the clinical picture and the natural progression of Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) differ, borderline forms exist. Classical orthopaedic treatment is based on self-rehabilitation (by the parents and the patient), physical therapy, posture alignment with orthotics, ergotherapy to set up technical aides, notably positioning in an electric wheelchair to provide more satisfactory autonomy. The functional aspect predominates over pure orthopaedics. Although surgical indications have evolved for the lower limbs, pelvic-spinal arthrodesis for treatment of scoliosis remains the reference treatment, but the methods have evolved since the advent of corticotherapy for DMD...
December 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
M-V Corniola, E Tessitore, K Schaller, O P Gautschi
A lumbar disc herniation (LDH) is a condition frequently encountered in primary care medicine. It may give rise to a compression of one or more nerve roots, which can lead to a nerve root irritation, a so-called radiculopathy, with or without a sensorimotor deficit. The majority of LDHs can be supported by means of a conservative treatment consisting of physical therapy, ergotherapy, analgetics, anti-inflammatory therapy or corticosteroids, which may be eventually administered by infiltrations. If a clinico-radiological correlation is present and moderate neurological deficit appears suddenly, if it is progressive under conservative treatment or if pain is poorly controlled by well-conducted conservative treatment performed during four to six months, surgery is then recommended...
December 10, 2014: Revue Médicale Suisse
S Senst
BACKGROUND: Approximately 33 % of spastic movement disorders are due to unilateral spastic cerebral palsy which is characterized by a one-sided motor movement disorder which has a correlative in focal contralateral brain injury. The upper extremities are more severely affected so that ambulatory movement is nearly always possible. THERAPY: The development is substantially influenced by epilepsy and perception disturbances. Therefore, an interdisciplinary team is necessary for optimal therapy...
July 2014: Der Orthopäde
Stefan Mariacher-Gehler, André Gérard Aeschlimann
From the point of view of the rheumatologist, the treatment of pain should be adjusted individually in accordance with medical principles based on the facts related to the relevant pathologies. This treatment includes conservative (medicinal and non-medicinal), interventional and surgical methods. The treatment does not just depend on the diagnosis, but also on the particular functional disability based on the ICF (International Classification of Functioning) and the level of polymorbidity. As rheumatology patients often have comorbidity, the choice of painkillers (NSAIDs, analgesics, opioids etc), immunosuppressants and physical therapy methods (physiotherapy, ergotherapy, etc) may be limited...
June 25, 2014: Revue Médicale Suisse
W Bureck, U Illgner
BACKGROUND: Human hands play an important role in overcoming routine daily life. As a consequence of limitations in the function of the hand due to rheumatic diseases, various manual activities can become an enormous challenge or even become absolutely impossible. MATERIAL AND METHODS: This review article discusses the possibilities of hand ergotherapy and explains the most important assist devices. RESULTS AND CONCLUSION: The main area of occupational and hand therapy interventions in patients with rheumatoid arthritis is the postoperative or conservative treatment of wrist and finger joints...
June 2014: Zeitschrift Für Rheumatologie
J Heisel
This article gives a current overview of non-operative procedures in cases of osteoarthritis of the knee, e.g. with special medications, local physiotherapy and gymnastic therapy including ergotherapy and aids for activities of daily living (ADL).
May 2014: Der Orthopäde
Vivien Bartling, Julia Schmidt, Esther Wendel
No abstract text is available yet for this article.
November 2013: Psychiatrische Praxis
Lisa Schilling, Raimund Forst, Jürgen Forst, Albert Fujak
BACKGROUND: Myotonic Dystrophy Type 1 (DM1) is the most common form of hereditary myopathy presenting in adults. This autosomal-dominant systemic disorder is caused by a CTG repeat, demonstrating various symptoms. A mild, classic and congenital form can be distinguished. Often the quality of life is reduced by orthopaedic problems, such as muscle weakness, contractures, foot or spinal deformities, which limit patients' mobility.The aim of our study was to gather information about the orthopaedic impairments in patients with DM1 in order to improve the medical care of patients, affected by this rare disease...
2013: BMC Musculoskeletal Disorders
J Lamy, A-H Yassine, A Gourari, N Forme, G Zakine
INTRODUCTION: Progress in intensive care and surgery has made it possible to significantly improve the survival of victims with burns over 60% of total body surface area (TBSA). Coverage of the excised areas of these patients can be difficult when there is a shortage of skin donor sites; then the role of skin substitutes can be important. MATERIALS AND METHODS: This retrospective study included patients with burns covering more than 60% TBSA and treated at the Tours University Hospital over a period of 10 years...
April 2015: Annales de Chirurgie Plastique et Esthétique
I Poirot, V Laudy, M Rabilloud, S Roche, T Ginhoux, I Joubrel, E Porsmoguer, E Grimont, C Vuillerot, B Kassaï
AIMS: To describe the rehabilitation of non-ambulatory children with cerebral palsy and to explore adjustability on their individual needs. MATERIAL AND METHOD: Data described are extracted from an on-going national cohort study, following during 10years 385 children with cerebral palsy, aged from 4 to 10, Gross Motor Function Classification System IV and V. We analysed data from the first 190 patients (mean age 6years 10months (SD 2.0), 111 boys), focusing on physiotherapy, ergotherapy, psychomotility and speech therapy in medico-social and liberal sectors...
October 2013: Annals of Physical and Rehabilitation Medicine
A Jensen, E Hamelmann
Each year, thousands of children incur brain damage that results in lifelong sequelae. Therefore, based on experimental evidence, we explored the therapeutic potential of human cord blood, known to contain stem cells, to examine the functional neuroregeneration in a child with cerebral palsy after cardiac arrest. The boy, whose cord blood was stored at birth, was 2.5 years old and normally developed when global ischemic brain damage occurred resulting in a persistent vegetative state. Nine weeks later, he received autologous cord blood (91...
2013: Case Reports in Transplantation
Juraj Artner, Stephan Kurz, Balkan Cakir, Heiko Reichel, Friederike Lattig
BACKGROUND: Chronic back pain is relatively resistant to unimodal therapy regimes. The aim of this study was to introduce and evaluate the short-term outcome of a three-week intensive multidisciplinary outpatient program for patients with back pain and sciatica, measured according to decrease of functional impairment and pain. METHODS: The program was designed for patients suffering from chronic back pain to provide intensive interdisciplinary therapy in an outpatient setting, consisting of interventional injection techniques, medication, exercise therapy, back education, ergotherapy, traction, massage therapy, medical training, transcutaneous electrical nerve stimulation, aquatraining, and relaxation...
2012: Journal of Pain Research
J-M Engel
Physical therapy and occupational therapy are essential for the treatment of inflammatory rheumatic diseases equal in rank to any drug therapy. They have enough evidence and are part of all current guidelines even if mostly not specified. In the German social security system the doctor prescribing physical therapy or occupational therapy has to act according to the different rules and forms as described in the current "Heilmittel Richtlinie" (Remedy directive) effective since July 2011. The multiple formal conditions and requirements of prescriptions are described in detail...
July 2012: Zeitschrift Für Rheumatologie
Beat Sottas
Modern conceptions of education are based on normative goals concerning learning outcomes in terms of competencies to acquire. The objective of the Swiss competencies framework was to define general and profession-specific learning outcomes for Bachelor's and Master's degree programmes in nursing, physiotherapy, occupational therapy (ergotherapy), midwifery, nutrition counselling, and technicians in medical radiology. In addition, national authorities needed an instrument that allowed the integration of the old professional trainings into a nationally-harmonised education system and that showed the specificities of the levels (higher vocational education; bachelor and master degree at university level)...
2011: GMS Zeitschrift Für Medizinische Ausbildung
Elke Jeschke, Thomas Ostermann, Manuela Tabali, Matthias Kröz, Angelina Bockelbrink, Claudia M Witt, Stefan N Willich, Harald Matthes
BACKGROUND: Although the treatment of children has been a core domain ofanthroposophic medicine since its inception, a systematic analysis of anthroposophic therapies in pediatric primary care is still lacking. This study describes the spectrum of diagnoses and therapies observed in children treated in everyday anthroposophic practice. METHODS: Thirty-eight primary care physicians in Germany participated in this prospective, multicenter observational study on prescribing patterns...
March 2011: Alternative Therapies in Health and Medicine
Dirk Dressler
Dystonias can be classified as primary or secondary, as dystonia-plus syndromes, and as heredodegenerative dystonias. Their prevalence is difficult to determine. In our experience 80-90% of all dystonias are primary. About 20-30% of those have a genetic background; 10-20% are secondary, with tardive dystonia and dystonia in cerebral palsy being the most common forms. If dystonia in spastic conditions is accepted as secondary dystonia, this is the most common form of all dystonia. In primary dystonias, the dystonic movements are the only symptoms...
2011: Handbook of Clinical Neurology
Nina Rieckmann, Christoph Schwarzbach, Marc Nocon, Stefanie Roll, Christoph Vauth, Stefan N Willich, Wolfgang Greiner
INTRODUCTION: Today there are approximately one million people with dementia in Germany. If current demographic trends continue, this number is likely to rise substantially in the coming years. In the older population, dementia is the most frequent reason for long-term care. Because most forms of dementia cannot be cured, the aim of treatment is to delay disease progression and to maintain functioning and quality of life. RESEARCH QUESTIONS: What is the evidence on different approaches to the long-term usual care of patients with dementia in terms of common endpoints such as quality of life, and social behaviour? How is the cost-effectiveness of these concepts to be evaluated? Which ethical, social, or legal issues are discussed in this context? METHODS: Based on a systematic literature review, we include randomized, controlled studies that had at least 30 participants and investigated one or more of the following approaches of dementia care: validation therapy/emotion-oriented usual care, ergotherapy, sensory stimulation, relaxation techniques, reality orientation therapy, and reminiscence therapy...
2009: GMS Health Technology Assessment
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