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spasticity physiotherapy

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https://www.readbyqxmd.com/read/28065961/the-effect-of-deep-cross-friction-massage-on-spasticity-of-children-with-cerebral-palsy-a-double-blind-randomised-controlled-trial
#1
Faisal Rasool, Aamir Raoof Memon, Mubin Mustafa Kiyani, Abdul Ghafoor Sajjad
OBJECTIVE: To find out the effect of deep cross-friction massage on spasticity in children with cerebral palsy. METHODS: This double-blind randomised controlled trial was conducted at the National Institute of Rehabilitation Medicine, Islamabad, Pakistan, from January to July 2013, and comprised paediatric patients with spastic diplegic cerebral palsy. The participants were equally divided into control and treatment groups by a staff member unaware of the treatment (allocation ratio 1:1)...
January 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28051880/the-effect-of-additional-virtual-reality-training-on-balance-in-children-with-cerebral-palsy-after-lower-limb-surgery-a-feasibility-study
#2
Pieter Meyns, Liene Pans, Kaat Plasmans, Lieve Heyrman, Kaat Desloovere, Guy Molenaers
OBJECTIVE: Impaired balance is disabling for children with cerebral palsy (CPc), especially for CPc who recently underwent lower limb surgery. Positive results of using virtual reality (VR) in balance rehabilitation have been published in several outpatient populations. We investigated the feasibility of applying additional VR training focused on sitting balance in CP inpatients of a rehabilitation center after lower limb surgery. Additionally, we investigated the rate of enjoyment of VR training compared with conventional physiotherapy...
January 4, 2017: Games for Health
https://www.readbyqxmd.com/read/28018685/coexistence-of-factor-vii-deficiency-and-hereditary-spastic-paraplegia-in-two-siblings
#3
Hortensia De la Corte-Rodriguez, E Carlos Rodriguez-Merchan, M Teresa Alvarez-Roman, Ana L Hernandez-Moreno
We present the case of two patients aged 12 years and 7 years who were referred to our hospital for factor VII deficiency inherited in an autosomal recessive pattern, who had suffered from previous multiple joint haemarthroses. They presented with fine motor symptoms and difficulty in walking. During physical examination we observed neurological symptoms (general hypotonia, muscular hypotrophy, exaggerated tendon reflexes, pes cavus, and spastic gait). Given that the symptoms were not justified by the deficiency of coagulation factor VII and on suspicion of hereditary spastic paraplegia (HSP), tests were carried out...
2016: Case Reports in Hematology
https://www.readbyqxmd.com/read/28004906/transcranial-and-spinal-cord-magnetic-stimulation-in-treatment-of-spasticity-a-literature-review-and-meta-analysis
#4
Julia Korzhova, Dmitry Sinitsyn, Alexander Chervyakov, Alexandra Poydasheva, Maria Zakharova, Natalia Suponeva, Lyudmila Chernikova, Michael Piradov
INTRODUCTION: Spasticity is associated with various diseases of the nervous system. Current treatments such as drug therapy, botulinum toxin injections, kinesitherapy, and physiotherapy are not sufficiently effective in a large number of patients. Transcranial magnetic stimulation (TMS) can be considered as an alternative method of treatment. The purpose of this article is to conduct a systematic review and meta-analysis of all available publications assessing the efficacy of repetitive TMS in treatment of spasticity...
December 22, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27882910/does-nintendo-wii-balance-board-improve-standing-balance-a-randomised-controlled-trial-in-children-with-cerebral-palsy
#5
Valeska Gatica-Rojas, Guillermo Méndez-Rebolledo, Eduardo Guzman-Muñoz, Alex Soto-Poblete, Ricardo Cartes-Velásquez, Edith Elgueta-Cancino, Eduardo Cofré Lizama
BACKGROUND: Evidence on the effect of systemic exercise programs to improve the standing balance with the Nintendo Wii system is very limited and its post- treatment effectiveness is unknown in cerebral palsy (CP) patients. AIM: Primary aim was to compare the effect of Nintendo Wii balance board (Wii- therapy) and standard physiotherapy (SPT), on the performance of standing balance in children and adolescents with CP. Secondary aim was to determine the post-treatment effectiveness of Wii-therapy and SPT...
November 24, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27880057/ankle-plantarflexor-spasticity-is-not-differentially-disabling-for-those-who-are-weak-following-traumatic-brain-injury
#6
Gavin Williams, Megan Banky, Dean McKenzie, John Olver
PRIMARY OBJECTIVES: The main aim of this study was to determine whether the presence of distal lower-limb spasticity had a greater impact on mobility for those who had greater levels of muscle paresis following traumatic brain injury (TBI). RESEARCH DESIGN: This was a cross-sectional cohort study of convenience. Seventy-five people attending physiotherapy for mobility limitations following TBI participated in this study. All participants had sustained a moderate-severe TBI and were grouped according to the presence or absence of ankle plantarflexor spasticity for comparison...
November 23, 2016: Brain Injury: [BI]
https://www.readbyqxmd.com/read/27874495/evolution-of-multiple-sclerosis-spasticity-associated-symptoms-latest-data
#7
Peter Flachenecker
In addition to muscle stiffness and increasing mobility restrictions, symptoms commonly associated with multiple sclerosis (MS) spasticity are spasms, sleep disturbances, pain, fatigue and bladder dysfunction. Treatment options include trigger factor avoidance, physiotherapy and antispasticity medication. Oral antispasticity agents commonly used in Germany are baclofen, tizanidine and gabapentin, but physician and patient satisfaction with their effectiveness is low. Over the past few years, randomized controlled trials, observational studies and registry data have demonstrated the positive risk:benefit profile of add-on 9-delta-tetra-hydrocannabinol:cannabidiol oromucosal spray for moderate-to-severe resistant MS spasticity...
December 2016: Neurodegenerative Disease Management
https://www.readbyqxmd.com/read/27764971/effect-of-electrical-stimulation-as-an-adjunct-to-botulinum-toxin-type-a-in-the-treatment-of-adult-spasticity-a-systematic-review
#8
Domenico Intiso, Andrea Santamato, Filomena Di Rienzo
OBJECTIVE: To investigate whether electrical stimulation (ES) as an adjunct to BTX-A boosts botulinum activity and whether the combined therapeutic procedure is more effective than BTX-A alone in reducing spasticity in adult subjects. DATA SOURCES: A search was conducted in PubMed, EMBASE, Cochrane Central Register, and CINAHL from January 1966 to January 2016. STUDY SELECTION: Only randomized controlled studies (RCT) involving the combination of BTX-A and ES were considered...
October 21, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27757432/single-level-selective-dorsal-rhizotomy-for-spastic-cerebral-palsy
#9
David Graham, Kristian Aquilina, Stephanie Cawker, Simon Paget, Neil Wimalasundera
The management of cerebral palsy (CP) is complex and requires a multidisciplinary approach. Selective dorsal rhizotomy (SDR) is a neurosurgical technique that aims to reduce spasticity in the lower limbs. A minimally invasive approach to SDR involves a single level laminectomy at the conus and utilises intraoperative electromyography (EMG). When combined with physiotherapy, SDR is effective in selected children and has minimal complications. This review discusses the epidemiology of CP and the management using SDR within an integrated multidisciplinary centre...
September 2016: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27717938/experience-of-using-hippotherapy-in-complex-effects-on-muscle-spirals-in-children-with-spastic-forms-of-cerebral-palsy
#10
Evhen Y Strashko, Аnna A Kapustianska, Lyudmyla E Bobyreva
Matters of physical and medical rehabilitation of children with organic lesions of the nervous system, in particular, with cerebral palsy, are actual in countries around the world. Hippotherapy is neurophysiologically oriented therapy using horses. Determine whether a combination of hippotherapy as a method of rehabilitation in the aftermath of outpatient comprehensive impact on MS on a stationary phase; Study of the effect of hippotherapy as securing and preparation method for learning new postures and movements in children with spastic cerebral palsy forms; The study of the possible optimization of psychophysical state, activation motivations of patients; Determination of the optimal timing of hippotherapy sessions, the number of procedures, the study of possible fatigue factor children...
2016: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27705006/effects-of-nintendo-wii-%C3%A2-training-on-occupational-performance-balance-and-daily-living-activities-in-children-with-spastic-hemiplegic-cerebral-palsy-a-single-blind-and-randomized-trial
#11
Songül Atasavun Uysal, Gül Baltaci
OBJECTIVE: This study aimed at assessing how the addition of Nintendo Wii(™) (NW) system to the traditional therapy influences occupational performance, balance, and daily living activities in children with spastic hemiplegic Cerebral Palsy (CP). MATERIALS AND METHODS: The present study is a single-blind and randomized trial involving 24 children aged 6-14 years, classified as level I or II on the Gross Motor Function Classification System. The children were allocated into two groups: an intervention and a control group, and their families participated in the study...
October 5, 2016: Games for Health
https://www.readbyqxmd.com/read/27692236/-palsy-of-the-upper-limb-obstetrical-brachial-plexus-palsy-arthrogryposis-cerebral-palsy
#12
B Salazard, C Philandrianos, B Tekpa
"Palsy of the upper limb" in children includes various diseases which leads to hypomobility of the member: cerebral palsy, arthrogryposis and obstetrical brachial plexus palsy. These pathologies which differ on brain damage or not, have the same consequences due to the early achievement: negligence, stiffness and deformities. Regular entire clinical examination of the member, an assessment of needs in daily life, knowledge of the social and family environment, are key points for management. In these pathologies, the rehabilitation is an emergency, which began at birth and intensively...
October 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27677009/functional-evolution-of-children-cerebral-infirm-motors-imc-walking-outside-the-surgery-multi-sites-about-47-cases
#13
Mourad Aderkichi, Fatma Malek
OBJECTIVE: Orthopedic disorders of IMC walking children associated with other disorders of posture and movement get progressively worse with growth causing major deformations that can impede walking from the age of 2 years. The treatments implemented by physiotherapy, botulinum toxin and multi-site surgery significantly improve the functional prognosis of these children. The goal is to evaluate the fate of children who have not benefited from multi-site surgeries that have benefited from physiotherapy, stretching casts botulinum toxin and tenotomy on one or two sites...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676991/isokinetic-muscular-strengthening-of-upper-limb-versus-passive-movement-in-chronic-stroke-patients-randomised-controlled-trial
#14
Flavia Coroian, Jérôme Froger, H-Y Bonnin Koang, Claire Jourdan, Karima Bakhti, Marc Julia, Audrey Jaussent, Christian Hérisson, Isabelle Laffont
OBJECTIVE: The sensori-motor impairment of upper limb (UL) affects more than 50% of patients after stroke. The objective of this work was to study the efficiency of isokinetic muscle strengthening (IMS) in the chronic phase of stroke in this population. MATERIAL/PATIENTS AND METHODS: The patients underwent 6 weeks of outpatient rehabilitation, 3 days per week, combining physiotherapy (twice/day) and occupational therapy every day. The program was completed by 30 minutes elbow and wrist concentric slow speed IMS of flexor and extensor muscles, in the study group versus 30 minutes passive mobilisation of the joints carried out by the same isokinetic dynamometer in the control group...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27658359/-an-assessment-of-the-management-of-spasticity-in-spain-the-5e-study
#15
R Garreta-Figuera, A Torrequebrada-Gimenez, En Representacion Del Grupo de Estudio 5e En Representacion Del Grupo de Estudio 5e
INTRODUCTION: Although spasticity is a disabling complication of high incidence, there is a lack of either regional or national epidemiological studies in Spain evaluating its management. AIM: To evaluate the management of spasticity in Spain. PATIENTS AND METHODS: An epidemiological, observational, multicenter, and retrospective study involving 49 rehabilitation services of public and private hospitals was designed. RESULTS: Two hundred and thirty-five patients from 49 centers, with evidence of upper (UL) or lower limb (LL) spasticity with one valid baseline visit and at least one follow-up visit, were included...
October 1, 2016: Revista de Neurologia
https://www.readbyqxmd.com/read/27579622/the-spinal-cord-injury-spasticity-evaluation-tool-a-persian-adaptation-and-validation-study
#16
Noureddin Nakhostin Ansari, Mina Kashi, Soofia Naghdi
OBJECTIVE: To adapt the Spinal Cord Injury Spasticity Evaluation Tool (SCI-SET) into the Persian language (SCI-SETp) and to examine the reliability and validity of the SCI-SETp in patients with spinal cord injury (SCI). DESIGN: A cross-sectional and prospective cohort validation study. SETTING: University Neurological Physiotherapy Clinic. PARTICIPANTS: Adult patients with SCI. MAIN OUTCOME MEASURES: SCI-SET...
August 31, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27579582/assessing-and-treating-pain-in-movement-disorders-amyotrophic-lateral-sclerosis-severe-acquired-brain-injury-disorders-of-consciousness-dementia-oncology-and-neuroinfectivology-evidence-and-recommendations-from-the-italian-consensus-conference-on-pain-in-neurorehabilitation
#17
Michelangelo Bartolo, Adriano Chiò, Sergio Ferrari, Cristina Tassorelli, Stefano Tamburin, Micol Avenali, Eva Azicnuda, Andrea Calvo, Augusto T Caraceni, Giovanni Defazio, Roberto DE Icco, Rita Formisano, Simone Franzoni, Elena Greco, Iwona Jedrychowska, Francesca Magrinelli, Umberto Manera, Enrico Marchioni, Sara Mariotto, Salvatore Monaco, Andrea Pace, Donatella Saviola, Isabella Springhetti, Michele Tinazzi, Antonio DE Tanti
Pain is an important non-motor symptom in several neurological diseases, such as Parkinson's disease, cervical dystonia, amyotrophic lateral sclerosis, severe acquired brain injury, disorders of consciousness and dementia, as well as in oncology and neuroinfectivology. To overcome the lack of evidence-based data on pain management in these diseases, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) has defined criteria for good clinical practice among Italian neurorehabilitation professionals...
December 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27385274/an-international-survey-of-patients-living-with-spasticity
#18
Michael Barnes, Serdar Kocer, Manuel Murie Fernandez, Jovita Balcaitiene, Klemens Fheodoroff
PURPOSE: To better understand patient perspectives on the life impact of spasticity. METHODS: Global Internet survey (April 2014-May 2015) of 281 people living with spasticity. RESULTS: Respondents indicated that spasticity has a broad impact on their daily-life: 72% reported impact on quality of life, 44% reported loss of independence and 44% reported depression. Most respondents (64%) were cared for by family members, of whom half had stopped working or reduced their hours...
July 6, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27370102/does-the-method-of-botulinum-neurotoxin-injection-for-limb-spasticity-affect-outcomes-a-systematic-review
#19
Aaron K Chan, Heather Finlayson, Patricia B Mills
OBJECTIVE: To systematically review randomized controlled trials of botulinum neurotoxin for limb spasticity to determine whether different injection techniques affect spasticity outcomes. METHODS: MEDLINE, EMBASE, CINAHL, and Cochrane Central Register of Controlled Trials electronic databases were searched for English language human randomized controlled trials from 1990 to 13 May 2016. Studies were assessed in duplicate for data extraction and risk of bias using the Physiotherapy Evidence Database scale and graded according to Sackett's levels of evidence...
July 1, 2016: Clinical Rehabilitation
https://www.readbyqxmd.com/read/27320832/ballistic-strength-training-compared-with-usual-care-for-improving-mobility-following-traumatic-brain-injury-protocol-for-a-randomised-controlled-trial
#20
Gavin Williams, Louise Ada, Leanne Hassett, Meg E Morris, Ross Clark, Adam L Bryant, John Olver
INTRODUCTION: Traumatic brain injury is the leading cause of disability in young adults aged 15 to 45 years. Mobility limitations are prevalent, and range in severity from interfering with basic day-to-day tasks to restricting participation in higher level social, leisure, employment and sporting activities. Despite the prevalence and severity of physical impairments, such as poor balance and spasticity, the main contributor to mobility limitations following traumatic brain injury is low muscle power generation...
July 2016: Journal of Physiotherapy
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