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Pediatric neurologic rehabilitation

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https://www.readbyqxmd.com/read/27830629/independence-in-self-care-activities-in-children-with-myelomeningocele-exploring-factors-based-on-the-international-classification-of-function-model
#1
Shoshana Steinhart, Emmanuel Kornitzer, Adi Bracha Baron, Coos Wever, Levana Shoshan, Michal Katz-Leurer
PURPOSE: To investigate the relationship between disease factors, body functions and structures, activities, personal and environmental factors with independence in self-care activities in children with myelomeningocele (MMC), utilizing the International Classification of Function model. METHOD: 113 children with MMC, aged 3-18 years were assessed during an annual MMC-clinic visit. Data on the personal and environmental factors, disease factors, hand function, mobility, visual perception, cognition, and communication were assessed in relation to the Pediatric Evaluation of Disability Inventory (PEDI) self-care domain...
November 10, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27687767/perspectives-in-neonatal-and-childhood-arterial-ischemic-stroke
#2
J Fluss, M Dinomais, M Kossorotoff, C Vuillerot, S Darteyre, S Chabrier
Over the last decade considerable advances have been made in the identification, understanding and management of pediatric arterial ischemic stroke. Such increasing knowledge has also brought new perspectives and interrogations in the current acute and rehabilitative care of these patients. Areas covered: In developed countries, focal cerebral arteriopathy is one of the most common causes of arterial ischemic stroke in childhood and imaging features are well characterized. However, there are ongoing debates regarding its underlying mechanisms, natural evolution and proper management...
October 12, 2016: Expert Review of Neurotherapeutics
https://www.readbyqxmd.com/read/27668914/evaluation-and-management-of-acute-onset-hemiparesis-in-an-adolescent-with-leukemia
#3
Krishnan N Subrahmanian, Young H Shim, Mona D Shah, Brandon H Tran, Alexandra M Stevens, Andrea T Cruz
Emergency departments (EDs) are alert to the possibility of stroke and the need for early interventions to improve long-term clinical outcomes. However, new-onset hemiparesis in pediatric patients with leukemia may be due to a number of different etiologies, including most common side effects from chemotherapeutic agents. We present a case of a 15-year-old boy with pre-B acute lymphoblastic leukemia on chemotherapy, having recently received a high-dose methotrexate infusion in addition to intrathecal methotrexate therapy, who presented to our ED with acute right-sided hemiparesis...
September 23, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27638717/pathogenesis-of-cerebral-palsy-through-the-prism-of-immune-regulation-of-nervous-tissue-homeostasis-literature-review
#4
Natalya Lisovska, Zholtay Daribayev, Yevgeny Lisovskyy, Kenzhe Kussainova, Lana Austin, Sholpan Bulekbayeva
BACKGROUND: The cerebral palsy is highly actual issue of pediatrics, causing significant neurological disability. Though the great progress in the neuroscience has been recently achieved, the pathogenesis of cerebral palsy is still poorly understood. METHODS: In this work, we reviewed available experimental and clinical data concerning the role of immune cells in pathogenesis of cerebral palsy. Maintaining of homeostasis in nervous tissue and its transformation in case of periventricular leukomalacia were analyzed...
September 14, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27635631/subtle-motor-findings-during-recovery-from-pediatric-traumatic-brain-injury-a-preliminary-report
#5
J Stephens, C Salorio, M Denckla, S Mostofsky, S Suskauer
Pediatric traumatic brain injury (TBI) is a heterogeneous condition, varying in both severity and sequelae. The long-term motor deficits following severe TBI requiring inpatient rehabilitation are better established than those following milder forms of TBI. The authors examined motor performance 2 and 12 months postinjury in children without overt motor impairment using standard measures of upper limb function and the Physical and Neurological Examination for Subtle Signs (PANESS). The PANESS was sensitive to differences between children with TBI and uninjured children as well as to changes in children with TBI over time...
September 16, 2016: Journal of Motor Behavior
https://www.readbyqxmd.com/read/27612081/responsiveness-of-the-pediatric-evaluation-of-disability-inventory-computer-adaptive-test-in-measuring-functional-outcomes-for-inpatient-pediatric-rehabilitation
#6
Maria A Fragala-Pinkham, Helene M Dumas, Kelly A Lombard, Jane E O'Brien
PURPOSE: Responsiveness of the PEDI-CAT Mobility, Daily Activities, and Social/Cognitive domains and Wheelchair subdomain was evaluated for youth admitted to a pediatric post-acute care hospital. METHODS: Inpatients ages 2-21 years, with a length of stay of ≥ 5 days and with both admission and discharge scores were included. The difference between mean admission and discharge PEDI-CAT scaled scores were analyzed using paired t-tests. Effect sizes, standard response means (SRMs), and minimal detectable change values were calculated...
September 2, 2016: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/27493842/hemorrhagic-pilocytic-astrocytomas-in-adults-a-case-report-and-literature-review
#7
Michael A Galgano, David J Padalino, Joseph Fullmer, Satish Krishnamurthy
Pilocytic astrocytomas are histologically benign tumors, generally found in the pediatric population. Onset of symptoms is generally insidious, predominantly stemming from mass effect upon nearby structures. Patients harboring a pilocytic astrocytoma may present with gait disturbance, headaches, cranial nerve deficits, as well as hydrocephalus, depending on the exact location. Although cases of adult pilocytic astrocytomas in the adult population are described, they are quite uncommon. We present a case of an adult female presenting with acute neurological compromise resulting from an acutely hemorrhagic posterior fossa pilocytic astrocytoma...
2016: Curēus
https://www.readbyqxmd.com/read/27449121/aging-with-traumatic-brain-injury-effects-of-age-at-injury-on-behavioral-outcome-following-diffuse-brain-injury-in-rats
#8
Rachel K Rowe, Jenna M Ziebell, Jordan L Harrison, L Matthew Law, P David Adelson, Jonathan Lifshitz
Development and aging are influenced by external factors with the potential to impact health throughout the life span. Traumatic brain injury (TBI) can initiate and sustain a lifetime of physical and mental health symptoms. Over 1.7 million TBIs occur annually in the USA alone, with epidemiology suggesting a higher incidence for young age groups. Additionally, increasing life spans mean more years to age with TBI. While there is ongoing research of experimental pediatric and adult TBI, few studies to date have incorporated animal models of pediatric, adolescent, and adult TBI to understand the role of age at injury across the life span...
2016: Developmental Neuroscience
https://www.readbyqxmd.com/read/27447980/systematic-evidence-based-review-of-exercise-physical-activity-and-physical-fitness-effects-on-cognition-in-persons-with-multiple-sclerosis
#9
Brian M Sandroff, Robert W Motl, Mark R Scudder, John DeLuca
Cognitive dysfunction is highly prevalent, disabling, and poorly-managed in persons with multiple sclerosis (MS). Recent evidence suggests that exercise might have beneficial effects on cognition in this population. The current systematic, evidence-based review examined the existing literature on exercise, physical activity, and physical fitness effects on cognition in MS to accurately describe the current status of the field, offer recommendations for clinicians, and identify study-specific and participant-specific characteristics for providing future direction for ongoing MS research...
September 2016: Neuropsychology Review
https://www.readbyqxmd.com/read/27349048/-bell-s-palsy-in-malopolska-s-children-in-2010-2014-years
#10
Emilia Rogalska, Barbara Skowronek-Bała, Anna Świerczyńska, Marek Kaciński
BACKGROUND: Peripheral facial nerve palsy (Bell' palsy, BP) is a not rare diseases in children, being the most common acquired mononeuropathy. AIM: The authors of this study wanted to determine whether the occurrence and course of paralysis changed in the past 5 years (2010-2014). MATERIALS AND METHODS: The study involved Lesser Poland region, where the majority of children with paralysis are hospitalized at the Pediatric Neurology Department of University Children's Hospital in Krakow...
2016: Przegla̧d Lekarski
https://www.readbyqxmd.com/read/27346056/how-physicians-support-children-with-disabilities-and-their-families-roles-responsibilities-and-collaborative-partnerships
#11
Mary E Sheppard, Nancy Vitalone-Raccaro
BACKGROUND: The American Association of Pediatricians (AAP), in collaboration with the Council for Children with Disabilities and the Council on School Health, recommends that physicians learn special education law and practices in order to increase their ability to work with schools to support children with disabilities and their families. However, there is limited research that examines how doctors perceive their role as collaborators with families and school personnel. OBJECTIVE: The purpose of this study was to explore the perceptions and collaborative experiences of doctors treating children with disabilities in order to develop an initial understanding of how doctors collaborate within the doctor/family/school triad...
October 2016: Disability and Health Journal
https://www.readbyqxmd.com/read/27340197/an-interdisciplinary-approach-to-fall-prevention-in-a-high-risk-inpatient-pediatric-population-a-quality-improvement-project
#12
Kendra E Stubbs, Lindsay Sikes
BACKGROUND: Within a tertiary-care pediatric medical center, the largest number of inpatient falls (8.84 falls per 1000 patient days) occurred within a 14-bed rehabilitation/ transitional care unit between February and September 2009. An interdisciplinary fall prevention program, Red Light, Green Light, was developed to better educate all staff and family members to ensure safety of transfers and ambulation of neurologically impaired children. PURPOSE: The purpose was to develop and implement an interdisciplinary pediatric fall prevention program to reduce total falls and falls with family members of this population...
June 23, 2016: Physical Therapy
https://www.readbyqxmd.com/read/27085563/pro-and-cons-of-transurethral-self-catheterization-in-boys-a-long-term-teaching-experience-in-a-pediatric-rehabilitation-centre
#13
Alice Faure, Matthieu Peycelon, Pauline Lallemant, Georges Audry, Veronique Forin
PURPOSE: To describe the acceptance and efficacy of clean intermittent catheterization (CIC) in the management of lower urinary tract (LUT) dysfunction regardless of the age of the children and their degree of urethral sensation. MATERIALS AND METHODS: We retrospectively evaluated boys managed with CIC at a pediatric teaching hospital between 1992 and 2014. Age, urethral sensation, acceptance, efficacy in terms of continence and preserving upper urinary tract and genitourinary complications were reviewed in the medical records...
March 2016: Urology Journal
https://www.readbyqxmd.com/read/26931188/current-utilization-and-influencing-factors-of-complementary-and-alternative-medicine-among-children-with-neuropsychiatric-disease-a-cross-sectional-survey-in-korea
#14
Min-Jeong Jeong, Hye-Yoon Lee, Jung-Hwa Lim, Young-Ju Yun
BACKGROUND: Complementary and alternative medicine (CAM) is widespread but has various utilization rates according to country and the condition of patients. Generally, CAM is more frequently used in diseases that have no clear treatment method in conventional medicine. Therefore, a high utilization rate of CAM can be assumed in pediatric neurological diseases, but few studies have investigated the utilization of CAM in children with neuropsychiatric diseases. In particular, studies regarding the current use of CAM are scarce...
2016: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/26869527/the-cognitive-reserve-theory-in-the-setting-of-pediatric-onset-multiple-sclerosis
#15
Luisa Pastò, Emilio Portaccio, Benedetta Goretti, Angelo Ghezzi, Silvia Lori, Bahia Hakiki, Marta Giannini, Isabella Righini, Lorenzo Razzolini, Claudia Niccolai, Lucia Moiola, Monica Falautano, Marta Simone, Rosa Gemma Viterbo, Francesco Patti, Sabina Cilia, Carlo Pozzilli, Valentina Bianchi, Marco Roscio, Vittorio Martinelli, Giancarlo Comi, Maria Trojano, Maria Pia Amato
BACKGROUND: The study of cognitive reserve (CR) in relationship with cognitive impairment (CI) in pediatric-onset multiple sclerosis (POMS) may provide cues to identifying subjects at higher risk of impairment and scope for therapeutic strategies. OBJECTIVES: To assess the potential impact of CR on cognition in a cohort of POMS patients. METHODS: In all, 48 POMS patients were followed up for 4.7 ± 0.4 years. CI was defined as the failure of ⩾3 tests on an extensive neuropsychological battery...
February 11, 2016: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/26869013/four-duct-ligation-for-the-treatment-of-sialorrhea-in-children
#16
Waqas U Khan, Alvi Islam, Ann Fu, Diane C Blonski, Salaha Zaheer, Catherine A McCann, Melissa S Joseph, Rebecca Perlin, Rajab Khan, Paolo Campisi
IMPORTANCE: The 4-duct ligation procedure has appeal for its surgical simplicity and limited invasiveness in the management of pediatric sialorrhea. However, more information is required to understand the benefits, risks, success rates, and long-term effects of this intervention. OBJECTIVES: To report the clinical outcomes of the 4-duct ligation procedure in pediatric patients diagnosed as having sialorrhea and the associated complication rates and to characterize patient and caregiver satisfaction in a consecutive series...
March 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/26507948/anti-n-methyl-d-aspartate-receptor-encephalitis-in-children-and-adolescents
#17
Shelly Scheer, Rita Marie John
Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an autoimmune disease that is becoming increasingly recognized in the pediatric population. It may be the most common cause of treatable autoimmune encephalitis. The majority of cases of anti-NMDAR encephalitis are idiopathic in etiology, but a significant minority can be attributed to a paraneoplastic origin. Children with anti-NMDAR encephalitis initially present with a prodrome of neuropsychiatric symptoms, often with orofacial dyskinesias followed by progressively worsening seizures, agitation, and spasticity, which may result in severe neurologic deficits and even death...
July 2016: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/26440604/transcranial-magnetic-stimulation-facilitates-neurorehabilitation-after-pediatric-traumatic-brain-injury
#18
Hongyang Lu, Tali Kobilo, Courtney Robertson, Shanbao Tong, Pablo Celnik, Galit Pelled
Traumatic brain injury (TBI) is the leading cause of death and disability among children in the United States. Affected children will often suffer from emotional, cognitive and neurological impairments throughout life. In the controlled cortical impact (CCI) animal model of pediatric TBI (postnatal day 16-17) it was demonstrated that injury results in abnormal neuronal hypoactivity in the non-injured primary somatosensory cortex (S1). It materializes that reshaping the abnormal post-injury neuronal activity may provide a suitable strategy to augment rehabilitation...
October 6, 2015: Scientific Reports
https://www.readbyqxmd.com/read/26410067/intradural-spinal-arteriovenous-malformation-in-a-13-month-old-female-a-case-report
#19
Matthew McLaughlin, Michael Green
PURPOSE: Describe the case of a spinal arteriovenous malformation (AVM), which represents a rare cause for tetraplegia in the infant population. TREATMENT: This patient underwent treatment with surgical clipping of an intradural AVM, intravenous steroids, and inpatient rehabilitation. DISCUSSION: Although AVMs are a congenital vascular malformation, spinal AVMs are extremely rare with only a few case reports published in the pediatric literature...
2015: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/26243160/factors-associated-with-delayed-recovery-in-athletes-with-concussion-treated-at-a-pediatric-neurology-concussion-clinic
#20
Suzanne Bock, Rod Grim, Todd F Barron, Andrew Wagenheim, Yaowen Eliot Hu, Matthew Hendell, John Deitch, Ellen Deibert
PURPOSE: With the increase in knowledge and management of sport-related concussion over the last 15 years, there has been a shift from a grading scale approach to an individualized management approach. As a result, there is an increased need to better understand the factors involved in delayed recovery of concussion. The purpose of this retrospective study was to examine factors that may be associated with recovery from sport-related concussion in student athletes aged 11 to 18 years old...
November 2015: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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