Download or read book In Adults with Chronic Acquired Ataxia is Treadmill Training More Effective Than Conventional Gait Training in Improving Motor Control and Coordination written by Kylee DeRocha and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Treadmill training is a common intervention used with patients suffering from neurologic conditions. Limited research exists on treadmill training interventions used for patients with ataxia after TBI. The purpose of this literature review is to determine if treadmill training is more effective than conventional gait training (COGT) in improving motor control and coordination in adults with chronic acquired ataxia.Methods: For the literature review, three databases were searched including MEDLINE, CINAHL, and Cochrane using relevant terms. Studies had to include patients 18 and older with chronic acquired ataxia to be included. Studies also had to focus on treadmill training or COGT of patients with TBI.Results: Through the search conducted, six articles were chosen. The article types included RCT, case series, case report, single subject design, and quasi-experimental. Within these articles, one article directly compared body weight supported treadmill training (BWSTT) to COGT, three articles looked at a combination of COGT and treadmill training, one article looked only at COGT, and one only focused on treadmill training. In the comparison article, it was concluded BWSTT was no more effective than COGT. The articles focusing on combination therapy and individual therapies found improvements on the Berg Balance Test and Functional Ambulation Categories, standardized outcome measures used for motor control and coordination.Discussion/Conclusion: Based on the conclusions drawn from the six articles, a multitude of intervention types are beneficial for patients with chronic ataxia resulting from TBI. A combination of treadmill training, CGT, and other therapeutic exercises should be incorporated into the treatment protocol for patients with chronic ataxia after TBI. Additional research must be conducted to fully determine the most effective treatment type.
Download or read book Body weight supported treadmill training and its effect on Ataxia Bradykinesia and Function in an adult with diffuse chronic head injury written by Patrick Bekker and published by . This book was released on 2017 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Traumatic brain injury (TBI) is a serious health problem and a major cause for morbidity and mortality in the United States, which affects roughly 1.4-1.6 million Americans each year. Common impairments seen in those whom have suffered a TBI can include gait and balance disturbances and symptoms such as ataxia and bradykinesia. Body weight supported treadmill training (BWSTT) has been shown to have strong evidence for recovery of gait in populations such as Stroke, Parkinson’s, and Cerebral Palsy, however the consensus for the effectiveness of this intervention in TBI and ataxia is not as strong. PURPOSE: The purpose of this single subject research study examines the effectiveness of locomotor training on gait parameters, such as ataxia and bradykinesia, using body-weight support on a treadmill and over ground walking on a participant who is ambulatory without an assistive device in improving gait and daily functional abilities. CASE DESCRIPTION: SUBJECT: The participant, IG, a 26 year-old male suffered a severe traumatic brain injury and related multiple traumas secondary to a motor vehicle accident 4.5 years ago. He spent 1 week in intensive care being placed in an induced coma with a ventilator for 3 days, after which he was placed on 1 month bed rest, and subsequently admitted into inpatient rehabilitation where he received 4 months of interdisciplinary care. At the time of the study IG was walking independently, but presented with significant ataxia of arms, trunk, and legs, ataxic slurred speech, generalized bradykinesia of fine and gross movements, and impaired postural control with standing and gait. INTERVENTION: Our study followed an ABAB design with a baseline phase, 2 intervention phases, a data collection phase between the intervention phase, and a 1-month follow up visit. Each phase lasted 6 weeks and the patient was seen 1x/week during baseline and data collection, and 3x/week during intervention phases. The training sessions lasted 1 to 1 hour and 15 minutes and consisted of BWSTT on a treadmill and over ground, and over ground training. OUTCOMES: The participant demonstrated an improved outcome measure score for the SARA (baseline=11.67, 1st data collection=7.58, 1 month follow-up=8.5) and FGA (baseline=5.67, 1st data collection=8.83, 1 month follow-up=13), but did not see a change in walking velocity (baseline=.1312m/s, 1st data collection=.1144, 1 month follow-up=.1180). Following the intervention phases, the SARA and FGA scores fell outside of the two standard deviation bands while his walking velocity remained within the two standard deviation band. DISCUSSION: This study examined the effects on the parameters of gait, including ataxia and bradykinesia following locomotor training using BWSTT in conjunction with BWSTT over ground and over ground training without any support and saw improvement in both in this participant. CONCLUSION: BWSTT in combination with over ground training may improve gait and balance in a subject with severe ataxia secondary to TBI.
Download or read book In Adults Status Post Cerebrovascular Accident is Bodyweight Supported Treadmill Training More Effective Than Gait Training Without Bodyweight Support in Increasing Gait Speed written by Denis Long and published by . This book was released on 2012 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: Background: The purpose of this evidence in practice literature review is to determine if, in adults status post cerebrovascular accident (CVA), bodyweight supported treadmill training (BWSTT) is more effective than gait training without bodyweight support (BWS) in increasing gait speed.Method: A comprehensive, systematic review was performed through MEDLINE, Trip, andCINAHL. The search terms used in the three databases were “stroke”, “body weight support”,“BWS”, “bodyweight treadmill training”, “gait”, “treadmill”, NOT “electrical stimulation”,body weight supported treadmill training”. Inclusion criteria consisted of: articles with a control group, evaluated gait speed as a dependent variable, and BWSTT and overground training as independent variables. Exclusion criteria consisted of: articles that included patients younger than 19 years old, and chronicity of CVA greater than six months.Results: Three articles met our inclusion and exclusion criteria and were established as best evidence for answering our clinical question. Discussion/Conclusion: Based on our research, we would choose to use this intervention in adults status post CVA. Even though two out of three articles did not show superiority of BWSTT in regards to gait speed, one study of high quality did. There are also other viable benefits to this intervention that would benefit our patient specifically.
Download or read book Campbell s Physical Therapy for Children Expert Consult E Book written by Robert Palisano and published by Elsevier Health Sciences. This book was released on 2022-08-20 with total page 1051 pages. Available in PDF, EPUB and Kindle. Book excerpt: **Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Physical Therapy** Gain a solid foundation in physical therapy for infants, children, and adolescents! Campbell's Physical Therapy for Children, 6th Edition provides essential information on pediatric physical therapy practice, management of children with musculoskeletal, neurological, and cardiopulmonary conditions, and special practice settings. Following the APTA's Guide to Physical Therapist Practice, this text describes how to examine and evaluate children, select evidence-based interventions, and measure outcomes to help children improve their body functions, activities, and participation. What also sets this book apart is its emphasis on clinical reasoning, decision making, and family-centered care. Written by a team of PT experts led by Robert J. Palisano, this book is ideal for use by students and by clinicians in daily practice. - Comprehensive coverage provides a thorough understanding of foundational knowledge for pediatric physical therapy, including social determinants of health, development, motor control, and motor learning, as well as physical therapy management of pediatric disorders, including examination, evaluation, goal setting, the plan of care, and outcomes evaluation. - Focus on the elements of patient/client management in the APTA's Guide to Physical Therapist Practice provides a framework for clinical decision making. - Focus on the International Classification of Functioning, Disability, and Health (ICF) of the World Health Organization (WHO) provides a standard language and framework for the description of health and health-related states, including levels of a person's capacity and performance. - Experienced, expert contributors help you prepare to become a Board-Certified Pediatric Clinical Specialist and to succeed on the job. - NEW! New chapter on social determinants of health and pediatric healthcare is added to this edition. - NEW! New chapter on Down syndrome is added. - NEW! 45 case scenarios in the ebook offer practice with clinical reasoning and decision making, and 123 video clips depict children's movements, examination procedures, and physical therapy interventions. - NEW! An ebook version is included with print purchase, providing access to all the text, figures, and references, plus the ability to search, customize content, make notes and highlights, and have content read aloud.
Download or read book Adult Hemiplegia written by Berta Bobath and published by . This book was released on 1973 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Clinical Pathways in Stroke Rehabilitation written by Thomas Platz and published by Springer Nature. This book was released on 2021-01-14 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.
Download or read book Cerebellar Disorders written by Mario Ubaldo Manto and published by Cambridge University Press. This book was released on 2010-03-25 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the last three decades, many laboratories worldwide have dedicated their research activities to understanding the roles of the cerebellum in motor control, cognitive processes and the biology of mental processes, behavioral symptoms and emotion. These advances have been associated with discoveries of new clinical disorders, in particular in the field of genetic ataxias, and the growing number of diseases presents a source of difficulty for clinicians during daily practice. This practical guide summarizes and evaluates current knowledge in the field of cerebellar disorders. Encompassing details of both common and uncommon cerebellar ataxias, including vascular, immune, neoplastic, infectious, traumatic, toxic and inherited disorders, this book will assist clinicians in the diagnosis and management of the full spectrum of cerebellar ataxias encountered in daily practice. Essential reading for clinicians, including general practitioners, neurologists, pediatricians, radiologists, psychiatrists and neuropsychologists, this will also prove a valuable tool for students, trainees and researchers.
Download or read book Rehabilitation in Movement Disorders written by Robert Iansek and published by Cambridge University Press. This book was released on 2013-05-23 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a broad overview of current rehabilitation approaches, emphasizing the need for interdisciplinary management and focussing on deliverable outcomes.
Download or read book Cerebral Palsy written by Freeman Miller and published by JHU Press. This book was released on 2006-05-08 with total page 537 pages. Available in PDF, EPUB and Kindle. Book excerpt: When a child has a health problem, parents want answers. But when a child has cerebral palsy, the answers don't come quickly. A diagnosis of this complex group of chronic conditions affecting movement and coordination is difficult to make and is typically delayed until the child is eighteen months old. Although the condition may be mild or severe, even general predictions about long-term prognosis seldom come before the child's second birthday. Written by a team of experts associated with the Cerebral Palsy Program at the Alfred I. duPont Hospital for Children, this authoritative resource provides parents and families with vital information that can help them cope with uncertainty. Thoroughly updated and revised to incorporate the latest medical advances, the second edition is a comprehensive guide to cerebral palsy. The book is organized into three parts. In the first, the authors describe specific patterns of involvement (hemiplegia, diplegia, quadriplegia), explain the medical and psychosocial implications of these conditions, and tell parents how to be effective advocates for their child. In the second part, the authors provide a wealth of practical advice about caregiving from nutrition to mobility. Part three features an extensive alphabetically arranged encyclopedia that defines and describes medical terms and diagnoses, medical and surgical procedures, and orthopedic and other assistive devices. Also included are lists of resources and recommended reading.
Download or read book WHO Global Report on Falls Prevention in Older Age written by World Health Organization and published by World Health Organization. This book was released on 2008 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: The WHO Falls Prevention for Active Ageing model provides an action plan for making progress in reducing the prevalence of falls in the older adult population. By building on the three pillars of falls prevention, the model proposes specific strategies for: 1. Building awareness of the importance of falls prevention and treatment; 2. Improving the assessment of individual, environmental, and societal factors that increase the likelihood of falls; and 3. For facilitating the design and implementation of culturally appropriate, evidence-based interventions that will significantly reduce the number of falls among older persons. The model provides strategies and solutions that will require the engagement of multiple sectors of society. It is dependent on and consistent with the vision articulated in the WHO Active Ageing Policy Framework. Although not all of the awareness, assessment, and intervention strategies identified in the model apply equally well in all regions of the world, there are significant evidence-based strategies that can be effectively implemented in all regions and cultures. The degree to which progress will be made depends on to the success in integrating falls prevention strategies into the overall health and social care agendas globally. In order to do this effectively, it is necessary to identify and implement culturally appropriate, evidence-based policies and procedures. This requires multi-sectoral, collaborations, strong commitment to public and professional education, interaction based on evidence drawn from a variety of traditional, complementary, and alternative sources. Although the understanding of the evidence-base is growing, there is much that is not yet understood. Thus, there is an urgent need for continued research in all areas of falls prevention and treatment in order to better understand the scope of the problem worldwide. In particular, more evidence of the cost-effectiveness of interconnections is needed to develop strategies that are most likely to be effective in specific setting and population sub-groups.
Download or read book Motor Control written by Anne Shumway-Cook and published by Lippincott Williams & Wilkins. This book was released on 1995 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: The proliferation of new research in the field of neuroscience and motor control has made it difficult to keep pace with the latest findings. This text bridges the gap between research/theory and practice by focusing on the scientific and experimental basis of new motor control theories. Specific examples of theoretical models are provided to clearly illustrate how recent findings and theories can be applied to clinical practice. Each chapter includes an outline, key terms in boldface type, active learning boxes, and a chapter summary to ensure maximum comprehension of the material. The text is intended for physiotherapy and occupational therapy students.
Download or read book Textbook of Stroke Medicine written by Michael Brainin and published by Cambridge University Press. This book was released on 2014-09-11 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.
Download or read book Biomechatronics written by Marko B. Popovic and published by Academic Press. This book was released on 2019-04-04 with total page 670 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biomechatronics is rapidly becoming one of the most influential and innovative research directions defining the 21st century. Biomechatronics provides a complete and up-to-date account of this advanced subject at the university textbook level. Each chapter is co-authored by top experts led by Professor Marko B. Popovic, researcher and educator at the forefront of advancements in this fascinating field. Beginning with an introduction to biomechatronics and its historical background, this book delves into the most groundbreaking recent developments in a wide variety of subjects, such as artificial organs and tissues, prosthetic limbs, neural interfaces, orthotic systems, wearable systems for physical augmentation, physical therapy and rehabilitation, robotic surgery, natural and synthetic actuators, sensors, and control systems. A number of practice problems and solutions are provided at the end of the book. Two years in the making, the book Biomechatronics is a result of dedicated work of a team of close to thirty contributors from all across the globe including top researchers and educators from the USA (Popovic, Lamkin-Kennard, Sinyukov, Troy, Goodworth, Johnson, Kaipa, Onal, Bowers, Djuric, Fischer, Ji, Jovanovic, Luo, Padir, Tetreault), Japan (Tashiro, Iramina, Ohta, Terasawa), Sweden (Boyraz), Turkey (Arslan, Karabulut, Ortes), Germany (Beckerle, Willwacher), New Zealand (Liarokapis), and Switzerland (Dobrev). - The only biomechatronics textbook written especially for students at a university level - Ideal for undergraduate and graduate students and researchers in the biomechatronics, biomechanics, robotics, and biomedical engineering fields - Provides an overview of state-of-the-art science and technology of modern day biomechatronics, introduced by the leading experts in this fascinating field
Download or read book Gait Analysis written by Jacquelin Perry and published by CRC Press. This book was released on 2024-06-01 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: The extensive and ground-breaking work of Dr. Jacquelin Perry is encompassed and detailed in the world renowned text, Gait Analysis: Normal and Pathological Function. The medical, healthcare, and rehabilitation professions key text for over 18 years on gait.... Now available in a much anticipated New Second Edition Dr. Jacquelin Perry is joined by Dr. Judith Burnfield to present today's latest research findings on human gait. Gait Analysis, Second Edition has been updated and expanded to focus on current research, more sophisticated methods, and the latest equipment available to analyze gait. What is New: • A new chapter covering running • Synergy of motion between the two limbs • A new chapter covering pediatrics • A new chapter covering stair negotiation • New and updated clinical examples • A section on power inside each chapter covering normal gait • New methods and equipment to analyze gait This Second Edition to Gait Analysis offers a re-organization of the chapters and presentation of material in a more user-friendly, yet comprehensive format. Essential information is provided describing gait functions, and clinical examples to identify and interpret gait deviations. Learning is further reinforced with images and photographs. Features: • Six sections cover the fundamentals, normal gait, pathological gait, clinical considerations, advanced locomotor functions, and gait analysis systems • Clinical significance of the most common pathological gait patterns • Over 470 illustrations and photographs, as well as 40 tables • Patient examples to illustrate elements of normal and pathological gait Tens of thousands of orthopedic, orthotic and prosthetic, physical therapy, and other rehabilitation professionals have kept a copy of Gait Analysis by their side for over 18 years...join the thousands more who will bring the Second Edition into their clinics, classrooms, and personal collections.
Download or read book Brain Repair After Stroke written by Steven C. Cramer and published by Cambridge University Press. This book was released on 2010-10-28 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: Increasing evidence identifies the possibility of restoring function to the damaged brain via exogenous therapies. One major target for these advances is stroke, where most patients can be left with significant disability. Treatments have the potential to improve the victim's quality of life significantly and reduce the time and expense of rehabilitation. Brain Repair After Stroke reviews the biology of spontaneous brain repair after stroke in animal models and in humans. Detailed chapters cover the many forms of therapy being explored to promote brain repair and consider clinical trial issues in this context. This book provides a summary of the neurobiology of innate and treatment-induced repair mechanisms after hypoxia and reviews the state of the art for human therapeutics in relation to promoting behavioral recovery after stroke. Essential reading for stroke physicians, neurologists, rehabilitation physicians and neuropsychologists.
Download or read book Guidelines for the Care and Use of Mammals in Neuroscience and Behavioral Research written by National Research Council and published by National Academies Press. This book was released on 2003-08-22 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: Expanding on the National Research Council's Guide for the Care and Use of Laboratory Animals, this book deals specifically with mammals in neuroscience and behavioral research laboratories. It offers flexible guidelines for the care of these animals, and guidance on adapting these guidelines to various situations without hindering the research process. Guidelines for the Care and Use of Mammals in Neuroscience and Behavioral Research offers a more in-depth treatment of concerns specific to these disciplines than any previous guide on animal care and use. It treats on such important subjects as: The important role that the researcher and veterinarian play in developing animal protocols. Methods for assessing and ensuring an animal's well-being. General animal-care elements as they apply to neuroscience and behavioral research, and common animal welfare challenges this research can pose. The use of professional judgment and careful interpretation of regulations and guidelines to develop performance standards ensuring animal well-being and high-quality research. Guidelines for the Care and Use of Mammals in Neuroscience and Behavioral Research treats the development and evaluation of animal-use protocols as a decision-making process, not just a decision. To this end, it presents the most current, in-depth information about the best practices for animal care and use, as they pertain to the intricacies of neuroscience and behavioral research.
Download or read book The HELP Guide to Cerebral Palsy written by Nadire Berker and published by . This book was released on 2005-01-01 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:
