Download or read book Neuromuscular Coordination Impairments written by Toran D. MacLeod and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this series of studies was to (1) establish a standing and weight-bearing target-matching task to characterize neuromuscular control and (2) characterize the altered neuromuscular control and morphology resulting from ACL injury and surgical reconstruction using a quadruple-bundle hamstring autograft and allograft. First, a standing target-matching neuromuscular control task was developed and the neuromuscular control strategies used by uninjured athletes was established using electromyography and a weight-bearing protocol to examine the effect of limb task. Visual feedback was given of the forces and moments of the "mobilizer" limb, while the "stabilizer" limb produced nearly identical forces and moments was given no visual feedback. The biarticulate muscles were the primary directional activators in this task, and the uniarticulate vasti muscles acted synergistically to brace the knee in both hip flexion and extension force postures, while subjects produced bidirectional controlled static isometric forces by pushing on two force-platforms. The lateral hamstring was recruited with more refined control while acting as a mobilizer, and the medial hamstring was used with more refined control while performing the stabilizer task. While the medial gastrocnemius was activated in a principally forwards direction for both tasks, the lateral gastrocnemius was principally activated in a backwards direction when subjects performed the stabilizer task. This suggests that neuromuscular control is specific to limb task, even though the external forces are nearly identical. Second, the neuromuscular control of the ACL deficient individuals was compared to uninjured individuals using the standing target-matching task. ACL deficient individuals demonstrated reduced neuromuscular control of the muscles about the knee for both limb tasks in comparison to uninjured individuals matched for age, sex, and activity level. ACL deficient individuals activated their lateral hamstrings primarily while pushing their foot in the forwards direction while performing the stabilizer task, which was the opposite direction of control subjects or when the ACL deficient individuals performed the mobilizer task. Voluntary neuromuscular control was significantly affected in the ACL deficient subjects, and the lateral hamstrings muscle may be activated to brace the knee when subjects are not paying attention to their limb (acting as the stabilizer). Thirdly, the muscle morphology and neuromuscular control of a sample of ACL deficient individuals who were predicted to compensate well after ACL injury (potential coper) was compared to individuals that were predicted to not compensate well after ACL injury (non-copers). Both groups demonstrated quadriceps atrophy, but the non-copers used reduced neuromuscular control of the muscles about the knee while the potential copers used symmetrical neuromuscular control. Findings suggest that the potential to compensate following ACL injury is dependent more on how the individual uses their muscle rather than the amount of quadriceps atrophy. Fourthly, the effect of graft harvest on muscle morphology was made using a pre-post ACL reconstruction comparison between a semitendinosus-gracilis (STG) tendon autograft group and a cadaveric allograft group. The autograft group demonstrated synergistic muscle hypertrophy, while the autograft group remained symmetrical morphologically following surgery. Muscle morphology changes in the autograft group indicate that the muscles remaining following graft harvest hypertrophy to compensate for the functional loss of the STG. Finally, a long-term follow-up of morphology was performed on individuals that underwent STG graft harvest 6 years prior in comparison to both pre-operatively and at the time of return-to-sports. STG tendon regeneration occurred in two out of three participants; however the third had fatty inclusions within both STG muscles indicating that this muscle was no longer functional. Graft harvest technique may have played a role in the amount of regeneration of the STG muscles. In summary, this series of studies establishes a new tool to examine standing and weight-bearing neuromuscular control and examines the neuromuscular and morphological response to ACL injury and reconstruction in both the short and long term.
Download or read book Selected Health Conditions and Likelihood of Improvement with Treatment written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-07-12 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide disability benefits: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. SSDI provides disability benefits to people (under the full retirement age) who are no longer able to work because of a disabling medical condition. SSI provides income assistance for disabled, blind, and aged people who have limited income and resources regardless of their prior participation in the labor force. Both programs share a common disability determination process administered by SSA and state agencies as well as a common definition of disability for adults: "the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." Disabled workers might receive either SSDI benefits or SSI payments, or both, depending on their recent work history and current income and assets. Disabled workers might also receive benefits from other public programs such as workers' compensation, which insures against work-related illness or injuries occurring on the job, but those other programs have their own definitions and eligibility criteria. Selected Health Conditions and Likelihood of Improvement with Treatment identifies and defines the professionally accepted, standard measurements of outcomes improvement for medical conditions. This report also identifies specific, long-lasting medical conditions for adults in the categories of mental health disorders, cancers, and musculoskeletal disorders. Specifically, these conditions are disabling for a length of time, but typically don't result in permanently disabling limitations; are responsive to treatment; and after a specific length of time of treatment, improve to the point at which the conditions are no longer disabling.
Download or read book Lower limb Neuromuscular Coordination Post stroke written by Wendy Lee Boehm and published by . This book was released on 2017 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stroke is a leading cause of impairment world-wide. For the millions of unfortunate people who experience this neurological insult each year, overcoming hemiparesis to regain mobility often becomes a primary, though tremendously difficult, goal. Rehabilitation outcomes are variable, often incomplete, and inefficient, as understanding of the complex motor control and sensory deficits that impede balance and walking is limited. This dissertation aims to improve that understanding, and ultimately patient outcomes, by investigating an unconventional approach to characterizing and potentially overcoming impairment. The force of the ground on the feet (F) reflects the neuromuscular coordination strategy of the lower-limb joint torques and must meet certain physical requirements to keep the body upright while bipedal. A specific deviation in control of F is suspected following stroke, and thus, is examined here as a mechanism of impairment. A theoretical foundation for such impairment is provided, followed by the design of a robotic walking environment to investigate for such control and potentially retrain appropriate F. The F during standing and dynamic bipedal tasks is characterized, revealing underlying control and differences between the paretic and non-paretic limbs of individuals with hemiparesis. These characteristics have promising implications for understanding and assessing impairment as well as informing rehabilitation metrics and methods.
Download or read book Children with Developmental Coordination Disorder written by David Sugden and published by John Wiley & Sons. This book was released on 2005-01-28 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: The term Developmental Coordination Disorder (DCD) is used to describe a group of children who have difficulty. with tasks involving movement such that it interferes with their daily living or academic progress. As with other developmental disorders such as autistic spectrum disorder, attention deficit disorder and dyslexia, DCD is now a prominent concern of both researchers and practitioners. This text is aimed at both researchers and professionals who work in a practical manner with the condition and includes professionals in health, occupational therapists, physiotherapists, health visitors, paediatricians, and - in the educational field - teachers and others who are in daily contact with the children - their parents. The essence of the text is that work with children should be guided by research evidence driving the clinical practice which in turn raisies more questions for research. The authors in this text have both experience in research and are engaged in the day-to-day clinical work with children and bring both of these to bear in the chapters they have written.
Download or read book Diagnosis and Treatment of Movement Impairment Syndromes written by Shirley Sahrmann and published by Elsevier Health Sciences. This book was released on 2001-09-04 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by an acknowledged expert on muscle and movement imbalances, this well illustrated book presents a classification system of mechanical pain syndromes that is designed to direct the exercise prescription and the correction of faulty movement patterns. The diagnostic categories, associated muscle and movement imbalances, recommendations for treatment, examination, exercise principles, specific corrective exercises, and modification of functionalactivities for case management are described in detail. This book is designed to give practitioners an organized and structured method of analyzing the mechanical cause of movement impairment syndrome, the contributing factors and a strategy for management. * Provides the tools for the physical therapist to identify movement imbalances, establish the relevant diagnosis, develop the corrective exercise prescription and carefully instruct the patient about how to carry out the exercise program. * Authored by the acknowledged expert on movement system imbalances. * Covers both the evaluation process and therapeutic treatment. * Detailed descriptions of exercises for the student or practitioner. * Includes handouts to be photocopied and given to the patient for future reference.
Download or read book Movement System Impairment Syndromes of the Extremities Cervical and Thoracic Spines E Book written by Shirley Sahrmann and published by Elsevier Health Sciences. This book was released on 2010-11-19 with total page 568 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extensively illustrated and evidence based, Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines helps you effectively diagnose and manage musculoskeletal pain. It discusses diagnostic categories and their associated muscle and movement imbalances, and makes recommendations for treatment. Also covered is the examination itself, plus exercise principles, specific corrective exercises, and the modification of functional activities. Case studies provide examples of clinical reasoning, and a companion Evolve website includes video clips of tests and procedures. Written and edited by the leading experts on muscle and movement, Shirley Sahrmann and associates, this book is a companion to the popular Diagnosis and Treatment of Movement Impairment Syndromes. An organized and structured method helps you make sound decisions in analyzing the mechanical cause of movement impairment syndromes, determining the contributing factors, and planning a strategy for management. Detailed, yet clear explanations of examination, exercise principles, specific corrective exercises, and modification of functional activities for case management provide the tools you need to identify movement imbalances, establish the relevant diagnosis, and develop the corrective exercise prescription. Case studies illustrate the clinical reasoning used in managing musculoskeletal pain. Evidence-based research supports the procedures covered in the text. Over 360 full-color illustrations -- plus tables and summary boxes -- highlight essential concepts and procedures. A companion Evolve website includes video clips demonstrating the tests and procedures and printable grids from the book.
Download or read book Neurological Physical Therapy written by Toshiaki Suzuki and published by BoD – Books on Demand. This book was released on 2017-05-10 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical therapy services may be provided alongside or in conjunction with other medical services. They are performed by physical therapists (known as physiotherapists in many countries) with the help of other medical professionals. This book consists of 12 chapters written by several professionals from different parts of the world. The book covers different subjects, such as the effects of physical therapy, motor imagery, neuroscience-based rehabilitation for neurological patients, and applications of robotics for stroke and cerebral palsy. We hope that this book will open up new directions for physical therapists in the field of neurological physical therapy.
Download or read book The Athlete s Shoulder written by James R. Andrews and published by Elsevier Health Sciences. This book was released on 2008-10-30 with total page 897 pages. Available in PDF, EPUB and Kindle. Book excerpt: The latest edition of this in-depth look at athletic injuries of the shoulder has been updated to feature 16 new chapters, additional illustrations and algorithms, an added focus on arthroscopic treatments, and pearls that highlight key information. Additional contributing authors give you a fresh spin on new and old topics from rehabilitation exercises to special coverage of female athletes, pediatrics, and golfers. This book offers coverage of arthroscopy, total joint replacement, instability, football, tennis, swimming, and gymnastic injuries, rotator cuff injuries, and much, much more! The large range of topics covered in this text ensures that it’s a great resource for orthopaedists, physical therapists, athletic trainers, and primary care physicians. Presents a multidisciplinary approach to the care of the shoulder, combining contributions from the leaders in the field of orthopedic surgery, physical therapy, and athletic training. Demonstrates which exercises your patients should perform in order to decrease their chance of injury or increase strength following an injury through illustrated exercises for rehabilitation and injury prevention. Illustrates how the shoulder is affected during activity of certain sports with a variety of tables and graphs. Covers a large range of topics including all shoulder injuries to be sufficiently comprehensive for both orthopaedists and physical therapists/athletic trainers. Features 16 new chapters, including Internal Impingement, Bankarts: Open vs. Arthroscopy, Adhesive Capsulitis of the Shoulder, Cervicogenic Shoulder Pain, Proprioception: Testing and Treatment, and more. Details current surgical and rehabilitation information for all aspects of shoulder pathology to keep you up-to-date. Organizes topics into different sections on anatomy, biomechanics, surgery, and rehabilitation for ease of reference.
Download or read book Disorders of Voluntary Muscle written by George Karpati and published by Cambridge University Press. This book was released on 2001-07-12 with total page 800 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rewritten and redesigned, this remains the one essential text on the diseases of skeletal muscle.
Download or read book Naturopathic Physical Medicine written by Leon Chaitow and published by Elsevier Health Sciences. This book was released on 2008-05-30 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt: NATUROPATHIC PHYSICAL MEDICINE provides a philosophical naturopathic perspective, as well as practical clinical applications, for manual and physical approaches to health care. A wide range of bodywork and movement approaches and modalities are evaluated in relation to their ability to be appropriately used in naturopathic treatment and rehabilitation settings. The model of care emphasised in this text recognizes that naturopathically oriented therapeutic interventions usually focus on achieving one or all of the following: enhancement of function so that the person, system or part, can better self-regulate in response to adaptive demands; modification or removal of adaptive load factors; and symptomatic relief without creation of significant additional adaptive changes.
Download or read book Altered Neuromuscular Control of Gait Following Traumatic Brain Injury and Targeted Neuromodulation to Improve Motor Function written by Samuel Alberto AcunÌ3a and published by . This book was released on 2019 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gait and balance disorders are common among individuals who have experienced a traumatic brain injury (TBI). Prior studies have shown that individuals with TBI tend to walk slower, take smaller steps, and have increased mediolateral sway. However, symptoms and severity vary considerably between subjects, making the neuropathology of gait difficult to characterize and to inform targeted interventions. Traditional rehabilitation protocols provide little improvement after the first few months post-injury, leaving many individuals with chronic balance impairments. Interventions that can accelerate neuroplasticity or enhance sensorimotor integration are desperately needed to improve motor function in individuals with a prior TBI. This dissertation examines changes in the neuromuscular control of gait as a result of a mild to moderate traumatic brain injury and explores targeted neurorehabilitation modalities that may improve motor function. The first two chapters characterize neuromuscular coordination in chronic TBI patients and examine relationships between these quantitative motor control metrics and clinical assessments of gait function. The third chapter tests the hypothesis that neuromuscular coordination of gait can be fundamentally altered by using noninvasive neuromodulation to enhance plasticity during gait and balance rehabilitation exercises. The fourth chapter documents an exploratory study of gait and balance using sub-sensory vibratory stimulation to enhance somatosensation when visual information is disrupted. This dissertation demonstrates the potential application of noninvasive neuromodulation to improve gait and balance for individuals with a prior TBI.
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 Physical Rehabilitation of the Injured Athlete written by Gary L. Harrelson and published by . This book was released on 2004 with total page 716 pages. Available in PDF, EPUB and Kindle. Book excerpt: Represents collaboration among orthopaedists, physical trainers, and athletic trainers. It reviews the rehabilitation needs for all types of sports injuries, stressing the treatment of the entire kinetic chain with various exercises. Chapters have been extensively revised, featuring new concepts and techniques. The 3rd edition includes four new chapters (Proprioception and Neuromuscular Control; Cervical Spine Rehabilitation; Functional Training and Advanced Rehabilitation; and Plyometrics), new contributors and new features, such as summary boxes and tables.
Download or read book Arm and Hand Movement Current Knowledge and Future Perspective written by Renée Morris and published by Frontiers Media SA. This book was released on 2015-05-27 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Research Topic is devoted to arm and hand movement in health as well as in several disease conditions. It is a collection of several original research papers and reviews, clinical case studies, hypothesis and theory articles, opinions, commentaries, and methods papers that cover some important aspects of the topic from distinct scientific perspectives. We invite the readers to appreciate the range in methodologies and experimental designs that together have led to widen our understanding of this especially broad field of research.
Download or read book Improving Functional Outcomes in Physical Rehabilitation written by Edward Bezkor and published by F.A. Davis. This book was released on 2021-11-19 with total page 1268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Achieve the best functional outcomes for your patients. Here is a practical, step-by-step guide to understanding the treatment process and selecting the most appropriate interventions for your patients. Superbly illustrated, in-depth coverage shows you how to identify functional deficits, determine what treatments are appropriate, and then implement them to achieve the best functional outcome for your patients. Learn through reading, seeing, and doing. Seventeen case studies in the text correspond to seventeen videotaped case studies with voice-over narration online at FADavis.com. These videos show you how practicing therapists interact with their clients in rehabilitation settings…from sample elements of the initial examination through the interventions to the functional outcomes…to make a difference in patients’ lives.
Download or read book Enabling America written by Institute of Medicine and published by National Academies Press. This book was released on 1997-11-24 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most recent high-profile advocate for Americans with disabilities, actor Christopher Reeve, has highlighted for the public the economic and social costs of disability and the importance of rehabilitation. Enabling America is a major analysis of the field of rehabilitation science and engineering. The book explains how to achieve recognition for this evolving field of study, how to set priorities, and how to improve the organization and administration of the numerous federal research programs in this area. The committee introduces the "enabling-disability process" model, which enhances the concepts of disability and rehabilitation, and reviews what is known and what research priorities are emerging in the areas of: Pathology and impairment, including differences between children and adults. Functional limitationsâ€"in a person's ability to eat or walk, for example. Disability as the interaction between a person's pathologies, impairments, and functional limitations and the surrounding physical and social environments. This landmark volume will be of special interest to anyone involved in rehabilitation science and engineering: federal policymakers, rehabilitation practitioners and administrators, researchers, and advocates for persons with disabilities.
Download or read book Movement Coordination Impairment in Non Specific Low Back Pain written by Peemongkon Wattananon and published by . This book was released on 2014 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt:
