Download or read book Recovery of Motor Function Following Spinal Cord Injury written by Heidi Fuller and published by BoD – Books on Demand. This book was released on 2016-08-17 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: Restoration of motor function following spinal cord injury is a complex and challenging task. By reviewing emerging cellular, pharmacological, rehabilitative, as well as surgical approaches, this book seeks to highlight promising therapeutic strategies for the repair and regeneration of motor circuitry. The multidisciplinary nature of these approaches illustrates various routes to bridging the gap between the bench and the bedside and to identify the challenges that must be overcome in order to bring about a viable therapeutic strategy for spinal cord injury patients.
Download or read book Oxford Textbook of Neurorehabilitation written by Volker Dietz and published by Oxford University Press, USA. This book was released on 2015 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Oxford Textbooks in Clinical Neurology series, this textbook will provide the reader with an understanding of the theoretical underpinnings of neurorehabilitation, as well as a clear idea about how (and why) to approach treatment decisions in individual patients.
Download or read book Locomotor Training written by Susan J. Harkema and published by . This book was released on 2011 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical rehabilitation for walking recovery after spinal cord injury is undergoing a paradigm shift. Therapy historically has focused on compensation for sensorimotor deficits after SCI using wheelchairs and bracing to achieve mobility. With locomotor training, the aim is to promote recovery via activation of the neuromuscular system below the level of the lesion. What basic scientists have shown us as the potential of the nervous system for plasticity, to learn, even after injury is being translated into a rehabilitation strategy by taking advantage of the intrinsic biology of the central nervous system. While spinal cord injury from basic and clinical perspectives was the gateway for developing locomotor training, its application has been extended to other populations with neurologic dysfunction resulting in loss of walking or walking disability.
Download or read book Advances in Spinal Cord Epidural Stimulation for Motor and Autonomic Functions Recovery After Severe Spinal Cord Injury written by Enrico Rejc and published by Frontiers Media SA. This book was released on 2022-02-14 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Neurorehabilitation Technology written by David J. Reinkensmeyer and published by Springer Nature. This book was released on 2022-11-15 with total page 771 pages. Available in PDF, EPUB and Kindle. Book excerpt: This revised, updated, and substantially expanded third edition provides an accessible, practical overview of major areas of research, technical development and clinical application in the field of neurorehabilitation movement therapy. The initial section provides the basic framework and a rationale for technology application in movement therapy by summarizing recent findings in neuroplasticity and motor learning. The following section provides a detailed overview of the movement physiology of various neurologic conditions, illustrating how this knowledge has been used to design various neurorehabilitation technologies. The third section then explains the principles of human-machine interaction for movement rehabilitation. The fourth section provides an overview of assessment technology and predictive modeling in neurorehabilitation. The fifth section provides a survey of technological approaches to neurorehabilitation, including spinal cord stimulation, functional electrical stimulation, virtual reality, wearable sensing, brain computer interfaces, mobile technologies, and telerehabilitation. The final two sections examine in greater detail the ongoing revolution in robotic therapy for upper extremity movement and walking, respectively. The promises and limitations of these technologies in neurorehabilitation are discussed, including an Epilogue which debates the impact and utility of robotics for neurorehabilitation. Throughout the book the chapters provide detailed practical information on state-of-the-art clinical applications of these devices following stroke, spinal cord injury, and other neurologic disorders and future developments in the field. The text is illustrated throughout with photographs and schematic diagrams which serve to clarify the information for the reader. Neurorehabilitation Technology, Third Edition is a valuable resource for neurologists, biomedical engineers, roboticists, rehabilitation specialists, physiotherapists, occupational therapists and those training in these fields. Chapter “Spinal Cord Stimulation to Enable Leg Motor Control and Walking in People with Spinal Cord Injury is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
Download or read book Spinal Cord Medicine written by Denise I. Campagnolo and published by Lippincott Williams & Wilkins. This book was released on 2011-12-07 with total page 1899 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive and practical reference is the perfect resource for the medical specialist treating persons with spinal cord injuries. The book provides detail about all aspects of spinal cord injury and disease. The initial seven chapters present the history, anatomy, imaging, epidemiology, and general acute management of spinal cord injury. The next eleven chapters deal with medical aspects of spinal cord damage, such as pulmonary management and the neurogenic bladder. Chapters on rehabilitation are followed by nine chapters dealing with diseases that cause non-traumatic spinal cord injury. A comprehensive imaging chapter is included with 30 figures which provide the reader with an excellent resource to understand the complex issues of imaging the spine and spinal cord.
Download or read book Spinal Cord Injury written by Joost Verhaagen and published by Newnes. This book was released on 2012-12-31 with total page 677 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Clinical Neurology: Spinal Cord Injury summarizes advances in the clinical diagnosis, monitoring, prognostication, treatment, and management of spinal cord injuries. More specifically, it looks at new and important developments in areas such as high-resolution noninvasive neuroimaging, surgery, and electrical stimulation of motor, respiratory, bladder, bowel, and sexual functions. It also reviews the latest insights into spontaneous regeneration and recovery of function following rehabilitation, with emphasis on novel therapeutic strategies, such as gene therapy, transcranial stimulation, brain-machine interfaces, pharmacological approaches, molecular target discovery, and the use of olfactory ensheathing cells, stem cells, and precursor cells. Organized in five sections, the book begins with an overview of the development, maturation, biomechanics, and anatomy of the spinal cord before proceeding with a discussion of clinical diagnosis and prognosis as well as natural recovery, ambulation, and function following spinal cord injury. It then examines clinical neurophysiology in the prognosis and monitoring of traumatic spinal cord injury; medical, surgical and rehabilitative management of spinal cord trauma; and some new approaches for improving recovery in patients, including restoration of function by electrical stimulation, locomotor training, and the use of robotics. Other chapters cover cell transplantation, artificial scaffolds, experimental pharmacological interventions, and molecular and combinatorial strategies for repairing the injured spinal cord. This volume should be of interest to neuroscience and clinical neurology research specialists and practicing neurologists. - Comprehensive coverage of the latest scientific understanding of spinal cord injuries - Detailed coverage of current treatment best practices and potential future treatments - Connects leading edge research programs to future treatment opportunities
Download or read book Spinal Cord Injury written by Martha Freeman Somers and published by . This book was released on 2001 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique reference is an in-depth examination of the central role of the physical therapist in rehabilitation following spinal cord injury. This book encompasses all of the elements involved in a successful rehabilitation program. It includes a basic understanding of spinal cord injuries and issues relevant to disability, as well as knowledge of the physical skills involved in functional activities and the therapeutic strategies for acquiring these skills. It also presents an approach to the cord-injured person that promotes self-respect and encourages autonomy.Comprehensive information equips readers with a broad foundation of knowledge including topics relevant to spinal cord injury, its pathological repercussions, and medical and rehabilitative management in preparation for program planning, patient and family education, and effective participation as a member of a rehabilitation team. Problem-solving exercises prepare readers for problem-solving in a clinical setting with gray-boxed problems in each chapter that pose clinical questions. Appendix A presents solutions to problems. Abundant illustrations clarify the information presented in the text.An excellent reference for physical therapists.
Download or read book Plasticity Promoting Drugs and Motor Training written by Jamie Kay Wong and published by . This book was released on 2011 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is currently no effective treatment for the devastating loss of motor function that results from spinal cord injury (SCI). The experiments conducted for this dissertation aimed to identify therapeutic strategies that could enhance neuroplasticity and thereby enhance the degree of functional recovery beyond the extent of recovery achieved with spontaneous recovery. The first project validated the use of a straight alley version of the BBB locomotor scale to assess hindlimb locomotor function following SCI. The second project re-assessed whether chronic nicotine treatment is neuroprotective in Sprague-Dawley rats following a moderate contusion at thoracic level 9 (T9). Beginning 2 hours following the injury, 0.35mg/kg nicotine was administered daily for 14 days. Hindlimb locomotor recovery was assessed using the BBB locomotor scale at 2 days post injury, then weekly. Nicotine-treated rats did not exhibit significantly different BBB scores than saline controls and had significantly larger lesion volumes, indicating that chronic nicotine treatment does not reliably enhance recovery in different animal models of SCI. The third project aimed to determine whether a single dose of amphetamine paired with motor training enhances motor recovery following SCI, as it has been reported to do so following cortical injury. Rats received amphetamine with training on a beam walking task 24 hours following either a T9 or cervical level 5 (C5) lateral hemisection. Surprisingly, although pairing amphetamine with motor training enhances motor recovery following cortical injury, it increases lesion volume and significantly impairs motor recovery following SCI. The fourth project aimed to determine whether chronic inosine treatment enhances motor recovery following SCI, as it does following stroke and traumatic brain injury. One day following a right C5 lateral hemisection, rats had inosine delivered into the right lateral ventricle for 14 days. Inosine-treated rats showed significantly improved performance on the beam walking task and significantly enhanced gripping ability than controls. Histological analysis revealed that inosine-treated had significantly smaller lesion volumes than controls, which suggests that inosine might be neuroprotective following SCI. However, because 2 saline-treated rats had more extensive lesions, the possibility that the differences in recovery were due to the surgeries cannot be excluded.
Download or read book Spinal Cord Injury written by Institute of Medicine and published by National Academies Press. This book was released on 2005-07-27 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: An estimated 11,000 spinal cord injuries occur each year in the United States and more than 200,000 Americans suffer from maladies associated with spinal cord injury. This includes paralysis, bowel and bladder dysfunction, sexual dysfunction, respiratory impairment, temperature regulation problems, and chronic pain. During the last two decades, longstanding beliefs about the inability of the adult central nervous system to heal itself have been eroded by the flood of new information from research in the neurosciences and related fields. However, there are still no cures and the challenge of restoring function in the wake of spinal cord injuries remains extremely complex. Spinal Cord Injury examines the future directions for research with the goal to accelerate the development of cures for spinal cord injuries. While many of the recommendations are framed within the context of the specific needs articulated by the New York Spinal Cord Injury Research Board, the Institute of Medicine's panel of experts looked very broadly at research priorities relating to future directions for the field in general and make recommendations to strengthen and coordinate the existing infrastructure. Funders at federal and state agencies, academic organizations, pharmaceutical and device companies, and non-profit organizations will all find this book to be an essential resource as they examine their opportunities.
Download or read book Spinal Cord Injury written by Martha Somers and published by F.A. Davis. This book was released on 2024-03-18 with total page 1067 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive approach to complex challenges Here’s the foundational knowledge, skills, and understanding physical therapists need to develop and implement rehabilitation programs for persons living with spinal cord injuries. From coverage of pathology and the pathological repercussions through medical and rehabilitative management to patient and family education, students will be prepared to be effective members of the rehabilitation team. They’ll also understand the importance of psychosocial adaptation and develop insights into their roles in the process.
Download or read book Functional Electrical Stimulation written by Alojz Kralj and published by Routledge. This book was released on 2022-01-26 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: This reference text covers the fundamental knowledge and principles of functional electrical stimulation (FES) as applied to the spinal cord injured (SCI) patient. The principles of FES application and basic biomechanical issues related to FES in SCI are stressed. The fundamentals regarding patient selection criteria, indication, contraindications, and descriptions of procedures are clearly presented. Also included are the fundamentals and rationale of gait restoration with patient selection, control strategies, and the synthesis of gait sequences with trends in the field. Each chapter contains numerous references to the FES literature for the reader to easily evaluate and extend his knowledge in the area of interest. Biomedical and rehabilitation engineering professionals and researchers for medical doctors, physical therapists, and orthotists will find this publication invaluable.
Download or read book Diseases of the Brain Head and Neck Spine 2020 2023 written by Juerg Hodler and published by Springer Nature. This book was released on 2020-02-14 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book offers an essential overview of brain, head and neck, and spine imaging. Over the last few years, there have been considerable advances in this area, driven by both clinical and technological developments. Written by leading international experts and teachers, the chapters are disease-oriented and cover all relevant imaging modalities, with a focus on magnetic resonance imaging and computed tomography. The book also includes a synopsis of pediatric imaging. IDKD books are rewritten (not merely updated) every four years, which means they offer a comprehensive review of the state-of-the-art in imaging. The book is clearly structured and features learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers navigate the text. It will particularly appeal to general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic expertise, as well as clinicians from other specialties who are interested in imaging for their patient care.
Download or read book Restorative Neurology of Spinal Cord Injury written by Milan R. Dimitrijevic and published by OUP USA. This book was released on 2012-01-12 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following injury or disease, neural circuitry can be altered to varying degrees leading to highly individualized characteristics that may or may not resemble original function. In addition, lost or partially damaged circuits and the effects of biological recovery processes coupled with learned compensatory strategies create a new neuroanatomy with capabilities that are often not functional or may interfere with daily life. To date, the majority of approaches used to treat neurological dysfunction have focused on the replacement of lost or damaged function, usually through the suppression of surviving neural activity and the application of mechanical assistive devices. Restorative Neurology of Spinal Cord Injury offers a different and novel approach. Focusing on the spinal cord and its role in motor control, the book details the clinical and neurophysiological assessment process and methods developed throughout the past half century by basic and clinical scientists. Then, through the use of specialized clinical and neurophysiological testing methods, conduction and processing performed within the surviving neural circuitry is examined and characterized in detail. Based on the results of such assessment, treatment strategies, also described in this book, are applied to augment, rather than replace, the performance of surviving neural circuitry and improve the functional capacity of people who have experienced injury to their spinal cords.
Download or read book Improving Recovery Following Neurological Injury Utilizing Targeted Plasticity Therapy written by Michael Jeffrey Darrow and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Neurological injuries often cause permanent, significant impairments in motor and sensory function. Spinal cord injury affects 276,000 individuals in the United States and millions more worldwide, while 20 million American suffer from peripheral nerve related injuries. Both of these injuries commonly cause upper extremity motor and sensory dysfunction, which can persist for the rest of their lives. Currently, there are no consistently effective treatment options to restore sensorimotor function in patients suffering from these disabilities. In recent years, vagus nerve stimulation (VNS) paired with rehabilitation has emerged as a possible therapeutic intervention for treating motor and sensory dysfunction following a number of neurological injuries including ischemic stroke, hemorrhagic stroke, and traumatic brain injury. This dissertation works to further these findings by investigating new injury models and new modalities for restoring further function while simultaneously optimizing aspects of the therapy for more seamless translation to the clinic. We first describe how VNS paired with motor rehabilitation can be utilized to drive significant recovery in different models of spinal cord injury at the fifth cervical level. In the same study, we go on to demonstrate the importance of pairing VNS with neural activing driving the desired outcomes. Next, we vary the timing of VNS with the paired event in order to identify a synaptic eligibility trace of VNS which can be utilized to further optimize VNS pairings in the clinic. It was also discovered VNS paired with rehabilitation can drive plasticity in spared motor networks through the use of intracortical mapping and viral transsynaptic tract tracing. We investigated spinal cord injury at a lower level, C7, with a new bilateral injury model, and found that despite a loss in distal forelimb motor pools, VNS paired with rehabilitation was able to significantly enhance motor recovery. Generalization to similar but untrained tasks was also observed, further highlighting the potential for clinical translation. Next, we were able to demonstrate the use of VNS paired with sensory stimuli in order to restore sensory function following a model of chronic sensory loss in the forelimb, peripheral nerve injury. Not only did VNS paired with tactile rehabilitation drive significant enhancement of mechanosensory withdrawal thresholds, these VNS-mediated benefits were found to last for over two months. While generalization was not observed in a predominantly motor task, grip strength, it was observed in multiple sensorimotor functions including skilled forelimb placement, toe spread, and spontaneous forelimb use. The findings of this dissertation clearly demonstrate that VNS therapy paired with rehabilitation can significantly improve recovery of motor and sensory function following neurological injury. We demonstrate the first use of VNS therapy to treat dysfunction after spinal cord injury. We demonstrate the first preclinical use of VNS therapy to restore somatosensory function following peripheral nerve injury. Lastly, this dissertation demonstrates the clinical utility and massive potential for translation to improve both motor and sensory function following neurological injury.
Download or read book Tetraplegia and Paraplegia written by Ida Bromley and published by Elsevier Health Sciences. This book was released on 2006-01-01 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extensively illustrated and easy to use, this practical resource offers clear guidelines and step-by-step sequences for moving and working with individuals with differing levels of paralysis. It serves as both an ideal student textbook and a valuable clinical manual for therapists who see tetraplegic and paraplegic patients. Clear, practical, concise chapters present important information in an easily understandable approach.Spiral-bound format enables the book to lay flat for easy reference in the clinical setting or classroom.Excellent coverage of wheelchairs and wheelchair management is included. All illustrations have been redrawn for increased clarity, to enhance the clinical usefulness of this resource.Audit and evidence-based practice is incorporated throughout.Discussion of patient empowerment is included.The chapter on hands has been expanded to provide more in-depth coverage of this important topic.New discussion of levers has been added to this edition.New chapter on aging offers insight and considerations for treating aging and elderly patients with spinal cord injury.Expanded section on equipment provides details on current and state-of-the-art equipment used in practice.
Download or read book Essentials of Spinal Cord Injury written by Michael G. Fehlings and published by Thieme. This book was released on 2012-10-29 with total page 995 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to putting spinal cord injury research into practice Essentials of Spinal Cord Injury is written for the spinal cord injury (SCI) team and reflects the multidisciplinary nature of treating patients with SCI. It integrates emerging medical and surgical approaches to SCI with neuroanatomy, neurophysiology, neuroimaging, neuroplasticity, and cellular transplantation. This comprehensive yet concise reference will enable neurosurgeons, orthopedic surgeons, neurologists, and allied health professionals caring for SCI patients to translate research results into patient care. It is also an excellent resource for those preparing for the board exam in SCI medicine. Key Features: Material is cross-referenced to highlight relationships between the different areas of SCI Chapters are concise, focused, and include key points, pearls, and pitfalls An Overview of the Literature table is provided in most chapters, giving readers a meaningful distillation of each publication referenced Each editor is a world-renowned expert in one of these core disciplines involved in the management of SCI patients: neurosurgery, orthopedic surgery, spinal cord science, and rehabilitative medicine This is a must-have guide that all neurosurgeons, orthopedic surgeons, neurologists, and allied health professionals involved in the care of spinal cord injury patients should have on their bookshelf.
