Download or read book Significant Balance Improvements Can Occur in Individuals with Chronic Traumatic Brain Injury Through the Use of Two Types of Home Exercise Programs written by Kaitlin Hays and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Literature suggests that following a traumatic brain injury (TBI), the period of significant recovery lasts up to two years post injury (1, 2). As part of a randomized controlled trial, individuals with chronic TBI were found to make significant positive changes in their balance following 12 weeks of participation in a home exercise program (HEP). Participants received a standard HEP or an HEP using an Xbox Kinect virtual reality system. The purpose of this case series is to evaluate specific changes in outcomes for an individual in each arm of the study. The average age of all participants (n=63) was 48.8, with an average age since injury of 8.4 years. Participant one was a 57 year old male injured 10 years prior to study enrollment. He received a virtual reality based HEP. Participant two was a 58 year old female injured 6 years prior to study enrollment. This participant received a standard HEP. Both individuals made significant progress on the BESTest, Community Balance and Mobility Scale (CB&M), and Sensory Organization Test (SOT) at the end of 12 weeks and reached the MCID for all assessments. The MCID of the CB&M for individuals with TBI is 7.6 points (3), the MCID of the BESTest for individuals with stroke is 7.81 points (4), and the MCID of the SOT for individuals with vestibular issues is 8 points (5). Average changes in scores from baseline to 12 weeks for all 63 participants was 7.8 points on the CB&M and 5.3 points on the BESTest. Participant one had a change of 26 points on the CB&M, 9 points on the BESTest, and 20 points on the SOT. Participant two had a change of 22 points on the CB&M, 21 points on the BESTest, and 10 points on the SOT. Overall, this information is very encouraging, as it indicates that following a chronic injury, individuals can still make significant improvements in their balance through the use of an in-home balance program. Some individuals may be more successful than others as indicated by these case examples. The reasons for these significant improvements compared to group means may be due to individual motivation or the time and ability to prioritize the exercise program. Both of these individuals lived alone and were not currently working, but both were within group averages for consistency of HEP performance, age, and time since injury. REFERENCES1.tCorrigan JD, Selassie AW, Orman JAL. The epidemiology of traumatic brain injury. The Journal of head trauma rehabilitation. 2010;25(2):72-80.2.tBasford JR, Chou L-S, Kaufman KR, Brey RH, Walker A, Malec JF, et al. An assessment of gait and balance deficits after traumatic brain injury. Archives of physical medicine and rehabilitation. 2003;84(3):343-9.3.tHowe J, Inness E, Venturini A, Williams J, Verrier M. The Community Balance and Mobility Scale-a balance measure for individuals with traumatic brain injury. Clinical Rehabilitation. 2006;20(10):885-95.4.tChinsongkram B, Chaikeeree N, Saengsirisuwan V, Viriyatharakij N, Horak FB, Boonsinsukh R. Reliability and Validity of the Balance Evaluation Systems Test (BESTest) in People With Subacute Stroke. Physical Therapy. 2014;94(11):1632-43.5.tWrisley DM, Stephens MJ, Mosley S, Wojnowski A, Duffy J, Burkard R. Learning effects of repetitive administrations of the sensory organization test in healthy young adults. Archives of physical medicine and rehabilitation. 2007;88(8):1049-54.
Download or read book Interventions Effects and Outcomes in Occupational Therapy written by Mary C. Law and published by SLACK Incorporated. This book was released on 2010 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: Occupational therapists are expected to maintain their knowledge of best practice by independently keeping up to date on the latest research. With this work, the authors have assembled the evidence for effectiveness of occupational therapy for adults and older adults. It brings together the latest published peer-reviewed literature, conceptual approaches, outcome measures, and intervention approaches to address the three main areas by: Identifying a finite set of interventions which occupational therapists deliver most often, and providing details of those intervention approaches; Identifying where the research evidence shows that occupational therapists can achieve specific positive effects as a result of those interventions; Identifying the outcome measures most commonly and reliably used by researchers in occupational therapy to demonstrate the effects of interventions. The authors have comprehensively reviewed all of the intervention effectiveness literature for occupational therapy provided for adults. The material reviewed crosses all diagnostic categories and areas of practice for adults and older adults. Analysis of over 500 research studies and systematic reviews form the basis for this book.
Download or read book Physical Rehabilitation written by Susan B O'Sullivan and published by F.A. Davis. This book was released on 2019-01-25 with total page 1504 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rely on this comprehensive, curriculum-spanning text and reference now and throughout your career! You’ll find everything you need to know about the rehabilitation management of adult patients… from integrating basic surgical, medical, and therapeutic interventions to how to select the most appropriate evaluation procedures, develop rehabilitation goals, and implement a treatment plan. Online you’ll find narrated, full-color video clips of patients in treatment, including the initial examination, interventions, and outcomes for a variety of the conditions commonly seen in rehabilitation settings.
Download or read book Constraint induced Movement Therapy written by G. Uswatte and published by Ios PressInc. This book was released on 2006 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Constraint-Induced Movement therapy (CI therapy) is a behavioral approach to neurorehabilitation based on a program of neuroscience experiments conducted with monkeys. Evidence has accumulated to support the efficacy of CI therapy for rehabilitating hemiparetic arm use in individuals with chronic stroke. This book addresses the related topics.
Download or read book Bradley s Neurology in Clinical Practice E Book written by Robert B. Daroff and published by Elsevier Health Sciences. This book was released on 2015-10-25 with total page 2845 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive, easy to read, and clinically relevant, Bradley’s Neurology in Clinical Practice provides the most up-to-date information presented by a veritable "Who's Who" of clinical neuroscience. Its unique organization allows users to access content both by presenting symptom/sign and by specific disease entities—mirroring the way neurologists practice. A practical, straightforward style; templated organization; evidence-based references; and robust interactive content combine to make this an ideal, dynamic resource for both practicing neurologists and trainees. Authoritative, up-to-date guidance from Drs. Daroff, Jankovic, Mazziotta, and Pomeroy along with more than 150 expert contributors equips you to effectively diagnose and manage the full range of neurological disorders. Easy searches through an intuitive organization by both symptom and grouping of diseases mirrors the way you practice. The latest advances in clinical neurogenetics, brain perfusion techniques for cerebrovascular disease, the relationship between neurotrauma and neurodegenerative disease, management strategies for levodopa-related complications in movement disorders, progressive neuropsychiatric disorders arising from autoimmune encephalitis, and more keep you at the forefront of your field. Reorganized table of contents which includes new chapters on: Brain Death, Vegetative, and Minimally Conscious States; Deep Brain Stimulation; Sexual Dysfunction in Degenerative and Spinal Cord Disorders; Sports and Performance Concussion; Effects of Drug Abuse on the Nervous System; and Mechanisms of Neurodegenerative Disorders. Regular online updates reflect the latest information on the diagnosis and treatment of neurologic diseases based on the latest recommendations and methodologies. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.
Download or read book Home Based Telerehabilitation Exercise Programs for People Living with a Moderate Or Severe Traumatic Brain Injury written by Jennifer O'Neil and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: People who have experienced a moderate or severe traumatic brain injury (TBI) will most likely live with motor and cognitive deficits including balance and poor mobility. These deficits may lead to limitations in activity participation, life satisfaction, and may increase the risk of falls. Improving access to rehabilitation care in the chronic phase of recovery is essential to prevent ongoing health issues. However, geographical restrictions, cost of transportation, or recently the COVID-19 pandemic restrictions may limit access to rehabilitation services. Telerehabilitation could serve as an alternative method to provide rehabilitation care while increasing access. Objectives: The overall objective of this dissertation was to understand the implementation of high-intensity telerehabilitation exercise programs for people living with a moderate or severe TBI and their family partners. This was accomplished by 1) determining the feasibility of using telerehabilitation, 2) investigating the effectiveness of high-intensity home-based telerehabilitation exercise programs on physical activity, functional mobility and dynamic balance, 3) understanding the perspectives and lived experiences of completing a telerehabilitation program, and 4) exploring how interpersonal behaviours can influence practice and be perceived in a telerehabilitation setting. Methodology: Influenced by a people-centered approach and explained by the Self-Determination Theory, this dissertation followed a mixed-method alternating single-subject design methodology. Five dyads composed of five persons living with a moderate or severe TBI and their family partners completed two high-intensity telerehabilitation programs remotely supervised, daily and weekly. The feasibility and effectiveness of the telerehabilitation programs were measured from a quantitative and qualitative perspective to replicate the clinical realities and understand all perspectives. Results: In this dissertation, the feasibility of using telerehabilitation with this population was highlighted by reporting high adherence, high usability, active engagement and safety. The effectiveness on physical activity levels, functional mobility, dynamic balance and concerns with falling was also demonstrated with no differences between the daily and weekly remote supervision schedule. The dyads described being highly satisfied, engaged, and enjoyed the remotely supervised exercise programs. The individuals with the TBI perceived more supportive behaviours than thwarting behaviours from the physiotherapist. Conclusion: This dissertation advances knowledge on telerehabilitation implementation for people living with cognitive and motor deficits following a TBI. High-intensity home-based telerehabilitation programs were shown to be feasible and effective. I introduced the importance of assessing needs-supportive and needs-thwarting interpersonal behaviours in the telerehabilitation context. Integrating these novel telerehabilitation concepts within emerging telerehabilitation models of care could significantly impact long-lasting positive health outcomes for individuals living with a moderate or severe TBI.
Download or read book Essentials of Cerebellum and Cerebellar Disorders written by Donna L. Gruol and published by Springer. This book was released on 2016-11-22 with total page 604 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essentials of the Cerebellum and Cerebellar Disorders is the first book of its kind written specifically for graduate students and clinicians. It is based on the 4-volume treatise, Handbook of the Cerebellum and Cerebellar Disorders (Springer, 2013), the definitive reference for scientists and neurologists in the field of cerebellar neurobiology. There have been fundamental advances in the basic science and clinical neurology of the cerebellum and its role in sensorimotor function and cognition. This monograph makes this large and expanding body of knowledge readily accessible to trainees and clinicians alike. The editors are world leaders in the field, and the chapters are authored by an international panel of experts drawn from ataxia clinics and cerebellar laboratories throughout North America, Europe and Asia. Essentials provides a solid grounding in the field of cerebellar research and ataxiology from cerebellar circuity to clinical practice, and it serves as a springboard to a deeper appreciation of both the principles and the complexities of cerebellar neurobiology. Clinicians are expected to have a deep appreciation of cerebellar disorders, not only in specialized ataxia clinics but also in adult and pediatric neurology, neurosurgery, psychiatry and neuropsychology practices, and in outpatient and inpatient rehabilitation settings. This book is an indispensable resource for students and practitioners navigating the evolving field of cerebellar motor and cognitive neurology. It also links to the more expansive Handbook for those who need to explore the topics in this monograph in greater depth.
Download or read book Introduction to Health Care Quality written by Yosef D. Dlugacz and published by John Wiley & Sons. This book was released on 2016-11-22 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction to Health Care Quality explores the issues of quality management in today's health care environment, and provides clear guidance on new and perennial challenges in the field. The idea of 'quality' is examined in the context of a variety of health care situations, with practical emphasis on assessment, monitoring, analysis, and improvement. Students will learn how to utilize statistical tools, patient data, and more to understand new models of reimbursement, including pay for performance and value-based purchasing. They will also learn how to learn how to incorporate technology into everyday practice. Each chapter centers on an essential concept, but builds upon previous chapters to reinforce the material and equip students with a deeper understanding of the modern health care industry. Real-world situations are highlighted to show the intersection of theory and application, while cutting-edge methodologies and models prepare students for today's data-driven health care environment. Health care quality is defined and assessed according to setting, with factors such as standards, laws, regulations, accreditation, and consumerism impacting measurement and analysis in tremendous ways. This book provides an overview of this complex field, with insightful discussion and expert practical guidance. Health care today is worlds away from any other point in history. As the field grows ever more complex, quality management becomes increasingly critical for ensuring optimal patient care. Introduction to Health Care Quality helps students and professionals make sense of the issues, and provide top-notch service in today's rapidly changing health care environment.
Download or read book Behavioural Assessment of the Dysexecutive Syndrome written by Barbara A. Wilson and published by . This book was released on 1996 with total page 2 pages. Available in PDF, EPUB and Kindle. Book excerpt: A test battery aimed at predicting everyday problems arising from the Dysexecutive syndrome (des)
Download or read book Shaken Brain written by Elizabeth Sandel and published by . This book was released on 2020 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sports concussions make headlines, but you don't have to be an NFL star to suffer traumatic brain injury. In Shaken Brain, Elizabeth Sandel, MD, shares stories and research from her decades treating and studying brain injuries. She explains what concussions do to our bodies, how to avoid them, and how to recover.
Download or read book Physical Therapy for Traumatic Brain Injury written by Jacqueline Montgomery and published by . This book was released on 1995 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: University of Southern California, Los Angeles. Reference for physical therapy clinicians and students on the special aspects of rehabilitation in the brain injury patient. Discusses both cognitive and physical rehabilitation. 13 contributors, 12 U.S.
Download or read book The Community Integration Questionnaire Revised CIQ R written by Libby Callaway and published by . This book was released on 2014 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Kids Sports and Concussion written by William Paul Meehan III and published by Bloomsbury Publishing USA. This book was released on 2018-02-08 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive summary of sport-related concussion for parents, coaches, and athletes that considers the physics behind the injury, identifies what can be done to reduce the risk of its occurrence, and describes how to respond to a suspected concussion. Concussion injury among athletes continues to be a subject of great concern. Increasing attention and research is focusing on the most vulnerable of athletes—children. What strategies can be taken to best protect young athletes in sports from grammar school football leagues to high school hockey and soccer teams from concussion? How do we treat youngsters who suffer head injuries in sports? What are the ethical considerations in allowing children to play such sports, given the risks to still-developing brains? In this updated and expanded guide, William Meehan, MD, explains simply and clearly how coaches, parents, and others who work with young athletes can recognize concussion; best help children and youths recover from concussion injuries; and take steps to become proactive to prevent concussion. Readers will learn what causes a sport-related concussion; what happens to brain cells during a concussion; and why concussion, which in the past was dismissed as a trivial injury, is taken so much more seriously now. The book explains how to decrease the risk of concussion; addresses the potential for cumulative effects from multiple concussions, including chronic traumatic encephalopathy; and discusses the ethical dimensions of deciding whether an athlete with multiple concussions should continue to participate in high-risk sports.
Download or read book Rehabilitation After Traumatic Brain Injury written by Blessen C. Eapen and published by Elsevier Health Sciences. This book was released on 2018-01-24 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering the full spectrum of rehabilitation after traumatic brain injury, this practical reference by Drs. Blessen C. Eapen and David X. Cifu presents best practices and considerations for numerous patient populations and their unique needs. In an easy-to-read, concise format, it covers the key information you need to guide your treatment plans and help patients relearn critical life skills and regain their independence. Covers neuroimaging, neurosurgical and critical care management, management of associated complications after TBI, pharmacotherapy, pain management, sports concussion, assistive technologies, and preparing patients for community reintegration. Discusses special populations, including pediatric, geriatric, and military and veteran patients. Consolidates today’s available information and guidance in this challenging and diverse area into one convenient resource.
Download or read book Physical Management for Neurological Conditions E Book written by Sheila Lennon and published by Elsevier Health Sciences. This book was released on 2023-10-04 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical Management for Neurological Conditions comprehensively covers the essentials of neurorehabilitation starting with thirteen guiding principles, and a new chapter on clinical reasoning and assessment. It discusses the physical management of common neurological conditions such as stroke, traumatic brain injury, spinal cord injury, multiple sclerosis and Parkinson’s followed by less common conditions such as inherited neurological conditions, motor neuron disease, polyneuropathies and muscle disorders. Produced by a team of international editors and experts, this fifth edition is the most up-to-date evidence-based textbook available for undergraduate students and qualified health professionals alike, focusing on selecting appropriate evidence-based tools rather than subscribing to any specific treatment approaches. It is a core physiotherapy textbook designed to provide students with everything they need to pass the neurological component of their degree. Fully updated to provide comprehensive information on optimal physical management within movement limitations suitable for any health care context or environment Using international case studies to apply theory to clinical practice Easy to navigate and understand – for students, new graduates and therapists returning to practice or changing scope of practice. New content on assessment, clinical reasoning, technology-based rehabilitation, and complex case management including disorders of consciousness and adults with cerebral palsy Full update of the evidence-base within each chapter, including reference to the increased use of remote delivery of services and challenges accelerated by the Covid-19 pandemic New international authors
Download or read book Improving Upper Limb Function After Chronic TBI Through a Home based Self initiated Therapy written by Grace Kim and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and objective: Upper limb dysfunction can persist years after traumatic brain injury (TBI) and take a toll on quality of life. This study examines the home-based arm and hand exercise (HAHE) protocol. The protocol integrates four key elements, including person-centered outcome measures, high-dosage task-specific visuomotor training, individualized activities, and a reminder system.Participants: Four individuals (one female) participated. They were 36-61 years of age, and time post injury ranged from 2.6 to 14.1 years. Level of impairment of the affected arm was at Brunnstrom Stage 3 or 4. All were right-hand dominant prior to injury. None received botulinum toxin injection treatment for spasticity within the past three months before study participation. They were assessed at baseline (T0), after therapy (T1) and one month after therapy (T2) with primary outcome measures including Box and Blocks Test (BBT), Wolf Motor Function Test (WMFT), and personal goals based on the WMFT. Methods: The intervention started with therapist-guided daily sessions for a week. The therapist selected activities from a pre-determined catalog that best matched the participantu2019s functional level. The objective was to prepare the patient to perform at least six activities by themselves in a home-based session. In the last therapist-guided session, the patient was provided with customized activities, a daily log, a motion detector, and materials necessary to carry out the activities at home. Participants were instructed to start the home-based therapy the next day and complete two one-hour sessions daily for 14 consecutive days. During each home-based session, participants were instructed to wear a motion detector on their affected wrist. The detector made a sharp, loud noise if no motion was detected for two minutes. The patient received phone calls and text messages every other day as additional reminders. Results: Participants 2 and 4 completed the HAHE protocol, responded to all the reminders, documented activities in the daily log, completed two one-hour sessions every day, and wore the motion detector during each session. Participants 2 and 4 achieved improvement in WMFT and personal goals. Participant 2 improved in grip strength while participant 4 improved on BBT scores. Participant 1 did not complete any home-based session, or assessments at T1 and T2. Participant 3 did not use the daily log and was not responsive to reminders, but did complete assessments at T1 and T2. Participant 3 experienced minimal improvement in grip strength.Discussion: This case series study demonstrated a great potential of the HAHE protocol in improving upper limb function in persons with chronic TBI. The study results suggests that greater degree of adherence to the HAHE protocol was associated with greater improvement. Integrating effective strategies encouraging therapy adherence may be critical to implementation of home-based self-initiated therapy.
