Paresis

Publication Title: 
Topics in Stroke Rehabilitation

BACKGROUND: This review aims to assess the efficacy of upper limb interventions on stroke survivors' health-related quality of life (QOL). METHOD: Published studies were identified following a systematic search of the literature from 10 electronic databases, 3 subject-relevant journals, a Web search via a popular search engine, and reference lists of the included articles. In total, 22 articles met the inclusion criteria and were subjected to data extraction to establish the effectiveness of the intervention on QOL scores.

Author(s): 
Pulman, Jennifer
Buckley, Emily
Publication Title: 
Physical Therapy

BACKGROUND AND PURPOSE: This was a preliminary investigation of the effects of a yoga-based exercise program on people with chronic (greater than 9 months) poststroke hemiparesis. Many people who have had a stroke report an impaired health status because of a reduced level of activity. Proponents of yoga contend that it offers a gentle alternative exercise program that can be easily adapted for people who have had a stroke. SUBJECTS AND METHODS: Four subjects with chronic poststroke hemiparesis participated in this single-case study.

Author(s): 
Bastille, Julie V.
Gill-Body, Kathleen M.
Publication Title: 
Archives of Physical Medicine and Rehabilitation

OBJECTIVES: To measure the efficacy of a program combining mental and physical practice with the efficacy of a program composed of only constraint-induced movement therapy (CIMT) or only mental practice on stroke patients' levels of upper-extremity impairment and upper-extremity functional outcomes and to establish the relationship between changes in blood-oxygen-level dependent (BOLD) functional magnetic resonance imaging response during a specific motor or imagery task and improvement in motor function between intervention groups. DESIGN: Case series.

Author(s): 
Butler, Andrew J.
Page, Stephen J.
Publication Title: 
The Journal of Neuroscience: The Official Journal of the Society for Neuroscience

Amyloid-beta (Abeta) toxicity has been postulated to initiate synaptic loss and subsequent neuronal degeneration seen in Alzheimer's disease (AD). We previously demonstrated that the standardized Ginkgo biloba extract EGb 761, commonly used to enhance memory and by AD patients for dementia, inhibits Abeta-induced apoptosis in neuroblastoma cells. In this study, we use EGb 761 and its single constituents to associate Abeta species with Abeta-induced pathological behaviors in a model organism, Caenorhabditis elegans.

Author(s): 
Wu, Yanjue
Wu, Zhixin
Butko, Peter
Christen, Yves
Lambert, Mary P.
Klein, William L.
Link, Christopher D.
Luo, Yuan
Publication Title: 
Clinical Rehabilitation

OBJECTIVE: To evaluate and compare efficacy of 20-, 40-, and 60-minute mental practice sessions on affected upper extremity impairment and functional limitation. DESIGN: Randomized controlled study with multiple baseline design. SUBJECTS: Twenty-nine subjects with chronic stroke and exhibiting stable, mild hemiparesis. INTERVENTIONS: Subjects were given 30-minute rehabilitative sessions 3 days/week for 10 weeks, emphasizing affected upper extremity use during valued activities.

Author(s): 
Page, Stephen J.
Dunning, Kari
Hermann, Valerie
Leonard, Anthony
Levine, Peter
Publication Title: 
Archives of Physical Medicine and Rehabilitation

As knowledge and interest in stroke motor rehabilitation continue to increase, consistent terminologies that are specific to this discipline must be established. Such language is critical to effective rehabilitative team communication, and is important to facilitating communication among the diverse groups interested in the science and practice of stroke motor rehabilitation. The purpose of this article is to provide operational definitions for 3 concepts that are common-and commonly mislabeled-attributes of stroke motor rehabilitation interventions: intensity, duration, and frequency.

Author(s): 
Page, Stephen J.
Schmid, Arlene
Harris, Jocelyn E.
Publication Title: 
Archives of Physical Medicine and Rehabilitation

There is a need for time-efficient, valid measures of distal paretic upper extremity (UE) movement. The purposes of this study were to (1) determine the psychometric properties of the wrist stability and mobility and wrist/hand scale of the upper extremity Fugl-Meyer (w/h UE FM) as a "stand-alone" measure of distal UE movement; and (2) provide detailed instructions on w/h UE FM administration and scoring.

Author(s): 
Page, Stephen J.
Levine, Peter
Hade, Erinn
Publication Title: 
The American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association

OBJECTIVE. We sought to determine the association between minimal depression, upper-extremity (UE) impairment, and UE motor function in a cohort of participants with subacute stroke. METHOD. We conducted a retrospective, secondary analysis of an interventional study. Correlational analyses were performed using the following outcome measures: the UE section of the Fugl-Meyer Assessment (FM), the functional ability section of the Arm Motor Ability Test (AMAT), and the Beck Depression Inventory (BDI-II). RESULTS.

Author(s): 
Weaver, Lindy L.
Page, Stephen J.
Sheffler, Lynne
Chae, John
Publication Title: 
Spine

STUDY DESIGN: A case of symptomatic hematoma of cervical ligamentum flavum. OBJECTIVE: To report the first ligamentum flavum hematoma in the cervical spine and review the reported cases. SUMMARY OF BACKGROUND DATA: A herniated nucleus pulposis, spondylosis, epidural hematoma or abscess, neoplasm, or some pathology of the ligamentum flavum, such as hypertrophy, ossification, or calcification, are the most common causes of spinal cord and nerve root compression.

Author(s): 
Chen, Hsien-Chih
Hsu, Peng-Wei
Lin, Chin-Yew
Tzaan, Wen-Ching
Publication Title: 
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova / Ministerstvo Zdravookhraneniia I Meditsinskoĭ Promyshlennosti Rossiĭskoĭ Federatsii, Vserossiĭskoe Obshchestvo Nevrologov [i] Vserossiĭskoe Obshchestvo Psikhiatrov

Sixty patients with the diagnosis of cerebral palsy with hemiparesis at the age from 2 to 7 years were treated. All 60 patients had conventional treatment including massage and exercise therapy. Patients were divided into 2 randomized groups. The patients of the first group were given 3 sets of microcurrent reflexology sessions and 2 courses of treatment with cortexin. Patients of the second group were given reflexology treatments only. The microcurrent reflexology treatment included 15 sessions using the apparatus MAKS. Cortexin was introduced intramuscularly in dosage 10 mg.

Author(s): 
Ukhanova, T. A.
Gorbunov, F. E.

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