Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Aug 1997
Risk of seizure recurrence after the first late posttraumatic seizure.
To determine the incidence and risk factors for seizure recurrence after the onset of late posttraumatic seizures (ie, seizures occurring more than 7 days after injury). ⋯ When late seizures develop after severe head injury, the probability of recurrence is high, which suggests that patients be treated aggressively with anticonvulsant medication after a first unprovoked late seizure.
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Herpes zoster infection, resulting from reactivation of the dormant varicella zoster virus in the dorsal root ganglia, usually causes a painful dermatomal vesicular rash. Rarely, associated peripheral motor weakness is present, the mechanism of which is unclear. ⋯ Physiatrists evaluating patients with limb muscle weakness following herpes zoster infection should be alert to this condition. The clinical syndrome of herpes zoster radiculopathy and the rehabilitation of these patients are discussed.
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Arch Phys Med Rehabil · Jul 1997
Comparative Study Clinical Trial Controlled Clinical TrialPhysiologic responses during functional electrical stimulation leg cycling and hybrid exercise in spinal cord injured subjects.
(1) To determine if a hybrid exercise (leg plus arm) training program performed immediately after functional electrical stimulation (FES) leg cycle exercise (LCE) training would further improve aerobic capacity when compared with FES leg cycle training alone, and (2) to compare the submaximal responses occurring during both FES-LCE alone and hybrid exercise in the same SCI subjects. ⋯ These subjects demonstrated that hybrid exercise performed twice a week provided sufficient intensity to improve aerobic capacity and provide a medium whereby patients with SCI can burn more calories than via FES-LCE alone. This has important implications for improving the health and fitness levels of individuals with SCI and may ultimately reduce their risk of cardiovascular disease.
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Arch Phys Med Rehabil · Jul 1997
Strength, endurance, and work capacity after muscle strengthening exercise in postpolio subjects.
To determine whether a 12-week home quadriceps muscle strengthening exercise program would increase muscle strength, isometric endurance, and tension time index (TTI) in postpolio syndrome subjects without adversely affecting the surviving motor units or the muscle. ⋯ This home exercise program significantly increased strength, endurance, and TTI without apparently adversely affecting the motor units or the muscle, as the EMG and CK variables did not change.
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Arch Phys Med Rehabil · Jun 1997
Comparative Study Clinical TrialAn electroencephalographic study of imagined movement.
Determine the generator sources for actual and imagined (simulated) movements of fingers and toes. ⋯ (1) The motor networks underlying the generation of actual and imagined movements are different. (2) Imagined movements lack a primary motor area source, but involve medial and ipsilateral structures. (3) The effectiveness of imagined movements in rehabilitation may stem from activation of premotor or supplementary motor areas.