NeuroRehabilitation
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NeuroRehabilitation · Jan 2009
Comparative StudyEthnicity/racial differences in employment outcomes following spinal cord injury.
To examine differences in employment outcomes among Hispanics and Caucasians with Spinal Cord Injuries at one year post-injury. ⋯ Racial disparities do exist in successful employment after 1 year post SCI, particularly between Caucasians and Hispanics. Future research should focus on what factors contribute to this disparity, along with forming new education and rehabilitation strategies to improve return-to-work outcomes for Hispanics after SCI.
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NeuroRehabilitation · Jan 2009
Randomized Controlled TrialFES-propelled cycling of SCI subjects with highly spastic leg musculature.
The presence of spasms precludes the use of artificial electrical activation of the muscles to restore mobility. The prospect of using an electrical stimulus that produces motor activation without causing unwanted reflex activation in patients with high levels of spasticity is an appealing one. ⋯ These findings suggest that MFAC-stimulated cycling of strongly spastic SCI subjects is more effective in terms of generated isometric torque and power than stimulation with LFRP. Thus, more health benefits, e.g., cardiovascular and muscular training and spasticity-decreasing effects, can be expected faster using MFAC instead of LFRP in stimulation-propelled cycling.
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NeuroRehabilitation · Jan 2009
Randomized Controlled TrialImprovement of hand sensibility after selective temporary anaesthesia in combination with sensory re-education.
The results of nerve repair in adults are often poor. The study aim was to investigate the effect of repeated sessions of cutaneous forearm anaesthesia of the injured limb, in combination with sensory re-education on the recovery of the tactile discrimination and perception of touch/pressure in the injured hand after median or ulnar nerve repair. ⋯ This finding suggests that forearm deafferentation of injured limb in combination with sensory re-education can enhance sensory recovery after nerve repair.
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NeuroRehabilitation · Jan 2009
Multicenter Study Comparative StudyA pilot study of a comparison between a patient scored numeric rating scale and clinician scored measures of spasticity in multiple sclerosis.
To assess the validity and reliability of a Numeric Rating Scale (NRS) for the measurement of spasticity in multiple sclerosis. ⋯ The spasticity NRS has been shown to be a valid and reliable tool in the assessment of spasticity with a moderate to high level of correlation with other clinician rated instruments used to assess spasticity.
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NeuroRehabilitation · Jan 2009
Randomized Controlled TrialNeuromuscular electrical stimulation of the gluteus medius improves the gait of children with cerebral palsy.
Neuromuscular electrical stimulation (NMES) of the gluteus medius muscles using a surface electrode during functional walking training has never been reported as a management option to improve gait in spastic diplegic children. ⋯ The NMES management programs used in this study improved the gait of spastic diplegic CP children.