NeuroRehabilitation
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NeuroRehabilitation · Jan 2010
Corpus callosum injury in patients with diffuse axonal injury: a diffusion tensor imaging study.
Little is known about diffusion tensor image (DTI) findings of corpus callosum (CC) injury in patients with diffuse axonal injury (DAI). In the present study, we investigated the presence and extent of CC injury in patients with DAI. Twenty patients with DAI and 20 age-and sex-matched normal healthy controls subjects were recruited. ⋯ FA values of the six sagittal segments in the CC (-) and (+) groups were significantly lower than those of controls, and ADC values were slightly higher, or showed no change. CC lesions may be present in DAI patients, irrespective of detection on conventional brain MRI. The authors suggest the probability that in cases of corpus callosum injury, DTI can offer a powerful means of detecting DAI.
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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.