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The Effect Of Combining Electrical Stimulation And Splinting On Upper Limb Function After Stroke
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Book Synopsis The Effect of Combining Electrical Stimulation and Splinting on Upper Limb Function After Stroke by : Shannon Nicole Williams
Download or read book The Effect of Combining Electrical Stimulation and Splinting on Upper Limb Function After Stroke written by Shannon Nicole Williams and published by . This book was released on 2010 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although evidence supports the use of electrical stimulation and repetitive task training for improving upper limb function after stroke, patients with minimal wrist and hand movement are often excluded from this treatment option. An important limitation of traditional electrical stimulation in this low level population is that the hand does not achieve a sufficiently open position to perform functional activities. The aim of this study was to examine the effect of combining a simple wrist-hand splint to stabilise the wrist and allow better hand opening, with electrical stimulation (ES) of the wrist and finger extensor muscles, in addition to functional practice in the sub acute stroke population. A case study design was employed that included four subjects who were average of 36.7 days post stroke and presented with palpable muscle activity of the wrist extensors. Subjects completed a 2 week period of therapy consisting of two conventional physiotherapy sessions a day, followed by a two week period of Electromyogram (EMG) triggered electrical ES in conjunction with splinting and functional practice in lieu of one physiotherapy session a day. Measurement of arm function (Chedoke Arm and Hand Activity Inventory), spasticity (Modified Tardieu Scale), grip strength (Jaymar dynamometry) and active wrist extension was performed repeatedly throughout the conventional treatment and trial intervention phases. Four subjects were recruited. One subject was withdrawn during the study as he could no longer trigger the stimulator at the commencement of the intervention phase. Subject responses were very variable. Case one showed no change in arm function or active wrist extension during the conventional or intervention phases. Grip strength improved more during the intervention compared to conventional phase, although the difference between phases did not reach statistical significance. Case two showed clinically significant gains in arm function with both conventional therapy and intervention. There was no significant difference between the two phases. Case three had difficulty completing all intervention sessions using patient triggered ES due to high levels of fatigue. There was minimal change during either phase in grip strength, active wrist extension or overall arm function. All subjects showed a greater change in the Modified Tardieu scale during the intervention phase compared to the conventional phase, suggesting that flexor spasticity in the wrist and fingers was reduced during the treatment phase. This provides some supporting evidence for the use of splinting and ES to reduce spasticity, although the difference between phases only reached statistical significance in one case. These findings provide initial support for the inclusion of combined electrical stimulation, splinting and functional practice as part of therapy for patients with minimal wrist and hand movement in the sub-acute period post stroke. Larger controlled trials are needed to explore the efficacy of this treatment approach further.
Book Synopsis The Effect of Electrical Stimulation, Applied to the Wrist, on Upper Limb Functional Recovery Following Stroke by : Joanna M. Powell
Download or read book The Effect of Electrical Stimulation, Applied to the Wrist, on Upper Limb Functional Recovery Following Stroke written by Joanna M. Powell and published by . This book was released on 1998 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Effectiveness of Combined Bilateral Upper Limb Training and Functional Electrical Stimulation for the Rehabilitation of Upper Limb Function of Patient with Stroke by : Ka-leung Marko Chan
Download or read book The Effectiveness of Combined Bilateral Upper Limb Training and Functional Electrical Stimulation for the Rehabilitation of Upper Limb Function of Patient with Stroke written by Ka-leung Marko Chan and published by . This book was released on 2008 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Constraint-induced Movement Therapy by : G. Uswatte
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.
Book Synopsis Clinical Effects of Combined Bilateral Arm Training with Functional Electrical Stimulation in Patients After Stroke by : 吳芳宸
Download or read book Clinical Effects of Combined Bilateral Arm Training with Functional Electrical Stimulation in Patients After Stroke written by 吳芳宸 and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Splinting for the Prevention and Correction of Contractures in Adults with Neurological Dysfunction by :
Download or read book Splinting for the Prevention and Correction of Contractures in Adults with Neurological Dysfunction written by and published by . This book was released on 2015-01 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practice guideline aims to provide specific recommendations to support clinical practice and decision-making in splinting when used as an intervention for adults with neurological conditions who have, or are at risk of, contractures.
Book Synopsis The Effect of Electrical Stimulation on Impairment and Function in the Upper Extremity Following Stroke by : Jane E. Sullivan
Download or read book The Effect of Electrical Stimulation on Impairment and Function in the Upper Extremity Following Stroke written by Jane E. Sullivan and published by . This book was released on 2005 with total page 622 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Spasticity in Adults by : ROYAL COLLEGE OF PHYSICIANS.
Download or read book Spasticity in Adults written by ROYAL COLLEGE OF PHYSICIANS. and published by . This book was released on 2018-09 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Neurorehabilitation of the Upper Limb Across the Lifespan by : Jodie Copley
Download or read book Neurorehabilitation of the Upper Limb Across the Lifespan written by Jodie Copley and published by John Wiley & Sons. This book was released on 2014-06-23 with total page 406 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to managing spastic hypertonia after brain injury and the first full overview of this area The ideal reference for therapeutic interventions that optimise arm and hand function to support goal achievement An extensive clinical manual for neurological practice, a key reference for students and qualified practitioners, and a valuable resource for all occupational therapists and physiotherapists working with brain-injured clients
Book Synopsis Clinical Pathways in Stroke Rehabilitation by : Thomas Platz
Download or read book Clinical Pathways in Stroke Rehabilitation written by Thomas Platz and published by Springer Nature. This book was released on 2021-01-14 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.
Book Synopsis Enabling America by : Institute of Medicine
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.
Book Synopsis Rehabilitation in Movement Disorders by : Robert Iansek
Download or read book Rehabilitation in Movement Disorders written by Robert Iansek and published by Cambridge University Press. This book was released on 2013-05-23 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a broad overview of current rehabilitation approaches, emphasizing the need for interdisciplinary management and focussing on deliverable outcomes.
Download or read book Stroke Nursing written by Jane Williams and published by John Wiley & Sons. This book was released on 2019-05-06 with total page 407 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stroke Nursing is the leading guide for optimal stroke care, facilitating the provision of evidence-based practice across the stroke journey, and covering the sixteen elements of care outlined in the UK's Stroke-Specific Education Framework (SSEF). Drawing from years of clinical and research experience, the authors provide practical guidance on the essential areas of stroke nursing, including stroke classification, stabilisation, thrombolysis and thrombectomy, rehabilitation and recovery, nutrition and oral care, palliative and long-term care, physical impairment management, and more. Now in its second edition, this indispensable guide helps practitioners expand their knowledge, skills and competence in all areas of stroke nursing services. Adopts a practical and evidence-based approach to stroke management, exploring UK and international perspectives Authored by expert clinicians and leaders in the field of nursing practice, research and education Includes updated case studies and practice examples, expanded coverage of clinical application in practice, and new discussions of the knowledge and skills required by nurses Stroke Nursing is essential reading for students of nursing and neuroscience, and is the definitive reference for practicing nurses and healthcare professionals caring for stroke patients.
Book Synopsis Movement Therapy in Hemiplegia by : Signe Brunnstrom
Download or read book Movement Therapy in Hemiplegia written by Signe Brunnstrom and published by Facts and Comparisons. This book was released on 1970 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Key Issues in Neurological Physiotherapy by : Louise Ada
Download or read book Key Issues in Neurological Physiotherapy written by Louise Ada and published by Heinemann Medical. This book was released on 1990-01-01 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Introduction to Orthotics E-Book by : Brenda M. Coppard
Download or read book Introduction to Orthotics E-Book written by Brenda M. Coppard and published by Elsevier Health Sciences. This book was released on 2019-02-21 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop the critical thinking skills you need to choose and fit effective orthoses for patients with hand injuries and functional deficits. As a combination workbook/textbook, Introduction to Orthotics, 5th Edition uses reader friendly language to cover the theory, design, and fabrication of orthopedic devices. Ideal for use in the classroom or in the clinical setting, it emphasizes upper extremity versus hand orthoses, with additional coverage of lower extremity orthotics and upper extremity prosthetics, and offers case studies promoting clinical reasoning and problem solving as well as an occupation-based approach. This new edition also demonstrates the fine detail of orthotics and equips you with a repertoire of skills and knowledge related to orthoses. Updated content, references, grading forms and self-evaluation, and case studies provide students and practitioners with the most current and up-to-date information they need to prepare to serve their clients’ needs. Combined textbook/workbook format makes it easier to develop fundamental skills in the theory, design, and fabrication of orthoses Numerous case studies in each chapter show how concepts relate to real-life clinical practice. How-To videos on the Evolve companion website let students watch the construction of orthotics again and again to increase their proficiency. Integration of patient safety addresses this important aspect of patient care. Spiral binding lets the book lay flat when opened for convenient use while on the job. Self-evaluation forms allow you to analyze personal strengths and weaknesses related to new orthotic intervention techniques. Review questions and self-quizzes reinforce your comprehension of the material. Laboratory exercises test your clinical reasoning and technical skills. NEW! chapter covering Casting techniques provides guidance regarding current advances. NEW! Chapter for Professional Issues Related to Orthotic Provision. NEW! Elbow, Forearm, and Shoulder Immobilization Orthoses expands the content that previously only addressed elbow and forearm orthoses to include shoulder immobilization orthoses. NEW! Photos and illustrations for pre-fabrication, fitting, and fabrication techniques appear throughout the text. NEW! Evidence-based practice charts
Book Synopsis Spasticity Management by : Valerie Stevenson
Download or read book Spasticity Management written by Valerie Stevenson and published by CRC Press. This book was released on 2006-07-26 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spasticity is a common symptom seen in many neurological conditions notably head injury, spinal cord injury, stroke, cerebral palsy and multiple sclerosis. It is also the dominant feature in a number of rarer conditions such as tropical and hereditary spastic paraparesis (HSP). The fact that it is relevant to many chronic neurological conditions and that the absence of multi-disciplinary input can result in progressive disability, ensures spasticity management is a prominent feature in the current National Service Framework (NSF) for long term neurological conditions. In the future more long-term care for such patients will be done in primary care and the community. It is therefore essential that a multi-disciplinary approach is used with successful liaison between secondary, primary and social care. Optimum management of spasticity is dependent on an understanding of its underlying physiology, an awareness of its natural history, an appreciation of the impact on the patient and a comprehensive approach to minimising that impact which is both multi-disciplinary and consistent over time. Regrettably, these essential requirements are rarely met and consequently, inadequately managed spasticity results in a range of painful and disabling sequelae, which, with the right approach, are, for the most part, preventable. Although there are several excellent publications looking at this area, none are a truly practical guide relevant to all members of the multi-disciplinary team involved in spasticity management. Anyone who has been involved in setting up a new service knows how difficult and how protracted a process this can be and if it has been done before, why reinvent it? The basis of this manual is to collect together the experience and knowledge of such a team who have worked in this area for 10 years now. It pulls together all areas including how to set up and develop a service as well as useful management strategies. On a practical note it includes complete copies of all of our patient information, assessment proformas, protocols for different interventions, nursing care plans and an integrated care pathway for outpatient spasticity management both as hard copy but also on CD-ROM to aid in reproduction. These protocols are of course specific to our team but could easily be adapted for use in other centres. We are not saying this is the 'right' or only way to run a spasticity service and there is certainly room for improvement, but we hope by sharing our experience we can help others to develop their own service thus improving management for all individuals with spasticity.
