Posted on September 30th 2009
Conclusions: Preliminary results indicate trends for improvements in both groups. Due to the small sample size to date, the data contain much variability. More subjects are being enrolled into the study to determine if the trends continue or become significant. (Source: Archives of Physical Medicine and Rehabilitation)
Posted on September 30th 2009
Conclusions: The Fugl-Meyer Assessment is being used with greater frequency to evaluate changes in upper limb motor impairment in children with neurologic disorders and hemiplegia. Reliable standard administration will allow for outcome comparisons among pediatric and adult research studies, and may prove useful in measuring rehabilitation outcomes in clinical practice. (Source: Archives of Physical Medicine and Rehabilitation)
Posted on September 30th 2009
CONCLUSIONS: The floor-reaction ankle-foot orthosis is effective in restricting sagittal plane ankle motion during the stance phase of gait in patients with cerebral palsy. As a result, improvements in knee extension and the sagittal plane knee extensor moment in stance phase are achieved. The best outcomes with this orthosis, as determined by peak knee extension in midstance, were seen in the subjects with knee and hip flexion contracture of < or =10 degrees . Knee and hip flexion contractures of > or =15 degrees were found to limit the efficacy of the orthosis in controlling knee extension in midstance. Such contractures should be considered as contraindications to the prescription of this orthosis or should be addressed (surgically or otherwise) prior to the application of a floor...
Posted on September 30th 2009
Authors: Queally JM, Abdulkarim A, Mulhall KJ
Neurological conditions affecting the hip pose a considerable challenge in replacement surgery since poor and imbalanced muscle tone predisposes to dislocation and loosening. Consequently, total hip replacement (THR) is rarely performed in such patients. In a systematic review of the literature concerning THR in neurological conditions, we found only 13 studies which described the outcome. We have reviewed the evidence and discussed the technical challenges of this procedure in patients with cerebral palsy, Parkinson's disease, poliomyelitis and following a cerebrovascular accident, spinal injury or development of a Charcot joint. Contrary to traditional perceptions, THR can give a good outcome in these often severely disabled patients.
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Posted on September 30th 2009
Editor's Note: Welcome to the new Wednesday feature, Words of Wisdom Wednesday. We could all use a little more wisdom and advice in our lives, so each week, look to this blog for interviews and insights from experts, organizations and real people living, working and most of all, thriving in the disability world. I guarantee you it will open your eyes. I know it will open mine. <!--break-->I "met" Amamda after she discovered my blog and found me on facebook (friend me if you like!). I was immediately struck my her strength, confidence and honesty. This woman was a girl after my own heart."Living with a physical disability is what a person makes it out to be," she wrote in her facebook biography. "A disability can either be a tiny house made of thin pieces of wood held together by nail...
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