Posted on December 31st 2009
In conclusion, robotic-assisted gait training may be beneficial in enhancing locomotor function in adults with CP. (Source: PM&R)
Posted on December 31st 2009
We report early MR changes that occurred on day 3 and 5 weeks after the accidental cyanide ingestion in a child. As the toxicity of cyanide is based on the inactivation of cytochrome oxidase, a terminal enzyme in the cellular respiration chain, cerebral structures with the highest oxygen requirement, such as basal ganglia, cerebral cortex, and sensorimotor cortex are most commonly affected. At an early phase, the toxic changes can be visible as pronounced restricted diffusion on DWI and onset of lactate peak on MR spectroscopy when the altered signal intensity on conventional T2W and T1W sequences is still lacking. Classical T2-weighted hyperintensities develop and general reduction in fractional anisotropy (FA) is evident on diffusion tensor imaging (DTI) in the follow up study. The FA is...
Posted on December 31st 2009
Authors: Effgen SK, Chan L
This exploratory study investigated the frequency of occurrence of gross motor behaviors by nine children with cerebral palsy (CP) participating in an 11-month conductive education (CE) program and the attainment of their gross motor objectives. The intervention team determined gross motor objectives for each child. Activities to achieve those objectives were fully integrated into the child's daily routines. Interval by interval recording was used to observe eight stability, seven mobility, and six transfer behaviors during four school days for each child. The interrater reliability using a kappa statistic was 0.73-0.93 for the observed behaviors. An independent evaluator determined that the children achieved 83% of their gross motor objectives for the first ...
Posted on December 31st 2009
Authors: Farrell E, Naber E, Geigle P
This case describes the outcomes of a multifaceted rehabilitation program including body weight-supported overground gait training (BWSOGT) in a nonambulatory child with cerebral palsy (CP) and the impact of this treatment on the child's functional mobility. The patient is a nonambulatory 10-year-old female with CP who during an inpatient rehabilitation stay participated in direct, physical therapy 6 days per week for 5 weeks. Physical therapy interventions included stretching of her bilateral lower extremities, transfer training, bed mobility training, balance training, kinesiotaping, supported standing in a prone stander, two trials of partial weight-supported treadmill training, and for 4 weeks, three to five times per week, engaged in 30 minute...
Posted on December 31st 2009
Conclusions: The observed health and QoL scores were much lower than those previously reported in the literature. This is likely a result of the inclusion of those with severe CP. The scores for youth were similar to those for adults and suggest that health and QoL outcomes were relatively stable across the transition to adulthood. Youth and adults with CP have limited health status and will require health care support throughout their lives to help them optimize their well being. Longitudinal follow-up studies are essential to understand better the patterns of health in this population over time. (Source: Archives of Physical Medicine and Rehabilitation)
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