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A-pattern strabismus with overdepression in adduction: A special type of bilateral skew deviation?

Posted on January 31st 2010

Conclusions: A-pattern strabismus may, in some cases, represent a special form of skew deviation. The ocular motility and clinical findings are consistent with bilateral damage to the utricular pathways corresponding to the anterior semicircular canals rather than bilateral primary superior oblique muscle overaction. (Source: Journal of AAPOS)



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Bilateral loss of cortical somatosensory evoked potential at birth predicts cerebral palsy in term and near-term newborns

Posted on January 31st 2010

This study determines whether the presence or absence of the neonatal cortical SEP can predict cerebral palsy at two years in survivors of neonatal encephalopathy scored according to Sarnat criteria. We also compare SEPs with visual evoked potentials (VEPs), the EEG and neonatal neurological status.Fifty-nine neonates admitted to the neonatal intensive care unit had SEP, VEP and EEG recordings analysed according to the presence (n=37, 63%) or absence (n=22, 37%) of neonatal encephalopathy (score ≥1).Cortical SEP was always present in the perinatal period in those surviving without major neurological disability, while it was bilaterally absent in all but one patient with a subsequent diagnosis of cerebral palsy. Multivariate analysis using the logistic regression model showed that bilater…



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Heart rate variability in infants with central coordination disturbance

Posted on January 31st 2010

Abstract: Despite a remarkable medical progress in the field of Developmental Medicine and Child Neurology, early identification of infants at risk for permanent motor disabilities still presents challenge for both clinicians and researchers.As an indicator of cardiac autonomic control, it was shown that heart rate variability (HRV) might reflect not only sympathetic or parasympathetic activity but also functional integrity of the central nervous system (CNS). Furthermore a pattern of HRV was demonstrated to correlate with motor developmental outcome in high risk infants.The purpose of this study was to analyze the clinical usefulness as well as predictive value of time-domain HRV parameters in infants with central coordination disturbance.The study included 35 infants with central coordin…



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The Business Case for Adult Disability Care Coordination

Posted on January 31st 2010

Abstract: Palsbo SE, Diao G. The business case for adult disability care coordination.Objective: To analyze the financial performance of a care coordination program.Design: The study used a retrospective pretest, posttest design of 245 beneficiaries. Physical impairment ranged from slight to severe.Setting: Minnesota Disability Health Options (MnDHO), a capitated Medicaid program.Participants: Medicaid beneficiaries ages 18 to 64 with physical disabilities arising from multiple sclerosis, cerebral palsy, spinal cord injury, or brain injury.Interventions: Not applicable.Main Outcomes Measures: Change in expenditures, rate of return, and utilization.Results: Mean MnDHO monthly expenditures including care coordination increased by a factor of 1.75 (P (Source: Archives of Physical Medicine and…



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Children’s experiences of their participation in a training and support programme involving massage.

Posted on January 31st 2010

This study reports on a research project that aimed to extrapolate the value of the Training and Support Programme (TSP), involving massage, among children with cerebral palsy (CP). Data gathering included information from interviews with a sub-sample of children and the TSP therapist observation forms. Data were analysed using standard thematic content analysis to identify key themes and issues of importance to children. Results showed that children enjoyed the relaxing aspects of massage and reported a number of improvements in their health such as improved muscle relaxation, mobility and bowel movements, and reduced pain. Future studies may need to explore other ways of extrapolating data from this population and similar populations where communication is impaired due to disability, but…



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