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Am J Phys Med Rehabil, Vol. 81, No. 4. (April 2002), pp. 283-290.
Abstract
OBJECTIVES: The present study examines functional electric stimulation (FES) applied on patients with hemiplegia of short and long duration for the purpose of upper limb motor recovery and increasing shoulder range of motion. DESIGN: Patients with hemiplegia with subluxation participating in the study were placed into a short-duration group or a long-duration group. Subjects in each group were then randomly assigned to either the control or the experimental subgroup. The experimental groups of both short- and long-duration groups received FES therapy ...
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Arch Phys Med Rehabil, Vol. 73, No. 11. (November 1992), pp. 1085-1093.
Abstract
This study investigated the cardiorespiratory (CR) responses at rest and during submaximal (0-W) functional electrical stimulation (FES)-induced leg cycle ergometer (LCE) exercise prior to and following a progressive intensity FES-LCEa exercise training program in spinal cord injured (SCI) subjects. Seven quadriplegics and six paraplegics participated in FES-LCE training three sessions per week for approximately 12 weeks (36 sessions). Monitored CR responses, including oxygen uptake (VO2), pulmonary ventilation (VE), respiratory exchange ratio (RER), arteriovenous O2 difference (a-vO2), blood pressure (BP), heart rate ...
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Arch Phys Med Rehabil, Vol. 75, No. 1. (January 1994), pp. 73-79.
Abstract
The purpose of this study was to evaluate the effectiveness of a functional electrical stimulation (FES) treatment program designed to prevent glenohumeral joint stretching and subsequent subluxation and shoulder pain in stroke patients. Twenty-six recent hemiplegic stroke patients with shoulder muscle flaccidity were randomly assigned to either a control group (n = 13; 5 female, and 8 male) or experimental group (n = 13; 6 female, and 7 male). Both groups received conventional physical therapy. The experimental group received additional FES ...
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Am J Occup Ther, Vol. 48, No. 5. (May 1994), pp. 403-409.
Abstract
OBJECTIVES. This study evaluated the effect of the use of a continuous passive motion device for the edematous hands of two persons with flaccid hemiplegia. METHOD. The subjects were both 1 month post-cerebrovascular accident with left-sided hemiplegia. Each subject's routine therapy program was maintained throughout this ABA design study. During the first week, baseline data were gathered, during the second week the intervention was provided (2 hr of continuous passive motion device use), and during the third week data were gathered ...
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IEEE Trans Neural Syst Rehabil Eng, Vol. 13, No. 3. (September 2005), pp. 311-324.
Abstract
This paper presents two robot devices for use in the rehabilitation of upper limb movements and reports the quantitative parameters obtained to characterize the rate of improvement, thus allowing a precise monitoring of patient's recovery. A one degree of freedom (DoF) wrist manipulator and a two-DoF elbow-shoulder manipulator were designed using an admittance control strategy; if the patient could not move the handle, the devices completed the motor task. Two groups of chronic post-stroke patients (G1 n = 7, and G2 ...
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Arch Neurol, Vol. 54, No. 4. (April 1997), pp. 443-446.
Abstract
BACKGROUND: We used MIT-Manus, a robot designed to provide interactive, goal-directed motor activity for clinical neurologic applications. OBJECTIVE: To test whether this robotic manipulation of the impaired limb influenced motor recovery in patients with hemiplegia. METHODS: Sequential patients with a history of a single stroke and hemiplegia (N = 20) hospitalized on the same acute care rehabilitation floor were enrolled in a standard rehabilitation program supplemented by either robot-aided therapy or sham robot-aided therapy. These 2 groups were comparable in age, ...
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Am J Phys Med Rehabil, Vol. 79, No. 4. (2000), pp. 385-390.
Abstract
OBJECTIVE: The present study investigated and assessed the effectiveness of a functional electrical stimulation (FES) program in the management of acute and chronic shoulder subluxation. DESIGN: By their postonset duration, hemiplegic subjects with subluxation participating in the study were placed into a short-duration group and a long-duration group. Subjects in each group were further assigned randomly to either a control subgroup or an experimental subgroup. The experimental subgroups of both short and long duration received FES therapy in which supraspinatus and ...
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Neurology, Vol. 54, No. 10. (May 2000), pp. 1938-1944.
Abstract
OBJECTIVE: In patients with stroke, the authors tested whether additional sensorimotor training of the paralyzed or paretic upper limb delivered by a robotic device enhanced motor outcome. METHODS: Fifty-six patients with stroke and hemiparesis or hemiplegia received standard poststroke multidisciplinary rehabilitation, and were randomly assigned either to receive robotic training (at least 25 hours) or exposure to the robotic device without training. Outcomes were assessed by the same masked raters, before treatment began and at the end of treatment, with the ...
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Neurology, Vol. 54, No. 10. (May 2000), pp. 1938-1944.
Abstract
OBJECTIVE: In patients with stroke, the authors tested whether additional sensorimotor training of the paralyzed or paretic upper limb delivered by a robotic device enhanced motor outcome. METHODS: Fifty-six patients with stroke and hemiparesis or hemiplegia received standard poststroke multidisciplinary rehabilitation, and were randomly assigned either to receive robotic training (at least 25 hours) or exposure to the robotic device without training. Outcomes were assessed by the same masked raters, before treatment began and at the end of treatment, with the ...
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Stroke, Vol. 31, No. 2. (April 2000), pp. 986-988.
Abstract
BACKGROUND AND PURPOSE: Of all stroke survivors, 30% to 66% are unable to use their affected arm in performing activities of daily living. Although forced use therapy appears to improve arm function in chronic stroke patients, there is no conclusive evidence. This study evaluates the effectiveness of forced use therapy. METHODS: In an observer-blinded randomized clinical trial, 66 chronic stroke patients were allocated to either forced use therapy (immobilization of the unaffected arm combined with intensive training) or a reference therapy ...
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Clin Rehabil, Vol. 19, No. 7. (October 2005), pp. 714-724.
Abstract
OBJECTIVE: To study the effects of augmented exercise therapy time for arm rehabilitation as either Bobath therapy or the impairment-oriented training (Arm BASIS training) in stroke patients with arm severe paresis. DESIGN: Single blind, multicentre randomized control trial. SETTING: Three inpatient neurorehabilitation centres. SUBJECTS: Sixty-two anterior circulation ischaemic stroke patients. INTERVENTIONS: Random assignment to three group: (A) no augmented exercise therapy time, (B) augmented exercise therapy time as Bobath therapy and (C) augmented exercise therapy time as Arm BASIS training. MAIN ...
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Physical Therapy, Vol. 86, No. 6. (June 2006), pp. 843-856.
Abstract
BACKGROUND AND PURPOSE: The incidence of West Nile virus (WNV) has increased in the United States since 1999. A small percentage of people with WNV develop West Nile neuroinvasive disease (WNND) with encephalitis and flaccid paralysis. The purpose of this report is to describe the physical therapist management and outcomes for a patient with WNND and the therapist's efforts to use an evidence-based practice approach in the management of a patient with this disease. CASE DESCRIPTION: The patient was an active ...
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Agling Clin Exp Res, Vol. 18, No. 6. (December 2006), pp. 531-535.
Abstract
BACKGROUND AND AIMS: In this pilot study, we introduce the "NeReBot", a novel robotic device designed and programmed for clinical neurological applications. The aim of the study was to test whether additional sensorimotor training of paralyzed or paretic upper limbs, delivered by NeReBot, enhanced motor and functional outcome in stroke patients. METHODS: Twenty patients with post-stroke hemiparesis or hemiplegia received standard poststroke multidisciplinary rehabilitation, and were randomly assigned either to exposure to the robotic device without training or to additional sensorimotor ...
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Archives of Physical Medicine and Rehabilitation, Vol. 85, No. 12. (December 2004), pp. 1933-1938.
Abstract
Marciniak C, Sorosky S, Hynes C. Acute flaccid paralysis associated with West Nile virus: motor and functional improvement in 4 patients. To describe motor and functional recovery in 4 patients with acute flaccid paralysis associated with West Nile virus (WNV) infection. A case series describing patient clinical features at admission to rehabilitation through 6-month follow-up. Academic acute free-standing inpatient rehabilitation hospital. The patients (3 men, 1 woman; age range, 29–72y) with central nervous system WNV infection presented on rehabilitation admission, 18 ...
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Neurorehabil Neural repair, Vol. 21, No. 2. (2007), pp. 190-194.
Abstract
OBJECTIVE: The impact of electromyographic biofeedback (EMG BFB) applied during functional gait activities and employed in accord with theories on motor learning was investigated in a chronic hemiplegic patient. METHODS: A single-subject A-B design was used. EMG BFB was applied to the triceps surae during gait. A rehabilitation program with a fading frequency of BFB application and an increasing variability in the task training was implemented. Responses to the rehabilitation program were documented via multiple quantitative gait analyses, performed during a ...
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Stroke, Vol. 36, No. 9. (September 2005), pp. 1960-1966.
Abstract
BACKGROUND AND PURPOSE: To compare a computerized arm trainer (AT), allowing repetitive practice of passive and active bilateral forearm and wrist movement cycle, and electromyography-initiated electrical stimulation (ES) of the paretic wrist extensor in severely affected subacute stroke patients. METHOD: A total of 44 patients, 4 to 8 weeks after stroke causing severe arm paresis (Fugl-Meyer Motor Score [FM, 0 to 66] <18), were randomly assigned to either AT or ES. All patients practiced 20 minutes every workday for 6 weeks. ...
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J Neurol Phys Ther, Vol. 32, No. 4. (December 2008), pp. 203-209.
Abstract
BACKGROUND AND PURPOSE: Guillain-Barré syndrome (GBS) is an acute inflammatory demyelinating polyradiculoneuropathy that affects nerve roots and peripheral nerves leading to motor neuropathy and flaccid paralysis. This case report describes the physical therapy examination, intervention, and outcomes for a marathon runner with GBS. CASE DESCRIPTION: The patient was a 30-year-old male marathon runner who presented with acutely evolving motor and sensory deficits that initially stabilized and then worsened. Both GBS and chronic inflammatory demyelinating polyradiculoneuropathy were considered as diagnoses, and medical ...
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Disability & Rehabilitation, Vol. 22, No. 12. (2000), pp. 565-573.
Abstract
<br><i>Purpose</i>: The purpose of this study was to investigate the response of muscles with prolonged flaccid paralysis (a year after stroke) to two types of treatment: (1) functional neuromuscular stimulation (FNS) with surface electrodes; and (2) FNS with intramuscular (IM) electrodes (FNS-IM). A second purpose was to compare FNS-gait versus volitional gait (no FNS activation). <br><i>Method</i>: We used a single case study design; our patient was age 72, with flaccid paralysis of knee flexors and ankle dorsiflexors. <br><i>Results</i>: Following four months ...
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Stroke, Vol. 37, No. 12. (1 December 2006), pp. 2995-3001.
Abstract
Background and Purpose-- Surface neuromuscular electrical stimulation (sNMES) after stroke aims to improve upper limb function and reduce shoulder pain, but current evidence of effectiveness is inconclusive. We have undertaken a randomized controlled trial to evaluate sNMES to the shoulder after acute stroke. Methods-- One hundred seventy-six patients, within 10 days of stroke onset, were randomized to receive sNMES or placebo in addition to stroke unit care. The primary outcome measure was upper limb function measured by the Action Research ...
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Archives of Physical Medicine and Rehabilitation, Vol. 88, No. 10. (October 2007), pp. 1332-1338.
Abstract
Chang J-J, Tung W-L, Wu W-L, Huang M-H, Su F-C. Effects of robot-aided bilateral force-induced arm training combined with conventional rehabilitation on arm motor function in patients with chronic stroke. To analyze the effects of conventional rehabilitation combined with bilateral force-induced isokinetic arm movement training on paretic upper-limb motor recovery in patients with chronic stroke. Single-cohort, pre- and postretention design. Rehabilitation department at a medical university. Twenty subjects who had unilateral strokes at least 6 months before enrolling in the study. ...
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European journal of neurology : the official journal of the European Federation of Neurological Societies, Vol. 12, No. 2. (February 2005), pp. 156-159.
Abstract
Postural instability has a big impact on the quality of life of patients with Parkinson's disease (PD) as it often leads to an insecure stance and fall. We investigated if postural stability in these patients improves by decreasing rigidity with a dopaminergic agonist. In our study, we tested eight PD patients with no concomitant diseases. Their age was 61 +/- 2 years (mean +/- SE) and their Hoehn-Yahr score was 3 +/- 0.1. The patients were evaluated according to the Unified ...
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