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Examine the lower limbs
Published in Hani TS Benamer, Neurology for MRCP PACES, 2019
Q: What is the treatment of Guillain–Barré syndrome? Regular monitoring of forced vital capacity, as the patient is at risk of respiratory failure.Regular monitoring of blood pressure and heart rhythm, as the patient is at risk of autonomic neuropathy.Low-dose subcutaneous heparin to prevent venous thrombo-embolism.Intensive-care support, as ventilation may be needed.Intravenous immunoglobulin.Neurorehabilitation.
Practical application of single-case methods in the neurorehabilitation setting
Published in Robyn L. Tate, Michael Perdices, Single-Case Experimental Designs for Clinical Research and Neurorehabilitation Settings, 2019
Robyn L. Tate, Michael Perdices
This chapter integrates information from previous chapters to show how single-case methods can be implemented. We present a practical, ten-step procedure for implementing a SCED in the neurorehabilitation setting, which is particularly applicable to clinical practice, but also useful in research. The chapter concludes with a model of clinical practice that incorporates a range of practice options, including single-case methodology.
Exoskeleton: The New Horizon of Robotic Assistance for Human Gait
Published in Stefano Federici, Marcia J. Scherer, Assistive Technology Assessment Handbook, 2017
Marco Bracalenti, Fabio Meloni, Stefano Federici
A novel neurorehabilitation therapy, which is different from the classical therapeutic techniques and based on robotic devices, has been developed; it is referred to as neurorobotic or neuroprosthetic training and includes devices such as the exoskeleton (Moreno et al., 2011). Spungen et al. (2013) maintain that robotics-assisted powered exoskeletons represent a relatively new technology that has been shown to be safe and effective in helping individuals with motor complete paraplegia to stand and walk. An exoskeleton allows a paralyzed person to overcome environmental barriers that preclude wheelchair use, such as stairs.
Effects of music therapy on mood, pain, and satisfaction in the neurologic inpatient setting
Published in Disability and Rehabilitation, 2023
Leah J. Mercier, David M. Langelier, Chel Hee Lee, Brenda Brown-Hall, Christopher Grant, Stephanie Plamondon
Traditionally, high-intensity neurorehabilitation is performed in hospital and involves a combination of physical, occupational, speech, and/or recreational therapy [6]. The goals of any rehabilitation program are to improve functional independence, reduce activity limitations, and to facilitate participation in important life roles [7,8]. In the acute neurorehabilitation setting, pain and low mood have the greatest potential to negatively impact rehabilitation participation [9,10]. While pharmacologic management is often appropriate for managing these symptoms, especially when severe, non-invasive and non-pharmacologic strategies should not be underestimated. Music therapy (MT) is a potentially novel approach shown to improve mental state and functioning for a variety of disorders including depression, generalized anxiety, and dementia as well as reduce anxiety in patients with asthma, osteoarthritis, and those undergoing medical procedures [10–15]. Recent reviews have also demonstrated reductions in postoperative pain and anxiety, decreased consumption of sedatives and analgesics, and increased patient satisfaction in hospitalized patients receiving MT [12–14,16]. Therefore, MT may offer a unique adjunct strategy to manage pain and low mood in neurorehabilitation patients [17].
What is the cost of including virtual reality in neurological rehabilitation? A scoping review
Published in Physical Therapy Reviews, 2022
Martina Aliprandi, Yvonne Pan, Chiara Mosley, Suzanne Gough
The protocol used the Population Intervention Comparator Outcome Measure (PICO) framework to develop eligibility criteria. The population included were patients requiring neurorehabilitation following diagnosis of a neurological condition involving the central nervous system such as stroke, Parkinson’s, SCI, cerebral palsy, traumatic brain injury, and multiple sclerosis. Interventions included VR systems and variations of virtual reality. Studies using conventional therapy as a comparison were included. Outcomes measuring the cost analysis and cost challenges associated with the inclusion of VR in therapy were included. Publications from January 2010 to June 2020 were included. The following types of publications were included: primary research, literature reviews, case series and health economic evaluations. Conference abstracts/proceedings, non-English publications, opinion pieces, guidelines, magazine and newspaper articles, rehabilitation protocols, pilot studies, preliminary studies and unpublished dissertations/theses were excluded.
Governing neurorehabilitation
Published in Disability and Rehabilitation, 2022
Christine Cummins, Deborah Payne, Nicola M. Kayes
Neurorehabilitation is a health service for people who have experienced disease or injury to their neurological system. Contemporary constructions of this service describe it as an ethical and benevolent service concerned with optimising health, promoting wellbeing and enhancing human flourishing [1–5]. Neurorehabilitation services are targeted at those individuals identified as likely to benefit [6–8]; and are based on the expectation that in return for rehabilitation services the client accepts certain responsibilities [3,9]. Once determined as suitable candidates, neurorehabilitation clients are expected to actively engage in the rehabilitation process and help themselves to achieve their desired ends [10]. The clients are also expected to form a collaborative relationship with their practitioner and display certain characteristics: they must demonstrate the ability and willingness to participate in and benefit from a rehabilitation programme [6]; be motivated and engage with rehabilitation services [11,12]. Clients are also expected to contribute information to support meaningful goal setting [13], and as practice-intensity is said to be the effective component in neurorehabilitation, clients are expected to continue practicing prescribed tasks outside of therapy sessions [9].