Activity

Preference checks and brief interviews indicated that participants and families liked the program.

The program might be viewed as an additional approach/resource for patients with advanced ALS.

The program might be viewed as an additional approach/resource for patients with advanced ALS.

We thought that the application of Kinesio Tape (KT) on the foot and ankle in stroke patients may improve the quality of somatosensory information and may activate ankle muscles which have an important role in postural control and that ultimately balance could be improved in stroke patients.

The purpose of this study was to evaluate the effects of KT on balance in stroke patients.

Nineteen stroke patients and 16 healthy controls were included in the study. The study group was evaluated with and without KT. Balance of the all subjects was evaluated Sensory Organization Tests (SOT) by using the Computerized Dynamic Posturography. Equilibrium, Strategy Analysis and Composite Equilibrium Scores were investigated in SOT.

Statistically significant differences were observed in all of the SOT parameters between stroke patients and healthy controls (p <  0.05). When the results with and without KT application were compared, the Equilibrium Scores in the conditions 3,4, 6, Strategy Analysis Score in the conditions 2, 4, 6 and the Composite Equilibrium Score of the SOT were found to be improved in stroke patents (p <  0.05).

The results obtained from KT application are promising in improving balance in stroke patients.

The results obtained from KT application are promising in improving balance in stroke patients.

Sleep disorders and nocturnal hypoxia are common in patients with cerebrovascular disease. Sleep-disordered breathing is associated with a poor functional outcome in stroke patients.

We investigated the relationship between nocturnal hypoxia and functional outcome in the rehabilitation phase of stroke patients.

Thirty patients with stroke and 20 controls were included. Functional status was evaluated with the Functional Independence Measure (FIM). Pulse oximetry was performed overnight from 21.00  h to 07.00  h. Baseline awake oxygen saturation, nocturnal oxygen saturation, the lowest nocturnal oxygen saturation, and the >4% Oxygen Desaturation Index (ODI) were calculated.

The mean oxygen saturation measurements were not significantly different among the groups (p >  0.05). There was no significant relationship between the FIM scores and the oxygen saturation measurements of the stroke patients (p >  0.05). The baseline oxygen saturation in patients with disease duration of 3 months or less was 94.67, and it was 96.56 (p = 0.016) in those with disease duration of more than 3 months.

This study showed that nocturnal oxygen saturation was not associated with functional outcome in therehabilitation phase of stroke patients.

This study showed that nocturnal oxygen saturation was not associated with functional outcome in therehabilitation phase of stroke patients.

The neural correlates of motor imagery (MI) are tightly coupled with the cortical motor control network. Therefore MI may have therapeutic potential for patients with motor deficits after an ischemic stroke.

The aim of our study was to assess the hemispheric balance of the cortical motor network during motor imagery (MI) in patients recovering from stroke in the sub-acute stage.

We studied 17 patients after cerebral ischemic stroke (sub-acute stage) and 12 healthy subjects using functional Magnetic Resonance Imaging (fMRI) during motor imagery and performance of isometric grip force movements (5 Newton). Laterality indices (LI) were calculated from regional activation analysis to assess hemispheric distribution of activity in pre-specified motor areas.

Laterality index (LI) revealed a more balanced cortical activity in MI for both controls (-0.03) and patients (-0.12) in the premotor cortex compared to movement execution (0.48 controls; 0.12 patients) and a trend towards a shift in contra-lesional activity in stroke patients.

Our results indicate a preserved interhemispheric balance of patients in the sub-acute stage when activating the cortical motor areas during MI. This could provide a reasonable physiologic baseline for using MI as an additional rehabilitative therapy for improving functional recovery in the sub-acute stage after stroke.

Our results indicate a preserved interhemispheric balance of patients in the sub-acute stage when activating the cortical motor areas during MI. This could provide a reasonable physiologic baseline for using MI as an additional rehabilitative therapy for improving functional recovery in the sub-acute stage after stroke.

Bilateral ptosis is a very interesting clinical challenge for doctors because of the multiple possible localizations of a lesion which can lead to this neurological sign.

Through this case report, we aim to determine the difference between an apraxia of lid opening (ALO) with difficulty in initiating the act of lid elevation, in spite of adequate understanding, motor control and cranial nerve pathways, and a bilateral ptosis with a lesion in the oculomotor nucleus or blepharospasm.

The case report of a 50-year-old patient presenting bilateral ptosis and multiple ischemic lesions in the brainstem and bilateral frontal lobe lesions after the emergency removal of a large frontal tumor.

Our patient had an ALO according to the neurological follow-up and showed the ability, after a few weeks, of initiating the act of opening her eyes with her hand. The ophthalmic evaluation confirmed that in her case the ALO was associated with a nuclear lesion of the oculomotor nerve secondary to a midbrain lesion.

Our case report confirms multiple differential diagnoses in bilateral ptosis and the importance of clinical examination in spite of good neurological imaging.

Our case report confirms multiple differential diagnoses in bilateral ptosis and the importance of clinical examination in spite of good neurological imaging.

Literature examining emergency room visits (ERV) and emergency room related hospitalizations (ERH) after spinal cord injury (SCI) is limited.

Identify (1) the annual frequency of ERV and ERH and (2) their likelihood as a function of demographic, injury, and socioeconomic characteristics.

Participants (n = 1,579) with SCI completed mailed self-report questionnaires.

37% reported at least one ERV, with an average of 85 ERV per 100 participants. 19% reported at least one ERH and an average of 33 ERH annually per 100 participants. A greater likelihood of ERV was observed among non-whites, those with more severe SCI, less education, and lower income. Among those with at least one ERV, greater risk of ERH was observed among non-Hispanic whites, those with more severe SCI, lower education, and higher age.

ERV are common after SCI and should be accounted for when predicting SCI related expenses. Those with the most severe SCI and those in the oldest age group were most likely to be hospitalized after an ERV.

ERV are common after SCI and should be accounted for when predicting SCI related expenses. Those with the most severe SCI and those in the oldest age group were most likely to be hospitalized after an ERV.

To determine factors associated with case management (CM) service use in people with traumatic brain injury (TBI), using a published model for service use.

A retrospective cohort, with nested case-control design. Correlational and logistic regression analyses of questionnaires from a longitudinal community data base.

Questionnaires of 203 users of CM services and 273 non-users, complete for all outcome and predictor variables. Individuals with TBI, 15 years of age and older. Out of a dataset of 1,960 questionnaires, 476 met the inclusion criteria.

Eight predictor variables and one outcome variable (use or non-use of the service). Predictor variables considered the framework of the Behaviour Model of Health Service Use (BMHSU); specifically, pre-disposing, need and enabling factor groups as these relate to health service use and access.

Analyses revealed significant differences between users and non-users of CM services. In particular, users were significantly younger than non-users as the older the e CM and the genesis of LCP is CM. The findings relate to health service use and access, rather than health outcomes. These findings may assist with development of a modified model for prediction of use to advance future cost of care predictions.

This article explores Life Care Planning and the models of the provision of rehabilitation, case management and care for people with brain-injury in the context of the health and social care systems in the UK.

Life Care Planning for individuals with brain injury is not generally a term recognised or understood in the UK. The authors have worked in the field of rehabilitation, case management and care with this client group for many years and integrated their knowledge of the systems associated with Life Care Planning in the UK.

The article explains the process of assessment and Life Care Planning for individuals with brain injury in the UK. Case management, rehabilitation and care are described, highlighting the positive and negative influences that can affect the provision of these services. JAK/stat pathway Research evidence is given of potential factors that can predict needs for brain-injured clients and their families in a Life Care Plan.

In the UK, Life Care Planning is only undertaken by Care Experts in a one-off assessment for the litigation process for individuals claiming compensation; and, by those acting as Case Managers with a specialism in brain injury, who review or provide clinical work with clients on a long-term basis.

In the UK, Life Care Planning is only undertaken by Care Experts in a one-off assessment for the litigation process for individuals claiming compensation; and, by those acting as Case Managers with a specialism in brain injury, who review or provide clinical work with clients on a long-term basis.

The needs of a child with an acquired brain injury (ABI) are not a scaled down version of those required by an adult with a brain injury who has impairments that impact their cognitive and physical or functional abilities, capacity for work, and/or independence in performing activities of daily living.

The purpose of this article is to provide a standardized methodology for analysis of pediatric ABI cases when evaluating vocational potential as part of the child’s future rehabilitation or life care planning. PEEDS-RAPEL, a case conceptualization model for rehabilitation professionals, is defined in the context of a tool or methodology for the evaluation of pediatric clients with ABI. Issues related to the analysis of a child’s needs and impact of a pediatric brain injury for the development of a rehabilitation or life care plan and future earning capacity opinion are reviewed.

A case example is provided which illustrates each element of PEEDS-RAPEL

A case example is provided which illustrates each element of PEEDS-RAPEL

The importance of work or productive activity for the well-being, community integration, and quality of life of people living with disabilities is addressed, with implications for life care planning and case management.

The role of work or productive activity in our society, and consequences of deprivation if rehabilitation services do not address vocational effects of disabilities, is explored. A continuum of productivity options is introduced; types of vocational rehabilitation assessment processes and interventions are described.

The role of vocational rehabilitation services in life care planning and case management is discussed, focusing on quality of life for people living with disabilities.

Rehabilitation and health care professionals should understand the importance of work or other productive activity, and support the development of appropriate plans to address those needs among people who have disabilities.

Rehabilitation and health care professionals should understand the importance of work or other productive activity, and support the development of appropriate plans to address those needs among people who have disabilities.