Abstract:
:Respiratory symptoms are recognized as sequelae of motor dysfunction in idiopathic Parkinson's disease (IPD) and these symptoms have the potential to cause problems with swallow, cough, voice and speech. Specifically, maneuvers that require rapid activation and coordination of upper airway and chest wall musculature become progressively impaired as motor dysfunction progresses during the natural course of the disease. This study reports on the maximum inspiratory and expiratory pressures produced by 28 participants (average age 64) diagnosed with moderate to severe IPD (average stage 2.5 with a range of 2.0-3.0). All measures were collected during the "medication on" state. Outcomes of a specific respiratory muscle strength training technique for improving maximum expiratory pressure are reported for three of the patients in this study. Techniques that focus on strengthening the respiratory muscles in patients with IPD (other than with low load breathing exercises), have not been previously reported. The results of this pilot study demonstrate that respiratory muscle weakness may be an important factor in the respiratory complications in IPD and that respiratory muscle strength training has the potential to improve expiratory muscle strength for this population. This improvement has the potential to positively impact high forced respiratory activities, such as forced breathing maneuvers, swallow, cough and speech functions that require greater magnitude and duration of expiration.
journal_name
NeuroRehabilitationjournal_title
NeuroRehabilitationauthors
Silverman EP,Sapienza CM,Saleem A,Carmichael C,Davenport PW,Hoffman-Ruddy B,Okun MSsubject
Has Abstractpub_date
2006-01-01 00:00:00pages
71-9issue
1eissn
1053-8135issn
1878-6448journal_volume
21pub_type
杂志文章abstract:OBJECTIVE:To generate normative data for the Peabody Picture Vocabulary Test-III (PPVT-III) in Spanish-speaking pediatric populations. METHOD:The sample consisted of 4,373 healthy children from nine countries in Latin America (Chile, Cuba, Ecuador, Honduras, Guatemala, Mexico, Paraguay, Peru, and Puerto Rico) and Spai...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-172239
更新日期:2017-01-01 00:00:00
abstract::Although most patients with concussion recover within days to weeks, a small but significant minority develop persistent signs and symptoms of post-concussion syndrome (PCS). The standard treatments of PCS, rest and cognitive adaptation, have limited effectiveness. PCS patients are advised not to exercise because of t...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2007-01-01 00:00:00
abstract::The management of pain in persons with neurological injuries is challenging and complex. A holistic view and clinical approach are necessary when addressing pain in patients with neurological impairment because interpreting signs and symptoms and deciphering sources of pain is never a straightforward process. This pro...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-208003
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:The aim of his study was to evaluate the reliability and validity of the Expanded Timed Get-up-and-Go (ETGUG) test in patients with bilateral vestibular loss (BVL). METHODS:21 BVL patients (58 ± 14 years) were recruited and measured twice by two raters. After a one hour break ETGUG was repeated by the first...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-141083
更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION:Bone loss is a common and often debilitating condition that accompanies spinal cord injury. Because bone loss after spinal cord injury is multifactorial, it can be difficult to assess and treat. This process becomes even more complex as secondary conditions associated with aging are introduced. PURPOSE:Th...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2011-0702
更新日期:2011-01-01 00:00:00
abstract:AIM:We investigated whether a hippotherapy simulator has influence on symmetric body weight bearing during gait in patients with stroke. METHOD:Stroke patients were divided into a control group (n = 10) that received conventional rehabilitation for 60 min/day, 5 times/week for 4 weeks and an experimental group (n = 10...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130971
更新日期:2013-01-01 00:00:00
abstract::This article provides readers with a review of the major considerations for designing living environments for persons with neurodisability due to acquired brain injury (ABI). Components that need to be considered in order to assure that the environment is designed with a functional perspective in mind are explored. Th...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2009-0518
更新日期:2009-01-01 00:00:00
abstract::Recent basic research on the neural control of female sexual function is reviewed with an emphasis on the pathways controlling the genitalia. Sexual responses require the coordination of sympathetic, parasympathetic and somatic nervous system. This coordination is performed by interneuronal systems within the lower sp...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:to determine the potential impacts of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) on the incidence of TBI-related hospitalization in the active duty US Army. METHODS:All active duty Army personnel hospitalized with a TBI diagnosis during fiscal years 2000 through 2006 were identified i...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-2010-0556
更新日期:2010-01-01 00:00:00
abstract:INTRODUCTION: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. BACKGROUND:The role of work or productive activity in our society, and consequences of...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-151215
更新日期:2015-01-01 00:00:00
abstract::The purpose of this study was to examine the relationship between exaggeration and scores on a test of olfactory discrimination in patients being assessed in connection with a claim for financial benefits. Participants were 448 patients referred to a private practice in Edmonton, Alberta, Canada for psychological or n...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:Constraint-induced movement therapy (CIMT) has been demonstrated to be effective in improving hemiparetic upper extremity function in stroke patients, but few studies have been performed to assess orthosis modification. We investigated the effect of the newly designed small orthosis named modified opposition...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2008-01-01 00:00:00
abstract::Brain injury can directly and indirectly affect important aspects related to sexuality and sexual function. In this critical review of the literature, traumatic brain injury (TBI) and sexuality are examined. A general review of the concept of sexuality and the neurological correlates of sexual function are proposed as...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-130824
更新日期:2013-01-01 00:00:00
abstract::The definitions in the Diagnostic and Statistical Manual-4th Ed.-TR [5] relating to posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) after mechanical accidents do not reflect the range of dysfunctions, the significance of patient differences, and fluctuating intensity, direction, and symptoms with...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2002-01-01 00:00:00
abstract:INTRODUCTION:Dysphagia is a frequent problem in various neurological disorders. However, knowledge on swallowing function in patients with cerebral hypoxia is sparse. The objective of this study is to report the development of swallowing function in a series of adolescent and young-adult patients with cerebral hypoxia....
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-182437
更新日期:2018-01-01 00:00:00
abstract:INTRODUCTION:Evidence indicates that motor deficits in hemiplegic cerebral palsy (HCP) impair both motor execution and planning. However, current rehabilitation efforts focus mainly on relieving impairments in motor execution. Motor imagery (MI) is a promising method for stimulating neural networks underlying the plann...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-192931
更新日期:2020-01-01 00:00:00
abstract::We investigated the long-term effects of comprehensive hand repetitive intensive strengthening training (CHRIST) on strength, morphological muscle size, kinematics, and associated motor functional changes in children with cerebral palsy (CP). Ten children (5 boys, 5 girls; age range, 6-11 years, mean age, 8.6 years) p...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130846
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:To determine the effect of repeated passive motion (RPM) exercise on position sense of the shoulder joint in patients with hemiplegia. METHODS:Shoulder flexion position sense was evaluated for the affected side of 15 patients with hemiplegia, using an assessment board set at five angles (30 degrees, 60 degre...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-2009-0504
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:The Functional Assessment for Control of Trunk (FACT) was developed to evaluate trunk function after stroke. However, only a few studies used FACT to show functional outcome. OBJECTIVE:This study aimed to validate the FACT predictive ability for functional outcome following stroke and create an English vers...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-201533
更新日期:2021-01-01 00:00:00
abstract::The purpose of this paper was to examine the reliability and validity (concurrent and construct) of a newly developed online Chinese version of the Rivermead Behavioral Memory Test (OL-RBMT) and its equivalence with the face-to-face version (FTF-RBMT). The OL-RBMT and FTF-RBMT were administered to 30 subjects with str...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-2009-0473
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:White matter lesions (WML) are prevalent in older adults. The association between WML and cognition in different subtypes of Mild Cognitive Impairment (MCI) is inconsistent in the literature. OBJECTVES:We aim to provide a systematic review on the impact of WML in different subtypes of MCI, and discuss the r...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-171471
更新日期:2017-01-01 00:00:00
abstract::Family caregivers of older individuals in rehabilitation have unique needs and concerns that should be addressed in rehabilitation and in community-based programs. Their concerns have a direct bearing on their health and on the health and well-being of their care-recipients. In this paper, we review the major problems...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The objective of this case series is to report on the use of an optokinetic chart stimulation intervention to restore voluntary movement, postural control and mobility in acute stroke patients and one post intensive care polyneuropathy patient. METHOD:An optokinetic chart was moved in front of t...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-2011-0638
更新日期:2011-01-01 00:00:00
abstract::Neuroprostheses electrically stimulate paralyzed muscles to provide functional enhancement for individuals with neurological disorders, especially among persons with spinal cord injuries. Fully implanted neuroprostheses are reliable, require minimal maintenance and are user-friendly. These systems provide a variety of...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2009-0500
更新日期:2009-01-01 00:00:00
abstract:PRIMARY OBJECTIVE:This paper examined the effectiveness of postural training on upper extremity performance in an ataxic individual. The ataxia resulted from a brain stem stroke. RESEARCH DESIGN:Before-after, single-subject experimental design. EXPERIMENTAL INTERVENTION:Four-week course of postural training, comprise...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract::This article provides a short history of the hawing aspects of community integration in the United States for persons with permanent and/or long-term physical, affective, and cognitive disabilities. Included in this history are the philosophy behind the process, some pitfalls that have been found to be important to av...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1994-4206
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:The Timed up and go test (TUG), the Five times sit-to-stand test (FTSTS) and the Bed Mobility test (BMT) are widely used in clinical practice for Parkinson Disease (PD). However, no reported studies have evaluated the responsiveness to group physical therapy intervention (GPTI). OBJECTIVE:To verify if TUG, ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-172379
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:To identify factors that are independently related to interrupted stroke rehabilitation due to acute care transfer or death. METHODS:Medical records of stroke inpatients admitted from 2012 to 2017 were reviewed. Stroke inpatients with interrupted stroke rehabilitation due to acute care transfer or death wer...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-203187
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to evaluate the effect of treadmill training with body weight support on gait kinematics parameters in patients with PD using DBS. DESIGN:Twelve patients completed the protocols (age: 60.9±10.6 years; disease duration: 20±7 years; and time since DBS surgery: 20±4 months). The sa...
journal_title:NeuroRehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/NRE-172267
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Oropharyngeal dysphagia is a common problem in subacute stroke patients leading to aspiration pneumonia and malnutrition. Non-invasive neuromuscular electrical stimulation (NMES) coupled with traditional therapy could be best treatment option for patients with post-stroke dysphagia, however results are still...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-182526
更新日期:2019-01-01 00:00:00