Abstract:
:Many patients with post-poliomyelitis syndrome can benefit from a management program. When a post-polio patient presents with new symptoms, it is first essential to identify and treat other medical and neurological conditions which could produce these symptoms. New weakness can be managed with exercise (stretching, strengthening, and aerobic), avoidance of muscular overuse, weight loss, orthoses, and assistive devices. Fatigue can be managed with energy conservation techniques, lifestyle changes, pacing, regular rest periods or naps during the day, amitriptyline to improve sleep, and possibly pyridostigmine (trial in progress). The management of pain is dependent upon its cause. The treatment of post-polio muscular pain can include activity reduction, pacing (rest periods during activity), moist heat, ice, and stretching, use of assistive devices, and life style modifications. Fibromylagia can be treated with amitriptyline, cyclobenzaprine, and aerobic exercise. Joint and soft tissue abnormalities can be managed with modification of extremity use, physiotherapy, orthoses, assistive devices, non-steroidal anti-inflammatory medications, and rarely steroid injections and surgery. Superimposed neurological disorders may produce pain, and should be identified and treated. The identification and treatment of pulmonary dysfunction in a post-polio patient is an important aspect of management, and is discussed elsewhere in this issue. Dysphagia can be managed with diet changes, use of special breathing and swallowing techniques, monitoring fatigue and taking larger meals earlier and smaller meals later, and avoiding eating when fatigued. The management of psychosocial difficulties usually requires an interdisciplinary approach, and may include a post-polio support group, social worker, psychologist, and psychiatrist.
journal_name
NeuroRehabilitationjournal_title
NeuroRehabilitationauthors
Trojan DA,Finch Ldoi
10.3233/NRE-1997-8204subject
Has Abstractpub_date
1997-01-01 00:00:00pages
93-105issue
2eissn
1053-8135issn
1878-6448pii
N6376V75226572T8journal_volume
8pub_type
杂志文章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::Mild to severe cognitive impairment and depression are common among patients with Parkinson's disease (PD) and play a significant role in disability. Effective treatment planning requires a holistic assessment of cognitive and emotional difficulties. A brief neuropsychological protocol was developed to examine the pat...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2005-01-01 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:BACKGROUND:Significant results have been shown when an upper limb robot-assisted rehabilitation is delivered to stroke patients. OBJECTIVE:To evaluate the effects of upper limb robot-assisted rehabilitation on motor recovery in stroke patients who underwent a treatment based on a haptic device. METHODS:Thirty-nine st...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-172166
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Boxing training including traditional stretching, muscular strength training, and duration training would be considered to be effective for improved functional stretching, dynamic balance, walking speed, and quality of life. OBJECTIVE:We aimed to investigate upper limb function, balance, gait, and quality o...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161392
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:In advanced Parkinson's disease (PD), the emergence of symptoms refractory to conventional therapy poses a therapeutic challenge. The success of deep brain stimulation (DBS) and advances in the understanding of the pathophysiology of PD have raised interest in non-invasive brain stimulation as an...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-151237
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Forty to sixty percent of MS patients suffer from cognitive impairments. Cognitive deficits are a great burden for patients affected. In particular they may lead to a reduced quality of life, loss of work and problems with the social environment. OBJECTIVE:The aim of this study was to evaluate a specific ne...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-141145
更新日期:2014-01-01 00:00:00
abstract::Individuals with acquired brain injuries often display problematic behaviors, such as impulsivity, disinhibition, lack of initiation, isolation, and aggression, that impact their readiness to return to home and/or the community. The occurrence and treatment of these behaviors is often complicated by impairments in cog...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2012-0773
更新日期:2012-01-01 00:00:00
abstract::Outcome of 295 rehabilitation patients with mild, moderate, and severe brain injury was investigated prospectively at five regional medical centers using the Neurobehavioral Rating Scale. Mean factor scale scores were generally low. with the cognition mean highest and the excitement mean lowest. Regardless of scale, t...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1995-5308
更新日期:1995-01-01 00:00:00
abstract::The ability of the adult central nervous system to recover from injury is highly limited. Limiting factors in the repair process appear to be a combination of an inhibiting environment and the restricted intrinsic capacity of the neuron to reactivate its regenerative machinery. Studies using experimental treatments de...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1998-10204
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Physical exercise combined with occupational therapy (OT) can lead to a global improvement in personal well-being. OBJECTIVE:To assess in PD patients: 1) if a rehabilitation program involving OT, Nordic walking (NW) and therapeutic touch (TT) yields motor/non-motor benefits; 2) if the time collocation of OT...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-192772
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to compare the effects of action observation training and motor imagery training on recovery from chronic stroke. METHODS:Thirty patients who were more than six months post stroke participated in this study and were randomly allocated to three groups. The action observation tr...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-130991
更新日期:2013-01-01 00:00:00
abstract:GOAL AND OBJECTIVES:Parkinsonian patients can be classified in two main subgroups: tremor dominant and akinetic-rigid. The aim of this study was to evaluate whether intensive rehabilitation treatment has the same efficacy in the two subtypes. MATERIAL AND METHODS:Patients were classified according to tremor: 65 patien...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130959
更新日期:2013-01-01 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:BACKGROUND:The World Health Organization (WHO) has developed the International Classification of Functioning, Disability and Health (ICF) model in order to provide a theoretical foundation of physical therapy diagnosis and intervention. However, the multidirectional relationships between the body structure/function dom...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-182610
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To generate normative data for the Verbal Fluency Tests across 11 countries in Latin America, with country-specific adjustments for gender, age, and education, where appropriate. METHOD:The sample consisted of 3,977 healthy adults who were recruited from Argentina, Bolivia, Chile, Cuba, El Salvador, Guatemal...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-151279
更新日期:2015-01-01 00:00:00
abstract::The authors discuss the principles of transfer and generalization of learning as they apply to rehabilitation after traumatic brain injury. A general model is provided that predicts the outcome of most rehabilitation therapies. Implications of the model for improving treatment are discussed. Two experimental tests of ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1994-4105
更新日期:1994-01-01 00:00:00
abstract::Up to 85% of children treated for brain tumor survive beyond five years; hence optimizing quality of life in survivorship has become a priority. As multiple factors contribute to the heterogeneity of neurocognitive and language outcomes for individual children following treatment, a means of monitoring subsequent deve...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130834
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::This review provides an overview of pediatric ischemic stroke to serve as a foundation for the discussion of rehabilitation strategies following focal injury in the developing brain. Cerebrovascular disease is an important cause of acquired brain injury in neonates and children. Ischemic strokes are caused by a multit...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Individuals with Amyotrophic Lateral Sclerosis (ALS) exhibit speech disorders since the early stages that decrease the communication rate and interfere in social participation. OBJECTIVE:To conduct a literature review on communication vulnerable and Augmentative and Alternative Communication (AAC) in Amyotr...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-171443
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Systemic inflammation and its impact on rehabilitation for patients with non-traumatic haemorrhagic injury (HBI) sequelae has not yet been adequately documented. OBJECTIVE AND METHODS:We therefore considered 31 patients with HBI, to determine the serum levels of inflammatory markers (C-Reactive Protein, CRP...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-182362
更新日期:2018-04-07 00:00:00
abstract::The corticospinal tract (CST) is the most important neural tract for motor function in the human brain. Therefore, clarification of CST injury would be an important topic in traumatic brain injury (TBI) rehabilitation. In this review, I reviewed diffusion tensor imaging (DTI) studies on CST injuries in terms of etiolo...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2011-0710
更新日期:2011-01-01 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::Brain injury claims frequently involve the use of experts to evaluate and document extent of impairment. These experts can cover a wide array of specialities, many of which are delineated in this article. It is pointed out that there are crucial differences between a clinical evaluation and a medical-legal evaluation ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract::The failure of the adult human spinal cord to regenerate following injury is not absolute, but appears to be amenable to therapeutic manipulation. Recent work has shown that the provision of a growth permissive environment by the neutralization of inhibitory influences, or the grafting of fetal tissue, peripheral nerv...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2003-01-01 00:00:00
abstract::Characteristics of motor recovery mechanisms are known to be linked with motor outcome in stroke. Detailed knowledge of motor outcome and recovery mechanisms in stroke allow for prediction of prognosis and provide the basis for establishment of scientific rehabilitation strategies. Thirteen previous studies with regar...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2012-0738
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Lightning-related injuries most often involve impairment of the functions of the central and peripheral nervous systems, usually including cognitive dysfunctions. We evaluated the cognitive deficit of a patient who had survived a lightning strike and measured the improvement after her cognitive training. Thi...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-141106
更新日期:2014-01-01 00:00:00
abstract::Integration of systems of service for individuals who have sustained a brain injury (BI) is critical to their successful recovery and reintegration into the community [6,7,33]. The Toronto Acquired Brain Injury (ABI) Network, an umbrella organization of 17 partners in the city of Toronto, Canada, is attempting to crea...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:To explore the impact of rehabilitation robot training (RRT) on upper limb motor function and daily activity ability in patients with stroke. METHODS:Forty patients meeting the inclusion criteria were randomly divided into the treatment group (TRE) and the control group (CON). Group TRE was trained with an u...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-203130
更新日期:2020-01-01 00:00:00