Abstract:
:Ethical issues pertaining to treating pediatric rehabilitation patients stem from at least three sources: the fact that children are not morally autonomous persons and must depend on the values and moral beliefs of others in ethically complex decision-making situations; the extent of parental authority in asserting problematic beliefs or imposing questionable demands affecting treatment decisions; and the way clinical uncertainty affects moral uncertainty in determining treatment approaches or alternatives. Although these problems are pervasive among all age groups of children with disabilities, this article will primarily examine their impact on the rehabilitation of children and adolescents. Principles and strategies for managing value-laden conflicts will be discussed along with how various ethical, social, and clinical constraints may nevertheless compromise a straightforward resolution of an ethically vexing situation.
journal_name
NeuroRehabilitationjournal_title
NeuroRehabilitationauthors
Banja JD,Jann BBdoi
10.3233/NRE-1993-3306subject
Has Abstractpub_date
1993-01-01 00:00:00pages
44-52issue
3eissn
1053-8135issn
1878-6448pii
V6821530757687H7journal_volume
3pub_type
杂志文章abstract:BACKGROUND:Gait impairments from a neuromuscular imbalance are crucial issues in cerebral palsy. The purpose of our study was to compare the effects of the assistive tubing gait (ATG) and assistive-resistive tubing gait (ARTG) on improving the vasti and hamstring muscle imbalance during the initial contact to mid-stanc...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-141154
更新日期:2014-01-01 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:BACKGROUND:Functional independence is often compromised after stroke and its restoration is one of the goals of stroke rehabilitation. OBJECTIVE:This study assessed the impact of balance on functional independence after stroke. METHODS:Ninety-five stroke patients undergoing physical rehabilitation at two health insti...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-172305
更新日期:2018-01-01 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::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:UNLABELLED:We recently developed a computer-based test that uses a pointing task with multiple levels of difficulty to evaluate upper extremity motor function. The purpose of this study is to report performance data in adults and children, to determine test reliability, and to validate this test against well establishe...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-2012-00816
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Stroke severely compromises the capacity for skilled motor control including the ability to reach with the stroke-affected upper-extremity. Research incorporating intensive motor therapies has broadly demonstrated the ability to improve hemiparetic reaching post-stroke, yet the role of specific task paramete...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-2012-0765
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Balance problems are common after stroke. OBJECTIVE:The aims of this study was to compare the results of computerized and clinical sitting balance measurements in stroke patients and healthy individuals and to identify the agreement and relationship between the two measurement methods in stroke patients. M...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-182634
更新日期:2019-01-01 00:00:00
abstract::Sleep-wake disturbances (SWD) are prevalent in the traumatic brain injury (TBI) population and may exacerbate related neurobehavioral impairments. As such, it is important to recognize and treat SWD early to allow for optimal cognitive recovery following a TBI. A number of medications are currently available for treat...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-182536
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Physical exercise has been proven to be an effective method for improving cognition and mood, but little is known about its benefits among individuals with traumatic brain injury. OBJECTIVE:This pilot study investigated the feasibility of a combined exercise and self-affirmation intervention (IntenSati) for...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-141100
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Magnetic resonance imaging (MRI) has brought about advances in the fields of brain plasticity and lifespan brain change, that might be of special interest for cognitive rehabilitation research and, eventually, in clinical practice. Parallel, intensive cognitive training studies show promising results for the...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-131017
更新日期:2014-01-01 00:00:00
abstract::Although there is considerable research on the vocational outcomes of individuals with traumatic brain injuries (TBI), there has been minimal research on the characteristics of persons with TBI who seek services from state vocational rehabilitation services. Such research is deemed critical given the significant numbe...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2006-01-01 00:00:00
abstract:INTRODUCTION:While cognitive impairment is a recognised feature of Parkinson's disease (PD), few studies have evaluated the validity of brief cognitive screening measures compared to a comprehensive neuropsychological assessment. This studies aim was to evaluate the sensitivity and specificity of the Mini-Mental State ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-182433
更新日期:2018-01-01 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:OBJECTIVE:To describe the methodology utilized to calculate reliability and the generation of norms for 10 neuropsychological tests for children in Spanish-speaking countries. METHOD:The study sample consisted of over 4,373 healthy children from nine countries in Latin America (Chile, Cuba, Ecuador, Guatemala, Hondura...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-172275
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:The aim of this randomized controlled trial was to test the hypothesis that a three-week whole body vibration (WBV) training in addition to a standard rehabilitation program improves walking ability in patients with Multiple Sclerosis (MS). PATIENTS AND METHOD:Sixty patients with definite MS were randomly al...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-130888
更新日期:2013-01-01 00:00:00
abstract::A step-by-step case report describes the rehabilitation program for visual dysfunction of a 52-year-old woman, beginning 2 years post-trauma. Methods to ameliorate such symptoms as diplopia, ocular discomfort, dry eye, inefficient saccadic movement, spasms of accommodation, poor reading comprehension and very limited ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1996-6304
更新日期:1996-01-01 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:BACKGROUND:Occupations define activities that people perform to occupy themselves and that people have meaning and value to them. The use of occupation-based intervention addresses activity daily of living performance. OBJECTIVES:This study was to investigate the effects of occupation-based interventions on performanc...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-182429
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Individuals living with traumatic brain injury commonly have difficulties with prospective memory-the ability to remember a planned action at the intended time. Traditionally a memory notebook has been recommended as a compensatory memory aid. Electronic devices have the advantage of providing a cue at the a...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-151528
更新日期:2017-01-01 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: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:BACKGROUND:Many persons with late effects of polio experience new or increased impairments, which can lead to walking limitations in daily life. No study has comprehensively analyzed how various self-reported impairments are associated with different aspects of self-reported walking limitations. OBJECTIVE:To determine...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-151261
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:In a patient with severe hemiplegia, the risk of the knee giving way is high during the early stage of gait exercise with an ankle-foot orthosis. However, use of a knee-ankle-foot orthosis has many problems such as large amount of assistance and compensatory motions. To resolve these problems, we have engage...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-171459
更新日期:2017-01-01 00:00:00
abstract::Personal assistant services (PAS) are designed to support persons with disabilities in their routine performance of activities of daily living (ADLs) and to provide individuals with disability the opportunity to go to school, volunteer, obtain active employment, and participate in social and recreational activities. P...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Neurorehabilitation technologies such as robot therapy (RT) and transcranial Direct Current Stimulation (tDCS) can promote upper limb (UL) motor recovery after stroke. OBJECTIVE:To explore the effect of anodal tDCS with uni-lateral and three-dimensional RT for the impaired UL in people with sub-acute and ch...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-151251
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Sleep disturbances are common following traumatic brain injury (TBI). The Pittsburgh Sleep Quality Index (PSQI) is a widely used measure of sleep quality that has been used in numerous populations. Although this measure has been used in TBI research, there are few studies examining the psychometric propertie...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-141141
更新日期:2014-01-01 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: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:BACKGROUND:Children with cerebral palsy show dysfunctional postural control which interferes with their functional performance and daily-life activities. OBJECTIVE:The aim of the study was to identify the effect of a 3D supporting garment on trunk postural control and interjoint coordination during gait in children wi...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161349
更新日期:2016-06-23 00:00:00