Abstract:
BACKGROUND:Reports of increased incidence of adult onset stuttering in veterans and service members with mild traumatic brain injury (mTBI) from combat operations in Iraq and Afghanistan lead to a reexamination of the neurogenic vs. psychogenic etiology of stuttering. OBJECTIVE:This article proposes to examine the merit of the dichotomy between neurogenic and psychogenic bases of stuttering, including symptom exaggeration, for the evaluation and treatment of the disorder. METHODS:Two case studies of adult onset stuttering in service members with mTBI from improvised explosive device blasts are presented in detail. Speech fluency was disrupted by abnormal pauses and speech hesitations, brief blocks, rapid repetitions, and occasional prolongations. There was also wide variability in the frequency of stuttering across topics and conversational situations. Treatment focused on reducing the frequency and severity of dysfluencies and included educational, psychological, environmental, and behavioral interventions. RESULTS:Stuttering characteristics as well as the absence of objective neurological findings ruled out neurogenic basis of stuttering in these two cases and pointed to psychogenic causes. However, the differential diagnosis had only limited value for developing the plan of care. CONCLUSIONS:The successful outcomes of the treatment serve to illustrate the complex interaction of neurological, psychological, emotional, and environmental factors of post-concussive symptoms and to underscore the notion that there are many facets to symptom presentation in post-combat health.
journal_name
NeuroRehabilitationjournal_title
NeuroRehabilitationauthors
Roth CR,Cornis-Pop M,Beach WAdoi
10.3233/NRE-151230subject
Has Abstractpub_date
2015-01-01 00:00:00pages
415-26issue
4eissn
1053-8135issn
1878-6448pii
NRE1230journal_volume
36pub_type
杂志文章abstract:BACKGROUND:Video feedback interventions have been found to improve self-awareness and occupational performance to a greater extent than other feedback interventions after traumatic brain injury (TBI). However, it is unclear whether the effects of video feedback are maintained over time. OBJECTIVE:To evaluate the maint...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-151205
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of motor swallowing exercises on swallowing dynamic, quality of life and swallowing complaints in Parkinson's disease (PD). DESIGN:A before-after trial. SETTING:University Medical Center. PARTICIPANTS:Parkinson's disease patients with dysphagia complaints. INTERVENTIONS:Motor swa...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130918
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Adults who survive traumatic brain injury (TBI) often receive case (care) management to overcome the difficulties commonly faced negotiating a number of different health and social care services and systems. Little is known about the effectiveness of a case management intervention. OBJECTIVE:To examine the ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.3233/NRE-141161
更新日期:2014-01-01 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: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::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::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::We conducted a small pilot study that examined the effect of a 4-week period of unloaded leg cycling on spasticity in individuals with multiple sclerosis (MS). The sample included 22 individuals with MS who were assigned using a quasi-experimental method into either exercise (n = 12) or control (n = 10) conditions. Th...
journal_title:NeuroRehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/NRE-2009-0486
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: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:BACKGROUND:Strength training can increase function in individuals with stroke. However it is unclear which type of strength training is most effective and feasible. OBJECTIVE:To assess the effect and feasibility of an intervention combining eccentric and task-oriented strength training in individuals with chronic stro...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-171433
更新日期:2017-01-01 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:There is psychometric evidence that supports the six-minute walk (6MW) as a measure of walking performance, whereas other psychometric data support it as a submaximal measure of physical fitness in persons with MS. OBJECTIVE:The current cross-sectional study compared measures of walking performance and phys...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-151247
更新日期:2015-01-01 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::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::Praxis is defined as skilled, purposive limb movement. While it has been a consistent finding that lesions of the left cerebral hemisphere result in significantly worse performance on praxis testing than lesions of the right cerebral hemisphere, recently some investigators have proposed that the right hemisphere may a...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1997-9105
更新日期:1997-01-01 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:OBJECTIVES:To evaluate the functional status, leisure activity and satisfaction in adult stroke survivors participating in a community rehabilitation program, and to compare these outcomes with stroke survivors not attending any program. METHOD:Subjects included in the study were survivors of a first stroke that recei...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Pisa syndrome (PS) or lateral axial dystonia is often seen in patients with Parkinson's disease (PD). It is characterized by a marked and reversible lateral flexion of the trunk (LFT) more than 10°. OBJECTIVE:To assess the effectiveness of a program of postural exercises and assess the effectiveness in term...
journal_title:NeuroRehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/NRE-162033
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Contemporary goals of rehabilitation after traumatic brain injury (TBI) aim to improve cognitive and motor function by applying concepts of neuroplasticity. This can be challenging to carry out in TBI patients with motor, balance, and cognitive impairments. OBJECTIVE:To determine whether use of dynamic body...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-192898
更新日期:2019-12-18 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: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::Clients who have experienced a brain injury often are damaged by a third party who is perceived responsible for the consequences of their actions. In the United States, a common method of seeking financial compensation for the injury is to file a personal injury law suit. This article will outline the RAPEL method for...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1996-7204
更新日期:1996-01-01 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:Stroke is the leading cause of adult disability, with walking impairment being a devastating indicator of chronic post-stroke hemiparesis. Limited resources exist for individual treatments; therefore, the delivery of safe group exercise therapy is highly desired. OBJECTIVE:To examine whether the application...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,多中心研究
doi:10.3233/NRE-131035
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Falls are of great concern among persons with multiple sclerosis (MS). OBJECTIVE:To examine differences in metrics of mobility, postural control, and cognition in persons with MS with distinct fall risk status; and to investigate predictors of fall risk group membership using discriminant analysis. METHODS...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161401
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:We conducted a systematic review and meta-analysis to identify the effect of computer-based cognitive rehabilitation (CBCR) on improving cognitive functions in patients with stroke. METHODS:Researchers performed a literature search using computerized databases such as the Cochrane Database, EBSCO (CINAHL), P...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,meta分析,收录出版,评审
doi:10.3233/NRE-130856
更新日期:2013-01-01 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::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:BACKGROUND:Stroke continues to be a major public health concern in the United States. Motor recovery in the post-acute stages of stroke is possible due to neuroplasticity, or the capacity of the brain to reorganize. OBJECTIVE:This case study tracks neuroplastic and motor change in a subject with severe hemiparesis fol...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130968
更新日期:2013-01-01 00:00:00