Vibration-induced motor responses of infants with and without myelomeningocele.

Abstract:

BACKGROUND:The severity of myelomeningocele (MMC) stems both from a loss of neurons due to neural tube defect and a loss of function in viable neurons due to reduced movement experience during the first year after birth. In young infants with MMC, the challenge is to reinforce excitability and voluntary control of all available neurons. Muscle vibration paired with voluntary movement may increase motoneuron excitability and contribute to improvements in neural organization, responsiveness, and control. OBJECTIVES:This study examined whether infants with or without MMC respond to vibration by altering their step or stance behavior when supported upright on a treadmill. DESIGN:This was a cross-sectional study. METHODS:Twenty-four 2- to 10-month-old infants, 12 with typical development (TD) and 12 with MMC (lumbar and sacral lesions), were tested. Infants were supported upright with their feet in contact with a stationary or moving treadmill during 30-second trials. Rhythmic alternating vibrations were applied to the right and left rectus femoris muscles, the lateral gastrocnemius muscle, or the sole of the foot. Two cameras and behavior coding were used to determine step count, step type, and motor response to vibration onset. RESULTS:Step count decreased and swing duration increased in infants with TD during vibration of the sole of the foot on a moving treadmill (FT-M trials). Across all groups the percentage of single steps increased during vibration of the lateral gastrocnemius muscle on a moving treadmill. Infants with MMC and younger infants with TD responded to onset of vibration with leg straightening during rectus femoris muscle stimulation and by stepping during FT-M trials more often than older infants with TD. CONCLUSIONS:Vibration seems a viable option for increasing motor responsiveness in infants with MMC. Follow-up studies are needed to identify optimal methods of administering vibration to maximize step and stance behavior in infants.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Saavedra SL,Teulier C,Smith BA,Kim B,Beutler BD,Martin BJ,Ulrich BD

doi

10.2522/ptj.20110074

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

537-50

issue

4

eissn

0031-9023

issn

1538-6724

pii

ptj.20110074

journal_volume

92

pub_type

杂志文章
  • Functional limitations in patients with diabetes and transmetatarsal amputations.

    abstract:BACKGROUND AND PURPOSE:Reports in the surgical and rehabilitation literature suggest that patients with transmetatarsal amputations (TMAs) function well with regular shoes and a toe filler. Functional limitations, however, have not been documented in this population. The purpose of this study was to compare the functio...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/77.9.937

    authors: Mueller MJ,Salsich GB,Strube MJ

    更新日期:1997-09-01 00:00:00

  • The role of U.S. military physical therapists during recent combat campaigns.

    abstract::U.S. military physical therapists have a proud history of providing medical care during operational deployments ranging from war to complex humanitarian emergencies. Regardless of austerity of environment or intensity of hostility, U.S. military physical therapists serve as autonomous providers, evaluating and treatin...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20120136

    authors: Moore JH,Goffar SL,Teyhen DS,Pendergrass TL,Childs JD,Ficke JR

    更新日期:2013-09-01 00:00:00

  • Successful treatment of long-term, poststroke, upper-limb spasticity with onabotulinumtoxinA.

    abstract:BACKGROUND AND PURPOSE:Poststroke spasticity often negatively affects functional activities and daily living and frequently is accompanied by pain, abnormal limb postures, and contractures. The purpose of this case report is to describe the long-term benefit of botulinum toxin A in a patient with poststroke spasticity....

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100370

    authors: Patel AT

    更新日期:2011-11-01 00:00:00

  • Use of transcutaneous electrical nerve stimulation for a patient with a cardiac pacemaker. A case report.

    abstract::Transcutaneous electrical nerve stimulation units used in conjunction with cardiac pacemakers have traditionally been an absolute contraindication for these patients. In this case report, a patient successfully used a TENS unit in conjunction with a temporary cardiac pacemaker. No interference was noted by the ECG rea...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/65.2.206

    authors: Shade SK

    更新日期:1985-02-01 00:00:00

  • Relationship between functional electrical stimulation duty cycle and fatigue in wrist extensor muscles of patients with hemiparesis.

    abstract::The purpose of this study was to investigate, in a sample of patients with hemiparesis secondary to cerebrovascular accident, the relationship between the ratio of stimulus on time to off time and muscle fatigue using a commercial electrical stimulation unit. An experimental model was used to test the hypothesis that ...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ptj/68.1.51

    authors: Packman-Braun R

    更新日期:1988-01-01 00:00:00

  • Development of a self-report measure of fearful activities for patients with low back pain: the fear of daily activities questionnaire.

    abstract:BACKGROUND:Self-report measures for assessing specific fear of activities have not been reported in the peer-reviewed literature, but are necessary to adequately test treatment hypotheses related to fear-avoidance models. OBJECTIVE:This study described psychomotor properties of a novel self-report measure, the Fear of...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20090032

    authors: George SZ,Valencia C,Zeppieri G Jr,Robinson ME

    更新日期:2009-09-01 00:00:00

  • Similarities in patient response to chronic and terminal illness.

    abstract::Physical therapists sometimes hesitate to treat terminally ill patients because they believe the approach to them should differ from the approach to other patients. This belief is based on the assumption that patient needs during terminal illness differ from the needs of other patients. Some important similarities in ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/56.3.279

    authors: Purtilo RB

    更新日期:1976-03-01 00:00:00

  • Determinants of function after total knee arthroplasty.

    abstract:BACKGROUND AND PURPOSE:Decreasing hospital stays for patients with total knee arthroplasties (TKAs) have a direct effect on rehabilitation. The identification of modifiable determinants of postsurgical functional status would help physical therapists plan for discharge from hospitals. The purpose of this study was to i...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Jones CA,Voaklander DC,Suarez-Alma ME

    更新日期:2003-08-01 00:00:00

  • Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?

    abstract::Early physical therapy models hold great promise for delivering high-value care for individuals with musculoskeletal pain. However, existing physical therapist practice and research standards are misaligned with value-based principles, which limits the potential for growth and sustainability of these models. This Pers...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzz171

    authors: Lentz TA,Goode AP,Thigpen CA,George SZ

    更新日期:2020-04-17 00:00:00

  • Comparison of Downstream Health Care Utilization, Costs, and Long-Term Opioid Use: Physical Therapist Management Versus Opioid Therapy Management After Arthroscopic Hip Surgery.

    abstract:Background:Physical therapy and opioid prescriptions are common after hip surgery, but are sometimes delayed or not used. Objective:The objective of this study was to compare downstream health care utilization and opioid use following hip surgery for different patterns of physical therapy and prescription opioids. De...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzy019

    authors: Rhon DI,Snodgrass SJ,Cleland JA,Greenlee TA,Sissel CD,Cook CE

    更新日期:2018-05-01 00:00:00

  • Expanding the scoring system for the Dynamic Gait Index.

    abstract:BACKGROUND:The Dynamic Gait Index (DGI) measures the capacity to adapt gait to complex tasks. The current scoring system combining gait pattern (GP) and level of assistance (LOA) lacks clarity, and the test has a limited range of measurement. OBJECTIVE:This study developed a new scoring system based on 3 facets of per...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20130035

    authors: Shumway-Cook A,Taylor CS,Matsuda PN,Studer MT,Whetten BK

    更新日期:2013-11-01 00:00:00

  • A conceptual model for identifying, preventing, and managing secondary conditions in people with disabilities.

    abstract::Secondary conditions are considered a direct consequence of having a disability, and many are presumed to be preventable. Although a few researchers have noted that people with disabilities are exposed to several secondary conditions, including pain, fatigue, depression, and obesity, what is lacking in the literature ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100410

    authors: Rimmer JH,Chen MD,Hsieh K

    更新日期:2011-12-01 00:00:00

  • Adherence to behavioral interventions for stress incontinence: rates, barriers, and predictors.

    abstract:BACKGROUND:First-line conservative treatment for stress urinary incontinence (SUI) in women is behavioral intervention, including pelvic-floor muscle (PFM) exercise and bladder control strategies. OBJECTIVE:The purposes of this study were: (1) to describe adherence and barriers to exercise and bladder control strategy...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究

    doi:10.2522/ptj.20120072

    authors: Borello-France D,Burgio KL,Goode PS,Ye W,Weidner AC,Lukacz ES,Jelovsek JE,Bradley CS,Schaffer J,Hsu Y,Kenton K,Spino C,Pelvic Floor Disorders Network.

    更新日期:2013-06-01 00:00:00

  • Development of clinical education sites in an area health education system.

    abstract::In 1974 the University of Kentucky was faced with two problems: 1) overburdening of local clinical facilities by students and 2) a large exodus of graduates from the state. The advent of the Area Health Education System offered the opportunity for the clinical education program to develop nontraditional clinical sites...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/61.6.904

    authors: Clark SL,Schlachter S

    更新日期:1981-06-01 00:00:00

  • Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia.

    abstract:BACKGROUND AND PURPOSE:Despite evidence of weakness in children with cerebral palsy, the use of strength training in this population remains controversial. SUBJECTS:Fourteen children with spastic diplegia, ranging in age from 6 to 14 years (X = 9.1, SD = 2.5), participated in a bilateral quadriceps femoris muscle stre...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/75.8.658

    authors: Damiano DL,Kelly LE,Vaughn CL

    更新日期:1995-08-01 00:00:00

  • Glossopharyngeal and neck accessory muscle breathing in a young adult with C2 complete tetraplegia resulting in ventilator dependency.

    abstract:BACKGROUND AND PURPOSE:This case report describes the use of glossopharyngeal breathing (GPB) and neck accessory muscle breathing (NAMB) in the treatment of an individual who was dependent on a ventilator secondary to a spinal cord injury. CASE DESCRIPTION:The patient was a 19-year-old man with C2 complete tetraplegia...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:

    authors: Warren VC

    更新日期:2002-06-01 00:00:00

  • Mobilization of the spine.

    abstract::This article presents spinal dysfunction (as opposed to disease) as being an altered state of mechanics demonstrating either an aberrant motion or an increase or decrease from the expected range. Examination techniques, including passive intervertebral motion testing, are outlined, as is the grading system for recordi...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/59.8.988

    authors: Paris SV

    更新日期:1979-08-01 00:00:00

  • Central Nervous System Reorganization and Pain After Spinal Cord Injury: Possible Targets for Physical Therapy-A Systematic Review of Neuroimaging Studies.

    abstract:BACKGROUND:Pain is one of the main symptoms associated with spinal cord injury (SCI) and can be associated with changes to the central nervous system (CNS). PURPOSE:This article provides an overview of the evidence relating to CNS changes (structural and functional) associated with pain in SCIs. DATA SOURCES:A system...

    journal_title:Physical therapy

    pub_type: 杂志文章,meta分析

    doi:10.1093/ptj/pzaa043

    authors: Osinski T,Acapo S,Bensmail D,Bouhassira D,Martinez V

    更新日期:2020-06-23 00:00:00

  • Relationship of knee extension force to independence in sit-to-stand performance in patients receiving acute rehabilitation.

    abstract:BACKGROUND AND PURPOSE:The ability to rise from a chair is important for independence in everyday life. This study was conducted to determine to what extent knee extension force (KEF) could explain independence in sit-to-stand (STS) performance from a standard chair. SUBJECTS AND METHODS:This was a descriptive and cor...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Eriksrud O,Bohannon RW

    更新日期:2003-06-01 00:00:00

  • Effects of repetitive handgrip training on endurance, specificity, and cross-education.

    abstract:BACKGROUND AND PURPOSE:Exercise programs are more likely to be successful when they are based on research that predicts the outcomes of such training. This study determined the effect of submaximal rhythmic handgrip training on rhythmic handgrip endurance or work (RHW), isometric handgrip endurance time (IHE), and maxi...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Shields RK,Leo KC,Messaros AJ,Somers VK

    更新日期:1999-05-01 00:00:00

  • Balance disability after stroke.

    abstract:BACKGROUND AND PURPOSE:Balance disability is common after stroke, but there is little detailed information about it. The aims of this study were to investigate the frequency of balance disability; to characterize different levels of disability; and to identify demographics, stroke pathology factors, and impairments ass...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ptj/86.1.30

    authors: Tyson SF,Hanley M,Chillala J,Selley A,Tallis RC

    更新日期:2006-01-01 00:00:00

  • Orthopedic surgeons and physical therapists differ in assessment of need for physical therapy after traumatic lower-extremity injury.

    abstract:BACKGROUND:Lower-extremity injuries constitute the leading cause of trauma hospitalizations among people under the age of 65 years. Rehabilitation has the potential to favorably influence the outcomes associated with traumatic lower-extremity injuries. OBJECTIVES:The objectives of this study were to explore variabilit...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究

    doi:10.2522/ptj.20080200

    authors: Archer KR,Mackenzie EJ,Castillo RC,Bosse MJ,LEAP Study Group.

    更新日期:2009-12-01 00:00:00

  • Test-Retest Reliability of Dual-Task Outcome Measures in People With Parkinson Disease.

    abstract:BACKGROUND:Dual-task (DT) training is gaining ground as a physical therapy intervention in people with Parkinson disease (PD). Future studies evaluating the effect of such interventions need reliable outcome measures. To date, the test-retest reliability of DT measures in patients with PD remains largely unknown. OBJE...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20150244

    authors: Strouwen C,Molenaar EA,Keus SH,Münks L,Bloem BR,Nieuwboer A

    更新日期:2016-08-01 00:00:00

  • Decreased shoulder range of motion on paretic side after stroke.

    abstract::The purposes of this investigation of patients with stroke were to 1) determine and compare shoulder lateral rotation range of motion (SLRROM) measured at the threshold of pain on the paretic and nonparetic sides; 2) establish the intrarater and interrater reliability of the measurements; and 3) determine the relation...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/69.9.768

    authors: Andrews AW,Bohannon RW

    更新日期:1989-09-01 00:00:00

  • Instructional style preferences: physical therapy faculty members in the United States.

    abstract::The purpose of this study was to describe the instructional styles of physical therapy faculty in basic professional programs in the United States in the academic year 1977-78. The Instructional Styles Inventory of Canfield and Canfield was used to test 311 respondents (61% of the total basic preparation faculty membe...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.10.1277

    authors: Payton OD,Hueter AE,McDonald M,Hirt S

    更新日期:1980-10-01 00:00:00

  • Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: a randomized clinical trial.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine the effect of a 6-month neuromuscular training (NT) program versus a traditional strength training (ST) program following anterior cruciate ligament (ACL) reconstruction. SUBJECTS:Seventy-four subjects with ACL reconstruction participated in the study. ...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.2522/ptj.20060041

    authors: Risberg MA,Holm I,Myklebust G,Engebretsen L

    更新日期:2007-06-01 00:00:00

  • Finding the "Right-Size" Physical Therapy Workforce: International Perspective Across 4 Countries.

    abstract::Finding the "right-size" physical therapy workforce is an increasingly important issue, but it has had limited study, particularly across nations. This perspective article provides a comprehensive examination of physical therapy workforce issues across 4 countries (United States, Singapore, Portugal, and Bangladesh), ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20160014

    authors: Jesus TS,Koh G,Landry M,Ong PH,Lopes AM,Green PL,Hoenig H

    更新日期:2016-10-01 00:00:00

  • Estimates of weight that subjects can lift frequently in functional capacity evaluations.

    abstract:BACKGROUND AND PURPOSE:This study was designed to determine whether the maximum weight that can be lifted during 33% to 67% of a workday (weight lifted frequently) can be accurately predicted from other data gathered during a functional capacity evaluation (FCE). The best equations for estimating weight lifted frequent...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/77.12.1717

    authors: Saunders RL,Beissner KL,McManis BG

    更新日期:1997-12-01 00:00:00

  • Force-time measurements of knee muscle functions of subjects with multiple sclerosis.

    abstract::The purpose of this study was to determine whether the time-rate of muscle tension development, the muscle tension-maintaining capacity, and the reciprocal inhibition time of muscles in subjects with multiple sclerosis were significantly different from those of healthy subjects. An isokinetic dynamometer was used to e...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/67.6.934

    authors: Chen WY,Pierson FM,Burnett CN

    更新日期:1987-06-01 00:00:00

  • Development of a clinical measure of postural control for assessment of adaptive seating in children with neuromotor disabilities.

    abstract::The primary purposes of this article are to review the literature on seating assessment and to describe the development of a clinical evaluation scale, the Seated Postural Control Measure (SPCM), for use with children requiring adaptive seating systems. The SPCM is an observational scale of 22 seated postural alignmen...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/71.12.981

    authors: Fife SE,Roxborough LA,Armstrong RW,Harris SR,Gregson JL,Field D

    更新日期:1991-12-01 00:00:00