Abstract:
BACKGROUND AND PURPOSE:Deficits in upper-extremity function in individuals with tetraplegia are primarily due to the loss of motor pathways. Detrimental cortical reorganization, however, may create further loss of function. The purpose of this case report is to describe the cortical changes associated with a combination intervention using bimanual massed practice training with somatosensory stimulation. CASE DESCRIPTION:"BR" was a 22-year-old man with C6 tetraplegia and hand impairment who participated in this training intervention for 3 weeks. OUTCOMES:BR demonstrated improvements in sensory function, strength (the force-generating capacity of muscle), and performance of functional hand skills. Following the training, the cortical motor map of the biceps brachii muscle shifted anteriorly and increased in area and volume. DISCUSSION:This is the first documented case in which changes in the size and location of the cortical map were associated with an intervention and improvement in function in an individual with tetraplegia. This case suggests that an intensive training intervention may induce both functional and neurophysiological changes.
journal_name
Phys Therjournal_title
Physical therapyauthors
Hoffman LR,Field-Fote ECdoi
10.2522/ptj.20050365subject
Has Abstractpub_date
2007-02-01 00:00:00pages
208-23issue
2eissn
0031-9023issn
1538-6724pii
ptj.20050365journal_volume
87pub_type
杂志文章相关文献
PHYSICAL THERAPY文献大全abstract:BACKGROUND AND PURPOSE:Obstacle crossing is compromised following stroke. The purpose of this study was to quantify modifications during obstacle clearance following stroke. SUBJECTS:Twelve subjects with stroke and 12 subjects without stroke participated in the study. METHODS:Kinematic variables were measured while p...
journal_title:Physical therapy
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00
abstract:Background:Painful diabetic neuropathy (PDN) is a common complication in patients with diabetes. It is related to ischemic nerve damage and the increase in the levels of proinflammatory mediators, such as tumor necrosis factor α (TNF-α) and interleukin 1β (IL-1β). Neural mobilization may have the potential to alleviate...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/pzx124
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:The importance of the biopsychosocial model in assessment and management of chronic musculoskeletal conditions is recognized. Physical therapists have been encouraged to develop psychologically informed practice. Little is known about the process of physical therapists' learning and delivering of psychologic...
journal_title:Physical therapy
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2522/ptj.20130047
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Low back pain affects a substantial number of adults each year and is persistent or recurrent for many. Self-efficacy is an important predictor of functional recovery. OBJECTIVE:The purpose of this investigation was to assess the preliminary reliability and validity of the Low Back Activity Confidence Scale...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20100135
更新日期:2011-11-01 00:00:00
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
更新日期:1991-12-01 00:00:00
abstract::Therapeutic approaches in the pediatric population have generally been less aggressive than those implemented for younger and older adults. Several factors contribute to this, starting with the challenge of engaging infants in the "goal" of therapy, their resistance to initiating behaviors that are uncomfortable or fa...
journal_title:Physical therapy
pub_type: 杂志文章,评审
doi:10.2522/ptj.20100040
更新日期:2010-12-01 00:00:00
abstract::A group of patients with chronic alcoholism who participated in a circuit training exercise program were compared on a stair climbing task to a group of patients who did not participate in the program. After three weeks, the patients in the exercise group had gained significantly in the number of stairs which they cou...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/56.4.403
更新日期:1976-04-01 00:00:00
abstract:BACKGROUND:Falls are a significant issue in people with multiple sclerosis (MS), with research demonstrating fall rates of more than 50%. PURPOSE:The purpose of this study was to evaluate the risk factors associated with falling in people with MS. DATA SOURCES:Mixed search methods were used, including computer-based ...
journal_title:Physical therapy
pub_type: 杂志文章,meta分析,评审
doi:10.2522/ptj.20120231
更新日期:2013-04-01 00:00:00
abstract::The purpose of this paper is to discuss general treatment guidelines for treating patients with acute burns and to review pathophysiology of acute burn injuries. I will discuss skin composition briefly, give a review of acute burn pathophysiology and medical treatment, outline the psychological factors physical therap...
journal_title:Physical therapy
pub_type: 杂志文章,评审
doi:10.1093/ptj/64.8.1217
更新日期:1984-08-01 00:00:00
abstract::A posturally induced "stretch weakness" of the right hip abductor muscles has been reported in many healthy right-handed persons in the literature. The purpose of this study was to test for differences in the maximal isometric hip abduction torque produced between hip sides across multiple hip abduction angles. The to...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/68.4.496
更新日期:1988-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The incidence of West Nile virus (WNV) has increased in the United States since 1999. A small percentage of people with WNV develop West Nile neuroinvasive disease (WNND) with encephalitis and flaccid paralysis. The purpose of this report is to describe the physical therapist management and outco...
journal_title:Physical therapy
pub_type: 杂志文章
doi:
更新日期:2006-06-01 00:00:00
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
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Manual lifting is a frequent cause of back injury, and there is no evidence as to which training mode can provide the best training effect for lifting performance and muscle force. The purpose of this study was to examine the effects of a squat lift training and a free weight muscle training prog...
journal_title:Physical therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Patients with diabetes mellitus and peripheral neuropathy (DM and PN) often complain of joint stiffness. Although stiffness may contribute to some of the impairments and functional limitations found in these patients, it has not been quantified in this population. The purpose of this study was to...
journal_title:Physical therapy
pub_type: 临床试验,杂志文章
doi:10.1093/ptj/80.4.352
更新日期:2000-04-01 00:00:00
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
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Each of the 4 randomized clinical trials (RCTs) hosted by the Physical Therapy Clinical Research Network (PTClinResNet) targeted a different disability group (low back disorder in the Muscle-Specific Strength Training Effectiveness After Lumbar Microdiskectomy [MUSSEL] trial, chronic spinal cord injury in th...
journal_title:Physical therapy
pub_type: 杂志文章,随机对照试验
doi:10.2522/ptj.20110024
更新日期:2011-12-01 00:00:00
abstract::As the number of physical therapy programs increases, more physical therapy departments will be developing clinical education programs. A guide for clinicians who are developing clinical education programs is presented. Suggestions are made for developing a philosophy of clinical education and for structuring the prog...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/62.11.1604
更新日期:1982-11-01 00:00:00
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
更新日期:2011-12-01 00:00:00
abstract::The study of motor development has long influenced the clinical practice of physical therapy. We first review the contributions and deficiencies of two traditional maturational and reflex-based models of motor development. Second, we describe basic principles of kinematic and kinetic analyses of movement and show how ...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/70.12.763
更新日期:1990-12-01 00:00:00
abstract:OBJECTIVE:Healthy working-aged adults performed the modified Chester Step Test (mCST) to (1) determine the effect of repetition on test duration, (2) report cardiorespiratory and symptom responses, (3) establish a regression equation to estimate duration, and (4) calculate the minimal detectable change of the test. ME...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/pzaa088
更新日期:2020-08-12 00:00:00
abstract:BACKGROUND:The val(66)met polymorphism in brain-derived neurotrophic factor (BDNF) has been associated with poorer outcomes after stroke. The mechanism for this finding remains uncertain but might be related to the reduced motor system activation associated with this polymorphism in healthy people. OBJECTIVE:The curre...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20150135
更新日期:2016-04-01 00:00:00
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
更新日期:1989-09-01 00:00:00
abstract::The purposes of this article are 1) to present a review of the literature addressing issues related to mandatory continuing education (MCE) and 2) to report the responses from three surveys conducted by the Task Force on Mandatory Continuing Education of the Florida Physical Therapy Association, Inc. Questionnaires we...
journal_title:Physical therapy
pub_type: 杂志文章,评审
doi:10.1093/ptj/68.3.374
更新日期:1988-03-01 00:00:00
abstract:Background:Identifying excellence in physical therapist academic environments is complicated by the lack of nationally available benchmarking data. Objective:The objective of this study was to compare a physical therapist academic environment to another health care profession (medicine) academic environment using the ...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/pzy051
更新日期:2018-08-01 00:00:00
abstract::A number of pulmonary problems may complicate muscular dystrophy. Respiratory function, however, can be increased by instruction in diaphragmatic breathing. When patients effectively use their diaphragms during respiration, less muscular work is required for adequate ventilation. Additionally, assistive techniques suc...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/55.2.160
更新日期:1975-02-01 00:00:00
abstract:BACKGROUND:The incidence of obesity is increasing in older adults, with associated worsening in the burden of disability. Little is known about the impact of body mass index (BMI) on self-report and performance-based balance and mobility measures in older adults. OBJECTIVE:The purposes of this study were (1) to examin...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20100214
更新日期:2011-08-01 00:00:00
abstract::This study was designed to evaluate the Scoliometer, an instrument that measures axial trunk rotation in individuals with scoliosis. The objectives included determining 1) the Scoliometer's screening capability and validity and 2) the intrarater and interrater reliability of Scoliometer measurements. Scoliometer measu...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/70.2.108
更新日期:1990-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The effect of a tendo-Achilles lengthening (TAL) procedure on ankle muscle performance has not been clearly established. The purpose of this study was to compare the effects of TAL and total-contact casting (TCC) with TCC alone on ankle muscle performance in subjects with diabetes mellitus (DM) a...
journal_title:Physical therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Despite the prevalence of lower limb amputation (LLA), only a small percentage of people with LLA actually receive physical therapy post amputation and are rehabilitated to their full potential level of function. There is a need for the development of a rehabilitation program that targets impairments and lim...
journal_title:Physical therapy
pub_type: 杂志文章,随机对照试验
doi:10.1093/ptj/pzaa008
更新日期:2020-05-18 00:00:00
abstract:BACKGROUND:The drop vertical jump (DVJ) task has previously been used to identify movement patterns associated with a number of injury types. However, no current research exists evaluating people with chronic ankle instability (CAI) compared with people coping with lateral ankle sprain (LAS) (referred to as "LAS copers...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20150160
更新日期:2016-08-01 00:00:00