25 results match your criteria: "MossRehab Hospital[Affiliation]"

Background: The lack of regular physical activity (PA) in individuals with spinal cord injury (SCI) in the United States is an ongoing health crisis. Regular PA and exercise-based interventions have been linked with improved outcomes and healthier lifestyles among those with SCI. Providing people with an accurate estimate of their everyday PA level can promote PA.

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The evidence base supporting treatment interventions for patients with disorders of consciousness is limited, and rigorous treatment trials are needed to guide future management of this complex patient population. There are many potential study designs that can be employed to develop this evidence, but the process of selecting the optimal study design is challenging. This article reviews common obstacles that impede research progress in this population and a range of study designs that may be employed.

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Collaboration in Animal-Assisted Activities and Animal-Assisted Therapy.

Semin Speech Lang

January 2022

Comfort Caring Canines Therapy Dogs, Inc., Wyndmoor, Pennsylvania.

Animal Assisted Intervention is a valuable tool in inpatient and outpatient rehabilitation. Conducting goal-directed, therapeutic Animal-Assisted Interventions requires certification, training and collaboration. It is important that Animal Assisted Therapy teams comprised of specially trained dogs and handlers are co-certified to ensure the safety of patients, therapeutic interactions, and beneficial outcomes aligned with rehab goals.

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Surgical Approaches to Upper Limb Spasticity in Adult Patients: A Literature Review.

Front Rehabil Sci

August 2021

Canadian Advances in Neuro-Orthopedics for Spasticity Congress, Victoria, BC, Canada.

Spasticity is the main complication of many upper motor neuron disorders. Many studies describe neuro-orthopedic surgeries for the correction of joint and limb deformities due to spasticity, though less in the upper extremity. The bulk of care provided to patients with spasticity is provided by rehabilitation clinicians, however, few of the surgical outcomes have been summarized or appraised in the rehabilitation literature.

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Objective: To assess the impact of staff training focused on improved treatment and communication with patients in post-traumatic amnesia (PTA) or other disorders of explicit (declarative) memory. A major aim was to minimize questions demanding recall from explicit memory, e.g.

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The role of the physical or occupational therapist in addressing muscle hyperexcitability is to carefully assess the implications that the abnormal tone has on function, especially active movement patterns. A thorough evaluation that includes neurologic and nonneurologic attributes allows the clinician to determine the most efficacious treatment interventions, especially when considering severity and chronicity of deficits. A holistic assessment that includes patient factors and resources guides the clinician's plan of care to allow for optimal functional outcomes.

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Effects of dextroamphetamine in subacute traumatic brain injury: A randomized, placebo-controlled pilot study.

J Neurosci Res

April 2018

Division of Biostatistics, Department of Pharmacology and Experimental Therapeutics, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Psychostimulants that affect neurotransmitters implicated in cognitive function and neural plasticity have potential to enhance the rate and extent of recovery after traumatic brain injury (TBI). Ten milligrams dextroamphetamine (DEX) or an identical placebo was administered daily for 3 weeks to 32 participants with moderate to severe TBI, engaged in inpatient rehabilitation, at a mean of 2 months post injury. A variety of outcome measures assessing cognitive function and overall functional status was administered at weekly intervals, to examine effect sizes that may inform a larger trial, and to evaluate safety.

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Objective: The purpose of the study was to evaluate the effi cacy of Kinesio Tape (Kinesio USA, Albequerque, NM) for reducing hand edema in individuals with hemiplegia post stroke.

Methods: Seventeen individuals who experienced acute stroke were screened for visual signs of edema and were randomly assigned to experimental and control groups. The experimental group received Kinesio Tape that was applied to hand and forearm for 6 days in combination with standard therapy; the control group received standard therapy.

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Sustained silent reading: an outcome that matters.

Invest Ophthalmol Vis Sci

January 2013

MossRehab Hospital, Occupational Therapy, Philadelphia, Pennsylvania, USA.

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The objective of this study was to examine the effectiveness of a program of traditional outpatient neurological rehabilitation that included home forced use. In total, 17 patients with chronic stroke and 1 patient with subacute stroke (mean time poststroke = 27.6 months) completed an individualized program consisting of seven 2-hour treatment sessions composed of 1 hour of occupational therapy and 1 hour of physical therapy.

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Objective: To determine the influence of motor-control analysis with dynamic electromyography on surgical planning in patients with spastic elbow flexion deformity.

Design: Prospective observational design.

Setting: A Traumatic Brain Injury Model Systems-affiliated specialty referral center for the evaluation and treatment of mobility problems associated with neurologic injury and disease.

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A 12-year-old boy with hemiplegic cerebral palsy (CP) presented with decreased function in his left upper extremity. He was treated with a 3-week protocol of constraint-induced therapy (CIT) consisting of six 2-hour sessions of physical and occupational therapy, plus home practice. Improvements in upper-extremity function were found in the mean and median time for completion of the Wolf Motor Function Test immediately posttreatment and at 8-month follow-up.

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This article describes the process used by nurse executives at four freestanding rehabilitation facilities to implement and validate an interactive patient classification system. The research process involved defining critical indicators, measuring workloads by level of staff, and validating the number of care hours for the levels of patient classification. The database enabled the four consortium members to share their knowledge, resources, and costs of implementing a patient classification system, and it provides a benchmark of rehabilitation services.

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What happens after brain injury?

Postgrad Med

August 1998

MossRehab Hospital, Philadelphia, PA 19141-3099, USA.

Traumatic brain injury is one of the leading causes of injury and death among the young in the United States. Severity can range from the brief confusion of a football player who has had his "bell rung" to the complete loss of voluntary behavior seen in the vegetative state. In this article, Dr Goldberg reviews the rehabilitation process used to restore the fullest function possible within the limits of the patient's injury, with emphasis on innovative assessment and treatment techniques.

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Application of evoked potentials to the prediction of discharge status in minimally responsive patients: a pilot study.

J Head Trauma Rehabil

February 1998

Drucker Brain Injury Center, MossRehab Hospital, Department of PhysicalMedicine and Rehabilitation, Temple University School of Medicine, Philadelphia, Pennsylvania, USA.

Evoked potentials (EPs) have been shown to have useful prognostic value during the acute phase of traumatic and anoxic coma. We have hypothesized that EPs obtained in the subacute phase can be used to assess prognosis for functional recovery in minimally responsive patients with diffuse brain damage due to either brain trauma or anoxia. This pilot study correlated graded brainstem auditory evoked potentials (BAEPs) and upper extremity somatosensory evoked potentials (UESSEPs) with outcome grade based on the discharge Disability Rating Scale (DRS) score of 33 patients admitted to a responsiveness assessment program of a brain injury rehabilitation unit with an initial DRS score of 22 or greater.

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Physical disabilities and their implications driving.

Work

January 2014

MossRehab Hospital, Driving School for People with Disabilities, JCC Klein Branch, Suite 210, 10100 Jamison Avenue, Philadelphia, PA 19116, USA.

A brief overview of a variety of physical disabilities categorized as brain injured and non-brain injured are presented as they relate to independent driving. Adaptive driving aids, and driving systems as well as financial considerations and the role of the driver rehabilitation specialist in providing comprehensive driver assessments are discussed. A case study is included to demonstrate range of available driving equipment for persons with severe disabilities.

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Common patterns of clinical motor dysfunction.

Muscle Nerve Suppl

December 1998

MossRehab Hospital, Philadelphia, PA 19141-3019, USA.

An upper motor neuron syndrome often leads to the development of stereotypical patterns of deformity secondary to agonist muscle weakness, antagonist muscle spasticity and changes in the rheologic (stiffness) properties of spastic muscles. Identification of the spastic muscles that contribute to deformity across a joint allows therapeutic denervation to be implemented with the maximum likelihood of success. Identifying responsible muscles can be complex, since many muscles may cross the joint involved, and not all muscles with the potential to cause deformity will be spastic.

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Clinicophysiologic concepts of spasticity and motor dysfunction in adults with an upper motoneuron lesion.

Muscle Nerve Suppl

December 1998

Drucker Brain Injury Center, MossRehab Hospital, Philadelphia, PA 19141-3019, USA.

Spasticity is a disorder of the sensorimotor system characterized by a velocity-dependent increase in muscle tone with exaggerated tendon jerks, resulting from hyperexcitability of the stretch reflex. It is one component of the upper motoneuron syndrome, along with released flexor reflexes, weakness, and loss of dexterity. Spasticity is an important "positive" diagnostic sign of the upper motoneuron syndrome, and when it restricts motion, disability may result.

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The assessment of competency in traumatic brain injury.

NeuroRehabilitation

February 2014

Drucker Brain Injury Center, MossRehab Hospital, Philadelphia, PA 19141, USA.

Professionals who evaluate and treat persons with traumatic brain injury are often called upon to assess competency, yet few clinical guidelines exist for this purpose. This article discusses some issues relevant to both legal and clinical conceptualizations of competency and reviews methods of evaluation. A recommended model for competency assessment in TBI is outlined.

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Three phases exist for using the arm in a functional activity, namely, localization of the target in the environment, transportation of the arm to the target, and grasp release or in-hand manipulation of the object. According to the systems model of motor control, functional use of the arm requires the integrated activity of the musculoskeletal, sensorimotor integration, commanding, comparing, regulating, and environmental systems. Comprehensive retraining of upper extremity control in the client with neurological dysfunction should include restoration of postural alignment range of motion and strength, elimination of pain, reduction of shoulder subluxation, training postural control and orientation, optimizing sensory processing and organization, training the shoulder elbow coupling needed to transport the arm to the target, reeducating grasp release and manipulation of objects, developing the predictive central set needed for environmental adaptation, developing the patient's intrinsic error detection skills, and maximizing the ability to use knowledge of results and performance for generalization of learning.

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Toward a methodology for rehabilitation research.

Am J Phys Med Rehabil

January 1995

Moss Rehabilitation Research Institute, Drucker Brain Injury Center, MossRehab Hospital, Department of Physical Medicine and Rehabilitation, Temple University School of Medicine, Philadelphia, Pennsylvania 19141.

The field of rehabilitation is becoming increasingly important as the American population ages, seriously ill and injured individuals survive with impairments, and quality of life assumes greater importance in health outcomes assessment. Like other branches of health care, progress in rehabilitation depends on advances in research. However, the rehabilitation process is different from some other facets of health care in that it focuses simultaneously on health outcomes that range from cellular to social.

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