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[PMID]: 26089043
[Au] Autor:O'Neil ME; Fragala-Pinkham M; Lennon N; George A; Forman J; Trost SG
[Ad] Address:M.E. O'Neil, PT, PhD, MPH, Department of Physical Therapy and Rehabilitation Sciences, Drexel University, 1601 Cherry St, Mail Stop 7502, Philadelphia, PA 19102 (USA). moneil@drexel.edu....
[Ti] Title:Reliability and Validity of Objective Measures of Physical Activity in Youth With Cerebral Palsy Who Are Ambulatory.
[So] Source:Phys Ther;96(1):37-45, 2016 Jan.
[Is] ISSN:1538-6724
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Physical therapy for youth with cerebral palsy (CP) who are ambulatory includes interventions to increase functional mobility and participation in physical activity (PA). Thus, reliable and valid measures are needed to document PA in youth with CP. OBJECTIVE: The purpose of this study was to evaluate the inter-instrument reliability and concurrent validity of 3 accelerometer-based motion sensors with indirect calorimetry as the criterion for measuring PA intensity in youth with CP. METHODS: Fifty-seven youth with CP (mean age=12.5 years, SD=3.3; 51% female; 49.1% with spastic hemiplegia) participated. Inclusion criteria were: aged 6 to 20 years, ambulatory, Gross Motor Function Classification System (GMFCS) levels I through III, able to follow directions, and able to complete the full PA protocol. Protocol activities included standardized activity trials with increasing PA intensity (resting, writing, household chores, active video games, and walking at 3 self-selected speeds), as measured by weight-relative oxygen uptake (in mL/kg/min). During each trial, participants wore bilateral accelerometers on the upper arms, waist/hip, and ankle and a portable indirect calorimeter. Intraclass coefficient correlations (ICCs) were calculated to evaluate inter-instrument reliability (left-to-right accelerometer placement). Spearman correlations were used to examine concurrent validity between accelerometer output (activity and step counts) and indirect calorimetry. Friedman analyses of variance with post hoc pair-wise analyses were conducted to examine the validity of accelerometers to discriminate PA intensity across activity trials. RESULTS: All accelerometers exhibited excellent inter-instrument reliability (ICC=.94-.99) and good concurrent validity (rho=.70-.85). All accelerometers discriminated PA intensity across most activity trials. LIMITATIONS: This PA protocol consisted of controlled activity trials. CONCLUSIONS: Accelerometers provide valid and reliable measures of PA intensity among youth with CP.
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Entry month:1601
[Cu] Class update date: 160112
[Lr] Last revision date:160112
[Js] Journal subset:AIM; IM
[St] Status:In-Process
[do] DOI:10.2522/ptj.20140201

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[PMID]: 17117563
[Au] Autor:Cai PH; Gu GS; Xu LY; Shen ZB
[Ad] Address:Shuguang Hospital of Shanghai Traditional Chinese Medicine University, Shanghai 200021, China.
[Ti] Title:[Effects of electroacupuncture (EA) at early stage on functions of the limbs in the postoperative patient of hypertensive hemorrhage].
[So] Source:Zhongguo Zhen Jiu;26(10):691-3, 2006 Oct.
[Is] ISSN:0255-2930
[Cp] Country of publication:China
[La] Language:chi
[Ab] Abstract:OBJECTIVE: To investigate the rehabilitation effect of electroacupuncture (EA) at early stage on hemiplegia in the postoperative patient of hypertensive hemorrhage. METHODS: Seventy-two cases of postoperative patient of hypertensive hemorrhage were divided into an EA group (n = 42) treated with EA at Quchi (LI 11), Shousanli (LI 10), Hegu (LI 4), Zusanli (ST 36), etc., from 1-3 days after operation, twice each day; and a control group (n = 30) with functional exercises. Their rehabilitation effects were compared after treatment of one month. RESULTS: The rehabilitation effect in the EA group was significant better than that in the control group (P < 0.01). CONCLUSION: EA at early stage has good recovery effect for the patient of hemiplegia after operation of hypertensive hemorrhage.
[Mh] MeSH terms primary: Acupuncture Points
Electroacupuncture
[Mh] MeSH terms secundary: Hemorrhage
Humans
Hypertension
Postoperative Period
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:061122
[St] Status:MEDLINE

  3 / 12322 MEDLINE  
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[PMID]: 16491756
[Au] Autor:Wang QY
[Ad] Address:Qian'an City Hospital of TCM, Hebei 064400, China. ZLDWQY766@sina.com
[Ti] Title:[Observation on therapeutic effect of electroacupuncture at points of different channels at different stages on hemiplagia after apoplexy].
[So] Source:Zhongguo Zhen Jiu;26(1):33-5, 2006 Jan.
[Is] ISSN:0255-2930
[Cp] Country of publication:China
[La] Language:chi
[Ab] Abstract:OBJECTIVE: To compare the therapeutic effects at points of different channels at different stages on hemiplegia after apoplexy. METHODS: One hundred and twenty-eight cases of hemiplegia after apoplexy were randomly divided into a treatment group and a control group, 64 cases in each group. The Brunnstrom cerebral apoplexy motor recovery six-stages scale was used as criterion for division of stages in treatment of the treatment group, and different points were selected according to different stages, and the brief Fugl-Meyer motor scale was used as criterion for assessment of the therapeutic effect; the control group were treated with routine acupuncture. RESULTS: The total effective rate was 93.8% in the treatment group and 57.9% in the control group, the treatment group being better than the control group (P < 0.01). CONCLUSION: Electroacupuncture at points of different channels at different stages has a good therapeutic effect on hemiplegia after apoplexy.
[Mh] MeSH terms primary: Electroacupuncture
Stroke
[Mh] MeSH terms secundary: Acupuncture Therapy
Hemiplegia/therapy
Humans
Stroke/therapy
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:060222
[St] Status:MEDLINE

  4 / 12322 MEDLINE  
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[PMID]: 16309148
[Au] Autor:Zhao DG; Mu JP
[Ad] Address:Department of Acupuncture & Moxibustion, Shiyan City Taihe Hospital, Hubei 442000, China.
[Ti] Title:[Clinical study on scalp acupuncture combined with sports therapy for rehabilitation of poststroke hemiplegia].
[So] Source:Zhongguo Zhen Jiu;25(1):19-20, 2005 Jan.
[Is] ISSN:0255-2930
[Cp] Country of publication:China
[La] Language:chi
[Ab] Abstract:OBJECTIVE: To probe into effect of scalp acupuncture combined with sports therapy on movement function of limbs in the patient of poststroke hemiplegia. METHODS: One hundred and twenty cases of poststroke hemiplegia were randomly divided into an observation group and a control group, 60 cases in each group. The observation group were treated by scalp acupuncture and the control group by simple sports therapy. The movement function of limbs were assessed by Fugl-Meyer rating method and Barthel index. RESULTS: The movement function of limbs and ability of daily life after treatment in the observation group improved very significantly as compared with the control group (P < 0.01). CONCLUSION: Scalp acupuncture combined with sports therapy can promote recovery of the movement function of limbs in the patient of poststroke hemiplegia.
[Mh] MeSH terms primary: Hemiplegia
Scalp
[Mh] MeSH terms secundary: Acupuncture Therapy
Hemiplegia/therapy
Humans
Sports
Stroke/therapy
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:051128
[St] Status:MEDLINE

  5 / 12322 MEDLINE  
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[PMID]: 16309094
[Au] Autor:Lei LM; Pang J; Chen JX; Peng DH; Wang ZT
[Ad] Address:The First Affiliated Hospital of Guangxi College of TCM, Nanning, China. Leilongming@sina.com
[Ti] Title:[Clinical observation on hemiplegia early rehabilitation effects of different acupuncture programs].
[So] Source:Zhongguo Zhen Jiu;25(4):233-6, 2005 Apr.
[Is] ISSN:0255-2930
[Cp] Country of publication:China
[La] Language:chi
[Ab] Abstract:OBJECTIVE: To observe early rehabilitation of two different acupuncture programs for hemiplegia due to stroke. METHODS: Seventy cases of early hemiplegia due to stroke were randomly divided into a treatment group and a control group. The treatment group were treated by acupuncture at acupoints of both the healthy and affected sides, twice each day, respectively, and the control group by acupuncture at the affected side, once daily. Their therapeutic effects were evaluated by the brief Fugl-Meyer movement scale and the modified Barthel indexes. RESULTS: The patients with over grade IV for FMA accounted for 68.6% and the good rate for ADL was 74.3% in the treatment group, and 31.4% and 42.8% in the control group, respectively, the therapeutic effect of the treatment group being better than that of the control group (P<0.01 or P<0.05). CONCLUSION: The acupuncture program in which acupoints at both the healthy and affected sides are applied alternately is more beneficial to recovery of motor function and activity daily living (ADL) of the patient with hemiplegia due to stroke.
[Mh] MeSH terms primary: Acupuncture Therapy
Hemiplegia
[Mh] MeSH terms secundary: Activities of Daily Living
Acupuncture Points
Hemiplegia/therapy
Humans
Stroke/therapy
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:051128
[St] Status:MEDLINE

  6 / 12322 MEDLINE  
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[PMID]: 16309082
[Au] Autor:Guo YQ; Chen LY; Fu WB; Ou AH; Ou XM; Li- WX; Fan L; Xiao H
[Ad] Address:The Second Clinical Medical College, Guangzhou University of TCM, Guangdong 510120, China. guozeyao@sina.com.cn
[Ti] Title:[Clinically controlled study on phased integral needling method for treatment of cerebral infarction].
[So] Source:Zhongguo Zhen Jiu;25(6):395-8, 2005 Jun.
[Is] ISSN:0255-2930
[Cp] Country of publication:China
[La] Language:chi
[Ab] Abstract:OBJECTIVE: To compare clinical therapeutic effects of phased integral acupuncture and routine acupuncture on patients with cerebral infarction. METHODS: One hundred and thirteen cases were randomly divided into a treatment group (n = 63) treated by phased integral acupuncture and a control group (n = 50) treated by routine acupuncture. Their clinical therapeutic effects were compared after treatment. RESULTS: The treatment group in the decreases of both the diagnostic score for TCM diseases of stroke and the score for neurological function defect, and the therapeutic effect was superior to the control group with significant differences (all P < 0.05). CONCLUSION: The phased integral acupuncture is an effective therapy with a therapeutic effect better than that of the routine acupuncture for treatment of hemiplegia due to cerebral infarction.
[Mh] MeSH terms primary: Acupuncture Therapy
Cerebral Infarction
[Mh] MeSH terms secundary: Hemiplegia/therapy
Humans
Research Design
Stroke/therapy
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:051128
[St] Status:MEDLINE

  7 / 12322 MEDLINE  
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[PMID]: 26907679
[Au] Autor:Tani Y; Otaka Y; Kudo M; Kurayama T; Kondo K
[Ad] Address:Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba, Japan....
[Ti] Title:Prevalence of Genu Recurvatum during Walking and Associated Knee Pain in Chronic Hemiplegic Stroke Patients: A Preliminary Survey.
[So] Source:J Stroke Cerebrovasc Dis;25(5):1153-7, 2016 May.
[Is] ISSN:1532-8511
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Although genu recurvatum during walking is a well-known issue in stroke rehabilitation, there are no reliable epidemiological data on its prevalence. The aim of the study was to investigate the prevalence of genu recurvatum during walking and associated knee pain among ambulatory community-dwelling patients with chronic hemiplegic stroke. METHODS: Questionnaires were sent to physical therapists working at 223 adult day care facilities in Chiba Prefecture, Japan. The number of all chronic stroke patients attending the day care who could walk without human assistance, including those who used a walking aid and/or an orthosis; the number of patients with genu recurvatum in the paretic limb during walking; and the number of patients with genu recurvatum who had experienced any knee pain in the last month were investigated. Physical therapists were also asked whether they considered genu recurvatum in stroke patients to be problematic. RESULTS: Sixty-four facilities (28.7%) responded, providing data on 1110 ambulatory stroke patients, of whom 217 (19.5%) showed genu recurvatum. Of the patients with genu recurvatum, 25 (11.5%) experienced knee pain in the paretic limb. Of 45 physical therapists who gave an opinion on whether genu recurvatum was problematic, 26 (57.8%) thought it was problematic whereas 19 thought it was not problematic. CONCLUSION: Rates of genu recurvatum and associated knee pain were relatively low among ambulatory community-dwelling stroke survivors attending adult day care.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review

  8 / 12322 MEDLINE  
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[PMID]: 25521486
[Au] Autor:Cohen-Holzer M; Sorek G; Schless S; Kerem J; Katz-Leurer M
[Ad] Address:a Alyn, Occupational Therapy , Jerusalem , Israel....
[Ti] Title:The Influence of a Constraint and Bimanual Training Program Using a Variety of Modalities, on Upper Extremity Functions and Gait Parameters Among Children with Hemiparetic Cerebral Palsy: A Case Series.
[So] Source:Phys Occup Ther Pediatr;36(1):17-27, 2016.
[Is] ISSN:1541-3144
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:AIM: To assess the influence of an intensive combined constraint and bimanual upper extremity (UE) training program using a variety of modalities including the fitness room and pool, on UE functions as well as the effects of the program on gait parameters among children with hemiparetic cerebral palsy. METHODS: Ten children ages 6-10 years participated in the program for 2 weeks, 5 days per week for 6 hr each day. Data from the Assisting Hand Assessment (AHA) for bimanual function , the Jebsen-Taylor Test of Hand Function (JTTHF) for unimanual function, the six-minute walk test (6MWT), and the temporal-spatial aspects of gait using the GAITRite walkway were collected prior to, immediately post and 3-months post-intervention. RESULTS: A significant improvement was noted in both unimanual as well as bimanual UE performance; A significant improvement in the 6MWT was noted, from a median of 442 meter [range: 294-558] at baseline to 466 [432-592] post intervention and 528 [425-609] after 3 months (p = .03). CONCLUSION: Combining intensive practice in a variety of modalities, although targeting to the UE is associated with substantial improvement both in the upper as well as in the lower extremity function.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1601
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.3109/01942638.2014.990549

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[PMID]: 26565095
[Au] Autor:Christman E; McAllister K; Claar K; Kaufman S; Page SJ
[Ad] Address:Emily Christman, MOT, OTR/L; Kaitlin McAllister, MOT, OTR/L; Katie Claar, MOT, OTR/L; and Samantha Kaufman, MOT, OTR/L, were Students, Department of Occupational Therapy, Xavier University, Cincinnati, OH, at the time of the study....
[Ti] Title:Occupational Therapists' Opinions of Two Pediatric Constraint-Induced Movement Therapy Protocols.
[So] Source:Am J Occup Ther;69(6):6906180020p1-7, 2015 Nov-Dec.
[Is] ISSN:0272-9490
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: We sought to determine occupational therapists' opinions of two pediatric constraint-induced movement therapy (pCIMT) protocols. METHOD: A total of 272 therapists in pediatric rehabilitation clinics completed an electronic survey to determine their opinions of two published pCIMT protocols. In Protocol A, restraint is worn 24 hr/day on the nonparetic upper extremity (UE), and in-clinic, therapist-supervised practice sessions occur 7 days/wk for 6 hr/day over 3 wk. In Protocol B, restraint is worn 2 hr/day on the nonparetic UE, and in-clinic, therapist-supervised practice sessions occur 1 day/wk for 2 hr/day over 8 wk. RESULTS: The majority of participants reported moderate to high concerns about every facet of Protocol A. Conversely, >50% of participants reported low or no concerns about five of seven facets of Protocol B. CONCLUSION: This study adds to a growing body of evidence suggesting that therapists strongly prefer low-duration pCIMT protocols.
[Mh] MeSH terms primary: Attitude of Health Personnel
Clinical Protocols
Exercise Therapy/methods
Hemiplegia/rehabilitation
Occupational Therapy/methods
[Mh] MeSH terms secundary: Adult
Aged
Child
Female
Humans
Male
Middle Aged
Restraint, Physical/methods
Questionnaires
Time Factors
Upper Extremity
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:151114
[St] Status:MEDLINE
[do] DOI:10.5014/ajot.2015.019042

  10 / 12322 MEDLINE  
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[PMID]: 26565094
[Au] Autor:DeLuca SC; Ramey SL; Trucks MR; Wallace DA
[Ad] Address:Stephanie C. DeLuca, PhD, is Director, Neuromotor Research Clinic, Virginia Tech Carilion Research Institute, and Assistant Professor, Department of Pediatrics, Virginia Tech Carilion School of Medicine, Roanoke; Assistant Professor, Department of Psychology, Virginia Tech, Blacksburg; and Assistant...
[Ti] Title:Multiple Treatments of Pediatric Constraint-Induced Movement Therapy (pCIMT): A Clinical Cohort Study.
[So] Source:Am J Occup Ther;69(6):6906180010p1-9, 2015 Nov-Dec.
[Is] ISSN:0272-9490
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Pediatric constraint-induced movement therapy (pCIMT) is one of the most efficacious treatments for children with cerebral palsy (CP). Distinctive components of pCIMT include constraint of the less impaired upper extremity (UE), high-intensity therapy for the more impaired UE (≥ 3 hr/day, many days per week, for multiple weeks), use of shaping techniques combined with repetitive task practice, and bimanual transfer. A critical issue is whether multiple treatments of pCIMT produce additional benefit. In a clinical cohort (mean age = 31 mo) of 28 children with asymmetrical CP whose parents sought multiple pCIMT treatments, the children gained a mean of 13.2 (standard deviation [SD] = 4.2) new functional skills after Treatment 1; Treatment 2 produced a mean of 7.3 (SD = 4.7) new skills; and Treatment 3, 6.5 (SD = 4.2). These findings support the conclusion that multiple pCIMT treatments can produce clinically important functional gains for children with hemiparetic CP.
[Mh] MeSH terms primary: Cerebral Palsy/rehabilitation
Exercise Therapy/methods
Hemiplegia/rehabilitation
Occupational Therapy/methods
[Mh] MeSH terms secundary: Adolescent
Child
Child, Preschool
Cohort Studies
Female
Humans
Infant
Male
Movement
Restraint, Physical/methods
Treatment Outcome
Upper Extremity
[Pt] Publication type:CLINICAL STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Entry month:1604
[Js] Journal subset:IM
[Da] Date of entry for processing:151114
[St] Status:MEDLINE
[do] DOI:10.5014/ajot.2015.019323


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