Context.—Inpatient rehabilitation after elective hip and knee arthroplasty is often necessary for patients who cannot function at home soon surgery, but how surgery inpatient can be initiated has not been studied.Objective.—To test the hypothesis that high-risk undergoing would incur less total cost experience more rapid functional improvement if began on postoperative day 3 rather than 7, without adverse consequences to patients.Design.—Randomized controlled trial conducted from 1994...

Abstract Objectives This study examines the effects of depression and cognitive impairment in elderly hip fracture patients receiving inpatient rehabilitation. Our goal was to determine whether any association with rehabilitation outcome is accounted for by more immediate these variables on participation. Methods We measured using Hamilton Rating Scale Depression (Ham‐D), cognition Mini Mental State Examination (MMSE), outcomes motor scale Functional Independence Measure (motor FIM) a...

Background. Studies have demonstrated the efficacy of functional electrical stimulation in management foot drop after stroke. Objective. To compare changes walking performance with WalkAide (WA) foot-drop stimulator and a conventional ankle–foot orthosis (AFO). Methods. Individuals stroke within previous 12 months residual were enrolled multicenter, randomized controlled, crossover trial. Subjects assigned to 1 3 parallel arms for weeks (6 weeks/device): arm (WA–AFO), n = 38; 2 (AFO–WA), 31;...

The objective of this prospective study was to determine if differences exist between individuals who require an inpatient rehabilitation program after elective hip and knee arthroplasty from those patients can be discharged directly home. Multiple variables consisting baseline demographics, social status, insurance medical history, pain level, quantitative strength, range motion, functional ability were examined. primary outcome measure the discharge destination orthopedic service consisted...

Abstract Objectives: Quantitative laryngeal electromyography (LEMG) using turns analysis can differentiate acute vocal fold paralysis from normal controls. The objective of this study is to determine if both traditional qualitative LEMG measurements in addition improves prognostic accuracy patients with who demonstrate voluntary motor activity. Study Design: Retrospective review data (qualitative and quantitative) charts on flexible laryngoscopy, recurrent neuropathy, varying degrees unit...

ABSTRACT Introduction : Efficacy and safety of incobotulinumtoxinA in post‐stroke upper‐limb spasticity were studied. Methods Subjects randomized 2:1 to (fixed dose 400 U) or placebo, with fixed doses for the primary target clinical pattern (PTCP; flexed elbow, 200 U; wrist, 150 clenched fist, 100 U). Doses non‐primary patterns flexible within predefined ranges. Results At week 4, led larger improvements PTCP Ashworth scale (AS) scores than placebo [least‐squares mean change ± standard...

To identify predictors of onset major depressive disorder (MDD) and symptoms in subjects who suffered a hip fracture.Prospective naturalistic study.University Pittsburgh Medical Center-Shadyside, large urban hospital Pittsburgh, Pennsylvannia.One hundred twenty-six elderly patients received surgical fixation for fracture were not experiencing episode at the time fracture; severely cognitively impaired persons excluded.Subjects evaluated discharge using battery clinical measures (including...

Abstract Objectives/Hypothesis: Synkinesis, or misdirected reinnervation, is likely a confounder when predicting return of function an immobile vocal fold. Currently, no information exists on the incidence synkinesis in unilateral fold immobility (UVFI) effect has prognosis and treatment. Our objective was to examine adductor screening protocol using diagnostic laryngeal electromyography (LEMG). We aim determine recovery purposeful motion. Study Design: Retrospective review LEMG data patient...

Dysphagia is a common side effect after botulinum toxin injections for cervical dystonia, with an incidence of 10-40%, depending upon the study and dose used.Our consisted 5 preselected women who met criteria dystonia subsequent dysphagia electromyography (EMG)-guided injections. Injections were performed ultrasound (US) imaging, effects on swallowing examined. Separately, sternocleidomastoid (SCM) thickness in healthy controls treated patients was measured.There 34 episodes over 98...

The purpose of this study was to develop an evidence-based consensus statement regarding use laryngeal electromyography (LEMG) for diagnosis and treatment vocal fold paralysis after recurrent neuropathy (RLN).Two questions LEMG were analyzed: (1) Does predict recovery in patients with acute unilateral or bilateral paralysis? (2) Do findings change clinical management these individuals? A systematic review performed using American Academy Neurology criteria rating diagnostic accuracy.Active...

To determine the reliability and validity of Modified Heckmatt scale in assessing muscle echotexture spasticity.Prospective, observational, 2-center study. Two residents 2 ultrasound experienced staff physicians each rated 100 images that were also analyzed using quantitative gray-scale.Academic ambulatory spasticity clinic.Participants (N=50) included 45 patients with upper or lower extremity 5 healthy references.Not applicable.Modified ratings gray-scale scores.Inter- intra-rater...

To evaluate differences in isokinetic hip flexion, extension, and abduction muscle performance of operated vs. nonoperated hips older adults who have undergone elective, unilateral, total replacement (THR) surgery completed rehabilitation.Quasi-experimental study using a nonequivalent posttest-only control group design, comprising 20 unilateral THR patients convenience sample 22 healthy adults. participated between 4 5 mos after surgery. subjects received an average 13 outpatient or...

<i>Background:</i> Impairments in cognition and motivationare common after stroke predict poor functional recovery. Pharmacological agents that enhance and/or diminish apathy may, when combined with traditional rehabilitative efforts, improve We investigated the feasibility of using acetylcholinesterase inhibitors older patients acute post-stroke cognitive impairment examined their effects on <i>Methods:</i> This 12-week open-label study prospectively treated ischemic...

Laryngeal electromyography (LEMG) is primarily a qualitative examination, with no standardized approach to interpretation. The objectives of our study were establish quantitative norms for motor unit recruitment in controls and compare interference pattern analysis patients unilateral vocal fold paralysis (VFP).Retrospective case-control studyWe performed LEMG the thyroarytenoid-lateral cricoarytenoid muscle complex (TA-LCA) 21 16 VFP. Our protocol used concentric needle electrode subjects...

Objective To determine if ultrasound (US) localization is equivalent to surface landmark identify botulinum toxin injection targets for forearm muscle spasticity. Design Observational. Setting Outpatient spasticity clinic in a tertiary care center. Subjects Eighteen patients with upper‐extremity flexor that interferes function were included. Individuals severe fixed contractures or traumatic injury of the involved excluded. Methods Flexor pollicis longus, carpi radialis, pronator teres, and...