Biomechanic Paper

History is taken from the patient, who is a good historian along with records from her inpatient stay at Portsmouth Regional Hospital and her outpatient visit for Dr. Tan. In short, she is a 64-year-old right-handed white female who on August 8, 2015 awoke with acute weakness on the right side of her body. She had difficulty getting out of bed. She was able to move around and walk, but she had noted coordination problems. She called family who was concerned about her slurred speech. After they arrived, they recommended that she go to the emergency room. The patient did not notice any visual field cut. She did not notice any language problems other than slurred speech. There was no dizziness. No significant sensory changes. She has no history of palpitations. Her risk factors are all poorly controlled diabetes, hypertension, hypercholesterolemia, and cigarette smoking. She was not on an aspirin a day at the time of her event. She presented to the emergency room, where she noted significant improvement. She was discharged with minimal findings on the right side for outpatient physical therapy. She has one more physical therapy visit on Thursday. Currently, she states that she has no problems with ambulation. As far as the stroke is concerned, because her hip pain will affect her before any fatiguing, she thinks she has only a 10 to 15% deficit as far as overall right-sided strength. She is able to do her ADLs. She is having

Many patients admitted to the stroke and orthopedic rehabilitation unit have impaired physical mobility. The length of time in rehabilitation is ten to fourteen days. Many times nurses, patients and family members form bonds that last long after the discharge. I recently had the opportunity to take care of a patient I will never forget. Mrs. C was admitted to the rehabilitation unit following recent hip surgery. She is eighty years old and had fallen raking leaves in her front yard. Mrs. C has a history of hypertension, arthritis and gout. Medications include aspirin, metoprolol and allopurinol as needed. Prior to admission Mrs. C lived independently and has two children who checked on her routinely. No cognitive or mental deficits are noted. Key parts of this paper include the introduction, NANDA, NIC and NOC elements, data, information, knowledge and wisdom and the conclusion.

A stroke can have a devastating effect on somebody; it may leave a person with no long-term effects, with a permanent weakness down one side of their body or, at worst, in a deep coma from which they never recover. When moving and handling people who have suffered from a stroke, you will need to be aware of the extent of the stroke and what parts

This article brings up evidence that argues for the ineffective use of Insoles. It shows evidence from a biomechanics professor, Dr. Nigg, saying they only correct problems in the short term and only for select athletes. 1 In contrast a professor goes on to say that biomechanics may not fully understand "how orthotics work".1 Supporters for inserts try to argue that they are effective based upon the person. The co-owner of Hersco Ortho lab said "they do work, but choosing the right one requires a great deal of care".1 There seems to be a contrast to this statement though, based on evidence in the article. One study found that when individuals were able to pick which insert they wanted, based on comfort, there were half as many injuries when

1b. Based on the name of the ligament determine where each ligament attaches on the Os Coxae

A systematic search was performed using 3 electronic databases: PubMed, ClinicalKey, and Embase. The following MeSH headings were used to conduct this search: Stroke AND Proprioception (OR Balance) AND Exercise. In Embase and ClinicalKey, a simple search was performed using combinations of the following key words: 1) Interventions (rehabilitation, exercises), 2) Stroke (cerebral vascular accident), 3) Balance (postural control). References of identified studies were manually searched.

Gait impairment is a common but detrimental side effect from illnesses such as neurological disorders or strokes. It is important to find the most effective method of treatments for improving gait ability in patients who suffer with these issues. Robotic gait training has been suggested to be more effective than traditional physical therapy, but has not been around long enough for results to be centralized or publicized. The methodology included searching through a series of online databases for information relating to robotic gait training and neurological disorders/strokes. A total of 11 sources were compiled and then analyzed in the review of literature. The results showed a positive correlation between robotic therapy and gait rehabilitation,

The participants were randomly allocated to be in the VRRT group or the control group. There was a total of 15 participants in each group. All participants participated in a conventional stroke rehabilitation. The rehabilitation program lasted for 3 minutes a day, five times a week for four weeks. The program consisted of neurodevelopmental treatment, physical therapy, occupational, and speech therapy. The participants in the VRRT experimental group received treatment 30 minutes a day, five times week for 4 weeks. The control group received a placebo VRRT treatment for the same duration. At baseline and at the end of the study, the dynamic balance ability, static balance ability, and gait were assessed. The VRRT treatments consisted

The Fugl-Meyer Assessment (FMA) scale is an impairment-based scale that is used to assess motor deficits in neurological patients, focusing mainly on stroke patients in this study. It includes items of upper and lower-limb sensation and motor control. However, in this study, only the upper limb motor control will be used. Listed items in this scale are scored between 0, 1, and 2 where a score of 2 denotes the ability to respond correctly to a listed item. The scale consists of 62 items. Hence, the maximum score for the FM is 124 if the complete response given to all items is summed. This scale has previously been tested and shown to be both valid and reliable. (Amirabdollahian, Loureiro, Gradwell, Collin, Harwin, & G., 2007)

Comment: The subjects were patients who had suffered a stroke and were recruited from three local rehabilitation hospitals in South Korea. They were recruited from a convenient sample of 50 patients (26 males and 24 females). They were treated on an inpatient basis at the local rehabilitation hospitals from May to October 2011. The ages of the subjects ranged from 47 to 72. “The inclusion criteria were: hemiplegia resulting from a cerebrovascular accident (CVA), not from trauma, brain tumor, surgery, or any other etiology; date of onset was at least six months before the date of assessment; the patient had to been admitted for one-month intensive rehabilitation therapy (two session of physical therapy and two sessions of occupational therapy

Thirty-four stroke patients were selected who met the criteria of having adequate cognitive ability to follow instructions, mild spasticity only in all joints of the affected limb, and a Manual Muscle test with a higher than fair score. An experimental group of seventeen patients was assigned to a mirror therapy group where they received 30 minutes of mirror therapy and 30 minutes of conventional rehabilitation therapy per day, 5 days a week for 4 weeks total. A control group of 17 patients received 30 minutes of sham therapy and 30 minutes of conventional rehabilitation therapy per day on the same day. Their results found that subacute stroke patients can improve balance ability through mirror therapy. A significant difference was shown in post-training gains for the total stability index, medial stability index, and lateral stability index observed between the experimental group and the control group (p < 0.05) (Myoung-Kwonm et al.,

Introduction Stroke is a common disease worldwide, with an estimated incidence of 150 per 100000 in developing countries(1). A great number of patients have activity limitations caused by motor, cognitive, language and psychological impairments after stroke(2, 3). Living with the consequences can enormously impact daily life, resulting in diminished health-related quality of life (HRQOL) in most patients(4). Motor impairment is the main cause of disability after stroke, leading to major health problems(5, 6). Research has shown that the most common consequence of stroke is the paresis of limbs; about 60–70% of stroke survivors suffer from paresis of their upper limbs(7).

The initiation of the therapy can vary in how quickly it begins for each individual. For some patients it begins within two days post stroke and continues after being discharged. Since there is such a wide range of the severity of strokes, rehabilitation options can be different from client to client. For some individuals, rehabilitation can take place in an inpatient therapy at a hospital, for others they may return home and attend outpatient therapy at a clinic. There are other options including subacute care units and long term care facilities that also provide important therapy “Rehabilitation Therapy after a Stroke,” 2015). Regardless of the environment, these therapies aim to achieve the same goal of improving the function and independence of the stroke

In beginning the collection of data, the subjects were fitted with 2 accelerometers on the shank and another accelerometer was placed at the joint rotation axis on the knee. The primary aim of this study is to show differences in the gait patterns of hemiparetic and healthy gait based on the angular accelerations of the thigh, shank and foot as well as to obtain information about gait phases (mid stance, swing phase, etc) through signals. Accelerations were also analysed in the frontal plane compared to

Stroke is the fourth leading cause of death in the United States and a leading cause of adult disability. (STROKEASSOCIATION.ORG). The suffering does not end after the accident, those survived stroke have to face the debilitating physical and even psychological effects of this disease. Prior to the works of physiotherapists in the past, people with hemiplegia neglected the affected arm. Needless to say, this arm became essentially useless.