The Pulse

ACP - Accelerated Care Plus

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Improving Swallowing Ability using sEMG and Exercise

Posted by ACP - Accelerated Care Plus on May 26, 2021 2:35:58 PM

Patient Information: Female, Age 66

Diagnosis: Hemorrhagic Stroke / Oropharyngeal Dysphagia

History: This woman was admitted to a skilled nursing facility for rehabilitation services following hospitalization due to suffering a hemorrhagic stroke. As a result, she was diagnosed with altered mental status and oropharyngeal dysphagia (difficulty swallowing) and a feeding tube was placed to provide nutrition and hydration. Prior to her stroke, this woman ate a regular diet and drank thin liquids.

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Topics: Dysphagia, Patient Success Story

Rehabilitation of Individuals Post-Stroke

Posted by ACP - Accelerated Care Plus on May 26, 2021 1:25:33 PM

According to the CDC, each year in the United States more than 795,000 people suffer a stroke and it is the leading cause of serious long-term disability. Individuals who suffer a stroke may have muscle weakness throughout the body including muscles of respiration and swallowing. They also may have compromised endurance, poor balance, and increased dependency with mobility and activities of daily living which greatly impact their quality of life.

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Topics: Clinical Tip, Neuro Rehab

Improving Speech and Swallowing Ability Using Electrical Stimulation, sEMG, and Exercise

Posted by ACP - Accelerated Care Plus on Apr 28, 2021 6:04:52 PM

Patient Information: Female, Age 62

Diagnosis: Stroke / Oral Dysphagia (difficulty swallowing)

History: This woman was referred to outpatient speech therapy services due to continued deficits in her ability to speak, eat, and drink following a stroke seven months prior.

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Topics: Dysphagia, Patient Success Story

Improving ADL Performance and Independence in Chronic Conditions

Posted by ACP - Accelerated Care Plus on Apr 28, 2021 5:08:51 PM

According to the CDC, 78% of adults over 55 in the U.S. have one or more chronic conditions. The ability to perform activities of daily living (ADLs) such as transfers, dressing, and bathing along with instrumental activities of daily living (IADLs) such as shopping, cooking, and cleaning informs healthcare professionals regarding the individual’s level of independence. With chronic conditions such as COPD, chronic heart failure, stroke, and diabetes, individuals may have dyspnea, weakness, and poor aerobic capacity which in turn may lead to impaired ability to perform ADLs and IADLs.

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Topics: Clinical Tip, Cardiopulmonary

Decreasing Pain and Improving Mobility Using Diathermy and Exercise

Posted by ACP - Accelerated Care Plus on Apr 20, 2021 12:34:47 PM
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Topics: Fall Prevention & Balance, Pain Management, Patient Success Story

Improving Swallowing Ability using sEMG and Exercise

Posted by ACP - Accelerated Care Plus on Mar 29, 2021 11:57:20 AM

Patient Information: Female, Age 73

Diagnosis: Closed Head Injury / Intellectual Disability / Oropharyngeal Dysphagia

History: This woman, born with intellectual disability, was referred to a skilled nursing facility for rehabilitation services following hospitalization due to a fall at her group home, which resulted in a head injury and femur fracture. Prior to her fall, she lived in a group home with caregivers, was non-verbal, and consumed a regular diet with thin liquids. However, caregivers modified her diet to soft solids due to noted occasional difficulty in chewing and swallowing.

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Topics: Dysphagia, Patient Success Story

Rehabilitation of Individuals with Pulmonary Conditions

Posted by ACP - Accelerated Care Plus on Mar 23, 2021 4:08:34 PM

Respiratory diseases are among the leading causes of death and disability in the United States. In 2019, chronic lower respiratory disease including asthma, but predominately chronic obstructive pulmonary disease (COPD), was the 4th leading cause of death and influenza and pneumonia the 9th leading cause of death (Kochanek et al., 2020). The ranking for 2020 will likely change due to COVID-19-related deaths at greater than 500,000.

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Topics: Clinical Tip, Cardiopulmonary

Improving Functional Mobility Using Exercise

Posted by ACP - Accelerated Care Plus on Mar 15, 2021 11:26:56 AM

Patient Information: Female, Age 85

Diagnosis: Chronic Heart Failure (CHF) / Chronic Obstructive Pulmonary Disease (COPD) / Muscle Weakness

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Topics: Patient Success Story, Cardiopulmonary

Improving Swallow Ability with Electrical Stimulation and Exercise

Posted by ACP - Accelerated Care Plus on Feb 24, 2021 12:30:28 PM

Patient Information: Male, Age 71

Diagnosis: Guillain-Barré Syndrome / Oropharyngeal Dysphagia

History: This gentleman was referred to a skilled nursing facility for rehabilitation services after a 3-month hospital stay. He was visiting his son in the United States from Venezuela when he began experiencing numbness in his legs. He was hospitalized and diagnosed with Guillain-Barré Syndrome (rare autoimmune disorder that causes rapid and unexpected muscle weakness). While hospitalized he experienced multiple complications including infection, being placed on a ventilator, and placement of a feeding tube. Prior to his hospitalization he lived independently and ate a regular diet.

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Topics: Dysphagia, Patient Success Story

Advanced Technology and Biophysical Agents to Address Balance Impairment

Posted by ACP - Accelerated Care Plus on Dec 15, 2020 9:06:48 AM

According to the CDC, falls are common among older adults with 36 million occurring each year and more than 8 million requiring medical attention. Among those with Parkinson’s disease, diabetes, stroke, and those experiencing impaired strength, coordination, and balance after prolonged hospitalization falls are also common. Individuals with or recovering from COVID-19 may also have these impairments and are at an increased risk of falls.

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