The Pulse

Dementia Care Using Advanced Rehabilitation Technology

Posted by ACP - Accelerated Care Plus on Nov 29, 2021 3:21:40 PM

According to the CDC, dementia affects one’s ability to remember, think, and make decisions that impact daily activities and safety. Alzheimer’s disease (AD) is the most common type of dementia accounting for 60-80% of cases. As dementia progresses to increased levels of memory loss and confusion, the individual becomes more sedentary and frail. Rehabilitation in this population should be tailored to patient needs addressing cognition, strength, gait, balance, endurance, and function.

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Topics: Clinical Tip, Neuro Rehab

Interventions for Individuals with Parkinson's Disease

Posted by ACP - Accelerated Care Plus on Oct 27, 2021 8:56:18 AM

Parkinson’s disease (PD) is a progressive neurodegenerative disorder often requiring therapy to address motor symptoms such as bradykinesia, rigidity, tremors, shuffling and freezing gait, poor postural control, and impaired balance. Exercise plays a key role in rehabilitation for this population with additional benefits being achieved by incorporating biophysical agents and advanced technologies. Research demonstrates that exercise improves motor skill performance, which may be enhanced with cognitive engagement through feedback, cueing, dual-tasking training, and motivation (Petzinger, et al., 2013).

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Topics: Clinical Tip, Neuro Rehab

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 Strength and Functional Mobility with Electrical Stimulation and Exercise

Posted by ACP on Oct 29, 2020 10:45:41 AM

Patient Information: Male, Age 75

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Topics: Patient Success Story, Neuro Rehab

Cycling Exercise in Rehabilitation to Improve Coordination and Normalize Muscle Tone

Posted by ACP - Accelerated Care Plus on Aug 26, 2020 9:25:57 PM

Physical and occupational therapists treat many individuals who present with impaired coordination, motor control, balance and tone. These individuals may have a wide range of diagnoses, from neurologically involved, such as cerebral vascular accident (CVA) and Parkinson’s disease, to orthopedic involvement such as post-total knee replacement (TKR). The common goal of improving functional mobility and outcomes may be achieved by the addition of research-supported cycling and biophysical agents.

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Topics: Clinical Tip, Cardiopulmonary, Neuro Rehab

Improving Functional Mobility Using Electrical Stimulation, Virtual Reality, and Exercise

Posted by ACP on Mar 26, 2020 11:51:53 AM

Patient Information: Male, Age 79

Diagnosis: Right Ankle Fracture / Gastrointestinal (GI) bleed

History: This gentleman was referred to a skilled nursing facility for rehabilitation services due to weakness and reduced functional mobility after hospitalization for a right ankle fracture (from a fall) and a GI bleed. Prior to hospitalization, he used a rolling walker to ambulate and lived in a 2-story home with a roommate who helped with household tasks.

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Topics: Fall Prevention & Balance, Patient Success Story, Neuro Rehab

Virtual Reality in Rehabilitation

Posted by ACP on Jan 27, 2020 10:54:43 AM

Over the past several years, the body of evidence on the effectiveness of virtual reality (VR) in rehabilitation has significantly expanded. VR has been studied for a variety of diagnoses including stroke, Parkinson’s disease, multiple sclerosis, dementia, burns, pain, and total knee arthroplasty. VR helps enhance patient involvement and motivation while increasing the repetitions and duration of exercise. Benefits addressing ADL performance, balance, gait, pain, and cognition have been reported.

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Topics: Fall Prevention & Balance, Pain Management, Clinical Tip, Cardiopulmonary, Orthopedic, Neuro Rehab

Management of Tone with Biophysical Agents

Posted by ACP on Dec 3, 2019 2:02:00 PM

Hypertonia is defined as excessive muscle tone which leads to stiffness with movement or inability to move a joint and often occurs with neurological conditions such as upper motor neuron lesions (CP, CVA, TBI, SCI, MS) and basal ganglia disorders (PD, Huntington
disease, Dystonia). While the terms spasticity and hypertonia are often used interchangeably, spasticity is actually a subtype of hypertonia in which muscle tone is increased by the speed of joint movement. (NIH, 2019)

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Topics: Clinical Tip, Neuro Rehab

Decreasing Pain and Improving Functional Mobility with Electrical Stimulation and Exercise

Posted by ACP on Oct 28, 2019 5:33:47 PM

Patient Information: Male, Age 49

Diagnosis: Pneumonia / Neuropathy

History: This gentleman was found by EMS unable to get out of bed and covered in soiled bedding with insect infestation, and reported he hasn’t been out of bed for “quite some time.” He
was admitted to the hospital with pneumonia, then transferred to a skilled nursing facility
for rehabilitation services.

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Topics: Pain Management, Patient Success Story, Neuro Rehab

Reducing Contractures with Skilled Therapy Interventions

Posted by ACP on Oct 28, 2019 2:05:21 PM

Range of motion (ROM) deficits may affect an individual’s ability to move, care for themselves, or perform typical daily activities including self-feeding, walking, and dressing. Decreased ROM is a common deficit addressed regularly by rehab professionals in all settings. Contractures arise from shortened muscle or other joint structure restrictions, leading to reduction in mobility and deformity with resultant reduced function.
• Prevalence of contractures in nursing homes is estimated at 55% with significant functional and medical consequences. (Offenbächer, 2014)
• Patients who are immobilized for a prolonged period are at risk of developing joint contractures, which often affect functional outcomes. (Born, 2017)

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Topics: Clinical Tip, Orthopedic, Neuro Rehab

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