Posts Tagged severe disability

[Review] Evidence based position paper on physical and rehabilitation medicine professional practice for adults with acquired brain injury. The European PRM position (UEMS PRM Section)

INTRODUCTION: Acquired brain injury (ABI) is damage to the brain that occurs after birth caused either by a traumatic or by a nontraumatic injury. The rehabilitation process following ABI should be performed by a multi-professional team, working in an interdisciplinary way, with the aim of organizing a comprehensive and holistic approach to persons with every severity of ABI. This Evidence Based Position Paper represents the official position of the European Union through the UEMS Physical and Rehabilitation Medicine (PRM) Section and designates the professional role of PRM physicians for people with ABI.
AIM: The aim was to formulate recommendations on the PRM physician’s professional practice for persons with ABI in order to promote their functioning and enhance quality of life.
METHODS: This paper has been developed according to the methodology defined by the Professional Practice Committee of the UEMS-PRM SECTION: a systematic literature search has been performed in PubMed and Core Clinical Journals. On the basis of the selected papers, recommendations have been made as a result of five Delphi rounds.
RESULTS: The literature review as well as thirty-one reccomendations are presented.
CONCLUSIONS: The expert consensus is that structured, comprehensive and holistic rehabilitation programme delivered by the multi-professional team, working in an interdisciplinary way, with the leadership and coordination of the PRM physician, is likely to be effective, especially for those with severe disability after brain injury.

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via Evidence based position paper on physical and rehabilitation medicine professional practice for adults with acquired brain injury. The European PRM position (UEMS PRM Section) – European Journal of Physical and Rehabilitation Medicine 2018 Aug 29 – Minerva Medica – Journals

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[WEB SITE] Magnetic brain stimulation offers promise for stroke victims.

Updated: Oct 21, 2015 10:26 PM
 (HealthDay News) — Stimulating the unaffected side of a stroke patient’s brain might one day help restore arm movement, according to a new study.

After a severe stroke, many patients have little or no movement in the arm on the stroke-affected side of their body. Little can be done now to help them.

This study of 30 stroke patients found that transcranial magnetic stimulation of the undamaged side of the brain can affect arm movements. The results suggest that this noninvasive therapy, which uses a magnet to increase activity in a specific region of the brain, could help patients regain some use of stroke-affected arms.

“Little research has looked at this severely impaired population — most is aimed at improving relatively mild movement impairments — and, as a consequence, no validated treatment is available to help those with the most severe disabilities,” said study co-author Rachael Harrington, a fourth-year Ph.D. student in the Interdisciplinary Program in Neuroscience at Georgetown University Medical Center.

The therapy had a smaller effect in patients with more mild arm impairment, suggesting this approach might offer a unique recovery option for those with more severe disability, according to the researchers.

Further studies will determine whether repeated stimulation of the unaffected side of the brain can help “teach it” to control the disabled arm. “Stimulating this area repeatedly may force the brain to use this latent area — neurons that fire together wire together,” Harrington said in a center news release.

“These findings offer promise that these patients may be able to gain function, independence and a better quality of life,” she concluded.

Currently, transcranial magnetic stimulation is approved by the U.S. Food and Drug Administration only for drug-resistant depression. However, the therapy is being tested as a treatment for a number of brain disorders.

The findings were presented Oct. 20 at the annual meeting of the Society for Neuroscience in Chicago. Findings presented at medical meetings are considered preliminary, because they are not subjected to the same rigorous peer review as research published in journals.

More information

The U.S. National Institute of Neurological Disorders and Stroke has more about stroke rehabilitation.

Source: Magnetic brain stimulation offers promise for stroke victims – News weather sports for Youngstown-Warren Ohio

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