Recovery of the precision grip in children after traumatic brain injury Mukaddes Gölge, PhD, Marina Müller, MD, Mona Dreesmann, MD, Birgit Hoppe, MD,

Slides:

Advertisements

Similar presentations

Improving Hand Function in Stroke Survivors: A Pilot Study of Contralaterally Controlled Functional Electric Stimulation in Chronic Hemiplegia Jayme.

Advertisements

Accuracy of Mild Traumatic Brain Injury Diagnosis

The Association of Functional Oral Intake and Pneumonia in Patients With Severe Traumatic Brain Injury Trine S. Hansen, MPH, Klaus Larsen, PhD, Aase.

Upper-Extremity Disability in Essential Tremor

The Effects of Splinting on Outcomes for Epicondylitis

Percutaneous Radiologic Gastrostomy in Patients With Amyotrophic Lateral Sclerosis on Noninvasive Ventilation Jung Hyun Park, MD, Seong-Woong Kang, MD,

Walking Recovery After an Acute Stroke: Assessment With a New Functional Classification and the Barthel Index Enrique Viosca, PhD, MD, Rubén Lafuente,

Mobility status during inpatient rehabilitation: A comparison of patients with stroke and traumatic brain injury Janice J. Eng, PhD, OT/PT, Sarah J.

Effects of spinal cord injury level on the activity of shoulder muscles during wheelchair propulsion: an electromyographic study1 Sara J Mulroy, PhD,

Derek G. Kamper, PhD, Heidi C. Fischer, MS, OTR/L, Erik G

Influence of nonsteroidal anti-inflammatory drug treatment duration and time of onset on recovery from exercise-induced muscle damage in rats1 Benoît.

Work Ability Index Predicts Application for Disability Pension After Work-Related Medical Rehabilitation for Chronic Back Pain Matthias Bethge, PhD,

The Injury Distress Index: Development and Validation

Functional Oral Intake and Time to Reach Unrestricted Dieting for Patients With Traumatic Brain Injury Trine S. Hansen, MSci, MPH, Aase W. Engberg, DMSc,

Neil A. Segal, MD, Jane Hein, PT, Jeffrey R. Basford, MD, PhD

Patterns of Recovery of Posttraumatic Confusional State in Neurorehabilitation Admissions After Traumatic Brain Injury Mark Sherer, PhD, Stuart A. Yablon,

Joseph T. Giacino, PhD, Kathleen Kalmar, PhD, John Whyte, MD, PhD

Upper- and Lower-Extremity Motor Recovery After Traumatic Cervical Spinal Cord Injury: An Update From the National Spinal Cord Injury Database Ralph.

Effect of Intrathecal Baclofen Bolus Injection on Temporospatial Gait Characteristics in Patients With Acquired Brain Injury Terry S. Horn, PhD, Stuart.

Stephen Macciocchi, PhD, ABPP, Ronald T

Mayo-Portland Adaptability Inventory: Comparing Psychometrics in Cerebrovascular Accident to Traumatic Brain Injury James F. Malec, PhD, ABPP-Cn, Rp,

Effect of a Safe Patient Handling Program on Rehabilitation Outcomes

Change of Strength and Rate of Rise of Tension Relate to Functional Arm Recovery After Stroke Caroline I.E. Renner, MD, Peggy Bungert-Kahl, MD, Horst.

Isolated Median Sensory Neuropathy After Acupuncture

Outcomes of a Weight-Bearing Rehabilitation Program for Patients Diagnosed With Patellofemoral Pain Syndrome Michelle C. Boling, MS, ATC, Lori A. Bolgla,

Andrew J. Starsky, MPT, Samir G. Sangani, BS, John R

Exercise capacity early after stroke

Upper-Extremity Disability in Essential Tremor

Patricia A. Goldie, PhD, Thomas A. Matyas, PhD, Owen M. Evans, PhD

Charles H. Bombardier, PhD, Carl T. Rimmele, PhD, Heather Zintel, BA

Relationship Between Hip Abductor Rate of Force Development and Mediolateral Stability in Older Adults Shuo-Hsiu J. Chang, PT, MS, Vicki S. Mercer, PT,

Grip Force Regulation During Pinch Grip Lifts Under Somatosensory Guidance: Comparison Between People With Stroke and Healthy Controls Jannette M. Blennerhassett,

Marieke R. Benedictus, MSc, Jacoba M

Correlation Between Voluntary Cough and Laryngeal Cough Reflex Flows in Patients With Traumatic Brain Injury Sang Chul Lee, MD, PhD, Seong-Woong Kang,

Effectiveness of Community-Based Rehabilitation After Traumatic Brain Injury for 489 Program Completers Compared With Those Precipitously Discharged

Femur bone mineral density is independently associated with functional recovery after hip fracture in elderly women Marco Di Monaco, MD, Roberto Di Monaco,

Five Times Sit-to-Stand Test Performance in Parkinson's Disease

Effects of circuit training on body composition and peak cardiorespiratory responses in patients with moderate to severe traumatic brain injury Yagesh.

Fatigue and Aging With a Disability

Archives of Physical Medicine and Rehabilitation

What Would Brain-Computer Interface Users Want: Opinions and Priorities of Potential Users With Spinal Cord Injury Jane E. Huggins, PhD, Aisha A. Moinuddin,

Mark W. Rogers, PhD, PT, Carl G

The Effects of Splinting on Outcomes for Epicondylitis

Electromyogram–Lengthening Velocity Relation in Plantar Flexors During Stance Phase of Gait in Patients With Hypertonia After Acquired Brain Injury John.

Aerobic Capacity After Traumatic Brain Injury: Comparison With a Nondisabled Cohort Kurt A. Mossberg, PhD, PT, Danielle Ayala, MPT, Tracey Baker, MPT,

Postconcussive Complaints, Anxiety, and Depression Related to Vocational Outcome in Minor to Severe Traumatic Brain Injury Harm J. van der Horn, MSc,

Tellen D. Bennett, MD, MS, Christian M. Niedzwecki, DO, MS, E

Elisabet Børsheim, PhD, Quynh-Uyen T. Bui, MD, Robert R. Wolfe, PhD

Autonomic Dysreflexia During Urodynamic Examinations in Patients With Suprasacral Spinal Cord Injury Yu-Hui Huang, MD, PhD, Liu-Ing Bih, MD, Gin-Den.

Modality-Specific, Multitask Locomotor Deficits Persist Despite Good Recovery After a Traumatic Brain Injury Bradford J. McFadyen, PhD, Jean-François.

Increasing Patient Engagement During Virtual Reality-Based Motor Rehabilitation Lukas Zimmerli, MSc, Mario Jacky, MSc, Lars Lünenburger, PhD, Robert Riener,

Motor Recovery of the Ipsilesional Upper Limb in Subacute Stroke

Variation in Adherence to New Quality-of-Care Indicators for the Acute Rehabilitation of Children With Traumatic Brain Injury Frederick P. Rivara, MD,

Longitudinal Patterns of Functional Recovery in Patients With Incomplete Spinal Cord Injury Receiving Activity-Based Rehabilitation Douglas J. Lorenz,

Erik Grauwmeijer, MD, Majanka H. Heijenbrok-Kal, PhD, Ian K

Reference Values for Median Nerve Conduction to the Pronator Quadratus

Recovery of ambulation after traumatic brain injury1

Pei-Fen J. Chang, PhD, OTR, Glenn V

Longitudinal Description of the Disability Rating Scale for Individuals in the National Institute on Disability and Rehabilitation Research Traumatic.

Longitudinal Description of the Glasgow Outcome Scale-Extended for Individuals in the Traumatic Brain Injury Model Systems National Database: A National.

Traumatic brain injury as a relevant cause of growth hormone deficiency in adults: A KIMS-based study Felipe F. Casanueva, MD, PhD, Alfonso Leal, MD,

Raban V. Jeger, MD, Peter Rickenbacher, MD, Matthias E

Barbara J. Singer, PhD, Gnanaletchumy M. Jegasothy, BSc, Kevin P

Patient Effort in Traumatic Brain Injury Inpatient Rehabilitation: Course and Associations With Age, Brain Injury Severity, and Time Postinjury Ronald.

Accuracy of Mild Traumatic Brain Injury Diagnosis

Balance Rehabilitation by Moving Platform and Exercises in Patients With Neuropathy or Vestibular Deficit Antonio Nardone, MD, PhD, Marco Godi, PT, Alessia.

ACRM News Archives of Physical Medicine and Rehabilitation

Reliability of peak cardiorespiratory responses in patients with moderate to severe traumatic brain injury1 Yagesh Bhambhani, PhD, Gary Rowland, MSc,

Satisfaction With Activity and Participation and Its Relationships With Body Functions, Activities, or Environmental Factors in Stroke Patients Édouard.

Longitudinal changes in exercise capacity after stroke1

Presentation transcript:

Recovery of the precision grip in children after traumatic brain injury Mukaddes Gölge, PhD, Marina Müller, MD, Mona Dreesmann, MD, Birgit Hoppe, MD, Roland Wenzelburger, MD, PhD, Johann P. Kuhtz- Buschbeck, MD, PhD Archives of Physical Medicine and Rehabilitation Volume 85, Issue 9, Pages 1435-1444 (September 2004) DOI: 10.1016/j.apmr.2003.11.029

Fig 1 Description of (A) the grip instrument with arrows indicating the directions of the grip forces (GF) and of the vertical load force (LF) and (B) force curves of a normal adolescent with discrete force events (F1–F4) indicated in the force and position (Pos) curves. The grip forces were measured separately for the thumb and index finger. Force events comprise the grip-force peaks (F1, F2), the peak load force (F3), and the negative load force (F4). The grip-force/load-force ratio (F1/load force, F2/load force) was measured at the grip-force peak. The load force was measured as the sum of both fingers. Onset of grip force of the thumb is indicated by 0 and of the index finger by 1. The load force exceeds zero at 2. The object starts to move at 3. The temporal parameters (↔) were the intervals between 0 and 1 (latency between index finger and thumb: preparation phase), 1 and 2 (preload duration), and 2 and 3 (load duration) in seconds. Archives of Physical Medicine and Rehabilitation 2004 85, 1435-1444DOI: (10.1016/j.apmr.2003.11.029)

Fig 2 Precision-grip data of TBI patients (grey bars) and control subjects (C; white bars) with boxplots indicating medians, centiles (25%, 75%), and ranges. (A) The interval between the grip-force onsets of the index finger and thumb (0–1; see fig 1). (B) Preload duration (1–2). (C) Load duration (2–3). Asterisks indicate significant differences between the examinations (t0, t1, t2) in 13 patients with TBI (Wilcoxon test, P>0.1, not significant [NS]; P range ∗.05–.01; ∗∗.01–.001). Archives of Physical Medicine and Rehabilitation 2004 85, 1435-1444DOI: (10.1016/j.apmr.2003.11.029)

Fig 3 Precision-grip data of TBI patients (grey bars) and control subjects (white bars) with boxplots indicating medians, centiles (25%, 75%), and ranges. Asterisks indicate significant changes between examinations (t0, t1, t2) in patients with TBI (Wilcoxon test, P>0.1, NS; P range, +0.1–.05; ∗.05–.01; ∗∗.01–.001). (A) Peak grip force of the thumb (F1; see fig 1). (B) Peak load force (F3). (C) Maximum negative load force (F4). (D) Grip-force (thumb)/load-force ratio at grip-force peak (F1/load force). (E) Mean grip force of static holding, that is, during an interval 2 to 4 seconds after lifting. (F) SD of grip force during static holding. Higher values indicate more fluctuations of the grip force in the static phase. Archives of Physical Medicine and Rehabilitation 2004 85, 1435-1444DOI: (10.1016/j.apmr.2003.11.029)

Fig 4 Barthel Index scores of patients with TBI. The boxplots indicate medians, centiles (25%, 75%), and ranges. (A) Sum of Barthel Index parts A and B. (B) Barthel Index, part A. (C) Barthel Index, part B. Asterisks indicate significant differences between the observation times (start of rehabilitation, t0, t1, t2) in patients with TBI (Wilcoxon test, P range, +0.1–.05; ∗.05–.01; ∗∗.01–.001). NOTE. M indicates median values that are 100 in A and C or 0 in B. Archives of Physical Medicine and Rehabilitation 2004 85, 1435-1444DOI: (10.1016/j.apmr.2003.11.029)

Fig 5 Correlation of grip-force parameters with different measures that described trauma severity (ISS, GCS score, coma duration, Barthel Index score at admission). (A) Change (Δp) of the mean grip force in the static phase with the initial Barthel Index part B with the Δp indicating improvements between t0 and t2. (B) Δp of mean grip force in the static phase with the ISS. (C) Absolute values of mean grip force in the static phase at t0 with GCS score. (D) Δp of mean grip force in the static phase with GCS score. (E) Δp of time interval between the index finger and thumb with the coma duration. Subjects are denoted with dots. Archives of Physical Medicine and Rehabilitation 2004 85, 1435-1444DOI: (10.1016/j.apmr.2003.11.029)