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Effect of 8-week rebound therapy exercise on dynamic and static balance of male students affected by Down syndrome
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Abstracts / Journal of the Neurological Sciences 333 (2013) e537–e578
Conclusion: AVER in ASU is feasible, safe & effective. Further research to review the AVER beneficiaries is recommended for future development. doi:10.1016/j.jns.2013.07.2006
Abstract — WCN 2013 No: 759 Topic: 10 — Neurorehabilitation Assessment of cerebral activation patterns while operating a driving simulator with TBI survivors: A functional near-infrared spectroscopy study S. Watanabea, I. Takeharab, M. Hitosugic, Y. Hayashib, K. Yonemotoa, M. Aboa, R. Momosakia, W. Kakudaa, K. Mochioa, T. Matsudad. aDepartment of Rehabilitation Medicine, The Jikei University School of Medicine, Japan; bTokyo Metropolitan Rehabilitation Hospital, Tokyo, Japan; cDepartment of Legal Medicine, Dokkyo University School of Medicine, Tochigi, Japan; d Uekusa Gakuen University, Chiba, Japan Background and objective: Driving is an important activity of daily living. However, the ability to drive is often affected after traumatic brain injury (TBI). The aim of this study was to investigate the fundamental region of neural activity in healthy subjects, which is believed to be necessary for driving ability and to examine the effect of brain injury on driving safety. Patients and methods: Experimental studies were performed on 8 healthy right-handed adults and 8 patients with moderate to severe TBI (5; resumed driving, 3; did not resume driving). The participants were asked to drive in the driving simulator. During driving, changes in oxyHb levels were measured using functional near-infrared spectroscopy at 34 sites including both hemispheres. Results: The areas that showed significant activity in healthy subjects spanned from the frontal region to the temporal and parietal regions, and were more prominent in the right cerebral hemisphere than in the left. Patients who resumed driving showed similar patterns as healthy subjects; cortical activations near damaged regions were retained as seen on CT or MRI. However, the patients who could not resume driving showed no cortical activations near the lesions. Conclusion: Our results provide further evidence that driving a car is a complex cognitive skill, and we believe that it is important to check the site of brain injury and the brain region where the damage has occurred before providing sufficient real car driving practice to patients with brain injury. doi:10.1016/j.jns.2013.07.2007
Abstract — WCN 2013 No: 611 Topic: 10 — Neurorehabilitation Effect of 8-week rebound therapy exercise on dynamic and static balance of male students affected by Down syndrome N. Nejadsahebia, H. Sadeghia, S.M. Nabavib, MS Research Group. a Biomechanics, Islamic Azad University, Tehran Branch, Iran; b Neurology, Shahed University, Tehran, Iran Objective: Balance is a complex motor skill that describes dynamic body posture that prevents the possibility of falling. Down syndrome is a genetic disorder in which chromosome 21 or part of it is tripled. Balance is not perfect in patients with Down syndrome. Rehabilitation may be effective in enhancing balance in these patients.
Rebound therapy is a rehabilitation program made possible by the therapeutic use of trampoline. Methods: 30 students were enrolled in groups. They were matched with mean age of 18.54 years, and mean height of 164/2 cm.15 persons as the test group voluntarily took part in the experiment (i.e. rebound therapy) with mean age of 19/36 years, mean weight of 74/35 kg, and mean height of 165/7 cm. To measure the static balance, BERG standard test was used and TGUG test was used for dynamic balance. The balance exercise program was performed by means of a trampoline which lasted 8 weeks, for 3 sessions of 20 minutes each week. For descriptive statistics, mean and standard deviation were used. KS test was employed for the group normalization, and in the section inferential statistics, t-test (dependent and independent) at α = 0.05 was performed and ANOVA test for extra group comparison. Results: Difference of the variables in posttest measure in the rebound therapy group is found significant, but it isn't significant in the control group. Conclusion: It can be concluded that rebound therapy exercise is effective for improvement of static and dynamic balance in the male high school students affected with Down syndrome. doi:10.1016/j.jns.2013.07.2008
Abstract — WCN 2013 No: 689 Topic: 10 — Neurorehabilitation Gait rehabilitation in subacute hemiparetic stroke: Robot-assisted gait training versus conventional physical therapy R. Chanubola, P. Wongphaetb, C. Wernerc, N. Chavanichb, L. Panichareona. aPM&R, Prasat Neurological Institute, Thailand; b PM&R, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; c Neurological Rehabilitation, Charite University Hospital, Berlin, Germany Background: Despite improved management of patients after stroke, the majority of surviving patients are disabled with impaired walking function. Robot-assisted gait training was introduced as a potential strategy for gait rehabilitation in the severely disabled. Objective: To compare the effect of robot-assisted gait training and conventional physical therapy on ambulation in subacute hemiparetic stroke patients. Material and methods: Sixty non-ambulatory stroke subjects were randomly assigned to an experimental or control group. Both groups received a similar type and intensity of rehabilitation, except the gait training session. The experimental group received 30-minute robotic-assisted gait training plus a 30-minute conventional physical therapy while the control group received a 60-minute conventional physical therapy on every working day for four consecutive weeks. Gait function and disability were assessed before, one month after treatment, and 3 months follow-up, using the Functional Ambulation Category, Barthel Index, Berg Balance Scale, Resistance to Passive Movement scale, lower extremity part (REPAS), 10-meter walk test, and 6-minute walk test by a blinded assessor. Results: The intention to treat analysis revealed significant higher scores of all measures, except the REPAS, in the experimental group compared with the control group at the end of the first and the third month post treatment (p b 0.05). Conclusion: The robot-assisted gait training plus conventional physical therapy is significantly better than conventional physical therapy alone in subacute stroke patients as regards the ability of ambulation, activity of daily living, balance, gait speed, step length and endurance. doi:10.1016/j.jns.2013.07.2009
Abstracts / Journal of the Neurological Sciences 333 (2013) e537–e578
Conclusion: AVER in ASU is feasible, safe & effective. Further research to review the AVER beneficiaries is recommended for future development. doi:10.1016/j.jns.2013.07.2006
Abstract — WCN 2013 No: 759 Topic: 10 — Neurorehabilitation Assessment of cerebral activation patterns while operating a driving simulator with TBI survivors: A functional near-infrared spectroscopy study S. Watanabea, I. Takeharab, M. Hitosugic, Y. Hayashib, K. Yonemotoa, M. Aboa, R. Momosakia, W. Kakudaa, K. Mochioa, T. Matsudad. aDepartment of Rehabilitation Medicine, The Jikei University School of Medicine, Japan; bTokyo Metropolitan Rehabilitation Hospital, Tokyo, Japan; cDepartment of Legal Medicine, Dokkyo University School of Medicine, Tochigi, Japan; d Uekusa Gakuen University, Chiba, Japan Background and objective: Driving is an important activity of daily living. However, the ability to drive is often affected after traumatic brain injury (TBI). The aim of this study was to investigate the fundamental region of neural activity in healthy subjects, which is believed to be necessary for driving ability and to examine the effect of brain injury on driving safety. Patients and methods: Experimental studies were performed on 8 healthy right-handed adults and 8 patients with moderate to severe TBI (5; resumed driving, 3; did not resume driving). The participants were asked to drive in the driving simulator. During driving, changes in oxyHb levels were measured using functional near-infrared spectroscopy at 34 sites including both hemispheres. Results: The areas that showed significant activity in healthy subjects spanned from the frontal region to the temporal and parietal regions, and were more prominent in the right cerebral hemisphere than in the left. Patients who resumed driving showed similar patterns as healthy subjects; cortical activations near damaged regions were retained as seen on CT or MRI. However, the patients who could not resume driving showed no cortical activations near the lesions. Conclusion: Our results provide further evidence that driving a car is a complex cognitive skill, and we believe that it is important to check the site of brain injury and the brain region where the damage has occurred before providing sufficient real car driving practice to patients with brain injury. doi:10.1016/j.jns.2013.07.2007
Abstract — WCN 2013 No: 611 Topic: 10 — Neurorehabilitation Effect of 8-week rebound therapy exercise on dynamic and static balance of male students affected by Down syndrome N. Nejadsahebia, H. Sadeghia, S.M. Nabavib, MS Research Group. a Biomechanics, Islamic Azad University, Tehran Branch, Iran; b Neurology, Shahed University, Tehran, Iran Objective: Balance is a complex motor skill that describes dynamic body posture that prevents the possibility of falling. Down syndrome is a genetic disorder in which chromosome 21 or part of it is tripled. Balance is not perfect in patients with Down syndrome. Rehabilitation may be effective in enhancing balance in these patients.
Rebound therapy is a rehabilitation program made possible by the therapeutic use of trampoline. Methods: 30 students were enrolled in groups. They were matched with mean age of 18.54 years, and mean height of 164/2 cm.15 persons as the test group voluntarily took part in the experiment (i.e. rebound therapy) with mean age of 19/36 years, mean weight of 74/35 kg, and mean height of 165/7 cm. To measure the static balance, BERG standard test was used and TGUG test was used for dynamic balance. The balance exercise program was performed by means of a trampoline which lasted 8 weeks, for 3 sessions of 20 minutes each week. For descriptive statistics, mean and standard deviation were used. KS test was employed for the group normalization, and in the section inferential statistics, t-test (dependent and independent) at α = 0.05 was performed and ANOVA test for extra group comparison. Results: Difference of the variables in posttest measure in the rebound therapy group is found significant, but it isn't significant in the control group. Conclusion: It can be concluded that rebound therapy exercise is effective for improvement of static and dynamic balance in the male high school students affected with Down syndrome. doi:10.1016/j.jns.2013.07.2008
Abstract — WCN 2013 No: 689 Topic: 10 — Neurorehabilitation Gait rehabilitation in subacute hemiparetic stroke: Robot-assisted gait training versus conventional physical therapy R. Chanubola, P. Wongphaetb, C. Wernerc, N. Chavanichb, L. Panichareona. aPM&R, Prasat Neurological Institute, Thailand; b PM&R, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; c Neurological Rehabilitation, Charite University Hospital, Berlin, Germany Background: Despite improved management of patients after stroke, the majority of surviving patients are disabled with impaired walking function. Robot-assisted gait training was introduced as a potential strategy for gait rehabilitation in the severely disabled. Objective: To compare the effect of robot-assisted gait training and conventional physical therapy on ambulation in subacute hemiparetic stroke patients. Material and methods: Sixty non-ambulatory stroke subjects were randomly assigned to an experimental or control group. Both groups received a similar type and intensity of rehabilitation, except the gait training session. The experimental group received 30-minute robotic-assisted gait training plus a 30-minute conventional physical therapy while the control group received a 60-minute conventional physical therapy on every working day for four consecutive weeks. Gait function and disability were assessed before, one month after treatment, and 3 months follow-up, using the Functional Ambulation Category, Barthel Index, Berg Balance Scale, Resistance to Passive Movement scale, lower extremity part (REPAS), 10-meter walk test, and 6-minute walk test by a blinded assessor. Results: The intention to treat analysis revealed significant higher scores of all measures, except the REPAS, in the experimental group compared with the control group at the end of the first and the third month post treatment (p b 0.05). Conclusion: The robot-assisted gait training plus conventional physical therapy is significantly better than conventional physical therapy alone in subacute stroke patients as regards the ability of ambulation, activity of daily living, balance, gait speed, step length and endurance. doi:10.1016/j.jns.2013.07.2009