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6. Examining the effects of amplitude-based training as a component of the plan of care in an individual with olivopontocerebellar atrophy.

Author

Babcock, Rosemary, Viana, Samantha, Roach, Victoria, Shiley, Chandler, Lazaro, Rolando, Wilson, Abigail T., and Beato, Morris

Subjects
TREATMENT of neurodegeneration, PHYSICAL therapy, COMPUTED tomography, CEREBELLUM diseases, EXERCISE therapy, NEURODEGENERATION, TREATMENT effectiveness, MAGNETIC resonance imaging, DIAGNOSIS, GAIT in humans, GAIT disorders, HYPOKINESIA, NEUROLOGICAL disorders, PAIN management, POSTURAL balance, SYMPTOMS
Abstract

Amplitude-based exercise training has been shown to be effective in the motor performance of individuals with idiopathic Parkinson's disease, with limited research investigating its effects on Parkinson plus syndromes such as olivopontocerebellar atrophy (OPCA). The purpose of this clinical case report is to examine the effects of amplitude-based training exercises on an individual with OPCA. A 68-year-old man with a 14-month history of OPCA presented to physical therapy with bradykinesia, rigidity, and postural instability. The individual participated in 34 intervention sessions. Pre- and post-test measurements were collected for the following outcome measures: Five Times Sit to Stand (FTSTS); Functional Gait Assessment (FGA); Activities-Specific Balance Confidence Scale (ABC-6); 9 Hole Peg Test (9HPT); preferred and maximal gait speed. Improvements reaching Minimum Detectable Change (MDC) or Minimal Clinically Important Difference (MCID) were recorded with a pre (Week 1) and post (Week 20) intervention: FGA score (4-point improvement (MDC95 = 4 points), preferred gait speed (0.09 meters/second improvement (MCID = 0.05 meters/second)), FTSTS (6-second improvement (MDC95 = 2.3 seconds)), and 9HPT on the dominant hand (3-second improvement (MDC95 = 2.6 seconds)). Fluctuations during the plan of care were observed for these measures, and additional outcomes did not demonstrate a worsening of function. In an individual with OPCA, amplitude-based exercise training as a component of the plan of care increased dynamic balance in walking, gait speed, and hand dexterity. However, these results need to be validated on a larger sample of individuals with OPCA through randomized controlled trials. [ABSTRACT FROM AUTHOR]

Published
2024
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18. Contributors

Author

Acosta, Martha, primary, Anderson, Cheryl L., additional, Barker, Susan, additional, Barr, John O., additional, Becker, Darci, additional, Betz, Sherri R., additional, Bohannon, Richard W., additional, Bolton, Michelle A., additional, Bottomley, Jennifer M., additional, Brimer, Mark A., additional, Brunton, Stephen, additional, Carmichael, Blaine, additional, Chernoff, Ronni, additional, Ciccone, Charles D., additional, Cohen, Meryl, additional, Craig, Anita, additional, Davis, Carol M., additional, Dickinson, Gordon, additional, DiGirolamo, Douglas J., additional, Eckenrode, Brian J., additional, Edelstein, Joan E., additional, Ehrmann, Barbara J., additional, Elliott-Burke, Teri, additional, Evanosky, Nicole L., additional, Fischer, MichaeL, additional, Frontera, Walter R., additional, Germain-Lee, Emily L., additional, Gold, Deborah, additional, Gordon, Randy, additional, Gorgon, Edward James R., additional, Gudas, Stephen A., additional, Hage, Brenda L., additional, Hanks, June E., additional, Haydt, Richard, additional, Hayes, Sarah, additional, Hull, Barry, additional, Kauffman, Benjamin W., additional, Kauffman, Beth E., additional, Kauffman, Timothy L., additional, Kemmis, Karen, additional, Klima, Dennis W., additional, Koehler, Barbara, additional, Kosmahl, Edmund M., additional, Lawrence, Kevin J., additional, Lazaro, Rolando T., additional, Levi, Sandra J., additional, Levine, David, additional, Lindsey, Carleen, additional, Lombardi, Mark, additional, Lusardi, Michelle M., additional, Madras, Diane, additional, McArthur, Katie L., additional, McGrane, Niall, additional, Metzger, P. Christopher, additional, Mika, Molly, additional, Miller, Marilyn E., additional, Mock, Stephen E., additional, Moran, Michael L., additional, Mowrer, Richard, additional, Nitz, Jennifer, additional, O’Connell, Caroline, additional, Papaioannou, Alexandra, additional, Pascal, Maureen Romanow, additional, Patrick, David, additional, Perry, Clive, additional, Pheasant, Steven, additional, Rasch, Randolph, additional, Razzaq, Kanwal, additional, Reynolds, Pamela, additional, Richardson, James K., additional, Rodriguez, Nativdad, additional, Romney, Wendy, additional, Rosenthal, Bruce P., additional, Sanko, John, additional, Schoo, Adrian M., additional, Scott, Ron, additional, Siberski, James, additional, Stabler, Christine, additional, Staples, William H., additional, Stewart, Christi, additional, Stokes, Emma K., additional, Stracke, Hilmar H.G., additional, Tews, Lisa, additional, Truumees, Eeric, additional, Umphred, Darcy A., additional, von Nieda, Kristin, additional, Wells, Chris L., additional, Wharton, Mary Ann, additional, Whitney, Susan L., additional, Wong, Rita A., additional, Wormley, Michelle E., additional, Wrisley, Diane M., additional, and Zayas, Ana Rodriguez, additional

Published
2014
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26. Contributors

Author

Ackerman, Paula M., primary, Adams, Janet Marie, additional, Allen, Diane D., additional, Allison, Leslie K., additional, Anderson, Brent D., additional, Anderson, Ellen Zambo, additional, Ann, Joyce, additional, Atrice, Myrtice B., additional, Bastian, Amy J., additional, Beachy, Joanna C., additional, Bellamy, Sandra G., additional, Bezner, Janet R., additional, Boissonnault, William G., additional, Bottomley, Jennifer M., additional, Burke-Doe, Annie, additional, Burton, Gordon U., additional, Byl, Katie, additional, Byl, Marten, additional, Byl, Nancy N., additional, Carrière, Beate, additional, Chaikin, Laurie Ruth, additional, Claudel, Alain, additional, Davis, Carol M., additional, Dewane, Judith A., additional, Edgelow, Peter I., additional, Edmison, Barbara, additional, Foy, Teresa A., additional, Fuller, Kenda, additional, Gable, Clayton D., additional, Galantino, Mary Lou, additional, Gutierrez, Teresa, additional, Hallum, Ann, additional, Kauffman, Jeffrey, additional, Kenny, Laura J., additional, Kietrys, David M., additional, Krosschell, Kristin J., additional, Lazaro, Rolando T., additional, Lopez, Rachel M., additional, MacKay-Lyons, Marilyn, additional, McDowell, Shari L., additional, McLaughlin, Rochelle, additional, Melnick, Marsha E., additional, Morrison, Sarah A., additional, Morton, Susanne M., additional, Pesavento, Mari Jo, additional, Philibert, Darbi Breath, additional, Prue, Robert, additional, Quiben, Myla U., additional, Racette, Walter, additional, Robinson, Clinton, additional, Roller, Margaret L., additional, Ryerson, Susan D., additional, Scalise-Smith, Dale, additional, Schulte, Osa Jackson, additional, Senesac, Claudia R., additional, Chiu Shen, Eunice Yu, additional, Smith, Timothy J., additional, Sovero, Sebastian, additional, Sowers, Kerri, additional, Stayner, Corrie J., additional, Stephens, James, additional, Stockert, Bradley W., additional, Sweeney, Jane K., additional, Szklut, Stacey E., additional, Tefertiller, Candy, additional, Thompson, Marcia Hall, additional, Truman, Heidi, additional, Tuzzolino, Karla M., additional, Umphred, Darcy A., additional, Upledger, John, additional, Voss, Richard W., additional, Wallace, John G., additional, West, Therese Marie, additional, Widener, Gail L., additional, Winkler, Patricia A., additional, and Wolfe, George, additional

Published
2013
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34. Contributors

Author

Amundsen, Louis R., primary, Anderson, Cheryl, additional, Barker, Susan, additional, Barr, John O., additional, Barrick, The late E. Frederick, additional, Basiliadis, Margaret, additional, Ugent, Randy Berger, additional, Bohannon, Richard W., additional, Bolton, Michelle, additional, Bottomley, Jennifer M., additional, Brimer, Mark A., additional, Brunton, Stephen, additional, Carmeli, Eli, additional, Carmichael, Blaine, additional, Checovich, Mary M., additional, Chernoff, Ronni, additional, Ciccone, Charles D., additional, Cohen, Meryl, additional, Craig, Anita S.W., additional, Dalgleish, Joanne, additional, Davis, Carol M., additional, Dickinson, Gordon, additional, Edelstein, Joan E., additional, Euhardy, Reenie, additional, Fischer, Michael, additional, Frontera, Walter R., additional, Gamber, Wade S., additional, Germain-Lee, Emily L., additional, Gilchrest, Barbara A., additional, Gold, Deborah, additional, Gudas, Stephen A., additional, Hage, Brenda, additional, Hageman, Patricia A., additional, Hanks, June E., additional, dos Santos, Marilia Harumi Higuchi, additional, Hull, Barry, additional, Schulte, Osa Jackson, additional, Karpman, Robert R., additional, Kauffman, Benjamin W., additional, Kauffman, Beth E., additional, Kauffman, Timothy L., additional, Klima, Dennis W., additional, Kosmahl, Edmund M., additional, Larsson, Lars, additional, Laughlin, Megan, additional, Lazaro, Rolando T., additional, Levi, Sandra J., additional, Levine, David, additional, Lewis, Rosanne W., additional, Liebermann, Dario G., additional, Lindsey, Carleen, additional, Lombardi, Mark V., additional, Lundon, Katie, additional, Lusardi, Michelle M., additional, Maric, Zoran, additional, Marshall, Carolyn, additional, Martin, Jeff A., additional, Martin, David C., additional, Metzger, P. Christopher, additional, Mika, Molly, additional, Miller, Marilyn E., additional, Mock, Stephen E., additional, Moran, Michael, additional, Mowrer, Richard, additional, Long, Dominique Noë, additional, O'Connell, Caroline, additional, Paist, S. Scott, additional, Papaioannou, Alexandra, additional, Patrick, David, additional, Perry, Clive, additional, Pheasant, Steven, additional, Phillippi, The late Lynn, additional, Rasch, Randolph, additional, Reynolds, Pamela, additional, Richardson, James K., additional, Robinson, Jodi, additional, Roma, Anita Alonte, additional, Pascal, Maureen Romanow, additional, Rosenthal, Bruce P., additional, Sanko, John, additional, Schroeder, Jane K., additional, Scott, Ron, additional, Siberski, James, additional, Smith, Everett L., additional, Stabler, Christine, additional, Staples, William H., additional, Stokes, Emma K., additional, Stracke, Hilmar H.G., additional, Tews, Lisa, additional, Thompson, LaDora V., additional, Truumees, Eeric, additional, Umphred, Darcy A., additional, Unger, Pamela G., additional, von Nieda, Kristin, additional, Wells, Chris L., additional, Wharton, Mary Ann, additional, Whitney, Susan L., additional, and Wrisley, Diane M., additional

Published
2007
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35. The Effectiveness of Community-Based Interventions in Improving Activities of Daily Living and Quality of Life Outcomes in Persons Living with Stroke: A Systematic Review.

Author

Tosoc, Raymond and Lazaro, Rolando

Subjects
ONLINE information services, CINAHL database, SYSTEMATIC reviews, COMMUNITY health services, ACTIVITIES of daily living, TREATMENT effectiveness, PSYCHOSOCIAL factors, STROKE patients, STROKE rehabilitation, QUALITY of life, REHABILITATION, MEDLINE
Abstract

Purpose: Despite the growth of literature regarding community-based interventions (CBI) in low- to middle-income and high-income countries, its effectiveness in improving outcomes related to activities of daily living (ADL) and quality of life (QOL) in people with stroke is inconclusive. This systematic review compared the effectiveness of community-based interventions with the usual or hospital-based treatments in improving ADL and QOL outcomes in this population. Method: Four databases were systematically searched from inception until December 31, 2020, for relevant experimental studies from high-income and low- to middle-income countries that compared CBI with the usual/hospital rehabilitation on outcomes related to ADLs and QOL in clients with stroke. Results: All the 10 experimental studies that were included came from highincome countries (Italy, United Kingdom, South Korea, Canada, and Australia), involving 1575 participants (806 males, 656 females, 113 not classified) with age range from 22-103 years. Seven articles measured ADL performance, and 10 measured QOL. Results indicated that CBI generally demonstrates improvement in ADL and QOL values similar to usual or hospital-based care. There was wide variability in the interventions described and the outcome measures used for both groups. Risk of bias assessment revealed issues with randomisation, blinding and follow-up. Stroke-specific baseline characteristics such as length of time since diagnosis and laterality varied considerably in all of the studies. Conclusion and Limitations: CBI did not demonstrate significant difference in improving ADL and QOL outcomes for people with stroke compared to usual care, possibly due to the high quality of rehabilitation services existing in the countries where the studies took place. There is a need to use standardised outcome measures and interventions to ascertain these outcomes. [ABSTRACT FROM AUTHOR]

Published
2021
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38. Preparation, roles, and responsibilities of Filipino occupational therapists in disaster preparedness, response, and recovery.

Author

Ching, Peñafrancia E. and Lazaro, Rolando T.

Subjects
*OCCUPATIONAL roles, *HUMANITARIANISM, *CONVALESCENCE, *CROSS-sectional method, *RESEARCH methodology, *MEDICAL care, *EMERGENCY management, *PEOPLE with disabilities, *JUDGMENT sampling, *MENTAL health services, *SOCIAL responsibility
Abstract

Despite the increasing number of literature that identifies the roles of various rehabilitation professionals in disaster-related work, there is still limited evidence that examines how these professionals prepare for and function in the various phases of disasters. This study describes the roles and responsibilities practiced by Filipino occupational therapists in disaster preparedness, response, and recovery. The study also describes the preparations undertaken for the therapists to assume these roles. A survey was conducted among licensed occupational therapists with prior experiences in disaster response. The survey consisted of 23 items - seven were related to preparedness, ten to disaster response, and six to the recovery phase. The participants were asked to indicate their degree of involvement in specific roles and responsibilities using a 5-point Likert scale. The questionnaire also explored their personal preparation for disaster-related work. The participants were mostly engaged in roles related to the recovery phase, followed by the response phase, and were least engaged in the preparedness phase. The roles most frequently performed include: encourage connectedness and social interactions among survivors (recovery); provide supportive mental health services to survivors and their families (response); and attend trainings in disaster response to be part of a response team (preparedness). The majority of the participants received training in mental health responses and orientation prior to deployment. They identified the need to gain additional knowledge on emergency response and the effects of human displacement in disaster situations. Given additional training and orientation, occupational therapists are able to perform various roles and responsibilities in the different phases of disasters. They can serve as additional resources for government and non-government organizations to address the needs of vulnerable populations in disasters. The study results could inform professional organizations on how rehabilitation professionals could be further trained to address disaster-related concerns. With additional orientation and training, occupational therapists could serve as an important health human resource especially in providing mental health services to people with special needs in disasters. There is a need to intentionally integrate disaster preparedness in the scope of practice of rehabilitation professionals to prepare people with special needs for disasters. Additional knowledge and skills in humanitarian action need to be integrated with clinical expertise to benefit government and non-government disaster management activities. [ABSTRACT FROM AUTHOR]

Published
2021
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39. The Immediate Effect of Trunk Weighting on Balance and Functional Measures of People with Parkinson's Disease: A Feasibility Study.

Author

Lazaro, Rolando

Abstract

BACKGROUND: Declines in postural control, mobility, and gait are related to negative health outcomes in Parkinson's disease (PD). The addition of small weights to the trunk has been used to increase postural stability and functional performance In persons with neurological dysfunctions but not in persons with PD. The purpose of the study was to determine if small weights applied on the torso have immediate effects on balance and mobility In people with PD. DESIGN: Randomized controlled clinical trial. METHODS: Forty-two subjects with PD were randomly assigned to a no weight (NW), fixed weight (KW), and variable weight (VW) placement group. Outcome measures included the instrumented modified clinical test of sensory interaction in balance (mCTSIB), Tinetti Performance Oriented Mobility Assessment (POMA), timed up and go (TUG), modified timed up and go (mTUG), functional reach test (FRT), 360° turns, 10-meter walk test (10MWT), and lower extremity strength. These measures were performed at baseline and after group assignment. Weights approximately 1-1.5% of the participant's body weight were attached to the trunk using a vest garment according to group assignment. Post-testing was performed immediately after application of weights, using the same outcome measures as the pre-test. Analysis of covariance (ANCOVA) and post hoc tests were used to determine the group with the most statistically significant improvement. RESULTS: The VW group showed significant improvement in the 10-meter walk compared with the NW group (p=0.039) and the FW group (p=0.008). All other outcome measures did not reach significant differences between all groups. CONCLUSIONS: Strategic trunk weighting has the potential to improve mobility and balance in a sample of individuals with PD. The findings support existing literature on the positive effects of torso weighting. A treatment that includes the addition of small weights on the torso is a promising intervention that may improve balance and mobility. [ABSTRACT FROM AUTHOR]

Published
2021

40. Contributors

Author

Ackerman, Paula M., Allen, Diane D., Allison, Leslie K., Atrice, Myrtice B., Ann, Joyce, Barredo, Ronald, Basco, Mark David, Bastian, Amy J., Beachy, Joanna C., Bezner, Janet R., Held Bradford, Elissa C., Burke-Doe, Annie, Byl, Nancy N., Campbell, Heather, Chaikin, Laurie Ruth, Chong, Doris, Claudel, Alain, D’Angelo, Elizabeth (Lisa), Dewane, Judith A., Diaz, Deborah S., Duff, Susan V., Embrey, Domenique Hendershot, Fuller, Kenda, Anne Galantino, Mary Lou, Garcia, Miguel, Garcia, William J., Godwin, Ellen M., Gorgon, Edward James, Grajo, Lenin C., Gutierrez, Teresa, Guzman, Julia M., Hammad, Rebecca, Heick, John D., Hiley, Janet A., Horn, Kristin, Hurt, Lauren F., Ikeda, Kristen, Keller, Jennifer L., Kiami, Sheri, Kietrys, David M., King, Laurie A., Lazaro, Rolando T., Lefmann, Sophie, Lopez, Rachel M., MacKay-Lyons, Marilyn, Mancini, Martina, Marinas, Rossniel, McAhren, Rachel, Mclaughlin, Rochelle, Melnick, Marsha, Miranda, Nicole, Moore, Brian M., Morton, Susanne M., Nair, Preeti, Nguyen, Emily, Oza, Preeti Deshpande, Pharo, Elizabeth, Philibert, Darbi Breath, Quiben, Myla U., Reina-Guerra, Sandra G., Roller, Margaret L., Rusher, Angela, Ryerson, Susan D., Salem, Yasser, Sasso-Lance, Elizabeth, Scalise-Smith, Dale, Schulte, Osa Jackson, Senesac, Claudia R., Chiu Shen, Eunice Yu, Smith, Timothy J., Sowers, Kerri, Stayner, Corrie J., Stephens, James, Stockert, Bradley W., Sweeney, Jane K., Szklut, Stacey E., Thompson, Marcia Hall, Truman, Heidi, Tuzzolino, Karla M., Umphred, Darcy A., Uy, Jeric, Vestal, Erin, Vitente, Arvie, Webber, Kristen, and Widener, Gail L.

Published
2020
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45. Contributors

Author

Burke-Doe, Annie, Fontenot, Marty, Garcia, William, Green, Erin, Heick, John D., Lazaro, Rolando, Lee, Jeannette, Maselli, Filippo, Peterson, Seth, Ross, Michael, Severin, Richard, Shelly, Elizabeth, and Young, Brian A.

Published
2023
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46. Measurement properties of the upright motor control test for adults with stroke: a systematic review

Author

Gorgon, Edward James R., Lazaro, Rolando T., Gorgon, Edward James R., and Lazaro, Rolando T.

Abstract

Background: The Upright Motor Control Test (UMCT) has been used in clinical practice and research to assess functional strength of the hemiparetic lower limb in adults with stroke. It is unclear if evidence is sufficient to warrant its use. The purpose of this systematic review was to synthesize available evidence on the measurement properties of the UMCT for stroke rehabilitation. Methods: Electronic databases that indexed biomedical literature were systematically searched from inception until October 2015 (week 4): Embase, PubMed, Web of Science, CINAHL, PEDro, Cochrane Library, Scopus, ScienceDirect, SPORTDiscus, LILACS, DOAJ, and Google Scholar. All studies that had used the UMCT in the time period covered underwent hand searching for any additional study. Observational studies involving adults with stroke that explored any measurement property of the UMCT were included. The COnsensus-based Standards for the selection of health Measurement INstruments was used to assess the methodological quality of included studies. The CanChild Outcome Measures Rating Form was used for extracting data on measurement properties and clinical utility. Results: The search yielded three methodologic studies that addressed criterion-related validity and contruct validity. Two studies of fair methodological quality demonstrated moderate-level evidence that Knee Extension and Knee Flexion subtest scores were predictive of community-level and household-level ambulation. One study of fair methodological quality provided limited-level evidence for the correlation of Knee Extension subtest scores with a laboratory measure of ground reaction forces. No published studies formally assessed reliability, responsiveness, or clinical utility. Limited information on responsiveness and clinical utility dimensions could be inferred from the included studies. Conclusions: The UMCT is a practical assessment tool for voluntary control or functional strength of the hemiparetic lower limb in standing in

Published
2016

47. Neurological Rehabilitation - E-Book

Author

Umphred, Darcy Ann, Lazaro, Rolando T., Roller, Margaret, Burton, Gordon, Umphred, Darcy Ann, Lazaro, Rolando T., Roller, Margaret, and Burton, Gordon

Subjects
Nervous system--Diseases--Patients--Rehabilitation, Physical therapy, Exercise therapy
Abstract

Using a problem-solving approach based on clinical evidence, Neurological Rehabilitation, 6th Edition covers the therapeutic management of people with functional movement limitations and quality of life issues following a neurological event. It reviews basic theory and covers the latest screening and diagnostic tests, new treatments, and interventions commonly used in today's clinical practice. This edition includes the latest advances in neuroscience, adding new chapters on neuroimaging and clinical tools such as virtual reality, robotics, and gaming. Written by respected clinician and physical therapy expert Darcy Umphred, this classic neurology text provides problem-solving strategies that are key to individualized, effective care.UNIQUE! Emerging topics are covered in detail, including chapters such as Movement Development Across the Lifespan, Health and Wellness: The Beginning of the Paradigm, Documentation, and Cardiopulmonary Interactions. UNIQUE! A section on neurological problems accompanying specific system problems includes hot topics such as poor vision, pelvic floor dysfunction, and pain. A problem-solving approach helps you apply your knowledge to examinations, evaluations, prognoses, and intervention strategies. Evidence-based research sets up best practices, covering topics such as the theory of neurologic rehabilitation, screening and diagnostic tests, treatments and interventions, and the patient's psychosocial concerns Information. Case studies use real-world examples to promote problem-solving skills. Non-traditional approaches to neurological interventions in the Alternative and Complementary Therapies chapter include the movement approach, energy approach, and physical body system approaches therapies. Terminology adheres to the best practices of the APTA as well as other leading physical therapy organizations, following The Guide to Physical Therapy Practice, the Nagi model, and the ICF World Health Model of patient empowerment.Updated illustrations provide current visual references. NEW chapters on imaging and robotics have been added. Updated chapters incorporate the latest advances and the newest information in neuroscience and intervention strategies. Student resources on an Evolve companion website include references with links to MEDLINE and more.

Published
2013

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