Effect of Acetazolamide for Long-Lasting Paroxysmal Dystonia in a Patient With Multiple Sclerosis: A Case Report and Review of Literature.

Effect of acetazolamide for long-lasting paroxysmal dystonia in a patient with multiple sclerosis: a case report and review of literature.

Neuropsychiatr Dis Treat. 2013; 9: 445-8
Hsieh PC, Chen SM, Guo YH, Kuan TS, Yen WJ, Chang WC, Lin YC

Dystonia is a rare manifestation of multiple sclerosis (MS), but it always interferes with the functional performance and quality of life. We report a rare case of long-lasting paroxysmal dystonia associated with MS. The patient was a 40-year-old woman with relapsing- remitting MS for 6 years. During the latest attack of MS, she suffered from long-lasting paroxysmal dystonia in her left hand. Despite treatment with pulse high-dose intravenous methylprednisolone, interferon, and baclofen, along with occupational therapy, the dystonia persisted and significantly bothered her daily activities. Finally, she was treated with oral acetazolamide (250 mg, three times a day for 4 days), which was very effective for the control of her dystonia. The dystonic movement subsided without recurrence in a follow-up of 17 months. We advocate this effective and safe treatment for patients with paroxysmal dystonia associated with MS. HubMed – rehab


Evaluation of effects of shoulder girdle training on strength and performance of activities of daily living in patients with chronic obstructive pulmonary disease.

Int J Chron Obstruct Pulmon Dis. 2013; 8: 187-92
Velloso M, do Nascimento NH, Gazzotti MR, Jardim JR

Patients with chronic obstructive pulmonary disease (COPD) have some limitations during activities of daily living that involve the arms. There is little information on the benefits of shoulder girdle training and its repercussions for activities of daily living in patients with COPD. The purpose of this study was to investigate whether shoulder girdle training with diagonal movements increases upper limb muscle strength and improves performance of activities of daily living in patients with COPD.Thirty-five patients with moderate to severe COPD (forced expiratory volume in one second 1.22 ± 0.49 L) and aged 36-80 years were recruited. Endurance time, maximal sustained weight, oxygen saturation, heart rate, respiratory rate, dyspnea, and arm fatigue were evaluated during an incremental upper limb test and eight simulated activities of daily living before and after an 8-week exercise training program.A significant gain was observed for upper limb strength (P < 0.05). At the peak of the upper limb incremental test, the respiratory rate dropped from 33 to 27 breaths per minute, the Borg dyspnea score decreased from 2 to 0.5, and the upper limb fatigue score decreased from 3 to 2 (P < 0.05). No change was seen in any of these parameters during performance of activities of daily living.Although shoulder girdle training increased upper limb strength, no improvement was detected in performance of activities of daily living. HubMed – rehab


Efficacy of the HealthMatters Program Train-the-Trainer Model.

J Appl Res Intellect Disabil. 2013 Apr 16;
Marks B, Sisirak J, Chang YC

BACKGROUND: This study examines the efficacy of a staff-led, health promotion intervention entitled HealthMatters Program: Train-the-Trainer Model to improve health among adults with intellectual disabilities. While data support the benefits of health promotion for adults with intellectual disabilities in controlled settings, little research documents strategies to improve health and health behaviours in settings in which people work and live. METHODS: Thirty-four staff in community-based organizations (CBOs) participated in an 8-h training to start a 12-week health promotion programme for clients with intellectual disabilities. Participants with intellectual disabilities (n = 67; aged 30 and older) were randomized into an intervention (12-week exercise and health education programme) or control group. RESULTS: Intervention group showed significant improvements in health status, knowledge, self-efficacy, and fitness. CONCLUSION: Results support the efficacy of a HealthMatters Program in CBOs to improve health among adults with intellectual disabilities. A need exists for CBOs to include health promotion in their mission and vision statement and job descriptions. HubMed – rehab


The Acute Care Physical Therapy HIV/AIDS Patient Population: A Descriptive Study.

J Int Assoc Provid AIDS Care. 2013 Apr 15;
Kinirons SA, Do S

This study was based on an analysis of an existing database compiled from 475 medical records of people living with HIV/AIDS admitted to an acute-care hospital in New York City in 2004. The characteristics of patients with HIV infection that received physical therapy were determined. Differences between patients with HIV infection that did and did not receive physical therapy, as well as predictors of receipt of physical therapy, were identified. The physical therapy subgroup (n = 69) had a mean age of 48.3 years, consisted of more men than women, and was predominately black, with public health insurance. Admissions were commonly due to non-AIDS-defining illness as the primary diagnoses, accompanied by several comorbidities. Admissions often presented with functional deficits, incurred a prolonged length of stay, and required assistance at discharge. Differences existed between the physical therapy subgroup and the non-physical therapy subgroup (n = 406). Predictors of receipt of physical therapy were functional status on admission and length of stay. HubMed – rehab