Rehab Centers: [A Method of Speech Donorship and Speech Discourse for the Speech Restoration in Aphasia.]

[A method of speech donorship and speech discourse for the speech restoration in aphasia.]

Filed under: Rehab Centers

Zh Nevrol Psikhiatr Im S S Korsakova. 2012; 112(10): 14-17
Rudnev VA, Shte?nerdt VV

An objective of the study was to evaluate the effectiveness of speech restoration in aphasia in outpatients using audiovisual samples of the speech of first-degree relatives of the patient with the following transformation of the restoration into the feedback with the own audiovisual material (a method of speech donorship and speech discourse). We studied 53 outpatients with different severity of aphasia (28 patients with moderate severity, 12 patients with mild severity and 13 patients with marked severity) that was pathogenetically associated with stroke or brain injury. We used the following algorithm of speech restoration: 1) the work in the regime of biological feedback with the audiovisual sample of the speech of the close relative (7th-14th days); 2) the DVD recording of the own speech of the patient and the work with the own audiovisual sample (14th-21st days). Sessions were carried out twice a day. After the rehabilitation, there was a significant improvement (p<0,001) in the speech function including the decrease in the frequency of literal and verbal paraphasias, literal perseverations as well as the improvement of speech initiation and nonverbal speech component (intonation and kinesthetic appearances). The results of the restoration were worse in patients with severe aphasia than in those with moderate and mild aphasia, for the latter patients the method was very effective. HubMed – rehab


[Mental disorders of cognitive and non-cognitive spectrum in the first-degree relatives of patients with Alzheimer’s disease.]

Filed under: Rehab Centers

Zh Nevrol Psikhiatr Im S S Korsakova. 2012; 112(10): 8-13
Selezneva ND, Roshchina IF, Gavrilova SI, Fedorova IB, Gantman MV, Korova?tseva GI, Kunizheva SS, Rogaev EI

Mental disorders of cognitive and non-cognitive spectrum in the first-degree relatives of patients with Alzheimer’s disease (AD) were studied in 134 relatives, mean age 47.6 years, including 110 children and 24 siblings of probands. Compared to the age-matched controls (22 normals without relatives with AD), the higher frequency of the following mental disorders was found in the relatives: Alzheimer’s phobia, irritable weakness, mild cognitive impairment, including difficulties in learning new information and reduced sustained attention due to tiredness (2 times more frequent), difficulties in recollection of remote events (1.4 times more frequent), signs of constitutional cognitive deficit in the anamnesis (2-4 times more frequent), the combinations of two or three types of cognitive deficits (3-4 times more frequent), the combination of communicating hydrocephalus with MRI signs of cerebrovascular pathology (3,4 times more frequent). The data obtained in the study can help develop treatment/ rehabilitation measures to prevent the progression of cognitive deficit.
HubMed – rehab


Evaluation of Uncompensated Unilateral Vestibulopathy Using the Modified Clinical Test for Sensory Interaction and Balance.

Filed under: Rehab Centers

Otol Neurotol. 2012 Dec 15;
Park MK, Kim KM, Jung J, Lee N, Hwang SJ, Chae SW

OBJECTIVE: To compare the results of the Modified Clinical Test for Sensory Interaction and Balance (mCTSIB) and the Sensory Organization Test (SOT) of computerized dynamic posturography (CDP) to better understand the role and limitations of the mCTSIB in the diagnosis and rehabilitation of patients with uncompensated unilateral vestibulopathy. STUDY DESIGN: Prospective blind study. SETTING: Tertiary referral center. INTERVENTIONS: Ninety-eight patients with uncompensated unilateral vestibulopathy were enrolled. After diagnosis was established through ocular motor studies, head roll and Dix-Hallpike tests, caloric testing, and pure tone audiometry, the mCTSIB and SOT were administered simultaneously. MAIN OUTCOME MEASURE: Composite or comprehensive scores and equilibrium scores. RESULTS: When composite or comprehensive scores were used to classify subjects as normal or abnormal, the mCTSIB and SOT showed significant agreement (p > 0.256). SOT condition 2 (eyes closed on a firm surface) showed a greater degree of correlation than did other conditions; the foam-surface or eyes-open conditions yielded poor correlation coefficients. CONCLUSION: The mCTSIB can be used instead of the SOT in screening to distinguish normality from abnormality in dizzy patients with unilateral vestibulopathy. However, the degree of dizziness assessed by SOT condition was poorly correlated with mCTSIB results, especially in conditions with the eyes open and those using a foam surface.
HubMed – rehab


The prevention of injuries in contact flag football.

Filed under: Rehab Centers

Knee Surg Sports Traumatol Arthrosc. 2012 Dec 19;
Kaplan Y, Myklebust G, Nyska M, Palmanovich E, Victor J, Witvrouw E

PURPOSE: American flag football is a non-tackle, contact sport with many moderate to severe contact-type injuries reported. A previous prospective injury surveillance study by the authors revealed a high incidence of injuries to the fingers, face, knee, shoulder and ankle. The objectives of the study were to conduct a pilot-prospective injury prevention study in an attempt to significantly reduce the incidence and the severity of injuries as compared to a historical cohort, as well as to provide recommendations for a future prospective injury prevention study. METHODS: A prospective injury prevention study was conducted involving 724 amateur male (mean age: 20.0 ± 3.1 years) and 114 female (mean age: 21.2 ± 7.2 years) players. Four prevention measures were implemented: the no-pocket rule, self-fitting mouth guards, ankle braces (for those players with recurrent ankle sprains) and an injury treatment information brochure. An injury surveillance questionnaire was administered to record all time-loss injuries sustained in game sessions. RESULTS: There was a statistically significant reduction in the number of injured players, the number of finger/hand injuries, the incidence rate and the incidence proportion between the two cohorts (p < 0.05). CONCLUSIONS: This one-season pilot prevention study has provided preliminary evidence that finger/hand injuries can be significantly reduced in flag football. Prevention strategies for a longer, prospective, randomised-controlled injury prevention study should include the strict enforcement of the no-pocket rule, appropriate head gear, the use of comfortable-fitting ankle braces and mouth guards, and changing the blocking rules of the game. LEVEL OF EVIDENCE: II. HubMed – rehab



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